Yesterday's People: Life in Contemporary Appalachia.

ERIC Educational Resources Information Center

Weller, Jack E.

The author attempts to describe life in contemporary Appalachia on the basis of his service as a minister in the mountain region of the area for thirteen years. Included is an interpretation of the individualism, traditionalism, fatalism, and personal orientation which characterize the mountaineer population of Appalachia, as well as extensive…

78 FR 71635 - 60-Day Notice of Proposed Information Collection: Appalachia Economic Development Initiative and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-29

... Information Collection: Appalachia Economic Development Initiative and Semi-Annual Reporting AGENCY: Office of... of Rural Housing & Economic Development, Department of Housing and Urban Development, 451 7th Street... application for the Appalachia Economic Development Initiative grant process. Information is required to rate...

Practicing Sociology in Appalachia: Interview with Dwight Billings.

ERIC Educational Resources Information Center

Knight, Caroline E.; Poteete, Sarah; Sparrow, Amy; Wrye, Jessica C.; Billings, Dwight

2003-01-01

In discussing his work and teaching in Appalachian Studies, Dwight Billings emphasizes the need to recognize the diversity of Appalachia and understand Appalachian Studies in relation to social, economic, cultural, and political developments around the world. Appalachia has much to offer others in terms of postcolonialism and the ways that people…

Association of blood lead levels in children 0-72 months with living in Mid-Appalachia: a semi-ecologic study.

PubMed

Wiener, R Constance; Jurevic, Richard J

2016-01-01

Lead exposure in children remains a significant public health issue, although many advances have been made. The Mid-Appalachia area (Kentucky, New York, Ohio, Pennsylvania, and West Virginia) is 89-91% rural with a population density of 16-21 people/km2 (41-54 people/mi2). Mid-Appalachia has significant health disparities including concerns for the consequences of greater lead exposure to children due to mining and industrial footprints, and existing older housing. The purpose of this study is to compare the reported blood lead levels of screened children, aged 0-72 months in Mid-Appalachia, to the children in the USA in general. Data from the Centers for Disease Control and Prevention and from the US Census Bureau were analyzed in a semi-ecological study. The blood lead level of 5 μg/dL was compared between children in Mid-Appalachia and the US housing units built before 1950; US housing units built before 1940 were also compared. The number of children with blood lead levels of 5 μg/dL was significantly greater in Mid-Appalachia than nationally (7.75% vs 5.79%, respectively; p<0.0001). The number of homes built before 1950 (p<0.0001) and built before 1940 (p<0.0001) was significantly greater in Mid-Appalachia than nationally. Blood lead levels in children are higher in Mid-Appalachia than nationally and there is an ecological relationship with the number of homes built before 1950 and before 1940.

Alex Haley: At Home in the Hills of East Tennessee.

ERIC Educational Resources Information Center

Hawthorne, Ann

1992-01-01

An interview with Alex Haley six months before his death in February 1992 discusses his impressions of life in Appalachia; the media image of Appalachia; reminiscences of his hometown, Henning, Tennessee; race relations in Appalachia; and his plans for future books. Included are photographs and a eulogy from his funeral. (SV)

HPV Vaccination among Adolescent Females from Appalachia: Implications for Cervical Cancer Disparities

PubMed Central

Reiter, Paul L.; Katz, Mira L.; Paskett, Electra D.

2012-01-01

Background Appalachia is a geographic region with high cervical cancer incidence and mortality rates, yet little is known about human papillomavirus (HPV) vaccination in this region. We determined HPV vaccine coverage among adolescent females from Appalachia, made comparisons to non-Appalachian females, and examined how coverage differs across subregions within Appalachia. Methods We analyzed 2008–2010 data from the National Immunization Survey-Teen (NIS-Teen) for adolescent females ages 13–17 (n=1,951 Appalachian females and n=25,468 non-Appalachian females). We examined HPV vaccine initiation (receipt of at least one dose), completion (receipt of at least three doses), and follow-through (completion among initiators). Analyses used weighted logistic regression. Results HPV vaccine initiation (Appalachian=40.8% vs. non-Appalachian=43.6%; OR=0.92, 95% CI: 0.79–1.07) and completion (Appalachian=27.7% vs. non-Appalachian=25.3%; OR=1.12, 95% CI: 0.95–1.32) were similar between Appalachian and non-Appalachian females. HPV vaccine follow-through was higher among Appalachian females than non-Appalachian females (67.8% vs. 58.1%; OR=1.36, 95% CI: 1.07–1.72). Vaccination outcomes tended to be higher in the Northern (completion and follow-through) and South Central (follow-through) subregions of Appalachia compared to non-Appalachian U.S. Conversely, vaccination outcomes tended to be lower in the Central (initiation and completion) and Southern (initiation and completion) subregions. Conclusions In general, HPV vaccination in Appalachia is mostly similar to the rest of the U.S. However, vaccination is lagging in regions of Appalachia where cervical cancer incidence and mortality rates are highest. Impact Current cervical cancer disparities could potentially worsen if HPV vaccine coverage is not improved in regions of Appalachia with low HPV vaccine coverage. PMID:23136141

Progress and Challenges in Reducing Economic Distress in Appalachia: An Analysis of National and Regional Trends since 1960.

ERIC Educational Resources Information Center

Wood, Lawrence E.; Bischak, Gregory A.

This report analyzes changes in the number of distressed counties in Appalachia since 1960, identifies macroeconomic trends associated with distress in Appalachia, and examines socioeconomic factors associated with long-term distress as well as factors that predict whether a county moved out of distress. These data are also compared with similar…

Coal Markets

EIA Publications

2017-01-01

Summarizes spot coal prices by coal commodity regions (i.e., Central Appalachia (CAP), Northern Appalachia (NAP), Illinois Basin (ILB), Power River Basin (PRB), and Uinta Basin (UIB)) in the United States.

Delivering free healthcare to rural Central Appalachia population: the case of the Health Wagon.

PubMed

Gardner, T; Gavaza, P; Meade, P; Adkins, D M

2012-01-01

Central Appalachia residents present unique healthcare challenges. This vulnerable population faces poor health status and low access to health care. 'The Health Wagon' was established to innovatively enhance access to health care for the poor and marginalized rural population of Central Appalachia. This article describes the operations of the Health Wagon, a full mobile medical clinic, in delivering free health care to those in rural Southwest Virginia in Central Appalachia. The Health Wagon provides a wide range of comprehensive healthcare services, such as acute and chronic disease management, laboratory and diagnostic services, medication assistance, dental and eye care and specialty clinics for marginalized, poor and disenfranchised patients living in the mountains of that region. In 2009, a total of 157 clinics were provided and 2900 patients were seen (3165 patient encounters) in addition to 268 telemedicine specialty consultations at no cost to the patients. The work of the Health Wagon has broken down a financial barrier to healthcare access and offers unique and profound opportunities to improve health and expand health care in rural Central Appalachia.

Dental Workforce Availability and Dental Services Utilization in Appalachia: A Geospatial Analysis

PubMed Central

Feng, Xue; Sambamoorthi, Usha; Wiener, R. Constance

2016-01-01

Objectives There is considerable variation in dental services utilization across Appalachian counties, and a plausible explanation is that individuals in some geographical areas do not utilize dental care due to dental workforce shortage. We conducted an ecological study on dental workforce availability and dental services utilization in Appalachia. Methods We derived county-level (n = 364) data on demographic, socio-economic characteristics and dental services utilization in Appalachia from the 2010 Behavioral Risk Factor Surveillance System (BRFSS) using person-level data. We obtained county-level dental workforce availability and physician-to-population ratio estimates from Area Health Resource File, and linked them to the county-level BRFSS data. The dependent variable was the proportion using dental services within the last year in each county (ranging from 16.6% to 91.0%). We described the association between dental workforce availability and dental services utilization using ordinary least squares regression and spatial regression techniques. Spatial analyses consisted of bivariate Local Indicators of Spatial Association (LISA) and geographically weighted regression (GWR). Results Bivariate LISA showed that counties in the central and southern Appalachian regions had significant (p < .05) low-low spatial clusters (low dental workforce availability, low percent dental services utilization). GWR revealed considerable local variations in the association between dental utilization and dental workforce availability. In the multivariate GWR models, 8.5% (t-statistics >1.96) and 13.45% (t-statistics >1.96) of counties showed positive and statistically significant relationships between the dental services utilization and workforce availability of dentists and dental hygienists, respectively. Conclusions Dental workforce availability was associated with dental services utilization in the Appalachian region; however, this association was not statistically significant in all counties. The findings suggest that program and policy efforts to improve dental services utilization need to focus on factors other than increasing the dental workforce availability for many counties in Appalachia. PMID:27957773

Where Is Appalachia Today?

ERIC Educational Resources Information Center

Appalachia, 1976

1976-01-01

Detailing the present socioeconomic status of Appalachia, this article presents relevant data on Appalachian job opportunities, economic growth, human services, natural resources, governmental structure, population growth, income, health care, education levels, housing, and community services. (JC)

Appalachia's Winter Secret: Downhill on the Mountains.

ERIC Educational Resources Information Center

Johnson, Randy

1991-01-01

Describes ski-industry and winter-tourism growth in Appalachia. Sketches ski-resort developments in Maryland, Pennsylvania, North Carolina, and West Virginia. Describes economic threats to industry, its economic impact on Appalachian states and region, resorts' general qualities, and ski industry's promotional efforts. (TES)

APPALACHIA TRIES A CO-OP.

ERIC Educational Resources Information Center

RHODES, CHARLES W.

EDUCATORS AT THE APPALACHIA EDUCATIONAL LABORATORY IN CHARLESTON, WEST VIRGINIA, HAVE MODIFIED THE EDUCATIONAL PARK CONCEPT TO TAKE ADVANTAGE OF SCHOOL CONSOLIDATION WHILE MAINTAINING A PERSONAL RELATIONSHIP BETWEEN TEACHER AND PUPIL. AS PROPOSED, THE EDUCATIONAL COOPERATIVE WOULD CONSIST OF A CENTRAL FACILITY, JOINTLY CONSTRUCTED BY SMALLER…

Risk Factors for Smoking in Rural Women: The Role of Gender-Based Sexual and Intimate Partner Violence.

PubMed

Nemeth, Julianna M; Bonomi, Amy E; Lu, Bo; Lomax, Richard G; Wewers, Mary Ellen

2016-12-01

Women living in Ohio Appalachia experience cervical cancer at disproportionately high rates. Intimate partner and sexual gender-based violence (GBV) and smoking are independent risk factors for cervical cancer and interact to heighten risk. Appalachian women smoke at higher rates than other Ohio women, but little is known about GBV exposure in the region. The purpose of this study was to establish prevalence of women's exposure to GBV in Ohio Appalachia and examine the association between GBV and smoking among women in the region. A two-phase address-based random sampling approach was used in three purposefully selected Ohio Appalachian counties to identify women to complete an interviewer administered cross-sectional survey (n = 398). The primary exposure variable was GBV Index Score, a 4 level indices representing increasing exposure to eight abuse types. Correlation analysis and logistic regression were used to examine smoking correlations and risk. Almost 57% of women in the three selected Ohio Appalachian counties experienced GBV, with rate increasing to 77.5% among current smokers. The distribution of the GBV Exposure Index Score was significantly different across smoking status (p < = 0.0001), with exposure of GBV increasing when moving from never, to former, to current smokers. When controlling for depression, age, and adult socioeconomic position, GBV Exposure Index was significantly associated with current smoking behavior (OR:1.62, 95% CI [1.21-2.17]). Professionals working to reduce disparate disease burden among women in Ohio Appalachia should consider the role GBV plays in health behavior and behavioral change interventions, including smoking and smoking cessation.

Adjusting to Community College as an International Student in Appalachia

ERIC Educational Resources Information Center

Guyton, Deirdre T.

2017-01-01

The study examines the primary aspects of academic, cultural, and social challenges affecting international students attending community colleges in rural Appalachia. Through qualitative interviews with international students, this study explores academic, cultural, and social challenges. Implications for programs to assist international students…

"New Infrastructure" Needs in Appalachia.

ERIC Educational Resources Information Center

Newman, Mike

1987-01-01

Reports study of auto supply, apparel/textile, chemicals, tourism, instruments/telecommunications equipment industries, showing how Appalachia's ability to compete with other regions lies in access to capital, technology, and a skilled workforce. Concludes capitalizing on existing strengths will require action by all levels of government and the…

A Factory without Walls: Microbusinesses in Appalachia.

ERIC Educational Resources Information Center

Baldwin, Fred D.

1999-01-01

Describes various programs in Appalachia that offer small loans and extensive technical assistance and training to entrepreneurs that operate microbusinesses (businesses with five or fewer employees). Discusses the potential of entrepreneurs and microbusinesses to stimulate economic development in small towns and rural areas such as Garrett…

Continuity and Change in Appalachia.

ERIC Educational Resources Information Center

Shinn, Larry D.

1999-01-01

Appalachian continuities include attachment to land and religion, high teen pregnancy, and low literacy and income. Trends in Appalachia that institutions of higher education must address are higher rates of college attendance, migration to urban areas, changes in student learning styles, and increasing pressure to educate students to workplace…

Employment in Appalachia: Trends and Prospects.

ERIC Educational Resources Information Center

Fuller, Theodore E.

The manufacturing industry's areal and structural growth trends were analyzed for insights into their possible future role in Appalachia's economy. Between 1950 and 1960, total manufacturing employment expanded in large-, medium-, and small-center population areas, in rates inverse to center size. However, absolute gains in employment were…

The mountains hold things in: the use of community research review work groups to address cancer disparities in Appalachia.

PubMed

Hutson, Sadie P; Dorgan, Kelly A; Phillips, Amber N; Behringer, Bruce

2007-11-01

To review regional findings about cancer disparities with grass roots community leaders in Appalachia and to identify perspectives about what makes the cancer experience unique in Appalachia. A community-based participatory approach that includes focus-group methodology. Work groups gathered in well-known community locations in northeastern Tennessee and southwestern Virginia. 22 lay adult community members (12 in Tennessee and 10 in Virginia), all of whom had a personal and community interest in cancer and were reputed as informal community leaders. Work groups engaged in a series of five sequential sessions designed to (a) review regional data about cancer disparities and identify perspectives about what makes the cancer experience unique in Appalachia, (b) promote dialogue between the work group members and healthcare providers to identify methods for improved collaboration, and (c) integrate the work group with regional efforts of the states' comprehensive cancer control plans. Four major themes emerged from the focus group sessions with each work group: cancer storytelling, cancer collectivism, healthcare challenges, and cancer expectations. The community research review work groups proved to be a successful method to disseminate information about regional cancer disparities. Study findings provide a unique foundation so that healthcare providers and researchers can begin to address cancer disparities in the Appalachian region. Nurses are in key positions to partner with trusted community leaders to address disparities across the cancer continuum in Appalachia.

Rural Parents’ Perceived Stigma of Seeking Mental Health Services for their Children: Development and Evaluation of a New Instrument

PubMed Central

Williams, Stacey L.; Polaha, Jodi

2014-01-01

The purpose of this paper was to examine the validity of score interpretations of an instrument developed to measure parents’ perceptions of stigma about seeking mental health services for their children. The validity of the score interpretations of the instrument was tested in two studies. Study 1 examined confirmatory factor analysis (CFA) employing a split half approach, and construct and criterion validity using the entire sample of parents in rural Appalachia whose children were experiencing psychosocial concerns (N=347), while Study 2 further examined CFA, construct and criterion validity, as well as predictive validity of the scores on the new scale using a general sample of parents in rural Appalachia (N=184). Results of exploratory and confirmatory factor analyses revealed support for a two factor model of parents’ perceived stigma, which represented both self and public forms of stigma associated with seeking mental health services for their children, and correlated with existing measures of stigma and other psychosocial variables. Further, the new self and public stigma scale significantly predicted parents’ willingness to seek services for children. PMID:24749752

Fighting Back in Appalachia: Traditions of Resistance and Change.

ERIC Educational Resources Information Center

Fisher, Stephen L., Ed.

Sixteen essays document the extent and variety of community resistance and struggle in Appalachia since 1960, and the origins and factors contributing to success or failure of particular efforts. They also relate the study of Appalachian dissent to issues informing scholarly discussions of dissent nationally. Of particular educational relevance…

Op'nin' the Door for Appalachia in the Writing Classroom

ERIC Educational Resources Information Center

Hayes, Amanda

2011-01-01

The silence regarding Appalachia is mirrored in the relative scarcity of focused studies regarding Appalachian dialect, composition, and classroom issues. Little work has been done exploring the ways the composition classroom, concerned as it is with language and the production of discourse, can affect Appalachian students' linguistic and social…

Birthin' Babies: The History of Midwifery in Appalachia.

ERIC Educational Resources Information Center

Buchanan, Patricia; Parker, Vicky K.; Zajdel, Ruth Hopkins

This paper examines the history of midwifery in Appalachia. Throughout history, women in labor have been supported by other women. Midwives learned as apprentices, gaining skills and knowledge from older women. Eventually, formalized training for midwives was developed in Europe, but no professional training existed in the United States until…

Alumni Engaging Students from Under-Served Groups in Southern Appalachia

ERIC Educational Resources Information Center

Williams, Mitchell R.; Leatherwood, Laura; Byrd, Laura; Boyd, Monica S.; Pennington, Kevin

2010-01-01

The study explores how alumni can help community colleges in Southern Appalachia to create greater access for people in groups which are traditionally under-served by higher education. Semi-structured interviews conducted with alumni program directors and admissions officers at seven community colleges in the Southern Appalachian Region explore…

Education and Development in Rural Appalachia: An Environmental Education Perspective

ERIC Educational Resources Information Center

Addington, James R.

2011-01-01

This study examines education and development in Appalachia using environmental education as the theoretical basis. Despite over 50 years of public attention to the educational and developmental disparities in the Central Appalachian region, these disparities still exist. Thus, the investigation into a new paradigm seems appropriate (Eller, 2008).…

Multidimensional Assessment of Life Satisfaction in Southern Appalachia

ERIC Educational Resources Information Center

Bardi, Massimo

2009-01-01

People living in Southern Appalachia have been burdened by lack of resources, economic disparity, gender issues, and an increased probability to develop chronic disease linked to stress and anxiety. These problems can severely affect the individual's evaluation of the quality of life. In this study we assessed several predictors of life…

Perceptions and Prescriptions in Appalachia.

ERIC Educational Resources Information Center

Arnow, Pat, Ed.

1988-01-01

This journal theme issue focuses on Lyndon Johnson's War on Poverty in Appalachia, launched in 1964. Articles discuss the War on Poverty, the people involved, how it succeeded, and how it ultimately failed. One article examines the role of the Council of the Southern Mountains, established in 1913. Federal officials used the council's reputation…

CATV in Central Appalachia: A Feasibility Study.

ERIC Educational Resources Information Center

Marchese, Lamar

This document examines the problems and potentials that cable televisions have in public service, with a view toward understanding CATV's growth and how that growth relates to the developmental and educational needs of the Appalachian Region. Six developmental districts in Appalachia were chosen for intensive study. A team of consultants was…

Access to Care: Overcoming the Rural Physician Shortage.

ERIC Educational Resources Information Center

Baldwin, Fred D.

1999-01-01

Describes three state-initiated programs that address the challenge of providing access to health care for Appalachia's rural residents: a traveling pediatric diabetes clinic serving eastern Kentucky; a telemedicine program operated out of Knoxville, Tennessee; and a new medical school in Kentucky dedicated to training doctors from Appalachia for…

"Nerves": a sociomedical diagnosis ... of sorts.

PubMed

Ludwig, A M

1982-07-01

"Nerves" represents a common complaint among individuals from Appalachia. It appears to be a conglomerate term to encompass chronic anxiety without panic, mild depression without despair, neurasthenia without malaise, a smattering hypochondriasis and a surfeit of illness behavior, all superimposed on passive, dependent individuals with borderline normal intelligence and exposed to profound sociocultural deprivation. Definitive treatment of this disorder entails major changes or modifications in almost every aspect of their lives, including family structure, education, vocational training, and basic value systems. This may eliminate "nerves" but will not prevent the development of the more conventional psychiatric disorders to which more educated, middle-class individuals are vulnerable.

Southern Appalachia and Southern Racism: Employment Practice. A Case in Point.

ERIC Educational Resources Information Center

Hayden, Wilburn, Jr.

This paper examines racism and discrimination against rural blacks, especially as these factors relate to poverty caused by unemployment and underemployment. While overt racism in the rural South and Appalachia was sharply reduced during the 1970s, statistical evidence indicates that related differences, such as the black-white "income…

Historical and Theoretical Perspectives on Appalachia's Economic Dependency.

ERIC Educational Resources Information Center

Salstrom, Paul

The roots of Appalachia's economic dependency go back to the region's first settlers in the 1730s. Historical and theoretical analysis of this phenomenon is useful in understanding the current status of the area, including, the status of education. The early settler sought a "competency"--enough productive property to support a family.…

The Elderly of Appalachia. Appalachian Data Bank Report #3.

ERIC Educational Resources Information Center

Rowles, Graham D.; And Others

Analysis of 1980 census data reveals that elderly people (age 65 and over) living in Central and Southern Appalachia suffer more inferior life circumstances than the elderly population in the nation as a whole, falling well below national averages in terms of income, access to transportation, availability of telephones, and presence of resources…

Eating habits among adolescents in rural Southern Appalachia.

PubMed

Wu, Tiejian; Stoots, James Michael; Florence, James E; Floyd, Michael R; Snider, Jeromy Blake; Ward, Ryan D

2007-06-01

A survey of 274 adolescents aged 14-16 years in rural Appalachia showed that unhealthy eating habits were prevalent. A few adolescents were teased about weight whereas 20.1% witnessed weight teasing almost everyday. Perception of parents' healthy eating and better social support for healthy eating were associated with healthier eating habits.

Appalachia in an International Context: Cross-National Comparisons of Developing Regions.

ERIC Educational Resources Information Center

Obermiller, Phillip J., Ed.; Philliber, William W., Ed.

This book contains 11 essays that compare economic and social conditions in Appalachia to those in rural regions of other countries. These rural, frequently mountainous, regions suffer similar economic problems due to their peripheral position in the national economies of their countries. Among the topics of particular educational interest are the…

An Approach to Training and Retaining Primary Care Physicians in Rural Appalachia.

ERIC Educational Resources Information Center

Roberts, Allan; And Others

1993-01-01

The West Virginia School of Osteopathic Medicine's success in educating and retaining primary care physicians for practice in rural Appalachia is ascribed to its focused mission; a multistate student exchange program; careful recruitment, admission, and placement; early clinical training in rural sites; and status as a state-supported institution.…

Production economics of harvesting young hardwood stands in central Appalachia

Treesearch

Yaoxiang Li; Jingxin Wang; Gary W. Miller; Joe McNeel

2004-01-01

Three harvesting systems of chainsaw/cable skidder, fell-buncher/grapple skidder, and harvester/forwarder were simulated in harvesting three hardwood stands of 30 to 50 years old in central Appalachia. Stands were generated by using a stand generator and harvesting prescriptions included clearcut, shelterwood cut, selective cut, diameter limit cut, and crop tree...

LANGUAGE AND COMMUNICATION PROBLEMS IN SOUTHERN APPALACHIA.

ERIC Educational Resources Information Center

STEWART, WILLIAM A.

A LINGUISTIC FIELD SURVEY OF THE ENGLISH SPOKEN IN THE CULTURAL-GEOGRAPHICAL AREA OF APPALACHIA SHOWS THAT THERE ARE AT LEAST TWO MAJOR NONSTANDARD DIALECTS IN CURRENT USE. THE DIALECT FAMILY MOST COMMONLY ASSOCIATED WITH THE APPALACHIAN REGION IS MOUNTAIN SPEECH. ALTHOUGH WELL STRUCTURED AND EXPRESSIVE IN ITS OWN RIGHT, IT HAS COME TO BE…

Logging Work Injuries in Appalachia

Treesearch

Charles H. Wolf; Gilbert P. Dempsey

1978-01-01

Logging accidents are costly. They may bring pain to injured workers, hardship to their families, and higher insurance premiums and lower productivity to their employers. Our analysis of 1,172 injuries in central Appalachia reveals that nearly half of all time lost-and almost all fatalities-resulted from accidents during felling and unloading. The largest proportion of...

Psychological Tests Which Might be More Culturally Fair for Elementary School Age Children in Appalachia. Final Report.

ERIC Educational Resources Information Center

Phelps, William R.

This report lists various factors of psychological testing which might be more relevant and appropriate for elementary school age children in such areas as Appalachia. The areas covered are group individual testing, individual intelligence testing, achievement testing, special clinical testing, social maturity, and personality evaluation…

Using ATS-6 for Continuing Medical Education and Health Care in Appalachia.

ERIC Educational Resources Information Center

Butler-Paisley, Matilda; And Others

Ten Veterans Administration hospitals in Appalachia participated in five biomedical communication experiments using the Advanced Technology Satellite (ATS-6). Material was collected and evaluated by both questionnaires and interviews with the medical staff of the 10 hospitals. The five experiments were conducted in the areas of: (1) video…

The Northern Appalachia Cancer Network: Changing Cancer Research, Changing People's Lives

ERIC Educational Resources Information Center

Lengerich, Eugene J.; Kluhsman, Brenda C.; Bencivenga, Marcyann M.; Lesko, Samuel M.; Garcia-Dominic, Oralia; Aumiller, Betsy B.; Anderson, Marcia

2010-01-01

The Northern Appalachia Cancer Network (NACN) is a community-academic partnership to develop, implement, and evaluate evidence-based interventions intended to reduce the burden of cancer in Appalachian Pennsylvania and New York. The NACN began in 1992 as a loose network of community coalitions intended to implement local programs for cancer…

A Checklist and Purchase Guide for School and Community Libraries in Appalachia. Special Edition.

ERIC Educational Resources Information Center

Miller, Jim Wayne

1979-01-01

The checklist and purchase guide for school and community libraries in Appalachia includes an introduction with suggestions for use of the checklist, and listings in eight sections: bibliographies, materials, and resource lists; standard works and surveys on Appalachian history, culture, and politics; language and literature; music, arts, and…

White Infant Mortality in Appalachian States, 1976-1980 and 1996-2000: Changing Patterns and Persistent Disparities

ERIC Educational Resources Information Center

Yao, Nengliang; Matthews, Stephen A.; Hillemeier, Marianne M.

2012-01-01

Purpose: Appalachian counties have historically had elevated infant mortality rates. Changes in infant mortality disparities over time in Appalachia are not well-understood. This study explores spatial inequalities in white infant mortality rates over time in the 13 Appalachian states, comparing counties in Appalachia with non-Appalachian…

Anticipating Needs at End of Life in Narratives Related by People Living With HIV/AIDS in Appalachia.

PubMed

Hall, Joanne; Hutson, Sadie P; West, Frankie

2018-07-01

As part of a mixed methods study determining end-of-life and advanced care planning needs in southern Appalachia, a narrative analysis was done of stories told in interviews of 8 selected participants using transcript data. Narratives were fraught with contradiction and paradox. Tensions were evident about living in Appalachia, the Bible Belt, and an area wherein distances are long and community rejection can occur as news travels quickly. The primary finding was that stigma, from several sources, and shrinking circles of social support for people living with HIV/AIDS, all of whom were in treatment, combined to create a sense of solitariness. Narratives were fraught with tensions, contradictions, and paradoxes. Living in Appalachia, the Bible Belt, and an area wherein distances are long and community rejection can occur as news travels quickly. The rejection-based religiously based stigma was often predicated on stereotypes about sexual behavior and illicit drug use. Diagnosis was a key turning point after which many spiraled downward financially and socially. Implications for research and advanced care planning are included.

Risk Factors for Smoking in Rural Women: The Role of Gender-Based Sexual and Intimate Partner Violence

PubMed Central

Nemeth, Julianna M.; Bonomi, Amy E.; Lu, Bo; Lomax, Richard G.; Wewers, Mary Ellen

2016-01-01

Abstract Background: Women living in Ohio Appalachia experience cervical cancer at disproportionately high rates. Intimate partner and sexual gender-based violence (GBV) and smoking are independent risk factors for cervical cancer and interact to heighten risk. Appalachian women smoke at higher rates than other Ohio women, but little is known about GBV exposure in the region. The purpose of this study was to establish prevalence of women's exposure to GBV in Ohio Appalachia and examine the association between GBV and smoking among women in the region. Methods: A two-phase address-based random sampling approach was used in three purposefully selected Ohio Appalachian counties to identify women to complete an interviewer administered cross-sectional survey (n = 398). The primary exposure variable was GBV Index Score, a 4 level indices representing increasing exposure to eight abuse types. Correlation analysis and logistic regression were used to examine smoking correlations and risk. Results: Almost 57% of women in the three selected Ohio Appalachian counties experienced GBV, with rate increasing to 77.5% among current smokers. The distribution of the GBV Exposure Index Score was significantly different across smoking status (p < = 0.0001), with exposure of GBV increasing when moving from never, to former, to current smokers. When controlling for depression, age, and adult socioeconomic position, GBV Exposure Index was significantly associated with current smoking behavior (OR:1.62, 95% CI [1.21–2.17]). Discussion: Professionals working to reduce disparate disease burden among women in Ohio Appalachia should consider the role GBV plays in health behavior and behavioral change interventions, including smoking and smoking cessation. PMID:27548468

Oral cancer screening and dental care use among women from Ohio Appalachia.

PubMed

Reiter, P L; Wee, A G; Lehman, A; Paskett, E D

2012-01-01

Residents of Appalachia may benefit from oral cancer screening given the region's higher oral and pharyngeal cancer mortality rates. The current study examined the oral cancer screening behaviors and recent dental care (since dentists perform most screening examinations) of women from Ohio Appalachia. Women from Ohio Appalachia were surveyed for the Community Awareness Resources Education (CARE) study, which was completed in 2006. A secondary aim of the CARE baseline survey was to examine oral cancer screening and dental care use among women from this region. Outcomes included whether women (n=477; cooperation rate = 71%) had ever had an oral cancer screening examination and when their most recent dental visit had occurred. Various demographic characteristics, health behaviors and psychosocial factors were examined as potential correlates. Analyses used multivariate logistic regression. Most women identified tobacco-related products as risk factors for oral cancer, but 43% of women did not know an early sign of oral cancer. Only 15% of women reported ever having had an oral cancer screening examination, with approximately 80% of these women indicating that a dentist had performed their most recent examination. Women were less likely to have reported a previous examination if they were from urban areas (OR=0.33, 95% CI: 0.13-0.85) or perceived a lower locus of health control (OR=0.94, 95% CI: 0.89-0.98). Women were more likely to have reported a previous examination if they had had a dental visit within the last year (OR=2.24, 95% CI: 1.03-4.88). Only 65% of women, however, indicated a dental visit within the last year. Women were more likely to have reported a recent dental visit if they were of a high socioeconomic status (OR=2.83, 95% CI: 1.58-5.06), had private health insurance (OR=2.20, 95% CI: 1.21-3.97) or had consumed alcohol in the last month (OR=2.03, 95% CI: 1.20-3.42). Oral cancer screening was not common among women from Ohio Appalachia, with many missed opportunities having occurred at dental visits. Education programs targeting dentists and other healthcare providers (given dental providers are lacking in some areas of Ohio Appalachia) about opportunistic oral cancer screening may help to improve screening in Appalachia. These programs should include information about populations at high risk for oral cancer (eg smokers) and how screening may be especially beneficial for them. Future research is needed to examine the acceptability of such education programs to healthcare providers in the Appalachian region and to explore why screening was less common among women living in urban areas of Ohio Appalachia.

Oral cancer screening and dental care use among women from Ohio Appalachia

PubMed Central

Reiter, PL; Wee, AG; Lehman, A; Paskett, ED

2013-01-01

Introduction Residents of Appalachia may benefit from oral cancer screening given the region’s higher oral and pharyngeal cancer mortality rates. The current study examined the oral cancer screening behaviors and recent dental care (since dentists perform most screening examinations) of women from Ohio Appalachia. Methods Women from Ohio Appalachia were surveyed for the Community Awareness Resources Education (CARE) study, which was completed in 2006. A secondary aim of the CARE baseline survey was to examine oral cancer screening and dental care use among women from this region. Outcomes included whether women (n=477; cooperation rate = 71%) had ever had an oral cancer screening examination and when their most recent dental visit had occurred. Various demographic characteristics, health behaviors and psychosocial factors were examined as potential correlates. Analyses used multivariate logistic regression. Results Most women identified tobacco-related products as risk factors for oral cancer, but 43% of women did not know an early sign of oral cancer. Only 15% of women reported ever having had an oral cancer screening examination, with approximately 80% of these women indicating that a dentist had performed their most recent examination. Women were less likely to have reported a previous examination if they were from urban areas (OR=0.33, 95% CI: 0.13–0.85) or perceived a lower locus of health control (OR=0.94, 95% CI: 0.89–0.98). Women were more likely to have reported a previous examination if they had had a dental visit within the last year (OR=2.24, 95% CI: 1.03–4.88). Only 65% of women, however, indicated a dental visit within the last year. Women were more likely to have reported a recent dental visit if they were of a high socioeconomic status (OR=2.83, 95% CI: 1.58–5.06), had private health insurance (OR=2.20, 95% CI: 1.21–3.97) or had consumed alcohol in the last month (OR=2.03, 95% CI: 1.20–3.42). Conclusion Oral cancer screening was not common among women from Ohio Appalachia, with many missed opportunities having occurred at dental visits. Education programs targeting dentists and other healthcare providers (given dental providers are lacking in some areas of Ohio Appalachia) about opportunistic oral cancer screening may help to improve screening in Appalachia. These programs should include information about populations at high risk for oral cancer (eg smokers) and how screening may be especially beneficial for them. Future research is needed to examine the acceptability of such education programs to healthcare providers in the Appalachian region and to explore why screening was less common among women living in urban areas of Ohio Appalachia. PMID:23240899

Appalachia and the "Sacrament of Co-existence": Beyond Post-Colonial Trauma and Regional Identity Traps

ERIC Educational Resources Information Center

Reid, Herbert G.

2005-01-01

No doubt the two works of 1978 most important for an emerging Appalachian Studies field were "Colonialism in Modern America: The Appalachian Case" edited by Helen Lewis and her associates and Henry Shapiro's "Appalachia on Our Mind: The Southern Mountains and Mountaineers in the American Consciousness, 1870-1920." The American…

An American Challenge: A Report on Economic Trends and Social Issues in Appalachia.

ERIC Educational Resources Information Center

Couto, Richard A.

This book provides an overview of economic trends and social issues in the 13 states and 399 counties of Appalachia, with emphasis on implications for families, children, and communities. It places the trends and issues of the Appalachian region within a national context. These trends include declining employment opportunities and wages, increased…

Social Structure of the Contact Situation: Rural Appalachia and Urban America. Appalachian Center Information Report 1.

ERIC Educational Resources Information Center

Schwarzweller, Harry K.; Brown, James S.

An investigation of the characteristic structuring of rural communities in Appalachia and the institutional channels for change which exist within such communities comprise this revised version of a paper read at the Extension Leaders Conference, Morgantown, West Virginia, 1968. Specifically, this essay discusses how education, the mass media,…

Production economics of harvesting small-diameter hardwood stands in central Appalachia

Treesearch

Yaoxiang Li; Jingxin Wang; Gary Miller; Joe McNeel

2006-01-01

Three harvesting systems of chainsaw/cable skidder, feller-buncher/grapple skidder, and harvester/forwarder were simulated in harvesting three hardwood stands 30 to 50 years old in central Appalachia. Stands were generated by using a 3D stand generator. Harvesting prescriptions included clearcut, shelterwood cut, selective cut, diameter limit cut, and crop tree release...

Regional Technology Assets and Opportunities: The Geographic Clustering of High-Tech Industry, Science and Innovation in Appalachia.

ERIC Educational Resources Information Center

Feser, Edward; Goldstein, Harvey; Renski, Henry; Renault, Catherine

A study identified 100 sub-regional concentrations of technology-related employment, research and development, and applied innovation within and immediately adjacent to the 406-county service area of the Appalachian Regional Commission (ARC). Among the findings are that Appalachia's technology sector is comparatively small but expanding, with most…

Children in Appalachia: Current Conditions and Recent Trends, 1990.

ERIC Educational Resources Information Center

Morrison, Donna Ruane; And Others

The 1990 census shows about 5 million children living in the 13 states comprising Appalachia. Ninety percent of Appalachian children are white and nine percent are black, with the majority of black children living in the southern subregion. Children represent a quarter of the region's residents, but their numbers have declined by 11 percent since…

Gender and Schooling in Appalachia: Historical Lessons for an Era of Economic Restructuring. Research Paper 9411.

ERIC Educational Resources Information Center

Maggard, Sally Ward

This paper addresses issues involving the designing of new job training and education programs in central Appalachia in response to national policies for economic improvement. In March 1994, the Reemployment Act of 1994 was announced as the Clinton administration's response to problems caused by radical and worldwide economic restructuring. The…

Book Learning: Exploring the Meaning of Formal Education in Central Appalachia

ERIC Educational Resources Information Center

Jones, Janet B.

2013-01-01

In 2008 the school dropout rate in Central Appalachia was at 27% and the drug problem was epidemic. An investigation centered on a sample of Central Appalachian residents who had been discharged from the local outpatient clinic for opiate dependency revealed insights into their educational experiences and an understanding of drug dependency and…

Postsecondary Transitions for Youth in Appalachia's Central Subregions: A Review of Education Research, 1995-2015

ERIC Educational Resources Information Center

Kannapel, Patricia J.; Flory, Michael A.

2017-01-01

This article reviews research on issues surrounding postsecondary transitions for youth in middle (North Central, Central, and South Central) Appalachia, a region that faces numerous education challenges because of its geography, poverty, and economy. Examining published research and data from 1995 to 2015, the review seeks to inform education…

Appalachian Region: A Report Identifying and Addressing the Educational Needs

ERIC Educational Resources Information Center

US Department of Education, 2011

2011-01-01

This report presents the deliberations of the Appalachia Regional Advisory Committee (Appalachia RAC), one of 10 RACs established under the Educational Technical Assistance Act of 2002 (20 U.S.C. sections 9601 et. seq.) to assess the educational needs of the region. The Committee's report outlines the educational needs across the four states of…

The timber resources of the Ohio Hill Country

Treesearch

Paul S. DeBald; Roger E. McCay

1969-01-01

This report presents 1967 forest resource statistics for the Hill Country-Ohio's portion of Appalachia. The Hill Country comprises 28 counties, which were divided into three geographic sampling units for this survey. The Hill Country of the 1952 Ohio forest survey contained 26 of these counties. The additional Appalachia counties are Brown and Clermont in the...

American Social Welfare Policy and Social Justice for Appalachia's Children.

ERIC Educational Resources Information Center

McNutt, John G.

This paper examines social welfare policy and its impacts on Appalachian children. The discussion is based on a notion that a just society meets basic needs of all its members. Current social policy: (1) does not include a comprehensive family policy; (2) depends on state and local contributions which are limited in rural Appalachia; (3) has…

Adult tooth loss for residents of US coal mining and Appalachian counties.

PubMed

Hendryx, Michael; Ducatman, Alan M; Zullig, Keith J; Ahern, Melissa M; Crout, Richard

2012-12-01

The authors compared rates of tooth loss between adult residents of Appalachian coal-mining areas and other areas of the nation before and after control for covariate risks. The authors conducted a cross-sectional secondary data analysis that merged 2006 national Behavioral Risk Factor Surveillance System data (BRFSS) (N = 242 184) with county coal-mining data and other county characteristics. The hypothesis tested was that adult tooth loss would be greater in Appalachian mining areas after control for other risks. Primary independent variables included main effects for coal-mining present (yes/no) residence in Appalachia (yes/no), and their interaction. Data were weighted using the BRFSS final weights and analyzed using SUDAAN Proc Multilog to account for the multilevel complex sampling structure. The odds of two measures of tooth loss were examined controlling for age, race\\ethnicity, drinking, smoking, income, education, supply of dentists, receipt of dental care, fluoridation rate, and other variables. After covariate adjustment, the interaction variable for the residents of Appalachian coal-mining counties showed a significantly elevated odds for any tooth loss [odds ratio (OR) = 1.19, 95% CI = 1.02, 1.38], and greater tooth loss measured by a 4-level edentulism scale (OR = 1.20, 95% CI = 1.05, 1.36). The main effect for Appalachia was also significant for both measures, but the main effect for coal mining was not. Greater risk of tooth loss among adult residents of Appalachian coal-mining areas is present and is not explained by differences in reported receipt of dental care, fluoridation rates, supply of dentists or other behavioral or socioeconomic risks. Possible contributing factors include mining-specific disparities related to access, behavior or environmental exposures. © 2012 John Wiley & Sons A/S.

Using the Extended Parallel Process Model to Prevent Noise-Induced Hearing Loss among Coal Miners in Appalachia

ERIC Educational Resources Information Center

Murray-Johnson, Lisa; Witte, Kim; Patel, Dhaval; Orrego, Victoria; Zuckerman, Cynthia; Maxfield, Andrew M.; Thimons, Edward D.

2004-01-01

Occupational noise-induced hearing loss is the second most self-reported occupational illness or injury in the United States. Among coal miners, more than 90% of the population reports a hearing deficit by age 55. In this formative evaluation, focus groups were conducted with coal miners in Appalachia to ascertain whether miners perceive hearing…

Non-timber forest products in Central Appalachia: market opportunities for rural development (poster abstract)

Treesearch

A.L. Hammett; J.L. Chamberlain

1999-01-01

The gathering of forest products has supplemented the incomes of Central Appalachia residents for many generations. Non-timber forest products (NTFPs) can be grouped within four general categories: edibles such as mushrooms; medicinal and dietary supplements, including ginseng, gingko, and St. John?s wort; floral products such as moss, grape vines, and ferns; and...

Understanding Earnings Inequality in Appalachia: Skill Upgrading versus Rising Returns to Skill

ERIC Educational Resources Information Center

University of Kentucky Center for Poverty Research, 2007

2007-01-01

The Appalachian region is one of the most persistently poor areas of the United States. A focal explanation for the weak economic performance over the years is the fact that Appalachia has long lagged behind other regions in terms of the supply of skilled workers, particularly those with higher levels of education attainment, and this lack of…

An Overview of the Processes of Social Transition in Rural Appalachia. Discussion Paper.

ERIC Educational Resources Information Center

Photiadis, John D.

There are two very distinct schools of thought concerning the causation of many of Appalachia'a problems. One school treats the region's socio-cultural pecularities as the major cause of developmental problems; the other blames the coal industry. This paper suggests that, at the base, both schools of thought are valid in explaining cause and…

Rural parents' perceived stigma of seeking mental health services for their children: development and evaluation of a new instrument.

PubMed

Williams, Stacey L; Polaha, Jodi

2014-09-01

The purpose of our research was to examine the validity of score interpretations of an instrument developed to measure parents' perceptions of stigma about seeking mental health services for their children. The validity of the score interpretations of the instrument was tested in 2 studies. Study 1 employed confirmatory factor analysis (CFA), using a split half approach, and construct and criterion validity on data from the entire sample of parents in rural Appalachia whose children were experiencing psychosocial concerns (N = 347), while Study 2 employed CFA, construct and criterion validity, and predictive validity of the scores on data from a general sample of parents in rural Appalachia (N = 184). Results of exploratory and confirmatory factor analyses revealed support for a 2-factor model of parents' perceived stigma, which represented both self and public forms of stigma associated with seeking mental health services for their children, and correlated with existing measures of stigma and other psychosocial variables. Further, the new self and public stigma scale significantly predicted parents' willingness to seek services for children. PsycINFO Database Record (c) 2014 APA, all rights reserved.

North-South Variation in the Response of the Pine Engraver (Coleoptera: Scolytidae) to Lanierone and Ipsdienol in Eastern North America

Treesearch

D.R. Miller; K.F. Raffa; M.J. Dalusky; C.W. Berisford

2003-01-01

Lindgren multiple-funnel traps were used to evaluate the response of the pine en- graver, Ips pini (Say), to the pheromones lanierone and ipsdienol, in Wisconsin and in southern Appalachia (western North Carolina and northern Georgia). As in Wisconsin, the attraction of I. pini to ipsdienol-baited traps in southern Appalachia was...

Management perceptions of off-highway vehicle use on national forest system lands in Appalachia

Treesearch

Katherine A. Thompson; Chad D. Pierskalla; Michael A. Schuett

2008-01-01

In 2005, the U.S. Forest Service (USFS) issued new standards for dealing with unmanaged recreation. All National Forest System units are to develop travel management plans by 2009. The purpose of this study was to determine differences in perceptions between USFS managers of national forests in Appalachia with low and high levels of offhighway vehicle (OHV) use...

pH in streams draining small mined and unmined watersheds in the coal region of Appalachia

Treesearch

Kenneth L. Dyer; Willie R. Curtis

1983-01-01

To better evaluate the effects of surface mining for coal in first-order watersheds in Appalachia, a network of 421 water-quality sampling stations was established in 136 counties in nine states in 1977 and sampled on approximately a monthly basis until August 1979. Three categories of watersheds were sampled: (1) unmined, (2) mined after January 1972, and (3) mined...

TRAVELING EDUCATIONAL UNITS, A FEASIBILITY STUDY OF THE USE OF TRAVELING OR MOBILE EDUCATIONAL UNITS TO IMPROVE THE QUALITY OF EDUCATION IN APPALACHIA.

ERIC Educational Resources Information Center

WHEELER, C. HERBERT, JR.

THIS STUDY WAS CONDUCTED TO DETERMINE THE FEASIBILITY OF USING TRAVELING OR MOBILE UNITS TO IMPROVE THE QUALITY OF EDUCATION IN THE APPALACHIA REGION. IT EXAMINED THE LITERATURE WRITTEN IN THE LAST TEN YEARS ON EDUCATIONAL PROJECTS USING SOME FORM OF MOBILE FACILITY. FROM THIS LITERATURE A LIST OF PLANNED MOBILE PROJECTS WAS COMPILED AND…

Orthodontic Treatment Completion and Discontinuation in a Rural Sample from North Central Appalachia in the USA.

PubMed

Martin, Chris A; Dieringer, Breana M; McNeil, Daniel W

2017-01-01

Orthodontics has inherent demands, requiring regular appointments and active patient engagement, but relatively little is established in regard to rates of completion of treatment and possible factors affecting successful completion. These factors may be particularly important for cultural minority groups, such as those in rural Appalachia, given the environmental, social, and economic complexities affecting access to and utilization of treatment. A naturalistic study design was employed, using retrospective data from a rural outpatient general dental office in July 2012. Chart abstraction yielded 219 (55.3% female) orthodontic patients (M age = 11.0 [3.7]). Chi-square tests for independence were conducted for categorical dependent variables. For continuous variables, t -tests were conducted. A logistic multivariate regression analysis was conducted to predict completion/non-completion of treatment, with age, gender, distance traveled, type of malocclusion, and payment type as predictors. Overall, 49.8% of this sample successfully completed orthodontic treatment. Greater successful conclusion of treatment was found in self-pay patients (i.e., 74%) versus those whose care was funded through Medicaid/Children's Health Insurance Program (i.e., 34%) or through private insurance (i.e., 36%). Age, gender, and distance to the office from home had no association relative to successful completion of treatment, although average one-way distance to travel for care was considerable (i.e., 38.8 miles). Rate of successful orthodontic treatment completion was low in this rural sample. Treatment outcome was related to the form of payment for services, with self-pay associated with the highest rate of successful completion.

Appalachia: Rural Women and the Economics of Hunger. Hearing before the Domestic Task Force of the Select Committee on Hunger. House of Representatives, Ninety-Ninth Congress, First Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Select Committee on Hunger.

The Domestic Task Force of the House Select Committee on Hunger met to hear testimony on women and hunger in Appalachia and on food assistance programs and legislation, including H.R. 2100, the 1985 farm bill. Introductory remarks by task force members outline the bill's food assistance provisions, which include increased funding for food stamp…

Perspectives on Smoking Cessation in Northern Appalachia

PubMed Central

Rodriguez, Elisa M.; Masucci Twarozek, Annamaria; Erwin, Deborah; Widman, Christy; Saad-Harfouche, Frances G.; Fox, Chester H.; Underwood, Willie; Mahoney, Martin C.

2015-01-01

This study applies qualitative research methods to explore perspectives on cessation among smokers/former smokers recruited from an area of Northern Appalachia. Six focus groups, stratified by age group (18–39 years old and 40 years and older), were conducted among participants (n=54) recruited from community settings. Participants described varied interest in and challenges with quitting smoking. Smokers 40 years and older more readily endorsed the health risks of smoking and had greater interest in quitting assistance. Participants expressed frustration with the U.S. government for allowing a harmful product (e.g., cigarettes) to be promoted with minimal regulation. Use of social media was robust among both age groups; participants expressed limited interest in various social media/technology platforms for promoting smoking cessation. Findings from this understudied area of northern Appalachia reflect the heterogeneity of this region and contribute novel information about the beliefs, attitudes, and experiences of current and formers smokers with regard to cessation. PMID:26318743

Residing in economically distressed rural Appalachia is independently associated with excess body weight in college students.

PubMed

Abshire, Demetrius A; Lennie, Terry A; Mudd-Martin, Gia T; Moser, Debra K

2017-01-01

The prevalence of obesity is greater among adults living in rural compared to urban areas of the USA. Greater obesity risk among rural adults persists after adjusting for obesity-related behaviors and sociodemographic factors. With the rural-urban obesity disparity greatest among younger adults, it is important to examine the complexity of factors that may increase the risk for excess body weight in this population so that effective preventive interventions can be implemented. College students residing in economically deprived rural areas such as rural Appalachia may be particularly at risk for excess body weight from exposure to both rural and college obesogenic environments. The purpose of this study was to determine if living in economically distressed rural Appalachia is independently associated with excess body weight among college students. College students aged 18-25 years who were lifetime residents of either rural Eastern Appalachian Kentucky (n=55) or urban Central Kentucky (n=54) participated in this cross-sectional study. Students completed questionnaires on sociodemographics, depressive symptoms, and health behaviors including smoking, fruit and vegetable intake, and physical activity. Height and weight were obtained during a brief health examination to calculate body-mass index (BMI). Excess body weight was defined as being overweight or obese with a BMI of 25 kg/m2 or greater. Binary logistic regression was used to determine if living in economically distressed rural Appalachia was independently associated with excess body weight. The prevalence of excess body weight was higher in the rural Appalachian group than the urban group (50% vs 24%, p0.001). Depressive symptom scores and smoking prevalence were also greater in the rural Appalachian group. There were no differences in fruit and vegetable intake and vigorous physical activity between the groups. Residing in economically distressed rural Appalachia was associated with more than a six-fold increased risk of overweight or obesity, controlling for sociodemographics, depressive symptoms, and health behaviors (odds ratio=6.36, 95%CI=1.97-20.48, p=0.002). Living in economically distressed rural Appalachia was associated with excess body weight in college students independent of sociodemographic factors, depressive symptoms, and obesity-related behaviors. Further research is needed to determine other characteristics of this region that are associated with excess body weight so that effective programs to reduce obesity risk can be implemented.

Delays in Diagnosis of Congenital Hearing Loss in Rural Children

PubMed Central

Bush, Matthew L.; Bianchi, Kristin; Lester, Cathy; Shinn, Jennifer B.; Gal, TJ; Fardo, David W.; Schoenberg, Nancy

2013-01-01

Objective To examine the incidence of pediatric congenital hearing loss and the timing of diagnosis in a rural region of hearing healthcare disparity. Study design Data from the Kentucky newborn hearing-screening program was accessed to determine the incidence of congenital hearing loss in Kentucky, both in the extremely rural region of Appalachia and non-Appalachian region of Kentucky. We also performed a retrospective review of records of children with congenital hearing loss at our institution to determine the timing of diagnostic testing. Results In Kentucky, during 2009–2011, there were 6,970 newborns who failed hearing screening; the incidence of newborn hearing loss was 1.71 per 1000 births (1.28/1000 in Appalachia and 1.87/1000 in non-Appalachia). 23.8% of Appalachian newborns compared with 17.3% of non-Appalachian children failed to obtain follow-up diagnostic testing. Children from Appalachia were significantly delayed in obtaining a final diagnosis of hearing loss compared with children from non-Appalachian regions (p=0.04). Conclusion Congenital hearing loss in children from rural regions with hearing healthcare disparities is a common problem and these children are at risk for a delay in the timing of diagnosis, which has the potential to limit language and social development. It is important to further assess the causative factors and develop interventions that can address this hearing healthcare disparity issue. PMID:24183213

Is there an Appalachian disparity in dental caries in Pennsylvania schoolchildren?

PubMed

Polk, Deborah E; Kim, Sunghee; Manz, Michael; Weyant, Robert J

2015-02-01

To determine whether there is an Appalachian disparity in caries prevalence or extent in children living in Pennsylvania. We conducted a cross-sectional clinical assessment of caries in a sample representing 1st, 3rd, 9th, and 11th grade students across Pennsylvania. We used logistic regression and zero-inflated negative binomial regression controlling for age to examine the association of residence in an Appalachian county with caries prevalence and extent in the primary and permanent dentitions. Compared with children living outside Appalachia, more children living in Appalachia had a dft >0 (OR = 1.37, 95% CI = 1.07-1.76) and more had a DMFT >0 (OR = 1.32, 95% CI = 1.06-1.64). In addition, compared with children living outside Appalachia, children living in Appalachia had a greater primary but not permanent caries extent (IRR = 1.10, 95% CI = 1.01-1.19). We found Appalachian disparities in caries prevalence in both the primary and permanent dentitions and an Appalachian disparity in caries extent in the primary dentition. None of the disparities was moderated by age. This suggests that the search for the mechanism or mechanisms for the Appalachian disparities should focus on differential exposures to risk factors occurring prior to and at the start of elementary school. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Is There an Appalachian Disparity in Dental Caries in Pennsylvania Schoolchildren?

PubMed Central

Polk, Deborah E.; Kim, Sunghee; Manz, Michael; Weyant, Robert J.

2015-01-01

Objectives To determine whether there is an Appalachian disparity in caries prevalence or extent in children living in Pennsylvania. Methods We conducted a cross-sectional clinical assessment of caries in a sample representing 1st, 3rd, 9th, and 11th grade students across Pennsylvania. We used logistic regression and zero-inflated negative binomial regression controlling for age to examine the association of residence in an Appalachian county with caries prevalence and extent in the primary and permanent dentitions. Results Compared with children living outside Appalachia, more children living in Appalachia had a dft > 0 (OR = 1.37, 95% CI = 1.07 – 1.76) and more had a DMFT > 0 (OR = 1.32, 95% CI = 1.06 – 1.64). In addition, compared with children living outside Appalachia, children living in Appalachia had a greater primary but not permanent caries extent (IRR = 1.10, 95% CI = 1.01 – 1.19). Conclusions We found Appalachian disparities in caries prevalence in both the primary and permanent dentitions and an Appalachian disparity in caries extent in the primary dentition. None of the disparities was moderated by age. This suggests that the search for the mechanism or mechanisms for the Appalachian disparities should focus on differential exposures to risk factors occurring prior to and at the start of elementary school. PMID:25470650

Uncertainty as Certaint

NASA Astrophysics Data System (ADS)

Petzinger, Tom

I am trying to make money in the biotech industry from complexity science. And I am doing it with inspiration that I picked up on the edge of Appalachia spending time with June Holley and ACEnet when I was a Wall Street Journal reporter. I took some of those ideas to Pittsburgh, in biotechnology, in a completely private setting with an economic development focus, but also with a mission t o return profit to private capital. And we are doing that. I submit as a hypothesis, something we are figuring out in the post- industrial era, that business evolves. It is not the definition of business, but business critically involves the design of systems in which uncertainty is treated as a certainty. That is what I have seen and what I have tried to put into practice.

Factors influencing smokeless tobacco use in rural Ohio Appalachia.

PubMed

Nemeth, Julianna M; Liu, Sherry T; Klein, Elizabeth G; Ferketich, Amy K; Kwan, Mei-Po; Wewers, Mary Ellen

2012-12-01

The burden of smokeless tobacco (ST) use disproportionally impacts males in rural Ohio Appalachia. The purpose of this study was to describe the cultural factors contributing to this disparity and to articulate the way in which culture, through interpersonal factors (i.e. social norms and social networks) and community factors (i.e. marketing and availability), impacts ST initiation and use of ST among boys and men in Ohio Appalachia. Fifteen focus groups and 23 individual qualitative interviews were conducted with adult (n = 63) and adolescent (n = 53) residents in Ohio Appalachian counties to ascertain factors associated with ST use and the impact of ST marketing. Transcriptions were independently coded according to questions and themes. ST use appears to be a rite of passage in the development of masculine identity in Ohio Appalachian culture. Interpersonal factors had the greatest influence on initiation and continued use of ST. Ohio Appalachian boys either emulated current ST users or were actively encouraged to use ST through male family and peer networks. Users perceived their acceptance into the male social network as predicated on ST use. Community factors, including ST advertisement and access to ST, reinforced and normalized underlying cultural values. In addition to policy aimed at reducing tobacco marketing and access, interventions designed to reduce ST use in Ohio Appalachia should incorporate efforts to (1) shift the perception of cultural norms regarding ST use and (2) address male social networks as vehicles in ST initiation.

Adherence to multiple cancer screening tests among women living in Appalachia Ohio

PubMed Central

Katz, Mira L.; Reiter, Paul L.; Young, Gregory S.; Pennell, Michael L.; Tatum, Cathy M.; Paskett, Electra D.

2015-01-01

Background There is a lack of information about the correlates of completing all three cancer screening tests among women living in Appalachia. Methods Cross-sectional telephone interviews were conducted (April-September 2013) among women (n=637) ages 51-75 from 12 Appalachia Ohio counties. Outcomes of within screening guidelines were verified by medical record. Multivariable logistic regression models identified correlates of being within guidelines for all three cancer screening tests. Results Screening rates were: mammography (32.1%), Pap test (36.1%), and a colorectal cancer test (30.1%). Only 8.6% of women were within guidelines for all tests. Having had a check-up in the past two years and having received a screening recommendation were significantly related to being within guidelines for all three tests (p<0.01). Participants with higher annual household incomes ($60,000+; OR=3.53, 95% CI: 1.49, 8.33) and conditions requiring regular medical visits (OR=3.16, 95% CI: 1.29, 7.74) were more likely to be within guidelines for all three screening tests. Conclusion Less than 10% of women had completed screening within guidelines for all three screening tests. Regular contact with the healthcare system and higher incomes were significant predictors of being within guidelines. Impact Within guidelines rates for the three recommended cancer screening tests is low among women in Appalachia Ohio. This finding illustrates the need for innovative interventions to improve rates of multiple cancer screening tests. PMID:26282630

Cultural perspectives concerning adolescent use of tobacco and alcohol in the Appalachian mountain region.

PubMed

Meyer, Michael G; Toborg, Mary A; Denham, Sharon A; Mande, Mary J

2008-01-01

Appalachia has high rates of tobacco use and related health problems, and despite significant impediments to alcohol use, alcohol abuse is common. Adolescents are exposed to sophisticated tobacco and alcohol advertising. Prevention messages, therefore, should reflect research concerning culturally influenced attitudes toward tobacco and alcohol use. With 4 grants from the National Institutes of Health, 34 focus groups occurred between 1999 and 2003 in 17 rural Appalachian jurisdictions in 7 states. These jurisdictions ranged between 4 and 8 on the Rural-Urban Continuum Codes of the Economic Research Service of the US Department of Agriculture. Of the focus groups, 25 sought the perspectives of women in Appalachia, and 9, opinions of adolescents. The family represented the key context where residents of Appalachia learn about tobacco and alcohol use. Experimentation with tobacco and alcohol frequently commenced by early adolescence and initially occurred in the context of the family home. Reasons to abstain from tobacco and alcohol included a variety of reasons related to family circumstances. Adults generally displayed a greater degree of tolerance for adolescent alcohol use than tobacco use. Tobacco growing represents an economic mainstay in many communities, a fact that contributes to the acceptance of its use, and many coal miners use smokeless tobacco since they cannot light up in the mines. The production and distribution of homemade alcohol was not a significant issue in alcohol use in the mountains even though it appeared not to have entirely disappeared. Though cultural factors support tobacco and alcohol use in Appalachia, risk awareness is common. Messages tailored to cultural themes may decrease prevalence.

Crystal methamphetamine use among American Indian and White youth in Appalachia: Social context, masculinity, and desistance.

PubMed

Brown, Ryan A

2010-06-01

Rural areas and American Indian reservations are hotspots for the use of crystal methamphetamine ("meth") in the United States, yet there is little ethnographic data describing meth use in these areas. This study draws upon three years of ethnographic work conducted with American Indian and White youth in Appalachia during the height of the meth epidemic. It describes how historical, cultural, and socioeconomic processes influence vulnerability to meth use in Appalachia, and highlights the role of social relationships and meaning-making in facilitating desistance and recovery from meth use. The first section shows how crystal meth filled a particular functional niche in the lives of many young men, alleviating boredom and anomie linked to recent socioeconomic changes and labor opportunities in the region, and intersecting with local understandings of masculinity and forms of military identity. Here, ethnographic and interview data converge to illustrate how social role expectations, recent socioeconomic change, and meth's pharmacological properties converge to create vulnerability to meth use in Appalachia. The second section draws upon two American Indian narratives of desistance. These youth described recently severed social relationships and acute feelings of social isolation during the initiation of meth use. Both also described dramatic close calls with death that facilitated their eventual desistance from use, involving repaired social relationships and the establishment of new lives and hope. These interviews illustrate how changes in social relationships were linked with both initiation and desistance from meth use, and how religious interpretations of near-death experiences structured narratives of cessation and redemption.

Cultural Perspectives Concerning Adolescent Use of Tobacco and Alcohol in the Appalachian Mountain Region

PubMed Central

Meyer, Michael G.; Toborg, Mary A.; Denham, Sharon A.; Mande, Mary J.

2008-01-01

Context Appalachia has high rates of tobacco use and related health problems, and despite significant impediments to alcohol use, alcohol abuse is common. Adolescents are exposed to sophisticated tobacco and alcohol advertising. Prevention messages, therefore, should reflect research concerning culturally influenced attitudes toward tobacco and alcohol use. Methods With 4 grants from the National Institutes of Health, 34 focus groups occurred between 1999 and 2003 in 17 rural Appalachian jurisdictions in 7 states. These jurisdictions ranged between 4 and 8 on the Rural-Urban Continuum Codes of the Economic Research Service of the US Department of Agriculture. Of the focus groups, 25 sought the perspectives of women in Appalachia, and 9, opinions of adolescents. Findings The family represented the key context where residents of Appalachia learn about tobacco and alcohol use. Experimentation with tobacco and alcohol frequently commenced by early adolescence and initially occurred in the context of the family home. Reasons to abstain from tobacco and alcohol included a variety of reasons related to family circumstances. Adults generally displayed a greater degree of tolerance for adolescent alcohol use than tobacco use. Tobacco growing represents an economic mainstay in many communities, a fact that contributes to the acceptance of its use, and many coal miners use smokeless tobacco since they cannot light up in the mines. The production and distribution of homemade alcohol was not a significant issue in alcohol use in the mountains even though it appeared not to have entirely disappeared. Conclusions Though cultural factors support tobacco and alcohol use in Appalachia, risk awareness is common. Messages tailored to cultural themes may decrease prevalence. PMID:18257873

Colorectal carcinoma mortality among Appalachian men and women, 1969-1999.

PubMed

Armstrong, Lori R; Thompson, Trevor; Hall, H Irene; Coughlin, Steven S; Steele, Brooke; Rogers, Joe D

2004-12-15

Colorectal carcinoma screening can reduce mortality, but residents of poor or medically underserved areas may face barriers to screening. The current study assessed colorectal carcinoma mortality in Appalachia, a historically underserved area, from 1969 to 1999. All counties within the 13-state Appalachian region, which stretches from southern New York to northern Mississippi, were used to calculate annual death rates for the 31-year period. Joinpoint regression analysis was used to examine trends by age and race for the Appalachian region and the remainder of the United States. Five-year rates for 1995-1999 age-adjusted to the 2000 U.S. standard population were calculated by race and age group for the Appalachian region and elsewhere in the United States. Trend analysis showed that colorectal carcinoma death rates among both racial and gender groups studied had declined in recent years. Despite this, the rates for white males and white females were still significantly higher in Appalachia than in the rest of the country at the end of the study period, 1999. Five-year colorectal carcinoma death rates among white males (ages < 50, 50-59, and 70-79 years) and white females (ages < 50, 50-59, 70-79, > or = 80 years) were significantly higher in Appalachia than elsewhere in the United States, whereas rates among black females 60-69 and 70-79 years old were significantly lower in Appalachia. The Appalachian region may benefit from targeted prevention efforts to eliminate disparities in the colorectal carcinoma death rates among subgroups. Further studies are needed to determine whether the higher death rates in specific Appalachian subgroups are related to a higher incidence of the disease, the cancer being at a later stage at diagnosis, poorer treatment, or other factors.

Anatomy and osteohistology of the basal hadrosaurid dinosaur Eotrachodon from the uppermost Santonian (Cretaceous) of southern Appalachia.

PubMed

Prieto-Márquez, Albert; Erickson, Gregory M; Ebersole, Jun A

2016-01-01

The cranial and postcranial anatomy of the basal hadrosaurid dinosaur Eotrachodon orientalis, from the uppermost Santonian of southern Appalachia (southeastern U.S.A.), is described in detail. This animal is the only known pre-Campanian non-lambeosaurine hadrosaurid, and the most complete hadrosauroid known from Appalachia. E. orientalis possesses a mosaic of plesiomorphic and derived characters in the context of Hadrosauroidea. Characters shared with basal hadrosauroids include a short and sloping maxillary ectopterygoid shelf, caudally prominent maxillary jugal process, one functional tooth per alveolus on the maxillary occlusal plane, a jugal rostral process with a shallow caudodorsal margin and medioventrally facing articular facet, a vertical dentary coronoid process with a poorly expanded apex, and tooth crowns with accessory ridges. Derived characters shared with other hadrosaurids include a circumnarial depression compartmented into three fossae (as in brachylophosaurins and Edmontosaurus), a thin everted premaxillary oral margin (as in Gryposaurus, Prosaurolophus, and Saurolophus), and a maxilla with a deep and rostrocaudally extensive rostrodorsal region with a steeply sloping premaxillary margin (as in Gryposaurus). Eotrachodon orientalis differs primarily from the other hadrosauroid from the Mooreville Chalk of Alabama, Lophorhothon atopus, in having a slender and crestless nasal whose caudodorsal margin is not invaded by the circumnarial depression. Hadrosaurus foulkii, the only other known hadrosaurid from Appalachia, is distinct from E. orientalis in having dentary teeth lacking accessory ridges and a dorsally curved shaft of the ischium. A histological section of the tibia of the E. orientalis holotype (MSC 7949) suggests that this individual was actively growing at the time of death and, thus, had the potential to become a larger animal later in development.

Energy-conserving perennial agriculture for marginal land in southern Appalachia. Final technical report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Williams, G.

USDA economists predict the end of surplus farm production in the US within this decade. More and more marginal land will be cropped to provide feed for the growing world population and to produce energy. Much of this potential cropland in Southern Appalachia is poorly suited to annual crops, such as corn. Perennial crops are much better suited to steep, rocky, and wet sites. Research was undertaken on the theoretical potentials of perennial species with high predicted yields of protein, carbohydrates, or oils. Several candidate staple perennial crops for marginal land in Southern Appalachia were identified, and estimates were mademore » of their yields, energy input requirements, and general suitabilities. Cropping systems incorporating honeylocust, persimmon, mulberry, jujube, and beech were compared with corn cropping systems. It appears that these candidate staple perennials show distinct advantages for energy conservation and environmental preservation. Detailed economic analyses must await actual demonstration trials, but preliminary indications for ethanol conversion systems with honeylocust are encouraging. It is suggested that short-term loans to farmers undertaking this new type of agriculture would be appropriate to solve cash-flow problems.« less

Efficacy of an Educational Intervention to Increase Consent for HIV Testing in Rural Appalachia

PubMed Central

Basta, Tania B.; Stambaugh, Teena; Fisher, Celia B.

2016-01-01

This study sought to assess barriers and enhance readiness to consent to home and Planned Parenthood HIV testing among 60 out-patients from a mental health and substance abuse clinic in rural Appalachia. Testing barriers included not knowing where to get tested, lack of confidentiality, and loss of partners if one tested sero-positive. The intervention yielded lowered HIV stigma, increase in HIV knowledge, and agreement to take the HIV home test. These results are encouraging because they suggest that a brief educational intervention is a critical pathway to the success of the National Institutes on Drug Abuse’s Seek, Test, Treat, and Retain initiative in poor rural counties. PMID:27789935

Disparities in Underserved White Populations: The Case of Cancer-Related Disparities in Appalachia

PubMed Central

Paskett, Electra D.; Lengerich, Eugene J.; Schoenberg, Nancy E.; Kennedy, Stephenie K.; Conn, Mary Ellen; Roberto, Karen A.; Dwyer, Sharon K.; Fickle, Darla; Dignan, Mark

2011-01-01

There are meaningful cancer-related disparities in the Appalachian region of the U.S. To address these disparities, the Appalachia Community Cancer Network (ACCN), a collaboration of investigators and community partners in five states (Kentucky, Ohio, Pennsylvania, Virginia, and West Virginia), is involved in increasing cancer education and awareness, conducting community-based participatory research (CBPR), and creating mentorship and training opportunities. The primary objective of this paper is to describe cancer-related disparities in the Appalachian region of the U.S. as an example of the disparities experienced by underserved, predominantly white, rural populations, and to describe ACCN activities designed to intervene regarding these disparities. An ACCN overview/history and the diverse activities of ACCN-participating states are presented in an effort to suggest potential useful strategies for working to reduce health-related disparities in underserved white populations. Strengths that have emerged from the ACCN approach (e.g., innovative collaborations, long-standing established networks) and remaining challenges (e.g., difficulties with continually changing communities, scarce resources) are described. Important recommendations that have emerged from the ACCN are also presented, including the value of allowing communities to lead CBPR efforts. Characteristics of the community-based work of the ACCN provide a framework for reducing health-related disparities in Appalachia and in other underserved white and rural populations. PMID:21873582

Restoration as mitigation: analysis of stream mitigation for coal mining impacts in southern Appalachia.

PubMed

Palmer, Margaret A; Hondula, Kelly L

2014-09-16

Compensatory mitigation is commonly used to replace aquatic natural resources being lost or degraded but little is known about the success of stream mitigation. This article presents a synthesis of information about 434 stream mitigation projects from 117 permits for surface mining in Appalachia. Data from annual monitoring reports indicate that the ratio of lengths of stream impacted to lengths of stream mitigation projects were <1 for many projects, and most mitigation was implemented on perennial streams while most impacts were to ephemeral and intermittent streams. Regulatory requirements for assessing project outcome were minimal; visual assessments were the most common and 97% of the projects reported suboptimal or marginal habitat even after 5 years of monitoring. Less than a third of the projects provided biotic or chemical data; most of these were impaired with biotic indices below state standards and stream conductivity exceeding federal water quality criteria. Levels of selenium known to impair aquatic life were reported in 7 of the 11 projects that provided Se data. Overall, the data show that mitigation efforts being implemented in southern Appalachia for coal mining are not meeting the objectives of the Clean Water Act to replace lost or degraded streams ecosystems and their functions.

Effects of microhabitat and large-scale land use on stream salamander occupancy in the coalfields of Central Appalachia

USGS Publications Warehouse

Sweeten, Sara E.; Ford, W. Mark

2016-01-01

Large-scale coal mining practices, particularly surface coal extraction and associated valley fills as well as residential wastewater discharge, are of ecological concern for aquatic systems in central Appalachia. Identifying and quantifying alterations to ecosystems along a gradient of spatial scales is a necessary first-step to aid in mitigation of negative consequences to aquatic biota. In central Appalachian headwater streams, apart from fish, salamanders are the most abundant vertebrate predator that provide a significant intermediate trophic role linking aquatic and terrestrial food webs. Stream salamander species are considered to be sensitive to aquatic stressors and environmental alterations, as past research has shown linkages among microhabitat parameters, large-scale land use such as urbanization and logging, and salamander abundances. However, there is little information examining these relationships between environmental conditions and salamander occupancy in the coalfields of central Appalachia. In the summer of 2013, 70 sites (sampled two to three times each) in the southwest Virginia coalfields were visited to collect salamanders and quantify stream and riparian microhabitat parameters. Using an information-theoretic framework, effects of microhabitat and large-scale land use on stream salamander occupancy were compared. The findings indicate that Desmognathus spp. occupancy rates are more correlated to microhabitat parameters such as canopy cover than to large-scale land uses. However, Eurycea spp. occupancy rates had a strong association with large-scale land uses, particularly recent mining and forest cover within the watershed. These findings suggest that protection of riparian habitats is an important consideration for maintaining aquatic systems in central Appalachia. If this is not possible, restoration riparian areas should follow guidelines using quick-growing tree species that are native to Appalachian riparian areas. These types of trees would rapidly establish a canopy cover, stabilize the soil, and impede invasive plant species which would, in turn, provide high-quality refuges for stream salamanders.

Health-Related Quality of Life Among Central Appalachian Residents in Mountaintop Mining Counties

PubMed Central

Hendryx, Michael

2011-01-01

Objectives. We examined the health-related quality of life of residents in mountaintop mining counties of Appalachia using the 2006 national Behavioral Risk Factor Surveillance System. Methods. Dependent variables included self-rated health; the number of poor physical, poor mental, and activity limitation days (in the past 30 days); and the Healthy Days Index. Independent variables included metropolitan status, primary care physician supply, and Behavioral Risk Factor Surveillance System behavioral and demographic variables. We compared dependent variables across 3 categories: mountaintop mining (yes or no), other coal mining (yes or no), and a referent nonmining group. We used SUDAAN MULTILOG and multiple linear regression models with post hoc least squares means to test mountaintop mining effects after adjusting for covariates. Results. Residents of mountaintop mining counties reported significantly more days of poor physical, mental, and activity limitation and poorer self-rated health (P < .01) compared with the other county groupings. Results were generally consistent in separate analyses by gender and age. Conclusions. Mountaintop mining areas are associated with the greatest reductions in health-related quality of life even when compared with counties with other forms of coal mining. PMID:21421943

Seeing science everywhere: A case study of the perceptions of three fifth grade science teachers' complementary use of the arts in the science classroom in an economically distressed county in central Appalachia

NASA Astrophysics Data System (ADS)

McKeen, Angela A.

By employing qualitative methods, this study sought to determine the perceptions three fifth grade science teachers held about using the arts to complement science teaching in an economically distressed county in rural Appalachia and the perceived roles the arts and sciences play in the lives of those living in rural Appalachia. Each case was studied using participant-observer observations, personal journals, archival data, and interviewed using semi-structured, in-depth interview techniques. From these data, unique themes emerged for each of the three cases. Constant comparative analysis was used to analyze the data set for each individual case. A cross-case analysis was then employed to generate the common broad themes among the cases. The findings suggest that Time was perceived as the greatest deterrent to complementing science with aspects of the arts with greater frequency, even when the approach was perceived by the teacher as successful for a greater number of students, especially students who had previously been perceived as having difficulty in the science classroom. The findings also revealed that the more experienced the teacher was in using aspects of the arts to complement hands-on, inquiry science teaching, the more efficacious the teacher's perception was of her own teaching, regardless of overall teaching experience. The approach was perceived as an avenue in building relationships with students and colleagues, thus perceived as ensuring a greater frequency of success for both students and teacher in science classes. It was also perceived as a tool for self-reflection and/or self-critique by the teacher. Finally, the findings further suggested the roles of the arts and sciences in the lives of those living in rural Appalachia were perceived in two distinct ways by participants, depending on the education levels attained by the populations. Findings revealed the arts and sciences were perceived as hobbies or as the continuation of cultural traditions in the lives of those in rural Appalachia who do not further their education. However, the arts and sciences were perceived as a means to personal, financial, and educational success in those members of the population who further their educational levels. These findings suggest that science success and science failure may play a role in the continued stratification of an already marginalized population (i.e. rural Appalachians living in poverty). Findings further reveal that the arts may offer a bridge to those students who were previously perceived as unsuccessful in the science classroom.

Acceptance of the HPV vaccine among women, parents, community leaders, and healthcare providers in Ohio Appalachia.

PubMed

Katz, Mira L; Reiter, Paul L; Heaner, Sarah; Ruffin, Mack T; Post, Douglas M; Paskett, Electra D

2009-06-19

To assess HPV vaccine acceptability, focus groups of women (18-26 years), parents, community leaders, and healthcare providers were conducted throughout Ohio Appalachia. Themes that emerged among the 23 focus groups (n=114) about the HPV vaccine were: barriers (general health and vaccine specific), lack of knowledge (cervical cancer and HPV), cultural attitudes, and suggestions for educational materials and programs. Important Appalachian attitudes included strong family ties, privacy, conservative views, and lack of trust of outsiders to the region. There are differences in HPV vaccine acceptability among different types of community members highlighting the need for a range of HPV vaccine educational materials/programs to be developed that are inclusive of the Appalachian culture.

Central Appalachia in advanced capitalism: its coal industry structure and coal operator associations

DOE Office of Scientific and Technical Information (OSTI.GOV)

Walls, D.S.

1978-01-01

This study traces the origins of the notion that Appalachia constitutes a unique social-problem region, examines the models of Appalachian problems popularized during the 1960s, proposes an alternative framework for situating the Central Appalachian coalfields, and examines aspects of the coal industry's structure in the Central Appalachian region. The idea of Appalachia as a distinctive social problem region was created between 1890 and 1930 by a social movement affiliated with various Protestant church home mission boards and organizationally focused in the Conference of Southern Mountain Workers and Berea College. The movement stressed an environmental explanation of regional problems. During themore » 1960s, three explanatory models of Appalachian poverty and underdevelopment achieved prominence: the subculture of poverty model, the regional development model, and the internal colonialism model. Each contributed to a regionalized conception of Appalachian problems. Empirical studies show the subculture of poverty model to fail as an explanation of regional underdevelopment. In the absence of a critique of domination and a redistribution of power and wealth, the regional development model serves as a rationalization of existing structures of privilege. The internal colonialism model provides a critique of domination, but not the most appropriate one. This study argues that the above models should not be viewed as mutually exclusive formulations, and that they may be reconstructed to represent different dimensions of social existence.« less

Appalachian Stream Mitigation Workshop

EPA Pesticide Factsheets

A 5 day workshop in 2011 developed for state and federal regulatory and resource agencies, who review, comment on and/or approve compensatory mitigation plans for surface coal mining projects in Appalachia

Mining Upgrades to Reduce Pollution

EPA Pesticide Factsheets

Settlement with Southern Coal Corporation and 26 affiliates requires the companies to comprehensively upgrade their coal mining and processing operations to prevent polluted wastewater from threatening rivers and streams and communities across Appalachia.

75 FR 49551 - Petition for Waiver of Compliance

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-13

... Railroad Company (WRRC), Heritage Railroad (HR), and Southern Appalachia Railway Museum (SARM) of Roane... handles 500 or fewer annual carloads. SARM has 6 hours of service employees who are part-time volunteers...

Effects of microhabitat and land use on stream salamander abundance in the southwest Virginia coalfields

USGS Publications Warehouse

Sweeten, Sara E.; Ford, W. Mark

2015-01-01

Large-scale land uses such as residential wastewater discharge and coal mining practices, particularly surface coal extraction and associated valley fills, are of particular ecological concern in central Appalachia. Identification and quantification of both alterations across scales are a necessary first-step to mitigate negative consequences to biota. In central Appalachian headwater streams absent of fish, salamanders are the dominant, most abundant vertebrate predator providing a significant intermediate trophic role. Stream salamander species are considered to be sensitive to aquatic stressors and environmental alterations, and past research has shown linkages among microhabitat parameters, large-scale land use such as urbanization and logging with salamander abundances. However, little is known about these linkages in the coalfields of central Appalachia. In the summer of 2013, we visited 70 sites (sampled three times each) in the southwest Virginia coalfields to survey salamanders and quantify stream and riparian microhabitat parameters. Using an information-theoretic framework we compared the effects of microhabitat and large-scale land use on salamander abundances. Our findings indicate that dusky salamander (Desmognathus spp.) abundances are more correlated to microhabitat parameters such as canopy cover than to subwatershed land uses. Brook salamander (Eurycea spp.) abundances show strong negative associations to the suspended sediments and stream substrate embeddedness. Neither Desmognathus spp. nor Eurycea spp. abundances were influenced by water conductivity. These suggest protection or restoration of riparian habitats and erosion control is an important conservation component for maintaining stream salamanders in the mined landscapes of central Appalachia.

Factors Influencing Mental Health Screening and Treatment Among Women in a Rural South Central Appalachian Primary Care Clinic.

PubMed

Hill, Sarah K; Cantrell, Peggy; Edwards, Joellen; Dalton, Will

2016-01-01

Some of the most significant mental health concerns among US adults are depression, anxiety, substance abuse, and intimate partner violence. These concerns represent an ever-growing portion of the primary care population, especially in rural areas. However, few studies have examined factors influencing screening and treatment of these concerns by primary care providers, particularly in Appalachia. This study explores barriers and facilitators to mental health screening and treatment among women at a rural, primary care clinic in Appalachia. Eighteen patients and 4 providers were interviewed face-to-face. Thematic analysis was used to identify emergent themes. Patients identified 3 barriers (stigma, lack of support, and lack of education) and 2 facilitators (integrated care and positive experiences with providers). Providers identified 4 barriers (operational barriers, mental health competence, predicted patient reactions, and patient attitudes) and 3 facilitators (clinic characteristics, provider characteristics, and patient and provider education). Generally, patients focused more on individual and social factors influencing mental health service use, while providers were more aware of training gaps, logistical factors at the clinic, and systemic issues within the larger health care system. Both participant types emphasized specific interpersonal qualities and the importance of integrated services. Screening and treatment may be influenced by the availability and advertisement of integrated services, institutional support, strong patient-provider relationships, and provider training and experience. For rural south central Appalachia women, limited mental health resources may make these factors even more salient. © 2015 National Rural Health Association.

Living With Diabetes in Appalachia: A Focus Group Study.

PubMed

Carpenter, Roger; Smith, Mary Jane

This article presents an innovative holistic practice application based on evidence from a focus group study on managing diabetes. The purpose of this study addressed the research question: How do persons with type 2 diabetes describe ways of managing the challenge of living with diabetes? A second purpose was to link the findings on ways to manage diabetes to holistic nursing practice through story theory. Nine adults with type 2 diabetes living in rural West Virginia participated in 3 focus groups. Using content analysis, the study findings integrated themes with core qualities, and are as follows: living life as an evolving process is awakening to the present and doing it your way, being on guard is a vigilant ongoing responsibility, attending to bodily experience is awareness of body and facing life stress, and knowing the consequences is awareness of potential problems and taking charge. Merging the study findings with the concepts of story theory led to the development of an innovative practice application for managing diabetes. Managing diabetes in this practice application goes beyond problem-centeredness to a patient-centered approach, offering attention to individual preferences. Since managing diabetes is a major problem in Appalachia, there a need for innovative approaches. This study adds to the body of knowledge on how persons from Appalachia manage diabetes. In addition, it offers a story practice approach for managing diabetes-replacing a problem focus to a more holistic approach to practice leading to more meaningful and fulfilling outcomes.

Women and Work in Appalachia: The Waging War.

ERIC Educational Resources Information Center

Lilly, Leslie

1979-01-01

Discusses the low wages and dead-end jobs most Appalachian women workers face and explores nontraditional employment options which offer higher wages, benefits, security, and a chance for truly meeting a family's needs. (DS)

Appalachia Snow

Atmospheric Science Data Center

2014-05-15

... 7, 2002. The Appalachians are bounded by the Blue Ridge mountain belt along the east and the Appalachian Plateau along the west. ... tip, near the Great Smoky Mountains (the dark-colored range at lower right). The Multi-angle Imaging SpectroRadiometer observes ...

ARC Conference Showcases Telecommunications Services.

ERIC Educational Resources Information Center

Baldwin, Fred D.

1996-01-01

The Appalachian Regional Commission's 1996 Conference, "Building Blocks for Using Telecommunications and Information Technology," held in Binghamton, New York, focused on the role of telecommunications in Appalachia in education and training, telemedicine, business, and government. Highlights conference presentations on special…

Appalachia meets the mid-south in Tennessee

NASA Astrophysics Data System (ADS)

McGowan, Richard S.; Jackson, Michel T.-T.

2003-04-01

The father of bluegrass and long-time member of the Opry in Nashville, Bill Monroe, had a number of musical influences, including blues, gospel, and the American versions of Anglo-Scots-Irish folk music endemic to Appalachia. (Although Bill Monroe was from western Kentucky, the Appalachian influence is apparent.) In 1946 he recorded a song for Columbia Records that he had written. This song was recorded again in 1954 at Sun Studios as a ``B side'' by the future king of rock and roll, Elvis Presley. Raised in East Tupelo, MS and Memphis, Elvis' music derived from the mid-south's blues and gospel music, but with a peculiar honkytonk-informed, Memphis style. We will compare these artists through this common song and their spoken interviews in terms of voice quality and English dialect. Some copy-synthesis of these artists will be attempted in our search for the high, lonesome and rock and roll sounds.

Health behaviors and health-related quality of life among middle school children in Southern Appalachia: data from the winning with wellness project.

PubMed

Dalton, William T; Schetzina, Karen E; Pfortmiller, Deborah T; Slawson, Deborah L; Frye, William S

2011-07-01

Health-related quality of life (HRQoL) is linked to health status in a variety of conditions. Less is known about the relation between quality of life and modifiable health behaviors, especially among medically underserved populations. The purpose of the current study was to examine HRQoL as it relates to physical activity, sedentary behavior, and eating patterns in youth residing in Southern Appalachia. The Pediatric Quality of Life Inventory and questions on physical activity and eating behaviors was completed by 152 sixth grade students in a regional sample of schools participating in the Winning with Wellness child obesity prevention project. The current study found higher physical activity levels and lower levels of screen time to be associated with reports of more positive HRQoL. A more comprehensive understanding of factors surrounding health behavior may hold implications for obesity prevention/intervention programs.

New EPA Guidelines for Review of Surface Coal Mining Operations in Appalachia (released in AEO2010)

EIA Publications

2010-01-01

On April 1, 2010, the Environmental Protection Agency (EPA) issued a set of new guidelines to several of its Regional offices regarding the compliance of surface coal mining operations in Appalachia with the provisions of the Clean Water Act (CWA), the National Environmental Policy Act, and the environmental justice Executive Order (E.O. 12898). The stated purpose of the guidance was to explain more fully the approach that the EPA will be following in permit reviews, and to provide additional assurance that its Regional offices use clear, consistent, and science-based standards in reviewing the permits. Although the new guidelines go into effect immediately, they will be subjected to review both by the public and by the EPA's Science Advisory Board, with a set of final guidelines to be issued no later than April 1, 2011.

Human papillomavirus vaccine knowledge and hypothetical acceptance among women in Appalachia Ohio

PubMed Central

Hade, Erinn M.; Gorsline, Melissa R.; DeGraffinreid, Cecilia R.; Katz, Mira L.; Kobrin, Sarah C.; Paskett, Electra D.

2013-01-01

Objective To assess hypothetical acceptance of the human papillomavirus (HPV) vaccine for themselves and a daughter age 9–12 years among Appalachia Ohio women. Methods Women with an abnormal Pap smear and randomly selected women with a normal Pap smear from 17 clinics completed an interview in 2006–2008. Results From 1131 original study participants, 807 (71%) completed a survey about the HPV vaccine for their daughters and themselves. Nearly half, 380 (47%), of the participants had heard of a vaccine to prevent cancer, and 362 (95%) of respondents had heard of HPV. The participants were then told that the FDA had approved a vaccine to prevent HPV. Only 379 (38%) participants identified girls ages 9–12 years as a group who should get the vaccine. After being given the official HPV vaccine recommendation statement, 252 (31%) wanted the vaccine; 198 (25%) were “not sure”; and 353 (44%) did not want the vaccine for themselves. With respect to giving the HPV vaccine to a daughter ages 9–12 years, participants responded “yes” 445 (55%); “not sure” 163 (20%); or “no” 185 (23%). Numerous reasons were provided supporting and opposing vaccine acceptance for themselves and for a daughter. Their physician’s recommendation for the HPV vaccine increased vaccine acceptance to 86% for themselves and 90% for a daughter. Conclusion Knowledge, acceptance, and barriers about the HPV vaccine vary among women living in Appalachia Ohio. Physician recommendation is a key facilitator for vaccine diffusion in this region. PMID:22749839

College students as facilitators in reducing adolescent obesity disparity in Southern Appalachia: Team Up for Healthy Living

PubMed Central

Dalton, William T.; Dula, Taylor McKeehan; Southerland, Jodi; Wang, Liang; Littleton, Mary Ann; Mozen, Diana; Relyea, George; Schetzina, Karen; Lowe, Elizabeth F.; Stoots, James M.; Wu, Tiejian

2015-01-01

The proportion of obese adolescents in Southern Appalachia is among the highest in the nation. Through funding from the National Institute on Minority Health and Health Disparities – National Institutes of Health, the Team Up for Healthy Living project was a cluster-randomized trial targeting obesity prevention in adolescents through a cross-peer intervention. The specific aims of the project were to: 1) develop a peer-based health education program focusing on establishing positive peer norms towards healthy eating and physical activity (PA) among high school students, 2) test program efficacy, and 3) explore mechanisms underlying the program. The study was guided by the Theory of Planned Behavior, which presupposes that human behavior is primarily driven by attitude, subjective norms, perceived behavioral control, and social support. To deliver the intervention, undergraduate students from the disciplines of public health, nutrition, and kinesiology were hired as peer facilitators. Ten area high schools were invited to participate, were matched on demographics and then randomized to intervention or control. The primary outcomes of the study included body mass status, dietary behaviors, PA, and sedentary behaviors which were assessed at baseline and at three and twelve months post baseline. Intervention schools received Team Up for Healthy Living curriculum, which consists of eight 40-minute sessions. The curriculum focused on improving nutrition awareness, PA, leadership and communication. Control schools received their regularly scheduled Lifetime Wellness curriculum. The long-term goal of the study was to establish an effective academia–community partnership program to address adolescent obesity disparity in Southern Appalachia. PMID:25937506

Rurality and birth outcomes: findings from southern appalachia and the potential role of pregnancy smoking.

PubMed

Bailey, Beth A; Cole, Laura K Jones

2009-01-01

Rates of preterm birth (PTB) and low birth weight (LBW) vary by region, with disparities particularly evident in the Appalachian region of the South. Community conditions related to rurality likely contribute to adverse birth outcomes in this region. This study examined associations between rurality and related community conditions, and newborn outcomes in southern Appalachia, and explored whether pregnancy smoking explained such associations. Data for all births in a southern Appalachian county over a 2-year period were extracted from hospital records. Data were available for 4,144 births, with 45 different counties of residence. Babies born to women from completely rural counties, on average, weighed 700 g less, were 1.5 inches shorter, and were born over 3 weeks earlier than less rural infants. In addition, these babies were 4.5 times more likely to be LBW, 4 times more likely to be PTB, and 5 times more likely to be admitted to the neonatal intensive care unit (NICU). Effects were also found for per capita income, poverty rate, and unemployment rate, all of which were associated with rurality. Some, but not all of the association was explained by elevated rates of pregnancy smoking. Babies born to women residing in rural and economically depressed counties in southern Appalachia are at substantially increased risk for poor birth outcomes. Improving these outcomes in the rural South will likely require addressing access to health services and information, health care provider retention, transportation services, employment opportunities, and availability of public health services including smoking cessation assistance.

75 FR 31508 - Notice of Projects Approved for Consumptive Uses of Water

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-03

... County, Pa.; Approval Date: April 13, 2010. 23. Chesapeake Appalachia, LLC, Pad ID: Henry, ABR-20100423..., Susquehanna County, Pa.; Approval Date: April 14, 2010. 26. EOG Resources, Inc., Pad ID: JENKINS 1H, ABR...

REMOTE SENSING AND MOUNTAINTOP MINING

EPA Science Inventory

Coal mining is Appalachia has undergone dramatic changes in the past decade. Modem mining practices know as Mountaintop Mining (MTM) and Valley Fills (VF) are at the center of an environmental and legal controversy that has spawned lawsuits and major environmental investigations....

Endangered species identification along corridors in WV using GIS.

DOT National Transportation Integrated Search

2006-08-11

Since the late 19th century, the exploitation of oil, gas, timber, and mineral resources in Appalachia has been associated with the production of an extensive transportation system and with a concurrent decline in the environmental quality of aquatic...

Appalachian Regional Commission Annual Report, 2000.

ERIC Educational Resources Information Center

Appalachian Regional Commission, Washington, DC.

In 2000, the Appalachian Regional Commission (ARC), in cooperation with local development districts, nonprofit organizations, and many small municipalities, expanded programs to help Appalachia's distressed counties become economically competitive. The effort calls for increased funding for technical assistance and capacity building in distressed…

How Much Wood Would Wood Waste Waste if None Were Used for Fuel?

ERIC Educational Resources Information Center

Franklin, Ben A.

1978-01-01

The recent trend in using wood for energy is examined with new developments for gaining greater efficiency from an old source. The threat of deforestation is acknowledged and discussed, particularly in relation to Appalachia. (KR)

Appalachian Childhood.

ERIC Educational Resources Information Center

Arnow, Pat, Ed.; Cheek, Pauline, Ed.

1987-01-01

This magazine offers interviews, short stories and articles with a general focus on childhood in Appalachia. Two interviews include: "Creative Response to Life-Pauline Cheek," by Jane Harris Woodside, and "Insights and Experience: A Talk with Eliot Wigginton," by Pauline Binkley Cheek. Short stories include: "Thief in the…

Telepsychiatry in Appalachia.

ERIC Educational Resources Information Center

Graham, M. Anthony

1996-01-01

Examines APPAL-LINK, the Southwestern Virginia Telepsychiatry Project. The project uses state-of-the-art telemedicine equipment to link a state psychiatric hospital with two rural, isolated community mental health center programs. Provides an overview of telemedicine and discusses the problems, opportunities, and future of the project. (MJP)

Operational Draft Regional Guidebook for the Functional Assessment of High-Gradient Headwater Streams and Low-Gradient Perennial Streams in Appalachia

DTIC Science & Technology

rapid assessments provided in this guidebook utilize structural components of streams and their watershed and can be used in conjunction with assessment of water quality and biotic communities if desired.

NITRATE AND FECAL COLIFORM CONCENTRATIONS IN SILVOPASTURE AND PASTURE LEACHATES

USDA-ARS?s Scientific Manuscript database

A major limitation to efficient forage-based livestock production in Appalachia is asynchrony of forage availability and quality with nutritional requirements of the grazer. Silvopasture is being studied to improve the seasonal distribution and persistence of high quality herbage, sustainability an...

Ideas That Work.

ERIC Educational Resources Information Center

Appalachian Regional Commission, Washington, DC.

This document profiles successful projects designed to develop Appalachia's labor force, economy, and educational opportunities. The 86 project profiles provided are grouped by the following five goals that were established for the region by the Appalachian Regional Commission: (1) Appalachian residents will have the skills and knowledge necessary…

Technology and the Future of Appalachian Education.

ERIC Educational Resources Information Center

Winters, R. Oakley

1999-01-01

Proposes that Appalachia pursue an economic development strategy based on exporting knowledge and training. Partnerships between governments, private utilities, and institutions of higher learning could improve the telecommunications infrastructure, establish new learning products companies, instruct adults at their home and work places, expand…

School-Based Screening of the Dietary Intakes of Third-Graders in Rural Appalachian Ohio

PubMed Central

Hovland, Jana A.; McLeod, Sara M.; Duffrin, Melani W.; Johanson, George; Berryman, Darlene E.

2013-01-01

BACKGROUND Children in Appalachia are experiencing high levels of obesity, in large measure because of inferior diets. This study screened the dietary intake of third-graders residing in three rural Appalachian counties in Ohio and determined whether the Food, Math, and Science Teaching Enhancement Resource Initiative (FoodMASTER) curriculum improved their dietary intake. METHODS Dietary intake was measured for 238 third-graders at the beginning of the 2007-2008 school year and for 224 third-graders at the end of that year. The FoodMASTER curriculum was delivered to 204 students (test group). Intake was measured using the Block Food Frequency Questionnaire 2004. The final analysis included 138 students. RESUTS The FoodMASTER curriculum did not significantly affect the diets of the students in the test group, as no significant differences in intake of macronutrients, specific nutrients, or food groups were found between the test and control groups. Majorities of students did not meet the Recommended Dietary Allowance or Adequate Intakes for fiber, calcium, iron, vitamin A, and vitamin E. The students as a whole did not meet the MyPyramid recommendations for any food group, and nearly one-fifth of their calories came from sweets. Significant differences in percentages of kilocalories from protein and sweets and in servings of fats, oils, and sweets were seen between groups of higher and lower socioeconomic status. CONCLUSIONS Energy-dense foods are replacing healthy foods in the diets of Ohio children living in rural Appalachia. The prevalence of poor dietary intake in Appalachia warrants further nutrition interventions involving programming for nutrition, such as future FoodMASTER curricula. PMID:21039552

Ohio Appalachian residents' views on smoke-free laws and cigarette warning labels.

PubMed

Reiter, Paul L; Wewers, Mary E; Paskett, Electra D; Klein, Elizabeth G; Katz, Mira L

2012-01-01

Smoke-free laws and the addition of graphic warning labels to cigarette packages represent public health policies that can potentially reduce smoking and smoking-related disease. The attitudes and beliefs relating to these policies were examined among residents of Ohio Appalachia, a mostly rural region with high smoking prevalence among its residents. Focus groups were conducted with participants from Ohio Appalachia during the summer of 2007. Groups included healthcare providers (n=37), community leaders (n=31), parents (n=19), and young adult women aged 18-26 years (n=27). Most participants were female (94%), non-Hispanic White (94%), and married (65%). Participants believed that most non-smokers supported Ohio's enforced statewide comprehensive smoke-free law that began in 2007, while some smokers opposed the law due to a perceived infringement of their rights. They also reported that most residents and local businesses were abiding by and enforcing the law. Participants supported the addition of graphic warning labels to cigarette packages in the USA. They believed that such warning labels could help deter adolescents and adult non-smokers from smoking initiation, particularly if the negative aesthetic effects of smoking were emphasized. However, they felt the labels would be less effective among current smokers and older individuals living in their communities. Participants generally held positive views about both the smoke-free law and the addition of graphic warning labels to cigarette packages in the USA. These tobacco-related public health policies are promising strategies for potentially reducing smoking and its associated diseases among residents living in Appalachia. Additional research is needed to further examine support for these policies among more diverse Appalachian populations.

Particulate matter pollution in the coal-producing regions of the Appalachian Mountains: Integrated ground-based measurements and satellite analysis.

PubMed

Aneja, Viney P; Pillai, Priya R; Isherwood, Aaron; Morgan, Peter; Aneja, Saurabh P

2017-04-01

This study integrates the relationship between measured surface concentrations of particulate matter 10 μm or less in diameter (PM 10 ), satellite-derived aerosol optical depth (AOD), and meteorology in Roda, Virginia, during 2008. A multiple regression model was developed to predict the concentrations of particles 2.5 μm or less in diameter (PM 2.5 ) at an additional location in the Appalachia region, Bristol, TN. The model was developed by combining AOD retrievals from Moderate Resolution Imaging Spectro-radiometer (MODIS) sensor on board the EOS Terra and Aqua Satellites with the surface meteorological observations. The multiple regression model predicted PM 2.5 (r 2 = 0.62), and the two-variable (AOD-PM 2.5 ) model predicted PM 2.5 (r 2 = 0.4). The developed model was validated using particulate matter recordings and meteorology observations from another location in the Appalachia region, Hazard, Kentucky. The model was extrapolated to the Roda, VA, sampling site to predict PM 2.5 mass concentrations. We used 10 km x 10 km resolution MODIS 550 nm AOD to predict ground level PM 2.5 . For the relevant period in 2008, in Roda, VA, the predicted PM 2.5 mass concentration is 9.11 ± 5.16 μg m -3 (mean ± 1SD). This is the first study that couples ground-based Particulate Matter measurements with satellite retrievals to predict surface air pollution at Roda, Virginia. Roda is representative of the Appalachian communities that are commonly located in narrow valleys, or "hollows," where homes are placed directly along the roads in a region of active mountaintop mining operations. Our study suggests that proximity to heavy coal truck traffic subjects these communities to chronic exposure to coal dust and leads us to conclude that there is an urgent need for new regulations to address the primary sources of this particulate matter.

Forest industries in Appalachia counties of Tennessee

Treesearch

Charles C. Van Sickle

1967-01-01

This report offers information on 1965 timber products output, plant residue production, and timber cut in the Appalachian Region of eastern Tennessee. The 49 counties that comprise this region are a part of the area defined by the Appalachian Regional Development Act of March 9, 1965.

30 CFR 881.5 - Cooperative agreements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Cooperative agreements. 881.5 Section 881.5... ABANDONED MINE LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.5 Cooperative agreements. (a) Each project shall be covered by a cooperative agreement between the Government, as...

Appalachia's Colleges and the Region's Future.

ERIC Educational Resources Information Center

Russell, Jack

1999-01-01

Discusses how Appalachian institutions of higher education can assist the Appalachian Regional Commission in developing local community leaders, assisting entrepreneurs, and training people affected by welfare reform. Calls for institutions of higher education to collaborate with community, government, and business to meet the rising demand for…

Construction-grade plywood from grade 3 Appalachian oak

Treesearch

E. Paul Craft; E. Paul Craft

1970-01-01

In an effort to find a use for a large volume of the low-grade oak logs of Appalachia, we processed a sample of these logs in a typical southern-pine sheathing plant and determined the feasibility of converting them into construction grade plywood.

Down Home, Downtown: Urban Appalachians Today.

ERIC Educational Resources Information Center

Obermiller, Phillip J., Ed.

This book contains selected presentations from a conference on urban Appalachians held in Cincinnati, Ohio, in September 1995. The papers present diverse perspectives on the migration from rural Appalachia to industrial centers, questions of Appalachian culture and identity, community development in Appalachian neighborhoods, and rural Appalachian…

The Education of a Sociologist of Appalachia.

ERIC Educational Resources Information Center

Ambler, Susan H.

2002-01-01

Through teaching Appalachian Culture, a sociologist discovered that oral history in particular, and qualitative methods in general, balance quantitative data in presenting a complete picture. Direct experiences outside the classroom, such as field trips and community-based research encourage active, experiential learning. Because working in teams…

Indoor Air Quality in Central Appalachia Homes Impacted by Wood and Coal Use

PubMed Central

Paulin, Laura M.; Williams, D’Ann; Oberweiser, Charles; Diette, Gregory B.; Breysse, Patrick N.; McCormack, Meredith M.; Matsui, Elizabeth C.; Peng, Roger; Metts, Tricia A.; Hansel, Nadia N.

2016-01-01

Though the high prevalence of biomass fuel use in the developing world is widely known, the use of burning biomass for cooking and heating in the developed world is under-recognized. Combustion materials including coal and wood are also used for heating in some areas of the United States. We conducted a pilot study to assess the feasibility of conducting indoor environmental monitoring in rural Appalachia. We sought to explore the type of biomass being used for home heating and its impact upon indoor air quality in non-heating and heating seasons. Residential indoor air monitoring for particulate matter (PM) and nitrogen dioxide (NO2) was conducted in Lee County, Virginia. Homes had evidence of poor indoor air quality with high concentrations of indoor PM and a large burden of cigarette smoking. Further characterization of indoor combustion material use in this region to determine the health impacts associated with such exposures is warranted. PMID:27738549

Bayesian Analysis of the Association between Family-Level Factors and Siblings' Dental Caries.

PubMed

Wen, A; Weyant, R J; McNeil, D W; Crout, R J; Neiswanger, K; Marazita, M L; Foxman, B

2017-07-01

We conducted a Bayesian analysis of the association between family-level socioeconomic status and smoking and the prevalence of dental caries among siblings (children from infant to 14 y) among children living in rural and urban Northern Appalachia using data from the Center for Oral Health Research in Appalachia (COHRA). The observed proportion of siblings sharing caries was significantly different from predicted assuming siblings' caries status was independent. Using a Bayesian hierarchical model, we found the inclusion of a household factor significantly improved the goodness of fit. Other findings showed an inverse association between parental education and siblings' caries and a positive association between households with smokers and siblings' caries. Our study strengthens existing evidence suggesting that increased parental education and decreased parental cigarette smoking are associated with reduced childhood caries in the household. Our results also demonstrate the value of a Bayesian approach, which allows us to include household as a random effect, thereby providing more accurate estimates than obtained using generalized linear mixed models.

Organic nitrogen in aerosols at a forest site in southern Appalachia

EPA Science Inventory

This study investigates the composition of organic particulate matter (PM2.5) in a remote montane forest in the southeastern U.S., focusing on the role of organic nitrogen (N) in sulfur-containing secondary organic aerosol (SOA) and aerosols associated with biomass burning. Meas...

Appalachian Regional Commission Annual Report, 2001.

ERIC Educational Resources Information Center

Appalachian Regional Commission, Washington, DC.

In fiscal year 2001, the Appalachian Regional Commission invested $63.6 million in 469 economic and human development (nonhighway) projects and $389.6 million in highway projects in Appalachia. The Commission launched a new initiative to promote the development of telecommunications infrastructure, especially in distressed counties. The Commission…

Understanding Persistent Poverty: Social Class Context in Rural Communities.

ERIC Educational Resources Information Center

Duncan, Cynthia M.

1996-01-01

Studies of persistent poverty in rural Texas, Mississippi, and Appalachia illustrate how political economies that rely on low wages and extreme control over labor generate rigid stratification. This structure of inequality determines social interaction and allocation of opportunities in rural communities, blocking upward mobility, and undermines…

ARCC Teacher Compensation Initiative: Literature Review

ERIC Educational Resources Information Center

Appalachia Regional Comprehensive Center, 2014

2014-01-01

In February 2014, the Tennessee State Board of Education (SBE) requested that the Appalachia Regional Comprehensive Center (ARCC) provide assistance to the SBE's Basic Education Program (BEP) Review Committee. The SBE requested additional information on the use and effectiveness of market-based teacher compensation and market-based incentives by…

Use of geospatial data to predict downstream influence of coal mining in Appalachia

EPA Science Inventory

A 2001 Supreme Court decision first called into question whether some headwater streams could be considered jurisdictional under the Clean Water Act. A subsequent decision then required that non-navigable waters must be "relatively permanent" or "possess a significant nexus" to ...

30 CFR 881.6 - Project contract.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Project contract. 881.6 Section 881.6 Mineral... LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.6 Project contract. (a) Upon approval of the project by the Secretary, execution of the cooperative agreement, and receipt of...

30 CFR 881.9 - Reports.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Reports. 881.9 Section 881.9 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR ABANDONED MINE LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.9 Reports. At such times and in such...

30 CFR 881.9 - Reports.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Reports. 881.9 Section 881.9 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR ABANDONED MINE LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.9 Reports. At such times and in such...

Colleges and Communities: Increasing Local Capacity.

ERIC Educational Resources Information Center

Baldwin, Fred D.

2001-01-01

Community colleges in Appalachia are helping boost local economies and expand educational opportunities through the national Rural Community College Initiative (RCCI). At the heart of RCCI is a nine-step strategic planning process in which a community group moves from vision to action. Kentucky's Southeast Community College has promoted…

Noneconomic Determinants of Nonmigration: Sociological Considerations for Migration Theory

ERIC Educational Resources Information Center

Uhlenberg, Peter

1973-01-01

The experiences of 3 groups in the U.S. are examined: (1) the Negro movement from the South during 1860 to 1920; (2) the Japanese-American migration from internment camps during World War II; and (3) the exodus from Southern Appalachia between 1930 and 1960. (NQ)

Adventuresports and Economic Development Team Up.

ERIC Educational Resources Information Center

Baldwin, Fred

1994-01-01

Adventuresports Institute offers a two-year degree program at Garrett Community College (McHenry, Maryland) that combines courses in adventure sports with economics, marketing, environmental science, and events management. The goal is to develop an infrastructure for the adventure sport industry and promote economic development in Appalachia based…

30 CFR 881.6 - Project contract.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Project contract. 881.6 Section 881.6 Mineral... LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.6 Project contract. (a) Upon approval of the project by the Secretary, execution of the cooperative agreement, and receipt of...

30 CFR 881.6 - Project contract.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 3 2014-07-01 2014-07-01 false Project contract. 881.6 Section 881.6 Mineral... LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.6 Project contract. (a) Upon approval of the project by the Secretary, execution of the cooperative agreement, and receipt of...

30 CFR 881.6 - Project contract.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 3 2012-07-01 2012-07-01 false Project contract. 881.6 Section 881.6 Mineral... LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.6 Project contract. (a) Upon approval of the project by the Secretary, execution of the cooperative agreement, and receipt of...

Making a Case for a Cross-Cultural Approach to Literacy in Appalachia.

ERIC Educational Resources Information Center

Thaller, Eva A.

An insider/outsider approach to Appalachian culture examines cultural differences of Appalachian people that necessitate cross-cultural educational studies usually reserved for ethnic and racial minority groups. An overview focuses on current economic conditions affecting the region's culture and some stereotypes of Appalachians that remain…

College Completion Rates and Remedial Education Outcomes for Institutions in Appalachian States

ERIC Educational Resources Information Center

Armstrong, John; Zaback, Katie

2014-01-01

This report analyzes college completion metrics for the Appalachian Region, compares outcomes of students attending campuses in the Region with those of students attending campuses outside the Region, and offers insight about major stumbling blocks to college progression and completion for students in Appalachia.

Appalachian Regional Commission: 1984 Annual Report.

ERIC Educational Resources Information Center

Appalachian Regional Commission, Washington, DC.

Federal appropriations totalling over $162 million during fiscal year 1984 enabled the Appalachian Regional Commission (ARC) to attack the region's most critical needs. Area development appropriations ($43 million) were used to create almost 10,550 new jobs and retain nearly 4,100 jobs, give special assistance to Appalachia's neediest 80 counties…

Appalachian Regional Commission. Annual Report 1969.

ERIC Educational Resources Information Center

Appalachian Regional Commission, Washington, DC.

After 4 years of operation, the Appalachian Regional Commission (ARC) presents this 1969 annual report and evaluation of its activities as required by the Appalachian Regional Development Act of 1965. A brief overview is given of the history of the program, the Federal-state relationship, and strategies for regional development. Appalachia is then…

Appalachia: Goals, Objectives and Development Strategies

ERIC Educational Resources Information Center

Appalachian Regional Commission, Washington, DC.

Goals, objectives, and strategies for development in the 13 states involved in the Appalachian Regional Commission (ARC) are detailed in this document adopted by ARC in 1977. The regional development plan incorporates earlier evaluation and program design efforts, discussion from an issues report, state comments and development plans, and public…

Report on Regional Education Service Agencies in Appalachia.

ERIC Educational Resources Information Center

Kemp, Dona M.; And Others

This report presents a description of the Appalachian Regional Commission's (ARC) Regional Education Service Agency (RESA) program. RESAs are organizations established to provide a range of educational services on a regional basis by combining some of the educational resources flowing to existing agencies. Funds for RESAs may come from federal,…

Estimation of in-canopy flux distributions of reactive nitrogen and sulfur within a mixed hardwood forest in southern Appalachia

EPA Science Inventory

Estimating the source/sink distribution and vertical fluxes of air pollutants within and above forested canopies is critical for understanding biological, physical, and chemical processes influencing the soil-vegetation-atmosphere exchange. The vertical source-sink profiles of re...

Sugar in the Gourd: Preserving Appalachian Traditions.

ERIC Educational Resources Information Center

Brown, Tom

1983-01-01

The Appalachian Folk Music Project developed methods to teach folk music in the schools. Authentic material was identified and teaching methods appropriate to rural Appalachia were selected. Departures from the norm included teaching of instruments like the dulcimer, harmonica, and fiddle and the use of folk models whenever possible. (CS)

Fabulachia: Urban, Black Female Experiences and Higher Education in Appalachia

ERIC Educational Resources Information Center

Troutman, Stephanie

2017-01-01

This article draws on focus group conversations with black female college students attending a small, liberal arts institution in Kentucky. Based primarily on group interviews and discussions, as well as observations and analysis--a theoretical domain (referred to throughout the article as "Fabulachia") emerged as a site-specific outcome…

Students Delivering Health Care to a Vulnerable Appalachian Population through Interprofessional Service-Learning

ERIC Educational Resources Information Center

Lee, Michelle L.; Hayes, Patricia A.; McConnell, Peggy; Henry, Robin M.

2013-01-01

Interprofessional student service-learning experiences are integrated into the preventive care of older adult residents of public housing in Appalachia. Receiving a Health Resources and Services Administration grant provided the College of Nursing at East Tennessee State University the opportunity to expand interprofessional clinical experiences…

Pokeweed (Phytolacca americana): possible source of a molluscicide

Treesearch

Arnold Krochmal; P.W. LeQuesne; P.W. LeQuesne

1970-01-01

Pokeweed, a plant abundant in Appalachia, exhibits some chemical similarities to a related species that has shown molluscicidal properties. Because this suggests that pokeweed, Phytolacca americana L. (P. decandra L.), has potential for controlling fresh-water snails, we have compiled this report of its chenlical composition, uses, propagation methods, and other...

Assessing the Impact of Removing Select Materials from Coal Mine Overburden, Central Appalachia Region, USA

EPA Science Inventory

The exposure of readily soluble components of overburden materials from surface coal mining to air and water results in mineral oxidation and carbonate mineral dissolution, thus increasing coal mine water conductivity. A conductivity benchmark of 300 µS/cm for mine water dischar...

Challenging Cancer at the Grass Roots.

ERIC Educational Resources Information Center

Casto, James E.

1997-01-01

The National Cancer Institute created the Appalachia Leadership Initiative on Cancer, composed of four similar projects that focus on increasing screening for cervical and breast cancer among low-income, older women. The program relies on community coalitions that develop innovative grass roots methods to spread the message about the importance of…

Using Books Thematically.

ERIC Educational Resources Information Center

Padak, Nancy

This bibliography lists 585 books suitable for children or adult new readers, classified into the following themes: (1) African American Experience; (2) Appalachia; (3) architecture and engineering; (4) art; (5) communities and change; (6) death; (7) family; (8) farm life; (9) geography; (10) history of Ohio; (11) history of the United States;…

Cancer Risk Assessment by Rural and Appalachian Family Medicine Physicians

ERIC Educational Resources Information Center

Kelly, Kimberly M.; Love, Margaret M.; Pearce, Kevin A.; Porter, Kyle; Barron, Mary A.; Andrykowski, Michael

2009-01-01

Context: Challenges to the identification of hereditary cancer in primary care may be more pronounced in rural Appalachia, a medically underserved region. Purpose: To examine primary care physicians' identification of hereditary cancers. Methods: A cross-sectional survey was mailed to family physicians in the midwestern and southeastern United…

Postcolonial Appalachia: Bhabha, Bakhtin, and Diane Gilliam Fisher's "Kettle Bottom"

ERIC Educational Resources Information Center

Stevenson, Sheryl

2006-01-01

Diane Gilliam Fisher's 2004 award-winning book of poems, "Kettle Bottom," offers students a revealing vantage point for seeing Appalachian regional culture in a postcolonial context. An artful and accessible poetic sequence that was selected as the 2005 summer reading for entering students at Smith College, "Kettle Bottom"…

Appalachian Children and Their Families. A Statistical Profile.

ERIC Educational Resources Information Center

CSR, Inc., Arlington, VA.

A statistical profile of Appalachia's young children, from birth to 9 years, was compiled from federal and state data sources. The profile provides information important in making immediate and long range plans for improving the status of Appalachian children and their families. An examination of family living conditions suggests that Appalachian…

Community-Based Research Networks: Development and Lessons Learned in an Emerging Field.

ERIC Educational Resources Information Center

Stoecker, Randy; Ambler, Susan H.; Cutforth, Nick; Donohue, Patrick; Dougherty, Dan; Marullo, Sam; Nelson, Kris S.; Stutts, Nancy B.

2003-01-01

Compares seven multi-institutional community-based research networks in Appalachia; Colorado; District of Columbia; Minneapolis-St. Paul; Philadelphia; Richmond, Virginia; and Trenton, New Jersey. After reviewing the histories of the networks, conducts a comparative SWOT analysis, showing their common and unique strengths, weaknesses,…

"We're All Appalachian."

ERIC Educational Resources Information Center

Banker, Mark

2002-01-01

A teacher at a Knoxville college preparatory school challenges his students to analyze stereotypes about Appalachia and recognize that acceptance of their own Appalachian-ness is vital to their personal well-being and that of the region. Comparisons of Appalachians with Hispanics in northern New Mexico reveal common issues of land use, cultural…

Student Wellness Needs in Rural Appalachia.

ERIC Educational Resources Information Center

Summers, Sally; Leary, Paul

2002-01-01

A risk behaviors survey was administered to students in a rural West Virginia high school. Findings indicate that some issues of national concern (tobacco and steroid use) were not confirmed in this sample. Suicide and food choices were areas of concern. Nutrition education and methods of coping with depression were targeted for curriculum…

Making Democracy Work Better: Mediating Structures, Social Capital, and the Democratic Prospect.

ERIC Educational Resources Information Center

Couto, Richard A.

This book explores relationships among democracy, social capital, and community-based mediating structures, focusing on Appalachia because of the obvious failures of market capitalism there. It suggests that mediating structures protect communities from the savage side of market capitalism and promote the democratic prospect by increasing and…

Student Resistance to Schooling: Disconnections with Education in Rural Appalachia

ERIC Educational Resources Information Center

Hendrickson, Katie A.

2012-01-01

This study investigates student reasons for resisting engagement with school in a rural Appalachian area. The concept of student resistance to school is considered within a White, working-class student population. Through classroom observations, students displaying resistant behaviors were selected to participate in interviews. Coding of interview…

ISSE | The University of Tennessee, Knoxville

Science.gov Websites

are leading a study to better understand Appalachian tourism and identify opportunities to grow tourism activities and encourage business development. See the February 8, 2018 article in the UT Daily Beacon, "UT faculty members conduct research on tourism in Appalachia" and the December 18

Culture and Development: From Romantic Relativism to Reality.

ERIC Educational Resources Information Center

O'Toole, Tom

Using case studies of French-speaking West Africa and Southern Appalachia, this paper examines the role of traditional culture in developing regions by challenging current theories on that subject. The capitalistic and Marxist approaches that dominated well into the 1960s maintained that elimination of traditional social relations and values was…

Dropout Proneness in Appalachia. Research Series 3.

ERIC Educational Resources Information Center

Mink, Oscar G.; Barker, Laurence W.

Two aids used in the identification of potential dropouts are examined. The Mink Scale (a teacher-rated scale) is based on classification of social, psychological, and educational forces related to dropout proneness: (1) academic ability and performance, (2) negative identification with education, (3) family and socioeconomic status, and (4)…

78 FR 78385 - Notice of Lodging Proposed Consent Decree

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-26

.... Chesapeake Appalachia, LLC, Civil Action No. 5:13-cv-00170-FPS, was lodged with the United States District.... 1311(a), to obtain injunctive relief from and impose civil penalties against the Defendant for... to pay a civil penalty. The Department of Justice will accept written comments relating to this...

Exploring Diabetes Beliefs in At-Risk Appalachia

ERIC Educational Resources Information Center

Della, Lindsay J.

2011-01-01

Purpose: This study quantifies and describes perceptions of susceptibility and severity of diabetes; cultural beliefs, barriers, and knowledge about diabetes; and social stigma associated with diabetes in an Eastern Appalachian Kentucky population. Methods: A 55-item intercept survey was administered in 2 large retail outlets in Eastern Kentucky.…

Cultural Perspectives Concerning Adolescent Use of Tobacco and Alcohol in the Appalachian Mountain Region

ERIC Educational Resources Information Center

Meyer, Michael G.; Toborg, Mary A.; Denham, Sharon A.; Mande, Mary J.

2008-01-01

Context: Appalachia has high rates of tobacco use and related health problems, and despite significant impediments to alcohol use, alcohol abuse is common. Adolescents are exposed to sophisticated tobacco and alcohol advertising. Prevention messages, therefore, should reflect research concerning culturally influenced attitudes toward tobacco and…

American elm in mine land reforestation

Treesearch

M.B. Adams; P. Angel; C. Barton; J. Slavicek

2015-01-01

Reforestation of mined land in the Appalachians realizes many important benefits and provides important ecosystem services. Because much of the reclaimed mine lands in Appalachia were previously in forest, reclaiming these drastically disturbed areas to forests is desirable, feasible and cost-effective. The Forestry Reclamation Approach (FRA) provides a five-step...

The Veterans Administration Experiments in Health Communications on the Applications Technology Satellite (ATS-6). Final Report.

ERIC Educational Resources Information Center

Caldwell, Kathryn S.

Because many of the Veterans Administration hospitals in Appalachia are located great distances from medical teaching facilities, high powered communication satellites have been employed to facilitate quality two-way communication between medical personnel scattered throughout the region. To achieve diagnostic, therapeutic, and educational…

Parallel single-species and stream mesocosm exposures for grading major ion effects in doses mimicking energy extraction produced waters

EPA Science Inventory

Excess TDS/Major Ionic Stress/Elevated Conductivities appeared increasing in streams in Central and Eastern Appalachia. Direct discharges from permitted point sources and regional interest in setting eco-based effluent guidelines/aquatic life criteria, as well as potential differ...

Spatial Variation of Selenium in Appalachian Coal Seams

NASA Astrophysics Data System (ADS)

Le, L.; Tyner, J. S.; Perfect, E.; Yoder, D. C.

2013-12-01

The potential environmental impacts from coal extraction have led to many investigations of the geochemistry of coal. Previous studies have shown that selenium (Se) is an environmental contaminant due to its mutagenic effects on sensitive macro-organisms as a result of bioaccumulation in affected waters. Some regulatory authorities have responded by requiring the sampling of coal seams and adjacent rock for Se prior to authorizing a given coal mining permit. In at least one case, a single continuous rock core was sampled for Se to determine the threshold of Se across a 2.2 square kilometer proposed surface coal mine. To examine the adequacy of such an approach, we investigated the spatial variability and correlation of a West Virginia Geological and Economic Survey (WVGES) dataset of Se concentrations from coal seams collected within Appalachia (1088 samples). We conducted semi-variogram and Kriging cross-validation analyses on six coal seams from the dataset. Our findings suggest no significant spatial correlation of Se within a given coal seam.

Commemorating 30 Years of Service to the People of Appalachia. Special Edition.

ERIC Educational Resources Information Center

Appalachia, 1995

1995-01-01

The Appalachian Regional Commission (ARC) is a regional economic development agency representing a unique partnership of federal, state, and local governments. Established by an act of Congress in 1965, the Commission is composed of the governors of the 13 Appalachian states and a federal co-chairperson. Grassroots participation is provided by…

Appalachia: Goals, Objectives and Development Strategies. Supplement 1: Resolutions Adopted December 1977.

ERIC Educational Resources Information Center

Appalachian Regional Commission, Washington, DC.

Recommendations by task forces at the Appalachian Balanced Growth and Economic Development Conference in 1977 to the Appalachian Regional Commission (ARC) resulted in ARC's adoption of six resolutions which are listed in this supplement. Specific recommendations were made under the following resolution headings: (1) legislation for a national…

Practical Resources for Critical Science Education in Rural Appalachia

ERIC Educational Resources Information Center

Kingsolver, Ann

2017-01-01

This article argues that there is no typical Appalachian experience or community. There is more cultural diversity and global interchange in this region of the U.S. than appears in popular representations of "isolated" Appalachians, which are ironic because of the region's having been so central to the global extractive economy for…

Nitrogen trace gas emissions from a riparian ecosystem in southern Appalachia

Treesearch

John T. Walker; Christopher D. Geron; James M. Vose; Wayne T. Swank

2002-01-01

In this paper, we present two years of seasonal nitric oxide (NO), ammonia (NH3), and nitrous oxide (N2O) trace gas fluxes measured in a recovering riparian zone with cattle excluded and adjacent riparian zone grazed by cattle. In the recovering riparian zone, average NO, NH3, and N

Apple Stack Cake for Dessert: Appalachian Regional Foods

ERIC Educational Resources Information Center

Shortridge, Barbara G.

2005-01-01

How is the culture of Appalachia conveyed through its foods? Local experts in Appalachian counties were asked to create a hypothetical menu for a meal that was representative of their home region. Fried chicken and ham were the preferred main dishes and dessert selections focused on apple pie and peach or blackberry cobbler. Virtually everyone…

Finding of No Significant Impact: Wildland Fire Management Plan at New Boston Air Force Station, New Hampshire

DTIC Science & Technology

2004-01-12

Juncus spp.), Virginia chain fern (Woodwardia virginica), pitcher plant ( Sarracenia purpurea ), meadowsweet (Spirea alba), boneset (Eupatorium perfoliatum... purpurea – – S2 1 Orange-spotted idia Idia diminuendis – – S2/S4 1 Butterflies and Skippers Appalachian brown Satyrodes appalachia – – S1

Needs Assessment Project. FY 81 Revalidation Study.

ERIC Educational Resources Information Center

Shively, Joe E.

Initiated in 1981 to provide an update and to reaffirm the status of educational needs of a seven-state region, a revalidation study by Appalachia Educational Laboratory was conducted. Results indicated some variations from the needs expressed at state conferences in 1980, but the revalidation showed that the importance of educational needs had…

Retention, Attrition, and Mobility among Teachers and Administrators in West Virginia. REL 2016-161

ERIC Educational Resources Information Center

Lochmiller, Chad R.; Adachi, Eishi; Chesnut, Colleen E.; Johnson, Jerry

2016-01-01

Members of the West Virginia School Leadership Research Alliance partnered with Regional Educational Laboratory Appalachia to study the average retention, attrition, and mobility rates among teachers and administrators in the West Virginia public school system. There is increasing evidence nationwide that low teacher and administrator retention…

SOIL NITROUS OXIDE, NITRIC OXIDE, AND AMMONIA EMISSIONS FROM A RECOVERING RIPARIAN ECOSYSTEM IN SOUTHERN APPALACHIA

EPA Science Inventory

The paper presents two years of seasonal nitric oxide, ammonia, and nitrous oxide trace gas fluxes measured in a recovering riparian zone with cattle excluded and in an adjacent riparian zone grazed by cattle. In the recovering riparian zone, average nitric oxide, ammonia, and ni...

Appalachian Issues and Resources, 2nd Edition.

ERIC Educational Resources Information Center

Harb, Jim; And Others

While the format is designed to be introductory (for use in classes, community groups, churches, etc.), the catalog is meant to be used by all kinds of people concerned with building a new Appalachia, "faithful to the traditions and the hopes of its people." Each topical section begins with an introduction and then lists issues and…

Lay Meanings of Health among Rural Older Adults in Appalachia

ERIC Educational Resources Information Center

Goins, R. Turner; Spencer, S. Melinda; Williams, Kimberly

2011-01-01

Purpose: Self-perceptions of health vary depending on one's social and cultural context. Rural residents have been characterized as having a distinct culture, and health differences by residence have been well documented. While there is evidence of poor health among rural older adults, little research has examined how they perceive and define…

Poverty in Appalachia. Appalachian Data Bank Report #5.

ERIC Educational Resources Information Center

Tickamyer, Ann R.; Tickamyer, Cecil

This report examines the causes and effects of Appalachian poverty, focusing on education, unemployment, social services, and economic development. The data in the report were extracted from the 1980 U.S. Census. Although there has been a steady decline in Appalachian poverty rates since the landmark 1964 declaration of a War on Poverty,…

A Manual for Implementation of ABC Video Duplication Projects.

ERIC Educational Resources Information Center

Hill, Joseph, Ed.

The ABC (Appalachian BOCES Consortium) consists of 10 BOCES (Boards of Cooperative Educational Services) which serve the 14 southern counties of New York State designated as Appalachia. Each year since 1974, the ABC has participated in regional video duplication projects, which have yielded a total of nearly 4,000 video titles. The complexity of…

What Happens before Schools Get the Grant: Planning for the Comprehensive School Reform Demonstration Program.

ERIC Educational Resources Information Center

Mid-Continent Research for Education and Learning, Aurora, CO.

This report is based on the collective research of seven regional education laboratories related to the federally funded Comprehensive School Reform Demonstration program. The participating laboratories were the Appalachia Education Laboratory (AEL) in partnership with the Center for Research in Educational Policy (CREP) at the University of…

Ohio's Appalachian Children [with] County Factsheets.

ERIC Educational Resources Information Center

Joyce, Erin; Stoneburner, Chris; Wachtel, Mary

Noting that one of every eight Ohio children live in Appalachian counties and that preparing these children to become productive, contributing members of Appalachia's culture and economy hinges on making sure that all children are healthy, ready for school, and attend safe and effective public schools, this report is the first to examine health…

Energy Workforce Trends and Training Needs in Appalachia

ERIC Educational Resources Information Center

Appalachian Regional Commission, 2011

2011-01-01

This study uses the best available national data to project future supply and demand for occupations associated with the energy industry for each Appalachian state, and the number of people enrolled in and graduating from programs in the Region's institutions of higher education that will be available to meet or exceed the demand. The report…

Information Technologies: Do They Have the Potential To Bring Change to U.S. Rural Areas? Policy Briefs.

ERIC Educational Resources Information Center

Burton, John K.; Lockee, Barbara B.

Rural communities have long experienced an outmigration of talented people to urban areas for better employment opportunities. The traditional rural economic model, especially prevalent in Appalachia and the rural South, involves outside capital promoting industrial development separated from community needs and culture. This, at worst, is…

Predictors of Daily Blood Glucose Monitoring in Appalachian Ohio

ERIC Educational Resources Information Center

Raffle, Holly; Ware, Lezlee J.; Ruhil, Anirudh V. S.; Hamel-Lambert, Jane; Denham, Sharon A.

2012-01-01

Objective: To determine factors contributing to successful diabetes self-management in Appalachia, as evidenced by daily blood glucose monitoring. Methods: A telephone survey (N = 3841) was conducted to assess health status and health care access. The current investigation is limited to the subset of this sample who report having diabetes (N =…

Mountain Science. Second Edition.

ERIC Educational Resources Information Center

Kimmons, Carol

This is the second in a series of books that provide high-interest reading material for rural adults who read below the seventh-grade level. The book provides information on science, technology, and the environment for the people of Appalachia and other rural areas, helping to bring the concepts and meaning of science within their grasp. Many of…

At Home in the Web of Life: Religious Values & Development.

ERIC Educational Resources Information Center

Rausch, John S.

1996-01-01

In 1995, Appalachian Catholic bishops released a pastoral letter stating that Appalachia, the nation, and the world stand at a crossroads concerning future development. One direction continues down the path of ecological and social devastation. The bishops encourage the path of sustainable development based on religious values of respect for…

Reference News Release:Southern Coal Corporation to Make System-Wide Upgrades to Reduce Water Pollution from Mining Operations in Appalachia

EPA Pesticide Factsheets

The settlement also requires the establishment of a $4.5 million letter of credit and a standby trust that will guarantee sufficient funding for, and a mechanism to accomplish, compliance with the Clean Water Act and the work the companies.

Configuration of Appalachian logging roads

Treesearch

John E. Baumgras; John E. Baumgras

1971-01-01

The configuration - the curvature and grade - of logging roads in southern Appalachia is seldom severe, according to a recent Forest Service study. To improve the efficiency of logging roads, we must first define the characteristics of these roads; and in this report we provide a quantitative description of the configuration of over 200 miles of logging roads.

HIV in Predominantly Rural Areas of the United States

ERIC Educational Resources Information Center

Hall, H. Irene; Li, Jianmin; McKenna, Matthew T.

2005-01-01

Background: The burden of HIV/AIDS has not been described for certain rural areas of the United States (Appalachia, the Southeast Region, the Mississippi Delta, and the US-Mexico Border), where barriers to receiving HIV services include rural residence, poverty, unemployment, and lack of education. Methods: We used data from Centers for Disease…

Rural Media Literacy: Youth Documentary Videomaking as a Rural Literacy Practice

ERIC Educational Resources Information Center

Pyles, Damiana Gibbons

2016-01-01

Through an analysis of a corpus of youth-produced documentary video data collected at a youth media arts organization in rural Appalachia, I explore how these rural youth engaged in media literacy practices through creating documentary videos about themselves and their community. Using a theoretical foundation in literacies research, especially…

Southern Appalachian Timber Study

Treesearch

Joseph E. de Steiguer; L.W. Hayden; D.L. Holley; W.G. Luppold; W.G. Martin; D.H. Newman; R.M. Sheffield

1989-01-01

This study investigated recent hardwood stumpage market trends in Southern Appalachia and projected National Forest stumpageprices to the year 2000. Over the past 10 years, hardwood timber harvest volumes from private lands have increased 38 percent with much of this increase coming in the last 2 to 4 years. Private hardwood stumpage prices have decreased across much...

77 FR 62507 - Texas Eastern Transmission, LP; Notice of Intent To Prepare an Environmental Assessment for the...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-15

... Market Expansion Project 2014 and Request for Comments on Environmental Issues The staff of the Federal... discuss the environmental impacts of the Texas Eastern and Appalachia Market Expansion Project 2014 (TEAM 2014) involving construction and operation, modification and abandonment of facilities proposed by...

Interest group opinions about fuel reduction in southern Appalachia

Treesearch

Carin E. Vadala; Robert D. Bixler; Thomas A. Waldrop

2013-01-01

Opinions of interested publics and interest groups (n = 640) about fuel reduction (FR) in the Southern Appalachian Mountains were investigated through social survey using both pictorial and written questions. The study identified three discrete groups based on knowledge of forest history in the Southern Appalachian Mountains, attitudes toward social and ecological...

Primary Prevention in Appalachian Kentucky: Peer Reinforcement of Classroom Attendance

ERIC Educational Resources Information Center

Noonan, J. Robert; Thibeault, Robert

1974-01-01

Peers chosen on the basis of their popularity and positive involvement in the educational process were found to be effective enhancers of attendance for chronic absentees. The judicious use of situational and interpersonal reinforcement can modify a student's behavior even in a region as indifferent to education as Appalachia. (EH)

Dropout Prevention in Appalachia: Lessons for the Nation.

ERIC Educational Resources Information Center

Campbell Communications, Inc., Bethesda, MD.

The Appalachian Regional Commission (ARC), in its efforts to improve the economy and quality of life in the Appalachian Region, has identified high school dropouts as a major stumbling block to the area's economic growth. Findings of ARC-sponsored research on dropouts include the following: (1) high school dropouts are a serious problem in…

Lessons from a Postcritical Ethnography, Burundian Children with Refugee Status, and Their Teachers

ERIC Educational Resources Information Center

Anders, Allison

2012-01-01

This article represents one orientation to postcritical ethnography. Framing research with Burundian children and their teachers in a small city in Appalachia, the author shares the ways postcritical ethnography informed the process and representations of her work. After introducing postcritical ethnography and early beginnings to the research,…

Recruiting and Retaining Mental Health Professionals to Rural Communities: An Interdisciplinary Course In Appalachia

ERIC Educational Resources Information Center

Meyer, Deborah; Hamel-Lambert, Jane; Tice, Carolyn; Safran, Steven; Bolon, Douglas; Rose-Grippa, Kathleen

2005-01-01

Faculty from 5 disciplines (health administration, nursing, psychology, social work, and special education) collaborated to develop and teach a distance-learning course designed to encourage undergraduate and graduate students to seek mental health services employment in rural areas and to provide the skills, experience, and knowledge necessary…

Transitional Highways: Reaching Students with Disabilities in Appalachia

ERIC Educational Resources Information Center

Sweet, Debbie; Dezarn, Shirley; Belluscio, Teresa

2011-01-01

A transition can be described as a change, a switch, a move, or a conversion to another place or frame of mind. Eastern Kentucky University (EKU) has implemented a transition project serving middle and high school students with disabilities. Each year, hundreds of students are provided with information and activities designed to stimulate their…

Miss Willie and Nora Bonesteel: Teaching in Cyberspace.

ERIC Educational Resources Information Center

Atwell, Nedra Wheeler

Two of the author's favorite Appalachian women serve as thought mentors to help see the practical and educational opportunities available in cyberspace for meeting the critical shortage of teachers serving the Appalachian women and children of today. In classrooms and homes throughout Appalachia, women and children are logging on to computers to…

Survey of Staff Perceptions of the AEL Resource Center.

ERIC Educational Resources Information Center

Cowley, Kimberly S.

The Resource Center at the Appalachia Educational Laboratory (AEL), Inc., provides direct services to clients both within and outside AEL, as well as serving as a repository and distribution center for educational materials. Three main objectives were identified: to discover the extent to which staff use current components of the Resource Center;…

A study of logging residue at woods landings in Appalachia

Treesearch

Curtis D. Goho

1976-01-01

A study of residue on five woods landings in West Virginia showed that short lengths, poor quality, and low volumes are obstacles to utilization of this material. Short lengths and dirt accumulation would also pose serious problems for conversion to chips. Some local use for firewood and specialty products is possible.

Poor Americans: How the Poor White Live.

ERIC Educational Resources Information Center

Pilisuk, Marc; Pilisuk, Phyllis

Contents of this book include the following essays which originally appeared in "Transaction" magazine: (1) "Poor Americans: an introduction," Marc Pilisuk and Phyllis Pilisuk; (2) "How the white poor live," Marc Pilisuk and Phyllis Pilisuk; (3) "The culture of poverty," Oscar Lewis; (4) "Life in Appalachia--the case of Hugh McCaslin," Robert…

From Mountain to Metropolis: Appalachian Migrants in American Cities.

ERIC Educational Resources Information Center

Borman, Kathryn M., Ed.; Obermiller, Phillip J., Ed.

This book consists of 14 essays that focus on the condition of urban Appalachians (former migrants to cities from Appalachia and their descendants). Chapters address issues of health, environment, education, and cultural identity in an urban Appalachian context, and are meant to be a resource for educators and health and human service…

A Conversation on Rural Health Care.

ERIC Educational Resources Information Center

Myers, Wayne; Russell, Jack; Baldwin, Fred D.

1999-01-01

Wayne Myers, director of the Office of Rural Health Policy, discusses Appalachian rural health and access to health care. The health manpower shortage in Central Appalachia still exists but is less severe than 10 years ago. The needs of underserved areas could be address by training local people in the community and through telemedicine and…

Unraveling Appalachia's Rural Economy: The Case of a Flexible Manufacturing Network.

ERIC Educational Resources Information Center

Oberhauser, Ann M.; Pratt, Amy; Turnage, Anne-Marie

2001-01-01

The growing importance of multiple-income strategies in the changing rural Appalachian economy is discussed via a case study of a network of female home-based machine-knitters. Social networks are an important part of the knitters' recruitment and training process, promote leadership development, and help overcome some of women's economic…

Coming in from the Margin: Research Practices, Representation and the Ordinary

ERIC Educational Resources Information Center

Greiner, Karen P.

2010-01-01

This essay explores issues of marginality and representation in research, which emerged during life history interviews with Tammi, an "ordinary" woman living in Appalachia. I examine how my research practices, namely my thirst for drama and marginality, nearly silenced the preferred stories of the woman who shared her life with me. I…

Supplement III to Changes in Farm Production and Efficiency.

ERIC Educational Resources Information Center

Economic Research Service (USDA), Washington, DC.

This publication contains data on man-hours of labor used for farmwork in the farm production regions of the Northeast, Lake States, Corn Belt, Northern Plains, Appalachia, Southeast, Delta States, Southern Plains, Mountain, and Pacific. Regional data from 1950-1958 are provided in table form for the livestock enterprises of meat animals, milk…

Cross Cultural Images: The ETSU/NAU Special Photography Project.

ERIC Educational Resources Information Center

Montgomery, Donna; Sluss, Dorothy; Lewis, Jamie; Vervelde, Peggy; Prater, Greg; Minner, Sam

Recreation is a significant part of a full and rich life but is frequently overlooked in relation to handicapped children. A project called Cross-Cultural Images aimed to improve the quality of life for handicapped children by teaching them avocational photography skills. The project involved mildly handicapped children aged 7-11 in Appalachia, on…

30 CFR 881.12 - Civil rights.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Civil rights. 881.12 Section 881.12 Mineral... LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.12 Civil rights. State or local authorities shall comply with Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352) and all...

30 CFR 881.12 - Civil rights.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 3 2012-07-01 2012-07-01 false Civil rights. 881.12 Section 881.12 Mineral... LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.12 Civil rights. State or local authorities shall comply with Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352) and all...

30 CFR 881.12 - Civil rights.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 3 2014-07-01 2014-07-01 false Civil rights. 881.12 Section 881.12 Mineral... LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.12 Civil rights. State or local authorities shall comply with Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352) and all...

30 CFR 881.12 - Civil rights.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 3 2011-07-01 2011-07-01 false Civil rights. 881.12 Section 881.12 Mineral... LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.12 Civil rights. State or local authorities shall comply with Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352) and all...

30 CFR 881.12 - Civil rights.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Civil rights. 881.12 Section 881.12 Mineral... LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.12 Civil rights. State or local authorities shall comply with Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352) and all...

Appalachian Picturebooks, Read-Alouds, and Teacher-Led Discussion: Combating Stereotypes Associated with the Appalachian Region

ERIC Educational Resources Information Center

Brashears, Kathy

2012-01-01

The author's personal experiences indicate that, unfortunately, Appalachian culture in particular has been overlooked in many areas of literature and life. Major bookstores located in the Appalachian region frequently lack sections featuring Appalachian picturebooks. Her experiences with schools also indicate that living in Appalachia does not…

Skyline Harvesting in Appalachia

Treesearch

J. N. Kochenderfer; G. W. Wendel

1978-01-01

The URUS, a small standing skyline system, was tested in the Appalachian Mountains of north-central West Virginia. Some problems encountered with this small, mobile system are discussed. From the results of this test and observation of skyline systems used in the western United States, the authors suggest some machine characteristics that would be desirable for use in...

User Ratings of Instructional Activities: Diagnostic and Prescriptive Reading Instruction, Summer, 1974. Technical Report No. 6.

ERIC Educational Resources Information Center

Marion, Rodger; And Others

The Appalachian Education Satellite Project (AESP) is designed to apply communications satellite technology to the task of improving education in Appalachia. Data were gathered about attitudinal responses of the students, site coordinators, and college faculty consultants to the various components of the course Diagnostic and Prescriptive Reading…

A Survey and Analysis of Human Ecosystems and Human Service Systems in Appalachia.

ERIC Educational Resources Information Center

Harshbarger, Dwight; And Others

Based on the premise that ecological and health problems, and human responses to these problems, are directly related to community social and economic conditions, this study examined differences in health, housing, and human concerns across socioeconomically defined neighborhoods in West Virginia. Counties were grouped into three environmental…

Appalachian Books and Media for Public and College Libraries.

ERIC Educational Resources Information Center

Bennett, George E., Comp.

West Virginia University has compiled an annotated bibliography of the University's collection on Appalachia. The first section is devoted to in-print books, and the second lists media. Books are listed alphabetically by author within the following subject areas; (1) history, politics, and economy; (2) social structure and conditions; (3) coal,…

Combining a Spatial Model and Demand Forecasts to Map Future Surface Coal Mining in Appalachia

PubMed Central

Strager, Michael P.; Strager, Jacquelyn M.; Evans, Jeffrey S.; Dunscomb, Judy K.; Kreps, Brad J.; Maxwell, Aaron E.

2015-01-01

Predicting the locations of future surface coal mining in Appalachia is challenging for a number of reasons. Economic and regulatory factors impact the coal mining industry and forecasts of future coal production do not specifically predict changes in location of future coal production. With the potential environmental impacts from surface coal mining, prediction of the location of future activity would be valuable to decision makers. The goal of this study was to provide a method for predicting future surface coal mining extents under changing economic and regulatory forecasts through the year 2035. This was accomplished by integrating a spatial model with production demand forecasts to predict (1 km2) gridded cell size land cover change. Combining these two inputs was possible with a ratio which linked coal extraction quantities to a unit area extent. The result was a spatial distribution of probabilities allocated over forecasted demand for the Appalachian region including northern, central, southern, and eastern Illinois coal regions. The results can be used to better plan for land use alterations and potential cumulative impacts. PMID:26090883

Perceptions of oral health in Appalachian Kentucky: implications for message design.

PubMed

Savage, Matthew W; Scott, Allison M; Aalboe, Joanna A; Stein, Pamela Sparks; Mullins, Raynor

2015-01-01

We conducted three studies to investigate Appalachian college students' perceptions and behavior concerning oral health for the purpose of identifying salient factors to consider in designing persuasive messages to promote oral health. In Study 1, we conducted seven focus groups with 67 college students at a state university in Appalachian Kentucky. Using thematic analysis, we found that students based their oral health behavior on the perception that people living in Appalachia have poor oral health and that students denied, confirmed, reframed, or fulfilled this "misconception." In Study 2, quantitative results from a representative survey of students (N = 587) at the same university indicated that the barriers to enacting good oral health behavior were primarily logistical in nature, whereas the facilitators of good oral health behavior were largely social. In Study 3, results from dental screenings (N = 364) of students at the university demonstrated that about one in five students presented with active, visible decay. We discuss how these results inform our understanding of oral health behavior in Appalachia and the implications of these results for designing messages to promote oral health in the region.

Underdeveloping Appalachia: Toward an environmental sociology of extractive economies

NASA Astrophysics Data System (ADS)

Wishart, William Ryan

This dissertation uses mixed methods to examine the role of the coal industry in the reproduction of Central Appalachia as an internal periphery within the United States and the economic, ecological, and human inequalities this entails. It also analyzes the related political economy and power structure of coal in a national context. Particularly important for analysis of the region's underdevelopment are the class relations involved in unequal ecological exchange and the establishment of successive "modes of extraction." I employ a historical comparative analysis of Appalachia to evaluate Bunker's thesis that resource dependent peripheries often become locked into a "mode of extraction" (with aspects parallel to Marxist concepts of mode of production) triggering economic and ecological path dependencies leading to underdevelopment. This historical comparative analysis establishes the background for a closer examination of the political economy of the modern US coal industry. After sketching the changes in the structure of monopoly and competition in the coal industry I employ network analysis of the directorate interlocks of the top twenty coal firms in the US within the larger energy policy-planning network to examine their connections with key institutions of the policy formation network of think tanks and business groups. My findings show the importance of the capacities of fossil fuel fractions of the capitalist class in formulating energy policy around issues such as the 2009 climate legislation. As a contribution to the growing literature applying the concept of metabolism as link between contemporary and classical theory, I examine the conflict at Coal River Mountain from the vantage points of ecology, political economy, and human development in dialectical rotation. Utilizing Marx's method of successive abstractions, the mountain is presented as a nexus of metabolic rifts in the human relationship to the earth's natural systems and an impediment to genuine human development. Finally, I conclude with some implications of this analysis for building a critical environmental sociology of extractive economies. This dissertation includes previously published materials.

Higher coronary heart disease and heart attack morbidity in Appalachian coal mining regions.

PubMed

Hendryx, Michael; Zullig, Keith J

2009-11-01

This study analyzes the U.S. 2006 Behavioral Risk Factor Surveillance System survey data (N=235,783) to test whether self-reported cardiovascular disease rates are higher in Appalachian coal mining counties compared to other counties after control for other risks. Dependent variables include self-reported measures of ever (1) being diagnosed with cardiovascular disease (CVD) or with a specific form of CVD including (2) stroke, (3) heart attack, or (4) angina or coronary heart disease (CHD). Independent variables included coal mining, smoking, BMI, drinking, physician supply, diabetes co-morbidity, age, race/ethnicity, education, income, and others. SUDAAN Multilog models were estimated, and odds ratios tested for coal mining effects. After control for covariates, people in Appalachian coal mining areas reported significantly higher risk of CVD (OR=1.22, 95% CI=1.14-1.30), angina or CHD (OR=1.29, 95% CI=1.19-1.39) and heart attack (OR=1.19, 95% CI=1.10-1.30). Effects were present for both men and women. Cardiovascular diseases have been linked to both air and water contamination in ways consistent with toxicants found in coal and coal processing. Future research is indicated to assess air and water quality in coal mining communities in Appalachia, with corresponding environmental programs and standards established as indicated.

Oral Health Knowledge and Dental Visits in Community Living Older Adults in Rural Appalachia-West Virginia: A Cross-Sectional Analysis

PubMed Central

Wiener, R. Constance; Shockey, Alcinda Trickett

2014-01-01

Introduction The purpose of this study was to investigate the relationship between oral health knowledge and dental visits of older adults in an Appalachian county. Methods A cross-sectional study design was used. Surveys were returned from 205 older adults (50 years and above) from an Appalachian county. Questions were asked about oral health, last dental visit and sociodemographics. Results The variable of interest, oral health knowledge, was associated with dental visit. Having low oral health knowledge increased odds of having delayed a dental visit beyond a year (unadjusted odds ratio: 2.99; 95% Confidence interval: 1.70, 5.28). Even after considering the number of existing teeth, and controlling for age, sex, education and smoking, the association remained positive and independently significant (adjusted odds ratio: 2.25; 95% Confidence interval: 1.05, 4.82). Education was the only sociodemographic variable associated with last dental visit Conclusion The surveyed older adults have a need for increasing dental visits within the previous year. Increasing dental knowledge was associated with odds of increased dental visits. Improving dental knowledge may be a strategy to improve the number of older adults having a dental visit within the year. PMID:25530938

Tools for Entrepreneurship: Building New Economies in Rural America. Conference Proceedings (Clermont County, Ohio, September 17-19, 2000).

ERIC Educational Resources Information Center

Appalachian Regional Commission, Washington, DC.

A conference held in September 2000 focused on entrepreneurship as a means to create more and better jobs in Appalachia and rural America. This report summarizes the conference proceedings. In part 1, successful rural entrepreneurs identify their challenges and needs. Entrepreneurial success requires a supportive community environment, diverse…

State Appalachian Development Plans and Investment Programs for Fiscal Year 1980. ABSTRACTS.

ERIC Educational Resources Information Center

Appalachian Regional Commission, Washington, DC.

The Appalachian Regional Commission (ARC), established by Congress in 1965 as a means of relieving the chronic economic and social distresses of the Appalachian region, is composed of the governors of the 13 states that comprise Appalachia. Local development plans, based upon needs and priorities, are presented to ARC every year by the governor of…

An Assessment of the Appalachian Regional Commission's Regional Education Service Agencies Program.

ERIC Educational Resources Information Center

Waller, John D.; And Others

This report presents the results of a study of Regional Education Service Agencies (RESAs) in Appalachia, with particular attention to the Appalachian Regional Commission's (ARC) RESA program and the 22 RESAs that have received ARC assistance. RESAs are organizations established to provide a range of educational services on a regional basis by…

Conserving the Appalachian medicinal plant industry

Treesearch

James L. Chamberlain

2006-01-01

An industry based on plants that flourish in the mountains of Appalachia is at a critical crossroads. The medicinal plant industry has relied on the conservation of Appalachian forest resources for more than 300 years. There is growing and widespread concern that many of the species, on which this vibrant and substantial industry depends, are being depleted and...

Forest habitat management for non-game birds in central Appalachia

Treesearch

John D. Gill; Richard M. DeGraaf; Jack Ward Thomas

1974-01-01

To woodland owners or managers who are interested in bird-habitat improvement, the authors suggest managing for: (1) people with slight to moderate knowledge of birds; (2) high numbers of both individual birds and bird species, particularly the conspicuous species; (3) seeing and hearing birds near trails and other human-activity areas; (4) bird nesting; and (5)...

Tales of a repatriated megaherbivore: Challenges and opportunities in the management of reintroduced elk in Appalachia

Treesearch

John J. Cox

2011-01-01

Reintroductions of large mammals are challenging and often controversial endeavors. Elk (Cervus elaphus canadensis) were successfully reintroduced to southeastern Kentucky beginning in 1997. Since then, elk have exhibited a decade-long irruptive growth pattern in the absence of mortality factors that commonly limit its abundance in more western...

The Hollow Holiday: Christmas, A Time of Death in Appalachia.

ERIC Educational Resources Information Center

Marriott, Cindy; Harshbarger, Dwight

An inquiry was conducted into the question of the influence of Christmas and Easter on the occurrence of death. The authors hypothesized that dying might be postponed until after these two important events resulting in a significantly increased frequency of death after these holidays. Obituaries were read for 4 weeks before and 4 weeks after each…

Second Year Manual for the Kentucky Appalachia Vocational Staff Exchange Project. Revised.

ERIC Educational Resources Information Center

Thomas, Edward G.; White, Patrick E.

A staff exchange project designed to provide for an exchange of vocational education teachers and administrators with supervisors and technicians from business and industry is presented in this handbook. A step-by-step plan, for use at State, regional, and local levels, is given for initiating, planning, and implementing an exchange project. Six…

The Many Faces of Rural Education. Proceedings of the Annual NREA Convention (89th, Tucson, Arizona, September 24-27, 1997).

ERIC Educational Resources Information Center

National Rural Education Association, Fort Collins, CO.

This proceedings contains 18 papers and presentations from the annual conference of the National Rural Education Association. The contents include: (1) "Strategies for Improving Math and Science Achievement in Rural Appalachia" (Hobart Harmon, Roy Blanton); (2) "Reform in One Community: Factors in Establishing a Firm Foundation" (Bernadette…

A three-dimensional optimal sawing system for small sawmills in central Appalachia

Treesearch

Wenshu Lin; Jingxin Wang; R. Edward. Thomas

2011-01-01

A three-dimensional (3D) log sawing optimization system was developed to perform 3D log generation, opening face determination, sawing simulation, and lumber grading. Superficial characteristics of logs such as length, large-end and small-end diameters, and external defects were collected from local sawmills. Internal log defect positions and shapes were predicted...

Dual Enrollment Courses in Kentucky: High School Students' Participation and Completion Rates. REL 2016-137

ERIC Educational Resources Information Center

Lochmiller, Chad R.; Sugimoto, Thomas J.; Muller, Patricia A.; Mosier, Gina G.; Williamson, Steven E.

2016-01-01

Kentucky is using dual enrollment as one strategy to improve access to postsecondary education for its high school students, particularly after passage of Kentucky Senate Bill 1 in 2009, which focused on improving college and career readiness. The Regional Educational Laboratory (REL) Appalachia undertook a descriptive study of participation in…

Module 1--Shared Leadership. School Improvement Specialist Training Materials: Performance Standards, Improving Schools, and Literature Review

ERIC Educational Resources Information Center

Appalachia Educational Laboratory at Edvantia (NJ1), 2005

2005-01-01

The School Improvement Specialist Project prepared seven modules. School improvement specialists, as defined by the Appalachia Educational Laboratory at Edvantia, are change agents who work with schools to help them improve in the following areas so as to increase student achievement. These modules are intended to provide training materials for…

Module 4--Effective Teaching. School Improvement Specialist Training Materials: Performance Standards, Improving Schools, and Literature Review

ERIC Educational Resources Information Center

Appalachia Educational Laboratory at Edvantia (NJ1), 2005

2005-01-01

The School Improvement Specialist Project prepared seven modules. School improvement specialists, as defined by the Appalachia Educational Laboratory at Edvantia, are change agents who work with schools to help them improve in the following areas so as to increase student achievement. These modules are intended to provide training materials for…

The CROPS Curriculum Experiment: Evaluating the Farm Safety Knowledge Gained among Secondary Appalachia Youth

ERIC Educational Resources Information Center

Schafbuch, Morgan L.; Vincent, Stacy K.; Mazur, Joan; Watson, Jennifer; Westneat, Susan

2016-01-01

Rural youth in poverty stricken Appalachian communities are the highest at-risk population for tractor rollover accidents (Cole, 2007). The Apprenticeship of Observation theory (Lortie, 1975) concludes that the "apprentice" learns from watching those perceived to be the teacher and their work and so mimic their actions. Thus, farm youth…

Mapping Civic Engagement: A Case Study of Service-Learning in Appalachia

ERIC Educational Resources Information Center

Mann, Jessica; Casebeer, Daniel

2016-01-01

This study uses social cartography to map student perceptions of a co-curricular service-learning project in an impoverished rural community. As a complement to narrative discourse, mapping provides an opportunity to visualize not only the spatial nature of the educational experience but also, in this case, the benefits of civic engagement. The…

Worlds Apart: Why Poverty Persists in Rural America.

ERIC Educational Resources Information Center

Duncan, Cynthia M.

This book examines the nature of persistent poverty in two impoverished towns in the coalfields of Appalachia and the Mississippi Delta and a contrasting social milieu in a prosperous but remote rural mill town in northern New England. Drawing on 350 in-depth interviews and census data, the book analyzes the dynamics of poverty, politics, and…

Factors Influencing Family Migration from Appalachia. Summary of Research Series.

ERIC Educational Resources Information Center

Groves, Robert H.; McCormick, Robert W.

This study was designed to compare farm brothers who stayed in the rural areas of Ohio with urban brothers who migrated to large metropolitan areas of Ohio. The objectives were (1) to identify and compare selected characteristics of farm owners or operators who stayed on a farm in the Appalachian region of Ohio with selected characteristics of…

The Role of Language in Interactions with Others on Campus for Rural Appalachian College Students

ERIC Educational Resources Information Center

Dunstan, Stephany Brett; Jaeger, Audrey J.

2016-01-01

Dialects of English spoken in rural, Southern Appalachia are heavily stigmatized in mainstream American culture, and speakers of Appalachian dialects are often subject to prejudice and stereotypes which can be detrimental in educational settings. We explored the experiences of rural, Southern Appalachian college students and the role speaking a…

An Evaluation of an Interdisciplinary Rural School Mental Health Programme in Appalachia

ERIC Educational Resources Information Center

Albright, Abby; Michael, Kurt; Massey, Cameron; Sale, Rafaella; Kirk, Alex; Egan, Theresa

2013-01-01

School mental health (SMH) programmes serve as a necessary niche within rural communities and aim to bring accessible care to youth who may otherwise go without mental health services. The following study evaluated the impact of mental health treatment provided by the Assessment, Support, and Counseling (ASC) Center, an SMH health initiative…

Facts and Figures on West Virginia Audiences and Their Special Needs.

ERIC Educational Resources Information Center

West Virginia Univ., Morgantown. Appalachian Center.

Drawn from a one-day seminar sponsored by the West Virginia University Appalachian Center and the West Virginia Broadcasters Association, these selected proceedings deal with social change in rural Appalachia, mass communication linkages with urban America, results of a projection of the West Virginia economy up to 1975, findings of a pilot study…

Appalachia -- A Reference Book. First Edition.

ERIC Educational Resources Information Center

Linkous, Jonathan; And Others

With a total area of 197,116 square miles, the Appalachian Region has an uneven distribution of population, income, wealth, and natural resources. The Region's 19 million people live in 397 counties and 5 independent cities in Virginia, which range in population size from 2.6 thousand to 1.5 million. Under 50% of the population live in…

A Comparative Case Study of Factors Distinguishing between High and Low-Performance on Reading Achievement in Elementary Rural Appalachian Schools

ERIC Educational Resources Information Center

Chambers, Jennifer R.

2012-01-01

This qualitative comparative case study identified factors that distinguish between high and low-performance on reading achievement in elementary rural Appalachian schools. This study determined the most effective instructional reading strategies, as well as other influential factors, implemented by school districts in the rural Appalachia area…

A Comparative Case Study of Factors Distinguishing between High and Low-Performance on Reading Achievement in Elementary Rural Appalachian Schools

ERIC Educational Resources Information Center

Chambers, Jennifer; Hausman, Charles

2014-01-01

This qualitative comparative case study identified factors that distinguish between high and low-performance on reading achievement in elementary rural Appalachian schools. This study determined the most effective instructional reading strategies, as well as other influential factors, implemented by school districts in the rural Appalachia area…

Trends in Tuberculosis Reported from the Appalachian Region: United States, 1993-2005

ERIC Educational Resources Information Center

Wallace, Ryan M.; Armstrong, Lori R.; Pratt, Robert H.; Kammerer, J. Steve; Iademarco, Michael F.

2008-01-01

Context: Appalachia has been characterized by its poverty, a factor associated with tuberculosis, yet little is known about the disease in this region. Purpose: To determine whether Appalachian tuberculosis risk factors, trends, and rates differ from the rest of the United States. Methods: Analysis of tuberculosis cases reported to the Centers for…

The Impact of Human Capital-Based Education and Training Programs on an Economically Marginalized Rural County in Appalachia

ERIC Educational Resources Information Center

Hall, Donna Jo

2009-01-01

Beginning in the 1970s, low-wage manufacturing areas in advanced industrialized countries experienced deindustrialization and worker dislocation as transnational corporations left for sites of lower-cost labor. In response, communities sought to rebuild their economies and pursue new employment opportunities in the restructured labor markets of…

Module 2--Learning Culture. School Improvement Specialist Training Materials: Performance Standards, Improving Schools, and Literature Review

ERIC Educational Resources Information Center

Appalachia Educational Laboratory at Edvantia (NJ1), 2005

2005-01-01

The School Improvement Specialist Project prepared seven modules. School improvement specialists, as defined by the Appalachia Educational Laboratory at Edvantia, are change agents who work with schools to help them improve in the following areas so as to increase student achievement. These modules are intended to provide training materials for…

Rurality and Birth Outcomes: Findings from Southern Appalachia and the Potential Role of Pregnancy Smoking

ERIC Educational Resources Information Center

Bailey, Beth A.; Cole, Laura K. Jones

2009-01-01

Context: Rates of preterm birth (PTB) and low birth weight (LBW) vary by region, with disparities particularly evident in the Appalachian region of the South. Community conditions related to rurality likely contribute to adverse birth outcomes in this region. Purpose: This study examined associations between rurality and related community…

Self-Rated Health Among Vulnerable Older Adults in Rural Appalachia

ERIC Educational Resources Information Center

Steele, Jenessa C.; Patrick, Julie Hicks; Goins, R. Turner; Brown, David K.

2005-01-01

Self-rated health (SRH) predicts service use, morbidity, and mortality. Additionally, SRH has been associated with indices of psychological well-being. The main focus of the study was to investigate important differences among the lower spectrum of SRH (ie, fair and poor) on indices of well-being. In-person interviews collected data from 207 (M…

School-Based Screening of the Dietary Intakes of Third Graders in Rural Appalachian Ohio

ERIC Educational Resources Information Center

Hovland, Jana A.; McLeod, Sara M.; Duffrin, Melani W.; Johanson, George; Berryman, Darlene E.

2010-01-01

Background: Children in Appalachia are experiencing high levels of obesity, in large measure because of inferior diets. This study screened the dietary intake of third graders residing in 3 rural Appalachian counties in Ohio and determined whether the Food, Math, and Science Teaching Enhancement Resource Initiative (FoodMASTER) curriculum improved…

Can science writing collectives overcome barriers to more democratic communication and collaboration? Lessons from environmental communication praxis in southern Appalachia

Treesearch

Brian J. Burke; Meredith Welch-Devine; Seth Gustafson; Nik Heynen; Jennifer L. Rice; Ted L. Gragson; Sakura R. Evans; Donald R. Nelson

2015-01-01

Despite compelling reasons to involve nonscientists in the production of ecological knowledge, cultural and institutional factors often dis-incentivize engagement between scientists and nonscientists. This paper details our efforts to develop a biweekly newspaper column to increase communication between ecological scientists, social scientists, and the communities...

America's Forgotten Children: Child Poverty in Rural America.

ERIC Educational Resources Information Center

Nadel, Wendy; Sagawa, Shirley

This report draws on research, statistics, and the voices of rural young people to document the extent and causes of rural child poverty, and related problems and reasons for hope in specific focus areas. About 2.5 million rural children are chronically poor. Rural poverty is concentrated in central Appalachia, the deep South, the U.S.-Mexican…

Developing Entrepreneurial Economies in Rural Regions: Lessons from Kentucky and Appalachia. Open Field Occasional Report.

ERIC Educational Resources Information Center

Gurwitt, Rob; Kimel, Kris

A 1996 workshop held in Harrodsburg, Kentucky, explored the challenge of creating an entrepreneurial economy in predominantly rural states such as Kentucky with little or no history of widespread entrepreneurial activity. Traditional approaches to economic development in such states, such as spending on relocation incentives for out-of-state…

Stories from an Appalachian Community.

ERIC Educational Resources Information Center

Cirillo, Marie

Fifty-one years of working in Appalachia on land resettlement and preservation of local values have taught Marie Cirillo the importance of not thinking in terms of either/or. It is not science/technology versus indigenous knowledge; it is how one connects the two so there can be proper balance. It is not capital versus labor; it is not…

A Greater Fairness: May Justus as Popular Educator.

ERIC Educational Resources Information Center

Loveland, George W.

May Justus started teaching at elementary schools in Appalachia in the 1930s. She believed that mountain schools were the center of community life and drew subject matter from the needs of the students rather than imposing a curriculum designed by professional educators. Teaching arts and crafts and operating a communal soup pot at the school, she…

Challenge and Change in Appalachia: The Story of Hindman Settlement School.

ERIC Educational Resources Information Center

Stoddart, Jess

Founded in 1902 by Katherine Pettit and May Stone, the Hindman Settlement School in Knott County, Kentucky, grew out of the Progressive movement. During the golden age of the school, 1915-32, the reputation of its academic program, health work, and other settlement activities brought substantial renown and influence to the school and its founders.…

Family and Community Influences on Educational Outcomes among Appalachian Youth

ERIC Educational Resources Information Center

Brown, Ryan; Copeland, William E.; Costello, E. Jane; Erkanli, Alaattin; Worthman, Carol M.

2009-01-01

Recent research has shown how quantifiable aspects of community context affect a wide range of behaviors and outcomes. Due partially to the historical development of this field, currently published work focuses on urban rather than rural areas. We draw upon data from a longitudinal study of families and health in Appalachia--the Great Smoky…

Baseline Study of Selected Professional Development Schools in West Virginia

ERIC Educational Resources Information Center

Gilchrist, Christina L.; Salgado, Dawn M.; Holloway, Joseph L.

2005-01-01

In August 2004, the WVDE asked the Appalachia Educational Laboratory at Edvantia, Inc. to evaluate the demonstration project, in order to meet the evaluation and reporting requirements set forth in the law. According to Fink (1993), baseline evaluation data allow for subsequent analyses of the effect or impact of a program. The purpose of this…

Appalachia--A Reference Book. Second Edition.

ERIC Educational Resources Information Center

Pickard, Jerome P.; And Others

With a total area of 197,116 square miles, the Appalachian Region has an uneven distribution of population, income, wealth and natural resources. The Region's 19.3 million people live in 397 counties and 5 independent cities in Virginia. Under 50% of the population live in metropolitan counties while only 25% live in rural counties. In 1975 the…

Middle Grade Students of Iris County: A Descriptive Study from Southern Appalachia.

ERIC Educational Resources Information Center

Phelps, Margaret S.; And Others

Sixth, seventh, and eighth grade students (N=301) from a rural county in Tennessee (Iris County is a pseudonym) completed a Rural School Success Inventory (RSSI) and the Learning Styles Inventory (LSI). The study explored differences between low Socioeconomic Status (SES) students and middle/high SES students. The RSSI provided information about…

Production and cost of a live skyline cable yarder tested in Appalachia

Treesearch

Edward L. Fisher; Harry G. Gibson; Cleveland J. Biller

1980-01-01

Logging systems that are profitable and environmentally acceptable are needed in Appalachian hardwood forests. Small, mobile cable yarders show promise in meeting both economic and environmental objectives. One such yarder, the Ecologger, was tested on the Jefferson National Forest near Marion, Virginia. Production rates and costs are presented for the system along...

The Community Development Process: The Rediscovery of Local Initiative.

ERIC Educational Resources Information Center

Biddle, William W.; Biddle, Loureide J.

The development process in two communities, a mining county in rural Appalachia and a deteriorating neighborhood in a northern industrial city, is presented in case-study form. Concepts and commonly used terms are defined; a process of development is identified that can be used in groups small enough to permit attention to the growth of persons.…

Adolescent Stress, Coping, and Academic Persistence in Rural Appalachia: The Unacknowledged Import of Early Adolescent Pregnancy.

ERIC Educational Resources Information Center

Lange, Linda; Bickel, Robert

This paper examines pregnancy in early adolescence, among West Virginia females aged 10-14, as it relates to local economic and social contexts. Although research on adolescent pregnancy is substantial, it is generally limited to the experiences of older adolescents and premised on assumptions of methodological individualism--that the correlates…

The State of the Child in Appalachia: Report of a Conference.

ERIC Educational Resources Information Center

Tracy, Dana Friedman; Pizzo, Peggy Daly

This report of a 13-state conference on the needs of young children in the Appalachian region examines present conditions and changes over the past decade. The conference was organized around three central questions: (1) what are the needs of Appalachian children for healthy development? (2) how do existing child development programs meet these…

The "Dictionary of Smoky Mountain English" as a Resource for Southern Appalachia.

ERIC Educational Resources Information Center

Montgomery, Michael

This paper argues that one important reflection of a culture's status is the existence of general reference books on it. To this end, it discusses the forthcoming "Dictionary of Smoky Mountain English," a book designed to address the lack of a comprehensive reference work on Appalachian speech and language patterns in this region. The…

Your Lives through Your Eyes: Rural Appalachian Youth Identify Community Needs and Assets through the Use of Photovoice

ERIC Educational Resources Information Center

Downey, Laura; Anyaegbunam, Chike

2010-01-01

From the early stages of photography, photographs have been used as a method of depicting social relationships and structures. Often, photographs intending to draw attention to social and economic needs were recorded from an "outsider's" perspective. As a result, regions such as Appalachia have been portrayed as fundamentally different…

Sisyphus in Appalachia: Pluralism vs. Parochialism in a Newly Established State University.

ERIC Educational Resources Information Center

Biddle, James R.

In the mid-1980s, a community college in a parochial Appalachian town became a state university. The new university was created at the behest of a powerful state politician despite the opposition of the faculty, administration, and board of the community college. A college of education was created and an interdisciplinary general education program…

A framework for addressing bird conservation priorities in high-elevation vegetation communities of the Appalachian Mountains

Treesearch

Brian W. Smith; Dean Demarest; Ed. Laurent

2010-01-01

The Appalachian Mountains Joint Venture (AMJV) is a self-directed, nonregulatory bird conservation partnership with the mission of restoring and sustaining native bird populations and their habitats throughout Appalachia. In 2008, the AMJV formed an ad hoc "high-elevation" technical working group to identify and address conservation priorities of bird species...

Making Dollars by Making Sense: Linking Rural Education and Development in Appalachia.

ERIC Educational Resources Information Center

Sher, Jonathan P.

The idea that education is connected to economic development and that the economy can be strengthened by strengthening education has become a cornerstone of the 1980s educational reform movement. The basic idea linking education and the economy is not new. Americans have invested in education with the expectation that it would yield substantial…

Performance of AESP Transmission/Reception Equipment; Summer and Fall, 1974 Technical Report No. 5.

ERIC Educational Resources Information Center

Bramble, William J.; And Others

Appalachian Education Satellite Project (AESP), using the ATS-6 satellite, has designed a variety of multi-media learning activities intended to upgrade the quality of instruction in Appalachia. Four modes of communication (televised programs, four-channel audio review, four-channel data collection and analysis, and VHF-teletype relay system) were…

User Ratings of Instructional Activities: Elementary Career Education, Summer, 1974. Technical Report No. 7.

ERIC Educational Resources Information Center

Harding, Larry; And Others

The Appalachian Education Satellite Project is designed to apply communications satellite technology to the task of improving the quality of education in Appalachia. The report describes attitudinal responses of the participating teachers to the various learning activities, the delivery system, and the equipment that were used in the course,…

Knowing climate change, embodying climate praxis: experiential knowledge in southern Appalachia

Treesearch

Jennifer L. Rice; Brian J. Burke; Nik Heynen

2015-01-01

Whether used to support or impede action, scientific knowledge is now, more than ever, the primary framework for political discourse on climate change. As a consequence, science has become a hegemonic way of knowing climate change by mainstream climate politics, which not only limits the actors and actions deemed legitimate in climate politics but also silences...

Perceptions of Healthful Eating and Influences on the Food Choices of Appalachian Youth

ERIC Educational Resources Information Center

Swanson, Mark; Schoenberg, Nancy E.; Davis, Rian; Wright, Sherry; Dollarhide, Kaye

2013-01-01

Objective: Patterns of overweight and obesity have an unequal geographic distribution, and there are elevated rates in Appalachia. Perceptions of Appalachian youth toward healthful eating and influences on food choice were examined as part of formative research to address these disparities. Methods: Eleven focus groups, averaging 6 youth (n = 68)…

Preliminary Testing of an Asthma Distance Education Program (ADEP) for School Nurses in Appalachia

ERIC Educational Resources Information Center

Putman-Casdorph, Heidi; Pinto, Susan

2011-01-01

Asthma remains one of the most challenging chronic illnesses faced by school nurses both nationally and in the State of West Virginia. There is a clear need to provide ongoing continuing asthma education to school nurses. However, nurses face many barriers to receiving this education. The purpose of this pilot project was to develop and evaluate…

Nitrogen fertilization interacts with light to increase Rubus spp. cover in a temperate forest

Treesearch

Christopher A. Walter; Devon T. Raiff; Mark B. Burnham; Frank S. Gilliam; Mary Beth Adams; William T. Peterjohn

2016-01-01

Nitrogen additions have caused species composition changes in many ecosystems by facilitating the growth of nitrophilic species. After 24 years of nitrogen fertilization in a 40 year-old stand at the Fernow Experimental Forest (FEF) in Central Appalachia, USA, the cover of Rubus spp. has increased from 1 to 19 % of total herbaceous-layer cover....

An integrated 3D log processing optimization system for small sawmills in central Appalachia

Treesearch

Wenshu Lin; Jingxin Wang

2013-01-01

An integrated 3D log processing optimization system was developed to perform 3D log generation, opening face determination, headrig log sawing simulation, fl itch edging and trimming simulation, cant resawing, and lumber grading. A circular cross-section model, together with 3D modeling techniques, was used to reconstruct 3D virtual logs. Internal log defects (knots)...

Finding Their Voice: Country Music Television and Appalachian Community Colleges Empower Communities to Overcome Economic Hardship

ERIC Educational Resources Information Center

Boerner, Heather

2015-01-01

This article describes how out-of-work miners are engaged in the Empowering Education Initiative, a unique alliance between Country Music Television (CMT) and community colleges in Appalachia. The initiative, which includes a website and a series of country music concerts, is changing the conversation in the Appalachian region, giving hope to…

A guide to medicinal plants of Appalachia

Treesearch

Arnold Krochmal; Russell S. Walters; Richard M. Doughty

1969-01-01

The Medicinal or therapeutic uses of the plants described in this guide are not to be construed in any way as a recommendation by the authors or the U.S. Department of Agriculture. Some of the dried crude drugs, which must be modified considerably before commercial use, can be extremely poisonous when not used properly. Readers are cautioned against using these plant...

Sour streams in appalachia: mapping nature’s buffer against sulfur deposition

Treesearch

Natasha Vizcarra; Nicholas Povak; Paul Hessburg; Keith Reynolds

2015-01-01

Even while emissions are in decline, sulfur released into the air primarily by coal- and oil-burning power plants continues to acidify streams in the eastern United States, stressing vegetation and harming aquatic life. Watersheds rich in base cations—nutrients that attract and bind acidic molecules—naturally buffer streams against acidification. These watersheds can...

Information Seeking and Intentions to Have Genetic Testing for Hereditary Cancers in Rural and Appalachian Kentuckians

ERIC Educational Resources Information Center

Kelly, Kimberly M.; Andrews, James E; Case, Donald O.; Allard, Suzanne L.; Johnson, J. David

2007-01-01

Context: Research is limited regarding the potential of genetic testing for cancer risk in rural Appalachia. Purpose: This study examined perceptions of genetic testing in a population sample of Kentuckians, with a focus on Appalachian and rural differences. The goals were to examine cultural and psychosocial factors that may predict intentions to…

Laboratory Screening and Field Bioassays of Insecticides for Controlling the Balsam Woolly Adelgid in Southen Appalachia

Treesearch

F.L. Hastings; P.J. Barry; I.R. Ragenovich

1979-01-01

Two concentrations of 13 insecticides and 3 fatty acids were screened in the laboratory against the balsam woolly adelgid (Adelges piceae (Ratz.)). Efficacy was judged on the percentage of dead adults and the number of living crawlers 24 hours after application. The top candidate materials, including lindane, were field bioassayed. Permethrin (Pounce or Ambush),...

Class Readings: Story and Discourse among Girls in Working-Poor America

ERIC Educational Resources Information Center

Hicks, Deborah

2005-01-01

This article describes a four-year ethnographic and pedagogical project set in an urban community with historical ties to rural Appalachia. It begins with a close reading of pedagogical discourse situated in an after-school reading project for preteen girls. It then traces the deep roots of language seeped in class meanings--words such as "nasty"…

The Effectiveness of the Student Support Service Program on Retention at a Rural Appalachia Community College

ERIC Educational Resources Information Center

Hodge, Deborah D.

2017-01-01

This study examined the role of TRiO Student Support Services (SSS) programs for students who persist in college. The intent of this study was to determine whether the services provided to participants in SSS helped them achieve higher grade-point averages (GPA), retention rates, and graduation rates. Student Support Services programs are designed…

Deferred rotation harvests in central Appalachia: 20- and 25-year results

Treesearch

Melissa Thomas-Van Gundy; Thomas M. Schuler

2008-01-01

In deferment harvest, two distinct age classes are created and the residual trees remain after establishment of the second cohort. The 20- or 25-year preliminary results from four deferment areas are described. For each area, volume and growth in the residual trees and new cohort, and structure and composition of the new cohort are presented. We also address whether...

Contexts and Conditions of Public K-12 Education in Kentucky, Tennessee, Virginia, and West Virginia: A Descriptive Report

ERIC Educational Resources Information Center

Johnson, Jerry

2010-01-01

This descriptive report is part of a broader project collecting, organizing, and analyzing multiple sources of data from the four-state REL Appalachia region, comprised of Kentucky, Tennessee, Virginia, and West Virginia. The purposes of that broader project are: (1) to increase awareness of and understanding about critical education issues in the…

Land use legacies and the future of southern Appalachia

Treesearch

Ted L. Gragson; Paul V. Bolstad

2006-01-01

Southern Appalachian forests have apparently recovered from extractive land use practices during the 19th and 20th centuries, yet the legacy of this use endures in terrestrial and aquatic systems of the region. The focus on shallow time or the telling of stories about the past circumscribes the ability to anticipate the most likely outcomes of the trajectory of change...

Pine Engraver, Ips pini, in the Western United States (FIDL)

Treesearch

Sandra J. Kegley; R. Ladd Livingston; Kenneth E. Gibson

1997-01-01

The pine engraver, Ips pini (Say), is one of the most common and widely distributed bark beetles in North America. It occurs from southern Appalachia north to Maine and Quebec, westward across the northern United States and Canada, into the interior of Alaska, throughout the Pacific Coast States and the Rocky Mountain region, to northern Mexico. In the western United...

Development of a 3D log sawing optimization system for small sawmills in central Appalachia, US

Treesearch

Wenshu Lin; Jingxin Wang; Edward Thomas

2011-01-01

A 3D log sawing optimization system was developed to perform log generation, opening face determination, sawing simulation, and lumber grading using 3D modeling techniques. Heuristic and dynamic programming algorithms were used to determine opening face and grade sawing optimization. Positions and shapes of internal log defects were predicted using a model developed by...

It's Elementary in Appalachia: Helping Prospective Teachers and Their Students Understand Sexuality and Gender

ERIC Educational Resources Information Center

Swartz, Patti Capel

2003-01-01

The most blatant discrimination that exists today in schools is that directed toward lesbian, gay, bisexual, transgender, queer, and intersex students (l/g/b/t/i/q). English and language arts teacher education programs can help foster critical awareness among future teachers of sexuality and gender as well as provide the pedagogical skills and…

School-Work and Mother-Work: The Interplay of Maternalism and Cultural Politics in the Educational Narratives of Kentucky Settlement Workers, 1910-1930.

ERIC Educational Resources Information Center

Tice, Karen W.

1998-01-01

In the early 1900s, college-educated women who came to Appalachia as reformers and teachers developed contradictory relationships with Appalachian mothers. Writings of Lucy Furman and Ethel deLong, who worked in eastern Kentucky settlement schools, reveal intimate cooperative relationships with mothers, even as teachers aimed to replace…

Ontological Possibilities: Rhizoanalytic Explorations of Community Food Work in Central Appalachia

ERIC Educational Resources Information Center

D'Adamo-Damery, Philip C.

2014-01-01

In the United States, the community food movement has been put forward as a potential solution for a global food system that fails to provide just and equitable access to nutritious food. This claim has been subject to the criticism of a variety of scholars and activists, some of whom contend that the alternative food movement is complicit in the…

Teacher Perception of Principal Leadership Practices: Impacting Teachers' Sense of Self-Efficacy in Rural Appalachia Kentucky

ERIC Educational Resources Information Center

Hibbard, Brandon Lee

2016-01-01

The purpose of this study was to determine if a significant relationship existed between principal leadership practices, as perceived by teachers, and teacher's sense of self-efficacy. The target population was rural Appalachian teachers that worked for a principal that had been in administration for at least three consecutive years. This study…

Community Partnerships, Food Pantries, and an Evidence-Based Intervention to Increase Mammography among Rural Women

ERIC Educational Resources Information Center

Bencivenga, Marcyann; DeRubis, Susan; Leach, Patricia; Lotito, Lisa; Shoemaker, Charles; Lengerich, Eugene J.

2008-01-01

Context: Multiple national agencies and organizations recommend that women age 40 years and older have an annual screening mammogram. Women who are poor, less educated, lack a usual source of care, and reside in rural Appalachia are less likely to have had a recent mammogram. Purpose: To increase use of mammography among a rural Appalachian…

Comparing the Effects of Teen Mentors to Adult Teachers on Child Lifestyle Behaviors and Health Outcomes in Appalachia

ERIC Educational Resources Information Center

Smith, Laureen H.; Holloman, Christopher

2013-01-01

Childhood obesity prevalence rates in the United States are the highest in the rural Appalachian areas. Teens mentoring younger children to reverse obesity health risks are an understudied approach. This randomized-controlled trial compared the effects of two curriculum delivery methods and assessed the mediating effects of the number of sessions…

Place-Conscious Capacity-Building: A Systemic Model for the Revitalisation and Renewal of Rural Schools and Communities through University-Based Regional Stewardship

ERIC Educational Resources Information Center

Johnson, Jerry; Thompson, Aaron; Naugle, Kim

2009-01-01

This paper sets forth a model of regional stewardship developed and implemented at a post-compulsory institution serving rural communities in central Appalachia, a region that is among the most impoverished in the United States. The model, termed place-conscious capacity-building, emphasises culturally-responsive methodologies and the strategic…

Costs of logging thinnings and a clearcutting in Appalachia using a truck-mounted crane

Treesearch

Raymond L. Sarles; Kenneth R. Whitenack

1984-01-01

Four timber cutting treatments - three levels of thinning and a clearcutting - were applied on 60-year-old mountain stands of Allegheny hardwoods. The stands were logged by a three-man crew using chain saws and a truck-mounted crane. Logging operations were studied, and production rates determined for tree-length logs decked at roadside. Work efficiency and...

Hegemony, Marginality and Identity Reformulation: Further Thoughts regarding a Comparative Approach to Appalachian Studies.

ERIC Educational Resources Information Center

Blaustein, Richard

As a multidisciplinary approach, Appalachian studies may provide insights for understanding the context of education in the region. Appalachia is marginal to the official centers of political, economic, and cultural power in the South just as the South is marginal to the core of official power in the United States. In both cases the result is…

Heroines on Horseback: The Frontier Nursing Service of Appalachia

ERIC Educational Resources Information Center

Sheffield, Caroline C.

2014-01-01

The men of the Breckinridge family have a long history of service to the nation, including many politicians, soldiers, and even a vice president of the United States. But it was a woman in the family, Mary, who had, arguably, the most direct and long-lived impact on those she served. As the founder of the Frontier Nursing Service (FNS) of Eastern…

Strengthening Labor's Role in the War on Poverty. Labor Leadership Training for Community Action in Appalachia.

ERIC Educational Resources Information Center

Zeller, Frederick A.; Miller, Robert W.

This report describes the training provided by West Virginia University in cooperation with the AFL-CIO Appalachian Council, of 114 union leaders in the Appalachian Region for work in community action. Some objectives of the training periods, divided into four 1-week sessions, were to help the leaders organize low-income groups for effective…

Cost Estimation Model for Alternative Formats and Delivery Modes. Technical Report No. 10.

ERIC Educational Resources Information Center

Bramble, William J.; And Others

The Appalachian Education Satellite Project (AESP) was designed to apply communications satellite technology to the task of improving the quality of education in Appalachia. This report is the 10th in a 12 volume series. To justify the cost of using the satellite method, a cost model was developed. This cost model provided information on: (1) the…

Summary and Evaluation of EPDA-B2 Project 70.01 at the Tennessee Appalachia Educational Cooperative July 1, 1970 through August 31, 1971.

ERIC Educational Resources Information Center

Saffels, Francis L.; Holt, William W.

Five teacher and teacher aid training program workshops held during summer and fall 1970, and winter, spring, and summer 1971 are evaluated. The subjects covered in the workshops included simulation, microteaching, role differentiation, classroom control, audiovisual instruction, learning theory, content areas, drugs, individualized instruction,…

Will more nitrogen enhance carbon storage in young forest stands in central Appalachia?

Treesearch

Zachariah K. Fowler; Mary Beth Adams; William T. Peterjohn

2015-01-01

Many temperate deciduous forests in the Eastern US are secondary, regrowing forests and have experienced decades of elevated inputs of acidic compounds and biologically available nitrogen (N) from the atmosphere. These young forests play an important role in the global carbon (C) cycle as C sinks, and it is possible that acidic deposition will influence the strength...

Module 3--School-Family-Community Connections. School Improvement Specialist Training Materials: Performance Standards, Improving Schools, and Literature Review

ERIC Educational Resources Information Center

Appalachia Educational Laboratory at Edvantia (NJ1), 2005

2005-01-01

The School Improvement Specialist Project prepared seven modules. School improvement specialists, as defined by the Appalachia Educational Laboratory at Edvantia, are change agents who work with schools to help them improve in the following areas so as to increase student achievement. These modules are intended to provide training materials for…

Self-efficacy and health behaviors toward the prevention of diabetes among high risk individuals living in Appalachia.

PubMed

Serrano, Elena; Leiferman, Jennifer; Dauber, Sarah

2007-04-01

Recent clinical trials indicate that type 2 diabetes can largely be prevented through lifestyle factors. In order to identify important modalities for the prevention of diabetes in medically underserved counties of Virginia (Appalachia), a questionnaire was administered to 135 at-risk individuals, having reported at least one risk factor for diabetes. The questionnaire assessed attitudes, self-efficacy, diet, and physical activity toward the prevention of type 2 diabetes. Overall, none of the respondents reported being told by a physician that they were at risk for diabetes. Overweight was the most frequently reported risk factor (87.0%), followed by physical inactivity (67.3%). More than one-third (38.9%) reported at least three diabetes symptoms. When stratified by low and high risk level, there were no significant differences in self-efficacy, control, and healthy dietary behaviors (p < .05). High risk individuals did report having lower rates of full health insurance coverage, being less active and running out of food more frequently than low risk individuals, however. The findings suggest that cost-effective prevention efforts should incorporate physician education, include screenings, and address self-efficacy enhancing strategies toward preventing type 2 diabetes.

Geomorphic reclmation of a coal refuse pile

NASA Astrophysics Data System (ADS)

Hopkinson, L. C.; Quaranta, J.

2017-12-01

Geomorphic reclamation is a technique that may offer opportunities to improve mine reclamation in Central Appalachia. The design approach is based on constructing a steady-state, mature landform condition and takes into account the long-term climatic conditions, soil types, terrain grade, and vegetation. Geomorphic reclamation has been applied successfully in semi-arid regions but has not yet been applied in Central Appalachia. This work describes a demonstration study where geomorphic landforming techniques are being applied to a coarse coal refuse pile in southern West Virginia, USA. The reclamation design includes four geomorphic watersheds that radially drain runoff from the pile. Each watershed has one central draining channel and incorporates compound slope profiles similarly to naturally eroded slopes. Planar slopes were also included to maintain the impacted area. The intent is to alter the hydrology to decrease water quality treatment costs. The excavation cut and fill volumes are comparable to those of more conventional refuse pile reclamation designs. If proven successful then this technique can be part of a cost-effective solution to improve water quality at active and future refuse facilities, abandoned mine lands, bond forfeiture sites, landfills, and major earthmoving activities within the region.

Rural Religious Leaders' Perspectives on their Communities' Health Priorities and Health.

PubMed

Schoenberg, Nancy E; Swanson, Mark

2017-07-01

In traditionally underserved communities, faith-based interventions have been shown to be effective for health promotion. Religious leaders-generally the major partner in such interventions-however, are seldom are consulted about community health priorities and health promotion preferences. These insights are critical to ensure productive partnerships, effective programming, and sustainability. Mixed-methods surveys were administered in one of the nation's most under-resourced regions: rural Appalachia. A sample of 60 religious leaders, representing the main denominations in central Appalachia, participated. Measures included closed- and open-ended survey questions on health priorities and recommendations for health promotion. Descriptive statistics were used for closed-ended survey items and conventional qualitative content analysis was used for open-ended responses. Substance abuse, diabetes mellitus, suboptimal dietary intake and obesity/overweight, and cardiovascular and respiratory illnesses constitute major health concerns. Addressing these challenging conditions requires realistically acknowledging sparse community resources (particularly healthcare provider shortages); building in accountability; and leveraging local assets and traditions such as testimonials, intergenerational support, and witnessing. With their extensive reach within the community and their accurate understanding of community health threats, practitioners and researchers may find religious leaders to be natural allies in health-promotion and disease-prevention activities.

Preliminary definition of improvement in juvenile arthritis.

PubMed

Giannini, E H; Ruperto, N; Ravelli, A; Lovell, D J; Felson, D T; Martini, A

1997-07-01

To identify a core set of outcome variables for the assessment of children with juvenile arthritis (JA), to use the core set to develop a definition of improvement to determine whether individual patients demonstrate clinically important improvement, and to promote this definition as a single efficacy measure in JA clinical trials. A core set of outcome variables was established using a combination of statistical and consensus formation techniques. Variables in the core set consisted of 1) physician global assessment of disease activity; 2) parent/patient assessment of overall well-being; 3) functional ability; 4) number of joints with active arthritis; 5) number of joints with limited range of motion; and 6) erythrocyte sedimentation rate. To establish a definition of improvement using this core set, 21 pediatric rheumatologists from 14 countries met, and, using consensus formation techniques, scored each of 72 patient profiles as improved or not improved. Using the physicians' consensus as the gold standard, the chi-square, sensitivity, and specificity were calculated for each of 240 possible definitions of improvement. Definitions with sensitivity or specificity of <80% were eliminated. The ability of the remaining definitions to discriminate between the effects of active agent and those of placebo, using actual trial data, was then observed. Each definition was also ranked for face validity, and the sum of the ranks was then multiplied by the kappa statistic. The definition of improvement with the highest final score was as follows: at least 30% improvement from baseline in 3 of any 6 variables in the core set, with no more than 1 of the remaining variables worsening by >30%. The second highest scoring definition was closely related to the first; the third highest was similar to the Paulus criteria used in adult rheumatoid arthritis trials, except with different variables. This indicates convergent validity of the process used. We propose a definition of improvement for JA. Use of a uniform definition will help standardize the conduct and reporting of clinical trials, and should help practitioners decide if a child with JA has responded adequately to therapy. We are in the process of prospectively validating this definition and several others that scored highly.

Coal-fired power generaion, new air quality regulations, and future U.S. coal production

USGS Publications Warehouse

Attanasi, E.D.; Root, D.H.

1999-01-01

Tighter new regulation of stack gas emissions and competition in power generation are driving electrical utilities to demand cleaner, lower sulfur coal. Historical data on sulfur content of produced coals shows little variability in coal quality for individual mines and individual coal-producing counties over relatively long periods of time. If coal-using power generators follow the compliance patterns established in Phase I of the 1990 Clean Air Act Amendments, then the industry's response to the tighter Phase II emissions standards will result in large amounts of coal production shifting from higher sulfur areas to areas with lower cost low sulfur coal. One reason this shift will likely occur is that currently only 30% of U.S. coal-fired electrical generating capacity is equipped with flue-gas scrubbers. In 1995, coal mines in the higher sulfur areas of the Illinois Basin and Northern and Central Appalachia employed 78% of all coal miners (>70,000 miners). A substantial geographical redistribution of the nation's coal supplies will likely lead to economic dislocations that will reach beyond local coal-producing areas.

A Descriptive Study of Enrollment in Supplemental Educational Services in the Four RRE Appalachia Region States. REL 2012-No.109

ERIC Educational Resources Information Center

Ford, James; Harrison, Lynn; Mokher, Christine; Franceschini, Louis; Zoblotsky, Todd

2012-01-01

The supplemental educational services program is a core provision of the No Child Left Behind (NCLB) Act of 2001. The program offers free tutoring in reading/language arts and math from state-approved providers outside of regular school hours. This report explores differences across states and school urban and rural locales in providing…

LOW INCOME FAMILY, TRAINING NEEDS OF HOME DEMONSTRATION EXTENSION AGENTS, HOME ECONOMICS CURRICULUM CONSTRUCTION, EDUCATION 685.

ERIC Educational Resources Information Center

MANN, OPAL H.

A STUDY WAS MADE OF THE NEED FOR EXTENSION WORK WITH LOW INCOME FAMILIES IN EASTERN KENTUCKY (APPALACHIA) AND OF THE PROBLEMS AND TRAINING NEEDS OF HOME DEMONSTRATION EXTENSION AGENTS WHO WORK WITH THESE FAMILIES. THE AGENTS FELT THEY HAD A RESPONSIBILITY TO HELP LOW INCOME FAMILIES IN BUDGETING TIME, EFFORT, AND RESOURCES TO MEET MINIMUM…

Summary and Evaluation of EPDA-B2 Project 70.02. Psychological Personnel Training Program at the Tennessee Appalachia Educational Cooperative July 1, 1970-August 31, 1971.

ERIC Educational Resources Information Center

Holt, William W.

The purpose of this psychological training program was twofold--training and service on the assumption that closely and expertly supervised service with accessible and available qualified consultants is the most realistic and thorough research training method known. Interns were recruited, trained, and supported financially and professionally to…

A glimpse at future forests: predicting the effects of Phytophthora ramorum on oak forests of southern Appalachia

Treesearch

H.L. Spaulding; L.K. Rieske

2011-01-01

The highly pathogenic Phytophthora ramorum, causal organism of sudden oak death (SOD), is established in forests of the Pacific Northwest (USA) and is threatening invasion of other regions. Given the breadth of its host range, with dozens of asymptomatic ornamental hosts and with oaks, Quercus spp., in the red oak (Erythrobalanus) subgenus particularly susceptible, we...

The Lived Experience of African American Teachers Utilizing Co-Cultural Adaptation at Predominantly White Rural Schools in Central Appalachia

ERIC Educational Resources Information Center

Sweatt, Tony E.

2017-01-01

Primary and secondary schools across the nation are becoming increasingly heterogeneous, yet the teacher population remains homogenous. In fairness, this is not a new issue: At the turn of the century, Whites represented a significant aggregate of the teacher population: 73% in the inner city; 81% in suburban schools; 91% in small towns; and 98%…

National Center for the Training of Educational Resource Agents to Serve Rural Minorities. The Preparation of Problem Solving/Development/Diffusion Personnel to Serve Rural/Minority/Culturally Limited Populations.

ERIC Educational Resources Information Center

Tuskegee Inst., AL.

A blueprint for Educational Resource Agents (ERA's) has been compiled by a consortium consisting of the National Federation for the Improvement of Rural Education, Tuskegee Institute, New Mexico State University, University of North Dakota, Northwest Regional Educational Lab., Southwestern Cooperative Educational Lab., Appalachia Educational Lab.,…

Piloting "Sodabriety": A School-Based Intervention to Impact Sugar-Sweetened Beverage Consumption in Rural Appalachian High Schools

ERIC Educational Resources Information Center

Smith, Laureen H.; Holloman, Christopher

2014-01-01

Background: Sugar-sweetened beverages (SSBs) are the largest source of added sugar in the US diet. In adolescents aged 12-19, these drinks account for 13% to 28% of total daily calories. Compared with other adolescents, those residing in Appalachia have the highest consumption rates of SSBs. Methods: Using a Teen Advisory Council (TAC), a…

Geographic Disparities in Cervical Cancer Mortality: What Are the Roles of Risk Factor Prevalence, Screening, and Use of Recommended Treatment?

ERIC Educational Resources Information Center

Yabroff, K. Robin; Lawrence, William F.; King, Jason C.; Mangan, Patricia; Washington, Kathleen Shakira; Yi, Bin; Kerner, Jon F.; Mandelblatt, Jeanne S.

2005-01-01

Despite advances in early detection and prevention of cervical cancer, women living in rural areas, and particularly in Appalachia, the rural South, the Texas-Mexico border, and the central valley of California, have had consistently higher rates of cervical cancer mortality than their counterparts in other areas during the past several decades.…

Soil bulk density changes caused by mechanized harvesting: A case study in central Appalachia

Treesearch

Jingxin Wang; Chris B. LeDoux; Pam Edwards; Mark Jones; Mark Jones

2005-01-01

A mechanized harvesting system consisting of a feller-buncher and a grapple skidder was examined to quantify soil bulk density changes in a central Appalachian hardwood forest site. Soil bulk density was measured using a nuclear gauge pre-harvest and post-harvest systematically across the harvest unit and on transects across skid trails. Bulk density also was measured...

A Model for Assessing and Meeting Needs in Instructional Computing: Procedures and Results of a Multi-State Needs Assessment.

ERIC Educational Resources Information Center

Roblyer, M. D., Ed.

The Appalachia Educational Laboratory (AEL) conducted an assessment of microcomputer-related needs for basic mathematics in the four-state areas of Kentucky, Tennessee, Virginia, and West Virginia in 1984-85. The primary input came from teachers from each of the states who participated in a needs conference in their home state. When each of the…

MEN WANT WORK. REPORT TO THE UNITED STATES DEPARTMENT OF LABOR, OFFICE OF MANPOWER AUTOMATION AND TRAINING.

ERIC Educational Resources Information Center

LOLLIS, DAVID L.

THE COUNCIL OF THE SOUTHERN MOUNTAINS MADE A ONE-YEAR STUDY OF THE MANPOWER DEVELOPMENT AND TRAINING ACT IN APPALACHIA AND HELPED ESTABLISH THE YOUTH, EDUCATION, JOB DEVELOPMENT, WORK EXPERIENCE, VISTA, AND ON THE JOB TRAINING PROGRAMS WHICH ARE REVIEWED AND EVALUATED IN THIS REPORT. IT WAS CONCLUDED THAT--(1) MEN WANT JOBS, (2) WHILE UNFILLED…

Preventive Care in Appalachia: Use of the Theory of Planned Behavior to Identify Barriers to Participation in Cholesterol Screenings among West Virginians

ERIC Educational Resources Information Center

Deskins, Shelli; Harris, Carole V.; Bradlyn, Andrew S.; Cottrell, Lesley; Coffman, Jessica W.; Olexa, Julie; Neal, William

2006-01-01

Context: West Virginians are at increased risk for heart disease. Given that the process of atherosclerosis begins in childhood, the Coronary Artery Risk Detection in Appalachian Communities Project was developed to reduce this risk by implementing a cholesterol screening program in the schools. However, participation rates have been less than…

Mountains to Climb: A Union-Led Partnership to Revitalize Education in McDowell County, West Virginia

ERIC Educational Resources Information Center

Dubin, Jennifer

2016-01-01

For more than four years, the AFT has guided the efforts of a public-private partnership to bring much-needed resources and services to McDowell County, West Virginia, a geographically isolated area in the heart of Appalachia. Known as Reconnecting McDowell, the initiative has also encouraged a renewed emphasis on improving education by focusing…

National Wild Turkey Federation Programs

Treesearch

Rob Keck

2005-01-01

I recently read an article about several women who were preparing to sit 80 ft (25 m) above a forest floor in tree-sitting nets to protest a logging operation in Jefferson National Forest (Appalachia). Tree hugging is nothing new in this country. But did environmental activists know we have more forests now than we did in the 1920s? In 1920, we only had 735 million ac...

Proceedings of the Annual Meeting of the Association for Education in Journalism and Mass Communication (86th, Kansas City, Missouri, July 30-August 2, 2003). Communication Technology and Policy Division.

ERIC Educational Resources Information Center

2003

The Communication Technology and Policy Division of the proceedings contains the following 15 papers: "Both Sides of the Digital Divide in Appalachia: Uses and Perceived Benefits of Internet Access" (Daniel Riffe); "Bridging Newsrooms and Classrooms: Preparing the Next Generation of Journalists for Converged Media" (Edgar…

Educational Television Personnel's Review of the Technical Quality, Content Criteria, and Marketability of AEL's "Around the Bend" Pilot Tapes. Technical Report No. 31.

ERIC Educational Resources Information Center

Shively, Joe E.

In order to determine whether Appalachia Educational Laboratory (AEL) had the capability of producing a TV series of high technical quality with content that met criteria designed for the selection of children's television programs, a pilot tape produced by AEL was submitted for rating to educational television (ETV) specialists from the State…

Commercial Television Personnel's Review of the Technical Quality and Marketability of AEL's "Around the Bend" Pilot Tapes. Technical Report No. 29.

ERIC Educational Resources Information Center

Shively, Joe E.

In order to determine whether Appalachia Educational Laboratory (AEL) had the capacity to produce a TV series of sufficient quality, two pilot tapes were produced by AEL and then submitted for rating to nine broadcasting specialists from several commercial TV stations. Based on the responses of these nine individuals to a questionnaire dealing…

Factors Affecting the Transportability of the State Consultant Model to Another Region: The Mutual Adaptation of the State Consultant Model and of the Structure of AEL's Educational Services Office.

ERIC Educational Resources Information Center

Sanders, Jack

The Educational Services Office (ESO) of the Appalachia Educational Laboratory (AEL) sought an organizational strategy that would improve its ability to meet client demand without sacrificing the integrity of its programs or the fulfillment of its institutional responsibilities. Three alternative organizational strategies were identified:…

Reducing 30-Day Readmission Rates in a High-Risk Population Using a Lay-Health Worker Model in Appalachia Kentucky

ERIC Educational Resources Information Center

Cardarelli, Roberto; Horsley, Mary; Ray, Lisa; Maggard, Nancy; Schilling, Jennifer; Weatherford, Sarah; Feltner, Fran; Gilliam, Kayla

2018-01-01

This exploratory study aimed to address the effectiveness of a lay-health worker (LHW) model in addressing social needs and readmissions of high-risk patients admitted in a rural community hospital. A quasi-experimental study design assessed implementation of a LHW model for assisting high-risk patients with their post-discharge social needs.…

Higher coronary heart disease and heart attack morbidity in Appalachian coal mining regions

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hendryx, M.; Zullig, K.J.

This study analyzes the U.S. 2006 Behavioral Risk Factor Surveillance System survey data (N = 235,783) to test whether self-reported cardiovascular disease rates are higher in Appalachian coal mining counties compared to other counties after control for other risks. Dependent variables include self-reported measures of ever (1) being diagnosed with cardiovascular disease (CVD) or with a specific form of CVD including (2) stroke, (3) heart attack, or (4) angina or coronary heart disease (CHD). Independent variables included coal mining, smoking, BMI, drinking, physician supply, diabetes co-morbidity, age, race/ethnicity, education, income, and others. SUDAAN Multilog models were estimated, and odds ratiosmore » tested for coal mining effects. After control for covariates, people in Appalachian coal mining areas reported significantly higher risk of CVD (OR = 1.22, 95% CI = 1.14-1.30), angina or CHO (OR = 1.29, 95% C1 = 1.19-1.39) and heart attack (OR = 1.19, 95% C1 = 1.10-1.30). Effects were present for both men and women. Cardiovascular diseases have been linked to both air and water contamination in ways consistent with toxicants found in coal and coal processing. Future research is indicated to assess air and water quality in coal mining communities in Appalachia, with corresponding environmental programs and standards established as indicated.« less

Night-to-night arousal variability and interscorer reliability of arousal measurements.

PubMed

Loredo, J S; Clausen, J L; Ancoli-Israel, S; Dimsdale, J E

1999-11-01

Measurement of arousals from sleep is clinically important, however, their definition is not well standardized, and little data exist on reliability. The purpose of this study is to determine factors that affect arousal scoring reliability and night-to-night arousal variability. The night-to-night arousal variability and interscorer reliability was assessed in 20 subjects with and without obstructive sleep apnea undergoing attended polysomnography during two consecutive nights. Five definitions of arousal were studied, assessing duration of electroencephalographic (EEG) frequency changes, increases in electromyographic (EMG) activity and leg movement, association with respiratory events, as well as the American Sleep Disorders Association (ASDA) definition of arousals. NA. NA. NA. Interscorer reliability varied with the definition of arousal and ranged from an Intraclass correlation (ICC) of 0.19 to 0.92. Arousals that included increases in EMG activity or leg movement had the greatest reliability, especially when associated with respiratory events (ICC 0.76 to 0.92). The ASDA arousal definition had high interscorer reliability (ICC 0.84). Reliability was lowest for arousals consisting of EEG changes lasting <3 seconds (ICC 0.19 to 0.37). The within subjects night-to-night arousal variability was low for all arousal definitions In a heterogeneous population, interscorer arousal reliability is enhanced by increases in EMG activity, leg movements, and respiratory events and decreased by short duration EEG arousals. The arousal index night-to-night variability was low for all definitions.

Human Development and the Use of Health Education Media among Adult Type 2 Diabetics in Rural Appalachia

ERIC Educational Resources Information Center

Meyer, Michael Glenn

2009-01-01

This study conducted in Meigs County, Ohio between January 2009 and June 2009 employed grounded theory to investigate the use of health education media by rural Appalachian individuals with type 2 diabetes in middle and late adulthood. Persons in middle adulthood were 34- to 60-years-old, and persons in late adulthood were 61- to 75-years-old.…

Survival of Hardwood Seedlings and Saplings Following Overstory Thinning and Prescribed Fires in Mixed-Oak Forests of Southern Ohio

Treesearch

Joanne Rebbeck; Robert Long; Daniel Yaussy

2004-01-01

Prescribed fires in combination with thinning are being investigated as silvicultural tools in the regeneration of mixed-oak forests in central Appalachia. Burns were conducted in spring 2001 within three forests in southern Ohio. Each site was divided into four treatments of roughly 20 ha each: control (C), burn only (B), thin only (T), or thin plus burn (TB). The...

An Investigation of Students' Scores on the Kuder Occupational Interest Survey as an Indicator of Program Outcomes; Employer-Based Career Education. Technical Report No. 40.

ERIC Educational Resources Information Center

Stepp, Ermel; And Others

The report investigates the pattern of interests among the 44 students at the Appalachia Educational Laboratory's Employer-Based Career Education (AEL/EBCE) program during the fall, winter, and spring of the 1972-73 program year as measured by the Kuder Occupational Interest Survey (KOIS). Group One students (those matriculating in September 1972)…

A Report to the U.S. Department of Education on Educational Challenges and Technical Assistance Needs for the Appalachia Region

ERIC Educational Resources Information Center

CNA Corporation, 2005

2005-01-01

The Secretary of the U.S. Department of Education (ED) appointed eleven members to the Appalachian Regional Advisory Committee (AP RAC) to provide advice concerning the educational needs of the region as required by the Educational Technical Assistance Act of 2002 (Public Law 107-279; 20 USC 9605). The RAC was charged with providing this advice…

State Department Early Childhood Education Program Specialists' Review of the Content and Technical Quality of AEL's "Around the Bend" Pilot Tapes. Technical Report No. 30.

ERIC Educational Resources Information Center

Shively, Joe E.

In order to determine whether Appalachia Educational Laboratory (AEL) had the capacity to produce a TV series of technical quality and whose content meets criteria designed for the selection of children's television programs, two pilot tapes were produced by AEL and submitted for rating to seven early childhood education specialists from seven…

Nature talk in an Appalachian newspaper: What environmental discourse analysis reveals about efforts to address exurbanization and climate change

Treesearch

Brian J. Burke; Meredith Welch-Devine; Seth Gustafson

2015-01-01

As the people of Southern Appalachia confront the challenges of climate change and exurban development, their foundational beliefs about the environment and human-environment relations will significantly shape the types of individual and collective action that they imagine and pursue. In this paper, we use critical discourse analysis of an influential small-town...

Adapting and implementing evidence-based cancer education interventions in rural Appalachia: real world experiences and challenges

PubMed Central

Vanderpool, RC; Gainor, SJ; Conn, ME; Spencer, C; Allen, AR; Kennedy, S

2014-01-01

Introduction There is recognition among public health scholars and community practitioners that translating cancer prevention and control research into practice is challenging. This circumstance is particularly germane to medically underserved communities, such as rural Appalachia, where few evidence-based interventions originate and cancer incidence and mortality are elevated. Methods A case study approach was selected to examine the collective experience of 13 West Virginia community organizations awarded mini-grants requiring the use of an evidence-based cancer control intervention. Methods included a systematic review of grant applications and final programmatic reports, a faxed survey, and qualitative, in-depth interviews with key stakeholders. Results Appalachian grantees reported notable challenges with selecting, adapting, and implementing evidence-based cancer education interventions. Evidence-based programming was viewed as a barrier. Grantees made a range of adaptations to meet constituent needs, thereby jeopardizing intervention fidelity. However, programs were perceived as successful due to community participation and engagement, some element of behavioral change, dissemination of the health message, and establishment of collaborative partnerships. Conclusions A descriptive examination provides insights into the challenges of translating research to practice. This Appalachian cancer education grant program also highlights areas of compromise that are important for researchers and practitioners to understand. PMID:21988459

“I’m Stuck”: Women’s Navigations of Social Networks and Prescription Drug Misuse in Central Appalachia

PubMed Central

Buer, Lesly-Marie; Leukefeld, Carl G.; Havens, Jennifer R.

2017-01-01

This study utilizes anthropological analyses of kinship, care, gendered inequalities, and the state to examine how social networks affect women’s substance use in a rural Appalachian county where the primary drug of choice is prescription opioids. Of 503 participants from a larger study of social networks among rural drug users, 16 women who reported using drugs with four or more other study participants (drug network members) were interviewed from November 2011 to February 2012. The purpose of interviews is to analyze the substance use patterns among participants who are highly connected in their networks. Female participants say they feel “stuck” in cycles of prescription drug misuse because of entrenchment in moral economies, intensive caretaking responsibilities, and violence from those in their networks. Although women demonstrate agency in their navigations of drug use, relationships, and economic and health inequalities, the factors that constrain women’s actions culminate to create barriers for women accessing substance abuse treatment or decreasing substance use outside of treatment. This study adds to understandings of the relational and situational aspects of women’s drug use and efforts to decrease use. Recognizing these aspects of women’s lives will aid policies and programs in becoming more relevant to substance abusing women. (substance use; kinship; care; gendered inequalities; Appalachia) PMID:28736509

Social and cultural factors influencing health in southern West Virginia: a qualitative study.

PubMed

Coyne, Cathy A; Demian-Popescu, Cristina; Friend, Dana

2006-10-01

Social, cultural, and economic environments are associated with high rates of disease incidence and mortality in poor Appalachian regions of the United States. Although many historical studies suggest that aspects of Appalachian culture (e.g., fatalism, patriarchy) include values and beliefs that may put Appalachians at risk for poor health, other cultural aspects may be protective (e.g., strong social ties). Few recent studies have explored regional cultural issues qualitatively. The purpose of this study was to examine social and cultural factors that may be associated with health and illness in an Appalachian region. Ten focus groups were conducted in southern West Virginia and included five groups of men and five groups of women. Cultural norms associated with residents of rural Appalachia, such as faith, family values, and patriarchy, were examined. Both men and women in the focus groups have a sense of place, strong family ties, and a strong spiritual belief or faith in God. Patriarchy as a cultural value was not a strong factor. There are limits to how qualitative data may be used, but findings from this study help increase understanding of the social and cultural environments of people living in rural Appalachia and how these environments may affect health.

Depression and Rural Environment are Associated With Poor Oral Health Among Pregnant Women in Northern Appalachia.

PubMed

McNeil, Daniel W; Hayes, Sarah E; Randall, Cameron L; Polk, Deborah E; Neiswanger, Kathy; Shaffer, John R; Weyant, Robert J; Foxman, Betsy; Kao, Elizabeth; Crout, Richard J; Chapman, Stella; Brown, Linda J; Maurer, Jennifer L; Marazita, Mary L

2016-01-01

Both oral health problems and depression among pregnant women contribute to maternal-infant health outcomes. Little is known, however, about the potential effects of clinically significant depression on the oral health status of pregnant women. The purpose of the present study was to determine the influence of clinically significant depression and rural- or urban-dwelling status on oral health outcomes among pregnant women. Pregnant women (N = 685) in rural (i.e., West Virginia) and urban (i.e., Pittsburgh, PA) areas of northern Appalachia were assessed by calibrated examiners regarding gingivitis, oral hygiene, and DMFT (decayed, missing, and filled teeth), completed the Center for Epidemiologic Studies-Depression Scale (CES-D) and provided demographics. Participants were categorized based on clinically significant depressive symptoms (CES-D ≥ 16) and rural/urban domicile. Women with depression and those living in rural areas had worse oral health on all three indices than their non-depressed and urban counterparts. Depression, particularly among women in rural areas, affects certain oral health indices and represents a modifiable target for intervention. Moreover, treatments designed specifically for rural populations may be of particular utility. Women who are pregnant or planning to become pregnant may benefit from regular depression screenings from their dental and medical health care providers. © The Author(s) 2015.

Variable Order and Distributed Order Fractional Operators

NASA Technical Reports Server (NTRS)

Lorenzo, Carl F.; Hartley, Tom T.

2002-01-01

Many physical processes appear to exhibit fractional order behavior that may vary with time or space. The continuum of order in the fractional calculus allows the order of the fractional operator to be considered as a variable. This paper develops the concept of variable and distributed order fractional operators. Definitions based on the Riemann-Liouville definitions are introduced and behavior of the operators is studied. Several time domain definitions that assign different arguments to the order q in the Riemann-Liouville definition are introduced. For each of these definitions various characteristics are determined. These include: time invariance of the operator, operator initialization, physical realization, linearity, operational transforms. and memory characteristics of the defining kernels. A measure (m2) for memory retentiveness of the order history is introduced. A generalized linear argument for the order q allows the concept of "tailored" variable order fractional operators whose a, memory may be chosen for a particular application. Memory retentiveness (m2) and order dynamic behavior are investigated and applications are shown. The concept of distributed order operators where the order of the time based operator depends on an additional independent (spatial) variable is also forwarded. Several definitions and their Laplace transforms are developed, analysis methods with these operators are demonstrated, and examples shown. Finally operators of multivariable and distributed order are defined in their various applications are outlined.

Overall requirements for an advanced underground coal extraction system. [environment effects, miner health and safety, production cost, and coal conservation

NASA Technical Reports Server (NTRS)

Goldsmith, M.; Lavin, M. L.

1980-01-01

Underground mining systems suitable for coal seams expoitable in the year 2000 are examined with particular relevance to the resources of Central Appalachia. Requirements for such systems may be summarized as follows: (1) production cost; (2)miner safety; (3) miner health; (4) environmental impact; and (5) coal conservation. No significant trade offs between production cost and other performance indices were found.

Appalachian Access and Success: A Research Project of the Ohio Board of Regents and a Consortium of Two- and Four-Year Colleges and Universities in Appalachian Ohio.

ERIC Educational Resources Information Center

Spohn, Karen; And Others

The Appalachian Access and Success project aims to examine the factors that underlie the low level of participation in higher education in the Ohio Appalachia region. Surveys were conducted with the 1992 high school seniors, their parents, their school staff, and a group of nontraditional students who entered college after the age of 25. Section I…

Foxfire 3: Animal Care, Banjos and Dulcimers, Hide Tanning, Summer and Fall Wild Plant Foods, Butter Churns, Ginseng, and Still More Affairs of Plain Living.

ERIC Educational Resources Information Center

Wigginton, Eliot, Ed.

A window into the customs, folklore, and cultural heritage of Appalachia is provided in this volume, the third in the series of "Foxfire" books. Compiled by high school students at Rabun Gap-Nacoochee school, it is based on personal interviews with long-time residents of Appalachian Georgia. In many cases the material is in the words of…

"How Can You Expect To Hold onto Them Later in Life if You Begin Their Lives by Pushing Them Away?" Comparative Perspectives on an Eastern Kentucky Child Rearing Practice.

ERIC Educational Resources Information Center

Abbott, Susan

Family solidarity runs strong in Appalachia, where young adults typically settle near their parents in kin-based rural neighborhoods. One child rearing practice that may contribute to this closeness is parent-child co-sleeping. Interviews with 107 mothers in eastern Kentucky focused on the sleeping location history of one child. Most subjects were…

THE PEDIATRIC RHEUMATOLOGY INTERNATIONAL TRIALS ORGANIZATION PROVISIONAL CRITERIA FOR THE EVALUATION OF RESPONSE TO THERAPY IN JUVENILE DERMATOMYOSITIS

PubMed Central

Ruperto, Nicolino; Pistorio, Angela; Ravelli, Angelo; Rider, Lisa G.; Pilkington, Clarissa; Oliveira, Sheila; Wulffraat, Nico; Espada, Graciela; Garay, Stella; Cuttica, Ruben; Hofer, Michael; Quartier, Pierre; Melo-Gomes, Jose; Reed, Ann M.; Wierzbowska, Malgorzata; Feldman, Brian M.; Harjacek, Miroslav; Huppertz, Hans-Iko; Nielsen, Susan; Flato, Berit; Lahdenne, Pekka; Michels, Harmut; Murray, Kevin J.; Punaro, Lynn; Rennebohm, Robert; Russo, Ricardo; Balogh, Zsolt; Rooney, Madeleine; Pachman, Lauren M.; Wallace, Carol; Hashkes, Philip; Lovell, Daniel J.; Giannini, Edward H.; Martini, Alberto

2010-01-01

Objective To develop a provisional definition for the evaluation of response to therapy in juvenile dermatomyositis (JDM) based on the PRINTO JDM core set of variables. Methods Thirty-seven experienced pediatric rheumatologists from 27 countries, achieved consensus on 128 difficult patient profiles as clinically improved or not improved using a stepwise approach (patients rating, statistical analysis, definition selection). Using the physicians’ consensus ratings as the “gold-standard measure”, chi-square, sensitivity, specificity, false positive and negative rate, area under the ROC, and kappa agreement for candidate definitions of improvement were calculated. Definitions with kappa >0.8 were multiplied with the face validity score to select the top definitions. Results The top definition of improvement was: at least 20% improvement from baseline in 3/6 core set variables with no more than 1 of the remaining worsening by more than 30%, which cannot be muscle strength. The second highest scoring definition was at least 20% improvement from baseline in 3/6 core set variables with no more than 2 of the remaining worsening by more than 25%, which cannot be muscle strength which is definition P1 selected by the IMACS group. The third is similar to the second with the maximum amount of worsening set to 30%. This indicates convergent validity of the process. Conclusion we proposes a provisional data driven definition of improvement that reflects well the consensus rating of experienced clinicians, which incorporates clinically meaningful change in core set variables in a composite endpoint for the evaluation of global response to therapy in JDM. PMID:20583105

'Trifecta' after radical prostatectomy: is there a standard definition?

PubMed

Borregales, Leonardo D; Berg, William T; Tal, Oded; Wambi, Chris; Kaufman, Sarah; Gaya, Jose M; Urzúa, Cristian; Badani, Ketan K

2013-07-01

To determine the extent of variability in the definitions of the 'trifecta' after radical prostatectomy (undetectable PSA, urinary continence and potency) to be found in the literature. To establish a consensus definition of the trifecta in an effort to standardize criteria and reporting. A systematic review of published articles found in the PubMed database for the period from January 2003 to March 2012 was performed. The search queries included the keywords 'radical prostatectomy,' 'prostatectomy outcome,' and 'trifecta'. A total of 86 publications were identified of which 14 were used for analysis. Eight different definitions of biochemical recurrence were reported, the most common definition being PSA ≥0.2 ng/mL. The definition of potency was the most variable. Ten different definitions of potency were found, with the most common being 'having erections sufficient for intercourse with or without a phosphodiesterase-5 inhibitor'. Nine different definitions of continence were found. The most common definition of continence was 'wearing no pads'. Only six of the 14 articles used validated questionnaires in their outcome measures. The definitions of trifecta reported in the literature are highly variable. We propose the following consensus definition based on our analysis: (1) PSA >0.2 ng/mL with confirmatory value; (2) attainment of erections sufficient for intercourse with or without oral pharmacological agents; (3) wearing zero pads. This consensus definition should be considered when designing studies and reporting outcomes of radical prostatectomy. © 2013 BJU International.

Time perspective and the theory of planned behavior: moderate predictors of physical activity among central Appalachian adolescents.

PubMed

Gulley, Tauna; Boggs, Dusta

2014-01-01

The purpose of this study was to determine how well time perspective and the Theory of Planned Behavior (TPB) predicted physical activity among adolescents residing in the central Appalachian region of the United States. A descriptive, correlational design was used. The setting was a rural high school in central Appalachia. The sample included 185 students in grades 9 through 12. Data were collected in school. Variables included components of the TPB, time perspective, and various levels of exercise. Data were analyzed using Pearson's correlation coefficients and multiple regression analysis. The TPB was a moderate predictor of exercise frequency among central Appalachian adolescents, accounting for 42% of the variance. Time perspective did not add to the predictive ability of the TPB to predict exercise frequency in this sample. This study provides support for the TPB for predicting frequency of exercise among central Appalachian adolescents. By understanding the role of the TPB in predicting physical activity among adolescents, nurse practitioners will be able to adapt intervention strategies to improve the physical activity behaviors of this population. Copyright © 2014 National Association of Pediatric Nurse Practitioners. Published by Mosby, Inc. All rights reserved.

Practical resources for critical science education in rural Appalachia

NASA Astrophysics Data System (ADS)

Kingsolver, Ann

2017-03-01

This article argues that there is no typical Appalachian experience or community. There is more cultural diversity and global interchange in this region of the U.S. than appears in popular representations of "isolated" Appalachians, which are ironic because of the region's having been so central to the global extractive economy for centuries. Some pedagogical resources are provided to encourage or contribute to a broader perspective on the possibilities and knowledge centered in rural communities, with Appalachian examples.

Costs and environmental impacts of harvesting timber in Appalachia with a truck-mounted crane

Treesearch

J. N. Kochenderfer; G. W. Wendel

1980-01-01

A truck-mounted crane was used to yard and load timber from a 30-acre sale in a 140-acre watershed in the mountains of north-central West Virginia. A total logging cost, excluding road costs, of $44.35/M bm for logs delivered to a mill 20 miles away was comparable to that reported for wheeled skidders. Road costs with gravel would add $55/M bm, without gravel $26/M bm...

Knight Hawk adapts highwall mining for Southern Illinois

DOE Office of Scientific and Technical Information (OSTI.GOV)

Buchsbaum, L.

2007-10-15

A few years ago while planning their first underground operation and trying to decide how to mine shallow seams, Knight Hawk purchased a 'Superior Highwall Miner' (SHM). Since then this small innovative company has been pioneering the use of highwall mining in a trenching application in for example the Illinois Basin. Highwall mining is very suitable for contour mining in Appalachia. The article discusses the recent improvements and the advantages of SHM mining systems. 3 photos.

The Paediatric Rheumatology International Trials Organisation provisional criteria for the evaluation of response to therapy in juvenile dermatomyositis.

PubMed

Ruperto, Nicolino; Pistorio, Angela; Ravelli, Angelo; Rider, Lisa G; Pilkington, Clarissa; Oliveira, Sheila; Wulffraat, Nico; Espada, Graciela; Garay, Stella; Cuttica, Ruben; Hofer, Michael; Quartier, Pierre; Melo-Gomes, Jose; Reed, Ann M; Wierzbowska, Malgorzata; Feldman, Brian M; Harjacek, Miroslav; Huppertz, Hans-Iko; Nielsen, Susan; Flato, Berit; Lahdenne, Pekka; Michels, Harmut; Murray, Kevin J; Punaro, Lynn; Rennebohm, Robert; Russo, Ricardo; Balogh, Zsolt; Rooney, Madeleine; Pachman, Lauren M; Wallace, Carol; Hashkes, Philip; Lovell, Daniel J; Giannini, Edward H; Gare, Boel Andersson; Martini, Alberto

2010-11-01

To develop a provisional definition for the evaluation of response to therapy in juvenile dermatomyositis (DM) based on the Paediatric Rheumatology International Trials Organisation juvenile DM core set of variables. Thirty-seven experienced pediatric rheumatologists from 27 countries achieved consensus on 128 difficult patient profiles as clinically improved or not improved using a stepwise approach (patient's rating, statistical analysis, definition selection). Using the physicians' consensus ratings as the "gold standard measure," chi-square, sensitivity, specificity, false-positive and-negative rates, area under the receiver operating characteristic curve, and kappa agreement for candidate definitions of improvement were calculated. Definitions with kappa values >0.8 were multiplied by the face validity score to select the top definitions. The top definition of improvement was at least 20% improvement from baseline in 3 of 6 core set variables with no more than 1 of the remaining worsening by more than 30%, which cannot be muscle strength. The second-highest scoring definition was at least 20% improvement from baseline in 3 of 6 core set variables with no more than 2 of the remaining worsening by more than 25%, which cannot be muscle strength (definition P1 selected by the International Myositis Assessment and Clinical Studies group). The third is similar to the second with the maximum amount of worsening set to 30%. This indicates convergent validity of the process. We propose a provisional data-driven definition of improvement that reflects well the consensus rating of experienced clinicians, which incorporates clinically meaningful change in core set variables in a composite end point for the evaluation of global response to therapy in juvenile DM. Copyright © 2010 by the American College of Rheumatology.

The underlying structure of diagnostic systems of schizophrenia: a comprehensive polydiagnostic approach.

PubMed

Peralta, Victor; Cuesta, Manuel J

2005-11-15

The objective was to ascertain the underlying factor structure of alternative definitions of schizophrenia, and to examine the distribution of schizophrenia-related variables against the resulting factor solution. Twenty-three diagnostic schemes of schizophrenia were applied to 660 patients presenting with psychotic symptoms regardless of the specific diagnosis of psychotic disorder. Factor analysis of the 23 diagnostic schemes yielded three interpretable factors explaining 58% of the variance, the first factor (general schizophrenia factor) accounting for most of the variance (36%). On the basis of the general schizophrenia factor score, the sample was divided in quintile groups representing 5 levels of schizophrenia definition (absent, doubtful, very broad, broad and narrow) and the distribution of a number of schizophrenia-related variables was examined across the groups. This grouping procedure was used for examining the comparative validity of alternative levels of categorically defined schizophrenia and an ordinal (i.e. dimensional) definition. Overall, schizophrenia-related variables displayed a dose-response relationship with level of schizophrenia definition. Logistic regression analyses revealed that the dimensional definition explained more variance in the schizophrenia-related variables than the alternative levels for defining schizophrenia categorically. These results are consistent with a unitary and dimensional construct of schizophrenia with no clear "points of rarity" at its boundaries, thus supporting the continuum hypothesis of the psychotic illness.

Bullying by Definition: An Examination of Definitional Components of Bullying

ERIC Educational Resources Information Center

Goldsmid, Susan; Howie, Pauline

2014-01-01

Lack of definitional consensus remains an important unresolved issue within bullying research. This study examined the ability of definitional variables to predict overall level of victimisation (distress, power inequity, and provocation as predictors) and bullying (intention to harm, power inequity, and provocation as predictors) in 246…

Assessment of Appalachian region pediatric hearing healthcare disparities and delays.

PubMed

Bush, Matthew L; Osetinsky, Mariel; Shinn, Jennifer B; Gal, Thomas J; Ding, Xiuhua; Fardo, David W; Schoenberg, Nancy

2014-07-01

The purpose of this study was to examine the timing of diagnostic and therapeutic services in cochlear implant recipients from a rural Appalachian region with healthcare disparity. Retrospective analysis. Cochlear implant recipients from a tertiary referral center born with severe congenital sensorineural hearing loss were examined. Rural status and Appalachian status of their county of origin were recorded. A log-rank test was used to examine differences in the distributions of time to definitive diagnosis of hearing loss, initial amplification fitting, and cochlear implantation in these children. Correlation analysis of the rural status of each county and the timing of services was assessed. A total of 53 children born with congenital hearing loss were included in the study (36 from rural counties and 17 from urban/suburban counties). The distribution of weeks after birth to diagnosis (P=.006), amplification (P=.030), and cochlear implantation (P=.002) was delayed in rural children compared with urban children. An analysis factoring in the effect of implementation of mandatory infant hearing screening in 2000 demonstrated a similar delay in rural children for weeks to diagnosis (P=.028), amplification (P=.087), and cochlear implantation (P<.0001). Children with severe hearing loss in very rural areas, such as Appalachia, may have significant delays in diagnostic and rehabilitative services. Further investigation is warranted to assess causative factors in delays of cochlear implantation and to develop interventions to promote timely diagnosis and care. 3b. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

The Experience of Older Women Living with Loneliness and Chronic Conditions in Appalachia

PubMed Central

Theeke, Laurie A.; Mallow, Jennifer; Gianni, Chelsea; Legg, Kacie; Glass, Christy

2015-01-01

This phenomenological qualitative study explored the experience of living with loneliness and multiple chronic conditions for rural older women in Appalachia. The study took place in 2012 in Northern West Virginia. Participants were 14 older women who were chronically ill, community dwelling, and lonely (Score of 40 or higher on the Revised 20-item UCLA Loneliness Scale). Thematic content analysis revealed four categories that contained thirteen themes: (a) negative emotions of loneliness, which included themes of sadness, disconnection, fear, anger, and worry; (b) positive emotions when not lonely, which included themes of joy with others and pride in self; (c) loss of independence and loneliness, which included themes of functional decline contributes to loneliness, burden, and gratitude for help; and (d) ways of managing loneliness, which included remembering holidays and happier moments, staying busy, and getting out. The study contributes new knowledge about the experience of anger, fear, and worry when lonely. These emotions have not extensively been identified as significant to loneliness. Future studies exploring the links between loneliness and anger, fear, worry, and negative physical health outcomes could enhance knowledge of mechanisms by which loneliness contributes to health decline. Additionally, knowing that positive emotions such as joy are described as being linked to less lonely times could inform future work that aims to diminish loneliness and enhance positive emotional states. Finally, understanding that functional impairment is described as contributing to loneliness in this population reinforces the need to assess for and address functional limitations. PMID:26594267

Older women in Appalachia: experiences with gynecological cancer.

PubMed

Allen, Katherine R; Roberto, Karen A

2014-12-01

The purpose of this study was to explore how older women in rural Appalachia with gynecological cancer construct and interpret their experience with cancer. Grounded in social constructionist theory, semistructured in-depth interviews were conducted with 20 women, aged 51-82, who had been treated for gynecological cancer. Transcripts were analyzed using the constant comparative method. Although women narrated their experience along a common trajectory from symptoms to diagnosis to treatment, four distinct patterns of posttreatment perceptions were described: (a) positive: women believed they were cancer survivors, (b) cautious: women saw themselves as survivors but not risk free, (c) distanced: women viewed themselves as cured and equated survivor with victim, and (d) resigned: women refused more treatment. All of the women acknowledged an inner strength in how they experienced cancer, requiring a more nuanced framework for understanding how negative and positive feelings coexist with faith in a higher power and the capacity to endure a devastating threat to life and health. The findings expand the concept of survivor identity, suggesting that the women's perception that they had met life's challenges with fortitude and inner strength may have more resonance in later life than the concept of survivorship. Family members and medical and public health professionals need to support older women's individual response to cancer recovery and acknowledge their complicated reactions to a cancer diagnosis and prognosis. © The Author 2013. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Food Insecurity and Behavioral Characteristics for Academic Success in Young Adults Attending an Appalachian University.

PubMed

Hagedorn, Rebecca L; Olfert, Melissa D

2018-03-16

In order to investigate the impact of food insecurity on college students in a highly health disparate region we (1) assessed the prevalence of food insecurity among young adults at a large, rural university in Appalachia, and (2) investigated the relationship between food insecurity and behavioral characteristics including academic performance, coping strategies, and money expenditure. A cross-sectional design was used to capture a representative sample of young adults attending a large, central Appalachian university in Fall 2016. The United States Department of Agriculture (USDA) Adult Food Security Survey was used to measure food insecurity. Independent variables include money expenditure (MES), coping strategies (CSS), academic performance (APS), and demographic, health, economic and culinary variables. Participant responses ( n = 692) showed one third (36.6%) of respondents were food-insecure. Students with higher scores for MES and CSS had significantly higher odds of being food-insecure (odds ratio (OR) = 2.07; 95% confidence interval (CI) 1.81 to 2.38 and OR = 1.20; 95% CI 1.16 to 1.23, respectively). The odds of high APS scores (OR = 0.79; 95% CI 0.73 to 0.86) were inversely related to food insecurity. Results of the logistic regression showed MES, CSS, health, and school year remained a significant predictor of food insecurity in college students. These findings suggest behavioral differences in terms of coping strategies, money expenditure, and academic progress among food-insecure students and can be used to identify and target at-risk students to promote student food security and well-being.

Time for a neonatal–specific consensus definition for sepsis

PubMed Central

Wynn, James L.; Wong, Hector R.; Shanley, Thomas P.; Bizzarro, Matthew J.; Saiman, Lisa; Polin, Richard A.

2014-01-01

Objective To review the accuracy of the pediatric consensus definition of sepsis in term neonates and to determine the definition of neonatal sepsis used. Study selection The review focused primarily on pediatric literature relevant to the topic of interest. Conclusions Neonatal sepsis is variably defined based on a number of clinical and laboratory criteria that make the study of this common and devastating condition very difficult. Diagnostic challenges and uncertain disease epidemiology necessarily result from a variable definition of disease. In 2005, intensivists caring for children recognized that as new drugs became available, children would be increasingly studied and thus, pediatric-specific consensus definitions were needed. Pediatric sepsis criteria are not accurate for term neonates and have not been examined in preterm neonates for whom the developmental stage influences aberrations associated with host immune response. Thus, specific consensus definitions for both term and preterm neonates are needed. Such definitions are critical for the interpretation of observational studies, future training of scientists and practitioners, and implementation of clinical trials in neonates. PMID:24751791

Disaster Impact on Impoverished Area of US: An Inter-Professional Mixed Method Study.

PubMed

Banks, Linda H; Davenport, Lisa A; Hayes, Meghan H; McArthur, Moriah A; Toro, Stacey N; King, Cameron E; Vazirani, Hazel M

2016-12-01

Introduction In the foothills of the Cumberland Mountains, in central Appalachia (a region that spans 13 states in the US), sits an economically distressed and rural community of the United States. Once a thriving coal-mining area, this region now is reported as one of the hardest places to live in the US. Southeastern Kentucky, located in a remote, rocky, mountainous area surrounded by rivers and valleys and prone to flooding, experienced a major flood in Spring 2013 causing significant damage to homes and critical infrastructure. Purpose Aims of the study were to: (1) identify and better understand the contextual variables compounding the impact of a disaster event that occurred in Spring 2013; (2) identify ways participants managed antecedent circumstances, risk, and protective factors to cope with disaster up to 12 months post-event; and (3) further determine implications for community-focused interventions that may enhance recovery for vulnerable populations to promote greater outcomes of adaptation, wellness, and readiness. Using an ethnographic mixed-methods approach, an inter-collaborative team conducted face-to-face interviews with (N=12) Appalachian residents about their disaster experience, documented observations and visual assessment of need on an observation tool, and used photography depicting structural and environmental conditions. A Health and Emergency Preparedness Assessment Survey Tool was used to collect demographic, health, housing, environment, and disaster readiness assessment data. Community stakeholders facilitated purposeful sampling through coordination of scheduled home visits. Triangulation of all data sources provided evidence that the community had unique coping strategies related to faith and spirituality, cultural values and heritage, and social support to manage antecedent circumstances, risk, and protective factors during times of adversity that, in turn, enhanced resilience up to 12 months post-disaster. The community was found to have an innate capacity to persevere and utilize resources to manage and transcend adversity and restore equilibrium, which reflected components of resilience that deserve greater recognition and appreciation. Resilience is a foundational concept for disaster science. A model of resilience for the rural Appalachia community was developed to visually depict the encompassing element of community-based interventions that may enhance coping strategies, mitigate risk factors, integrate protective factors, and strengthen access. Community-based interventions are recommended to strengthen resilience, yielding improved outcomes of adaptation, health and wellness, and disaster readiness. Banks LH , Davenport LA , Hayes MH , McArthur MA , Toro SN , King CE , Vazirani HM . Disaster impact on impoverished area of US: an inter-professional mixed method study. Prehosp Disaster Med. 2016;31(6):583-592.

Development of Water Resources in Appalachia. Main Report. Part 2. Volume 5a. Sub-Regional Plans. Chapters 13 thru 16

DTIC Science & Technology

1969-11-01

Aepetee Alto to Ciae Lake 411 Nthikng slt. Formp 62 Rosts ife Lake 45 LOkt Steno L at 44 14rek.e Lest REPORT FOR P4KLPel KS Tycoee Leka DEVELOPMENT OF...camp sites and group camp use. The Summersville project is located in the Kanawha River Basin, on Gauley River near Summersville in Nicholas County, West...miles of channel snagging and clearing. 11-13-39 The Richwood, West Virginia Project is located on Cherry River in Nicholas County. The project

Impact of Definitions of FIA Variables and Compilation Procedures on Inventory Compilation Results in Georgia

Treesearch

Brock Stewart; Chris J. Cieszewski; Michal Zasada

2005-01-01

This paper presents a sensitivity analysis of the impact of various definitions and inclusions of different variables in the Forest Inventory and Analysis (FIA) inventory on data compilation results. FIA manuals have been changing recently to make the inventory consistent between all the States. Our analysis demonstrates the importance (or insignificance) of different...

Defining Autism: Variability in State Education Agency Definitions of and Evaluations for Autism Spectrum Disorders

PubMed Central

Pennington, Malinda L.; Cullinan, Douglas; Southern, Louise B.

2014-01-01

In light of the steady rise in the prevalence of students with autism, this study examined the definition of autism published by state education agencies (SEAs), as well as SEA-indicated evaluation procedures for determining student qualification for autism. We compared components of each SEA definition to aspects of autism from two authoritative sources: Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) and Individuals with Disabilities Education Improvement Act (IDEA-2004). We also compared SEA-indicated evaluation procedures across SEAs to evaluation procedures noted in IDEA-2004. Results indicated that many more SEA definitions incorporate IDEA-2004 features than DSM-IV-TR features. However, despite similar foundations, SEA definitions of autism displayed considerable variability. Evaluation procedures were found to vary even more across SEAs. Moreover, within any particular SEA there often was little concordance between the definition (what autism is) and evaluation procedures (how autism is recognized). Recommendations for state and federal policy changes are discussed. PMID:24987527

Correlates of Community-Based Colorectal Cancer Screening in a Rural Population: The Role of Fatalism.

PubMed

Crosby, Richard A; Collins, Tom

2017-09-01

One largely unexplored barrier to colorectal cancer (CRC) screening is fatalistic beliefs about cancer. The purpose of this study was to identify correlates of ever having endoscopy screenings for CRC and to determine whether fatalism plays a unique role. Because evidence suggests that cancer-associated fatalistic beliefs may be particularly common among rural Americans, the study was conducted in a medically underserved area of rural Appalachia.  METHODS: Rural residents (N = 260) between 51 and 75 years of age, from a medically underserved area of Appalachia, Kentucky, were recruited for a cross-sectional study. The outcome measure was assessed by a single item asking whether participants ever had a colonoscopy or flexible sigmoidoscopy. Demographic and health-related correlates of this outcome were selected based on past studies of rural populations. A single item assessed perceptions of fatalism regarding CRC. Age-adjusted analyses of correlates testing significant at the bivariate level were conducted.  RESULTS: The analytic sample was limited to 135 rural residents indicating they had ever had CRC endoscopy and 107 indicating never having endoscopy. In age-adjusted analyses, only the measure of fatalism had a significant association with having endoscopy. Those endorsing the statement pertaining to fatalism were 2.3 times more likely (95% CI = 1.24-4.27, P = .008) than the remainder to indicate never having endoscopy.  CONCLUSIONS: A community-based approach to the promotion of endoscopy for CRC screening could focus on overcoming CRC-associated fatalism, thereby potentially bringing more unscreened people to endoscopy clinics. © 2017 National Rural Health Association.

Outcome definitions and clinical predictors influence pharmacogenetic associations between HTR3A gene polymorphisms and response to clozapine in patients with schizophrenia.

PubMed

Rajkumar, A P; Poonkuzhali, B; Kuruvilla, A; Srivastava, A; Jacob, M; Jacob, K S

2012-12-01

Pharmacogenetics of schizophrenia has not yet delivered anticipated clinical dividends. Clinical heterogeneity of schizophrenia contributes to the poor replication of the findings of pharmacogenetic association studies. Functionally important HTR3A gene single-nucleotide polymorphisms (SNPs) were reported to be associated with response to clozapine. The aim of this study was to investigate how the association between HTR3A gene SNP and response to clozapine is influenced by various clinical predictors and by differing outcome definitions in patients with treatment-resistant schizophrenia (TRS). We recruited 101 consecutive patients with TRS, on stable doses of clozapine, and evaluated their HTR3A gene SNP (rs1062613 and rs2276302), psychopathology, and serum clozapine levels. We assessed their socio-demographic and clinical profiles, premorbid adjustment, traumatic events, cognition, and disability using standard assessment schedules. We evaluated their response to clozapine, by employing six differing outcome definitions. We employed appropriate multivariate statistics to calculate allelic and genotypic association, accounting for the effects of various clinical variables. T allele of rs1062613 and G allele of rs2276302 were significantly associated with good clinical response to clozapine (p = 0.02). However, varying outcome definitions make these associations inconsistent. rs1062613 and rs2276302 could explain only 13.8 % variability in the responses to clozapine, while combined clinical predictors and HTR3A pharmacogenetic association model could explain 38 % variability. We demonstrated that the results of pharmacogenetic studies in schizophrenia depend heavily on their outcome definitions and that combined clinical and pharmacogenetic models have better predictive values. Future pharmacogenetic studies should employ multiple outcome definitions and should evaluate associated clinical variables.

Are PCI Service Volumes Associated with 30-Day Mortality? A Population-Based Study from Taiwan.

PubMed

Yu, Tsung-Hsien; Chou, Ying-Yi; Wei, Chung-Jen; Tung, Yu-Chi

2017-11-09

The volume-outcome relationship has been discussed for over 30 years; however, the findings are inconsistent. This might be due to the heterogeneity of service volume definitions and categorization methods. This study takes percutaneous coronary intervention (PCI) as an example to examine whether the service volume was associated with PCI 30-day mortality, given different service volume definitions and categorization methods. A population-based, cross-sectional multilevel study was conducted. Two definitions of physician and hospital volume were used: (1) the cumulative PCI volume in a previous year before each PCI; (2) the cumulative PCI volume within the study period. The volume was further treated in three ways: (1) a categorical variable based on the American Heart Association's recommendation; (2) a semi-data-driven categorical variable based on k-means clustering algorithm; and (3) a data-driven categorical variable based on the Generalized Additive Model. The results showed that, after adjusting the patient-, physician-, and hospital-level covariates, physician volume was associated inversely with PCI 30-day mortality, but hospital volume was not, no matter which definitions and categorization methods of service volume were applied. Physician volume is negatively associated with PCI 30-day mortality, but the results might vary because of definition and categorization method.

Integral definition of the logarithmic function and the derivative of the exponential function in calculus

NASA Astrophysics Data System (ADS)

Vaninsky, Alexander

2015-04-01

Defining the logarithmic function as a definite integral with a variable upper limit, an approach used by some popular calculus textbooks, is problematic. We discuss the disadvantages of such a definition and provide a way to fix the problem. We also consider a definition-based, rigorous derivation of the derivative of the exponential function that is easier, more intuitive, and complies with the standard definitions of the number e, the logarithmic, and the exponential functions.

Toward More Precise Definition and Evaluation of Televised Educational Programming

ERIC Educational Resources Information Center

Aversa Fran; Morrison, Gary R.

1978-01-01

An operational definition of public television programming and its implications for development and production agencies is sorely needed. This article explores some of the components of such a definition and examines the differences in several types of educational programming in terms of specific design and evaluation variables of the program.…

Requirements for the conceptual design of advanced underground coal extraction systems

NASA Technical Reports Server (NTRS)

Gangal, M. D.; Lavin, M. L.

1981-01-01

Conceptual design requirements are presented for underground coal mining systems having substantially improved performance in the areas of production cost and miner safety. Mandatory performance levels are also set for miner health, environmental impact, and coal recovery. In addition to mandatory design goals and constraints, a number of desirable system characteristics are identified which must be assessed in terms of their impact on production cost and their compatibility with other system elements. Although developed for the flat lying, moderately thick seams of Central Appalachia, these requirements are designed to be easily adaptable to other coals.

A risk-adjusted definition of biochemical recurrence after radical prostatectomy.

PubMed

Morgan, T M; Meng, M V; Cooperberg, M R; Cowan, J E; Weinberg, V; Carroll, P R; Lin, D W

2014-06-01

To determine whether a variable definition of biochemical recurrence (BCR) based on clincopathologic features facilitates early identification of patients likely to suffer from disease progression. The definition of BCR after radical prostatectomy (RP) bears important implications for patient counseling and management; however, there remains a significant debate regarding the appropriate definition. The study cohort consisted of 3619 men who underwent RP for localized prostate cancer from 1989 to 2007, with data abstracted from the Cancer of the Prostate Strategic Urologic Research Endeavor (CaPSURE) registry. Patients were stratified into three risk groups according to Cancer of the Prostate Risk Assessment post-Surgical (CAPRA-S) score. Three single threshold PSA cut-points for BCR were evaluated (PSA > or =0.05, > or =0.2 and > or =0.4 ng ml(-1)) as well as a variable cut-point defined by risk group. After reaching the cut-points, patients were followed for further PSA progression. The proportion of patients with BCR differed by cut-point and risk group, ranging from 7 to 37% (low risk), 22 to 58% (intermediate risk) and 60 to 86% (high risk). The positive-predictive value (PPV) for predicting further PSA progression was 49% for the PSA > or =0.05 ng ml(-1), 62% for the PSA > or =0.2 ng ml(-1), 65% for the PSA > or =0.4 ng ml(-1) and 68% for the risk-adjusted definition. Five-year progression-free survival was 39% for the risk-adjusted definition compared with 45-52% for the other definitions of BCR. These data suggest that a variable definition of BCR determined by clinicopathologic risk may improve the identification of early recurrence after RP without increasing the overdiagnosis of BCR. By using a risk-adjusted BCR definition, clinicians can better predict future PSA progression and more appropriately counsel patients regarding salvage therapies.

An evaluation of FIA's stand age variable

Treesearch

John D. Shaw

2015-01-01

The Forest Inventory and Analysis Database (FIADB) includes a large number of measured and computed variables. The definitions of measured variables are usually well-documented in FIA field and database manuals. Some computed variables, such as live basal area of the condition, are equally straightforward. Other computed variables, such as individual tree volume,...

A Geometrical Framework for Covariance Matrices of Continuous and Categorical Variables

ERIC Educational Resources Information Center

Vernizzi, Graziano; Nakai, Miki

2015-01-01

It is well known that a categorical random variable can be represented geometrically by a simplex. Accordingly, several measures of association between categorical variables have been proposed and discussed in the literature. Moreover, the standard definitions of covariance and correlation coefficient for continuous random variables have been…

A catalog of rules, variables, and definitions applied to accelerometer data in the National Health and Nutrition Examination Survey, 2003-2006.

PubMed

Tudor-Locke, Catrine; Camhi, Sarah M; Troiano, Richard P

2012-01-01

The National Health and Nutrition Examination Survey (NHANES) included accelerometry in the 2003-2006 data collection cycles. Researchers have used these data since their release in 2007, but the data have not been consistently treated, examined, or reported. The objective of this study was to aggregate data from studies using NHANES accelerometry data and to catalogue study decision rules, derived variables, and cut point definitions to facilitate a more uniform approach to these data. We conducted a PubMed search of English-language articles published (or indicated as forthcoming) from January 2007 through December 2011. Our initial search yielded 74 articles, plus 1 article that was not indexed in PubMed. After excluding 21 articles, we extracted and tabulated details on 54 studies to permit comparison among studies. The 54 articles represented various descriptive, methodological, and inferential analyses. Although some decision rules for treating data (eg, criteria for minimal wear-time) were consistently applied, cut point definitions used for accelerometer-derived variables (eg, time spent in various intensities of physical activity) were especially diverse. Unique research questions may require equally unique analytical approaches; some inconsistency in approaches must be tolerated if scientific discovery is to be encouraged. This catalog provides a starting point for researchers to consider relevant and/or comparable accelerometer decision rules, derived variables, and cut point definitions for their own research questions.

On the definition of absorbed dose

NASA Astrophysics Data System (ADS)

Grusell, Erik

2015-02-01

Purpose: The quantity absorbed dose is used extensively in all areas concerning the interaction of ionizing radiation with biological organisms, as well as with matter in general. The most recent and authoritative definition of absorbed dose is given by the International Commission on Radiation Units and Measurements (ICRU) in ICRU Report 85. However, that definition is incomplete. The purpose of the present work is to give a rigorous definition of absorbed dose. Methods: Absorbed dose is defined in terms of the random variable specific energy imparted. A random variable is a mathematical function, and it cannot be defined without specifying its domain of definition which is a probability space. This is not done in report 85 by the ICRU, mentioned above. Results: In the present work a definition of a suitable probability space is given, so that a rigorous definition of absorbed dose is possible. This necessarily includes the specification of the experiment which the probability space describes. In this case this is an irradiation, which is specified by the initial particles released and by the material objects which can interact with the radiation. Some consequences are discussed. Specific energy imparted is defined for a volume, and the definition of absorbed dose as a point function involves the specific energy imparted for a small mass contained in a volume surrounding the point. A possible more precise definition of this volume is suggested and discussed. Conclusions: The importance of absorbed dose motivates a proper definition, and one is given in the present work. No rigorous definition has been presented before.

Creating a Screening Measure of Health Literacy for the Health Information National Trends Survey.

PubMed

Champlin, Sara; Mackert, Michael

2016-03-01

Create a screening measure of health literacy for use with the Health Information National Trends Survey (HINTS). Participants completed a paper-based survey. Items from the survey were used to construct a health literacy screening measure. A population-based survey conducted in geographic areas of high and low minority frequency and in Central Appalachia. Two thousand nine hundred four English-speaking participants were included in this study: 66% white, 93% completed high school, mean age = 52.53 years (SD = 16.24). A health literacy screening measure was created using four items included in the HINTS survey. Scores could range from 0 (no questions affirmative/correct) to 4 (all questions answered affirmatively/correctly). Multiple regression analysis was used to determine whether demographic variables known to predict health literacy were indeed associated with the constructed health literacy screening measure. The weighted average health literacy score was 2.63 (SD = 1.00). Those who were nonwhite (p = .0005), were older (p < .0005), or had not completed high school (p < .0001) tended to have lower health literacy screening measure scores. This study highlights the need to assess health literacy in national surveys, but also serves as evidence that screening measures can be created within existing datasets to give researchers the ability to consider the impact of health literacy. © The Author(s) 2016.

Emergency cesarean section and the 30-minute rule: definitions.

PubMed

Schauberger, Charles W; Chauhan, Suneet P

2009-03-01

We explored the role that lack of a standard definition and heterogeneity in patient selection criteria in the literature might have on the apparent inability to routinely begin an emergency cesarean section in less than 30 minutes. A review of the literature on emergency cesarean delivery was performed. Although there are some similarities in definitions and the criteria used for patient selection in multiple studies, the variability in the definitions could be responsible for some of the apparent timeliness performance deficiency in the literature. A standard definition and directions for future research are suggested.

The HPV Vaccine: A Comparison of Focus Groups Conducted in South Africa and Ohio Appalachia

PubMed Central

Katz, Mira L.

2013-01-01

Worldwide, cervical cancer is one of the leading causes of morbidity and mortality among women. Even though women in developing countries account for approximately 85 % of the cervical cancer cases and deaths, disparities in cervical cancer rates are also documented in developed countries like the United States (U.S.). Recently, formative research conducted in the U.S. and developing countries like South Africa have sought to gain a better understanding of the knowledge, beliefs, and attitudes about cervical cancer prevention, HPV, and the acceptance of the HPV vaccine. This study compares findings from two independent focus group studies. One study was conducted in a segregated township in Johannesburg, South Africa (n = 24) and the other study was conducted in Ohio Appalachia (n = 19). The following seven themes emerged during the discussions from both studies: HPV and cervical cancer; health decision making; parent–child communication; healthy children; HPV vaccine costs; sexual abuse; and HPV vaccine education. Findings from both studies indicate the importance of the role of mothers and grandmothers in the health care decision-making process for children and a lack of awareness of HPV and its association with cervical cancer. While there was interest in the HPV vaccine, participants voiced concern about the vaccine’s cost and side effects. Some participants expressed concern that receipt of the HPV vaccine may initiate adolescent sexual behavior. However, other participants suggested that the HPV vaccine may protect young women who may experience sexual abuse. The importance of developing culturally appropriate educational materials and programs about cervical cancer prevention and the HPV vaccine were expressed by participants in both countries. PMID:22930347

Belief About Mandatory School Vaccinations and Vaccination Refusal Among Ohio Appalachian Parents: Do Demographic and Religious Factors, General Health, and Political Affiliation Play a Role?

PubMed

Krok-Schoen, Jessica L; Bernardo, Brittany M; Weier, Rory C; Peng, Juan; Katz, Mira L; Reiter, Paul L; Richardson, Morgan S; Pennell, Michael L; Tatum, Cathy M; Paskett, Electra D

2017-11-14

To examine how demographic, general health, religious, and political characteristics influenced beliefs about mandatory school vaccinations and history of vaccination refusal for children among Ohio Appalachian parents. In 2013 and 2014, baseline data were obtained from parents (n = 337) of girls aged 9-17 from 12 counties in rural Ohio Appalachia enrolled in the Community Awareness, Resources and Education (CARE II) Project. Multivariate logistic regression models were used to identify correlates of parental beliefs about mandatory school vaccinations and history of refusing a doctor-recommended vaccine for their child(ren). About 47% of parents agreed that parents should have the right to refuse mandatory school vaccinations for their child(ren). Participants who reported their political affiliation as Republican (OR = 2.45, 95% CI: 1.28-4.66) or Independent (OR = 3.31, 95% CI: 1.70-6.44) were more likely to agree that parents should have the right to refuse school-mandated vaccinations than parents who reported their political affiliation as Democrat. Approximately 39% of parents reported ever refusing a vaccine for their child(ren). Participants who were female (OR = 3.90, 95% CI: 1.04-14.58) and believed that parents should have the right to refuse mandatory school vaccinations (OR = 3.27, 95% CI: 1.90-5.62) were more likely to report ever refusing a vaccine for their child(ren). The study findings provide information to better understand factors related to vaccination refusal among parents in Appalachia Ohio that can be used to design interventions to improve vaccination uptake. © 2017 National Rural Health Association.

Nursing and Dental Students' Reflections on Interprofessional Practice After a Service-Learning Experience in Appalachia.

PubMed

Nierenberg, Susan; Hughes, Linda Paine; Warunek, Molli; Gambacorta, Joseph E; Dickerson, Suzanne S; Campbell-Heider, Nancy

2018-05-01

Nowhere is the discrepancy between good and poor oral health status more pronounced in the U.S. than in the Appalachian region, where there is a high incidence of dental problems related to non-flouridated water, limited access to care, and tooth loss. To address these disparities, in 2016 University at Buffalo dental and nurse practitioner faculty members led a group of dental and nursing students on a two-day service-learning experience in rural Tennessee. The aim of this study was to assess the dental and nursing students' reflections on this interprofessional service-learning experience in Appalachia. After the program, all 36 students who took part in it were invited to complete a survey with open-ended questions about the experience and their attitudes about interprofessional practice. Of the students, 34 (94.4%) returned the surveys, and 23 completed all the questions. Thematic analysis was used to code and analyze the student comments, which were then organized into themes. Five themes emerged: facilitating care through teamwork, gaining mutual respect, gaining confidence, understanding dental role in overall health, and relieving suffering. The overarching pattern was the link among all the themes: that everyone has a part to play in ensuring that patients get the best care. The themes and overarching pattern corresponded to the Interprofessional Education Collaboration (IPEC) competencies and the overall goal of delivering patient-centered care to a population that is underserved. These findings suggest that exposure to patients who lack dental care and have severe oral health problems can impact developing nursing and dental professionals in ways that can increase their appreciation of interprofessional practice and their future willingness to provide care in underserved settings.

Acid deposition and water use efficiency in Appalachian forests

NASA Astrophysics Data System (ADS)

Malcomb, J.

2017-12-01

Multiple studies have reported increases in forest water use efficiency in recent decades, but the drivers of these trends remain uncertain. While acid deposition has profoundly altered the biogeochemistry of Appalachian forests in the past century, its impacts on forest water use efficiency have been largely overlooked. Plant ecophysiology literature suggests that plants up-regulate transpiration in response to soil nutrient limitation in order to maintain sufficient mass flow of nutrients. To test the impacts of acid deposition on forest eco-hydrology in central Appalachia, we integrated dendrochronological techniques, including tree ring δ13C analysis, with catchment water balance data from the Fernow Experimental Forest in West Virginia. Tree cores from four species were collected in Fernow Watershed 3, which has received experimental ammonium sulfate additions since 1989, and Watershed 7, an adjacent control catchment. Initial results suggest that acidification treatments have not significantly influenced tree productivity compared to a control watershed, but the effect varies by species, with tulip poplar showing greatest sensitivity to acidification. Climatic water balance, defined as the difference between growing season precipitation and evapotranspiration, is significantly related to annual tree ring growth, suggesting that climate may be driving tree growth trends in chronically acidified Appalachian forests. Tree ring 13C analysis from Fernow cores is underway and these data will be integrated with catchment hydrology data from five other sites in central Appalachia and the U.S. Northeast, representing a range of forest types, soil base saturations, and acid deposition histories. This work will advance understanding of how climate and acid deposition interact to influence forest productivity and water use efficiency, and improve our ability to model carbon and water cycling in forested ecosystems impacted by acid deposition.

Coal workers' pneumoconiosis in the United States: regional differences 40 years after implementation of the 1969 Federal Coal Mine Health and Safety Act.

PubMed

Suarthana, Eva; Laney, A Scott; Storey, Eileen; Hale, Janet M; Attfield, Michael D

2011-12-01

To assess whether the recent increases in the prevalence of coal workers' pneumoconiosis (CWP) in the USA reflect increased measured exposures over recent decades, and to identify other potential causative factors. The observed CWP prevalence was calculated for 12,408 underground coal miner participants in the Coal Workers' Health Surveillance Program for the period 2005-2009, stratified by the Mine Safety and Health Administration (MSHA) geographical districts. The predicted prevalence was estimated using a published exposure-response model from a large epidemiological study among U.S. coal miners using dust exposure, tenure, miner's age and coal rank as predictors. χ2 Testing was performed to compare the observed versus predicted CWP prevalence. Observed prevalence was significantly higher than predicted prevalence in MSHA districts 4-7 (central Appalachian region) (10.1% vs. 4.2%; prevalence ratio (PR) 2.4; p<0.001) and significantly lower than predicted in other regions (1.6% vs. 3.6%; PR 0.4; p<0.001). The central Appalachian region had a significantly older workforce with greater mining tenure, a lower proportion of mines with 200 or more employees, and lower seam heights. Significant lower average compliance dust concentrations were reported for this region. The observed CWP prevalence substantially exceeded predicted levels in central Appalachia. However, the increased prevalence was not explained by the measured levels of dust exposures. Likely contributing factors include mine size and low seam mining, which may be associated with higher exposure to silica. Further study is needed to characterise the responsible factors for the elevated CWP rates in central Appalachia.

HPV prevalence among women from Appalachia: results from the CARE project.

PubMed

Reiter, Paul L; Katz, Mira L; Ruffin, Mack T; Hade, Erinn M; DeGraffenreid, Cecilia R; Patel, Divya A; Paskett, Electra D; Unger, Elizabeth R

2013-01-01

Cervical cancer incidence and mortality rates are high among women from Appalachia, yet data do not exist on human papillomavirus (HPV) prevalence among these women. We examined the prevalence of genital HPV among Appalachian women and identified correlates of HPV detection. We report data from a case-control study conducted between January 2006 and December 2008 as part of the Community Awareness, Resources, and Education (CARE) Project. We examined HPV prevalence among 1116 women (278 women with abnormal Pap tests at study entry [cases], 838 women with normal Pap tests [controls]) from Appalachian Ohio. Analyses used multivariable logistic regression to identify correlates of HPV detection. The prevalence of HPV was 43.1% for any HPV type, 33.5% for high-risk HPV types, 23.4% for low-risk HPV types, and 12.5% for vaccine-preventable HPV types. Detection of any HPV type was more common among women who were ages 18-26 (OR = 2.09, 95% CI: 1.26-3.50), current smokers (OR = 1.86, 95% CI: 1.26-2.73), had at least five male sexual partners during their lifetime (OR = 2.28, 95% CI: 1.56-3.33), or had multiple male sexual partners during the last year (OR = 1.98, 95% CI: 1.25-3.14). Similar correlates were identified for detection of a high-risk HPV type. HPV was prevalent among Appalachian women, with many women having a high-risk HPV type detected. Results may help explain the high cervical cancer rates observed among Appalachian women and can help inform future cervical cancer prevention efforts in this geographic region.

Melting mountains of Appalachia: exceptionally high weathering rates in mined watersheds

NASA Astrophysics Data System (ADS)

Ross, M. R.; Nippgen, F.; Hassett, B.; McGlynn, B. L.; Bernhardt, E. S.

2016-12-01

Mountaintop mining operations excavate ridges as deep as 200 m and bury adjacent valleys and streams beneath fractured bedrock and coal residues. Post-mining, landscapes have lower slopes, greatly increased water storage potential, and an abundance of acid-generating pyrite, which is intentionally mixed with neutralizing calcareous bedrock. Together these design features of mountaintop mined lands create ideal conditions for long water residence times and rapid weathering rates, leading to widely documented and substantial increases in streamwater ion concentrations. To date, these concentration changes have not been linked to rates of watershed scale element flux. In a paired catchment study, we documented a 4,000% increase in the export of total dissolved solids from a mined watershed, and estimate that pyrite and carbonate weathering in reclaimed mines can export 9,000 kg ha-1 y-1 of dissolved rock to receiving streams. Such high rates of element flux after a disturbance are not only much higher than other watershed disturbances, but are among the highest rates of weathering ever reported globally. Sulfuric acid weathering of carbonate rock drives these patterns of chemical erosion. This strong acid weathering changes Appalachian geology from a slight net geologic CO2 sink-sequestering 800-1,500 kg CO2 km-2 yr-1 through carbonic acid weathering of carbonates-to a substantial net geologic source of CO2, releasing 170,000 kg CO2 km-2 yr-1. Over the more than 4,000 km2 area of Central Appalachia that has undergone mountaintop mining, this rapid weathering represents 4 million tons of dissolved rock being delivered to the streams of West Virginia, potentially releasing 680,000 tons of CO2 in the process.

Tobacco Use and Attachment Style in Appalachia.

PubMed

Wise, Mary Heath; Weierbach, Florence; Cao, Yan; Phillips, Ken

2017-07-01

Tobacco has been recognized as the number one cause of preventable death in America and results in almost 5.2 million years of potential life lost each year. The use of tobacco products is highly correlated with pulmonary disease, cardiovascular disease, and other forms of chronic illness in America. New tobacco products are trending in the tobacco market such as the water pipe/hookah and e-cigarettes. With e-cigarettes and other newer forms of tobacco on the rise, it is important to look at the underlying factors for using all kinds of tobacco products as a means of prevention. Certain adult attachment styles (secure, preoccupied, dismissing-avoidant, and fearful-avoidant) in emotionally meaningful relationships could be indicators for physical illness, mental illness, and even addiction. This study investigated whether or not there is a relationship between tobacco use and attachment style. Based on a university-wide survey that was sent out at a university in Appalachia with 522 participants, demographic data revealed 68.5% (n = 358) did not currently use tobacco products. Of those who did currently use tobacco products 54.5% (n = 90) were male, 84.8% (n = 140) were undergraduate students, and 66.7% (n = 110) were between the ages of 18-25. For individuals who used tobacco 23.5% (n = 38) were in the secure attachment group, 27.8% (n = 45) were in the dismissing-avoidant attachment group, 30.2% (n = 49) were in the fearful-avoidant attachment group, and 18.5% (n = 30) were in the preoccupied attachment group. Chi Square analysis demonstrated that attachment style was significantly (p < 0.001) different between tobacco users and non-users revealing that there is a possibility for prevention of smoking initiation through the development of a secure attachment style.

Acute respiratory infection case definitions for young children: a systematic review of community-based epidemiologic studies in South Asia.

PubMed

Roth, Daniel E; Gaffey, Michelle F; Smith-Romero, Evelyn; Fitzpatrick, Tiffany; Morris, Shaun K

2015-12-01

To explore the variability in childhood acute respiratory infection case definitions for research in low-income settings where there is limited access to laboratory or radiologic investigations. We conducted a systematic review of community-based, longitudinal studies in South Asia published from January 1990 to August 2013, in which childhood acute respiratory infection outcomes were reported. Case definitions were classified by their label (e.g. pneumonia, acute lower respiratory infection) and clinical content 'signatures' (array of clinical features that would be always present, conditionally present or always absent among cases). Case definition heterogeneity was primarily assessed by the number of unique case definitions overall and by label. We also compared case definition-specific acute respiratory infection incidence rates for studies reporting incidence rates for multiple case definitions. In 56 eligible studies, we found 124 acute respiratory infection case definitions. Of 90 case definitions for which clinical content was explicitly defined, 66 (73%) were unique. There was a high degree of content heterogeneity among case definitions with the same label, and some content signatures were assigned multiple labels. Within studies for which incidence rates were reported for multiple case definitions, variation in content was always associated with a change in incidence rate, even when the content differed by a single clinical feature. There has been a wide variability in case definition label and content combinations to define acute upper and lower respiratory infections in children in community-based studies in South Asia over the past two decades. These inconsistencies have important implications for the synthesis and translation of knowledge regarding the prevention and treatment of childhood acute respiratory infection. © 2015 John Wiley & Sons Ltd.

Tracing Actual Causes

DTIC Science & Technology

2016-08-08

actual values for variables in the SEM ), and an event e with M ,~u |= e, our definition answers the question : Which paths of the causal network G( M ...for each variable and a directed edge from vari- able X to Y if the equation for computing X uses Y . Given an SEM M , a context ~u (that supplies the...caused the event e1? Our definition answers this question as a set of causal slices, where each causal slice is a subgraph of G( M ). All paths in each

Low-frequency high-definition power Doppler in visualizing and defining fetal pulmonary venous connections.

PubMed

Liu, Lin; He, Yihua; Li, Zhian; Gu, Xiaoyan; Zhang, Ye; Zhang, Lianzhong

2014-07-01

The use of low-frequency high-definition power Doppler in assessing and defining pulmonary venous connections was investigated. Study A included 260 fetuses at gestational ages ranging from 18 to 36 weeks. Pulmonary veins were assessed by performing two-dimensional B-mode imaging, color Doppler flow imaging (CDFI), and low-frequency high-definition power Doppler. A score of 1 was assigned if one pulmonary vein was visualized, 2 if two pulmonary veins were visualized, 3 if three pulmonary veins were visualized, and 4 if four pulmonary veins were visualized. The detection rate between Exam-1 and Exam-2 (intra-observer variability) and between Exam-1 and Exam-3 (inter-observer variability) was compared. In study B, five cases with abnormal pulmonary venous connection were diagnosed and compared to their anatomical examination. In study A, there was a significant difference between CDFI and low-frequency high-definition power Doppler for the four pulmonary veins observed (P < 0.05). The detection rate of each pulmonary vein when employing low-frequency high-definition power Doppler was higher than that when employing two-dimensional B-mode imaging or CDFI. There was no significant difference between the intra- and inter-observer variabilities using low-frequency high-definition power Doppler display of pulmonary veins (P > 0.05). The coefficient correlation between Exam-1 and Exam-2 was 0.844, and the coefficient correlation between Exam-1 and Exam-3 was 0.821. In study B, one case of total anomalous pulmonary venous return and four cases of partial anomalous pulmonary venous return were diagnosed by low-frequency high-definition power Doppler and confirmed by autopsy. The assessment of pulmonary venous connections by low-frequency high-definition power Doppler is advantageous. Pulmonary venous anatomy can and should be monitored during fetal heart examination.

Preliminary Multi-Variable Parametric Cost Model for Space Telescopes

NASA Technical Reports Server (NTRS)

Stahl, H. Philip; Hendrichs, Todd

2010-01-01

This slide presentation reviews creating a preliminary multi-variable cost model for the contract costs of making a space telescope. There is discussion of the methodology for collecting the data, definition of the statistical analysis methodology, single variable model results, testing of historical models and an introduction of the multi variable models.

Does the Reliability of Reporting in Injury Surveillance Studies Depend on Injury Definition?

PubMed

Cross, Matthew; Williams, Sean; Kemp, Simon P T; Fuller, Colin; Taylor, Aileen; Brooks, John; Trewartha, Grant; Stokes, Keith

2018-03-01

Choosing an appropriate definition for injury in injury surveillance studies is essential to ensure a balance among reporting reliability, providing an accurate representation of injury risk, and describing the nature of the clinical demand. To provide guidance on the choice of injury definition for injury surveillance studies by comparing within- and between-team variability in injury incidence with >24-hour and >7-day time-loss injury definitions in a large multiteam injury surveillance study. Cohort study (diagnosis); Level of evidence, 2. Injury data were reported for 2248 professional rugby union players from 15 Premiership Rugby clubs over 12 seasons. Within-team percentage coefficient of variation and mean between-team standard deviation (expressed as a percentage coefficient of variation) in injury incidence rates (injuries per 1000 player match hours) were calculated. For both variables, a comparison was made between >24-hour and >7-day injury incidence rates in terms of the magnitude of the observed effects. The overall mean incidence across the population with a >24-hour time-loss injury definition was approximately double the reported incidence with the >7-day definition. There was a 10% higher between-team variation in match injury incidence rates with the >24-hour time-loss definition versus the >7-day definition. There was a likely higher degree of between-team variation in match injury incidence rates with a >24-hour time-loss definition than with a >7-day definition of injury. However, in professional sports settings, it is likely that the benefits of using a more inclusive definition of injury (improved understanding of clinical demand and the appropriate and accurate reporting of injury risk) outweigh the small increase in variation in reporting consistency.

Does the Reliability of Reporting in Injury Surveillance Studies Depend on Injury Definition?

PubMed Central

Cross, Matthew; Williams, Sean; Kemp, Simon P.T.; Fuller, Colin; Taylor, Aileen; Brooks, John; Trewartha, Grant; Stokes, Keith

2018-01-01

Background: Choosing an appropriate definition for injury in injury surveillance studies is essential to ensure a balance among reporting reliability, providing an accurate representation of injury risk, and describing the nature of the clinical demand. Purpose: To provide guidance on the choice of injury definition for injury surveillance studies by comparing within- and between-team variability in injury incidence with >24-hour and >7-day time-loss injury definitions in a large multiteam injury surveillance study. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: Injury data were reported for 2248 professional rugby union players from 15 Premiership Rugby clubs over 12 seasons. Within-team percentage coefficient of variation and mean between-team standard deviation (expressed as a percentage coefficient of variation) in injury incidence rates (injuries per 1000 player match hours) were calculated. For both variables, a comparison was made between >24-hour and >7-day injury incidence rates in terms of the magnitude of the observed effects. Results: The overall mean incidence across the population with a >24-hour time-loss injury definition was approximately double the reported incidence with the >7-day definition. There was a 10% higher between-team variation in match injury incidence rates with the >24-hour time-loss definition versus the >7-day definition. Conclusion: There was a likely higher degree of between-team variation in match injury incidence rates with a >24-hour time-loss definition than with a >7-day definition of injury. However, in professional sports settings, it is likely that the benefits of using a more inclusive definition of injury (improved understanding of clinical demand and the appropriate and accurate reporting of injury risk) outweigh the small increase in variation in reporting consistency. PMID:29581994

Variable Importance in Multivariate Group Comparisons.

ERIC Educational Resources Information Center

Huberty, Carl J.; Wisenbaker, Joseph M.

1992-01-01

Interpretations of relative variable importance in multivariate analysis of variance are discussed, with attention to (1) latent construct definition; (2) linear discriminant function scores; and (3) grouping variable effects. Two numerical ranking methods are proposed and compared by the bootstrap approach using two real data sets. (SLD)

7 CFR 1738.2 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... financial analysis prepared by the Agency, based on the financial projections supplied by the applicant and... definition includes Variable Interest Entities as described in Financial Accounting Standards Board... required at the time the application was received by the Agency. Build-out means the construction...

7 CFR 1738.2 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... financial analysis prepared by the Agency, based on the financial projections supplied by the applicant and... definition includes Variable Interest Entities as described in Financial Accounting Standards Board... required at the time the application was received by the Agency. Build-out means the construction...

7 CFR 1738.2 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... financial analysis prepared by the Agency, based on the financial projections supplied by the applicant and... definition includes Variable Interest Entities as described in Financial Accounting Standards Board... required at the time the application was received by the Agency. Build-out means the construction...

VSCE technology definition study

NASA Technical Reports Server (NTRS)

Howlett, R. A.; Hunt, R. B.

1979-01-01

Refined design definition of the variable stream control engine (VSCE) concept for advanced supersonic transports is presented. Operating and performance features of the VSCE are discussed, including the engine components, thrust specific fuel consumption, weight, noise, and emission system. A preliminary engine design is presented.

Community strategies to address cancer disparities in Appalachian Kentucky

PubMed Central

Schoenberg, Nancy E.; Howell, Britteny M.; Fields, Nell

2012-01-01

Central Appalachian residents suffer disproportionate health disparities, including an all-cancer mortality rate 17% higher than the general population. During 10 focus groups and 19 key informant interviews, 91 Appalachian residents identified cancer screening challenges and strategies. Challenges included: (1) inadequate awareness of screening need; (2) insufficient access to screening; and (3) lack of privacy. Strategies included (1) witnessing/storytelling; (2) capitalizing on family history; (3) improving publicity about screening resources; (4) relying on lay health advisors; and (5) bundling preventive services. These insights shaped our CBPR intervention and offer strategies to others working in Appalachia, rural locales, and other traditionally underserved communities. PMID:22143486

Community strategies to address cancer disparities in Appalachian Kentucky.

PubMed

Schoenberg, Nancy E; Howell, Britteny M; Fields, Nell

2012-01-01

Central Appalachian residents suffer disproportionate health disparities, including an all-cancer mortality rate 17% higher than the general population. During 10 focus groups and 19 key informant interviews, 91 Appalachian residents identified cancer screening challenges and strategies. Challenges included (1) inadequate awareness of screening need, (2) insufficient access to screening, and (3) lack of privacy. Strategies included (1) witnessing/storytelling, (2) capitalizing on family history, (3) improving publicity about screening resources, (4) relying on lay health advisors, and (5) bundling preventive services. These insights shaped our community-based participatory research intervention and offered strategies to others working in Appalachia, rural locales, and other traditionally underserved communities.

Identifying Context Variables in Research.

ERIC Educational Resources Information Center

Piazza, Carolyn L.

1987-01-01

Identifies context variables in written composition from theoretical perspectives in cognitive psychology, sociology, and anthropology. Considers how multiple views of context from across the disciplines can build toward a broader definition of writing. (JD)

Framework for Computer Assisted Instruction Courseware: A Case Study.

ERIC Educational Resources Information Center

Betlach, Judith A.

1987-01-01

Systematically investigates, defines, and organizes variables related to production of internally designed and implemented computer assisted instruction (CAI) courseware: special needs of users; costs; identification and definition of realistic training needs; CAI definition and design methodology; hardware and software requirements; and general…

High prevalence of the metabolic syndrome in HIV-infected patients: impact of different definitions of the metabolic syndrome.

PubMed

Worm, Signe W; Friis-Møller, Nina; Bruyand, Mathias; D'Arminio Monforte, Antonella; Rickenbach, Martin; Reiss, Peter; El-Sadr, Wafaa; Phillips, Andrew; Lundgren, Jens; Sabin, Caroline

2010-01-28

This study describes the characteristics of the metabolic syndrome in HIV-positive patients in the Data Collection on Adverse Events of Anti-HIV Drugs study and discusses the impact of different methodological approaches on estimates of the prevalence of metabolic syndrome over time. We described the prevalence of the metabolic syndrome in patients under follow-up at the end of six calendar periods from 2000 to 2007. The definition that was used for the metabolic syndrome was modified to take account of the use of lipid-lowering and antihypertensive medication, measurement variability and missing values, and assessed the impact of these modifications on the estimated prevalence. For all definitions considered, there was an increasing prevalence of the metabolic syndrome over time, although the prevalence estimates themselves varied widely. Using our primary definition, we found an increase in prevalence from 19.4% in 2000/2001 to 41.6% in 2006/2007. Modification of the definition to incorporate antihypertensive and lipid-lowering medication had relatively little impact on the prevalence estimates, as did modification to allow for missing data. In contrast, modification to allow the metabolic syndrome to be reversible and to allow for measurement variability lowered prevalence estimates substantially. The prevalence of the metabolic syndrome in cohort studies is largely based on the use of nonstandardized measurements as they are captured in daily clinical care. As a result, bias is easily introduced, particularly when measurements are both highly variable and may be missing. We suggest that the prevalence of the metabolic syndrome in cohort studies should be based on two consecutive measurements of the laboratory components in the syndrome definition.

Influence of ROI definition on the heart-to-mediastinum ratio in planar 123I-MIBG imaging.

PubMed

Klene, Christiane; Jungen, Christiane; Okuda, Koichi; Kobayashi, Yuske; Helberg, Annabelle; Mester, Janos; Meyer, Christian; Nakajima, Kenichi

2018-02-01

Iodine-123-metaiodobenzylguanidine ( 123 I-MIBG) imaging with estimation of the heart-to-mediastinum ratio (HMR) has been established for risk assessment in patients with chronic heart failure. Our aim was to evaluate the effect of different methods of ROI definition on the renderability of HMR to normal or decreased sympathetic innervation. The results of three different methods of ROI definition (clinical routine (CLI), simple standardization (STA), and semi-automated (AUT) were compared. Ranges of 95% limits of agreement (LoA) of inter-observer variabilities were 0.28 and 0.13 for STA and AUT, respectively. Considering a HMR of 1.60 as the lower limit of normal, 13 of 32 (41%) for method STA and 5 of 32 (16%) for method AUT of all HMR measurements could not be classified to normal or pathologic. Ranges of 95% LoA of inter-method variabilities were 0.72 for CLI vs AUT, 0.65 for CLI vs STA, and 0.31 for STA vs AUT. Different methods of ROI definition result in different ranges of the LoA of the measured HMR with relevance for rendering the results to normal or pathological innervation. We could demonstrate that standardized protocols can help keep methodological variabilities limited, narrowing the gray zone of renderability.

12 CFR 619.9340 - Variable interest rate.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Variable interest rate. 619.9340 Section 619.9340 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM DEFINITIONS § 619.9340 Variable interest rate. An interest rate on the outstanding loan balances, which may be changed from time to time...

30 CFR 74.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Definitions. 74.2 Section 74.2 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH COAL MINE... consensus standards used worldwide. (f) Precision: the relative variability of measurements from a...

Personality and Situation in the Prediction of Women's Life Patterns.

ERIC Educational Resources Information Center

Stewart, Abigail J.

1980-01-01

Marriage, achievement need, children and self-definition predicted negative career persistence and career activity patterns in some family situations. Self-definition was associated with professional career activity among unconstrained women, but with freelance activity among married mothers. Personality variables may predict behavior within broad…

Multivariate localization methods for ensemble Kalman filtering

NASA Astrophysics Data System (ADS)

Roh, S.; Jun, M.; Szunyogh, I.; Genton, M. G.

2015-05-01

In ensemble Kalman filtering (EnKF), the small number of ensemble members that is feasible to use in a practical data assimilation application leads to sampling variability of the estimates of the background error covariances. The standard approach to reducing the effects of this sampling variability, which has also been found to be highly efficient in improving the performance of EnKF, is the localization of the estimates of the covariances. One family of localization techniques is based on taking the Schur (entry-wise) product of the ensemble-based sample covariance matrix and a correlation matrix whose entries are obtained by the discretization of a distance-dependent correlation function. While the proper definition of the localization function for a single state variable has been extensively investigated, a rigorous definition of the localization function for multiple state variables has been seldom considered. This paper introduces two strategies for the construction of localization functions for multiple state variables. The proposed localization functions are tested by assimilating simulated observations experiments into the bivariate Lorenz 95 model with their help.

Definition of a 5-MW Reference Wind Turbine for Offshore System Development

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jonkman, J.; Butterfield, S.; Musial, W.

2009-02-01

This report describes a three-bladed, upwind, variable-speed, variable blade-pitch-to-feather-controlled multimegawatt wind turbine model developed by NREL to support concept studies aimed at assessing offshore wind technology.

p-adic stochastic hidden variable model

NASA Astrophysics Data System (ADS)

Khrennikov, Andrew

1998-03-01

We propose stochastic hidden variables model in which hidden variables have a p-adic probability distribution ρ(λ) and at the same time conditional probabilistic distributions P(U,λ), U=A,A',B,B', are ordinary probabilities defined on the basis of the Kolmogorov measure-theoretical axiomatics. A frequency definition of p-adic probability is quite similar to the ordinary frequency definition of probability. p-adic frequency probability is defined as the limit of relative frequencies νn but in the p-adic metric. We study a model with p-adic stochastics on the level of the hidden variables description. But, of course, responses of macroapparatuses have to be described by ordinary stochastics. Thus our model describes a mixture of p-adic stochastics of the microworld and ordinary stochastics of macroapparatuses. In this model probabilities for physical observables are the ordinary probabilities. At the same time Bell's inequality is violated.

Early variability in the conceptualisation of "sustainable development and human factors".

PubMed

Thatcher, Andrew

2012-01-01

The sub-discipline of "sustainable development and human factors" is relatively new, first being used in 2006 with a Technical Committee of the IEA being established only in 2009 and a similar special interest group on "green ergonomics" at the Institute of Ergonomics and Human Factors being established in 2010. In general though, the definitions and practice of "sustainable development" is highly contentious and ambiguous across a range of disciplines. This paper examines the diversity of definitions and approaches to sustainable development and human factors in the early papers in this sub-discipline. An examination of 45 chapters and papers (from 2008 to 2011) reveals a surprising consistency in the definitions used for sustainable development but also a large proportion of the papers where no definitions are given at all. The majority of papers were, however, biased towards an economic capital and social capital emphasis, which is to be expected of work traditionally in the ergonomics paradigm. Further, most papers were theoretical in nature demonstrating a great opportunity for empirical work. The variability in definitions is discussed in relation to the future challenges facing the growth of this emergent sub-discipline and opportunities for further theoretical and empirical work.

The Use of Race-Related Variables in Counseling Research

ERIC Educational Resources Information Center

Strom, Thad Q.; Lee, D. John; Trahan, Emily; Kaufman, Aimee; Pritchett, Tiffany

2009-01-01

This study provides a detailed analysis of all race-related articles published in prominent counseling journals between 1995 and 2004. Findings indicate that 75% of articles did not define race variables and in the absence of an operational definition, authors tended to conceptualize race as an inherent biological variable. (Contains 3 tables.)

Temporal Variability in the Deglutition Literature

PubMed Central

Molfenter, Sonja M.; Steele, Catriona M.

2013-01-01

A literature review was conducted on temporal measures of swallowing in healthy individuals with the purpose of determining the degree of variability present in such measures within the literature. A total of 46 studies that met inclusion criteria were reviewed. The definitions and descriptive statistics for all reported temporal parameters were compiled for meta-analysis. In total, 119 different temporal parameters were found in the literature. The three most-frequently occurring durational measures were: UES opening, laryngeal closure and hyoid movement. The three most-frequently occurring interval measures were: stage transition duration, pharyngeal transit time and duration from laryngeal closure to UES opening. Subtle variations in operational definitions across studies were noted, making the comparison of data challenging. Analysis of forest plots compiling descriptive statistical data (means and 95% confidence intervals) across studies revealed differing degrees of variability across durations and intervals. Two parameters (UES opening duration and the laryngeal-closure-to-UES-opening interval) demonstrated the least variability, reflected by small ranges for mean values and tight confidence intervals. Trends emerged for factors of bolus size and participant age for some variables. Other potential sources of variability are discussed. PMID:22366761

Consensus Based Definition of Growth Restriction in the Newborn.

PubMed

Beune, Irene M; Bloomfield, Frank H; Ganzevoort, Wessel; Embleton, Nicholas D; Rozance, Paul J; van Wassenaer-Leemhuis, Aleid G; Wynia, Klaske; Gordijn, Sanne J

2018-05-01

To develop a consensus definition of growth restriction in the newborn that can be used clinically to identify newborn infants at risk and in research to harmonize reporting and definition in the current absence of a gold standard. An international panel of pediatric leaders in the field of neonatal growth were invited to participate in an electronic Delphi procedure using standardized methods and predefined consensus rules. Responses were fed back at group-level and the list of participants was provided. Nonresponders were excluded from subsequent rounds. In the first round, variables were scored on a 5-point Likert scale; in subsequent rounds, inclusion of variables and cut-offs were determined with a 70% level of agreement. In the final round participants selected the ultimate algorithm. In total, 57 experts participated in the first round; 79% completed the procedure. Consensus was reached on the following definition: birth weight less than the third percentile, or 3 out of the following: birth weight <10th percentile; head circumference <10th percentile; length <10th percentile; prenatal diagnosis of fetal growth restriction; and maternal pregnancy information. Consensus was reached on a definition for growth restriction in the newborn. This definition recognizes that infants with birth weights <10th percentile may not be growth restricted and that infants with birth weights >10th percentile can be growth restricted. This definition can be adopted in clinical practice and in clinical trials to better focus on newborns at risk, and is complementary to the previously determined definition of fetal growth restriction. Copyright © 2017 Elsevier Inc. All rights reserved.

The definition of polytrauma revisited: An international consensus process and proposal of the new 'Berlin definition'

PubMed

Pape, Hans-Christoph; Lefering, Rolf; Butcher, Nerida; Peitzman, Andrew; Leenen, Luke; Marzi, Ingo; Lichte, Philip; Josten, Christoph; Bouillon, Bertil; Schmucker, Uli; Stahel, Philip; Giannoudis, Peter; Balogh, Zsolt

2014-11-01

The nomenclature for patients with multiple injuries with high mortality rates is highly variable, and there is a lack of a uniform definition of the term polytrauma. A consensus process was therefore initiated by a panel of international experts with the goal of assessing an improved, database-supported definition for the polytraumatized patient. The consensus process involved the following: RESULTS: A total of 28,211 patients in the trauma registry met the inclusion criteria. The mean (SD) age of the study cohort was 42.9 (20.2) years (72% males, 28% females). The mean (SD) ISS was 30.5 (12.2), with an overall mortality rate of 18.7% (n = 5,277) and an incidence of 3% of penetrating injuries (n = 886). Five independent physiologic variables were identified, and their individual cutoff values were calculated based on a set mortality rate of 30%: hypotension (systolic blood pressure ≤ 90 mm Hg), level of consciousness (Glasgow Coma Scale [GCS] score ≤ 8), acidosis (base excess ≤ -6.0), coagulopathy (international normalized ratio ≥ 1.4/partial thromboplastin time ≥ 40 seconds), and age (≥70 years). Based on several consensus meetings and a database analysis, the expert panel proposes the following parameters for a definition of "polytrauma": significant injuries of three or more points in two or more different anatomic AIS regions in conjunction with one or more additional variables from the five physiologic parameters. Further validation of this proposal should occur, favorably by mutivariate analyses of these parameters in a separate data set.

23 CFR 1340.3 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-04-01

... OBSERVATIONAL SURVEYS OF SEAT BELT USE General § 1340.3 Definitions. As used in this part— Access ramp means the... general public are not allowed to drive motor vehicles. Nonresponse rate means, for any survey variable... location where survey data are collected. Passenger motor vehicle means a motor vehicle with a gross...

23 CFR 1340.3 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-04-01

... OBSERVATIONAL SURVEYS OF SEAT BELT USE General § 1340.3 Definitions. As used in this part— Access ramp means the... general public are not allowed to drive motor vehicles. Nonresponse rate means, for any survey variable... location where survey data are collected. Passenger motor vehicle means a motor vehicle with a gross...

23 CFR 1340.3 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-04-01

... OBSERVATIONAL SURVEYS OF SEAT BELT USE General § 1340.3 Definitions. As used in this part— Access ramp means the... general public are not allowed to drive motor vehicles. Nonresponse rate means, for any survey variable... location where survey data are collected. Passenger motor vehicle means a motor vehicle with a gross...

40 CFR 799.9620 - TSCA neurotoxicity screening battery.

Code of Federal Regulations, 2011 CFR

2011-07-01

... address in paragraph (g) of this section. (c) Definitions. The following definitions apply to this section... facilitate interpretation of the data. (C) Additional measures. Other measures may also be included and the.... Among the variables which can affect motor activity are sound level, size and shape of the test cage...

40 CFR 799.9620 - TSCA neurotoxicity screening battery.

Code of Federal Regulations, 2010 CFR

2010-07-01

... address in paragraph (g) of this section. (c) Definitions. The following definitions apply to this section... facilitate interpretation of the data. (C) Additional measures. Other measures may also be included and the.... Among the variables which can affect motor activity are sound level, size and shape of the test cage...

Univariate Analysis of Multivariate Outcomes in Educational Psychology.

ERIC Educational Resources Information Center

Hubble, L. M.

1984-01-01

The author examined the prevalence of multiple operational definitions of outcome constructs and an estimate of the incidence of Type I error rates when univariate procedures were applied to multiple variables in educational psychology. Multiple operational definitions of constructs were advocated and wider use of multivariate analysis was…

Improved prediction of disturbed flow via hemodynamically-inspired geometric variables.

PubMed

Bijari, Payam B; Antiga, Luca; Gallo, Diego; Wasserman, Bruce A; Steinman, David A

2012-06-01

Arterial geometry has long been considered as a pragmatic alternative for inferring arterial flow disturbances, and their impact on the natural history and treatment of vascular diseases. Traditionally, definition of geometric variables is based on convenient shape descriptors, with only superficial consideration of their influence on flow and wall shear stress patterns. In the present study we demonstrate that a more studied consideration of the actual (cf. nominal) local hemodynamics can lead to substantial improvements in the prediction of disturbed flow by geometry. Starting from a well-characterized computational fluid dynamics (CFD) dataset of 50 normal carotid bifurcations, we observed that disturbed flow tended to be confined proximal to the flow divider, whereas geometric variables previously shown to be significant predictors of disturbed flow included features distal to the flow divider in their definitions. Flaring of the bifurcation leading to flow separation was redefined as the maximum relative expansion of the common carotid artery (CCA), proximal to the flow divider. The beneficial effect of primary curvature on flow inertia, via suppression of flow separation, was characterized by the in-plane tortuosity of CCA as it enters the flare region. Multiple linear regressions of these redefined geometric variables against various metrics of disturbed flow revealed R(2) values approaching 0.6, better than the roughly 0.3 achieved using the conventional shape-based variables, while maintaining their demonstrated real-world reproducibility. Such a hemodynamically-inspired approach to the definition of geometric variables may reap benefits for other applications where geometry is used as a surrogate marker of local hemodynamics. Copyright © 2012 Elsevier Ltd. All rights reserved.

Association between Breastfeeding and Childhood Obesity: Analysis of a Linked Longitudinal Study of Rural Appalachian Fifth-Grade Children.

PubMed

Umer, Amna; Hamilton, Candice; Britton, Cris M; Mullett, Martha D; John, Collin; Neal, William; Lilly, Christa L

2015-08-01

Although breastfeeding is associated with improving numerous health outcomes for the child, its role in reducing childhood obesity is contested. Despite this controversy, both the CDC and the US Department of Health and Human Services promote breastfeeding as one of the strategies for reducing childhood obesity. Rural Appalachia has one of the highest rates of childhood obesity and low rates of breastfeeding, compared to rest of the nation. The aim of this study was to examine the association between breastfeeding and childhood obesity at 11 years in the rural Appalachian state of West Virginia (WV). The study used linked data from two cross-sectional data sets to examine this relationship longitudinally in fifth-grade WV children. The main outcome variable was BMI adjusted percent (BMI%) and the main exposure was defined as occurrence of breastfeeding. Mean BMI% of children who were not breastfed was significantly higher, compared to children who were breastfed. The result of the multiple regression analysis showed that breastfeeding significantly predicted BMI% of children after controlling for maternal education, health insurance, family history of hypercholesterolemia and diabetes, child's asthma status, and birth weight of the infant. Our results are consistent with other studies that have shown a significant, but small, inverse association between breastfeeding and childhood obesity. Findings from this study suggest the need to improve breastfeeding rates in the rural Appalachian state of WV as one of the potential strategies to prevent obesity during childhood and adolescence.

Responsiveness of measures of heartburn improvement in non-erosive reflux disease

PubMed Central

Junghard, Ola; Halling, Katarina

2007-01-01

Background When measuring treatment effect on symptoms, the treatment success variable should be as responsive as possible. The aim of the study was to investigate the responsiveness of various treatment success variables in patients with symptoms of heartburn. Methods A total of 1640 patients with non-erosive reflux disease (NERD) were treated with proton pump inhibitors for 4 weeks. Treatment success variables were based on a symptom questionnaire (Gastrointestinal Symptom Rating Scale) and on investigator-assessed heartburn, measured at baseline and after 4 weeks of treatment. The rates of treatment success were compared with patients' perceived change in symptoms, assessed by the Overall Treatment Effect questionnaire. Results Generally, more stringent treatment success criteria (i.e., those demanding the better response) translated into more responsive treatment success variables. For example, the treatment success variable 'no heartburn' at 4 weeks was more responsive than the variable 'at most mild heartburn' at 4 weeks. Treatment success variables based on change from baseline to 4 weeks were, in general, less responsive than those based on the week 4 assessments only. Conclusion In patients with NERD, responsiveness varied among different treatment success definitions, with more demanding definitions (based on the 4-week assessment) giving better responsiveness. PMID:17562006

Resource targets for advanced underground coal extraction systems

NASA Technical Reports Server (NTRS)

Hoag, J. H.; Whipple, D. W.; Habib-Agahi, H.; Lavin, M. L.

1982-01-01

Resource targets appropriate for federal sponsorship of research and development of advanced underground coal mining systems are identified. A comprehensive examination of conventional and unconventional coals with particular attention to exceptionally thin and thick seams, steeply dipping beds, and multiple seam geometry was made. The results indicate that the resource of primary importance is flat lying bituminous coal of moderate thickness, under moderate cover, and located within the lower 48 states. Resources of secondary importance are the flat lying multiple seams and thin seams (especially those in Appalachia). Steeply dipping coals, abandoned pillars, and exceptionally thick western coals may be important in some regions of subregions, but the limited tonnage available places them in a position of tertiary importance.

Governmental standard drink definitions and low-risk alcohol consumption guidelines in 37 countries.

PubMed

Kalinowski, Agnieszka; Humphreys, Keith

2016-07-01

One of the challenges of international alcohol research and policy is the variability in and lack of knowledge of how governments in different nations define a standard drink and low-risk drinking. This study gathered such information from governmental agencies in 37 countries. A pool of 75 countries that might have definitions was created using World Health Organization (WHO) information and the authors' own judgement. Structured internet searches of relevant terms for each country were supplemented by efforts to contact government agencies directly and to consult with alcohol experts in the country. Most of the 75 national governments examined were not identified as having adopted a standard drink definition. Among the 37 that were so identified, the modal standard drink size was 10 g pure ethanol, but variation was wide (8-20 g). Significant variability was also evident for low-risk drinking guidelines, ranging from 10-42 g per day for women and 10-56 g per day for men to 98-140 g per week for women and 150-280 g per week for men. Researchers working and communicating across national boundaries should be sensitive to the substantial variability in 'standard' drink definitions and low-risk drinking guidelines. The potential impact of guidelines, both in general and in specific national cases, remains an important question for public health research. © 2016 Society for the Study of Addiction.

Variability in target delineation of cervical carcinoma: A Korean radiation oncology group study (KROG 15-06)

PubMed Central

Joo, Ji Hyeon; Cho, Byung Chul; Jeong, Chi Young; Park, Won; Kim, Hak Jae; Yoon, Won Sup; Yoon, Mee Sun; Kim, Ji-Yoon; Choi, Jin Hwa; Choi, Youngmin; Kim, Joo-Young

2017-01-01

Purpose To determine inter-observer variability in target volume definition of cervical cancer in radical and adjuvant radiotherapy (RT) settings. Methods Eight physicians contoured CTVs of 2 patients underwent definitive and postoperative RT. Each volume was analyzed using the individual/median volume ratio and generalized conformity index (CIgen). And center of mass (COM) of each contour was calculated. Expert agreement was quantified using an expectation maximization algorithm for Simultaneous Truth and Performance Level Estimation (STAPLE). Results For definitive RT, the individual/median volume ratio ranged from 0.51 to 1.41, and CIgen was 0.531. Mean 3-dimensional distances of average to each COM were 7.8 mm. For postoperative RT setting, corresponding values were 0.65–1.38, 0.563, and 5.3 mm. Kappa value of expert agreement was 0.65 and 0.67, respectively. STAPLE estimates of the sensitivity, specificity, and kappa measures of inter-physician agreement were 0.73, 0.98, and 0.65 for the definitive and 0.75, 0.98, and 0.67 for the adjuvant radiotherapy setting. The largest difference was observed in the superior-inferior direction, particularly in the upper vagina and the common iliac area. Conclusion As there was still some variability in target delineation, more detailed guidelines for target volume delineation and continuing education would help to reduce this uncertainty. PMID:28301492

A DEFINITION OF CURIOSITY, A FACTOR ANALYSIS STUDY.

ERIC Educational Resources Information Center

MAW, WALLACE H.

AN INVESTIGATION WAS CONDUCTED TO DETERMINE A DEFINITION OF CURIOSITY THAT WOULD HELP IDENTIFY PERSONALITY PATTERNS OF CHILDREN WHO ARE MOST LIKELY TO BE EITHER HIGH OR LOW IN CURIOSITY. DATA COLLECTED IN EARLIER STUDIES WERE FACTOR ANALYZED TO IDENTIFY THE PERSONAL AND SOCIAL VARIABLES THAT DIFFERENTIATE CHILDREN HIGH IN CURIOSITY FROM THOSE LOW…

Exclusion of Patients with a Severe T-Cell Defect Improves the Definition of Common Variable Immunodeficiency.

PubMed

Bertinchamp, Rémi; Gérard, Laurence; Boutboul, David; Malphettes, Marion; Fieschi, Claire; Oksenhendler, Eric

In 2014, the European Society for Immune Deficiencies (ESID) revised the common variable immunodeficiency (CVID) diagnosis criteria by incorporating new clinical and biological markers. The new definition appeared more restrictive but had not yet been evaluated in a large cohort of patients. The objective of this study was to evaluate the impact of this new definition in a large cohort of patients with primary hypogammaglobulinemia. Evaluation of 3 different CVID definitions (ESID/Pan-American Group for Immunodeficiency [PAGID] 1999, ESID 2014, DEFI 2015) in 521 patients included in the French DEFI study with a diagnosis of primary hypogammaglobulinemia. Using the ESID/PAGID 1999 definition, 351 patients were classified as CVID. The new ESID 2014 definition excluded 62 (18%) patients. Most of them (n = 56; 90%) had a less severe disease, whereas 6 (10%) presented with a severe disease with major T-cell defect. We propose different criteria (occurrence of opportunistic infection or very low naive CD4+ T-cell count) to define this population with severe T-cell defect. Sixty-two patients fulfilled these criteria, represented 20% of the initial CVID population but accounted for 77% of the deaths, with a 5-year overall survival of 67.6% (95% confidence interval, 51.0-79.6), and were considered as late onset combined immunodeficiency (LOCID). The new ESID definition for CVID still fails to exclude a large number of patients with severe T-cell defect. We propose a new definition (DEFI 2015) that excluded more patients with a T-cell defect and consider these patients as LOCID. This population has a poor outcome and should be considered as a distinct group requiring specific care. Copyright © 2016 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

Reliability and validity of four alternative definitions of rapid-cycling bipolar disorder.

PubMed

Maj, M; Pirozzi, R; Formicola, A M; Tortorella, A

1999-09-01

This study tested the reliability and validity of four definitions of rapid cycling. Two trained psychiatrists, using the Schedule for Affective Disorders and Schizophrenia, independently assessed 210 patients with bipolar disorder. They checked whether each patient met four definitions of rapid cycling: one consistent with DSM-IV criteria, one waiving criteria for duration of affective episodes, one waiving such criteria and requiring at least one switch from mania to depression or vice versa during the reference year, and one waiving duration criteria and requiring at least 8 weeks of fully symptomatic affective illness during the reference year. The interrater reliability was calculated by Cohen's kappa statistic. Patients who met each definition according to both psychiatrists were compared to those who did not meet any definition (nonrapid-cycling group) on demographic and clinical variables. All patients were followed up for 1 year. Kappa values were 0.93, 0.73, 0.75, and 0.80, respectively, for the four definitions of rapid cycling. The groups meeting the second and third definitions included significantly more female and bipolar II patients than did the nonrapid-cycling group. Those two groups also had the lowest proportion of patients with a favorable lithium prophylaxis outcome and the highest stability of the rapid-cycling pattern on follow-up. The four groups of rapid-cycling patients did not differ significantly among themselves on any of the assessed variables. The expression "rapid cycling" encompasses a spectrum of conditions. The DSM-IV definition, although quite reliable, covers only part of this spectrum, and the conditions that are excluded are very typical in terms of key validators and are relatively stable over time.

Community as classroom: teaching and learning public health in rural Appalachia.

PubMed

Florence, James; Behringer, Bruce

2011-01-01

Traditional models for public health professional education tend to be didactic, with brief, discrete practica appended. National reports of both practitioners and academicians have called for more competency-driven, interdisciplinary-focused, community-based, service-oriented, and experientially-guided learning for students across the curriculum. East Tennessee State University began its own curricular revisioning in health professions education nearly 2 decades ago with a grant from the W.K. Kellogg Foundation, emphasizing competencies development through community-based learning in community-academic partnerships. This article describes 3 examples that grew from that initiative. In the first example, students in multiple classes delivered a longitudinal community-based employee wellness intervention for a rural county school district. BS public health students conducted needs assessments and prepared health education materials; MPH students conducted health assessments and worked with school wellness councils to deliver client-centered interventions; DrPH students supervised the project and provided feedback to the schools using participatory methods. In the second example, MPH students in a social-behavioral foundations course used experiential learning to investigate the region's elevated cancer mortality ranking. Following meetings with multiple community groups, students employed theoretical constructs to frame regional beliefs about cancer and presented findings to community leaders. One outcome was a 5-year community-based participatory research study of cancer in rural Appalachia. In the third example, MPH students in a health-consulting course assessed local African Americans' awareness of the university's health and education programs and perceptions of their community health issues. Students learned consultation methods by assisting at multiple regional African American community meetings to discover issues and interest that resulted in the organization of a regional African American health coalition, multiple community health interventions, and the region's first health disparities summit. Lessons learned are presented which identify key elements of success and factors that influence adoption of community-based teaching and learning in public health.

One Decade Later: Trends and Disparities in the Application of Post-Mastectomy Radiotherapy Since the Release of the American Society of Clinical Oncology Clinical Practice Guidelines

DOE Office of Scientific and Technical Information (OSTI.GOV)

Dragun, Anthony E., E-mail: aedrag01@louisville.edu; Huang, Bin; Divison of Cancer Biostatistics, College of Public Health, University of Kentucky, Lexington, KY

2012-08-01

Purpose: In 2001 ASCO published practice guidelines for post mastectomy radiotherapy (PMRT). We analyzed factors that influence the receipt of radiotherapy therapy and trends over time. Methods and Materials: We analyzed 8889 women who underwent mastectomy as primary surgical treatment for stage II or III breast cancer between 1995 and 2008 using data from the Kentucky Cancer Registry. We categorized patients according to ASCO group: group 1, PMRT not routinely recommended (T2, N0); group 2, PMRT controversial/evidence insufficient (T1-2, N1); group 3, PMRT recommended or suggested (T3-4 or N2-3). Probability of receiving PMRT was assessed using logistic regression. Results: Overall,more » 24.0% of women received PMRT over the study period. The rates of PMRT for group 1, 2, and 3 were 7.5%, 19.5%, and 47.3%, respectively. Since 2001, there was an increase in the use of PMRT (from 21.1%-26.5%, P<.0001), which occurred mainly among group 3 members (from 40.8%-51.2%, P<.0001). The average rate remained constant in group 1 (from 7.1%-7.4%, P=.266) and decreased in group 2 (from 20.0%-18.1%, P<.0001). On multivariate analysis, the rate of PMRT was significantly lower for women aged >70 years (vs. younger), rural Appalachia (vs. non-Appalachia) populations, and Medicaid (vs. privately insured) patients. Conclusions: ASCO guidelines have influenced practice in an underserved state; however PMRT remains underused, even for highest-risk patients. Barriers exist for elderly, rural and poor patients, which independently predict for lack of adequate care. Updated guidelines are needed to clarify the use of PMRT for patients with T1-2, N1 disease.« less

Developing a coordinated school health approach to child obesity prevention in rural Appalachia: results of focus groups with teachers, parents, and students.

PubMed

Schetzina, Karen E; Dalton, William T; Lowe, Elizabeth F; Azzazy, Nora; Vonwerssowetz, Katrina M; Givens, Connie; Stern, Harold P

2009-01-01

High prevalence rates of obesity, particularly among those residing in US rural areas, and associated physical and psychosocial health consequences, direct attention to the need for effective prevention programs. The current study describes an initial step in developing a school-based obesity prevention program in rural Appalachia, USA. The program, modeled on the Centers for Disease Control and Prevention Coordinated School Health (CSH) Program, includes a community-based participatory research approach to addressing the health needs specific to this region. Focus groups with teachers, parents, and 4th grade students were used to understand perceptions and school policy related to nutrition, physical activity, and the role of the school in obesity prevention. Results revealed that these community stakeholders were concerned about the problem of child obesity and supported the idea of their school doing more to improve the diet and physical activity of its students. Specifically, all groups thought that foods and drinks consumed by students at school should be healthier and that they should have more opportunities for physical activity. However, they cited limitations of the school environment, academic pressures, and lack of parental support as potential barriers to making such changes. Parents were most concerned that their children were not getting enough to eat and they and the teachers were not in favor of BMI screening at the school. Parents were in favor of increasing physical activity during school and thought that parent volunteers should help students select foods in the cafeteria. Students cited examples of how diet and physical activity affect their health and school performance, and thought that they should have more physical education time and recess. The data collected in the current study contributed to the limited knowledge base regarding rural populations as well as identified strengths and potential barriers to assist with the development of a pilot program based on the CSH model, Winning with Wellness.

Does decompression of odontogenic cysts and cystlike lesions change the histologic diagnosis?

PubMed

Schlieve, Thomas; Miloro, Michael; Kolokythas, Antonia

2014-06-01

The purpose of this study was to report the histopathologic findings after postdecompression definitive treatment of odontogenic cystlike lesions and determine whether the diagnosis was consistent with the pretreatment diagnosis, thereby answering the clinical question: does decompression change the histologic diagnosis? The authors implemented a retrospective cohort study from a sample of patients diagnosed with a benign odontogenic cystlike lesion and who underwent decompression followed by definitive surgery as part of their treatment. The predictor variable was treatment by decompression and the dependent variable was change in histologic diagnosis. Age, gender, and lesion location were included as variables. The χ(2) test was used for statistical analysis of the categorical data and P values less than .05 were considered statistically significant. Twenty-five cysts and cystlike lesions in 25 patients were treated with decompression followed by enucleation and curettage. The mean age was 34 years (range, 13 to 80 yr) and 56% (14) were male patients. Lesions were located in the mandible in 76% (19 of 25) of patients. Postdecompression histologic examination at the time of definitive surgical treatment was consistent with the preoperative biopsy diagnosis in 91% (10 of 11) of keratocystic odontogenic tumors, 67% (2 of 3) of glandular odontogenic cysts, 75% (3 of 4) of dentigerous cysts, and 100% (7 of 7) of cystic ameloblastomas. The histologic diagnosis at time of definitive treatment by enucleation and curettage is consistent with the predecompression diagnosis. Therefore, all lesions should be definitively treated after decompression based on the initial lesion diagnosis, with all patients placed on appropriate follow-up protocols. Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. All rights reserved.

Multivariate localization methods for ensemble Kalman filtering

NASA Astrophysics Data System (ADS)

Roh, S.; Jun, M.; Szunyogh, I.; Genton, M. G.

2015-12-01

In ensemble Kalman filtering (EnKF), the small number of ensemble members that is feasible to use in a practical data assimilation application leads to sampling variability of the estimates of the background error covariances. The standard approach to reducing the effects of this sampling variability, which has also been found to be highly efficient in improving the performance of EnKF, is the localization of the estimates of the covariances. One family of localization techniques is based on taking the Schur (element-wise) product of the ensemble-based sample covariance matrix and a correlation matrix whose entries are obtained by the discretization of a distance-dependent correlation function. While the proper definition of the localization function for a single state variable has been extensively investigated, a rigorous definition of the localization function for multiple state variables that exist at the same locations has been seldom considered. This paper introduces two strategies for the construction of localization functions for multiple state variables. The proposed localization functions are tested by assimilating simulated observations experiments into the bivariate Lorenz 95 model with their help.

Critical discussion of evaluation parameters for inter-observer variability in target definition for radiation therapy.

PubMed

Fotina, I; Lütgendorf-Caucig, C; Stock, M; Pötter, R; Georg, D

2012-02-01

Inter-observer studies represent a valid method for the evaluation of target definition uncertainties and contouring guidelines. However, data from the literature do not yet give clear guidelines for reporting contouring variability. Thus, the purpose of this work was to compare and discuss various methods to determine variability on the basis of clinical cases and a literature review. In this study, 7 prostate and 8 lung cases were contoured on CT images by 8 experienced observers. Analysis of variability included descriptive statistics, calculation of overlap measures, and statistical measures of agreement. Cross tables with ratios and correlations were established for overlap parameters. It was shown that the minimal set of parameters to be reported should include at least one of three volume overlap measures (i.e., generalized conformity index, Jaccard coefficient, or conformation number). High correlation between these parameters and scatter of the results was observed. A combination of descriptive statistics, overlap measure, and statistical measure of agreement or reliability analysis is required to fully report the interrater variability in delineation.

"My child has a sleep problem": a cross-cultural comparison of parental definitions.

PubMed

Sadeh, Avi; Mindell, Jodi; Rivera, Luis

2011-05-01

Sleep problems are highly prevalent in early childhood. In many cases, parents seek professional help when they suspect their child suffers from a sleep problem. The aim of this study was to explore sleep, demographic and cultural factors associated with parental definition of child sleep problem in a large-scale, cross cultural study. Parents (or caregivers) of 29,287 infants and toddlers (aged 0-3 years) from 17 countries completed a questionnaire on their child's sleep patterns, sleep setting, and demographic variables. The results indicated that, in comparison to parents from predominantly Caucasian (PC) countries, parents from predominantly Asian (PA) countries were significantly more likely to identify a sleep problem in their children (26% vs 52% overall; 2% vs 17% "severe" sleep problem). Furthermore, whereas infant sleep variables were strong predictors of a sleep problem definition in PC countries, they were significantly less predictive in PA countries where demographic variables played a significant role. These results highlight the need to further explore the role of demographic and cultural variables in determining parental perception of a sleep problem, a perception that relates to help seeking professional treatment for infant sleep problems. Our findings also emphasize the need to educate parents about infant and toddler sleep and to provide parents information and screening tools to help them identify sleep problems in a more evidence-based approach. Copyright © 2011 Elsevier B.V. All rights reserved.

Variable & Recode Definitions - SEER Documentation

Cancer.gov

Resources that define variables and provide documentation for reporting using SEER and related datasets. Choose from SEER coding and staging manuals plus instructions for recoding behavior, site, stage, cause of death, insurance, and several additional topics. Also guidance on months survived, calculating Hispanic mortality, and site-specific surgery.

International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics.

PubMed

Goldstein, Brahm; Giroir, Brett; Randolph, Adrienne

2005-01-01

Although general definitions of the sepsis continuum have been published for adults, no such work has been done for the pediatric population. Physiologic and laboratory variables used to define the systemic inflammatory response syndrome (SIRS) and organ dysfunction require modification for the developmental stages of children. An international panel of 20 experts in sepsis and clinical research from five countries (Canada, France, Netherlands, United Kingdom, and United States) was convened to modify the published adult consensus definitions of infection, sepsis, severe sepsis, septic shock, and organ dysfunction for children. Consensus conference. This document describes the issues surrounding consensus on four major questions addressed at the meeting: a) How should the pediatric age groups affected by sepsis be delineated? b) What are the specific definitions of pediatric SIRS, infection, sepsis, severe sepsis, and septic shock? c) What are the specific definitions of pediatric organ failure and the validity of pediatric organ failure scores? d) What are the appropriate study populations and study end points required to successfully conduct clinical trials in pediatric sepsis? Five subgroups first met separately and then together to evaluate the following areas: signs and symptoms of sepsis, cell markers, cytokines, microbiological data, and coagulation variables. All conference participants approved the final draft of the proceedings of the meeting. Conference attendees modified the current criteria used to define SIRS and sepsis in adults to incorporate pediatric physiologic variables appropriate for the following subcategories of children: newborn, neonate, infant, child, and adolescent. In addition, the SIRS definition was modified so that either criteria for fever or white blood count had to be met. We also defined various organ dysfunction categories, severe sepsis, and septic shock specifically for children. Although no firm conclusion was made regarding a single appropriate study end point, a novel nonmortality end point, organ failure-free days, was considered optimal for pediatric clinical trials given the relatively low incidence of mortality in pediatric sepsis compared with adult populations. We modified the adult SIRS criteria for children. In addition, we revised definitions of severe sepsis and septic shock for the pediatric population. Our goal is for these first-generation pediatric definitions and criteria to facilitate the performance of successful clinical studies in children with sepsis.

Models, Definitions, and Outcome Variables of Action Learning: A Synthesis with Implications for HRD

ERIC Educational Resources Information Center

Chenhall, Everon C.; Chermack, Thomas J.

2010-01-01

Purpose: The purpose of this paper is to propose an integrated model of action learning based on an examination of four reviewed action learning models, definitions, and espoused outcomes. Design/methodology/approach: A clear articulation of the strengths and limitations of each model was essential to developing an integrated model, which could be…

A Systematic Literature Review of Engineering Identity: Definitions, Factors, and Interventions Affecting Development, and Means of Measurement

ERIC Educational Resources Information Center

Morelock, John R.

2017-01-01

Studies exploring what it means to be an engineer professionally have been conducted for decades, but have boomed in recent years. This systematic literature review aims to organise extant studies on engineering identity by coding around four key variables: (a) definitions of engineering identity, (b) factors affecting engineering identity…

Improving the consistency in cervical esophageal target volume definition by special training.

PubMed

Tai, Patricia; Van Dyk, Jake; Battista, Jerry; Yu, Edward; Stitt, Larry; Tonita, Jon; Agboola, Olusegun; Brierley, James; Dar, Rashid; Leighton, Christopher; Malone, Shawn; Strang, Barbara; Truong, Pauline; Videtic, Gregory; Wong, C Shun; Wong, Rebecca; Youssef, Youssef

2002-07-01

Three-dimensional conformal radiation therapy requires the precise definition of the target volume. Its potential benefits could be offset by the inconsistency in target definition by radiation oncologists. In a previous survey of radiation oncologists, a large degree of variation in target volume definition of cervical esophageal cancer was noted for the boost phase of radiotherapy. The present study evaluated whether special training could improve the consistency in target volume definitions. A pre-training survey was performed to establish baseline values. This was followed by a special one-on-one training session on treatment planning based on the RTOG 94-05 protocol to 12 radiation oncologists. Target volumes were redrawn immediately and at 1-2 months later. Post-training vs. pre-training target volumes were compared. There was less variability in the longitudinal positions of the target volumes post-training compared to pre-training (p < 0.05 in 5 of 6 comparisons). One case had more variability due to the lack of a visible gross tumor on CT scans. Transverse contours of target volumes did not show any significant difference pre- or post-training. For cervical esophageal cancer, this study suggests that special training on protocol guidelines may improve consistency in target volume definition. Explicit protocol directions are required for situations where the gross tumor is not easily visible on CT scans. This may be particularly important for multicenter clinical trials, to reduce the occurrences of protocol violations.

Variable thickness transient ground-water flow model. Volume 1. Formulation

DOE Office of Scientific and Technical Information (OSTI.GOV)

Reisenauer, A.E.

1979-12-01

Mathematical formulation for the variable thickness transient (VTT) model of an aquifer system is presented. The basic assumptions are described. Specific data requirements for the physical parameters are discussed. The boundary definitions and solution techniques of the numerical formulation of the system of equations are presented.

Sex-Role Ideology and the Aspirations of High School Girls

ERIC Educational Resources Information Center

Gaskell, Jane

1977-01-01

Variables specifically related to sex-role definitions in our society must be considered in accounting for the generally lower aspirations of women since after controlling the variables of social class and academic achievement, sex continues to make a difference in the aspiration levels of high school girls. (MJB)

Year of treatment as independent predictor of relapse-free survival in patients with localized prostate cancer treated with definitive radiotherapy in the PSA era.

PubMed

Kupelian, Patrick; Thames, Howard; Levy, Larry; Horwitz, Eric; Martinez, Alvaro; Michalski, Jeff; Pisansky, Thomas; Sandler, Howard; Shipley, William; Zelefsky, Michael; Zietman, Anthony; Kuban, Deborah

2005-11-01

To study the use of the year of therapy as an independent predictor of outcomes, serving as a proxy for time-related changes in therapy and tumor factors in the treatment of prostate cancer. Accounting for these changes would facilitate the retrospective comparison of outcomes for patients treated in different periods. Nine institutions combined data on 4,537 patients with Stages T1 and T2 adenocarcinoma of the prostate who had a pretherapy prostate-specific antigen (PSA) level and biopsy Gleason score, and who had received > or = 60 Gy external beam radiotherapy without neoadjuvant androgen deprivation or planned adjuvant androgen deprivation. All patients were treated between 1986 and 1995. Two groups were defined: those treated before 1993 (Yr < or = 92) vs. 1993 and after (Yr > or = 93). Patients treated before 1993 had their follow-up truncated to make the follow-up time similar to that for patients treated in 1993 and after. Therefore, the median follow-up time was 6.0 years for both groups (Yr < or = 92 and Yr > or = 93). Two separate biochemical failure endpoints were used. Definition A consisted of the American Society for Therapeutic Radiology Oncology endpoint (three PSA rises backdated, local failure, distant failure, or hormonal therapy). Definition B consisted of PSA level greater than the current nadir plus two, local failure, distant failure, or hormonal therapy administered. Multivariate analyses for factors affecting PSA disease-free survival (PSA-DFS) rates using both endpoints were performed for all cases using the following variables: T stage (T1b, T1c, T2a vs. T2b, T2c), pretreatment PSA (continuous variable), biopsy Gleason score (continuous variable), radiation dose (continuous variable), and year of treatment (continuous variable). The year variable (defined as the current year minus 1960) ranged from 26 to 35. To evaluate the effect of radiation dose, the multivariate analyses were repeated with the 3,897 cases who had received < 72 Gy using the same variables except for radiation dose. For all 4,537 patients, the 5- and 8-year PSA-DFS estimate using definition A (ASTRO consensus definition) was 60% and 55%, respectively. The 8-year PSA-DFS estimate for Yr < 93 vs. Yr > or = 93 was 52% vs. 57%, respectively (p < 0.001). In the subgroup of patients receiving < 72 Gy, the 8-year PSA-DFS estimate for Yr < 93 vs. Yr > or = 93 was 52% and 55%, respectively (p = 0.004). The differences in PSA-DFS rates in the different subgroups were similar when definition B was used. The multivariate analyses for all 4,537 cases with either PSA-DFS definition revealed T stage (p < 0.001), pretherapy PSA level (p < 0.001), Gleason score (p < 0.001), radiation dose (p < 0.001), and year of treatment (p < 0.001) to be independent predictors of outcomes. The multivariate analyses restricted to the 3,897 cases receiving < 72 Gy still revealed year of treatment to be an independent predictor of outcomes (p < 0.001), in addition to T stage (p < 0.001), pretherapy PSA level (p < 0.001), and Gleason score (p < 0.001). Independent of tumor stage, radiation dose, failure definition, and follow-up parameters, the year in which RT was performed was an independent predictor of outcomes. These findings indicate a more favorable presentation of localized prostate cancer in current years that is not necessarily reflected in the patients' PSA levels or Gleason scores. This phenomenon is probably related to a combination of factors, such as screening, increased patient awareness leading to earlier biopsies and earlier diagnosis, more aggressive pretherapy staging, and unrecognized improvements in therapy, but perhaps also to changing tumor biology. Outcomes predictions should be based on contemporaneous series. Alternatively, the year of therapy could be incorporated as a variable in outcomes analyses of localized prostate cancer patients treated in different periods within the PSA era.

Associations of physical activity and sedentary behaviour with metabolic syndrome in rural Australian adults.

PubMed

Mitchell, Braden L; Smith, Ashleigh E; Rowlands, Alex V; Parfitt, Gaynor; Dollman, James

2018-05-22

Associations between objectively measured sedentary behaviour, physical activity (PA) and metabolic syndrome (MetS)-classified using three different definitions were investigated in an inactive sample of rural Australian adults. Quantitative, cross-sectional. 171 adults (50.7±12.4years) from two rural South Australian regions underwent seven-day accelerometer activity monitoring and MetS classification using the National Cholesterol Education Program, the International Diabetes Federation and the Harmonized definitions. Associations between sedentary and activity variables and MetS (adjusted for age, sex, diet and smoking status) were modelled using logistic regression. In secondary modelling, associations of sedentary and activity outcomes for each MetS definition were assessed, adjusting for other activity and sedentary variables. Prediction differences across the definitions of MetS were directly compared using Akaike's Information Criterion. Sedentary behaviour increased MetS risk, whereas light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA) reduced MetS risk, irrespective of definition. In secondary models, LPA predicted MetS independently of MVPA and total sedentary time. Time spent in sedentary bouts (>30min) predicted MetS independently of MVPA and the number of sedentary bouts predicted MetS independently of LPA and MVPA. Prediction differences for MetS definitions failed to reach the critical threshold for difference (>10). This study highlights the importance of sedentary behaviour and LPA on the prevalence of MetS in an inactive sample of rural Australian adults. Studies assessing the efficacy of increasing LPA on MetS in this population are needed. Minimal predictive differences across the three MetS definitions suggest evidence from previous studies can be considered cumulative. Copyright © 2018 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

Use of Ancillary Carbapenemase Tests To Improve Specificity of Phenotypic Definitions for Carbapenemase-Producing Enterobacteriaceae.

PubMed

Miller, Shelley A; Hindler, Janet A; Chengcuenca, Angelo; Humphries, Romney M

2017-06-01

Carbapenemase-producing Enterobacteriaceae (CPE) are a significant threat to public health. In 2015, CDC revised the surveillance definition for CPE to include all Enterobacteriaceae resistant to any carbapenem tested. However, this definition is associated with poor specificity. We evaluated the performance of this definition, compared to carbapenemase PCR, for a collection of 125 Enterobacteriaceae We also investigated the impact of ancillary testing for carbapenemase of isolates that met the CDC CPE surveillance definition. The two ancillary tests evaluated were the Xpert Carba-R assay, a molecular test, and the carbapenem inactivation method (CIM). Two variables were evaluated for the CIM: suspension of organisms in double-distilled water (ddH 2 O) versus tryptic soy broth (TSB) to incubate disks, and incubation of plates for 6 h versus 18 to 20 h. The sensitivity and specificity of the Carba-R assay were 100% compared to the results of in-house PCR. The sensitivities of the CIM performed with TSB were 94.6% when read at 6 h and 97.7% when read at 18 to 20 h; the sensitivities with ddH 2 O were 88.0% when read at 6 h and 93.0% when incubated for 18 to 20 h. The specificity was 100% for all variables tested. Without ancillary testing, the sensitivity of the CDC definition was 98.9% for CPE, and the specificity was 6.1%. Testing isolates that screened positive by the CDC definition with the Xpert Carba-R did not change the sensitivity, and it improved the specificity to 100%. Similarly, the use of the CIM (TSB and 18 to 20 h of incubation) to confirm screen-positive isolates resulted in a sensitivity of 95.6% and specificity of 100%. Copyright © 2017 American Society for Microbiology.

Aircraft signal definition for flight safety system monitoring system

NASA Technical Reports Server (NTRS)

Gibbs, Michael (Inventor); Omen, Debi Van (Inventor)

2003-01-01

A system and method compares combinations of vehicle variable values against known combinations of potentially dangerous vehicle input signal values. Alarms and error messages are selectively generated based on such comparisons. An aircraft signal definition is provided to enable definition and monitoring of sets of aircraft input signals to customize such signals for different aircraft. The input signals are compared against known combinations of potentially dangerous values by operational software and hardware of a monitoring function. The aircraft signal definition is created using a text editor or custom application. A compiler receives the aircraft signal definition to generate a binary file that comprises the definition of all the input signals used by the monitoring function. The binary file also contains logic that specifies how the inputs are to be interpreted. The file is then loaded into the monitor function, where it is validated and used to continuously monitor the condition of the aircraft.

Highly variable population-based prevalence rates of unilateral hearing loss after the application of common case definitions.

PubMed

Ross, Danielle S; Visser, Susanna N; Holstrum, W June; Qin, Tielin; Kenneson, Aileen

2010-02-01

This study shows how population-based estimates of the prevalence of unilateral hearing loss (UHL) in children aged 6 to 19 yrs can differ considerably with various applications of commonly accepted case definitions. It also examines demographic variables and risk factors related to UHL. The Third National Health and Nutrition Examination Survey, conducted from 1988 to 1994, is a national population-based, cross-sectional survey. This study examined results of audiometric testing at 0.5 to 8 kHz and demographic data from in-person examination interviews. Three definitions of UHL were used: (1) 0.5, 1, and 2 kHz > or = 15 dB pure-tone average (PTA); (2) 0.5, 1, 2, and 4 kHz > or = 15 dB PTA; and (3) 0.5, 1, and 2 kHz > or = 20 dB or PTA >25 dB at two or more frequencies above 2 kHz (3, 4, 6, and 8 kHz). Case definitions 2 and 3 are not merely subsets of case definition 1. Some overlap exists between the groups, but each case definition classifies a proportion of children who fall uniquely under that case definition. Inclusion of participants based on tympanometry results (test of middle ear function) was also examined as were demographic characteristics and risk factors associated with UHL. Overall, the weighted proportion of children with UHL using case definition 1 was 6.3% (approximately 3,213,000 children nationally); using case definition 2, it was 5.8% (approximately 2,958,000 nationally); using case definition 3, it was 3.0% (approximately 1,530,000 nationally). For all three case definitions, children who failed tympanometry were at higher risk for UHL than children who passed. For case definition 2, children from rural areas were at higher risk for UHL than were children from urban areas. This study demonstrates that different applications of well-accepted case definitions of UHL can influence population-based prevalence estimates, in this study by as much as a factor of 2. These findings highlight the importance of controlling for tympanometry status as a risk factor in such estimates. Which demographic characteristics and risk factors are significantly associated with hearing loss seem to vary depending on the case definition. These findings have implications for the interpretation of prevalence rates and risk factors in the literature on hearing loss in general. Prevalence rate estimates require careful consideration of the case definition of hearing loss, tympanometry status, and demographic characteristics.

Some elements of a theory of multidimensional complex variables. I - General theory. II - Expansions of analytic functions and application to fluid flows

NASA Technical Reports Server (NTRS)

Martin, E. Dale

1989-01-01

The paper introduces a new theory of N-dimensional complex variables and analytic functions which, for N greater than 2, is both a direct generalization and a close analog of the theory of ordinary complex variables. The algebra in the present theory is a commutative ring, not a field. Functions of a three-dimensional variable were defined and the definition of the derivative then led to analytic functions.

Definition study for variable cycle engine testbed engine and associated test program

NASA Technical Reports Server (NTRS)

Vdoviak, J. W.

1978-01-01

The product/study double bypass variable cycle engine (VCE) was updated to incorporate recent improvements. The effect of these improvements on mission range and noise levels was determined. This engine design was then compared with current existing high-technology core engines in order to define a subscale testbed configuration that simulated many of the critical technology features of the product/study VCE. Detailed preliminary program plans were then developed for the design, fabrication, and static test of the selected testbed engine configuration. These plans included estimated costs and schedules for the detail design, fabrication and test of the testbed engine and the definition of a test program, test plan, schedule, instrumentation, and test stand requirements.

A survey to determine agreement regarding the definition of centric relation.

PubMed

Goldstein, Gary; Andrawis, Mark; Choi, Mijin; Wiens, Jonathan; Janal, Malvin N

2017-03-01

The definition of centric relation (CR) has been both controversial and divisive, with little consensus. The purpose of this study was to determine whether agreement can be reached on a definition for CR among the Fellows of the Academy of Prosthodontics, the organization that writes the Glossary of Prosthodontic Terms. A survey of the Fellows of the Academy of Prosthodontics was conducted at the organization's annual business meeting. Of the 83 eligible Fellows in attendance, 72 responded to the survey, a response rate of 86%. Of those, the 5 responders who did not indicate a preferred definition and the 2 that chose 2 definitions were censored, yielding an analyzable sample of 65 for the definitions. The most common definition received 19 votes, the next 16, and the third 13, with the other 6 definitions receiving from 2 to 5 votes. Some of the variability in definition depended on the era of training. Disagreement and confusion continues regarding the definition of centric relation. Some of this disagreement can be explained by training era. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Contemporary group estimates adjusted for climatic effects provide a finer definition of the unknown environmental challenges experienced by growing pigs.

PubMed

Guy, S Z Y; Li, L; Thomson, P C; Hermesch, S

2017-12-01

Environmental descriptors derived from mean performances of contemporary groups (CGs) are assumed to capture any known and unknown environmental challenges. The objective of this paper was to obtain a finer definition of the unknown challenges, by adjusting CG estimates for the known climatic effects of monthly maximum air temperature (MaxT), minimum air temperature (MinT) and monthly rainfall (Rain). As the unknown component could include infection challenges, these refined descriptors may help to better model varying responses of sire progeny to environmental infection challenges for the definition of disease resilience. Data were recorded from 1999 to 2013 at a piggery in south-east Queensland, Australia (n = 31,230). Firstly, CG estimates of average daily gain (ADG) and backfat (BF) were adjusted for MaxT, MinT and Rain, which were fitted as splines. In the models used to derive CG estimates for ADG, MaxT and MinT were significant variables. The models that contained these significant climatic variables had CG estimates with a lower variance compared to models without significant climatic variables. Variance component estimates were similar across all models, suggesting that these significant climatic variables accounted for some known environmental variation captured in CG estimates. No climatic variables were significant in the models used to derive the CG estimates for BF. These CG estimates were used to categorize environments. There was no observable sire by environment interaction (Sire×E) for ADG when using the environmental descriptors based on CG estimates on BF. For the environmental descriptors based on CG estimates of ADG, there was significant Sire×E only when MinT was included in the model (p = .01). Therefore, this new definition of the environment, preadjusted by MinT, increased the ability to detect Sire×E. While the unknown challenges captured in refined CG estimates need verification for infection challenges, this may provide a practical approach for the genetic improvement of disease resilience. © 2017 Blackwell Verlag GmbH.

Validating a pragmatic definition of shock in adult patients presenting to the ED.

PubMed

Li, Yan-ling; Chan, Cangel Pui-yee; Sin, King-keung; Chan, Stewart S W; Lin, Pei-yi; Chen, Xiao-hui; Smith, Brendan E; Joynt, Gavin M; Graham, Colin A; Rainer, Timothy H

2014-11-01

The importance of the early recognition of shock in patients presenting to emergency departments is well recognized, but at present, there is no agreed practical definition for undifferentiated shock. The main aim of this study was to validate an a priori clinical definition of shock against 28-day mortality. This prospective, observational, cross-sectional, single-center study was conducted in Hong Kong, China. Data were collected between July 1, 2012, and January 31, 2013. An a priori definition of shock was designed, whereby patients admitted to the resuscitation room or high dependency area of the emergency department were divided into 1 of 3 groups-no shock, possible shock, and shock. The primary outcome was 28-day mortality. Secondary outcomes were in-hospital mortality or admission to the intensive or coronary care unit. A total of 111 patients (mean age, 67.2 ± 17.1 years; male = 69 [62%]) were recruited, of which 22 were classified as no shock, 54 as possible shock, and 35 as shock. Systolic blood pressure, mean arterial pressure, lactate, and base deficit correlated well with shock classifications (P < .05). Patients who had 3 or more positively defined shock variables had a 100% poor composite outcome rate (5 of 5). Patients with 2 shock variables had a 66.7% (4 of 6) poor composite outcome rate. A simple, practical definition of undifferentiated shock has been proposed and validated in a group of patients presenting to an emergency department in Hong Kong. This definition needs further validation in a larger population and other settings. Copyright © 2014 Elsevier Inc. All rights reserved.

Operational Definitions of Sexual Orientation and Estimates of Adolescent Health Risk Behaviors

PubMed Central

Matthews, Derrick D.; Blosnich, John R.; Farmer, Grant W.; Adams, Brian J.

2014-01-01

Purpose Increasing attention to the health of lesbian, gay, and bisexual (LGB) populations comes with requisite circumspection about measuring sexual orientation in surveys. However, operationalizing these variables also requires considerable thought. This research sought to document the consequences of different operational definitions of sexual orientation by examining variation in health risk behaviors. Methods Using Massachusetts Youth Risk Behavior Survey data, we examined how operational definitions of sexual behavior and sexual identity influenced differences among three health behaviors known to disparately affect LGB populations: smoking, suicide risk, and methamphetamine use. Sexual behavior and sexual identity were also examined together to explore if they captured unique sources of variability in behavior. Results Estimates of health disparities changed as a result of using either sexual behavior or sexual identity. Youth who reported their sexual identity as “not sure” also had increased odds of health risk behavior. Disaggregating bisexual identity and behavior from same-sex identity and behavior frequently resulted in the attenuation or elimination of health disparities that would have otherwise been attributable to exclusively same-sex sexual minorities. Finally, sexual behavior and sexual identity explained unique and significant sources of variability in all three health behaviors. Conclusion Researchers using different operational definitions of sexual orientation could draw different conclusions, even when analyzing the same data, depending upon how they chose to represent sexual orientation in analyses. We discuss implications that these manipulations have on data interpretation and provide specific recommendations for best-practices when analyzing sexual orientation data collected from adolescent populations. PMID:25110718

The definition of polytrauma: variable interrater versus intrarater agreement--a prospective international study among trauma surgeons.

PubMed

Butcher, Nerida E; Enninghorst, Natalie; Sisak, Krisztian; Balogh, Zsolt J

2013-03-01

The international trauma community has recognized the lack of a validated consensus definition of "polytrauma." We hypothesized that using a subjective definition, trauma surgeons will not have substantial agreement; thus, an objective definition is needed. A prospective observational study was conducted between December 2010 and June 2011 (John Hunter Hospital, Level I trauma center). Inclusion criteria were all trauma call patients with subsequent intensive care unit admission. The study was composed of four stages as follows: (1) four trauma surgeons assessed patients until 24 hours, then coded as either "yes" or "no" for polytrauma, and results compared for agreement; (2) eight trauma surgeons representing the United States, Germany, and the Netherlands graded the same prospectively assessed patients and coded as either "yes" or "no" for polytrauma; (3) 12 months later, the original four trauma surgeons repeated assessment via data sheets to test intrarater variability; and (4) individual subjective definitions were compared with three anatomic scores, namely, (a) Injury Severity Score (ISS) of greater than 15, (b) ISS of greater 17, and (c) Abbreviated Injury Scale (AIS) score of greater than 2 in at least two ISS body regions. A total of 52 trauma patients were included. Results for each stage were as follows: (1) κ score of 0.50, moderate agreement; (2) κ score of 0.41, moderate agreement; (3) Rater 1 had moderate intrarater agreement (κ score, 0.59), while Raters 2, 3, 4 had substantial intrarater agreement (κ scores, 0.75, 0.66, and 0.71, respectively); and (4) none had most agreement with ISS of greater than 15 (κ score, 0.16), while both definitions ISS greater than 17 and Abbreviated Injury Scale (AIS) score of greater than 2 in at least two ISS body regions had on average fair agreement (κ scores, 0.27 and 0.39, respectively). Based on subjective assessments, trauma surgeons do not agree on the definition of polytrauma, with the subjective definition differing both within and across institutions.

Life Expectancy as an Objective Factor of a Subjective Well-Being

ERIC Educational Resources Information Center

Papavlassopulos, Nikolas; Keppler, David

2011-01-01

The paper has two parts. In the first part we offer a definition of well-being which makes life expectancy an explicit variable. We recognize the importance of happiness as a significant aspect of any definition of well-being, but we side-step the issue of what determines its level or how to measure it, and concentrate instead on the consequences…

Local (L, [epsilon])-Approximation of a Function of Single Variable: An Alternative Way to Define Limit

ERIC Educational Resources Information Center

Bokhari, M. A.; Yushau, B.

2006-01-01

At the start of a freshman calculus course, many students conceive the classical definition of limit as the most problematic part of calculus. They not only find it difficult to understand, but also consider it of no use while solving most of the limit problems and therefore, skip it. This paper reformulates the rigorous definition of limit, which…

The Principal's Role in Setting School Climate (for School Improvement).

ERIC Educational Resources Information Center

Hall, Gene E.

Given that principals play a role in setting school climate, this paper focuses on how this actually happens. First, the paper explores different criteria and variables as possible frameworks for defining the term "climate." This task is complicated by problems in identifying consensus findings due to weak variable definitions and lack…

Socio-Demographic Variables, General Psychological Well-Being and the Mental Health Continuum in an African Context

ERIC Educational Resources Information Center

Khumalo, I. P.; Temane, Q. M.; Wissing, M. P.

2012-01-01

Age, gender, marital status, education attainment, employment status, and environmental setting explain different amounts of variance in psychological well-being and mental health. Inconsistent findings are reported for the socio-demographic variables in psychological well-being depending amongst others on the definition and measurement of…

Virtual continuity of measurable functions and its applications

NASA Astrophysics Data System (ADS)

Vershik, A. M.; Zatitskii, P. B.; Petrov, F. V.

2014-12-01

A classical theorem of Luzin states that a measurable function of one real variable is `almost' continuous. For measurable functions of several variables the analogous statement (continuity on a product of sets having almost full measure) does not hold in general. The search for a correct analogue of Luzin's theorem leads to a notion of virtually continuous functions of several variables. This apparently new notion implicitly appears in the statements of embedding theorems and trace theorems for Sobolev spaces. In fact it reveals the nature of such theorems as statements about virtual continuity. The authors' results imply that under the conditions of Sobolev theorems there is a well-defined integration of a function with respect to a wide class of singular measures, including measures concentrated on submanifolds. The notion of virtual continuity is also used for the classification of measurable functions of several variables and in some questions on dynamical systems, the theory of polymorphisms, and bistochastic measures. In this paper the necessary definitions and properties of admissible metrics are recalled, several definitions of virtual continuity are given, and some applications are discussed. Bibliography: 24 titles.

Counterfactual Definiteness and Bell's Inequality

NASA Astrophysics Data System (ADS)

Hess, Karl; Raedt, Hans De; Michielsen, Kristel

Counterfactual definiteness must be used as at least one of the postulates or axioms that are necessary to derive Bell-type inequalities. It is considered by many to be a postulate that is not only commensurate with classical physics (as for example Einstein's special relativity), but also separates and distinguishes classical physics from quantum mechanics. It is the purpose of this paper to show that Bell's choice of mathematical functions and independent variables implicitly includes counterfactual definiteness and reduces the generality of the physics of Bell-type theories so significantly that no meaningful comparison of these theories with actual Einstein-Podolsky-Rosen experiments can be made.

Violent Victimization and Substance Dependency: Comparing Rural Incarcerated Heterosexual and Sexual Minority Women

PubMed Central

OTIS, MELANIE D.; OSER, CARRIE B.; STATON-TINDALL, MICHELE

2016-01-01

This exploratory study examines the relationship between sexual identity and violent victimization experiences as predictors of differences in illicit substance and alcohol use and substance use problems among a sample of incarcerated women in rural Appalachia (N = 400). Results indicated that, compared to heterosexual women, sexual minority women were more likely to have a lifetime history of weapon, physical, and sexual assault, and were younger at the time of their first violent victimization. Sexual minority women were younger than heterosexual women at the age of onset for intravenous drug use and at the time they first got drunk, and were more likely to report having overdosed. Multivariate analysis found violent victimization to be the strongest predictor of a history of overdose and substance use problems. PMID:27660590

Cultural perceptions of healthy weight in rural Appalachian youth.

PubMed

Williams, K J; Taylor, C A; Wolf, K N; Lawson, R F; Crespo, R

2008-01-01

Rates of overweight among US children have been rising over the past three decades. Changes in lifestyle behaviors, including dietary and physical activity habits, have been examined thoroughly to identify correlates of weight status in children. Youth in rural US Appalachia are at a disproportionately greater risk for obesity and related health complications. Inadequate physical activity and poor dietary habits are two primary causes of obesity that have been noted in West Virginia adolescents. Few existing data describes the decisional balance in performing lifestyle behaviors, nor the perceptions of these youth regarding their beliefs about weight. The purpose of this study was to identify the perceptions of a healthy weight in rural Appalachian adolescents. Ninth grade students were recruited from classroom presentations in four high schools throughout West Virginia. Interested parent-caregiver pairs returned forms to indicate interest in participation. Separate focus group interviews were conducted concurrently with adolescent and parents or caregivers to identify the cultural perceptions of a healthy weight. Questions were developed using grounded theory to explore how a healthy weight was defined, what factors dictate body weight, the perceived severity of the obesity issue, and the social or health ramifications of the condition. Verbatim transcripts were analyzed to identify dominant themes, and content analysis provided text segments to describe the themes. This article describes the data obtained from the adolescent focus groups. When asked what defined a healthy weight, the adolescents who participated in the focus groups placed great value on physical appearance and social acceptability. Students believed there was a particular number, either an absolute weight or body mass index value that determined a healthy weight. These numbers were usually conveyed by a physician; however, there was also a general acceptance of being 'thick' or a reliance on 'feeling healthy' as a determinant of maintaining a healthy weight. Despite these beliefs, many teens had unrealistic and unhealthy perceptions of weight. Female participants were more concerned with weight than males, some to the point of obsession. Both males and females expressed a social stigma associated with overweight. Issues of guilt and diminished self-esteem were prevalent. When asked about the extensiveness of the problem of childhood overweight, the students indicated that a degree of familiarity with being overweight has developed and 'you just get used to [seeing] it.' Because of the rising rates of chronic disease in this region, a fear was evident in these youth about the increased risk of developing these conditions in those who are overweight. Experiences with family members with diabetes and cardiovascular disease fueled these concerns, which instilled a fear of becoming overweight in many of the students. Many perceptions of healthy weight and appropriate body size were shaped by the media and entertainment industry. Additionally, some participants admitted to performing unsafe practices to reduce body mass, such as very low calorie diets or fasting. Youth in rural Appalachia present similar perceptions about weight as other children; however, differences in perceived healthy lifestyle habits and a general acceptance of a higher average body weight present additional challenges to addressing the increasing problem of child overweight. Despite the relative isolation of many of these communities, the media has a profound impact on weight valuation that has been intertwined with school-based health education and cultural values of health. These data will provide valuable information for the development of obesity prevention programs in rural Appalachia.

Factors influencing householders' access to improved water in low-income urban areas of Accra, Ghana.

PubMed

Mahama, Ayisha Matuamo; Anaman, Kwabena Asomanin; Osei-Akoto, Isaac

2014-06-01

We analysed householders' access to improved water for drinking and other domestic uses in five selected low-income urban areas of Accra, Ghana using a survey of 1,500 households. Our definitions of improved water were different from those suggested by the World Health Organization (WHO). The results revealed that only 4.4% of the respondents had access to improved drinking water compared to 40.7% using the WHO definition. However, 88.7% of respondents had access to improved water for domestic uses compared to 98.3% using the WHO definition. Using logistic regression analysis, we established that the significant determinant of householders' access to improved drinking water was income. However, for access to improved water for other domestic uses, the significant factors were education, income and location of the household. Compared to migrants, indigenous people and people from mixed areas were less likely to have access to improved water for other domestic purposes. For the analysis using the WHO definitions, most of the independent variables were not statistically significant in determining householders' access, and those variables that were significant generated parameter estimates inconsistent with evidence from the literature and anecdotal evidence from officials of public health and water supply companies in Ghana.

A sensitivity analysis on the variability in accelerometer data processing for monitoring physical activity.

PubMed

Lee, Paul H

2015-02-01

Accelerometers are gaining popularity for measuring physical activity, but there are many different ways to process accelerometer data. A sensitivity analysis was conducted to study the effect of varying accelerometer data processing protocols on estimating the association between PA level and socio-demographic characteristics using the National Health and Nutrition Examination Survey (NHANES) accelerometer data. The NHANES waves 2003-2004 and 2005-2006 accelerometer data (n=14,072) were used to investigate the effect of changing the accelerometer non-wearing time and valid day definitions on the demographic composition of the filtered datasets and the association between physical activity (PA) and socio-demographic characteristics (sex, age, race, educational level, marital status). Under different filtering rules (minimum number of valid day and definition of non-wear time), the demographic characteristics of the final sample varied. The proportion of participants aged 20-29 decreased from 18.9% to 15.8% when the minimum number of valid days required increased from 1 to 4 (p for trend<0.001), whereas that for aged ≥70 years increased from 18.9% to 20.6% (p for trend<0.001). Furthermore, with different filters, the effect of these demographic variables and PA varied, with some variables being significant under certain filtering rules but becoming insignificant under some other rules. The sensitivity analysis showed that the significance of the association between socio-demographic variables and PA could be varied with the definition of non-wearing time and minimum number of valid days. Copyright © 2014 Elsevier B.V. All rights reserved.

Effect of reference conditions on flow rate, modifier fraction and retention in supercritical fluid chromatography.

PubMed

De Pauw, Ruben; Shoykhet Choikhet, Konstantin; Desmet, Gert; Broeckhoven, Ken

2016-08-12

When using compressible mobile phases such as fluidic CO2, the density, the volumetric flow rates and volumetric fractions are pressure dependent. The pressure and temperature definition of these volumetric parameters (referred to as the reference conditions) may alter between systems, manufacturers and operating conditions. A supercritical fluid chromatography system was modified to operate in two modes with different definition of the eluent delivery parameters, referred to as fixed and variable mode. For the variable mode, the volumetric parameters are defined with reference to the pump operating pressure and actual pump head temperature. These conditions may vary when, e.g. changing the column length, permeability, flow rate, etc. and are thus variable reference conditions. For the fixed mode, the reference conditions were set at 150bar and 30°C, resulting in a mass flow rate and mass fraction of modifier definition which is independent of the operation conditions. For the variable mode, the mass flow rate of carbon dioxide increases with system pump operating pressure, decreasing the fraction of modifier. Comparing the void times and retention factor shows that the deviation between the two modes is almost independent of modifier percentage, but depends on the operating pressure. Recalculating the set volumetric fraction of modifier to the mass fraction results in the same retention behaviour for both modes. This shows that retention in SFC can be best modelled using the mass fraction of modifier. The fixed mode also simplifies method scaling as it only requires matching average column pressure. Copyright © 2016 Elsevier B.V. All rights reserved.

Variability of total step activity in children with cerebral palsy: influence of definition of a day on participant retention within the study.

PubMed

Wilson, Nichola C; Mudge, Suzie; Stott, N Susan

2016-08-20

Activity monitoring is important to establish accurate daily physical activity levels in children with cerebral palsy (CP). However, few studies address issues around inclusion or exclusion of step count data; in particular, how a valid day should be defined and what impact different lengths of monitoring have on retention of participant data within a study. This study assessed how different 'valid day' definitions influenced inclusion of participant data in final analyses and the subsequent variability of the data. Sixty-nine children with CP were fitted with a StepWatch™ Activity Monitor and instructed to wear it for a week. Data analysis used two broad definitions of a day, based on either number of steps in a 24 h monitoring period or the number of hours of recorded activity in a 24 h monitoring period. Eight children either did not use the monitor, or used it for only 1 day. The remaining 61 children provided 2 valid days of monitoring defined as >100 recorded steps per 24 h period and 55 (90 %) completed 2 valid days of monitoring with ≥10 h recorded activity per 24 h period. Performance variability in daily step count was lower across 2 days of monitoring when a valid day was defined as ≥10 h recorded activity per 24 h period (ICC = 0.765) and, higher when the definition >100 recorded steps per 24 h period (ICC = 0.62). Only 46 participants (75 %) completed 5 days of monitoring with >100 recorded steps per 24 h period and only 23 (38 %) achieved 5 days of monitoring with ≥10 h recorded activity per 24 h period. Datasets of participants who functioned at GMFCS level II were differentially excluded when the criteria for inclusion in final analysis was 5 valid days of ≥10 h recorded activity per 24 h period, leaving datasets available for only 8 of 32 participant datasets retained in the study. We conclude that changes in definition of a valid day have significant impacts on both inclusion of participant data in final analysis and measured variability of total step count.

EPR and Bell's theorem: A critical review

DOE Office of Scientific and Technical Information (OSTI.GOV)

Stapp, H.P.

1991-01-01

The argument of Einstein, Podolsky, and Rosen is reviewed with attention to logical structure and character of assumptions. Bohr's reply is discussed. Bell's contribution is formulated without use of hidden variables, and efforts to equate hidden variables to realism are critically examined. An alternative derivation of nonlocality that makes no use of hidden variables, microrealism, counterfactual definiteness, or any other assumption alien to orthodox quantum thinking is described in detail, with particular attention to the quartet or broken-square question.

A new definition of pharmaceutical quality: assembly of a risk simulation platform to investigate the impact of manufacturing/product variability on clinical performance.

PubMed

Short, Steven M; Cogdill, Robert P; D'Amico, Frank; Drennen, James K; Anderson, Carl A

2010-12-01

The absence of a unanimous, industry-specific definition of quality is, to a certain degree, impeding the progress of ongoing efforts to "modernize" the pharmaceutical industry. This work was predicated on requests by Dr. Woodcock (FDA) to re-define pharmaceutical quality in terms of risk by linking production characteristics to clinical attributes. A risk simulation platform that integrates population statistics, drug delivery system characteristics, dosing guidelines, patient compliance estimates, production metrics, and pharmacokinetic, pharmacodynamic, and in vitro-in vivo correlation models to investigate the impact of manufacturing variability on clinical performance of a model extended-release theophylline solid oral dosage system was developed. Manufacturing was characterized by inter- and intra-batch content uniformity and dissolution variability metrics, while clinical performance was described by a probabilistic pharmacodynamic model that expressed the probability of inefficacy and toxicity as a function of plasma concentrations. Least-squares regression revealed that both patient compliance variables, percent of doses taken and dosing time variability, significantly impacted efficacy and toxicity. Additionally, intra-batch content uniformity variability elicited a significant change in risk scores for the two adverse events and, therefore, was identified as a critical quality attribute. The proposed methodology demonstrates that pharmaceutical quality can be recast to explicitly reflect clinical performance. © 2010 Wiley-Liss, Inc. and the American Pharmacists Association