Abstract
We interviewed 20 rural Appalachian residents with MM. We identified the following themes: (a) MM has multifaceted challenges and is viewed as more than the sum of its parts; (b) numerous challenges exist to optimal MM self-management, particularly in a rural, underresourced context; however, (c) pa...
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PMID: 21263063
PDF is available here.
Abstract
Socioeconomic, demographic, and geographic factors are known determinants of stroke and myocardial infarction (MI) risk. Clustering of these factors in neighborhoods needs to be taken into consideration during planning, prioritization and implementation of health programs intended to reduce dispariti...
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PMID: 21829481
PDF is available here.
Abstract
A randomized trial assessed the effectiveness of a 2-level strategy for implementing evidence-based mental health treatments for delinquent youth.
A 2 x 2 design encompassing 14 rural Appalachian counties included 2 factors: (a) the random assignment of delinquent youth within each county to a multi...
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PMID: 20658810
PDF is available here.
Abstract
This study includes 73 ST users. Recession prevalence is much greater in ST-site quadrants (36%) compared to NST-site quadrants (18%; P <0.001). Twice as many teeth had recession on ST-site (approximately 20%) than NST-site (approximately 10%; P = 0.0001). Average buccal RD on ST-site teeth did not...
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PMID: 20350155
PDF is available here.
Abstract
The hemlock woolly adelgid, Adelges tsugae Annand (Hemiptera: Adelgidae), is an exotic insect species dramatically reducing populations of eastern hemlock, Tsuga canadensis (L.) Carrieré, throughout the eastern United States. Systemic imidacloprid is one of the primary chemicals used to successfull...
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PMID: 20429450
PDF is available here.
Abstract
We released a predator endemic to western North America, Laricobius nigrinus Fender (Coleoptera: Derodontidae), from 2003 to 2005, in 22 localities from Georgia to Massachusetts. Release sites spanned the invasive range of the adelgid across five United States Department of Agriculture plant hardine...
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PMID: 20388273
PDF is available here.
Abstract
RIA may be a viable means of enhancing the language and literacy instruction that is delivered within preschool classrooms and, therefore, a means of enhancing children's language and literacy learning. Future directions for continued evaluation of RIA are discussed....
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PMID: 20375228
PDF is available here.
Abstract
We used 82 radiocarbon ages for soil charcoal collected from local depositional sites along a topographic gradient from mixed hardwood (Liriodendron tulipifera and Quercus spp.) to oak-pine (Quercus prinus and Pinus rigida) forest to provide a coarse-grained picture of changes in fire frequency with...
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PMID: 20426326
PDF is available here.
Abstract
We consider greenhouse gas emissions associated with MCM terrestrial disturbance in the life-cycle of coal energy production. We estimate disturbed forest carbon, including terrestrial soil and nonsoil carbon using published U.S. Environmental Protection Agency data of the forest floor removed and U...
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PMID: 20141186
PDF is available here.
Abstract
Coal-mining areas are characterized by greater socioeconomic disadvantage, riskier health behaviors, and environmental degradation that are associated with reduced HRQOL....
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PMID: 20597455
PDF is available here.
Abstract
Transmission of hepatitis C in these rural Appalachian communities is predominantly due to injection drug use. Patients with hepatitis C exposure are similar in their demographic and risk profiles as those seen in urban areas and, despite small numbers, can have a serious impact on small, rural publ...
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PMID: 20402204
PDF is available here.
Abstract
These results show present and widening workforce disparities in rural and socioeconomically depressed counties in Kentucky. Understanding the geographic distribution of dentists and the socioeconomic correlates of their practice locations may inform workforce development and reimbursement policies...
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PMID: 20345738
PDF is available here.
Abstract
Oral history has been an indispensible tool in documenting the lives of those previously invisible from broad historical movements of people. "The Oral History Review" has been among the major vehicles for the inclusion of women's voices. The migration of white southerners is well documented in hist...
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PMID: 20524261
PDF is available here.
Abstract
The EVG1 rule led to the retention of nearly twice the number of latent factors as did the PA criterion. CONCLUSION: The use of the EVG1 rule in research may mislead policy makers to focus on trivial interventions. They are urged to use PA to obtain more parsimonious and externally valid interventio...
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PMID: 20073383
PDF is available here.
Abstract
Appalachians experience increased rates of cancer incidence and mortality and high-risk health behaviors. Additionally, Appalachians are often characterized by lower socioeconomic status, geographic isolation, and cultural beliefs such as fatalism. The purpose of this descriptive analysis is to iden...
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PMID: 21154085
PDF is available here.
Abstract
We investigate how an experimentally applied tree-harvesting disturbance gradient influenced local-regional richness relationships. Plant species richness was measured at three spatial scales (2 ha = regional; 576 m2 and 1 m2 = local) on three occasions (one year pre-disturbance, one year post-distu...
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PMID: 19886502
PDF is available here.
Abstract
We describe a novel approach applied to obesity management and diabetes prevention. This takes advantage of a network of science clubs organized by the Health Sciences and Technology Academy (HSTA) for extracurricular activity of disadvantaged high school students in rural Appalachia. Physician scie...
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PMID: 20443917
PDF is available here.
Abstract
We propose a novel, untapped opportunity, challenging cultural and man-power barriers to transferring advances in biomedical science knowledge that will improve community health care (Type II Clinical Translational Research) in a medically underserved community. We describe a pilot model in which ad...
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PMID: 20443918
PDF is available here.
Abstract
The relative abundance and seasonal flight activity of dogwood borer, Synanthedon scitula Harris (Lepidoptera: Sesiidae), was measured using weekly records from traps baited with its sex pheromone and deployed in apple orchards, urban landscapes, and native woodland sites in New York, West Virginia,...
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PMID: 19508761
PDF is available here.
Abstract
Objective: To examine differences in substance use among a sample of women entering treatment from rural Appalachian and non-Appalachian areas.
Participants: A total of 2,786 women participating in state-funded substance abuse treatment programs statewide.
Measures: Substance use...
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PMID: 19199165
PDF is available here.
Abstract
Of the 65 practices, 55 completed the first survey instrument. Of these 55, 44 offered the vaccine to their patients. Forty of the 44 practices offered it to girls and women aged 9 to 26 years, and 11 were willing to accept referrals from other practices for vaccination. The average reported charge...
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PMID: 19288992
PDF is available here.
Abstract
We seek to start a dialogue about the challenges cancer control researchers and specialists may face in attempting to understand the Appalachians' experience with cancer. Through examples drawn from our own research among Appalachian communities, we discuss the hazards of defining a culture in order...
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PMID: 19289011
PDF is available here.
Abstract
Oral cancer accounts for 2.3% of malignancies in the U.S. and has one of the lowest five-year survival rates. An examination of oral cancer in Appalachia was motivated by the high incidence of lung and bronchial cancers in Appalachian states, the risk factors for which overlap with those for oral ca...
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PMID: 19202262
PDF is available here.
Abstract
The phylogeographic structure of Narceus reveals a complex evolutionary history with signatures of multiple refugia in southeastern North America followed by two major northern expansions. Evidence for refugial populations were found in the southern Appalachian Mountains and in the coastal plain. Th...
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PMID: 19183468
PDF is available here.
Abstract
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....
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PMID: 19877760
PDF is available here.
Abstract
Consistent with expectations, prevalence of high BMI in this sample of rural Appalachian children exceeds national averages. Prevalence of overweight varied by age and sex; boys are particularly vulnerable to developing obesity, especially as they age. Preliminary survey data suggest that eating bre...
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PMID: 19848443
PDF is available here.
Abstract
Higher chronic heart, respiratory and kidney disease mortality in coal mining areas may partially reflect environmental exposure to particulate matter or toxic agents present in coal and released in its mining and processing. Differences between Appalachian and non-Appalachian areas may reflect diff...
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PMID: 18461350
PDF is available here.
Abstract
Research priorities to reduce Appalachian health disparities should focus on reducing disparities in the coalfields. The human cost of the Appalachian coal mining economy outweighs its economic benefits....
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PMID: 19618791
PDF is available here.
Abstract
Establishment of riparian buffers is an effective method for reducing nutrient input to streams. However, the underlying biogeochemical processes are not fully understood. The objective of this 4-yr study was to examine the effects of riparian zone restoration on soil N cycling mechanisms in a mount...
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PMID: 19465714
PDF is available here.
Abstract
Appalachian adolescents fell short of recommended levels of activity. They reported high rates of sedentary behavior by 9th grade. Appalachian adolescents may be acquiring sedentary behaviors earlier than adolescents living in other regions. Low rates of activity make this population particularly at...
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PMID: 19166562
PDF is available here.
Abstract
We provide a conceptual overview to key elements of the intervention, including programmatic development, theoretical basis, intervention approach and implementation, and evaluation procedures.
After numerous modifications, FMM has recruited and retained over 400 women, 30 churches, and has become a...
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PMID: 19320612
PDF is available here.
Abstract
This investigation sought to examine the association between knowledge of the risks associated with environmental tobacco smoke and voter support for clean indoor air policies. In doing so, 2 antecedents were employed to enhance understanding of this relationship: attitudes and subjective norms. In...
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PMID: 19204858
PDF is available here.
Abstract
Better behavior control and more positive attitude may lead to a stronger intention for healthy eating....
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PMID: 18844506
PDF is available here.
Abstract
Triple-negative breast cancers within a White, socioeconomically deprived, population occurred in younger women, with later stage at diagnosis, and in association with obesity, which itself has been associated with a poor prognosis in breast cancer....
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PMID: 19064545
PDF is available here.
Cancer (113)10 Suppl 2008
Abstract
The variability in ICC risk across subgroups of Appalachia should be considered in the planning of preventive strategies, including reduction in risk factors and promotion of screening and vaccination....
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PMID: 18980281
PDF is available here.
Abstract
Health inequities linked to poverty remain entrenched in certain subgroups in the United States, despite public health efforts to the contrary. My experiences in working with the poor in Nepal and Pakistan informed my later approach to addressing health and poverty in the Appalachians of eastern Ten...
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PMID: 18633082
PDF is available here.
Abstract
Eighteen participants in a rural Appalachian community were interviewed to learn about their mystical experiences in the context of health care. Semistructured interviews addressed factors initiating mystical experience and essential qualities of mystical experience. Nursing process and the nurse's...
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PMID: 18539874
PDF is available here.
Abstract
Specimen adequacy: 869 of 878 (99%) women had sufficient material for cytologic analysis in provider-collected samples compared to 771 of 775 (99%) self-collected specimens (p = NS). There was sufficient cellular material (DNA) for HPV testing in 724 of 834 (87%) provider-collected samples compared...
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PMID: 18664063
PDF is available here.
Abstract
The adolescents' similarity to general population norms with regard to previous orthodontic care and level of occlusal status is promising. Nevertheless, their lower recognition of a need for treatment suggests possible future oral health problems and a lower oral health quality of life. Their paren...
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PMID: 18451377
PDF is available here.
Abstract
This study examined the effectiveness of a treatment program comprised of several components based on evidence-based treatments (EBTs) for disruptive behavior problems delivered to youth participating in a school mental health program in an underserved community in the Appalachian region. Participan...
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PMID: 18470779
PDF is available here.
Abstract
Results suggest that clearer policies or regulations for the SBP are warranted to support policy efforts to promote childhood health. These should include technical assistance and provision of resources for school food service managers to provide low-fat meal options. Further research is needed to d...
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PMID: 18336678
PDF is available here.
Abstract
9.3% of participants returning questionnaires selected a poster in preference to $10. Half of participants offered both monetary and art incentives indicated a poster selection. Crude questionnaire return rates were 57.4% for the pooled intervention churches and 38.2% for the control churches. Enrol...
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PMID: 18234325
PDF is available here.
Abstract
We compared EM fungus distributions on root systems of out-planted oak seedlings at two sites in mixed southeastern Appalachian Mountain forests at the Coweeta Hydrologic Laboratory in North Carolina, from samples taken in mid-July and early September. Species level EM fungus type specificity, and i...
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PMID: 18247062
PDF is available here.
Abstract
We examined genetic variation of the N. rubellus complex using a complete mtDNA cytochrome b gene sequence data set and combined mtDNA and published allozyme data sets. Parsimony and Bayesian analyses of the mitochondrial data set and parsimony analyses of a combined mitochondrial and allozyme data...
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PMID: 17716926
PDF is available here.
Abstract
We reported on the discovery of 22 new montane populations of this monotypic genus, specimens from which exhibit remarkably little morphological divergence despite their separation by intervening lowlands and large riverine barriers. Here, we further explore spatial and temporal patterns of divergen...
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PMID: 18053750
PDF is available here.
Abstract
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 th...
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PMID: 18503293
PDF is available here.
Phyllis A PA Wingo,
Thomas C TC Tucker,
Patricia M PM Jamison,
Howard H Martin,
Colleen C McLaughlin,
Rana R Bayakly,
Susan S Bolick-Aldrich,
Pat P Colsher,
Robert R Indian,
Karen K Knight,
Stacey S Neloms,
Reda R Wilson and
Thomas B TB Richards
Abstract
Cancer incidence rates in Appalachia are higher than in the rest of the US, and they vary substantially between regions. Additional studies are needed to understand how these variations within Appalachia are associated with lifestyle, socioeconomic factors, urban/rural residence, and access to care....
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PMID: 18000806
PDF is available here.
Abstract
We report how the relationship between native and nonnative plant species richness responded to an experimentally applied disturbance gradient (from no disturbance up to clearcut) in oak-dominated forests. We consider whether results are consistent with various explanations of diversity-invasibility...
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PMID: 18376560
PDF is available here.
Abstract
Remote rural communities are often without adequate healthcare resources. To address the need in one area of Appalachia, an annual medical clinic is held to provide free healthcare services to residents of Appalachia. The Appalachian culture has a number of unique features that influence the healthc...
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PMID: 18552603
PDF is available here.
Abstract
Appalachia location is associated with mental health professional shortages, but this effect is driven by underlying social differences, in particular by lower education. This method of identifying Appalachia for comparative purposes may be applied to many other health services research questions an...
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PMID: 18397453
PDF is available here.
Abstract
Tuberculosis rates and trends are similar in urban and rural Appalachia. It is crucial for public health officials in Appalachia to address the escalating TB rate among 15- to 24-year-olds by focusing prevention efforts on the growing numbers of foreign-born cases. Due to the increased risk of treat...
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PMID: 18643800
PDF is available here.
Abstract
Decades of behavioral research suggest that awareness of health threats is a necessary precursor to engage in health promotion and disease prevention, findings that can be extended to the community level.
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PMID: 18257874
PDF is available here.
Abstract
Like many areas of the country, the state of Tennessee is experiencing a recent and growing rise in the rate of methamphetamine use, particularly in rural areas of the state. While substance use is a known risk factor for contracting HIV/AIDS, there is limited information regarding the risk behavior...
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PMID: 19842304
PDF is available here.
Abstract
Child overweight has reached an epidemic level throughout the United States. A total of 65 primary care providers in southern Appalachia were surveyed to understand current issues in addressing child overweight in rural primary care practice. The study shows that while providers realized the importa...
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PMID: 17984741
PDF is available here.