Regional Sociology Commons^™

Triple Negative Breast Cancer In An Appalachian Region: Exponential Tumor Grade Increase With Age Of Diagnosis, Gina Sizemore, Toni Marie Rudisill

Journal of Appalachian Health

Introduction: Triple negative breast cancer is an aggressive breast cancer with decreased five-year survival, increased risk for recurrence, and higher risk for metastases. Unlike other breast cancers, it has no targeted treatment and has heterogeneous genetics which make classification and treatment difficult.

Purpose: The purpose of our research was to compare triple negative breast cancer to non-triple negative breast cancer to identify key epidemiologic factors that might lead to improved basic science directives for biomarkers, treatments, and classification.

Methods: The state cancer registry was used to provide the first West Virginia state-wide population evaluation of triple negative breast cancer.

Results: …

Addressing Diabetes Distress In Self-Management Programs: Results Of A Randomized Feasibility Study, Ranjita Misra, Samantha Shawley-Brzoska, Raihan Khan, Brenna O. Kirk, Sijin Wen, Usha Sambamoorthi

Journal of Appalachian Health

Background: West Virginia ranks 1st nationally in the prevalence of hypertension (HTN; 43.8%) and diabetes (16.2%). Patients with type 2 diabetes mellitus (T2DM) are distressed over physical and psychological burden of disease self-management.

Methods: This study investigated the effectiveness of an intervention to reduce diabetes distress and outcomes [glycemic control, blood pressure (BP)] among T2DM adults with comorbid HTN. Participants were randomized to a 12-week diabetes and hypertension self-management program versus a 3-month wait-listed control group. Trained health coaches and experts implemented the lifestyle program in a faith-based setting using an adapted evidence-based curriculum. Twenty adults with T2DM and HTN …

Establishing Peer Recovery Support Services To Address The Central Appalachian Opioid Epidemic: The West Virginia Peers Enhancing Education, Recovery, And Survival (Wv Peers) Pilot Program, Stephen M. Davis, Amanda Stover, Herb Linn, Jon Dower, Dan Mccawley, Erin Winstanley, Judith Feinberg

Journal of Appalachian Health

Introduction: Central Appalachia has been disproportionately affected by the opioid epidemic and overdose fatalities. We developed West Virginia Peers Enhancing Education, Recovery, and Survival (WV PEERS), a program based on peer recovery support, to engage individuals using opioids and link them with a range of services.

Methods: Community partners providing services to individuals with opioid use disorder (OUD) were identified and collaborations were formalized using a standardized memorandum of understanding. The program was structured to offer ongoing peer recovery support specialist (PRSS) services, not just a one-time referral. A website and cards describing the WV PEERS program were developed and …

Rural Re-Entry And Opioid Use: Identifying Health-Related Predictors Of Relapse Among Formerly Incarcerated Women In Appalachia, Joseph M. Calvert, Megan F. Dickson, Martha Tillson, Erika Pike, Michele Staton

Journal of Appalachian Health

Introduction: Despite improved knowledge of the health care needs of formerly incarcerated women, there exists a gap regarding the relationship between health, health care access, and relapse among rural women returning to the community during the opioid epidemic.

Purpose: With an emphasis on health care access, this study examined health-related factors associated with opioid relapse among women reentering the community in rural Appalachia.

Methods: As part of a larger study, 400 rural women reporting a history of substance use were recruited from three Appalachian jails in Kentucky. Analyses focused on participants reporting a history of illicit opioid use prior to …

Religious Mega-Events And Their Assemblages In Devotional Pilgrimages: The Case Of Círio De Nazaré In Belém, Pará State, Brazil, José Rogério Lopes, André Luiz Da Silva

Journal of Global Catholicism

The article presents a typological categorization of contemporary mega-events and their characteristics, in order to interpret the assemblages mobilized by sectors of the Catholic Church in traditional devotional pilgrimages in the northern region of Brazil. It uses ethnographic accounts of the Círio de Nazaré feast, in Belém, Pará state, Brazil, considered the largest Catholic procession in the West, in order to analyze how the promotion of this event is organized through institutional and market logics that overlap with the religious phenomenon, evincing a contemporary trend. These assemblages open a field of possibilities for institutional religious reproduction and generate concentric flows …

Young Brazilian Catholics Reaffiliating: A Case Study In The City Of Campos, Rj, Brazil, Cecilia L. Mariz, Wânia Amélia Belchior Mesquita, Michelle Piraciaba Araújo

Journal of Global Catholicism

Through a case study in Campos, a northern city of Rio de Janeiro state, Brazil, this article analyzes reports from young people who state that they have undergone a process of revival or reactivation of their Catholic faith. They all declared to have participated in the “St Andrew’s School of Evangelization.” They also mentioned having experienced an "encounter with God." Their narratives were similar to conversion accounts reported by practitioners of other religious traditions. The interviewees describe faith as a personal choice, and emphasize the need for religious study and the value of religious knowledge. To what extent these values …

Contemporary Brazilian Catholicism And Healing Practices: Notes On Environmentalism And Medicalization, Juliano F. Almeida

Journal of Global Catholicism

Anthropological studies on Brazilian Catholicism traditionally focused on popular variants of this religious practice and their relationship with the official Catholicism. Encouraged by recent anthropological perspectives, which highlight the relevance of devoting researches not only on the margins, but also on the center of social practices, this paper analyzes contemporary practices of Brazilian Catholic friars and priests on health promotion. The analysis of their publications (books that include practices and tips on health and that became best sellers etc.), as well as interviews, allows us to perceive a process of environmentalization on the contemporary Brazilian Catholicism. This process seems to …

Strong Church, Weak Catholicism: Transformations In Brazilian Catholicism, Carlos Alberto Steil, Rodrigo Toniol

Journal of Global Catholicism

In this paper we explore data on Catholicism from the 2010 census in Brazil, as well as other data from the Center for Religious Statistics and Social Investigation. Using these statistics, we question those arguments that explain the reduction in the number of Catholics in Brazilian society as a problem in the institution’s adaptation in response to the challenges of evangelization, or as a lack of ministerial vocations to meet the religious demands of the people. Pursuing an alternative argument, we consider the weakening of the relationship between the Catholic institution and traditional popular Catholicism to be a fundamental aspect …

Editor's Introduction, Marc Roscoe Loustau

Journal of Global Catholicism

No abstract provided.

Job Satisfaction And Stressors: The Direct Support Professional's Experience, Saralynn Emery

Master's Theses

The current service system for individuals with intellectual and developmental disabilities is provided in the form of community-based support. This support is carried out by Direct Support Professionals (DSPs) who provide one-on-one services to individuals in their homes, workplaces, and communities. The current system is undergoing a turnover crisis and there is an enormous need for a quality and reliable workforce of DSPs to continue to carry out services. Previous research has explored factors that contribute to DSP burnout and ultimately turnover. By researching the DSP role from the DSP experience directly, this study examines other factors that contribute to …

Review Of: The Cancer Crisis In Appalachia: Kentucky Students Take Action, Stephenie Kennedy-Rea

Journal of Appalachian Health

The Journal of Appalachian Health is committed to reviewing published media that relates to contemporary concepts affecting the health of Appalachia. With cancer mortality rates higher in rural and Appalachian communities, a focus on how cancer impacts our families and communities is more important than ever. Dr. Stephenie Kennedy-Rea reviews the book The Cancer Crisis in Appalachia: Kentucky Students Take Action.

Effects Of Sleep Duration On Falls In A West Virginia Population-Based Study, Brfss, 2018, R. Constance Wiener, Christopher Waters

Journal of Appalachian Health

Introduction: West Virginia is a state in which most counties are rural, as well as a state with multiple health disparities among its population. The purpose of this study was to determine the association of sleep duration and falls for non-institutionalized West Virginia adults, aged 40 years and above, using the National Sleep Foundation’s definition of “may be appropriate” and “not recommended” sleep durations for specific ages.

Methods: Behavior Risk Factor Surveillance System (BRFSS) 2018 data concerning West Virginia residents were extracted for sleep duration and number of falls within the previous year. Data were analyzed with Chi square and …

Diseases Of Despair: A Commentary, Andrew Howard

Journal of Appalachian Health

Across the nation, and within Appalachia, communities that struggle economically experience greater health challenges, with disparities observed across leading causes of death. Within our region, these disparities are particularly notable across diseases of despair.

More Than Just A Fantasy: Literary Fantasy As An Architectural Tool, Kae Schwalber

Architecture Senior Theses

Fantasy literature world building can suggest and support alternative paths for architectural practice using the super stimuli of fantasy “otherworlds” to promote and create more “placed” spaces and improve the wellbeing of communities. According to Edward Relph, the United States has had an issue with “placelessness” since the 1950’s, where building typologies are nationally distributed and rarely localized. Literary Fantasy has created worlds so desirable that they have permeated into a multi-billion dollar industry that reaches past literature, making the consumption of fictional worlds a central behavior in modern societies. The cultural importance and success of the genre is due …

Water Elites’ Perceptions Of Water Security In The Middle East And North Africa Region, Ghaleb Akari

Dissertations

The Middle East and North African region continues to face significant water security challenges. The purpose of this dissertation is to gain a deeper understanding of water elites’ perceptions of water security in the MENA region. It is not meant to generalize the findings. Instead, the intention for the research is to identify, explain, and analyze by national elites' contrasting perceptions in Jordan, Iraq, Egypt, and Tunisia.

The study examines water elites’ perceptions in four areas: current knowledge level of water security, water resource management, water service delivery, and water-related risk mitigation. These elites’ perceptions of water security will help …

Artistry In Air: The Story Of The Younkins, Beth Lewis

Graduate Theses and Dissertations

For sixty years, a Northwest Arkansas family has dominated the world of general aviation by drawing upon its wealth of expertise, innovation and exceptional talent. Jim Younkin, an electrical engineer, invented an autopilot series that revolutionized the industry. His son, Bobby became one of the top aerobatic pilots in the world and Jim’s grandchildren, Matt and Amanda, also became critically acclaimed performers in the air show business. Like his father, Matt is ranked among the best of pilots in the industry. Jim also received national recognition for his stunning recreations of and restorations of historical aircraft. Bobby operated Younkin Airshows, …

Alcohol Abuse And Misuse Amongst Homeless Persons In Northwest Arkansas, Reilly Gibson

Graduate Theses and Dissertations

Alcohol misuse and abuse has been found to be a detrimental risk to individuals having significant impact on their overall health and well-being. Any comprehensive attempt at examining the intersection of alcohol abuse history along with one’s risks and resources as it relates to abuse history among homeless individuals is missing. Using in-depth interviews among homeless adults in Northwest Arkansas (n=168), the current study examines the role of social vulnerabilities, individual risks, and social and psychological resources in explaining alcohol abuse history. Findings support the hypothesis that a person’s vulnerabilities and risks are associated with alcohol abuse histories. Persons who …

Brain Drain In Mississippi, Clifford Adam Conner

Honors Theses

Brain drain is the out-migration of educated individuals from an area. It is a problem with which Mississippi is overly familiar. This thesis uses data gathered from a survey of 965 respondents to identify who is leaving the state and for what reasons. The data gathered suggest confirmation that brain drain is an issue for the state, with roughly two-thirds of respondents having left the state or seriously considering doing so. The impetus for this varies with each individual, but respondents underscore economic and societal factors within Mississippi as pushing them away from the state. Quality of life factors are …

'Here We Start And In Jerusalem We Meet:' The Motivational And Organizational Influences Of Israel's Statehood Ontransnational Salafi Jihad, Charlotte Armistead

Honors Theses

The Israeli occupation of Palestine and its impact on the proliferation and longevity of transnational Salafi jihad is largely underestimated in current literature. In this thesis, I argue that Palestine, defined as both the nation and physical borders before the Balfour Declaration, largely contributed to the twentieth century revival of transnational Salafi jihad and is used by both Al Qaeda and ISIS as liberation and annihilation movements, respectively. In order to assess the motivational and organizational influences of the Israeli occupation of Palestine on transnational Salafi jihad, I examine the works of Abdullah Azzam, a selection of Osama Bin Laden’s …

We Exist Series 1: Family - Quotes, Lance Gibbs Phd

Series 1: Family - Quotes

In this section, we have selected quotes that represent how Black residents in Maine view their family life. The quotes are taken from transcripts of the oral history project “Home Is Where I Make It”: African American Community and Activism in Greater Portland, Maine.” The interview subjects are all native to Maine or are longtime residents of Maine. The original intent of the “Home Is Where I Make It” project was to highlight Black residents’ history and struggle for community in southern Maine in both their formal organizational memberships and day-to-day activities. The interviews, however, unearthed a wealth …