Digital Commons Network^™

Capturing Community Perspectives In A Statewide Cancer Needs Assessment: Online Focus Group Study, Jessica R. Thompson, Keeghan Francis, Caree R. Mcafee, Madeline Brown, Todd Burus, Melinda Rogers, Connie L. Sorrell, Elizabeth A. Westbrook, Lovoria B. Williams, Jennifer Redmond Knight, Elaine Russell, Natalie P. Wilhite, Pamela C. Hull

Markey Cancer Center Faculty Publications

Background: Kentucky has the highest all-site cancer incidence and mortality rates in the United States. Conducting needs assessments in a large geographic area, such as an entire state, poses challenges in collecting qualitative data from diverse rural and urban contexts. In 2021, a steering committee was formed to drive a multimethod, statewide cancer needs assessment (CNA) to identify the future priorities for all cancer-related care in Kentucky.

Objective: We aimed to report on the online focus group component of the CNA by documenting existing community resources and perceived needs across the cancer care continuum. In addition, we aimed to explore …

Examining Geographic Disparity: Variation In Cancer Outcomes Within Appalachia, Todd Burus, Pamela C. Hull, Krystle A. Lang Kuhs, Tianyan Gao, Christine F. Brainson, B. Mark Evers

Markey Cancer Center Faculty Publications

BACKGROUND: 

The Appalachian region of the US extends from the Mississippi Delta to southern New York. Although disparities in Appalachian cancer outcomes have long been observed, recent rates and trends have not been assessed.

STUDY DESIGN: 

We calculated 5-year age-adjusted US cancer incidence and mortality rates for 2017 to 2021, stratified into Appalachian and non-Appalachian populations, as well as Appalachian subregions, using the US Cancer Statistics Incidence Analytics Database and National Center for Health Statistics mortality files. Annual rates for 2004 to 2021 were also calculated.

RESULTS: 

In 2017 to 2021, all-site cancer incidence (466.6; 95% CI 465.5 to 467.6) …

Responses To Tobacco Use Screening And Tobacco Cessation Assistance Offers Among Rural And Ubran Cancer Survivors At An Nci-Designated Comprehensive Cancer, Abigayle Feather

Theses and Dissertations--Psychology

Smoking after cancer diagnosis is associated with poor outcomes while smoking cessation can improve quality of life and promote survival. Although there are calls for equitable tobacco treatment delivery in cancer and other healthcare settings, disparities in tobacco-related disease burden persist. In the context of an outpatient cancer center’s population-based tobacco treatment program, this study examines the association between cancer survivors’ rural and Appalachian residence and 1) current tobacco use status, 2) decision to decline cessation assistance, and 3) reason for declining assistance. A cross-sectional, retrospective analysis was conducted using electronic health record data from 16,839 adults (64.04% female, 88.49% …

Living With Flying Colors: Associations Among Lgbtq+ Identity, Religiosity, Spirituality, Community, And Overall Well-Being Among Lgbtq+ Older Adults, Madison T. Diomede

Theses and Dissertations--Psychology

Experiences of discrimination and prejudice place LGBTQ+ individuals in older adulthood (i.e., 55 years old and older) at risk for poor overall well-being. This risk can be especially salient in the Southern and Midwestern U.S., where LGBTQ+ individuals enjoy fewer legal protections than in the Northeast and Western regions of the U.S. In defiance of these odds, LGBTQ+ individuals in older adulthood cultivate overall well-being through psychological-level constructs, like LGBTQ+ identity affirmation, and community-level constructs, LGBTQ+ community connection. Yet, little research has examined these avenues of strength among LGBTQ+ individuals in older adulthood. Guided by Iridescent Life Course Theory and …

Weighted Family History Density Of Substance Use: Influence On Participant Substance Use Onset, Escalation, And Duration, Carleigh A. Litteral

Theses and Dissertations--Psychology

Substance use disorders impose a staggering toll on the United States (U.S.), straining healthcare systems, destabilizing communities, and profoundly impacting both individuals and families. Approximately one in six Americans aged 12 and older had a past-year substance use disorder in 2022 (Key Substance Use, 2022), and nearly one-third of adults experience a substance use disorder in their lifetime (Wu, 2010), contributing to an economic burden exceeding $400 billion annually (National Drug Threat Assessment, 2011). Family history of substance use disorders is a key predictor of vulnerability, with individuals who have affected relatives being 2–8 times more …

Diet And Migration In The Prehistoric Populations In The Greater Nicoya Region Of Nicaragua, Ashley Nichols Whitten

Theses and Dissertations--Anthropology

The goal of this three-paper dissertation was to engage with the archaeological hypotheses of prehistoric migration from Mesoamerica into the Greater Nicoya Region of Nicaragua. To that aim, this dissertation contains a discussion on the current information supporting and refuting the migratory hypotheses. New data is also presented in the form of stable isotope analysis and bioarcheological analysis of dentition from prehistoric archaeological sites in Pacific Nicaragua.

The first paper titled “Prehistoric Foodways and Migration Hypotheses in the Greater Nicoya Region of Nicaragua” outlines the current available research concerning migration out of Mesoamerica into Pacific Nicaragua. The potential migration is …

Free Food And The Fabric Of Need: Moralized And Institutionalized Care Within Kentucky Charitable Food Programs, Alisha D. Mays

Theses and Dissertations--Anthropology

This dissertation offers a critical ethnographic examination of hunger and charitable food programs (CFPs) in rural Eastern Kentucky, situated within the broader political economy of welfare retrenchment and neoliberal governance in the United States. Through multi-sited fieldwork spanning food pantries, mutual aid networks, state and federal partner agencies, and the regional food bank system, I analyze how hunger is experienced, managed, and framed by clients, volunteers, and organizational staff.

This work uses qualitative methods to weave the lived experiences across intersecting charitable food systems; this dissertation contributes to economic anthropology by illuminating the relational and political dimensions of hunger in …

An Ethnography Of Love Jihad: The Governance Of Interfaith Marriages In Times Of Hindutva, Snehal Sharma

Theses and Dissertations--Gender and Women's Studies

My doctoral research focuses on the violations of human and citizenship rights of women and religiously marginalized communities (based on religious differences) in the backdrop of right-wing movements in India. I assess the Hindu nationalist propaganda named “love jihad” to demonstrate the way it weaponizes religious exogamy. This propaganda legitimizes violence against Indian religious minorities and women as it claims that marriages between Hindu women and Muslim men are acts of terrorism against Hindus with the sole aim of increasing the Muslim population using Hindu women's bodies. I have used ethnographic research methods to explore the legal process of interfaith …

Relevance And Reciprocity: Fostering Meaningful Inquiry In The Social Studies Classroom, Christy Cartner

Theses and Dissertations--Curriculum and Instruction

This dissertation investigates the factors contributing to students' perceptions of meaningful inquiry. After using the C3 Framework and designing instruction using the Inquiry Design Model for a decade, I wanted to better understand the students' experience to fine-tune how I implement inquiry in the classroom.

Article 1 was written for Social Education and describes the year of IDM blueprints that I designed to loop the concept of equality through units spanning the social studies disciplines of sociology, history, civics, geography, and economics. Through designing and facilitating these inquiries, I discovered my problem of practice, which was how to better engage …

The Role Of Cooperative Extension In Community Development: A Study Of Success Stories And Leadership Practices, George Grant

Theses and Dissertations--Educational Leadership Studies

The Cooperative Extension System (CES) plays a vital role in community education and development across the United States. CES agents and specialists work directly with community members to identify needs, mobilize existing assets, and empower action. Despite the overlap in the fields of CES and community development, few studies have systematically analyzed the specific practices used by extension personnel who act as facilitators of change within communities. To address this gap in knowledge, a qualitative study was conducted using directed content analysis of CES success stories published through the University of Kentucky to identify practices used among two integral positions …

Crossing Borders, Breaking Barriers: The Transformative Journey Of First-Generation Students Abroad, Stephen Farley

Theses and Dissertations--Educational Policy Studies and Evaluation

First-generation students are underrepresented in study abroad programming, both nationally and at the University of Kentucky. To address participation barriers and the resulting opportunity gap for first-generation students, the University of Kentucky designed and implemented an innovative study abroad program for first-generation students titled “Explore First: Careers, Cultures, and Connections.” This specially-designed program sought to provide participants with the academic, social, and professional benefits associated with education abroad experiences, including greater self-efficacy, sense of belonging, intercultural competence, and career exploration and preparation. This mixed methods study examines these intended outcomes of Explore First. Drawing from quantitative surveys administered pre-, mid- …

Bridging Awareness And Access: Outdoor Recreation And Physical Activity In Eastern Kentucky, Timothy Mckay

Theses and Dissertations--Kinesiology and Health Promotion

Physical inactivity remains a pressing challenge in Appalachian Kentucky, where high obesity rates intersect with limited access to structured exercise facilities. This dissertation investigated the extent to which participation in outdoor recreation supports adherence to physical activity (PA) recommendations and explored community awareness of local public lands. Surveys from 52 adult participants in Knox County revealed strong engagement in outdoor activity, with participation significantly predicting compliance with national PA guidelines. Educational attainment was also associated with higher rates of PA compliance, pointing to the influence of literacy and awareness in health behaviors. Reliability testing of the Outdoor Physical Activity Attitude …

Scholars And Schisms: A History Of Antebellum Conflicts Over Slavery At Central Kentucky Liberal Arts Colleges, Wyatt M. Driskell

Theses and Dissertations--Educational Policy Studies and Evaluation

This dissertation explores how debates about slavery impacted constituents at four early liberal arts colleges (Berea, Centre, Georgetown, and Transylvania) in antebellum central Kentucky. In addition to focusing on how these colleges participated in, responded to, and helped shape regional debates over slavery, this study also explores how college leaders’ consideration of slavery was intertwined with religion, politics, and the financial pressures inherent in operating a 19th-century institution of higher education. From archival research, I argue that these constituents were not passive participants in this process. In addition to considering slavery from religious, moral, or political perspectives, leaders advanced positions …

Growing An Inquiry Practice: A Case Study Of Teacher Change In Social Studies Classrooms, Alicia Michelle Saccomanno

Theses and Dissertations--Education Sciences

This exploratory case study examines how a group of social studies teachers refined their inquiry-based instructional practices over a school year. Research questions included: 1. How do teachers grow their use of questions, tasks, and sources? 2. What obstacles do teachers face when implementing inquiry? How do they work to overcome those obstacles? 3. How do teachers learn to trust the inquiry process, trust themselves to implement it, and trust their students to collaborate, deliberate, and produce meaningful work? This study examined teachers' design and instructional choices as well as their responses to student outcomes …

The Curious Case Of The Law Review Editor: A Study Of Higher Education's Peculiarly Powerful Students, David R. Wright

Theses and Dissertations--Educational Policy Studies and Evaluation

Many law students in their second or third year enroll in student-led, high-impact co-curricular programs such as law journals, moot court teams, and trial competition teams. Law journals particularly demand significant portions of students’ time and energy, especially for students holding Editor-in-Chief positions on a journal. Much has been written about law journals as institutions or about their utility in modern legal education; but little is known about the actual expectations and experiences of the students leading them. Few, if any, studies exist examining the student experience in law journal leadership. How student editors spend their time running their journal …

Students Participating As Ambassadors For Research In Kentucky (Spark): A Health Equity Undergraduate Research Training Program, Ariel A. Arthur, Rebecca L. Delacerda Allen, Fidelis Y. Sesenu, Maxwell A. Groznik, Carrie B. Oser, Madeline Dunfee, Philip A. Kern, Nancy Schoenberg

UK CARES Faculty Publications

The Students Participating as Ambassadors for Research in Kentucky (SPARK) program provides novel health equity research training and targeted mentorship for undergraduates, particularly those from groups underrepresented in the biomedical and behavioral research and workforce. SPARK aims to address inadequate diversity in the medical and scientific research fields by providing comprehensive research mentorship and skill-building. Unlike most existing research training programs that are brief, focus on laboratory research, or are limited to graduate students and junior faculty, SPARK delivers a 16-month intensive behavioral and population health science training, equipping students with needed tools to conceptualize, plan, execute, and analyze their …

Oils, Fats, And Their Products, Robert Yokel

Aluminum in Beverages and Foods: A Compilation

No abstract provided.

Impact Of Gut Microbiota And Its Metabolites On Immunometabolism In Colorectal Cancer, Madison Flory, Paloma Bravo, Asfaqul Alam

Markey Cancer Center Faculty Publications

Colorectal cancer (CRC) is highly prevalent, accounting for approximately one-tenth of cancer cases and deaths globally. It stands as the second most deadly and third most common cancer type. Although the gut microbiota has been implicated in CRC carcinogenesis for the last several decades, it remains one of the least understood risk factors for CRC development, as the gut microbiota is highly diverse and variable. Many studies have uncovered unique microbial signatures in CRC patients compared with healthy matched controls, with variations dependent on patient age, disease stage, and location. In addition, mechanistic studies revealed that tumor-associated bacteria produce diverse …

The Impact Of Primary Care Physician Capacity On Preventable Hospitalizations: Identifying Bright Spots In The Appalachian & Mississippi Delta Regions, Michael Topmiller, Peter J. Mallow, Hoon Byun, Mark Carrozza, Yalda Jabbarpour

Journal of Appalachian Health

Introduction: Several studies have documented that higher rates of primary care physicians are associated with lower rates of preventable hospitalizations. Counties with higher rates of preventable hospitalizations are found in the Appalachian and Mississippi (MS) Delta Regions.

Purpose: (1) To determine if the association of primary care capacity with preventable hospitalizations is different in the Appalachian and MS Delta regions compared to the rest of the U.S., and (2) to explore primary care capacity in counties with lower-than-expected preventable hospitalization rates.

Methods: This study modeled preventable hospitalizations with primary care physicians (PCP) per 100,000 (PCP capacity) while controlling for several …

From Research Findings To Decision Tools: Supporting Local Choices, Margo Gustina

Library Research Seminar 8: Telling Library Stories

No abstract provided.

Sharing The Story Of Public Library Programming For Young Children With Disabilities Or Developmental Delays, Denice Adkins, Maria Cahill, Alicia Long, Bobbie Sartin Long, Derek Daskalakes

Library Research Seminar 8: Telling Library Stories

No abstract provided.

Measuring Library Co-Production With Mediation Models, Margo Gustina

Library Research Seminar 8: Telling Library Stories

No abstract provided.

Improving Methods Of Selecting Tropical Germplasm For Plant Breeding And Species Evaluation Studies, B C. Pengelly, R J. Williams

IGC Proceedings (1977-2023)

Tropical forage germplasm centres have now accumulated very large collections of grass and legume species. The current methods of selecting germplasm from these collections, however, are based on limited information and tend to restrict the total germplasm pool from which selections can be made. To improve the selection process, genetic resource centres need to develop research programmes which both improve our understanding of the relative importance of particular plant attributes and the diversity of these attributes within collections.

Energy And Environmental Analyses Of A Solar–Gas Turbine Combined Cycle With Inlet Air Cooling, Ahmad M. Abubaker, Adnan Darwish Ahmad, Binit B. Singh, Yaman M. Manaserh, Loiy Al-Ghussain

Institute of Research for Technology Development Faculty Publications

Sensitivity to ambient air temperatures, consuming a large amount of fuel, and wasting a significant amount of heat dumped into the ambient atmosphere are three major challenges facing gas turbine power plants. This study was conducted to simultaneously solve all three aforementioned GT problems using solar energy and introducing a new configuration that consists of solar preheating and inlet-air-cooling systems. In this study, air was preheated at a combustion chamber inlet using parabolic trough collectors. Then, inlet air to the compressor was cooled by these collectors by operating an absorption cooling cycle. At the design point conditions, this novel proposed …

Decentralized Clinical Trials For Medications To Reduce The Risk Of Dementia: Consensus Report And Guidance, Leanne Howard, Carla Abdelnour, Erin Abner, Ricardo F. Allegri, Hiroko H. Dodge, Serge Gauthier, Camilla M. Hoyos, Gregory Jicha, Patrick G. Kehoe, Catherine J. Mummery, Adesola Ogunniyi, Nikolaos Scarmeas, Xiaoying Chen, Jodie R. Titiner, Christopher R. Weber, Ruth Peters

Neurology Faculty Publications

INTRODUCTION: Recent growth in the functionality and use of technology has prompted an increased interest in the potential for remote or decentralized clinical trials in dementia. There are many potential benefits associated with decentralized medication trials, but we currently lack specific recommendations for their delivery in the dementia field.

METHODS: A modified Delphi method engaged an expert panel to develop recommendations for the conduct of decentralized medication trials in dementia prevention. A working group of researchers and clinicians with expertise in dementia trials further refined the recommendations.

RESULTS: Overall, the recommendations support the delivery of decentralized trials in dementia prevention …

Socio-Economic And Climate Change In Mongolia - Effects On Grassland Ecosystems, C Opp

IGC Proceedings (1977-2023)

In Mongolia, in combination with strong changes of the whole society during the past 76 years, from the feudal system to socialism and from the socialist system of planned development to the market economy, there are a lot of changes in the use of natural resources all over the country. In consequence of this a lot of effects on grassland ecosystems, caused by socio-economic and climate driving factors, were observed and studied in different scales: zonal, regional, local.

An Investigation On Inventory Of Sub-Steppic Meadows In Northwestern Iran, Mansour Mesdaghi

IGC Proceedings (1977-2023)

The meadows of the Ardabill region with an area of 77,000 hectares, make up about 50% of the total areas scattered in central and western parts of Ardabill. The objectives of this research were to identify and classify the meadows based on vegetation. It was observed that among eight representative stands, Vagah-sara and Samian were more diverse compared to the other stands. The richness increases as soil moisture increases. From the standpoint of life form, hemicryptophytes and therophytes dominated. Productions of dry matter were 3900 and 3700 kg/ha at Arjestan and Khatampboulaghi respectively, and were decreased to 1500 kg/ha at …

A Study Of Reasons For The Endangered Status Of Potaninia Mongolica In Arid Desert Grasslands Of China, Wang Jihe, Peng Hongjia, Shi Qian, Zhang Dongming

IGC Proceedings (1977-2023)

Potaninia mongolica is an endangered plant species of arid desert grasslands of China. Reasons for its decline and opportunities for its conservation were investigated by studying the plant’s distribution, biological characteristics, plant community associations and stress resistance.

Modifying Management Methods To Promote The Reform And Development Of Grassland Based Animal Husbandry Through Better Resource Use, Cui Heng-Xin, Zhang Jiang-Ling, Asya Jiang-Ling

IGC Proceedings (1977-2023)

The development of grassland livestock production cannot rely on the cost of pasture degradation. The stocking rate has to be based on the pasture production and it also has to be under the guidance of law. Changing management methods, development of grassland agriculture and optimization of the utilization of natural resources is the effective way of improving the reformation and development of grassland livestock production.

Restoration Of Degraded Coastal Grasslands In The Falkland Island, J A. Kerr

IGC Proceedings (1977-2023)

In the Falkland Islands the coastal grasslands are the most valuable for wool production and important habitats for wildlife. Tussac grass (Parodiochloa flabellata Lam.) and sandy areas which support an Ammophilia - Elymus association have been degraded by overgrazing, burning and invasion by alien flora and fauna. Traditional approaches to restoration, mainly by replanting, have had limited success. Research on