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Review Of: Appalachian Health: Culture, Challenges, And Capacity, Danielle M. Davidov

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. This is a review of the text Appalachian Health: Culture, Challenges, and Capacity. This book is an ideal starting point for anyone interested in Appalachian history, public health, and health disparities research.

Piloting An Oral History Approach To Investigate Cancer Perspectives Among Residents Of Appalachian Kentucky, Courtney Martin, Lauren Hudson, Nathan L. Vanderford

Journal of Appalachian Health

Introduction: Kentucky ranks first in the U.S. in overall cancer incidence and mortality rates. Areas of the state that fall within the Appalachian Region, along Kentucky’s eastern border, experience disproportionately high rates of cancer compared to non-Appalachian counties.

Purpose: This pilot study investigates whether oral history interviews can be used to understand perspectives on cancer among residents of Appalachian Kentucky.

Methods: In 2020, participants (n = 5) who identified as being from and/or having strong connections to Appalachian Kentucky were recruited to participate in this pilot study. Participants included individuals working in cancer-related fields, oncology professionals, and those with personal …

A Better Life: Factors That Help And Hinder Entry And Retention In Mat From The Perspective Of People In Recovery, Adam D. Baus, Martha Carter, Jennifer Boyd, Erin Mcmullen, Trey Bennett, Alexandra Persily, Danielle M. Davidov, Christa Lilly

Journal of Appalachian Health

Introduction: Opioid addiction and opioid-related overdoses and deaths are serious public health problems nationally and in West Virginia, in particular. Medication-assisted treatment (MAT) is an effective yet underutilized treatment for opioid use disorder (OUD).

Purpose: Research examining factors that help individuals succeed in MAT has been conducted from provider and program perspectives, but little research has been conducted from the perspective of those in recovery.

Methods: This study, co-developed with individuals in recovery, took place in West Virginia-based MAT programs using an exploratory sequential mixed methods approach. The survey was open February through August 2021. Data were analyzed late 2021 …

Prevalence And Factors Of Self-Medication With Antibiotics In Claiborne County, Tennessee, Kimberly A. Carney, Lauren Wisnieski, Tristan Lackey, Donald Noah

Journal of Appalachian Health

Introduction: Antimicrobial resistance (AMR) is a serious concern to public health, causing an estimated 35,000 deaths annually in the U.S. Misuse of antimicrobials increases the rate of AMR. Self-medication with antibiotics (SMA) is a primary contributor to AMR that can be addressed through education. SMA has been reported at rates of 3% to 66% in the U.S. but has not been evaluated in Appalachia.¹ Low health literacy and barriers to accessing care have been correlated with SMA and are common in many areas of Appalachia.

Purpose: This study aims to assess factors associated with SMA, demographic differences in knowledge …

Factors Associated With Physical Activity Increases And Decreases Among A Sample Of Appalachian Residents During The Covid-19 Pandemic: A Cross-Sectional Study, Christiaan G. Abildso, Angela M. Dyer, Shay M. Daily, Christa Lilly, Emily A. Sarkees, Samantha I. Moyers, Thomas K. Bias

Journal of Appalachian Health

Introduction: Physical activity (PA) can prevent and reduce the deleterious physical and mental health effects of COVID-19 and associated lockdowns. Research conducted early in the pandemic demonstrates that a greater proportion of adults in the U.S. have decreased than increased PA, and the effects vary by sociodemographic factors. Ongoing evidence is important to identify patterns in PA changes during the pandemic.

Purpose: This study aims to identify factors associated with increases and decreases in PA during the COVID-19 pandemic in a convenience sample of adults residing in Appalachia.

Methods: Surveys were collected from a convenience sample of adults from eight …

Cancer Screening Behaviors And Associations With Childhood Trauma, Resiliency, And Patient–Provider Relationships: Findings From An Exploratory Study Of Appalachian Cervical Cancer Survivors, Dannell Boatman, Stephenie Kennedy-Rea, Lesley Cottrell, Hannah Hazard-Jenkins

Journal of Appalachian Health

Introduction: Adverse childhood experiences (ACEs) are associated with increased cancer risk. ACEs may affect this risk in a variety of ways, including cancer screening compliance. ACEs can contribute to mistrust in the medical profession, inhibit patient­–provider relationships and cause at-risk individuals to miss critical access points to preventive services. Protective factors may play an important role in mitigating ACE-related consequences by supporting resiliency.

Purpose: This study assesses the associations between ACEs, protective factors, patient–provider relationships, stage of cancer at diagnosis, and cancer screening behaviors for West Virginia (WV) cervical cancer survivors.

Methods: WV cervical cancer survivors diagnosed between 2000 and …

Rural Appalachian Women Will Suffer Disproportionately If Attempts To Further Restrict Emergency Contraception Are Successful, Amie M. Ashcraft, Sarah Dotson, Sara Farjo, Courtney S. Pilkerton, Pamela J. Murray

Journal of Appalachian Health

The removal of federal abortion protection has incited fear that restrictions on contraception may be next. Many states now imposing abortion restrictions and bans are in the South and Appalachian Regions of the U.S., where rates of unplanned pregnancy and poor health outcomes are already disproportionately high. Numerous studies have documented variable access to levonorgestrel EC (LNG EC) in community pharmacies, with particularly low rates of access at independent pharmacies that are more likely to be located in rural communities than chain pharmacies. Since the overturn of Roe v. Wade, some large chain pharmacies and online retailers are restricting …

We Welcome Findings From Further Afield, Randy Wykoff Md, Mph & Tm, Rachel E. Dixon Mphil

Journal of Appalachian Health

For the past five years, the Journal of Appalachian Health has published timely, high-quality research from within Appalachia. We also welcome submissions from those working outside of Appalachia who produce quality research of direct relevance to our region.

Finishing Effect On Fatty Acid Profile Of Intramuscular Fat In Extensively Reared Steers, N. Aldai, B. E. Murray, A. I. Nájera, K. Osoro

IGC Proceedings (1977-2023)

Both the amount and the composition of fat depots in beef may be influenced by several factors i.e. feeding system. Related to this factor, extensively reared cattle may produce beef with a more desirable fatty acid (FA) composition in terms of beneficial effect on human health, especially in relation to the content of n-3 type FAs. However, concentrate finishing improves some carcass traits and meat quality. In this sense, the objective of this work was to study the effect of concentrate finishing on intramuscular (IM) FA profile of Longissimus thoracis (LT) muscle in pasture fed steers.

The Effect Of Post-Weaning Management On The Physico-Chemical And Textural Quality Of Beef From Bulls And Steers, M. Oliván, P. García, M. J. Martínez, M. Mocha, A. Martínez, P. Castro, K. Osoro

IGC Proceedings (1977-2023)

There is an increasing interest for extensification in Europe due to environmental and animal welfare concerns. Furthermore, forage-fed beef may present benefits for human health. However, animals fed at pasture produce in some cases darker and tougher meat. It has been shown that castration or a grain-finishing period before slaughter could improve some sensory traits of beef from pasture. The objective of this work was to study the impact of castration and four feeding systems (grazing, grazing + 70 days concentrate, grazing + 100 days concentrate, 200 days concentrate) on the quality of beef from yearling bulls and steers.

Lipid Oxidation And Sensory Characteristics Of Grass-Fed Beef: Effect Of Duration Of Grazing Prior To Slaughter, A. P. Moloney, F. Noci, F. J. Monahan, G. E. Nute, R. I. Richardson

IGC Proceedings (1977-2023)

Beef from cattle produced from grass has a higher concentration of fatty acids considered to be beneficial to human health than beef produced from more intensive production systems and this increase in fatty acid concentration is dependant on the duration at pasture prior to slaughter (Noci et al., 2003). Improvements in the fatty acid composition of beef must not impair other quality characteristics of beef. Little information is available on the pattern of change of quality characteristics in grazing animals. The objective of this study was to determine the shelf-life and eating quality of beef from cattle produced from …

Antioxidative Activities Of Alfalfa And Timothy Varieties, J. K. Lee, H. S. Park, J. G. Kim, B. H. Paek, J. H. Fike

IGC Proceedings (1977-2023)

The term "functional foods" is often used as a generic description for the beneficial effects of ingested foods that go beyond their traditional nutritive value (Bauman et al., 2001). Milk and dairy products are important dietary sources of nutrients, providing energy, high quality protein, and a variety of vitamins and minerals. Recent research has focused on altering the fat and protein content of milk and other dairy products in order to improve their nutrient content to more aptly reflect current dietary recommendations and trends. As a result, additional focus is being given to designing foods that have beneficial effects …

Grazing Effects On The Seed Pool Of Stipa Krylovii And Its Genetic Diversity In Relationship To The Plant Population On A Typical Steppe Community In Inner Mongolia, B. Han, M. Zhao, Walter D. Willms

IGC Proceedings (1977-2023)

Stipa krylovii is an important tufted forage species on the typical steppe in Inner Mongolia and is sensitive to heavy grazing pressure. Vegetative recovery of plant density is dependent on the seed bank, which is a genetic reservoir that supports the vegetative expression of the species thus enhancing its resilience (McCue and Holtsford 1998). The ability of the seed bank to support the Stipa krylovii population is dependent on its size and genetic diversity. Therefore, we conducted a study to determine the effects of heavy grazing pressure on its seed reserves and examine its genetic diversity in relation to surviving …

New Advance In Forage Production And Dairy Industry In China, Zhiqiang Q. Li, J. G. Han

IGC Proceedings (1977-2023)

There were 6.9 million dairy cows in China in 2002 with milk yield of 13 million t. These values were 21.4 and 26.7% higher respectively than in 2001. Milk yield per cow was 1891 kg, 4.4 % higher than in the previous year, but still one third lower than the world average. Milk fat and protein contents were about 3.2 and 3.0 % respectively, a little below the world average. Milk consumption was 10.9 kg per person, much lower than the world average (97.6 kg) So, although great changes have taken place in dairy breeding, forage production and disease control, …

Effect Of A Summer Period At Pasture On The Performance Of Young Bulls Offered Concentrates Ad Libitum, R. J. Fallon, M. G. Keane

IGC Proceedings (1977-2023)

Holstein bull calves can produce a 250 kg carcass at 11 to 12 months of age on indoor feeding of ad libitum concentrates. An outdoor period at pasture would reduce housing costs. Two experiments were undertaken to determine the effect of an outdoor period at pasture on concentrate intake, liveweight gain and selected carcass traits of Holstein young bulls.

Body Temperature In Free-Roaming Beef Cattle, T. L. Mader, S. L. Colgan

IGC Proceedings (1977-2023)

Body temperature (BT) measurements are traditionally used in diagnosing sick animals, but may also be used as an indicator of stress or activity. Based on results of metabolism studies, Mader et al. (1999) reported that BT can vary as much as 0.9^oC and can depend on metabolisable energy (ME) of the diet consumed. Acceptable measures of BT can be obtained from the rectum, vagina, or ear canal. Technologies are also being developed for continuously monitoring BT via radio-telemetry. The objectives of this study were to determine the effect of high concentrate (low fibre) versus high fibre diets on …

Breeding Lotus Australis Andrews For Low Cyanide Content, D. Real, G. A. Sandral, J. Warden, L. Nutt, R. Bennett, D. Kidd

IGC Proceedings (1977-2023)

Lotus australis Andrews is a native perennial tetraploid legume (2n=4x=28) widely distributed throughout Australia (Figure 1). It is highly variable with 14 botanical varieties reported in the Australian Plant Name Index (http://www.anbg.gov.au). Despite broad adaptation within L. australis no cultivars have been developed for cultivation. One of the main barriers to cultivation is the reported cyanogenic nature of the species (Foulds, 1982), which makes it potentially toxic when plant cyanogenic glycosides are fully hydrolysed to form hydrogen cyanide (HCN). Foulds (1982) also reported that the cyanophoric trait was polymorphic at seedling and adult stages with 12% of plants acyanogenic in …

Future Directions In The Molecular Breeding Of Forage And Turf, G. C. Spangenberg, J. W. Forster, D. Edwards, U. John, A. Mouradov, M. Emmerling, J. Batley, S. Felitti, N. O. I. Cogan, K. F. Smith, M. P. Dobrowolski

IGC Proceedings (1977-2023)

Key points

1. Molecular breeding of forage and turf plants and their endosymbionts has entered the post-genomic era with a large amount of structural genomics information and genomic resources available for key forage and turf species and relevant model systems.
2. A primary future challenge is the conversion of this information into useful functional knowledge for the development of molecular breeding technologies and products that address a range of high impact outcome scenarios in forage and turf.
3. High-throughput approaches for spatial and temporal analysis, from genome to phenome, and the respective data integration in a systems biology context will be critical for …

Shutting The Stable Door After The Horse Has Bolted? Risk Assessment And Regulation For Transgenic Forages, Chris J. Pollock

IGC Proceedings (1977-2023)

The regulation of GM agriculture in Europe is a matter of considerable public interest. The development of a regulatory framework has imposed significant additional costs without generating broad public acceptance. However, the current risk assessment and management framework does provide a basis for considering how the broader issues surrounding the introduction of any novel agricultural technology might be approached.

The Impact Of Solution Ionic Strength, Hardness, And Ph On The Sorption Efficiency Of Polychlorinated Biphenyls In Magnetic Nanocomposite Microparticle (Mnm) Gels, Angela M. Gutierrez, Thomas D. Dziubla, J. Zach Hilt

Chemical and Materials Engineering Faculty Publications

Environmental conditions of groundwater and surface water greatly vary as a function of location. Factors such as ionic strength, water hardness, and solution pH can change the physical and chemical properties of the nanocomposites used in remediation and the pollutants of interest. In this work, magnetic nanocomposite microparticle (MNM) gels are used as sorbents for remediation of PCB 126 as model organic contaminant. Three MNM systems are used: curcumin multiacrylate MNMs (CMA MNMs), quercetin multiacrylate MNMs (QMA MNMs), and polyethylene glycol-400-dimethacrylate MNMs (PEG MNMs). The effect of ionic strength, water hardness, and pH were studied on the sorption efficiency of …

Impact Of Community-Driven Interventions On Dietary And Physical Activity Outcomes Among A Cohort Of Adults In A Rural Appalachian County In Eastern Kentucky, 2019–2022, Heather Norman-Burgdolf, Emily M. Dewitt, Rachel Gillespie, Kathryn Cardarelli, Stacey Slone, Alison Gustafson

Dietetics and Human Nutrition Faculty Publications

Several environmental level factors exacerbate poor health outcomes in rural populations in the United States, such as lack of access to healthy food and locations to be physically active, which support healthy choices at the individual level. Thus, utilizing innovative place-based approaches in rural locations is essential to improve health outcomes. Leveraging community assets, like Cooperative Extension, is a novel strategy for implementing community-driven interventions. This prospective cohort study (n = 152), recruited in 2019 and surveyed again in 2020 and 2021, examined individual level changes in diet and physical activity in one rural Appalachian county. During this time, multiple …

Southeastern Law Librarian Spring 2023, Seaall

Newsletters

No abstract provided.

Controlled Release Of Dna Binding Anticancer Drugs From Gold Nanoparticles With Near-Infrared Radiation, Gracie Fitzgerald, Daniel Low, Luc Morgan, Cole Hilt, Micai Benford, Caleb Akers, Skyler Hornback, J. Zach Hilt, Daniel Scott

UK CARES Faculty Publications

Traditional chemotherapies target rapidly developing cells in the human body resulting in harsh side effects including fatigue, immune system suppression, and nausea, among others. Delivery systems to focus the active pharmaceutical ingredients (APIs) to the diseased tissue can diminish the negative side effects while improving treatment outcomes. Gold nanoparticles (AuNP) offer many unique advantages as drug delivery vehicles, including being biologically inert, easily adaptable to various shapes and sizes, able to create a strong Au-thiol bond, and able to generate heat upon the absorption of near-infrared light. To this end, a AuNP delivery vehicle was engineered to load and release …

Effectiveness And Implementation Of Mpath™-Crc: A Mobile Health System For Colorectal Cancer Screening, Anna C. Snavely, Kristie Foley, Ajay Dharod, Mark Dignan, Holly Brower, Elena Wright, David P. Miller Jr.

UK CARES Faculty Publications

Background Screening for colorectal cancer (CRC) is widely recommended but underused, even though CRC is the third most diagnosed cancer and the second leading cause of cancer death in the USA. The mPATH™ program is an iPad-based application designed to identify patients due for CRC screening, educate them on the commonly used screening tests, and help them select their best option, with the goal of increasing CRC screening rates.

Methods The mPATH™ program consists of questions asked of all adult patients at check-in (mPATH™-CheckIn), as well as a module specific for patients due for CRC screening (mPATH™-CRC). In this study, …

Factors Associated With Sun Protection Behaviors Among Childhood Cancer Survivors, Melissa Fluehr, Gary Kwok, Jerod L. Stapleton, Margaret Masterson, Katie A. Devine

UK CARES Faculty Publications

Background: Childhood cancer survivors (CCS) are at increased risk of developing skin cancer. Engaging in sun-protective behaviors may ameliorate that risk, but prior work shows that survivors engage in suboptimal levels of sun-protective behaviors. Guided by the Health Belief Model (HBM), this study evaluated factors associated with sun-protective behavior among CCS.

Methods: This is a secondary analysis of a survey study of 94 adult survivors of childhood cancer recruited from a long-term follow-up clinic. Participants reported their sun protection habits, skin type/ sensitivity, barriers to sun protection, and perceived severity and susceptibility of getting skin cancer. Descriptive statistics were used …

The Importance Of Translationally Evaluating Steroid Hormone Contributions To Substance Use, Erin E. Maher, Ashley Strzelecki, Jessica J. Weafer, Cassandra D. Gipson

Markey Cancer Center Faculty Publications

Clinically, women appear to be more susceptible to certain aspects of substance use disorders (SUDs). The steroid hormones 17β-estradiol (E2) and progesterone (Pg) have been linked to women-specific drug behaviors. Here, we review clinical and preclinical studies investigating how cycling ovarian hormones affect nicotine-, cocaine-, and opioid-related behaviors. We also highlight gaps in the literature regarding how synthetic steroid hormone use may influence drug-related behaviors. In addition, we explore how E2 and Pg are known to interact in brain reward pathways and provide evidence of how these interactions may influence drug-related behaviors. The synthesis of this review demonstrates the critical …

Improving Wastewater-Based Epidemiology Performance Through Streamlined Automation, Mohammad Dehghan Banadaki, Soroosh Torabi, William Strike, Ann Noble, James W. Keck, Scott M. Berry

UK CARES Faculty Publications

Wastewater-based epidemiology (WBE) has enabled us to describe Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infections in populations. However, implementation of wastewater monitoring of SARS- CoV-2 is limited due to the need for expert staff, expensive equipment, and prolonged processing times. As WBE increases in scope (beyond SARS-CoV-2) and scale (beyond developed regions), there is a need to make WBE processes simpler, cheaper, and faster. We developed an automated workflow based on a simplified method termed exclusion-based sample preparation (ESP). Our automated workflow takes 40 min from raw wastewater to purified RNA, which is several times faster than conventional WBE …

Inhibitory Effect Of Sulfur Dioxide Inhalation On Hering–Breuer Inflation Reflex In Mice: Role Of Voltage-Gated Potassium Channels, Nai-Ju Chan, Chun-Chun Hsu, You Shuei Lin, Ruei-Lung Lin, Lu-Yuan Lee

UK CARES Faculty Publications

Slowly adapting receptors (SARs), vagal mechanosensitive receptors located in the lung, play an important role in regulating the breathing pattern and Hering–Breuer inflation reflex (HBIR). Inhalation of high concentration of sulfur dioxide (SO 2), a common environmental and occupational air pollutant, has been shown to selectively block the SAR activity in rabbits, but the mechanism underlying this inhibitory effect remained a mystery. We carried out this study to determine if inhalation of SO 2 can inhibit the HBIR and change the eupneic breathing pattern, and to investigate further a possible involvement of voltage-gated K þ channels in the inhibitory effect …

Angiotensinogen In Sex And Hypertension: New Insights From The Multi-Ethnic Study Of Atherosclerosis (Mesa), Alan Daugherty, Hong S. Lu, George L. Bakris

Saha Cardiovascular Research Center Faculty Publications

No abstract provided.

Post-Intensive Care Syndrome And Pulmonary Fibrosis In Patients Surviving Ards-Pneumonia Of Covid-19 And Non-Covid-19 Etiologies, Jamie L. Sturgill, Kirby Mayer, Anna G. Kalema, Kinjal Dave, Stephanie Mora, Alborz Kalantar, David J. Carter, Ashley A. Montgomery-Yates, Peter E. Morris

Markey Cancer Center Faculty Publications

The purpose was to examine patient‑centered outcomes and the occurrence of lung fibrotic changes on Chest computed tomography (CT) imaging following pneumonia‑related acute respiratory distress syndrome (ARDS). We sought to investigate outpatient clinic chest CT imaging in survivors of COVID19‑related ARDS and non‑COVID‑related ARDS, to determine group differences and explore relationships between lung fibrotic changes and functional outcomes. A retrospective practice analysis of electronic health records at an ICU Recovery Clinic in a tertiary academic medical center was performed in adult patients surviving ARDS due to COVID‑19 and non‑COVID etiologies. Ninety‑four patients with mean age 53 ± 13 and 51% …