Digital Commons Network^™

Design Optimization Of A Direct-Drive Wind Generator With Non-Rare-Earth Pm Flux Intensifying Stator And Reluctance Rotor, Ali Mohammadi, Oluwaseun A. Badewa, Yaser Chulaee, Dan Ionel, Somasundaram Essakiappan, Madhav Manjrekar

Power and Energy Institute of Kentucky Faculty Publications

This paper presents a multi-objective design optimization for a novel direct-drive wind turbine generator. The proposed electric machine topology employs an outer rotor of the reluctance type and a special modular stator including three phase-windings and spoke-type permanent magnets (PMs). Each stator module includes a single coil toroidally wound around the ferromagnetic core. Consecutive stator modules are separated by PMs and include coils belonging to a different phase. An optimization method with three objectives: total power loss, weight, and torque ripple, and with one constraint for a minimum acceptable value for the power factor, is described. The design examples are …

Flood Fatalities In Eastern Kentucky And The Public Health Legacy Of Mountaintop Removal Coal Mining, W. Jay Christian, Beverly May, Jeffery E. Levy

UK CARES Faculty Publications

Heavy rains at night caused severe flooding in eastern Kentucky on 28 July 2022, resulting in 39 deaths. Using publicly available information, we assembled a database of these fatalities, including demographic characteristics and location of death. We perturbed fatality locations and plotted them on a topographical map highlighting mountaintop removal mining with valley fill sites, where mountaintops were excavated to mine thin seams of coal. This map reveals many flood fatalities occurred along rivers or streams near such sites. Previous research suggests that surface mining has contributed to the majority of land cover change in this region, and this has …

Accelerating Colorectal Cancer Screening And Follow-Up Through Implementation Science (Accsis) In Appalachia: Protocol For A Group Randomized, Delayed Intervention Trial, Electra D. Paskett, Aaron J. Kruse-Diehr, Jill M. Oliveri, Robin C. Vanderpool, Darrell M. Gray Ii, Michael L. Pennell, Bin Huang, Gregory S. Young, Darla Fickle, Mark Cromo, Mira L. Katz, Paul L. Reiter, Melinda Rogers, David A. Gross, Vickie Fairchild, Wendy Xu, Angela Carman, Jean M. Walunis, Ann Scheck Mcalearney, Timothy R. Huerta, Saurabh Rahurkar, Erika Biederman, Mark B. Dignan

UK CARES Faculty Publications

Appalachian regions of Kentucky and Ohio are hotspots for colorectal cancer (CRC) mortality in the USA. Screening reduces CRC incidence and mortality; however, screening uptake is needed, especially in these underserved geographic areas. Implementation science offers strategies to address this challenge. The aim of the current study was to conduct multi-site, transdisciplinary research to evaluate and improve CRC screening processes using implementation science strategies. The study consists of two phases (Planning and Implementation). In the Planning Phase, a multilevel assessment of 12 health centers (HC) (one HC from each of the 12 Appalachian counties) was conducted by interviewing key informants, …

Combination Therapy With Trastuzumab And Niraparib: Quantifying Early Proliferative Alterations In Her2+ Breast Cancer Models, Ameer Mansur, Patrick N. Song, Yun Lu, Andrew C. Burns, Luke Sligh, Eddy S. Yang, Anna G. Sorace

Markey Cancer Center Faculty Publications

HER2–targeted treatments have improved survival rates in HER2+ breast cancer patients, yet poor responsiveness remains a major clinical obstacle. Recently, HER2+ breast cancer cells, both resistant and responsive to HER2–targeted therapies, have demonstrated sensitivity to poly–(ADP– ribose) polymerase (PARP) inhibition, independent of DNA repair deficiencies. This study seeks to describe biological factors that precede cell viability changes in response to the combination of trastuzumab and PARP inhibition. Treatment response was evaluated in HER2+ and HER2– breast cancer cells. Further, we evaluated the utility of 3′–Deoxy–3′–[18F]–fluorothymidine positron emission tomography ([18F]FLT–PET) imaging for early response assessment in a HER2+ patient derived xenograft …

Predictive Modeling Of Cave Entrance Locations: Relationships Between Surface And Subsurface Morphology, William Blitch, Adia R. Sovie, Benjamin Tobin

Faculty, Staff, and Affiliated Publications--KGS

Cave entrances directly connect the surface and subsurface geomorphology in karst landscapes. Understanding the spatial distribution of these features can help identify areas on the landscape that are critical to flow in the karst groundwater system. Sinkholes and springs are major locations of inflow and outflow from the groundwater system, respectively, however not all sinkholes and springs are equally connected to the main conduit system.

Predicting where on the landscape zones of high connectivity exist is a challenge because cave entrances are difficult to detect and imperfectly documented. Wildlife research has a similar issue of understanding the complexities of where …

Artificial Intelligence In Continuous Kidney Replacement Therapy, Lucas J. Liu, Tomonori Takeuchi, Jin Chen, Javier A. Neyra

Markey Cancer Center Faculty Publications

Over the past decade, artificial intelligence (AI) through machine learning (ML) has been increasingly used in health care applications. The use of AI/ML to enhance the provision of continuous kidney replacement therapy (CKRT) is an area of active investigation because of the growing clinical needs of critically ill patients and the abundance of multimodal data from the electronic health records (EHRs) and the CKRT machine itself. Importantly, best clinical practices of CKRT have not been sufficiently standardized, so there is considerable heterogeneity in utilization and deliverables. In this context, AI/ML-based tools could facilitate informed decisions to enhance CKRT goal-oriented deliver- …

Icam-1-Supar-Cd11b Axis Is A Novel Therapeutic Target For Metastatic Triple-Negative Breast Cancer, Dong Li, Hami Hemati, Younhee Park, Rokana Taftaf, Youbin Zhang, Jinpeng Liu, Massimo Cristofanilli, Xia Liu

Markey Cancer Center Faculty Publications

Accumulating evidence demonstrates that circulating tumor cell (CTC) clusters have higher metastatic ability than single CTCs and negatively correlate with cancer patient outcomes. Along with homotypic CTC clusters, heterotypic CTC clusters (such as neutrophil–CTC clusters), which have been identified in both cancer mouse models and cancer patients, lead to more efficient metastasis formation and worse patient outcomes. However, the mechanism by which neutrophils bind to CTCs remains elusive. In this study, we found that intercellular adhesion molecule-1 (ICAM-1) on triple- negative breast cancer (TNBC) cells and CD11b on neutrophils mediate tumor cell–neutrophil binding. Consequently, CD11b deficiency inhibited tumor cell–neutrophil binding …

Fiscal Year 2021 Fhwa-536 Report For The Kentucky Transportation Cabinet, Doug Kreis, Candice Wallace, Bryan Gibson, Sarah Mccormack

Kentucky Transportation Center Research Report

No abstract provided.

Reviewer Acknowledgments, Randy Wykoff Md, Mph & Tm, Rachel E. Dixon Mphil

Journal of Appalachian Health

As we reach our fifth year, we are particularly thankful for the contributions of our peer reviewers. The knowledge, expertise, and guidance offered by the people listed below have ensured that we can continue to share timely research to effect health and well-being across Appalachia.

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.

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 …

Participatory Collection Of Forage Species In Uruguay, Mónica Rebuffo, Federico Condon, María José Cuitiño

IGC Proceedings (1977-2023)

Local landraces are potential valuable gene sources with benefits for local agriculture. However, their in situ conservation depends on the personal motivation of farmers and the permanence of traditional farming methods (Negri, 2003). There is the latent risk of loosing landraces and site-specific naturalized germplasm due to rapid socio-economic changes in Uruguayan agriculture. Participatory conservation can provide the necessary synergy between farmers, extension services, geneticists and genebank to achieve the goal of conserving these genetic resources. Although farmers' involvement in germplasm collection is common, particularly for vegetable crops, most forage collections had been done from fields or sideroad areas, therefore …

Inducible Over-Expression Of The Cbf3 Abiotic Stress Regulon In Transgenic Bahiagrass (Paspalum Notatum Flugge), V. A. James, F. Altpeter

IGC Proceedings (1977-2023)

Bahiagrass is an important turf and forage grass in the Southern US and in the subtropical regions around the world. The objective of this experiment was to further enhance the productivity and persistence of bahiagrass during seasonal periods of drought and / or freezing and in salt affected regions by over-expression of the stress inducible transcription factor CBF3. Transcription factors like CBF3 are capable of activating the expression of multiple genes involved in protection against environmental stresses (Kasuga et al., 1999).

Modulation Of The Gibberellin Content In Transgenic Turf-Type Bahiagrass For Improved Turf Characteristics And Reduced Mowing Requirements, F. Altpeter, M. Agharkar, H. Zhang

IGC Proceedings (1977-2023)

Bahiagrass is extensively used for utility turf along highways and for residential lawns in the southern USA and in the subtropical regions around the world. The objective of this experiment was to enhance turf quality of bahiagrass and reduce the mowing frequency by over-expression of a gibberellin catabolizing enzyme, Gibberellin 2-oxidase.

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.

Endophyte Astra: A Web-Based Resource For Neotyphodium And Epichloë Est Analysis, K. Shields, M. Ramsperger, S. A. Felitti, C. G. Love, T. A. Erwin, D. Singh, E. G. Logan, D. Edwards, G. C. Spangenberg

IGC Proceedings (1977-2023)

Large-scale gene discovery has led to the production of 13,964 expressed sequence tags (ESTs) collectively from the grass endophytes Neotyphodium coenophialum, N. lolii and Epichloë festucae.

Effect Of Pre-Planting Seed Treatment Options On Dormancy Breaking And Germination Of Ziziphus Mucronata, Abubeker Hassen, N. F. G. Rethman, Willem A. Van Niekerk

IGC Proceedings (1977-2023)

Ziziphus mucronata (Buffalo thorn) is a multipurpose tree, widely adapted to a range of ecological conditions and tolerant of extreme climatic conditions, including frost and drought (Venter & Venter, 1996). It is a valuable fodder tree for livestock and game animals, especially in the drier parts of Africa (Rothauge et al. 2003). Similar to many other leguminous species, establishment is constrained by low and erratic germination of the seed, which has been attributed mainly to the physical barrier of the stony endocarp and dormancy associated with seed coat impermeability. This experiment aimed to compare the suitability of various seed treatment …

Grazing Animal Production Systems And Grazing Land Characteristics In A Semi-Arid Region Of Greece, I. Hadjigeorgiou, G. Economou, D. Lolis, N. Moustakas, G. Zervas

IGC Proceedings (1977-2023)

Rough grazing in Greece cover about 40% of the total land area, is publicly owned and managed extensively (Hadjigeorgiou et al., 2002). The Prefecture of Larisa is in the centre of Greece, and has 212,000 ha of rough grazing land, with a variable topography ranging from sea level up to 3,000 m a.s.l. This area is utilized by a total population of 135,000 LU (mainly sheep, goats and some suckler cows), which consumes annually an appreciable fraction of their total nutrient requirements from rough grazing.

Glm+ Delivers Improved Natural Resource Management And Production Outcomes To Extensive Grazing Properties In The Savannas Of Semi-Arid North Queensland, Australia, Joe W. Rolfe, K. Shaw

IGC Proceedings (1977-2023)

Native pastures are the main feed resource on extensive cattle grazing properties (each usually >25,000 ha) in the savannas of semi-arid north Australia and it is widely accepted that condition of many important land types is declining. A wealth of resource information is publicly available but it is usually complex in nature, diffuse and not presented in terms readily understood by land managers. Extension agencies have also moved towards information delivery using group processes that are not readily accepted by remote land managers. The GLM+ program uses concepts and tools from the Grazing Land Management (GLM) workshop (Chilcott et al. …

The Identification Of Genetic Synteny Between Lolium Perenne Chromosome 7 And Rice Chromosome 6 Genomic Regions That Have Major Effects On Heading-Date, I. P. Armstead, L. B. Turner, L. Skøt, I. S. Donnison, M. O. Humphreys, I. P. King

IGC Proceedings (1977-2023)

Comparative genetic mapping between plant species has established that there has been a conservation of genomic organisation which reflects evolutionary relationships. The genetic mapping of L. perenne has identified such syntenic relationships with both the Triticeae and rice. The recent publication of the complete sequence of the rice genome has allowed these relationships to be analysed more closely and has raised the possibility of using the rice genome as a template for chromosome landing-based gene identification in related non-model species. The aim of the present work was to map particular markers and genes associated with heading-date in rice in L. …

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 …