Social and Behavioral Sciences Commons^™

Ballad Health: Understanding Appalachia’S Regional Healthcare Monopoly, Meredith A. Bailey

Baker Scholar Projects

The Ballad Health merger of 2018, which combined the now 21 hospitals in the region under one organization, has impacted the healthcare landscape in Northeast Tennessee and Southwest Virginia. Historically, Appalachia has had to persevere through primary physician shortages, a lack of specialty care, geographic obstacles to accessing healthcare, challenges related to substance abuse, and much more. Since the merger of Mountain States Health Alliance and Wellmont Health System, little research has been done to assess the perceived impact the aggregation of providers has had on the population it serves. This study utilizes an online survey to better understand the …

Effects Of Switchgrass Related Land-Use Changes On Aquatic Macroinvertebrates, Latha Malar Baskaran

Doctoral Dissertations

This research examines if switchgrass-based land-management practices have the potential to influence aquatic macroinvertebrates through changes in stream flow and water quality. The number of taxa in Ephemeroptera, Plecoptera, and Trichoptera orders (EPT taxa richness/EPT-TR) is analyzed as an aquatic macroinvertebrate bioindicator in the context of regional environmental effects, and changes in stream flow and water quality. This dissertation is structured as three manuscripts that link together to address the overall research question.

The first manuscript focuses on identifying regional environmental variables that influence EPT-TR across ecoregions in Tennessee. The influences of temperature, precipitation, geology, soil, stream flow and velocity …

A Dendroecological Evaluation Of The Effects Of Coal Ash On Tree Growth, Kingston Fossil Plant, Harriman, Tennessee, U.S.A., Niki Ann Garland

Masters Theses

Tree growth is a function of many environmental variables, and it is possible to detect differences between natural and human-related factors on tree growth. Radial growth of trees in one year and in subsequent years that follow is influenced not only by climate and other overarching multi-year processes, but also by pulse disturbance events. On December 22, 2008, an embankment at an impoundment for wet storage of fly ash at the Kingston Fossil Plant, Harriman, Tennessee collapsed, releasing 4,434,400 cubic meters of coal ash into the Clinch and Emory Rivers, impacting aquatic life as well as terrestrial flora and fauna. …

Contextualizing The Tipton-Haynes State Historic Site (40wg59): Understanding Landscape Change At An Upland South Farmstead., Daniel Whitaker Howard Brock

Masters Theses

This thesis focuses on a contextual archaeological approach to investigate the historic landscape of the Tipton-Haynes State Historic Site. Tipton-Haynes is a late eighteenth- through twentieth-century upland south farmstead located in Johnson City, TN. Home to two prominent Tennessee families and occupied until acquired by the state in the 1960s, the site has experienced many alterations to the landscape over time. The analysis presented views the landscape as material culture investigated through a multidisciplinary approach including historic research, architectural survey, geophysical survey, dendrochronology, and archaeology. To make sense of the complex nature of the Tipton-Haynes site, multiple methods were used …

Fire Regimes Of Lower-Elevation Forests In Great Smoky Mountains National Park, Tennessee, U.S.A., Lisa Battaile Laforest

Doctoral Dissertations

Disturbance is a natural part of any forest ecosystem. When disturbance regimes are altered, the forest stands will reflect those changes. Southern Appalachian xeric pine-oak woodlands are one forest type that has experienced such change, primarily in the form of fire suppression. The western side of Great Smoky Mountains National Park contains stands of large trees that escaped earlier intensive logging, show evidence of past fire, and provide an ideal setting for reconstructing stand histories. For three lower-elevation (ca. 500 m ASL) study sites, I used crossdated yellow pine tree-ring chronologies and records from cross-sections taken from living and dead …