Social and Behavioral Sciences Commons^™

A Comparison Of Appalachian And Non-Appalachian Kentucky Dui Offenders, Megan F. Dickson, Megan Kissel, J. Matthew Webster

Journal of Appalachian Health

Background: Driving under the influence has been an overlooked consequence of the opioid epidemic. Although recent reports have highlighted the increased prevalence of DUI in rural communities and the extensive mental health problems and criminal and drug use histories among rural Appalachian DUI offenders, it is unclear how Appalachian DUI populations compare to DUI offenders in other regions.

Purpose: To help fill this void in the literature, the current study uses a statewide sample to examine how Appalachian DUI offenders differ from non-Appalachian DUI offenders in a predominantly rural state.

Methods: Assessment records were examined for 11,640 Kentucky DUI offenders …

Roanoke's Collective Public Health Activities, Michael Lytton

Journal of Appalachian Health

Roanoke is addressing problems that confront many small and medium sized cities in the U.S., especially disparities in health and life expectancy between neighborhoods. These disparities are often legacies of decades of racial and economic segregation, resulting in low-income or disinvested communities. Typically, such neighborhoods have fewer parks, higher vacancy rates and less stable affordable housing stock, inadequate public transit systems, too few clinics, too many fast food restaurants and insufficient access to high quality schools. In Roanoke these are the northwest and southeast quadrants, both federally designated Medically Underserved Areas, and characterized by a large proportion of the city’s …

The Effects Of Opioids On Kentucky's Workforce, Michael W. Clark, Jenny A. Minier, Charles J. Courtemanche, Bethany L. Paris, Michael T. Childress

CBER Research Report

From the executive summary:

Opioid abuse represents a significant and growing public health issue for both the nation and Kentucky. In 2016, opioids contributed to more than 62,000 deaths nationally and 1,406 deaths in Kentucky. National studies have placed the societal costs of opioid abuse at $55.7 billion in 2007 and $78.5 billion in 2013 (Birbaum et al. (2011) and Florence et al. (2016)). These costs included increased health care expenditures, higher criminal justice costs, and lost earnings due to reduced employment and premature deaths. The While House Council of Economic Advisors (2017) estimated the societal costs of opioid abuse …

Alma Analytics, For Fulfillment, Julene L. Jones

Library Presentations

This presentation covers the following topics:

• Analytics information in Alma
• How to get there, Structure of Analytics
• Create a new analysis
• Tips and best practices
• Edit an existing analysis
• Example analyses
• Links to Ex Libris information

“Okay Okay Okay, Now The Video Is On”: An Analysis Of Young Children’S Orientations To The Video Camera In Recordings Of Family Interactions, Sarah C. Barriage, Darcey K. Searles

Information Science Faculty Publications

This paper explores 3- to 6-year-old children’s orientations to the video camera in video recordings of everyday family interactions. Children’s orientations to the video camera in these recordings were identified and analyzed using the constant comparative method. Types of orientations to the video camera included talking about the camera, engaging in camera-directed talk and/or action, and interacting with the camera. In some cases, these orientations occurred after a parent or sibling first oriented to the video camera; however, in other cases no prior orientation was evident. Theoretical and practical implications of the results are discussed.

The Effect Of Smoking On Kentucky’S Workforce, Michael W. Clark, Jenny A. Minier, Charles J. Courtemanche, Bethany L. Paris, Michael T. Childress

CBER Research Report

Excerpt from the Executive Summary:

Smoking has been estimated to increase health care costs in the United States by $167.5 billion annually (Xu et al. 2015). In Kentucky, smoking adds $2.5 billion in health care expenditures each year. Most of these costs were paid by public programs such as Medicaid and Medicare. While these costs are significant, they represent only a portion of the costs that smoking imposes on society. Smoking also leads to poorer labor market outcomes. Smokers are more likely to be unemployed, earn lower wages, and die prematurely than non-smokers. These negative labor market effects reduce economic …

Dealing With Dysfunction, Jennifer A. Bartlett

Library Faculty and Staff Publications

It is the rare library that does not experience some level of dysfunctional behavior among staff. Problems arise when weak leadership, poor communication, and lack of goals result in toxic behaviors including gossiping and bullying. Several recent publications offer tips on identifying and dealing with dysfunctional library workplaces.

Beautiful Connector: Collection Showcase Exhibits As Teaching Tools And Community Builders, Antje Mays

Library Faculty and Staff Publications

Libraries’ quest to strengthen connections with their constituencies often finds expression in new services and repurposed user spaces. Some literature portrays libraries as focusing away from collections toward new trends in library portfolios, but showcasing collections can prove very effective in bringing the library and user communities closer together. This article recounts two recent library collection showcase exhibits as successful examples of bolstering stakeholder connections: The first collections exhibit showcased books on Chinese language, literature, culture, art and architecture, history, and medicine received through the Window of Shanghai program. The second collections exhibit showcased scholarly books, U.S. government publications, citizen …

Haiti’S Pact With The Devil?: Bwa Kayiman, Haitian Protestant Views Of Vodou, And The Future Of Haiti, Bertin M. Louis Jr.

Anthropology Faculty Publications

This essay uses ethnographic research conducted among Haitian Protestants in the Bahamas in 2005 and 2012 plus internet resources to document the belief among Haitian Protestants (Haitians who practice Protestant forms of Christianity) that Haiti supposedly made a pact with the Devil (Satan) as the result of Bwa Kayiman, a Vodou ceremony that launched the Haitian Revolution (1791–1803). Vodou is the syncretized religion indigenous to Haiti. I argue that this interpretation of Bwa Kayiman is an extension of the negative effects of the globalization of American Fundamentalist Christianity in Haiti and, by extension, peoples of African descent and the …

Can Mergers And Acquisitions Internalize Positive Externalities In Funding Innovation?, Leo Li, Mark Liu

Institute for the Study of Free Enterprise Working Papers

Fundamental innovation usually involves huge upfront costs, but the benefits are spread across various sectors of the economy. Given the large costs and limited appropriability of the benefits associated with the innovation, individual firms underinvest in these innovations relative to the socially optimal level. We find that mergers and acquisitions (M&As) can internalize the positive externalities by merging firms from both the user industries and the producer industries of an innovation. Using the US patent citation dataset, we define the user and producer relationship between each pair of industries and between each pair of industry and technological class. We then …

Kentucky School Districts As Educational Bright Spots, Michael T. Childress

CBER Research Report

Every year a select group of Kentucky school districts perform better than expected on measures of educational achievement. These measures include things like the percentage of elementary students who achieve proficiency or distinguished in reading, or the proportion of less‐advantaged middle school students who show a similar level of competency on the math assessment.

There are wide differences in the learning environments, finances, and student outcomes among and within Kentucky’s 173 school districts. This is not surprising given that the largest school district in the state, Jefferson County, has 97,000 students and 165 schools, while the smallest, West Point Independent …

The Medicalization Of Sleeplessness: Results Of U.S. Office Visit Outcomes, 2008-2015, Mairead Eastin Moloney, Gabriele Ciciurkaite, Robyn Lewis Brown

Sociology Faculty Publications

Previous analysis of U.S. physician office visits (1993–2007) indicated that the medicalization of sleeplessness was on the rise and had potentially negative implications for population health. Our study asks if the medicalization of sleeplessness at the level of patient-physician interaction has persisted over time. Using the most recent years available (2008–2015) of the National Ambulatory Medical Care Survey we calculated nationally representative estimates for four sleeplessness-related outcomes of physician office visits: sleeplessness complaint, insomnia diagnosis, and prescription of benzodiazepine and non-benzodiazepine sedative-hypnotics (NBSH). To test for the significance of the linear trajectory, we ran a series of bivariate linear models. …

The At-Risk Student Population You Might Be Overlooking: Working With Developmental Education Students, Lauren Colburn, Beth Fuchs

Library Presentations

Each year a considerable number of students are placed in developmental education courses which are intended to prepare them for college-level courses. In fact, a 2016 report published by the National Center for Education Statistics showed that 68% of students at public 2-year institutions and 40% of students at 4-year public institutions enrolled in at least one math, reading, or writing, developmental course between 2003-2009 (NCES, 2016). Nationally, many states have begun to focus specifically on these courses and the various ways institutions can surround these students with the academic support structures they need to succeed. However, one support structure …

A Legacy Of Disease, Arthur L. Frank

Journal of Appalachian Health

In Appalachia, like much of America, there are important health issues that have not always been appropriately predicted or dealt with when they occur. Lifestyle issues in Appalachia lead to obesity and heart disease, not surprisingly due to extensive use of sugary drinks. The current opioid crisis could have been better predicted given the trauma of mining and the past abuse of less-potent narcotics. A continuing major problem in the whole country is inadequate support for preventive health activities.

Using Mini-Grants To Build Multi-Sector Partnerships In Rural Tennessee, Ginny Kidwell, Kristine Bowers, Taylor M. Dula, Randolph F. Wykoff

Journal of Appalachian Health

Rural counties in Tennessee, including those located in Appalachia, face some of the greatest health challenges in the nation. Unpublished data collated by the East Tennessee State University College of Public Health (ETSU) show that Tennessee’s 52 Appalachian counties vary dramatically from its 43 non-Appalachian counties in virtually all socioeconomic, behavioral, and health outcome metrics. Since 2011, the Tennessee Institute of Public Health (TNIPH) has actively encouraged local communities to address behavior change, enhance educational achievement, and improve economic conditions as essential components for improving health and well-being in rural Tennessee.

Improving Access To Addiction Recovery Care In Central Appalachia Through Organizational Collaboration, Katy Stigers

Journal of Appalachian Health

Fahe, a Network of 50+ members throughout Appalachia based in Berea KY, has brought together a coalition to finance, build, and manage several addiction recovery care centers across Kentucky and West Virginia, increase access to employment, and deploy vouchers for supportive services.

Disparities In Quality Of Life By Appalachian-Designation Among Women With Breast Cancer, Robin C. Vanderpool, Ann L. Coker, Heather M. Bush, Sarah E. Cprek

Journal of Appalachian Health

Introduction: Few studies have examined the association of geography and quality of life (QOL) among breast cancer patients, particularly differences between Appalachian and non-Appalachian Kentucky women, which is important given the cancer and socioeconomic disparities present in Appalachia.

Purpose: The purpose of this study was to determine whether women with breast cancer residing in Appalachian Kentucky experience poorer health outcomes in regards to depression, stress, QOL, and spiritual wellbeing, relative to those living in non-Appalachian Kentucky after adjusting for demographic, socioeconomic, and health-related factors.

Methods: Women, aged 18–79, recruited from the Kentucky Cancer Registry between 2009 and 2013 with an …

West Virginia’S Sugary Drink Tax: Examining Print Media Frames In Local News Sources, Lauri Andress, Ogaga Urhie, Christine Compton

Journal of Appalachian Health

Introduction: Framing is an important aspect of the policy process that helps the public and decision makers sort through and resolve highly charged claims about an issue. Through slight changes in the presentation of issues, a framing effect may alter public support. The way a proposed sugary drink tax is discussed in public discourse and by the media significantly influences policy acceptance. Given the public health significance of obesity and diabetes in West Virginia (WV) the study of media frames employed to represent a sugary drink tax policy is useful.

Methods: Using quantitative content analysis, this study assessed news articles—published …

Investigating The Impact Of The Diseases Of Despair In Appalachia, Michael Meit, Megan Heffernan, Erin Tanenbaum

Journal of Appalachian Health

Introduction: Appalachia is one of the regions most significantly impacted by the opioid crisis. This study investigated mortality due to diseases of despair within the Appalachian Region, with an additional focus on deaths attributable to opioid overdose.

Methods: Diseases of despair include: alcohol, prescription drug and illegal drug overdose, suicide, and alcoholic liver disease/cirrhosis of the liver. Mortality data from the National Center for Health Statistics (NCHS) National Vital Statistics System (NVSS) Multiple Cause of Death database were analyzed for this study, focusing on individuals aged 15–64.

Results: Over the past two decades, the mortality rate due to diseases of …

Root Causes Of Appalachia’S Deaths Of Despair, F. Douglas Scutchfield Md

Journal of Appalachian Health

The U.S. is experiencing a decline in life expectancy, particularly among rural white males in their most productive years. Appalachia is disproportionally represented in mortality rates, accounting for 30% of the U.S. population, but 50% of the excess mortality attributed to the “deaths of despair”: drug overdose, suicide, and alcoholic cirrhosis. A substantial proportion of that excess mortality is related to the current opioid crisis we are experiencing. We have data on evidence-based solutions to the treatment of addiction, but little information on prevention of addiction as well as the other deaths of despair, likely with the same etiologic agent. …

Southeastern Law Librarian Summer 2019, Seaall

Newsletters

No abstract provided.

Best Websites For Careers And Job Hunting, Jennifer A. Bartlett

Library Faculty and Staff Publications

Here are just a few tried-and-true free websites to help our patrons (and maybe us!) get started on the road to that perfect job.

The Allocation And Exchange Of Property Rights As A Way To Understand Comparative Economics Systems And Managerial Economics, John Garen

Institute for the Study of Free Enterprise Working Papers

This paper discusses how economic systems can be described by the manner that property rights are allocated to individuals, to the government, or to interests groups. Property rights entail control of use of assets, claim on the net income from an asset, and transferability of the previous two. Economics systems (e.g., capitalism, socialism, cronyism) are characterized by who holds these rights, in whole or in part, and this determines the success or failure of an economy. A related analysis is applied to understanding business organization, e.g., the corporate and non-corporate form, franchising, and employee compensation methods. Each entails a (voluntary) …

Medicaid Coverage Across The Income Distribution Under The Affordable Care Act, Charles J. Courtemanche, James Marton, Aaron Yelowitz

Institute for the Study of Free Enterprise Working Papers

This chapter examines trends in Medicaid enrollment across the income distribution after the ACA’s Medicaid expansion.Using data from the American Community Survey between 2012and 2017, we compare Medicaid coverage over time in 9 states that expanded Medicaid in 2014 with no previous expansion for able-bodied, working-age adults with 12 states that had not expanded Medicaid by 2019 and also had no previous expansion for such adults. A difference-in-differences model is used to formalize this comparison. Similar to many previous studies, we find that Medicaid coverage increased dramatically for income-eligible adults under 138% of the federal poverty level (FPL). In addition, …

Libraries As Sustainability Leaders: Ala’S Special Task Force, René Tanner, Rebekkah Smith Aldrich, Monika Antonelli, Adrian K. Ho

Library Faculty and Staff Publications

This article discusses the work of the American Library Association (ALA) Special Task Force on Sustainability, which identified 52 recommendations, including the adoption of sustainability as a core value of librarianship. The group aims to promote libraries as catalysts, connectors, and conveners to promote sustainability, resilience, and regeneration. The Task Force is guided by the concept of the triple bottom line, which states that an organization’s practices must be not only economically feasible but also socially equitable and environmentally sound. The article also provides examples of how libraries engage in sustainable practices to support the cities and towns they serve.

Appraisal Frameworks Used To Deaccession Part Of A University Faculty Personal Papers Collection: The Case Of The Artist's Scrapbooks, Ruth E. Bryan

Library Presentations

This presentation reflects on an archival deaccessioning situation where the son of a living donor, a member of the faculty at the University of Kentucky, requested the return of the family scrapbooks included in his father's collection. The presentation comprises the story of the deaccession, a definition of "appraisal" in this American archives context, and then an unpacking of the appraisal decision frameworks operating in this case study.

Search Results Outliers Among Medline Platforms, Christopher Sean Burns, Robert M. Shapiro Ii, Tyler Nix, Jeffrey T. Huber

Information Science Faculty Publications

Objective: Hypothetically, content in MEDLINE records is consistent across multiple platforms. Though platforms have different interfaces and requirements for query syntax, results should be similar when the syntax is controlled for across the platforms. The authors investigated how search result counts varied when searching records among five MEDLINE platforms.

Methods: We created 29 sets of search queries targeting various metadata fields and operators. Within search sets, we adapted 5 distinct, compatible queries to search 5 MEDLINE platforms (PubMed, ProQuest, EBSCOhost, Web of Science, and Ovid), totaling 145 final queries. The 5 queries were designed to be logically and semantically …

Racial And Ethnic Disparities In Stroke Outcomes: A Scoping Review Of Post-Stroke Disability Assessment Tools, Suzanne Perea Burns, Brandi M. White, Gayenell Magwood, Charles Ellis, Ayaba Logan, Joy N. Jones Buie, Robert J. Adams

Health and Clinical Sciences Faculty Publications

Purpose: To identify how post-stroke disability outcomes are assessed in studies that examine racial/ethnic disparities and to map the identified assessment content to the International Classification of Functioning, Disability, and Health (ICF) across the time course of stroke recovery.

Methods: We conducted a scoping review of the literature. Articles published between January 2001 and July 2017 were identified through Scopus, PubMed, CINAHL, and PsycINFO according to predefined inclusion and exclusion criteria.

Results: We identified 1791 articles through database and hand-searching strategies. Of the articles, 194 met inclusion criteria for full-text review, and 41 met inclusion criteria for study inclusion. The …

Prevalence And Correlates Of Diagnosed And Undiagnosed Hypertension In The Indigenous Kuna Population Of Panamá, Daniel R. Hanna, Rebekah J. Walker, Brittany L. Smalls, Jennifer A. Campbell, Aprill Z. Dawson, Leonard E. Egede

Center for Health Services Research Faculty Publications

Background: To determine the prevalence of hypertension and investigate sociodemographic correlates in an indigenous Kuna community living on the San Blas islands of Panama.

Methods: Data was collected from adults using a paper-based survey using a cross sectional study design. Blood pressure was measured, and hypertension defined at two cut-points: 130/80 mmHg and 140/90 mmHg. Individuals with undiagnosed hypertension had a blood pressure measurement that indicated hypertension, however, the individual had not been told by a doctor they had hypertension. Whereas individuals with diagnosed hypertension had been told by a healthcare provider that they had hypertension. Univariate tests compared diagnosed …

Geographic And Climatic Attributions Of Autumn Land Surface Phenology Spatial Patterns In The Temperate Deciduous Broadleaf Forest Of China, Weiguang Lang, Xiaoqiu Chen, Liang Liang, Shilong Ren, Siwei Qian

Geography Faculty Publications

Autumn vegetation phenology plays a critical role in identifying the end of the growing season and its response to climate change. Using the six vegetation indices retrieved from moderate resolution imaging spectroradiometer data, we extracted an end date of the growing season (EOS) in the temperate deciduous broadleaf forest (TDBF) area of China. Then, we validated EOS with the ground-observed leaf fall date (LF) of dominant tree species at 27 sites and selected the best vegetation index. Moreover, we analyzed the spatial pattern of EOS based on the best vegetation index and its dependency on geo-location indicators and seasonal temperature/precipitation. …