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https://www.readbyqxmd.com/read/28601785/pollution-and-regional-variations-of-lung-cancer-mortality-in-the-united-states
#1
Justin Xavier Moore, Tomi Akinyemiju, Henry E Wang
INTRODUCTION: The aims of this study were to identify counties in the United States (US) with high rates of lung cancer mortality, and to characterize the associated community-level factors while focusing on particulate-matter pollution. METHODS: We performed a descriptive analysis of lung cancer deaths in the US from 2004 through 2014. We categorized counties as "clustered" or "non-clustered" - based on whether or not they had high lung cancer mortality rates - using novel geospatial autocorrelation methods...
June 8, 2017: Cancer Epidemiology
https://www.readbyqxmd.com/read/28598349/predicting-water-filter-and-bottled-water-use-in-appalachia-a-community-scale-case-study
#2
Jonas G Levêque, Robert C Burns
A questionnaire survey was conducted in order to assess residents' perceptions of water quality for drinking and recreational purposes in a mid-sized city in northcentral West Virginia. Two logistic regression analyses were conducted in order to investigate the factors that influence bottle use and filter use. Results show that 37% of respondents primarily use bottled water and that 58% use a household filter when drinking from the tap. Respondents with lower levels of environmental concern, education levels, and lower organoleptic perceptions were most likely to perceive health risks from tap water consumption, and were most likely to use bottled water...
June 2017: Journal of Water and Health
https://www.readbyqxmd.com/read/28575901/dissemination-approaches-to-participating-primary-care-providers-in-a-quality-improvement-program-addressing-opioid-use-in-central-appalachia
#3
Roberto Cardarelli, Charlotte Sue Workman, Sarah Weatherford, Stacey Whanger, Dana E King
OBJECTIVES: Practice-based research networks (PBRNs) have been described as new clinical laboratories for primary care research and dissemination. PBRNs, however, have struggled to disseminate research results in a meaningful way to participating providers and clinics. METHODS: The Central Appalachia Inter-Professional Pain Education Collaborative was developed to work with PBRN clinics using quality improvement methods, deliver statewide continuing education activities to address the issue of opioid use in patients with chronic pain, and develop a multimodal mechanism to disseminate project results to clinics and participating providers...
June 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28543829/what-challenges-do-nonprofit-hospitals-face-in-taking-on-community-health-needs-assessments-a-qualitative-study-from-appalachian-ohio
#4
Daniel Skinner, Berkeley Franz, Kelly Kelleher
PURPOSE: The purpose of this study is to understand the experiences of Appalachian hospitals in undertaking Community Health Needs Assessments (CHNAs). Of particular interest is whether new requirements to undertake regular evaluation and public health programming pose challenges for rural, Appalachian hospitals. METHODS: Using a sample of nonprofit hospitals in Appalachian Ohio, we conducted in-depth qualitative interviews with hospital administrators overseeing community benefit activities and external consultants hired to complete assessments...
May 24, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28497853/respiratory-morbidity-among-u-s-coal-miners-in-states-outside-of-central-appalachia
#5
Laura E Reynolds, David J Blackley, Anthony S Laney, Cara N Halldin
BACKGROUND: Recent NIOSH publications have focused on the respiratory health of coal miners in central Appalachia, yet 57% of U.S. coal miners work in other regions. We characterized respiratory morbidity in coal miners from these regions. METHODS: Active coal miners working outside of central Appalachia who received chest radiographs and/or spirometry during 2005-2015 were included. Chest radiographs were classified according to International Labour Office standards and spirometry was interpreted using the American Thoracic Society guidelines...
May 12, 2017: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/28470135/a-decade-of-health-assessments-in-appalachia
#6
E Scott Sills, Xiang Li
Purpose The purpose of this paper is to describe standardized clinical process of care and quality performance metrics at Roane Medical Center (RMC) and compare data from 2005 to 2015. Design/methodology/approach Information was extracted from a nationwide sample of short-term acute care hospitals using the Hospital Quality Alliance (HQA) database, evaluating multiple parameters measured at RMC. HQA data from RMC were matched against state and national benchmarks; findings were also compared with similar reports from the same facility in 2005...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28436706/tobacco-use-and-attachment-style-in-appalachia
#7
Mary Heath Wise, Florence Weierbach, Yan Cao, Ken Phillips
Tobacco has been recognized as the number one cause of preventable death in America and results in almost 5.2 million years of potential life lost each year. The use of tobacco products is highly correlated with pulmonary disease, cardiovascular disease, and other forms of chronic illness in America. New tobacco products are trending in the tobacco market such as the water pipe/hookah and e-cigarettes. With e-cigarettes and other newer forms of tobacco on the rise, it is important to look at the underlying factors for using all kinds of tobacco products as a means of prevention...
April 24, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28413829/prioritizing-us-cervical-cancer-prevention-with-results-from-a-geospatial-model
#8
Jonathan K Kish, Alicia I Rolin, Zhaohui Zou, James E Cucinelli, Zaria Tatalovich, Mona Saraiya, Sean F Altekruse
PURPOSE: To determine if differences in screening and vaccination patterns across the population may accentuate ethnic and geographic variation in future burden of disease. METHODS: Using Cancer in North America data provided by the North American Association of Central Cancer Registries, county cervical cancer incidence trends from 1995 to 2009 were modeled for the entire United States using ecologic covariates. Rates for health service areas were also modeled by ethnicity...
October 2016: Journal of Global Oncology
https://www.readbyqxmd.com/read/28410673/hotspots-of-canine-leptospirosis-in-the-united-states-of-america
#9
Allison M White, Carlos Zambrana-Torrelio, Toph Allen, Melinda K Rostal, Andrea K Wright, Eileen C Ball, Peter Daszak, William B Karesh
Leptospirosis is a widespread zoonotic disease that causes hepatic and renal disease in dogs and human beings. The incidence of leptospirosis in dogs in the USA appears to be increasing. This study used 14 years of canine leptospirosis testing data across 3109 counties in the USA to analyze environmental and socio-economic correlates with rates of infection and to produce a map of locations of increased risk for canine leptospirosis. Boosted regression trees were used to identify the probability of a dog testing positive for leptospirosis based on microscopic agglutination test (MAT) results, and environmental and socio-economic data...
April 2017: Veterinary Journal
https://www.readbyqxmd.com/read/28393634/impact-of-design-on-patient-participation-in-healthcare-in-a-rural-health-clinic-in-appalachia
#10
John Christopher Haddox
OBJECTIVES: A pilot study exploring how elderly patients of a rural outpatient health clinic in Appalachia perceive design elements of the facility as imposing barriers to healthcare participation. BACKGROUND: Outpatient clinics play a critical role in the delivery of healthcare in rural settings in Appalachia. While the concept of patient participation in healthcare does not enjoy a widely adopted, standardized definition, it is believed that patients who are more actively engaged in their healthcare will potentially realize improved health outcomes...
January 1, 2017: HERD
https://www.readbyqxmd.com/read/28384240/supplementary-cranial-description-of-the-types-of-edmontosaurus-regalis-ornithischia-hadrosauridae-with-comments-on-the-phylogenetics-and-biogeography-of-hadrosaurinae
#11
Hai Xing, Jordan C Mallon, Margaret L Currie
The cranial anatomy of the flat-skulled hadrosaurine Edmontosaurus regalis (Ornithischia: Hadrosauridae) is extensively described here, based on the holotype and paratype collected from the middle part of the Horseshoe Canyon Formation in southern Alberta. Focus is given to previously undocumented features of ontogenetic and phylogenetic importance. This description facilitates overall osteological comparisons between E. regalis and other hadrosaurids (especially E. annectens), and revises the diagnosis of E...
2017: PloS One
https://www.readbyqxmd.com/read/28377670/periodontal-status-and-quality-of-life-impact-of-fear-of-pain-and-dental-fear
#12
Casey D Wright, Daniel W McNeil, Cierra B Edwards, Richard J Crout, Katherine Neiswanger, John R Shaffer, Mary L Marazita
Background. Oral health-related quality of life (OHRQoL) is impacted by periodontal disease and orofacial pain. There is a limited research examining the impact of avoidance of care or physiological arousal related to the fear of pain response on periodontal-related OHRQoL. Methods. Data are from the Center for Oral Health Research in Appalachia family-based study focusing on 1,339 adults. Measures included a modified Periodontal Screening and Recording Index across sextants of dentition, dental fear survey, Fear of Pain Questionnaire-9, and Oral Health Impact Profile-14...
2017: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/28375136/review-antiurolithiatic-plants-formulations-used-in-different-countries-and-cultures
#13
Salman Ahmed, Muhammad Mohtasheemul Hasan, Zafar Alam Mahmood
About 12% of world population is affected by different forms of urolithiasis in which the recurrence rate in female is 47-60% and in male is 70-80%. According to WHO 75% people rely on traditional medicines for the prevention and cure of different ailments. Similarly, the majority of the world population use a number of plants to treat problems related to the urinary tract system in which urolithiasis is the major cause. The aim of the review is to collect the data of the plants used in different parts and cultures of the world against urolithiasis with their parts, mode of preparation, dosage and administration...
November 2016: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/28340547/the-complexities-of-struggling-to-live-life
#14
Samereh Abdoli, Lynda R Hardy, Joanne Hall
Purpose The purpose of the study was to explore and describe perceptions and experiences of young adults with type 1 diabetes mellitus (T1DM) living in Appalachia, Tennessee. Methods Qualitative descriptive analysis of in-depth interviews of 9 young adults (male = 3, female = 6) 18 to 30 years of age living in Appalachian counties in Tennessee provided the basis of identifying the salient concerns from the perspective of this diverse group related to living daily with T1DM. Data analysis was facilitated by using NVivo 11 Pro and consisted of iterative review of the accounts in 3 phases: immersion, reduction, and interpretation...
April 2017: Diabetes Educator
https://www.readbyqxmd.com/read/28306684/implementation-and-outcomes-of-a-community-based-pulmonary-rehabilitation-program-in-rural-appalachia
#15
Daniel Doyle, Chaffee Tommarello, Mike Broce, Mary Emmett, Cecil Pollard
PURPOSE: To report on the implementation and clinical outcomes of a community-based pulmonary rehabilitation program in rural Appalachia. METHODS: Three rural health centers and a large referral hospital worked together to establish pulmonary rehabilitation services based on AACVPR guidelines. Each site hired at least 1 respiratory therapist. To measure clinical outcomes, a retrospective medical record study compared pre- and post-program values for the modified Medical Research Council dyspnea level, 6-minute walk test (6MWT), negative inspiratory force (NIF), respiratory disease knowledge, St George Respiratory Questionnaire (SGRQ), BODE index (body mass index, airflow obstruction, dyspnea and exercise capacity), and smoking status...
March 16, 2017: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/28292190/residing-in-economically-distressed-rural-appalachia-is-independently-associated-with-excess-body-weight-in-college-students
#16
Demetrius A Abshire, Terry A Lennie, Gia T Mudd-Martin, Debra K Moser
INTRODUCTION: The prevalence of obesity is greater among adults living in rural compared to urban areas of the USA. Greater obesity risk among rural adults persists after adjusting for obesity-related behaviors and sociodemographic factors. With the rural-urban obesity disparity greatest among younger adults, it is important to examine the complexity of factors that may increase the risk for excess body weight in this population so that effective preventive interventions can be implemented...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28285334/incidence-of-cns-tumors-in-appalachian-children
#17
Bin Huang, Alice Luo, Eric B Durbin, Ellen Lycan, Thomas Tucker, Quan Chen, Craig Horbinski, John L Villano
Determine whether the risk of astrocytomas in Appalachian children is higher than the national average. We compared the incidence of pediatric brain tumors in Appalachia versus non-Appalachia regions, covering years 2000-2011. The North American Association of Central Cancer Registries (NAACCR) collects population-based data from 55 cancer registries throughout U.S. and Canada. All invasive primary (i.e. non-metastatic tumors), with age at diagnosis 0-19 years old, were included. Nearly 27,000 and 2200 central nervous system (CNS) tumors from non-Appalachia and Appalachia, respectively comprise the cohorts...
March 11, 2017: Journal of Neuro-oncology
https://www.readbyqxmd.com/read/28213767/mountaintop-removal-coal-mining-and-emergent-cases-of-psychological-disorder-in-kentucky
#18
Will H Canu, John Paul Jameson, Ellen H Steele, Michael Denslow
Although mountaintop removal (MTR) coal extraction techniques have been employed in Appalachia for decades, relatively little research has examined its potential psychological impact on people living in close proximity to MTR activity. The current study taps the State Emergency Department Database (Healthcare Cost and Utilization Project, Kentucky State Emergency Department Database, 2008) to examine the relative risk for diagnoses of depressive, substance use, and anxiety disorders originating in areas with and without MTR activity...
February 17, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28177419/modeling-patterns-of-total-dissolved-solids-release-from-central-appalachia-usa-mine-spoils
#19
Elyse V Clark, Carl E Zipper, W Lee Daniels, Zenah W Orndorff, Matthew J Keefe
Surface mining in the central Appalachian coalfields (USA) influences water quality because the interaction of infiltrated waters and O with freshly exposed mine spoils releases elevated levels of total dissolved solids (TDS) to streams. Modeling and predicting the short- and long-term TDS release potentials of mine spoils can aid in the management of current and future mining-influenced watersheds and landscapes. In this study, the specific conductance (SC, a proxy variable for TDS) patterns of 39 mine spoils during a sequence of 40 leaching events were modeled using a five-parameter nonlinear regression...
January 2017: Journal of Environmental Quality
https://www.readbyqxmd.com/read/28158877/association-between-multiple-modifiable-risk-factors-of-cardiovascular-disease-and-hypertension-among-asymptomatic-patients-in-central-appalachia
#20
Hadii M Mamudu, Timir K Paul, Liang Wang, Sreenivas P Veeranki, Hemang B Panchal, Arsham Alamian, Matthew Budoff
OBJECTIVES: The central Appalachian region of the United States is disproportionately burdened with cardiovascular diseases (CVD) and associated risk factors; however, research to inform clinical practice and policies and programs is sparse. This study aimed to examine the association between multiple modifiable risk factors for CVD and hypertension in asymptomatic patients in central Appalachia. METHODS: Between January 2011 and December 2012, 1629 asymptomatic individuals from central Appalachia participated in screening for subclinical atherosclerosis...
February 2017: Southern Medical Journal
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