keyword
MENU ▼
Read by QxMD icon Read
search

Appalachia

keyword
https://www.readbyqxmd.com/read/28306684/implementation-and-outcomes-of-a-community-based-pulmonary-rehabilitation-program-in-rural-appalachia
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/28126091/accuracy-of-name-and-age-data-provided-about-network-members-in-a-social-network-study-of-people-who-use-drugs-implications-for-constructing-sociometric-networks
#7
April M Young, Abby E Rudolph, Amanda E Su, Lee King, Susan Jent, Jennifer R Havens
PURPOSE: Network analysis has become increasingly popular in epidemiologic research, but the accuracy of data key to constructing risk networks is largely unknown. Using network data from people who use drugs (PWUDs), the study examined how accurately PWUD reported their network members' (i.e., alters') names and ages. METHODS: Data were collected from 2008 to 2010 from 503 PWUD residing in rural Appalachia. Network ties (n = 897) involved recent (past 6 months) sex, drug cousage, and/or social support...
November 2016: Annals of Epidemiology
https://www.readbyqxmd.com/read/28002335/spatial-and-temporal-variations-of-screening-for-breast-and-colorectal-cancer-in-the-united-states-2008-to-2012
#8
Xue Feng, Xi Tan, Ebtihag O Alenzi, Pragya Rai, Jongwha Chang
Cancer screening tests are important tools to combat cancer-related morbidity and mortality. There is limited up-to-date research on spatial and temporal variations of colorectal and breast cancer screening in the United States.County-level data of cancer screening adherence rates were generated from 2008 to 2012 Behavioral Risk Factor Surveillance System. We performed the univariate local indicators for spatial analyses (LISA) for the geographic differences of screening adherence rate and the differential LISA for the change of screening adherence rate from 2008 to 2012...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27977638/resurgence-of-progressive-massive-fibrosis-in-coal-miners-eastern-kentucky-2016
#9
David J Blackley, James B Crum, Cara N Halldin, Eileen Storey, A Scott Laney
Coal workers' pneumoconiosis, also known as "black lung disease," is an occupational lung disease caused by overexposure to respirable coal mine dust. Inhaled dust leads to inflammation and fibrosis in the lungs, and coal workers' pneumoconiosis can be a debilitating disease. The Federal Coal Mine Health and Safety Act of 1969 (Coal Act),* amended in 1977, established dust limits for U.S. coal mines and created the National Institute for Occupational Safety and Health (NIOSH)-administered Coal Workers' Health Surveillance Program with the goal of reducing the incidence of coal workers' pneumoconiosis and eliminating its most severe form, progressive massive fibrosis (PMF),(†) which can be lethal...
December 16, 2016: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/27957773/dental-workforce-availability-and-dental-services-utilization-in-appalachia-a-geospatial-analysis
#10
Xue Feng, Usha Sambamoorthi, R Constance Wiener
OBJECTIVES: There is considerable variation in dental services utilization across Appalachian counties, and a plausible explanation is that individuals in some geographical areas do not utilize dental care due to dental workforce shortage. We conducted an ecological study on dental workforce availability and dental services utilization in Appalachia. METHODS: We derived county-level (n = 364) data on demographic and socioeconomic characteristics and dental services utilization in Appalachia from the 2010 Behavioral Risk Factor Surveillance System (BRFSS) using person-level data...
April 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/27957410/community-to-clinic-navigation-to-improve-diabetes-outcomes
#11
Nancy E Schoenberg, Gabriele Ciciurkaite, Mary Kate Greenwood
Rural residents experience rates of Type 2 Diabetes Mellitus (T2DM) that are considerably higher than their urban or suburban counterparts. Two primary modifiable factors, self-management and formal clinical management, have potential to greatly improve diabetes outcomes. "Community to Clinic Navigation to Improve Diabetes Outcomes," is the first known randomized clinical trial pilot study to test a hybrid model of diabetes self-management education plus clinical navigation among rural residents with T2DM. Forty-one adults with T2DM were recruited from two federally qualified health centers in rural Appalachia from November 2014-January 2015...
March 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/27868166/the-use-of-e-cigarettes-among-school-going-adolescents-in-a-predominantly-rural-environment-of-central-appalachia
#12
Daniel Owusu, Jocelyn Aibangbee, Candice Collins, Crystal Robertson, Liang Wang, Mary A Littleton, Rafie Boghozian, Vicki Casenburg, Hadii M Mamudu
E-cigarette use among youth in the United States (U.S.) continues to increase. In the rural Northeast Tennessee, where prevalence of tobacco use is higher than national and state averages, there is no literature on e-cigarette use to inform policies and programs. This study aimed to estimate the prevalence of e-cigarette use and examine association of e-cigarette use with two tobacco products among school-going adolescents. Data from 894 participants of a school-based survey conducted in 2016 in Northeast Tennessee were analyzed...
November 21, 2016: Journal of Community Health
https://www.readbyqxmd.com/read/27863576/federal-emergency-management-agency-response-in-rural-appalachia-a-tale-of-miscommunication-unrealistic-expectations-and-hurt-hurt-hurt
#13
REVIEW
Lauren M Oppizzi, Susan Speraw
In spring of 2012, rural southeastern Kentucky was impacted by torrential storms and flooding that activated federal disaster response through Federal Emergency Management Agency (FEMA). This qualitative research study examines the experience of community members affected by the Kentucky floods of 2012 (N=9) and describes their interactions with FEMA representatives, in their own voice, thereby giving insight into gaps in rural disaster response. The principal investigator spent 6 weeks living in the community and conducted open-ended interviews...
December 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27862244/retail-food-store-access-in-rural-appalachia-a-mixed-methods-study
#14
Esther Thatcher, Cassandra Johnson, Shannon N Zenk, Pamela Kulbok
OBJECTIVE: To describe how characteristics of food retail stores (potential access) and other factors influence self-reported food shopping behavior (realized food access) among low-income, rural Central Appalachian women. DESIGN AND SAMPLE: Cross-sectional descriptive. Potential access was assessed through store mapping and in-store food audits. Factors influencing consumers' realized access were assessed through in-depth interviews. Results were merged using a convergent parallel mixed methods approach...
November 14, 2016: Public Health Nursing
https://www.readbyqxmd.com/read/27853597/first-diagnosis-of-septic-arthritis-in-a-dinosaur
#15
Jennifer Anné, Brandon P Hedrick, Jason P Schein
Identification and interpretation of pathologies in the fossil record allows for unique insights into the life histories of extinct organisms. However, the rarity of such finds limits not only the sample size for palaeopathologic studies, but also the types of analyses that may be performed. In this study, we present the first occurrence of a palaeopathology in a vertebrate from the Mesozoic of the East Coast of North America (Appalachia), a pathologic ulna and radius of an indeterminate hadrosaur from the Navesink Formation (New Jersey)...
August 2016: Royal Society Open Science
https://www.readbyqxmd.com/read/27814451/community-adaptations-to-an-impending-food-desert-in-rural-appalachia-usa
#16
Wayne C Miller, Denver Rogalla, Dustin Spencer, Nida Zia, Brian N Griffith, Haylee B Heinsberg
INTRODUCTION: The United States Department of Agriculture (USDA) describes a food desert as an urban neighborhood or rural town without ready access to fresh, healthy, and affordable food. An estimated 2.3 million rural Americans live in food deserts. One goal of the USDA is to eliminate food deserts. However, at a time when some food deserts are being eliminated, hundreds of grocery stores are closing, causing other food deserts to arise. The literature is scarce on how a community adapts to an impending food desert...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27767009/epidemiology-of-la-crosse-virus-emergence-appalachia-region-united-states
#17
Sharon Bewick, Folashade Agusto, Justin M Calabrese, Ephantus J Muturi, William F Fagan
La Crosse encephalitis is a viral disease that has emerged in new locations across the Appalachian region of the United States. Conventional wisdom suggests that ongoing emergence of La Crosse virus (LACV) could stem from the invasive Asian tiger (Aedes albopictus) mosquito. Efforts to prove this, however, are complicated by the numerous transmission routes and species interactions involved in LACV dynamics. To analyze LACV transmission by Asian tiger mosquitoes, we constructed epidemiologic models. These models accurately predict empirical infection rates...
November 2016: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/27694436/effectiveness-of-two-community-health-worker-models-of-tobacco-dependence-treatment-among-community-residents-of-ohio-appalachia
#18
Mary Ellen Wewers, Abigail Shoben, Sara Conroy, Elana Curry, Amy K Ferketich, David M Murray, Julianna Nemeth, Amy Wermert
INTRODUCTION: Community health workers (CHW) may be effective in the delivery of tobacco dependence treatment with underserved groups. This study evaluated two evidence-based CHW models of treatment. It was hypothesized that smokers assigned to a CHW face-to-face condition would have higher abstinence at 12-month posttreatment than smokers enrolled in CHW referral to a state-sponsored quitline condition. Intrapersonal and treatment-related factors associated with abstinence at 12 months were determined...
September 30, 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/27686780/evaluation-of-a-clinical-cancer-trial-research-training-workshop-helping-nurses-build-capacity-in-southwest-virginia
#19
Camille Burnett, Linda Bullock, Cathleen A Collins, Lindsay Hauser
Residents of Southwest Virginia (SWVA) face significant barriers in accessing the most advanced forms of cancer care, cancer risk reduction, and clinical trials involvement. A collaboration between the University of Virginia (UVA) Cancer Center and UVA School of Nursing was forged with oncology caregivers in this region to build community capacity to support Cancer Clinical trials (CCT) by strengthening the workforce, and thus improving health outcomes for this underserved region of Appalachia. The UVA School of Nursing designed an educational workshop focusing on the basics of CCT to facilitate the development of a skilled nursing workforce in the SWVA region that could provide care to patients on protocol and/or to encourage residents to participate in trials...
November 2016: Public Health Nursing
https://www.readbyqxmd.com/read/27670548/analysis-of-endoscopic-retrograde-cholangiopancreatography-in-rural-appalachia
#20
Zachary Sanford, Jeremy Adkins, Subrat Lahiry
No abstract text is available yet for this article.
September 2016: American Surgeon
keyword
keyword
92727
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"