White Infant Mortality in Appalachian States, 1976-1980 and 1996-2000: Changing Patterns and Persistent Disparities

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Yao, Nengliang; Matthews, Stephen A.; Hillemeier, Marianne M.

2012-01-01

Purpose: Appalachian counties have historically had elevated infant mortality rates. Changes in infant mortality disparities over time in Appalachia are not well-understood. This study explores spatial inequalities in white infant mortality rates over time in the 13 Appalachian states, comparing counties in Appalachia with non-Appalachian…

Comparison of breast-feeding knowledge, attitudes, and beliefs before and after educational intervention for rural Appalachian high school students.

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Seidel, Allison K; Schetzina, Karen E; Freeman, Sherry C; Coulter, Meredith M; Colgrove, Nicole J

2013-03-01

Breast-feeding rates in rural and southeastern regions of the United States are lower than national rates and Healthy People 2020 targets. The objectives of this study were to understand current breast-feeding knowledge, attitudes, and beliefs among rural southern Appalachian adolescents and to explore whether a high school educational intervention designed to address the five tenets (knowledge, attitudes, intentions, perceived behavioral control, and subjective norms) of the theory of planned behavior may be effective in increasing future rates of breast-feeding in this population. An educational session including an interactive game was developed and administered to occupational health science students during a single class period in two county high schools. A presurvey and a postsurvey administered 2 weeks after the intervention were completed by students. Pre- and postsurveys were analyzed using paired t tests and Cohen d and potential differences based on sex and grade were explored. Both pre- and postsurveys were completed by 107 students (78%). Knowledge, attitudes about breast-feeding benefits, subjective norms, and intentions significantly improved following the intervention. Baseline knowledge and attitudes about breast-feeding benefits for mothers were low and demonstrated the greatest improvement. Offering breast-feeding education based on the theory of planned behavior in a single high school class session was effective in improving student knowledge, attitudes, and beliefs about breast-feeding and intention to breast-feed.

Rural-Urban Differences in Alzheimer's Disease and Related Disorders Diagnostic Prevalence in Kentucky and West Virginia.

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Abner, Erin L; Jicha, Gregory A; Christian, W Jay; Schreurs, Bernard G

2016-06-01

Older adults living in rural areas may face barriers to obtaining a diagnosis of Alzheimer's disease and related disorders (ADRD). We sought to examine rural-urban differences in prevalence of ADRD among Medicare beneficiaries in Kentucky and West Virginia, 2 contiguous, geographically similar states with large rural areas and aged populations. We used Centers for Medicare and Medicaid Services Public Use Files data from 2007 to 2013 to assess prevalence of ADRD at the county level among all Medicare beneficiaries in each state. Rural-Urban Continuum Codes were used to classify counties as rural or urban. We used Poisson regression to estimate unadjusted and adjusted prevalence ratios. Primary analyses focused on 2013 data and were repeated for 2007 to 2012. This study was completely ecologic. After adjusting for state, average beneficiary age, percent of female beneficiaries, percent of beneficiaries eligible for Medicaid in each county, Central Appalachian county, percent of age-eligible residents enrolled in Medicare, and percent of residents under age 65 enrolled in Medicare in our adjusted models, we found that 2013 ADRD diagnostic prevalence was 11% lower in rural counties (95% CI: 9%-13%). Medicare beneficiaries in rural counties in Kentucky and West Virginia may be underdiagnosed with respect to ADRD. However, due to the ecologic design, and evidence of a younger, more heavily male beneficiary population in some rural areas, further studies using individual-level data are needed to confirm the results. © 2015 National Rural Health Association.

What Can Rural Communities Do to Be Sustained?

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Rachel J. C. Chen

2016-09-01

Full Text Available Since the Appalachian Regional Commission (ARC was founded in 1965, various reports have been presented to summarize the progress in terms of economic development, strengths, weaknesses, opportunities, and threats among studied communities in the Appalachian region. The purposes of this study were to investigate (1 the condition and usage of facilities and services in the studied communities; (2 what factors contribute to local growth in improving areas; and (3 what barriers deter growth in the studied communities based on the perceptions of study participants. Ten studied counties were categorized based on their topography, demographics, and economics. Each sub-region has two selected counties (non-distressed and distressed to represent and compare their similar topography and various stages of demographic opportunities and economic development and challenges. Location is recognized as one of the significant factors that affect communities’ development. Counties perform better when they are adjacent to urban areas, own major transportation corridors, and have more supplies of natural resources than those located in more rural areas with fewer resources. This study noted the need to improve communication infrastructure (such as Internet access, broadband, and mobile communications that impact local development opportunities and public safety.

First definitive record of a stygobiotic fish (Percopsiformes, Amblyopsidae, Typhlichthys from the Appalachians karst region in the eastern United States

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Matthew L. Niemiller

2016-11-01

Full Text Available In the central and eastern United States, cavefishes have been known historically only from the Interior Low Plateau and Ozarks karst regions. Previously, cavefishes were unknown from the Appalachians karst region, which extends from southeastern New York southwestward into eastern Tennessee, northwestern Georgia, and northeastern Alabama. Here we report the discovery of a new population of the amblyopsid cavefish Typhlichthys subterraneus Girard, 1859 from a cave in Catoosa County, Georgia, that significantly extends the known distribution of the species. The cave is located in the Appalachian Valley and Ridge physiographic province and Appalachians karst region, and represents the first definitive report of a stygobiotic fish from the Appalachians karst region. Genetic analyses of one mitochondrial and one nuclear locus from the cavefish indicate this population is closely allied with populations that occur along the western margins of Lookout and Fox mountains in Dade County, Georgia, and populations to the northwest in southern Marion County, Tennessee. It is likely that these populations are also related to those from Wills Valley, DeKalb County, Alabama. The distribution of this new population of T. subterraneus and its close allies pre-dates the emergence of a Tennessee-Coosa River drainage divide in the Pliocene. The potential exists to discover additional populations in caves within the Appalachians karst region in Catoosa County and northward into Hamilton County, Tennessee.

Human Development and the Use of Health Education Media among Adult Type 2 Diabetics in Rural Appalachia

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Meyer, Michael Glenn

2009-01-01

This study conducted in Meigs County, Ohio between January 2009 and June 2009 employed grounded theory to investigate the use of health education media by rural Appalachian individuals with type 2 diabetes in middle and late adulthood. Persons in middle adulthood were 34- to 60-years-old, and persons in late adulthood were 61- to 75-years-old.…

Perspectives on healthy eating among Appalachian residents.

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Schoenberg, Nancy E; Howell, Britteny M; Swanson, Mark; Grosh, Christopher; Bardach, Shoshana

2013-08-01

Extensive attention has been focused on improving the dietary intake of Americans. Such focus is warranted due to increasing rates of overweight, obesity, and other dietary-related disease. To address suboptimal dietary intake requires an improved, contextualized understanding of the multiple and intersecting influences on healthy eating, particularly among those populations at greatest risk of and from poor diet, including rural residents. During 8 focus groups (N = 99) and 6 group key informant interviews (N = 20), diverse Appalachian rural residents were queried about their perceptions of healthy eating, determinants of healthy food intake, and recommendations for improving the dietary intake of people in their communities. Participants included church members and other laypeople, public health officials, social service providers, health care professionals, and others. Participants offered insights on healthy eating consistent with the categories of individual, interpersonal, community, physical, environmental, and society-level influences described in the socioecological model. Although many participants identified gaps in dietary knowledge as a persistent problem, informants also identified extraindividual factors, including the influence of family, fellow church members, and schools, policy, advertising and media, and general societal trends, as challenges to healthy dietary intake. We highlight Appalachian residents' recommendations for promoting healthier diets, including support groups, educational workshops, cooking classes, and community gardening. We discuss the implications of these findings for programmatic development in the Appalachian context. © 2013 National Rural Health Association.

TOURISM IN COUNTY ARAD. RURAL TOURISM - ECONOMIC IMPLICATIONS

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BARBU IONEL

2011-12-01

Full Text Available In recent decades, tourism has grown to become a major economic activity in some areas in Romania. Contributors to this growth were the changes in travel consumer in terms of their motivations and how to spend holidays and vacations. West Development Region, in general, and county of Arad, in particular, is one of the areas where tourism is growing more and more. The region is one of the most specific in Romania, because this county there is at the border with Hungary, so is a gate for exit to West of Europe. This county has a special charm to the cultural heritage of the popular ethnographic areas in this part of Romania. Impact or implications of rural tourism refers to tourist industry effects on the local community, the area and the tourists. The impact of tourism can be positive or negative, depending on the effect they induce on the community or area. To study the impact of rural tourism, as emphasized in the literature, we have to analyze all government and local administration, entrepreneurs, residents and tourists. In this paper we want to present the main economic implications of rural tourism on the government and local administration, entrepreneurs, residents and tourists

Child maltreatment in rural southern counties: Another perspective on race, poverty and child welfare.

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Smith, Brenda D; Kay, Emma Sophia; Pressley, Tracy D

2018-06-01

Building on research that has identified community characteristics associated with child maltreatment, this study investigates the adequacy and equity of the child welfare response at the county level. The study focuses on states in the U.S. south with demographic characteristics that make it possible to disentangle county racial composition from county rurality. County-level child maltreatment data were merged with data from the U.S. Census and other publicly-available sources for the 354 counties in four southern states. Results from multiple regression models indicated that, despite a greater preponderance of risk factors typically associated with child maltreatment, rural, majority African-American counties had lower rates of reported and substantiated child maltreatment compared to other southern counties. Cross-sectional results were consistent across three years: 2012, 2013, and 2014. The findings suggest that children and families in rural, majority African-American counties in the South may not be receiving adequate or equitable responses from the formal child welfare system. Copyright © 2018 Elsevier Ltd. All rights reserved.

The business cycle and mortality: Urban versus rural counties.

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Sameem, Sediq; Sylwester, Kevin

2017-02-01

Many studies have found that mortality declines during recessions, but do such results remain consistent in both urban and rural settings? To help uncover explanations for such a pro-cyclical nature of mortality, the present study revisits this topic but allows for associations between unemployment and mortality to differ between urban and rural areas. Using a total of 66 863 observations across 3066 counties of the U.S. from 1990 to 2013, we allow the coefficient on unemployment to differ between urban and rural counties. With an exception of deaths due to external accidents being pro-cyclical in rural settings, we find that the negative association between unemployment and mortality more generally holds for urban areas, particularly for females and the elderly. Moreover, we find death due to circulatory disease or influenza/pneumonia to be especially more prevalent in urban areas. Given that the negative associations between unemployment and mortality are generally stronger in cities, views attempting to explain pro-cyclical mortality should focus on characteristics in urban settings. Copyright © 2016 Elsevier Ltd. All rights reserved.

AGROZOOTECHNICAL INDICATORS FOR RURAL DEVELOPMENT IN MARAMURES COUNTY

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Talida Daniela Giambasu

2016-10-01

Full Text Available Researching the Romanian contemporary rural space requires the determination of certain criteria expressed as indicators, which capture the dynamics of such space, its strong points that can be developed, as well as its weak spots that can be corrected. In Maramures County, the rural environment faces a set of significant matters that require urgent settlement in order to fulfil the desire to obtain sustainable development. To this end, using classic investigation methods (observation, comparison, interrogation, bibliographic research, several indicators of the agricultural sector were determined and analyzed, whereas the dynamics of these indicators is related to the timeframe 2008-2013. The conclusion of this work can be successfully corroborated with other studies, in order to sketch a full picture of the economic, social and cultural mosaic existing at the level of Maramures County.

County-level heat vulnerability of urban and rural residents in Tibet, China.

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Bai, Li; Woodward, Alistair; Cirendunzhu; Liu, Qiyong

2016-01-12

Tibet is especially vulnerable to climate change due to the relatively rapid rise of temperature over past decades. The effects on mortality and morbidity of extreme heat in Tibet have been examined in previous studies; no heat adaptation initiatives have yet been implemented. We estimated heat vulnerability of urban and rural populations in 73 Tibetan counties and identified potential areas for public health intervention and further research. According to data availability and vulnerability factors identified previously in Tibet and elsewhere, we selected 10 variables related to advanced age, low income, illiteracy, physical and mental disability, small living spaces and living alone. We separately created and mapped county-level cumulative heat vulnerability indices for urban and rural residents by summing up factor scores produced by a principal components analysis (PCA). For both study populations, PCA yielded four factors with similar structure. The components for rural and urban residents explained 76.5 % and 77.7 % respectively of the variability in the original vulnerability variables. We found spatial variability of heat vulnerability across counties, with generally higher vulnerability in high-altitude counties. Although we observed similar median values and ranges of the cumulative heat vulnerability index values among urban and rural residents overall, the pattern varied strongly from one county to another. We have developed a measure of population vulnerability to high temperatures in Tibet. These are preliminary findings, but they may assist targeted adaptation plans in response to future rapid warming in Tibet.

Documentation of Significant Losses in Cornus florida L. Populations throughout the Appalachian Ecoregion

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Christopher M. Oswalt

2010-01-01

Full Text Available Over the last three decades the fungus Discula destructiva Redlin has severely impacted Cornus florida L. (flowering dogwood—hereafter “dogwood” populations throughout its range. This study estimates historical and current dogwood populations (number of trees across the Appalachian ecoregion. Objectives were to (1 quantify current dogwood populations in the Appalachian ecoregion, (2 quantify change over time in dogwood populations, and (3 identify trends in dogwood population shifts. Data from the USDA Forest Service Forest Inventory and Analysis (FIA database were compiled from 41 FIA units in 13 states for county-level estimates of the total number of all live dogwood trees on timberland within the Appalachian ecoregion. Analysis of covariance, comparing historical and current county-level dogwood population estimates with average change in forest density as the covariate, was used to identify significant changes within FIA units. Losses ranging from 25 to 100 percent of the sample population (<.05 were observed in 33 of the 41 (80 percent sampled FIA units. These results indicate that an important component of the eastern deciduous forest has experienced serious losses throughout the Appalachians and support localized empirical results and landscape-scale anecdotal evidence.

Documentation of Significant Losses in Cornus florida L. Populations throughout the Appalachian Ecoregion

International Nuclear Information System (INIS)

Oswalt, Ch.M.; Oswalt, S.N.

2010-01-01

Over the last three decades the fungus Discula destructiva Redlin has severely impacted Cornus florida L. (flowering dogwood hereafter dogwood) populations throughout its range. This study estimates historical and current dogwood populations (number of trees) across the Appalachian ecoregion. Objectives were to (1) quantify current dogwood populations in the Appalachian eco region, (2) quantify change over time in dogwood populations, and (3) identify trends in dogwood population shifts. Data from the USDA Forest Service Forest Inventory and Analysis (FIA) database were compiled from 41 FIA units in 13 states for county-level estimates of the total number of all live dogwood trees on timberland within the Appalachian eco region. Analysis of covariance, comparing historical and current county-level dogwood population estimates with average change in forest density as the covariate, was used to identify significant changes within FIA units. Losses ranging from 25 to 100 percent of the sample population (ρ<.05) were observed in 33 of the 41 (80 percent) sampled FIA units. These results indicate that an important component of the eastern deciduous forest has experienced serious losses throughout the Appalachians and support localized empirical results and landscape-scale anecdotal evidence.

Smart Growth Self-Assessment for Rural Communities: Madison County

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Report from a technical assistance project to help Madison County, NY, develop a tool to help rural local governments assess how well their policies are helping them achieve the type of development they want.

Local Rural Product as a "Relic" Spatial Strategy in Globalised Rural Spaces: Evidence from County Clare (Ireland)

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Wilson, Geoff A.; Whitehead, Ian

2012-01-01

Using a case study from County Clare (Ireland), this study critically analyses notions of "local" rural production. It investigates where rural businesses source the different components of their products and how these interrelate with the locality, how local businesses use the notion of "local" in their product branding, and…

Social Capital and Human Mortality: Explaining the Rural Paradox with County-Level Mortality Data

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Jensen, Leif; Haran, Murali

2014-01-01

The “rural paradox” refers to standardized mortality rates in rural areas that are unexpectedly low in view of well-known economic and infrastructural disadvantages there. We explore this paradox by incorporating social capital, a promising explanatory factor that has seldom been incorporated into residential mortality research. We do so while being attentive to spatial dependence, a statistical problem often ignored in mortality research. Analyzing data for counties in the contiguous United States, we find that: (1) the rural paradox is confirmed with both metro/non-metro and rural-urban continuum codes, (2) social capital significantly reduces the impacts of residence on mortality after controlling for race/ethnicity and socioeconomic covariates, (3) this attenuation is greater when a spatial perspective is imposed on the analysis, (4) social capital is negatively associated with mortality at the county level, and (5) spatial dependence is strongly in evidence. A spatial approach is necessary in county-level analyses such as ours to yield unbiased estimates and optimal model fit. PMID:25392565

Evaluating the Development Levels of Rural Areas in Koohrang County

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saleh shahrokhi sardo

2016-02-01

Full Text Available A better understanding of geographical phenomena and scientific comprehending of geographical locations requires comprehensive information about these areas. In addition, the awareness of the spatial distribution and development levels are considered as prerequisites for rural development plans and programs. Therefore, the aim of this study was to evaluate the development levels of rural areas in Koohrang County. Statistical population was over ten households selected among rural areas (132 villages in Koohrang County. The required secondary data were collected and designed from the statistical yearbook of Koohrang County in 2011. In this study, a combination method of VIKOR-AHP was used to measure level of development in the villages. In addition, in order to determine the optimal distribution of indices, the Gini coefficient was used. Data processing was conducted using MATLAB7.10 and Expert Choice software. Results showed that the highest and lowest degrees of development (0.994 and 0.005 were related to "Castle of Ali-Abad" and "Dezak-Cheshmeh" villages, respectively. Moreover, results indicated that there was the unfavorable development in the study area (with average of 0. 217 in the range 0-1 in a way that most of the villages (21.46% with 53.39% of the population in the area were completely undeveloped. Furthermore, the results based on Gini coefficient and coefficient of variability revealed that the conventional indices of rural development weren't distributed properly. Therefore, it is necessary to have special review and reconsider to determine the main service centers based on settlements hierarchical system.

Apple Stack Cake for Dessert: Appalachian Regional Foods

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Shortridge, Barbara G.

2005-01-01

How is the culture of Appalachia conveyed through its foods? Local experts in Appalachian counties were asked to create a hypothetical menu for a meal that was representative of their home region. Fried chicken and ham were the preferred main dishes and dessert selections focused on apple pie and peach or blackberry cobbler. Virtually everyone…

Tourism impacts of Three Mile Island and other adverse events: Implications for Lincoln County and other rural counties bisected by radioactive wastes intended for Yucca Mountain

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Himmelberger, J.J.; Ogneva-Himmelberger, Y.A. [Clark Univ., Worcester, MA (United States); Baughman, M. [Interech Services Corporation, Carson City, NV (United States)

1995-11-01

Whether the proposed Yucca Mountain nuclear waste repository system will adversely impact tourism in southern Nevada is an open question of particular importance to visitor-oriented rural counties bisected by planned waste transportation corridors (highway or rail). As part of one such county`s repository impact assessment program, tourism implications of Three Mile Island (TMI) and other major hazard events have been revisited to inform ongoing county-wide socioeconomic assessments and contingency planning efforts. This paper summarizes key research implications of such research as applied to Lincoln County, Nevada. Implications for other rural counties are discussed in light of the research findings. 29 refs., 3 figs., 1 tab.

Tourism impacts of Three Mile Island and other adverse events: implications for Lincoln County and other rural counties bisected by radioactive wastes intended for Yucca Mountain

International Nuclear Information System (INIS)

Himmelberger, J.J.; Baughman, M.; Ogneva-Himmelberger, Y.A.

1995-01-01

Whether the proposed Yucca Mountain nuclear waste repository system will adversely impact tourism in southern Nevada is an open question of particular importance to visitor-oriented rural counties bisected by planned waste transportation corridors (highway or rail). As part of one such county's repository impact assessment program, tourism implications of Three Mile Island (TMI) and other major hazard events have been revisited to inform ongoing county-wide socioeconomic assessments and contingency planning efforts. This paper summarizes key research implications of such research as applied to Lincoln County, Nevada. Implications for other rural counties are discussed in light of the research findings

Community strategies to address cancer disparities in Appalachian Kentucky.

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Schoenberg, Nancy E; Howell, Britteny M; Fields, Nell

2012-01-01

Central Appalachian residents suffer disproportionate health disparities, including an all-cancer mortality rate 17% higher than the general population. During 10 focus groups and 19 key informant interviews, 91 Appalachian residents identified cancer screening challenges and strategies. Challenges included (1) inadequate awareness of screening need, (2) insufficient access to screening, and (3) lack of privacy. Strategies included (1) witnessing/storytelling, (2) capitalizing on family history, (3) improving publicity about screening resources, (4) relying on lay health advisors, and (5) bundling preventive services. These insights shaped our community-based participatory research intervention and offered strategies to others working in Appalachia, rural locales, and other traditionally underserved communities.

[Fresno County Library Rural Literacy Outreach Program. Final Performance Report, 1988-1989.

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Walling, Joyce

The Library Rural Literacy Outreach Program targeted to ten rural communities in the Fresno County, California, Free Library district is reported. The sites were chosen based on inquiries from volunteers in those communities and support for the program by the branch library staff. Goals of the program were to provide literacy services to adult…

Propaganda, Censorship, and Civic Education in Rural Missouri Schools during World War I: The Benton County Experience.

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Mitchell, William I.

This study describes the patriotic public rituals, the propaganda materials, and the censorship activities that were part of the school experience in Missouri during World War I. It also examines the apparent responses of two rural Benton County communities to those rituals, materials and activities. Benton County is a rural area of central…

THE IMPORTANCE OF USING ICT IN THE RURAL TOURISM OF THE ZADAR COUNTY

OpenAIRE

Vučetić, Šime

2017-01-01

Rural tourism, as a new way of tourism evolved from the combination of ecotourism and agro-tourism, has been considered as good way of economic and social revitalization in the world. We can say that ICTs are necessary components of doing business in rural tourism. This article shows the usage of basic ICTs in rural tourism of the Zadar County. It is therefore necessary to encourage stronger collaboration between all relevant institutions in order to implement ICT in rural tourism which can m...

Recent trends in breast cancer incidence in US white women by county-level urban/rural and poverty status.

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Hausauer, Amelia K; Keegan, Theresa H M; Chang, Ellen T; Glaser, Sally L; Howe, Holly; Clarke, Christina A

2009-06-26

Unprecedented declines in invasive breast cancer rates occurred in the United States between 2001 and 2004, particularly for estrogen receptor-positive tumors among non-Hispanic white women over 50 years. To understand the broader public health import of these reductions among previously unstudied populations, we utilized the largest available US cancer registry resource to describe age-adjusted invasive and in situ breast cancer incidence trends for non-Hispanic white women aged 50 to 74 years overall and by county-level rural/urban and poverty status. We obtained invasive and in situ breast cancer incidence data for the years 1997 to 2004 from 29 population-based cancer registries participating in the North American Association of Central Cancer Registries resource. Annual age-adjusted rates were examined overall and by rural/urban and poverty of patients' counties of residence at diagnosis. Joinpoint regression was used to assess trends by annual quarter of diagnosis. Between 2001 and 2004, overall invasive breast cancer incidence fell 13.2%, with greater reductions among women living in urban (-13.8%) versus rural (-7.5%) and low- (-13.0%) or middle- (-13.8%) versus high- (-9.6%) poverty counties. Most incidence rates peaked around 1999 then declined after second quarter 2002, although in rural counties, rates decreased monotonically after 1999. Similar but more attenuated patterns were seen for in situ cancers. Breast cancer rates fell more substantially in urban and low-poverty, affluent counties than in rural or high-poverty counties. These patterns likely reflect a major influence of reductions in hormone therapy use after July 2002 but cannot exclude possible effects due to screening patterns, particularly among rural populations where hormone therapy use was probably less prevalent.

Recent trends in breast cancer incidence in US white women by county-level urban/rural and poverty status

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Keegan Theresa HM

2009-06-01

Full Text Available Abstract Background Unprecedented declines in invasive breast cancer rates occurred in the United States between 2001 and 2004, particularly for estrogen receptor-positive tumors among non-Hispanic white women over 50 years. To understand the broader public health import of these reductions among previously unstudied populations, we utilized the largest available US cancer registry resource to describe age-adjusted invasive and in situ breast cancer incidence trends for non-Hispanic white women aged 50 to 74 years overall and by county-level rural/urban and poverty status. Methods We obtained invasive and in situ breast cancer incidence data for the years 1997 to 2004 from 29 population-based cancer registries participating in the North American Association of Central Cancer Registries resource. Annual age-adjusted rates were examined overall and by rural/urban and poverty of patients' counties of residence at diagnosis. Joinpoint regression was used to assess trends by annual quarter of diagnosis. Results Between 2001 and 2004, overall invasive breast cancer incidence fell 13.2%, with greater reductions among women living in urban (-13.8% versus rural (-7.5% and low- (-13.0% or middle- (-13.8% versus high- (-9.6% poverty counties. Most incidence rates peaked around 1999 then declined after second quarter 2002, although in rural counties, rates decreased monotonically after 1999. Similar but more attenuated patterns were seen for in situ cancers. Conclusion Breast cancer rates fell more substantially in urban and low-poverty, affluent counties than in rural or high-poverty counties. These patterns likely reflect a major influence of reductions in hormone therapy use after July 2002 but cannot exclude possible effects due to screening patterns, particularly among rural populations where hormone therapy use was probably less prevalent.

Economic effects of smoke-free laws on rural and urban counties in Kentucky and Ohio.

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Pyles, Mark K; Hahn, Ellen J

2012-01-01

Numerous empirical studies have examined the influence of smoke-free legislation on economic activity, with most finding a null effect. The influence could possibly differ in rural areas relative to urban areas due to differing rates of smoking prevalence and access to prevention and treatment programs. Furthermore, the discussion of the effectiveness of smoke-free laws has been extended to consider local ordinances relative to statewide laws. This study examines these issues using 21 local laws in Kentucky and the Ohio statewide smoke-free law. The number of employees, total wages paid, and number of reporting establishments in all hospitality and accommodation services in Kentucky and Ohio counties were documented, beginning the first quarter 2001 and ending the last quarter of 2009. A generalized estimating equation time-series design is used to estimate the impact of local and state smoke-free laws in Kentucky and Ohio rural and urban counties. There is no evidence that the economies in Kentucky counties were affected in any way from the implementation of local smoke-free laws. There was also no evidence that total employment or the number of establishments was influenced by the statewide law in Ohio, but wages increased following the implementation of the law. Furthermore, there is no evidence that either rural or urban counties experienced a loss of economic activity following smoke-free legislation. The study finds no evidence that local or state smoke-free legislation negatively influences local economies in either rural or urban communities.

What Impact Does Behavior of Doctors and Patients on Service Integration of Multi-institutional Readmission cross Township—county Hospitals in Rural China

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Zhang, Yan; Tang, Wenxi; Zhang, Liang

2017-01-01

Background: With the change of rural residents’ disease spectrum and patients with chronic diseases boom, multi-institutional health service utilization of rural residents and the continuous service demands are growing sharply in rural China.Objective: Evaluate the service integration of multi-institutional readmission cross township—county hospitals (MRCTCH) in rural China, and figure out determines of service integration.Methods: This study featured 7 sample counties in rural China. Based o...

Factors influencing smokeless tobacco use in rural Ohio Appalachia.

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Nemeth, Julianna M; Liu, Sherry T; Klein, Elizabeth G; Ferketich, Amy K; Kwan, Mei-Po; Wewers, Mary Ellen

2012-12-01

The burden of smokeless tobacco (ST) use disproportionally impacts males in rural Ohio Appalachia. The purpose of this study was to describe the cultural factors contributing to this disparity and to articulate the way in which culture, through interpersonal factors (i.e. social norms and social networks) and community factors (i.e. marketing and availability), impacts ST initiation and use of ST among boys and men in Ohio Appalachia. Fifteen focus groups and 23 individual qualitative interviews were conducted with adult (n = 63) and adolescent (n = 53) residents in Ohio Appalachian counties to ascertain factors associated with ST use and the impact of ST marketing. Transcriptions were independently coded according to questions and themes. ST use appears to be a rite of passage in the development of masculine identity in Ohio Appalachian culture. Interpersonal factors had the greatest influence on initiation and continued use of ST. Ohio Appalachian boys either emulated current ST users or were actively encouraged to use ST through male family and peer networks. Users perceived their acceptance into the male social network as predicated on ST use. Community factors, including ST advertisement and access to ST, reinforced and normalized underlying cultural values. In addition to policy aimed at reducing tobacco marketing and access, interventions designed to reduce ST use in Ohio Appalachia should incorporate efforts to (1) shift the perception of cultural norms regarding ST use and (2) address male social networks as vehicles in ST initiation.

Adolescents' Values, Sexuality, and Contraception in a Rural New York County.

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McCormick, Naomi; And Others

1985-01-01

Examined personal values and sexual and contraceptive experiences of 75 male and 88 female high school students from a rural county of New York. Results suggested that religiosity was unrelated to students' sexual behavior and use of contraceptives. The different groups of high school students exhibited remarkably homogeneous sexual and…

Cultural perceptions of healthy weight in rural Appalachian youth.

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Williams, K J; Taylor, C A; Wolf, K N; Lawson, R F; Crespo, R

2008-01-01

Rates of overweight among US children have been rising over the past three decades. Changes in lifestyle behaviors, including dietary and physical activity habits, have been examined thoroughly to identify correlates of weight status in children. Youth in rural US Appalachia are at a disproportionately greater risk for obesity and related health complications. Inadequate physical activity and poor dietary habits are two primary causes of obesity that have been noted in West Virginia adolescents. Few existing data describes the decisional balance in performing lifestyle behaviors, nor the perceptions of these youth regarding their beliefs about weight. The purpose of this study was to identify the perceptions of a healthy weight in rural Appalachian adolescents. Ninth grade students were recruited from classroom presentations in four high schools throughout West Virginia. Interested parent-caregiver pairs returned forms to indicate interest in participation. Separate focus group interviews were conducted concurrently with adolescent and parents or caregivers to identify the cultural perceptions of a healthy weight. Questions were developed using grounded theory to explore how a healthy weight was defined, what factors dictate body weight, the perceived severity of the obesity issue, and the social or health ramifications of the condition. Verbatim transcripts were analyzed to identify dominant themes, and content analysis provided text segments to describe the themes. This article describes the data obtained from the adolescent focus groups. When asked what defined a healthy weight, the adolescents who participated in the focus groups placed great value on physical appearance and social acceptability. Students believed there was a particular number, either an absolute weight or body mass index value that determined a healthy weight. These numbers were usually conveyed by a physician; however, there was also a general acceptance of being 'thick' or a reliance on

Small-for-gestational age prevalence risk factors in central Appalachian states with mountain-top mining.

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Ferdosi, Hamid; Lamm, Steve H; Afari-Dwamena, Nana Ama; Dissen, Elisabeth; Chen, Rusan; Li, Ji; Feinleib, Manning

2018-01-01

To identify risk factors for small-for-gestational age (SGA) for counties in central Appalachian states (Kentucky (KY), Tennessee (TN), Virginia (VA), and West Virginia (WV)) with varied coal mining activities. Live birth certificate files (1990-2002) were used for obtaining SGA prevalence rates for mothers based on the coal mining activities of their counties of residence, mountain-top mining (MTM) activities, underground mining activities but no mountain-top mining activity (non-MTM), or having no mining activities (non-mining). Co-variable information, including maternal tobacco use, was also obtained from the live birth certificate. Adjusted odds ratios were obtained using multivariable logistic regression comparing SGA prevalence rates for counties with coal mining activities to those without coal mining activities and comparing SGA prevalence rates for counties with coal mining activities for those with and without mountain-top mining activities. Comparisons were also made among those who had reported tobacco use and those who had not. Both tobacco use prevalence and SGA prevalence were significantly greater for mining counties than for non-mining counties and for MTM counties than for non-MTM counties. Adjustment for tobacco use alone explained 50% of the increased SGA risk for mining counties and 75% of the risk for MTM counties, including demographic pre-natal care co-variables that explained 75% of the increased SGA risk for mining counties and 100% of the risk for MTM. The increased risk of SGA was limited to the third trimester births among tobacco users and independent of the mining activities of their counties of residence. This study demonstrates that the increased prevalence of SGA among residents of counties with mining activity was primarily explained by the differences in maternal tobacco use prevalence, an effect that itself was gestational-age dependent. Self-reported tobacco use marked the population at the increased risk for SGA in central

Effect of Outsourced Pharmacies of Rural Healthcare Centers on Service Quality in Abharand Soltanieh Counties

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Ali Maher

2016-05-01

Full Text Available Recently, a part of healthcare services has been assigned to the private sector to increase the quality of medical services, increase patient satisfaction and reduce costs. In this regard, the outsourcing approach has been significantly considered for pharmaceutical services provided by healthcare centers. The purpose of this study is to evaluate the effect of outsourced pharmacies of rural healthcare centers on service quality using structural equations modelling. The methodology used was descriptive using correlation by structural equations modelling. The studied population included those patients who provided their medicines from pharmacies of rural healthcare centers in Abhar and Soltanieh counties. The samples included 384 of these patients. Data was collected by outsourcing and service quality questionnaires. A structural equation modelling was used to analyze data by LISREAL software. Results indicated a positive significant effect of outsourced pharmacies of rural healthcare centers on quality of tangibles, reliability, responsiveness, assurance and empathy. findings emphasize the role of outsourcing on quality of services. Outsourced pharmacies of rural healthcare centers of Abhar and Soltanieh counties lead to improved service quality.

Improving Immunization Coverage in a Rural School District in Pierce County, Washington

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Peterson, Robin M.; Cook, Carolyn; Yerxa, Mary E.; Marshall, James H.; Pulos, Elizabeth; Rollosson, Matthew P.

2012-01-01

Washington State has some of the highest percentages of school immunization exemptions in the country. We compared school immunization records in a rural school district in Pierce County, Washington, to immunization records in the state immunization information system (IIS) and parent-held records. Correcting school immunization records resulted…

Implementation of a "County-Township-Village" Allied HIV Prevention and Control Intervention in Rural China.

Science.gov (United States)

Yu, Jun; Zhang, Yi; Jiang, Junjun; Lu, Qinglin; Liang, Bingyu; Liu, Deping; Fang, Keyong; Huang, Jiegang; He, Yang; Ning, Chuanyi; Liao, Yanyan; Lai, Jingzhen; Wei, Wudi; Qin, Fengxiang; Ye, Li; Geng, Wenkui; Liang, Hao

2017-09-01

In China, rural areas are a weak link of HIV/AIDS prevention and control. From September 2011, an innovative "county-township-village" allied intervention was implemented in Longzhou County, Guangxi, which assigned the tasks of HIV/AIDS prevention and control to the county Centers for Disease Control and Prevention (CDC), township hospitals, and village clinics, respectively, instead of traditional intervention in which the county CDC undertook the entire work. A 6-year consecutive cross-sectional survey, including 3-year traditional intervention (2009-2011) and 3-year innovative intervention (2012-2014), was conducted to evaluate the effects of the new intervention. Compared to traditional intervention, the innovative intervention achieved positive effects in decreasing risky behaviors. Among female sex workers, condom use rate in the last month increased from 72.06% to 96.82% (p ratio of HIV infection during innovative intervention was 0.631 (95% confidence interval 0.549-0.726) compared with traditional one. Cost-effectiveness analysis indicates that innovative intervention restores each disability-adjusted life year costing an average of $124.26. Taken together, Longzhou's innovative intervention has achieved good effects on HIV/AIDS prevention and control and provides a good reference for rural China.

Predictors of maternal language to infants during a picture book task in the home: Family SES, child characteristics and the parenting environment☆

OpenAIRE

Vernon-Feagans, Lynne; Pancsofar, Nadya; Willoughby, Mike; Odom, Erica; Quade, Alison; Cox, Martha

2008-01-01

This study investigated the contribution of child characteristics and parenting environment to the relationship between family SES/demographic characteristics and maternal language to infants.1157 children were drawn from a representative sample of 1292 infants born to mothers in rural Appalachian counties and rural counties in southern minority U.S. communities. Mothers and their 6–8 month old babies were videotaped at home while talking about a wordless picture book. Mothers' language outpu...

Factors Influencing Smokeless Tobacco Use in Rural Ohio Appalachia

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Nemeth, Julianna M.; Liu, Sherry T.; Klein, Elizabeth G.; Ferketich, Amy K.; Kwan, Mei-Po; Wewers, Mary Ellen

2015-01-01

Background The burden of smokeless tobacco (ST) use disproportionally impacts males in rural Ohio Appalachia. The purpose of this study was to describe the cultural factors contributing to this disparity and to articulate the way in which culture, through interpersonal factors (i.e. social norms and social networks) and community factors (i.e. marketing and availability), impacts ST initiation and use of ST among boys and men in Ohio Appalachia. Methods Fifteen focus groups and twenty-three individual qualitative interviews were conducted with adult (n=63) and adolescent (n=53) residents in Ohio Appalachian counties to ascertain factors associated with ST use and the impact of ST marketing. Transcriptions were independently coded according to questions and themes. Results ST use appears to be a rite of passage in the development of masculine identity in Ohio Appalachian culture. Interpersonal factors had the greatest influence on initiation and continued use of ST. Ohio Appalachian boys either emulated current ST users or were actively encouraged to use ST through male family and peer networks. Users perceived their acceptance into the male social network as predicated on ST use. Community factors, including ST advertisement and access to ST, reinforced and normalized underlying cultural values. Conclusions In addition to policy aimed at reducing tobacco marketing and access, interventions designed to reduce ST use in Ohio Appalachia should incorporate efforts to 1) shift the perception of cultural norms regarding ST use and 2) address male social networks as vehicles in ST initiation. PMID:22427033

Analyze of Tourism Development Impacts on the Development of Rural Areas (Case Study: Kesselian County

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Mohammad Sadegh Ebrahimi Koohbone

2014-06-01

Full Text Available Tourism development in rural areas is one of the main strategies to achieve rural development. The aim of this descriptive-analytical study is to analyze the impact of rural tourism in the socio-economic development of rural areas (Kesselian County of Mazandaran province. Data collected using 190 questionnaires determined using Cochrane formula. The validity of the questionnaires were confirmed by Cronbach Alpha equal to 0.796. The results show that there is significant positive relationship between rural tourism and improve in rural household income, health, sewage and waste disposal systems as well as development of rural homes and roads. The factor analysis results show that the best important positive effects of rural tourism in rural areas are infrastructural development, economic development and development of employment; and main negative effects of rural tourism in rural areas are destruction of the business environment, increased of social abnormalities and destruction of cultural environment.

Integration of Rural Community Pharmacies into a Rural Family Medicine Practice-Based Research Network: A Descriptive Analysis

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Nicholas E. Hagemeier

2015-01-01

Full Text Available Purpose: Practice-based research networks (PBRN seek to shorten the gap between research and application in primary patient care settings. Inclusion of community pharmacies in primary care PBRNs is relatively unexplored. Such a PBRN model could improve care coordination and community-based research, especially in rural and underserved areas. The objectives of this study were to: 1 evaluate rural Appalachian community pharmacy key informants’ perceptions of PBRNs and practice-based research; 2 explore key informants’ perceptions of perceived applicability of practice-based research domains; and 3 explore pharmacy key informant interest in PBRN participation. Methods: The sample consisted of community pharmacies within city limits of all Appalachian Research Network (AppNET PBRN communities in South Central Appalachia. A descriptive, cross-sectional, questionnaire-based study was conducted from November 2013 to February 2014. Bivariate and multivariate analyses were conducted to examine associations between key informant and practice characteristics, and PBRN interest and perceptions. Findings: A 47.8% response rate was obtained. Most key informants (88% were very or somewhat interested in participating in AppNET. Enrichment of patient care (82.8%, improved relationships with providers in the community (75.9%, and professional development opportunities (69.0% were perceived by more than two-thirds of respondents to be very beneficial outcomes of PBRN participation. Respondents ranked time constraints (63% and workflow disruptions (20% as the biggest barriers to PBRN participation. Conclusion: Key informants in rural Appalachian community pharmacies indicated interest in PBRN participation. Integration of community pharmacies into existing rural PBRNs could advance community level care coordination and promote improved health outcomes in rural and underserved areas.   Type: Original Research

The theory and practice of 100 pilot SHP-based rural electrification counties in China

Energy Technology Data Exchange (ETDEWEB)

Luo Gaorong [Organization of the United Nations, Beijing (China). International Centre of Small Hydroelectric Power Plants

1995-07-01

This document presents the theory and practice of 100 pilot small hydroelectric power plants (SHP) based rural electrification counties in China. The document reports the research contents, methodology and results, and the pilot benefit analysis and evaluation.

Disparities in the access to primary healthcare in rural areas from the county of Iasi - Romania.

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Duma, Olga-Odetta; Roşu, Solange Tamara; Manole, M; Petrariu, F D; Constantin, Brânduşa

2014-01-01

To identify the factors that may conduct to various forms of social exclusion of the population from the primary healthcare and to analyze health disparities as population-specific differences in the access to primary healthcare in rural compared to urban residence areas from Iasi, the second biggest county, situated in the North--East region of Romania. This research is a type of inquiry-based opinion survey of the access to primary healthcare in rural compared to urban areas of the county of Iasi. Data were collected by face-to-face interviews. There were taken into account the socioeconomic status (education level in the adult population, employment status, family income, household size) and two temporal variables (the interval of time spent to arrive at the primary healthcare office as a marker for the geographical access and the waiting time for a consultation). The study group consisted of two samples, from rural and urban area, each of 150 patients, all ages, randomly selected, who were waiting at the family doctor's practice. The study has identified disparities related to a poor economic status assessed through the employed status ("not working" 15% in urban and of 20% in rural).The income calculated per member of family and divided in terciles has recorded significant differences for "high" (36.7% urban and 14.7% rural) and "low", respectively (14.6% urban and 56.6% rural). High household size with more than five members represented 22.6% of the total subjects in rural and 15.3% in urban areas. The assessment of the education level in the adult population (> 18 years) revealed that in the rural areas more than a half (56%) of the sample is placed in the category primary and secondary incomplete, whereas the value for secondary complete and postsecondary was 37.3%. The proportion of respondents in the urban areas who have post-secondary education is five times higher than those in rural areas (15.4% vs. 2.7%). The reduced geographical access assessed as

Future economic outlook of Nebraska rural community pharmacies based on break-even analysis of community operational costs and county population.

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Keast, Shellie L; Jacobs, Elgene; Harrison, Donald; Farmer, Kevin; Thompson, David

2010-09-01

There is growing concern over increasingly limited access to local health care, including pharmacies, for rural citizens of the United States. Although geographically distant from most competitors, rural pharmacies may still struggle to generate an acceptable profit to remain economically viable. Therefore, a method for calculating the economic viability for a community pharmacy to recruit a potential new owner to assume the entrepreneurial risk is an important issue to consider when evaluating rural pharmacy access. The primary objective of this study was to use a modified break-even analysis to predict the future financial potential of the current pharmacy business to attract a new owner. The secondary objective was to forecast a risk level for a Nebraska county to sustain the number of pharmacies in the country beyond current ownership. This research used data provided by pharmacies that responded to a Nebraska Medicaid cost of dispensing (COD) survey in addition to data from the US Census Bureau, US Office of Management and Budget, and the Nebraska State Board of Pharmacy. Break-even analysis was used to determine the point where the prescription volume of the pharmacy not only covered the variable and fixed costs but also maintained a reasonable profit to attract new ownership. Counties were classified into 3 risk levels based on the projected available prescription volume and the number of pharmacies in each county. Sensitivity analysis was performed on the risk levels to determine the impact of variance in projected available prescription volume on the projected future outlook for the pharmacies in each county. Regression analysis of responses to the COD survey indicated that the annual break-even prescription volume ranged from 44,790 to 49,246 prescriptions per pharmacy per annum. The number of rural Nebraska pharmacies was projected to decline from 126 to 78. The number of counties in Nebraska without a single pharmacy was projected to increase from 19 to

Micro-Study of the Evolution of Rural Settlement Patterns and Their Spatial Association with Water and Land Resources: A Case Study of Shandan County, China

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Libang Ma

2017-12-01

Full Text Available The balance between population and water and land resources is an important part of regional sustainable development. It is also significant for the ecological civilization in China and can help solve the Three Rural Issues (agriculture, countryside and farmers in China. The Silk Road Economic Belt and Maritime Silk Road in twenty-first Century Strategy have brought new opportunities for the Hexi Corridor, which is facing challenges in the sustainable development of rural settlements. In this paper, we analyzed the temporal-spatial differentiation of rural settlement patterns in Shandan County of Hexi Corridor and studied the spatial association between rural settlements and water-land resources. Results show that the total area of rural settlement patches (CA, the number of rural settlement patches (NP, the mean patch area (MPS, the maximum patch areas (MAXP, the minimum patch areas (MINP and the density of rural settlement patches (PD changed more rapidly from 1998 to 2008 than from 2008 to 2015. In the second period, the indices mentioned before did not change significantly. The kernel density of rural settlements is basically consistent in three periods. Rural settlements mainly distribute along major roads and the hydrographic network and the kernel density of rural settlements decreases in the direction away from these roads and the hydrographic network. In addition, rural settlements in Shandan County are densely distributed in some regions and sparsely distributed in other regions. The dispersion degree of rural settlements increased from 1998 to 2008 and tended to be stable after 2008. These lead to the dispersion, hollowing and chaos of rural settlements in Shandan County. The spatial distribution of rural settlements in Shandan County is closely related to that of cultivated land and the hydrographic network. Our results might provide a theoretical basis for the reasonable utilization of water and land resources in Shandan County

HIV Testing and HIV/AIDS Treatment Services in Rural Counties in 10 Southern States: Service Provider Perspectives

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Sutton, Madeline; Anthony, Monique-Nicole; Vila, Christie; McLellan-Lemal, Eleanor; Weidle, Paul J.

2010-01-01

Context: Forty percent of AIDS cases are reported in the southern United States, the region with the largest proportion of HIV/AIDS cases from rural areas. Data are limited regarding provider perspectives of the accessibility and availability of HIV testing and treatment services in southern rural counties. Purpose: We surveyed providers in the…

The Drugs-Violence Nexus among Rural Felony Probationers

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Oser, Carrie B.; Mooney, Jennifer L.; Staton-Tindall, Michele; Leukefeld, Carl G.

2009-01-01

Little research has focused on the drugs-violence nexus in rural areas. As such, the purpose of this study is to use Goldstein's tripartite conceptual framework to examine the relationship between drugs and violence among felony probationers in rural Appalachian Kentucky (n = 799). Data on demo-graphics, substance use criminal history, and…

Challenges in responding to the ebola epidemic - four rural counties, Liberia, August-November 2014.

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Summers, Aimee; Nyenswah, Tolbert G; Montgomery, Joel M; Neatherlin, John; Tappero, Jordan W; T, Nyenswah; M, Fahnbulleh; M, Massaquoi

2014-12-19

The first cases of Ebola virus disease (Ebola) in West Africa were identified in Guinea on March 22, 2014. On March 30, the first Liberian case was identified in Foya Town, Lofa County, near the Guinean border. Because the majority of early cases occurred in Lofa and Montserrado counties, resources were concentrated in these counties during the first several months of the response, and these counties have seen signs of successful disease control. By October 2014, the epidemic had reached all 15 counties of Liberia. During August 27-September 10, 2014, CDC in collaboration with the Liberian Ministry of Health and Social Welfare assessed county Ebola response plans in four rural counties (Grand Cape Mount, Grand Bassa, Rivercess, and Sinoe, to identify county-specific challenges in executing their Ebola response plans, and to provide recommendations and training to enhance control efforts. Assessments were conducted through interviews with county health teams and health care providers and visits to health care facilities. At the time of assessment, county health teams reported lacking adequate training in core Ebola response strategies and reported facing many challenges because of poor transportation and communication networks. Development of communication and transportation network strategies for communities with limited access to roads and limited means of communication in addition to adequate training in Ebola response strategies is critical for successful management of Ebola in remote areas.

OLT COUNTY'S RURAL DEVELOPMENT THROUGH AGROTOURISM

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Dragos-Ion SMEDESCU

2013-12-01

Full Text Available Sustainable development and success of rural tourism and agrotourism not depends only by attractive tourist facilities and landscape, depends to an extent more or less equal competitive and quality service. Tourism, being known as one of the world's most competitive activities require commitment, professionalism, understanding, organization and not least an effective strategy for human resource development. The materials we will present the method used in the study was a questionable applied in Olt county, in the 9th joint distributed three forms of relief: Meadow: Gura Padinii, Gârcov and Orlea, Plain: Călui, Curtişoara, Pleșoiu and hill Leleasca, Oboga and Sâmbureşti, in order to analyze and agro tourism potential, to develop strategy and promote recovery. In evaluating the survey data used to test the association, (Chi, Hi or χ2 theoretically test allows highlighting the existence / non-existence of a link between the association created under local segmentation variables studied.

Recruiting and retaining mental health professionals to rural communities: an interdisciplinary course in Appalachia.

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Meyer, Deborah; Hamel-Lambert, Jane; Tice, Carolyn; Safran, Steven; Bolon, Douglas; Rose-Grippa, Kathleen

2005-01-01

Faculty from 5 disciplines (health administration, nursing, psychology, social work, and special education) collaborated to develop and teach a distance-learning course designed to encourage undergraduate and graduate students to seek mental health services employment in rural areas and to provide the skills, experience, and knowledge necessary for successful rural practice. The primary objectives of the course, developed after thorough review of the rural retention and recruitment literature, were to (1) enhance interdisciplinary team skills, (2) employ technology as a tool for mental health practitioners, and (3) enhance student understanding of Appalachian culture and rural mental health. Didactic instruction emphasized Appalachian culture, rural mental health, teamwork and communication, professional ethics, and technology. Students were introduced to videoconferencing, asynchronous and synchronous communication, and Internet search tools. Working in teams of 3 or 4, students grappled with professional and cultural issues plus team process as they worked through a hypothetical case of a sexually abused youngster. The course required participants to engage in a nontraditional manner by immersing students in Web-based teams. Student evaluations suggested that teaching facts or "content" about rural mental health and Appalachian culture was much easier than the "process" of using new technologies or working in teams. Given that the delivery of mental health care demands collaboration and teamwork and that rural practice relies increasingly more on the use of technology, our experience suggests that more team-based, technology-driven courses are needed to better prepare students for clinical practice.

Higher coronary heart disease and heart attack morbidity in Appalachian coal mining regions.

Science.gov (United States)

Hendryx, Michael; Zullig, Keith J

2009-11-01

This study analyzes the U.S. 2006 Behavioral Risk Factor Surveillance System survey data (N=235,783) to test whether self-reported cardiovascular disease rates are higher in Appalachian coal mining counties compared to other counties after control for other risks. Dependent variables include self-reported measures of ever (1) being diagnosed with cardiovascular disease (CVD) or with a specific form of CVD including (2) stroke, (3) heart attack, or (4) angina or coronary heart disease (CHD). Independent variables included coal mining, smoking, BMI, drinking, physician supply, diabetes co-morbidity, age, race/ethnicity, education, income, and others. SUDAAN Multilog models were estimated, and odds ratios tested for coal mining effects. After control for covariates, people in Appalachian coal mining areas reported significantly higher risk of CVD (OR=1.22, 95% CI=1.14-1.30), angina or CHD (OR=1.29, 95% CI=1.19-1.39) and heart attack (OR=1.19, 95% CI=1.10-1.30). Effects were present for both men and women. Cardiovascular diseases have been linked to both air and water contamination in ways consistent with toxicants found in coal and coal processing. Future research is indicated to assess air and water quality in coal mining communities in Appalachia, with corresponding environmental programs and standards established as indicated.

Analysis of factors affecting rural people's attitudes towards rural tourism: the case of Doroodzan District of the Marvdasht County

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Madineh Khosrowjerdi

2016-11-01

Full Text Available Although different governments place a lot of interest in developing rural tourism targets and a lot of budgets are spend in this respect, less attention is paid to study the attitudes of the host communities towards tourism.  Thus, the aim of this study was to analyze the factors that can affect the attitudes of rural people towards rural tourism in the Doroodzan District of the Marvdasht County. The research was conducted in 2015.  The survey research method was used for this purpose and data were collected using a pre-designed questionnaire. The research sample included 250 villagers that were selected using Kerjcie and Morgan Sampling Table and the Random Sampling Technique. The Face validity of the questionnaire was verified by the expert faculty members and the staff of the Rural Development Management Department of the Yasouj University, and its reliability was also verified by calculating Cronbach's Alpha reliability coefficient (from 0.61 to 0.86 that was obtained from a pilot study.  The results of the Path Analysis showed that value of tourism is the most effective factor for predicting the respondents' attitudes towards rural tourism. Next to that there are other variables such as income from tourism and observation that have had the most effect on the respondents' attitudes. Finally, it is recommended that the means of mass media such as local radio and television broadcast services prepare programs and campaigns about rural tourism and related topics in order to improve the attitudes of the rural people towards rural tourism.

Oral health: perceptions of need in a rural Iowa county.

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Ettinger, Ronald L; Warren, John J; Levy, Steven M; Hand, Jed S; Merchant, James A; Stromquist, Ann M

2004-01-01

Several studies have shown that oral health problems impact the quality of life of older adults. However, few data are available to describe the oral health status, barriers to care, and patterns of care for adults and older populations living in rural areas. The purpose of this study was to evaluate the perceived need for treatment of oral health problems by adult residents in a rural county in Iowa. The oral health component was part of a larger longitudinal health study of the residents. The sample was stratified into three groups by residence, that is, farm households, rural non-farm households and town households. The sample was subsequently post-stratified by gender and age group into young elderly, 65-74 years old, and old elderly, 75 years and older. Dentition status varied according to age and was related to the perception of treatment needs. Edentulous persons had fewer perceived treatment needs and utilized a dentist less frequently. Place of residence, education, and marital status were not associated with the subjects' perceived problems with eating and chewing. However, persons with difficulty chewing were more likely to have some missing upper teeth, have a perceived need to have denture work, and have smoked for a number of years. The results suggest that this rural population is retaining more teeth and consequently may need and may seek dental services more often than previous more edentulous cohorts.

Smart Snacks in School Legislation Does Not Change Self-Reported Snack Food and Beverage Intake of Middle School Students in Rural Appalachian Region.

Science.gov (United States)

Mann, Georgianna; Hosig, Kathy; Zhang, Angang; Shen, Sumin; Serrano, Elena

To assess the effects of the national Smart Snacks in School standards, which include nutrient and ingredient limitations for school competitive foods and beverages effective July, 2014, on student intake in low-income rural Appalachian middle schools. Food-frequency questionnaires were administered to students before and after implementation. Multiple ordinal logistic regression models were conducted to examine effects from year of data collection, grade, and free or reduced price lunch participation rates. No significant changes were observed after implementation except a decrease in consumption of 1% or nonfat flavored milk at school. Smart Snacks in School standards did not result in significant dietary changes in this study. Longitudinal studies could evaluate long-term impacts of nutrition standards. Copyright © 2017 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

Public invited to Appalachian Studies Film Series

OpenAIRE

Elliott, Jean

2004-01-01

The Appalachian Studies Program at Virginia Tech is hosting a series of notable artistic and documentary films. The films deal with themes or issues covered in Appalachian Studies courses and are organized historically, touching upon issues common to all Appalachians.

Higher coronary heart disease and heart attack morbidity in Appalachian coal mining regions

Energy Technology Data Exchange (ETDEWEB)

Hendryx, M.; Zullig, K.J. [West Virginia University, Morgantown, WV (United States). Dept. of Community Medicine

2009-11-15

This study analyzes the U.S. 2006 Behavioral Risk Factor Surveillance System survey data (N = 235,783) to test whether self-reported cardiovascular disease rates are higher in Appalachian coal mining counties compared to other counties after control for other risks. Dependent variables include self-reported measures of ever (1) being diagnosed with cardiovascular disease (CVD) or with a specific form of CVD including (2) stroke, (3) heart attack, or (4) angina or coronary heart disease (CHD). Independent variables included coal mining, smoking, BMI, drinking, physician supply, diabetes co-morbidity, age, race/ethnicity, education, income, and others. SUDAAN Multilog models were estimated, and odds ratios tested for coal mining effects. After control for covariates, people in Appalachian coal mining areas reported significantly higher risk of CVD (OR = 1.22, 95% CI = 1.14-1.30), angina or CHO (OR = 1.29, 95% C1 = 1.19-1.39) and heart attack (OR = 1.19, 95% C1 = 1.10-1.30). Effects were present for both men and women. Cardiovascular diseases have been linked to both air and water contamination in ways consistent with toxicants found in coal and coal processing. Future research is indicated to assess air and water quality in coal mining communities in Appalachia, with corresponding environmental programs and standards established as indicated.

RURAL TOURISM IN SUCEAVA COUNTY BETWEEN 1996-2010: EVOLUTION OF ACCOMMODATION CAPACITY AND TOURISTIC FLOW

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Gheorghe CHEIA

2012-06-01

Full Text Available Tourism activity has grown faster and complex in recent decades at global and national levels. Among its forms, rural tourism has been given particular attention in the recent years due to his access to a growing number of tourist arrivals following the framework and specific "climate", particularly where consumers are introduced. Suceava County has an impressive rural tourism potential, with a recovery and uneven development between 1996-2010. Tourism phenomenon is sensitive to many factors (natural, political, financial, population characteristics, such as rural tourism in Suceava. In the case of the indices statistically analyzed in this paper, the number of accommodation units, the number of Romanian and foreign tourists, the processing and analysis was performed using t test for independent samples.

Colorectal Cancer, Socioeconomic Distribution and Behavior: A Comparative Analysis of Urban and Rural Counties in the USA

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Kaamel M Nuhu

2015-12-01

Full Text Available Background: Colorectal cancer (CRC ranks second for all cancer related deaths among men and women together and third for either sex when considered separately. Disparities exist in CRC incidence and mortality between rural and urban counties in the USA. This study sought to explore socioeconomic and behavioral factors that may partly explain these observed differences.Methods: Using educational and income levels as measures of socioeconomic status (SES, and average alcohol consumption and smoking frequency as behavioral factors, data from the Behavioral Risk Factor Surveillance System (BRFSS and the Surveillance, Epidemiology, and End Results (SEER program for analysis were coupled.Results: Results showed statistically significant inequalities for CRC incidence (t = 2.678, p = 0.010 and mortality (t = 2.567, p = 0.013, as well as socioeconomic (i.e., poverty; t = 5.644, p < 0.001 and behavioral (i.e., smoking; t = 2.885, p = 0.006 factors between selected rural and urban counties. Regression analysis for colorectal cancer incidence and mortality rates at the rural, urban, and national levels yielded relative impacts of smoking frequency, alcohol consumption, and educational level.Conclusions: Health policies aimed at reducing disparities between rural and urban populations in the USA must therefore adequately address SES and behavioral factors.Key words: colorectal cancer, rural health, social determinants of health, health behavior 

Route of administration for illicit prescription opioids: a comparison of rural and urban drug users

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Havens Jennifer R

2010-10-01

Full Text Available Abstract Background Nonmedical prescription opioid use has emerged as a major public health concern in recent years, particularly in rural Appalachia. Little is known about the routes of administration (ROA involved in nonmedical prescription opioid use among rural and urban drug users. The purpose of this study was to describe rural-urban differences in ROA for nonmedical prescription opioid use. Methods A purposive sample of 212 prescription drug users was recruited from a rural Appalachian county (n = 101 and a major metropolitan area (n = 111 in Kentucky. Consenting participants were given an interviewer-administered questionnaire examining sociodemographics, psychiatric disorders, and self-reported nonmedical use and ROA (swallowing, snorting, injecting for the following prescription drugs: buprenorphine, fentanyl, hydrocodone, hydromorphone, methadone, morphine, OxyContin® and other oxycodone. Results Among urban participants, swallowing was the most common ROA, contrasting sharply with substance-specific variation in ROA among rural participants. Among rural participants, snorting was the most frequent ROA for hydrocodone, methadone, OxyContin®, and oxycodone, while injection was most common for hydromorphone and morphine. In age-, gender-, and race-adjusted analyses, rural participants had significantly higher odds of snorting hydrocodone, OxyContin®, and oxycodone than urban participants. Urban participants had significantly higher odds of swallowing hydrocodone and oxycodone than did rural participants. Notably, among rural participants, 67% of hydromorphone users and 63% of morphine users had injected the drugs. Conclusions Alternative ROA are common among rural drug users. This finding has implications for rural substance abuse treatment and harm reduction, in which interventions should incorporate methods to prevent and reduce route-specific health complications of drug use.

Inequality in early childhood neurodevelopment in six poor rural counties of China: a decomposition analysis.

Science.gov (United States)

Zhang, Cuihong; Zhao, Chunxia; Liu, Xiangyu; Wei, Qianwei; Luo, Shusheng; Guo, Sufang; Zhang, Jingxu; Wang, Xiaoli; Scherpbier, Robert W

2017-12-08

Previous studies about inequality in children's health focused more on physical health than the neurodevelopment. In this study, we aimed to evaluate the inequality in early childhood neurodevelopment in poor rural China and explore the contributions of socioeconomic factors to the inequality. Information of 2120 children aged 0 to 35 months and their households in six poor rural counties of China was collected during July - September, 2013. Age and Stages Questionnaire-Chinese version, concentration index and decomposition analysis were used to assess the neurodevelopment of early childhood, measure its inequality and evaluate the contributions of socioeconomic factors to the inequality, respectively. The prevalence of suspected developmental delay in children under 35 months of age in six poor rural counties of China was nearly 40%, with the concentration index of -0.0877. Household economic status, caregivers' depressive symptoms, learning material and family support for learning were significantly associated with children's suspected developmental delay, and explained 34.1, 14.1, 8.9 and 7.0% of the inequality in early childhood neurodevelopment, respectively. The early childhood neurodevelopment in the surveyed area is poor and unfair. Factors including household economic status, caregivers' depressive symptoms, learning material and family support for learning are significantly associated with children's suspected developmental delay and early developmental inequality. The results highlight the urgent need of monitoring child neurodevelopment in poor rural areas. Interventions targeting the caregivers' depressive symptoms, providing learning material and developmental appropriate stimulating activities may help improve early childhood neurodevelopment and reduce its inequality.

Top-Down, Routinized Reform in Low-Income, Rural Schools

Directory of Open Access Journals (Sweden)

Robert Bickel

2000-02-01

Full Text Available Since 1991, the National Science Foundation has funded fifty-nine state, urban, and rural systemic initiatives. The purpose of the initiatives is to promote achievement in math, science, and technology among all students, and to encourage schools and communities to secure the resources needed to maintain such outcomes. The Appalachian Rural Systemic Initiative (ARSI is a six-state consortium which focuses these efforts on low-income, rural schools. The primary means of accomplishing ARSI's aims is a one-day-one-school site visit, called a Program Improvement Review, done by an ARSI math or science expert. The centrally important Program Improvement Reviews, however, seem to be premised on unsubstantiated assumptions as to the static, easy-to-understand, easy-to-evaluate nature of educational achievement in rural Appalachian schools. As a result, the Reviews resemble exercises in early-twentieth century scientific management, and are unlikely to enhance achievement in science or math. Consequently, even if there is merit to the commonsense human capital approach to economic growth and development on which systemic initiatives are tacitly premised, this first- person account makes a case that desired payoffs are unlikely to follow from the work of ARSI.

Tourism Impacts of Three Mile Island and Other Adverse Events: Implications for Lincoln County and Other Rural Counties Bisected by Radioactive Wastes Intended for Yucca Mountain.

Science.gov (United States)

Himmelberger, Jeffery J.; And Others

1995-01-01

Summarizes key research implications of Three Mile Island and other major hazard events as related to tourism. Examines how the proposed Yucca Mountain nuclear waste repository system will impact tourism in southern Nevada and other visitor-oriented rural counties bisected by planned waste transportation corridors. (AIM)

The social service divide: service availability and accessibility in rural versus urban counties and impact on child welfare outcomes.

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Belanger, Kathleen; Stone, Warren

2008-01-01

An empirical study of 75 counties in a state found that social services are more available and accessible in urban versus rural counties, signaling a need for public policy addressing service allocation. The study also found a relationship between the accessibility of intensive family preservation services and reentry into foster care, a child welfare outcome. Implications for achieving outcomes affecting safety, permanence, and well-being of children are discussed.

STUDIES REGARDING THE SITUATION OF RURAL DEVELOPMENT IN PRAHOVA COUNTY AND THE MANAGERIAL MEASURES WHICH NEED TO BE TAKEN

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Florin PĂUN

2014-04-01

Full Text Available The paper is an analysis of the situation of rural development in Prahova county in all fields and aspects: agriculture and food industry, forestry, infrastructure, tourism, law and legislation, regional and government support towards rural entrepreneurs and inhabitants, rural life, customs and traditions, but also the impact of the European Agricultural Policy . The quantity analysis is based upon statistical data retrieved from Romanian statistical yearbook, while the quality analysis is based on discussions with the main actors and stakeholders in order to determine the managerial measurements that need to be taken.

77 FR 2744 - Announcement of Funding Awards for the Rural Innovation Fund Program for Fiscal Year 2010

Science.gov (United States)

2012-01-19

... Alliance, 300,000 Inc. 5 AZ San Carlos Housing Authority 300,000 6 AZ International Sonoran Desert 300,000....com or engineer.com ">[email protected] engineer.com . The International Sonoran Desert Alliance (ISDA) in... outsourcing. Jackson County is designated as a Distressed County by the Appalachian Regional Commission and is...

Rurality and Birth Outcomes: Findings from Southern Appalachia and the Potential Role of Pregnancy Smoking

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Bailey, Beth A.; Cole, Laura K. Jones

2009-01-01

Context: Rates of preterm birth (PTB) and low birth weight (LBW) vary by region, with disparities particularly evident in the Appalachian region of the South. Community conditions related to rurality likely contribute to adverse birth outcomes in this region. Purpose: This study examined associations between rurality and related community…

Spatiotemporal discordance in five common measures of rurality for US counties and applications for health disparities research in older adults

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Steven A. Cohen

2015-11-01

Full Text Available Introduction: Rural populations face numerous barriers to health, including poorer health care infrastructure, access to care, and other sociodemographic factors largely associated with rurality. Multiple measures of rurality used in the biomedical and public health literature can help assess rural-urban health disparities and may impact the observed associations between rurality and health. Furthermore, understanding what makes a place truly rural versus urban may vary from region to region in the United States.Purpose: The objectives of this study are to compare and contrast five common measures of rurality and determine how well-correlated these measures are at the national, regional, and divisional level, as well as to assess patterns in the correlations between the prevalence of obesity in the population aged 60+ and each of the five measures of rurality at the regional and divisional level.Methods: Five measures of rurality were abstracted from the US Census and US Department of Agriculture (USDA to characterize US counties. Obesity data in the population aged 60+ were abstracted from the Behavioral Risk Factor Surveillance System (BRFSS. Spearman’s rank correlations were used to quantify the associations among the five rurality measurements at the national, regional, and divisional level, as defined by the US Census Bureau. Geographic information systems were used to visually illustrate temporal, spatial, and regional variability. Results: Overall, Spearman’s rank correlations among the five measures ranged from 0.521 (percent urban-Urban Influence Code to 0.917 (Rural-Urban Continuum Code-Urban Influence Code. Notable discrepancies existed in these associations by Census region and by division. The associations between measures of rurality and obesity in the 60+ population varied by rurality measure used and by region. Conclusion: This study is among the first to systematically assess the spatial, temporal, and regional differences

Health status of rural population in Ialomita county

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ANA-MARIA TALOS

2014-10-01

Full Text Available Health is an issue that manages to provide many top ics in various fields (medicine, geography, sociology, psychology. This study aims to highlight the territorial disparities in health status of Ialomi ţ a county, to identify the health determinants and to make a preliminary analysis of the relationships between the lifestyle and the health status, using an objective assessment (statistics and a subjective evaluation (health surveys. There were analyzed elements such as mortality and morbidity, using health indic ators (mortality rate, infant mortality rate, specific mortality rate and specific morbidity rate and an aggregate index (health index. Combining statistic analysis and spatial analysis, t he study offers the possibility of comparing the rural areas with urban area, and it can be a base f or further studies. The health services, ageing and the characteristics of lifestyle could explain the territorial disparities in health status. A health study can reveal important details about eco nomic features, social behavior, mentality and social environment.

Making the Invisible Visible: A Responsive Evaluation Study of ESL and Spanish Language Services for Immigrants in a Small Rural County in Indiana

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Pawan, Faridah; Thomalla, Therese Groff

2005-01-01

This article describes a responsive evaluation study of ESL services and Spanish language services for immigrants in a rural county in Indiana. An ESL specialist led the evaluation of language services in the county from the perspectives of language providers and recipients. The responsive evaluation--a form of action research that uses…

THE DYNAMICS OF TOURISM AS INDICATOR FOR THE RURAL DEVELOPMENT IN MARAMURES COUNTY

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Talida Daniela Giambasu

2016-05-01

Full Text Available The rural tourism represents a major segment of the Romanian travelling sector, which has been under continuous development for the last twenty years. Identifying the development methods of this sector becomes very important and rather necessary considering the many problems this sector is faced with and that impede its progress, at its true potential. Maramures is one of the most complex regions of our country, which manages to successfully combine, using the available resources, several forms of practicable tourism: cultural tourism, religious tourism, agritourism, mountain tourism, balneal tourism etc. The incommensurable diversity and importance of the touristic resources existing in Maramures County was certified not only by the travellers visiting the region, but also by the fact that Maramures has become a place of the UNESCO world heritage, by including eight wood churches located in this county among the UNESCO world sites.

An Investigation on Moving Rural Secondary Schools to Town in New Countryside Construction: Taking Ling County in Shandong Province as an Example

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Li, Shuang

2010-01-01

Based on some problems lying in current rural secondary education taking Ling County as an example, this paper proves the necessity and feasibility of moving rural secondary schools to town in the current condition: it is an objective demand by the changes in students; it is a necessary demand to optimize resource allocation and to improve…

Faith Moves Mountains: An Appalachian Cervical Cancer Prevention Program

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Schoenberg, Nancy E.; Hatcher, Jennifer; Dignan, Mark B.; Shelton, Brent; Wright, Sherry; Dollarhide, Kaye F.

2009-01-01

Objective To provide a conceptual description of Faith Moves Mountains (FMM), an intervention designed to reduce the disproportionate burden of cervical cancer among Appalachian women. Methods FMM, a community-based participatory research program designed and implemented in collaboration with churches in rural, southeastern Kentucky, aims to increase cervical cancer screening (Pap tests) through a multiphase process of educational programming and lay health counseling. Results We provide a conceptual overview to key elements of the intervention, including programmatic development, theoretical basis, intervention approach and implementation, and evaluation procedures. Conclusions After numerous modifications, FMM has recruited and retained over 400 women, 30 churches, and has become a change agent in the community. PMID:19320612

A rural Appalachian faith-placed smoking cessation intervention.

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Schoenberg, Nancy E; Bundy, Henry E; Baeker Bispo, Jordan A; Studts, Christina R; Shelton, Brent J; Fields, Nell

2015-04-01

Although health promotion programming in faith institutions is promising, most faith-based or placed health projects focus on diet, exercise, or cancer screening and many have been located in urban environments. This article addresses the notable absence of faith programming for smoking cessation among underserved rural US residents who experience tobacco-related health inequities. In this article, we describe our faith-oriented smoking cessation program in rural Appalachia, involving 590 smokers in 26 rural churches randomized to early and delayed intervention groups. We present three main themes that account for participants' positive evaluation of the program; the program's ability to leverage social connections; the program's convenience orientation; and the program's financial support for smoking cessation. We also present themes on the roles of faith and church in smoking cessation programming, including some mixed perceptions on smoking stigma and comfort in church settings; challenges in faith-placed smoking cessation recruitment; and the positive perception of such programming by church leaders. We conclude that faith-placed smoking cessation programs offer great potential, although they must be administered with great sensitivity to individual and community norms.

Time perspective and the theory of planned behavior: moderate predictors of physical activity among central Appalachian adolescents.

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Gulley, Tauna; Boggs, Dusta

2014-01-01

The purpose of this study was to determine how well time perspective and the Theory of Planned Behavior (TPB) predicted physical activity among adolescents residing in the central Appalachian region of the United States. A descriptive, correlational design was used. The setting was a rural high school in central Appalachia. The sample included 185 students in grades 9 through 12. Data were collected in school. Variables included components of the TPB, time perspective, and various levels of exercise. Data were analyzed using Pearson's correlation coefficients and multiple regression analysis. The TPB was a moderate predictor of exercise frequency among central Appalachian adolescents, accounting for 42% of the variance. Time perspective did not add to the predictive ability of the TPB to predict exercise frequency in this sample. This study provides support for the TPB for predicting frequency of exercise among central Appalachian adolescents. By understanding the role of the TPB in predicting physical activity among adolescents, nurse practitioners will be able to adapt intervention strategies to improve the physical activity behaviors of this population. Copyright © 2014 National Association of Pediatric Nurse Practitioners. Published by Mosby, Inc. All rights reserved.

Urban-rural differences in excess mortality among high-poverty populations: evidence from the Harlem Household Survey and the Pitt County, North Carolina Study of African American Health.

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Geronimus, Arline T; Colen, Cynthia G; Shochet, Tara; Ingber, Lori Barer; James, Sherman A

2006-08-01

Black youth residing in high-poverty areas have dramatically lower probabilities of surviving to age 65 if they are urban than if they are rural. Chronic disease deaths contribute heavily. We begin to probe the reasons using the Harlem Household Survey (HHS) and the Pitt County, North Carolina Study of African American Health (PCS). We compare HHS and PCS respondents on chronic disease rates, health behaviors, social support, employment, indicators of health care access, and health insurance. Chronic disease profiles do not favor Pitt County. Smoking uptake is similar across samples, but PCS respondents are more likely to quit. Indicators of access to health care and private health insurance are more favorable in Pitt County. Findings suggest rural mortality is averted through secondary or tertiary prevention, not primary. Macroeconomic and health system changes of the past 20 years may have left poor urban Blacks as medically underserved as poor rural Blacks.

A comparative analysis of health-related quality of life for residents of U.S. counties with and without coal mining.

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Zullig, Keith J; Hendryx, Michael

2010-01-01

We compared health-related quality of life (HRQOL) in mining and non-mining counties in and out of Appalachia using the 2006 Behavioral Risk Factor Surveillance System (BRFSS) survey. Dependent variables included self-rated health, the number of poor physical and mental health days, the number of activity limitation days (in the last 30 days), and the Centers for Disease Control and Prevention Healthy Days Index. Independent variables included the presence of coal mining, Appalachian region residence, metropolitan status, primary care physician supply, and BRFSS behavioral (e.g., smoking, body mass index, and alcohol consumption) and demographic (e.g., age, gender, race, and income) variables. We compared dependent variables across a four-category variable: Appalachia (yes/ no) and coal mining (yes/no). We used SUDAAN Multilog and multiple linear regression models with post-hoc least-squares means to test for Appalachian coal-mining effects after adjusting for covariates. Residents of coal-mining counties inside and outside of Appalachia reported significantly fewer healthy days for both physical and mental health, and poorer self-rated health (p mining counties, but disparities were greatest for people residing in Appalachian coal-mining areas. Furthermore, results remained consistent in separate analyses by gender and age. Coal-mining areas are characterized by greater socioeconomic disadvantage, riskier health behaviors, and environmental degradation that are associated with reduced HRQOL.

Low Temperature Geothermal Play Fairway Analysis For The Appalachian Basin: Phase 1 Revised Report November 18, 2016

Energy Technology Data Exchange (ETDEWEB)

Jordan, Teresa E. [Cornell Univ., Ithaca, NY (United States); Richards, Maria C. [Southern Methodist Univ., Dallas, TX (United States); Horowitz, Franklin G. [Cornell Univ., Ithaca, NY (United States); Camp, Erin [Cornell Univ., Ithaca, NY (United States); Smith, Jared D. [Cornell Univ., Ithaca, NY (United States); Whealton, Calvin A. [Cornell Univ., Ithaca, NY (United States); Stedinger, Jery R. [Cornell Univ., Ithaca, NY (United States); Hornbach, Matthew J. [Southern Methodist Univ., Dallas, TX (United States); Frone, Zachary S. [Southern Methodist Univ., Dallas, TX (United States); Tester, Jefferson W. [Cornell Univ., Ithaca, NY (United States); Anderson, Brian [West Virginia Univ., Morgantown, WV (United States); Welcker, Kelydra [West Virginia Univ., Morgantown, WV (United States); Chickering Pace, Catherine [Southern Methodist Univ., Dallas, TX (United States); He, Xiaoning [West Virginia Univ., Morgantown, WV (United States); Magnani, Maria Beatrice [Southern Methodist Univ., Dallas, TX (United States); Bolat, Rahmi [Southern Methodist Univ., Dallas, TX (United States)

2016-11-18

Geothermal energy is an attractive sustainable energy source. Yet project developers need confirmation of the resource base to warrant their time and financial resources. The Geothermal Play Fairway Analysis of the Appalachian Basin evaluated risk metrics that communicate the favorability of potential low-temperature geothermal energy resources in reservoirs more than 1000 m below the surface. This analysis is focused on the direct use of the heat, rather than on electricity production. Four risk factors of concern for direct-use geothermal plays in the Appalachian Basin portions of New York, Pennsylvania, and West Virginia are examined individually, and then in combination: 1) thermal resource quality, 2) natural reservoir quality, 3) induced seismicity, and 4) utilization opportunities. Uncertainty in the risk estimation is quantified. Based on these metrics, geothermal plays in the Appalachian Basin were identified as potentially viable for a variety of direct-use-heat applications. The methodologies developed in this project may be applied in other sedimentary basins as a foundation for low temperature (50-150 °C), direct use geothermal resource, risk, and uncertainty assessment. Three methods with which to combine the four risk factors were used. Among these, the averaging of the individual risk factors indicates the most favorable counties within the study area are the West Virginia counties of Monongalia, Harrison, Lewis (dubbed the Morgantown–Clarksburg play fairway), Putnam, and Kanawha (Charleston play fairway), the New York counties of Chemung and Steuben plus adjacent Bradford county in Pennsylvania (Corning–Ithaca play fairway), and the Pennsylvania counties of Mercer, Crawford, Erie, and Warren, and adjacent Chautauqua county in New York (together, the Meadville–Jamestown play fairway). These higher priority regions are surrounded by broader medium priority zones. Also worthy of additional exploration is a broad region near Pittsburgh

A Year in the Life: Academic Coaching and the Role of Collaboration in a Rural Ohio School

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Hartman, Sara Lohrman

2012-01-01

This year-long qualitative case study provides an analysis of the work of a math coach as she built collaborative partnerships in a rural Appalachian school. Academic coaches provide embedded professional development and the theoretical hope of improving teachers' instructional abilities and thereby raising student achievement. As rural schools…

Regional Rural Tourist Recreation Shopping Centers: A New Concept in the Leisure Industry

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Nicholls, Leland L.

1975-01-01

A rural tourist-recreation shopping center is defined as an area relatively accessible to city dwellers that can be developed for recreation purposes. Twenty-three such areas have been identified in the Appalachian Highlands. (PS)

Rural migration in Nevada: Lincoln County

International Nuclear Information System (INIS)

Soden, D.L.; Carns, D.E.; Mosser, D.; Conary, J.S.; Ansell, J.P.

1993-01-01

The principal objective of this project was to develop insight into the scope of migration of working age Nevadans out of their county of birth; including the collection of data on their skill levels, desire to out or in-migrate, interactions between families of migratory persons, and the impact that the proposed high-level nuclear waste repository at Yucca mountain might have on their individual, and collective, decisions to migrate and return. The initial phase of this project reported here was conducted in 1992 and 1993 in Lincoln County, Nevada, one of the counties designated as ''affected'' by the proposed repository program. The findings suggest that a serious out-migration problem in Lincoln County, and that the Yucca mountain project will likely affect decisions relating to migration patterns in the future

"When a woman is pregnant, her grave is open": health beliefs concerning dietary practices among pregnant Kalenjin women in rural Uasin Gishu County, Kenya.

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Riang'a, Roselyter Monchari; Nangulu, Anne Kisaka; Broerse, Jacqueline E W

2017-12-16

Reducing malnutrition remains a major global challenge especially in low- and middle-income countries. Lack of knowledge on the motive of nutritional behaviour could ultimately cripple nutrition intervention outcomes. The purpose of this study was to investigate how health beliefs influence nutritional behaviour intention of the pregnant Kalenjin women of rural Uasin Gishu County in Kenya. The study findings provide useful information for culturally congruent nutrition counselling and intervention. In this qualitative study semi-structured interviews were conducted with 42 pregnant and post-natal (with children less than one year) Kalenjin women in selected rural public health facilities of Uasin Gishu County Kenya. Furthermore, key informant interviews took place with 6 traditional birth attendants who were also pregnancy herbalists, two community health workers and one nursing officer in charge of Maternal and Child Health (MCH) for triangulation and provision of in-depth information. Content analysis of interview transcripts followed a grounded theory (Protection Motivation Theory) approach, using software MAXQDA version 12.1.3. Abstracted labour (big babies and lack of maternal strength), haemorrhage (low blood), or having other diseases and complications (evil or bad food) were the major perceived health threats that influence nutritional behaviour intention of the pregnant Kalenjin women in rural Uasin Gishu County in Kenya. The pregnancy nutritional behaviour and practices of the Kalenjin women in rural Uasin Gishu County act as an adaptive response to the perceived health threats, which seem to be within the agency of pregnant women. As a result, just giving antenatal nutritional counselling without addressing these key health assumptions that underlie a successful pregnancy outcome is unlikely to lead to changes in nutritional behaviour.

Mobile crisis management teams as part of an effective crisis management system for rural communities.

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Trantham, Doug; Sherry, Anne

2012-01-01

Mobile crisis management teams provide crisis prevention and intervention services in community settings. The Appalachian Community Services crisis management program shows how such teams can be used to effectively serve rural communities.

Oral Health in Rural Communities

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... people with partial edentulism when compared to urban (Urban, 38.4%, High Poverty Rural 51.3%, Other Rural, 45%). Counties with high rates of full edentulism are also rural (Urban, 4.3%, High-Poverty Rural 10.5%, Other Rural, 8.2%). ( Mitchell, ...

Rural Principal Attitudes toward Poverty and the Poor

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Gholson, Melissa L.

2015-01-01

This study used Yun and Weaver's (2010) Attitudes toward Poverty Short Form (ATP-SF) of twenty-one items on a Likert-type scale to determine the poverty attitudes of 309 principals in a rural Appalachian state in the United States. The study compared the poverty attitudes from the ATP-SF scaled score as a dependent variable to the following…

Methodology for agricultural and rural NPS pollution in a typical county of the North China Plain

International Nuclear Information System (INIS)

Yang Yong; Chen Ying; Zhang Xiaolan; Ongley, Edwin; Zhao Lei

2012-01-01

Agricultural non-point source (NPS) pollution has been recently identified by the Chinese government as a major source of aquatic pollution. Methodologies commonly used to make basin-wide or area-wide assessments are problematic and regional distinctions have not been made relative to rainfall and runoff. Using a typical agricultural county in the Hai River basin of the North China Plan we developed methodology to estimate potential load and delivered load for crops (field crops + rice), animal production, rural living and from atmospheric N input. We use scenarios to allow for uncertainty in delivery to estimate the relative roles of different rural forms of pollution. Livestock raising is the major source of NPS pollution. Despite a 75% rural population, rural living contributes almost nothing to surface water pollution. While over-fertilization is typical, nutrient runoff from crops is low. Our results have implications for policies now under development for NPS control in China. - Highlights: ► Provides specific methods guidance for agricultural NPS assessment in China. ► Crops do not contribute significant N and P to watercourses in North China Plain. ► Rural living contributes almost no N and P to watercourses. ► Livestock is the only significant agricultural source of COD, N and P. - We address the methodology for agricultural NPS pollution assessment. We show that livestock, not rural living or crops, is the significant pollutant source.

Risk Factors for Smoking in Rural Women: The Role of Gender-Based Sexual and Intimate Partner Violence.

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Nemeth, Julianna M; Bonomi, Amy E; Lu, Bo; Lomax, Richard G; Wewers, Mary Ellen

2016-12-01

Women living in Ohio Appalachia experience cervical cancer at disproportionately high rates. Intimate partner and sexual gender-based violence (GBV) and smoking are independent risk factors for cervical cancer and interact to heighten risk. Appalachian women smoke at higher rates than other Ohio women, but little is known about GBV exposure in the region. The purpose of this study was to establish prevalence of women's exposure to GBV in Ohio Appalachia and examine the association between GBV and smoking among women in the region. A two-phase address-based random sampling approach was used in three purposefully selected Ohio Appalachian counties to identify women to complete an interviewer administered cross-sectional survey (n = 398). The primary exposure variable was GBV Index Score, a 4 level indices representing increasing exposure to eight abuse types. Correlation analysis and logistic regression were used to examine smoking correlations and risk. Almost 57% of women in the three selected Ohio Appalachian counties experienced GBV, with rate increasing to 77.5% among current smokers. The distribution of the GBV Exposure Index Score was significantly different across smoking status (p role GBV plays in health behavior and behavioral change interventions, including smoking and smoking cessation.

7 CFR 1005.2 - Appalachian marketing area.

Science.gov (United States)

2010-01-01

... 7 Agriculture 9 2010-01-01 2009-01-01 true Appalachian marketing area. 1005.2 Section 1005.2 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE MILK IN THE APPALACHIAN MARKETING AREA Order...

Study seeks to boost Appalachian gas recovery

International Nuclear Information System (INIS)

Land, R.

1992-01-01

Ashland Exploration Inc. and the Gas Research Institute (GRI) are trying to find ways to increase gas recovery in the Appalachian basin. They are working together to investigate Mississippian Berea sandstone and Devonian shale in a program designed to achieve better understanding and improved performance of tight natural gas formations in the area. This paper reports that three wells on Ashland Exploration acreage in Pike County, Ky., are involved in the research program. Findings from the first two wells will be used to optimize evaluation and completion of the third well. The first two wells have been drilled. Drilling of the third well was under way at last report. Ashland Exploration has been involved with GRI's Devonian shale research since 1988. GRI's initial focus was on well stimulation because Devonian shale wells it reviewed had much lower recoveries than could be expected, based on estimated gas in place. Research during the past few years was designed to improve the execution and quality control of well stimulation

Appalachian Regional Commission: 1982 Annual Report.

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Appalachian Regional Commission, Washington, DC.

Fiscal year 1982 was transitional for the Appalachian Regional Commission (ARC), as it was the last year of the broad economic development program and a year of reduced funding and new limits on programs. In 1981, Congress had requested that ARC prepare a plan for completion of the Appalachian highway system and for a 3 to 5 year ARC finish-up…

Evaluating a County-Sponsored Social Marketing Campaign to Increase Mothers' Initiation of HPV Vaccine for their Pre-teen Daughters in a Primarily Rural Area.

Science.gov (United States)

Cates, Joan R; Shafer, Autumn; Diehl, Sandra J; Deal, Allison M

2011-01-01

Routine vaccination against human papillomavirus (HPV), the main cause of cervical cancer, is recommended for 11-12 year old girls, yet vaccine uptake is low. This study evaluates a social marketing campaign initiated by 13 North Carolina counties to raise awareness among parents and reduce barriers to accessing the vaccine in a primarily rural area. The 3-month campaign targeted mothers of girls ages 11-12 and healthcare practices serving pre-teen girls in four counties. Principles of social marketing were: product (recommended vaccine against HPV), price (cost, perception of safety and efficacy, and access), promotion (posters, brochures, website, news releases, doctor's recommendation), and place (doctors' offices, retail outlets). We analyzed (1) website traffic, hotline calls, and media placement; (2) cross-sectional surveys of mothers and providers; and (3) HPV immunization rates in intervention versus non-intervention counties. Of respondent mothers (n=225), 82% heard or saw campaign messages or materials. Of respondent providers (n=35), 94% used campaign brochures regularly or occasionally in conversations with parents. HPV vaccination rates within six months of campaign launch were 2% higher for 9-13 year old girls in two of the four intervention counties compared to 96 non-intervention counties. This evaluation supports campaign use in other primarily rural and underserved areas.

Knowledge and perceptions of tobacco-related media in rural Appalachia.

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Branstetter, Steven A; Lengerich, Eugene; Dignan, Mark; Muscat, Joshua

2015-01-01

A critical component of the US Food and Drug Administration's new authority to regulate tobacco products is understanding communications and marketing of tobacco products and their perceived risks in different geographic, age, race, ethnic and socioeconomic groups. Such information might be particularly useful in subgroups of the population or geographic areas that experience high tobacco use and suffer a disproportionate burden from tobacco-related diseases. For certain populations, there may be additional cultural factors unique to the geographical region which may promote smoking behavior. The purpose of the present study was to examine the perceptions of tobacco-related media messages among a sample of rural Appalachian natives, a population with smoking rates higher than the national average and who are disproportionately affected by tobacco-related and other cancers. A series of four focus group sessions were conducted in a north-central area of Pennsylvania, in one of 52 counties in Pennsylvania designated as within the Appalachian region. Participants were recruited via direct mail letters, advertisements in a local newspaper, and recruiting flyers posted at the local library. The focus groups were moderated by trained professional staff from The Pennsylvania State University's Center for Survey Research (CSR). Focus group sessions sought to examine perceptions of tobacco-related media in an Appalachian region of Pennsylvania. The sessions were audiotaped and transcribed, and the data was analyzed using qualitative approaches. Participants reported that pro-tobacco ads and favorable messages were received through the internet, direct mail, convenience stores, billboards, movies, and other sources. Anti-tobacco messages were identified primarily from television and magazines. In general, participants concluded that quitting was a matter of choice and was not influenced by pro- or anti-tobacco media. These results indicate that both pro- and anti

A comparison of rural high school students in Germany with rural Tennessee high school students' mathematics and science achievement

Science.gov (United States)

Harding, R. Fredrick

This descriptive study compared the science and mathematics aptitudes and achievement test scores for the final school year students in rural White County and Van Buren County, Tennessee with rural county students in Germany. In accordance with the previous research literature (Stevenson, 2002), German students outperformed U.S. students on The International Trends in Math and Science test (TIMSS). As reform in the U.S. education system has been underway, this study intended to compare German county student final school year performance with White County and Van Buren County (Grade 12) performance in science and mathematics. The entire populations of 176 White and Van Buren Counties senior high final school year students were compared with 120 school final year students from two rural German county high schools. The student responses to identical test and questionnaire items were compared using the t-test statistical analysis. In conclusion after t-test analyses, there was no significant difference (p>.05 level) in student attitudes on the 27 problem achievement and the 35 TIMSS questionnaire items between the sampled population of 120 German students compared with the population of 176 White and Van Buren students. Also, there was no statistically significant difference (p>.05 level) between the German, White, and Van Buren County rural science and math achievement in the TIMSS problem section of the final year test. Based on the research, recommendations to improve U.S. student scores to number one in the world include making changes in teaching methodology in mathematics and science; incorporating pamphlet lessons rather than heavily reliance on textbooks; focusing on problem solving; establishing an online clearinghouse for effective lessons; creating national standards in mathematics and science; matching students' course choices to job aspirations; tracking misbehaving students rather than mainstreaming them into the regular classroom; and designing

A Longitudinal Evaluation of the Positive Action Program in a Low-Income, Racially Diverse, Rural County: Effects on Self-Esteem, School Hassles, Aggression, and Internalizing Symptoms.

Science.gov (United States)

Guo, Shenyang; Wu, Qi; Smokowski, Paul R; Bacallao, Martica; Evans, Caroline B R; Cotter, Katie L

2015-12-01

Positive Action is a school-based program that aims to decrease problem behaviors (e.g., violence, substance use) and increase positive behaviors (e.g., school engagement, academic achievement). Although a number of studies have shown that Positive Action successfully achieves these goals, few studies have evaluated the program's effectiveness in rural schools. Given that rural youth are at an increased risk for risky behaviors (e.g., violence, substance use), this is a critical gap in the existing Positive Action research base. The current study assesses the impact of Positive Action on change rates of self-esteem, school hassles, aggression, and internalizing symptoms in a group (N = 1246, 52% female) of ethnically/racially diverse (27% White, 23% African American, 12% mixed race/other, 8% Latino, 30% as American Indian) middle school youth (age range 9-20) located in two violent, low-income rural counties in North Carolina. One county engaged in Positive Action over the 3-year study window while the other county did not. Following multiple imputation and propensity score analysis, 4 two-level hierarchical linear models were run using each of the outcome measures as dependent variables. The results indicate that the program generates statistically significant beneficial effects for youth from the intervention county on self-esteem scores and school hassles scores. Although the program generates beneficial effects for intervention youth on the change in aggression scores, the finding is not statistically significant. The finding on the change in internalizing scores shows a non-significant detrimental effect: the youth from the comparison county have lower internalizing scores than those from the intervention county. Implications are discussed.

DMOs and Rural Tourism: A Stakeholder Analysis the Case of Tucker County, West Virginia

Directory of Open Access Journals (Sweden)

Doug Arbogast

2017-10-01

Full Text Available Rural destination management organizations (DMOs are faced with considerable challenges as they attempt to promote economic prosperity through tourism. This study sought to identify rural destination management challenges in Tucker County, West Virginia; identify the roles and activities of the destinations DMOs in addressing these challenges; and develop a perceived destination management framework. DMO challenges include maintaining authenticity and sense of place; economic diversification; seasonality, low wage jobs, and lack of employees; connecting resorts to small businesses and communities; and establishing a common vision, identity, and coordination of activities. While the majority of tourism literature calls for DMOs to play a dual marketing and management role, this paper makes an important contribution by identifying the need for a Convention and Visitors Bureau and a separate organization with a specific mission to sustainably develop and manage tourism and coordinate activities of the stakeholder network.

Trials and Triumph: Lesbian and Gay Young Adults Raised in a Rural Context

Directory of Open Access Journals (Sweden)

Angie L. Dahl

2015-09-01

Full Text Available The rural context at times is characterized by heteronormativity and conservatism. For individuals who identify as a sexual minority (lesbian, gay, bisexual, transgender and/or queer, the rural context may pose particular challenges to the development of a healthy, coherent sense of self. Seven young adults (18–24 who identified as gay or lesbian participated in in-depth interviews regarding their experiences coming out in a rural Appalachian context. Findings suggest sexual minority individuals experience both trials and triumphs coming out in the rural context. Two overarching themes and six subthemes are discussed with implications for supporting sexual minority youth in the rural context.

Data on water quality index for the groundwater in rural area Neyshabur County, Razavi province, Iran

Directory of Open Access Journals (Sweden)

Mahmood Yousefi

2017-12-01

Full Text Available Public health is at risk from physical and chemical contaminants in the drinking water which may have immediate health consequences. The data from the current study was evaluated for groundwater quality in the rural villages of Neyshabur County in Iran. For determination of the essential physicochemical parameters, water samples were collected from 30 randomly-selected water wells during 2013 and 2014. The samples were tested in situ to measure physical parameters of pH and electrical conductivity and chemical parameters of total dissolved solids, total hardness and levels of calcium, magnesium, carbonates, bicarbonates, sodium, potassium, chloride and sulfates. The APHA method was applied to determine the physicochemical parameters of the water samples. Keywords: Ground water quality index, Rural area, Neyshabur, Iran

Residing in economically distressed rural Appalachia is independently associated with excess body weight in college students.

Science.gov (United States)

Abshire, Demetrius A; Lennie, Terry A; Mudd-Martin, Gia T; Moser, Debra K

2017-01-01

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. College students residing in economically deprived rural areas such as rural Appalachia may be particularly at risk for excess body weight from exposure to both rural and college obesogenic environments. The purpose of this study was to determine if living in economically distressed rural Appalachia is independently associated with excess body weight among college students. College students aged 18-25 years who were lifetime residents of either rural Eastern Appalachian Kentucky (n=55) or urban Central Kentucky (n=54) participated in this cross-sectional study. Students completed questionnaires on sociodemographics, depressive symptoms, and health behaviors including smoking, fruit and vegetable intake, and physical activity. Height and weight were obtained during a brief health examination to calculate body-mass index (BMI). Excess body weight was defined as being overweight or obese with a BMI of 25 kg/m2 or greater. Binary logistic regression was used to determine if living in economically distressed rural Appalachia was independently associated with excess body weight. The prevalence of excess body weight was higher in the rural Appalachian group than the urban group (50% vs 24%, p0.001). Depressive symptom scores and smoking prevalence were also greater in the rural Appalachian group. There were no differences in fruit and vegetable intake and vigorous physical activity between the groups. Residing in economically distressed rural Appalachia was associated with more than a six

The Comparison of Detrital Zircon Ages to Point Count Provenance Analysis for the Pottsville Sandstone in the Northern Appalachian Foreland Basin Venango County, Pennsylvania

Science.gov (United States)

Loveday, S.; Harris, D. B.; Schiappa, T.; Pecha, M.

2017-12-01

The specific sources of sediments deposited in the Appalachian basin prior to and immediately following the Alleghenian orogeny has long been a topic of debate. Recent advances in U-Pb dating of detrital zircons have greatly helped to determine some of the sources of these sediments. For this study, sandstone samples were collected from the Pottsville Formation in the northern Appalachian Foreland Basin, Venango County, Pennsylvania to provide supplementary data for previous work that sought to describe the provenance of the same sediments by point counts of thin sections of the same units. Results of this previous work established that the provenance for these units was transitional recycled orogenic, including multiple recycled sediments, and that a cratonic contribution was not able to be determined clearly. The previous results suggested that the paleoenvironment was a fluvial dominated delta prograding in the northern direction. However, no geochronologic data was found during this study to confirm this interpretation. We sought to verify these results by U-Pb analysis of detrital zircons. Samples were collected from the areas where the previous research took place. U-Pb ages were found from sample at the highest elevation and lowest elevation. In the first sample, sample 17SL01 (younger sample stratigraphically), the zircons yield U-Pb age range peaks at 442-468 ma and 1037-1081 ma. The probability density plot for this specific sample displays a complete age gap from 500 ma to 811 ma. In the second sample, sample 17SL03 (older rock stratigraphically), the zircons yield U-Pb ages range peaks of 424-616 ma and 975-1057 ma. This sample doesn't show any ages younger than 424 ma and it doesn't display the sample age gap as sample 17SL01 does. The ages of zircons are consistent with thin section point counting provenance results from previous research suggesting zircon transport from the northern direction.

County-level poverty is equally associated with unmet health care needs in rural and urban settings.

Science.gov (United States)

Peterson, Lars E; Litaker, David G

2010-01-01

Regional poverty is associated with reduced access to health care. Whether this relationship is equally strong in both rural and urban settings or is affected by the contextual and individual-level characteristics that distinguish these areas, is unclear. Compare the association between regional poverty with self-reported unmet need, a marker of health care access, by rural/urban setting. Multilevel, cross-sectional analysis of a state-representative sample of 39,953 adults stratified by rural/urban status, linked at the county level to data describing contextual characteristics. Weighted random intercept models examined the independent association of regional poverty with unmet needs, controlling for a range of contextual and individual-level characteristics. The unadjusted association between regional poverty levels and unmet needs was similar in both rural (OR = 1.06 [95% CI, 1.04-1.08]) and urban (OR = 1.03 [1.02-1.05]) settings. Adjusting for other contextual characteristics increased the size of the association in both rural (OR = 1.11 [1.04-1.19]) and urban (OR = 1.11 [1.05-1.18]) settings. Further adjustment for individual characteristics had little additional effect in rural (OR = 1.10 [1.00-1.20]) or urban (OR = 1.11 [1.01-1.22]) settings. To better meet the health care needs of all Americans, health care systems in areas with high regional poverty should acknowledge the relationship between poverty and unmet health care needs. Investments, or other interventions, that reduce regional poverty may be useful strategies for improving health through better access to health care. © 2010 National Rural Health Association.

Southern Appalachian Regional Seismic Network

Energy Technology Data Exchange (ETDEWEB)

Chiu, S.C.C.; Johnston, A.C.; Chiu, J.M. [Memphis State Univ., TN (United States). Center for Earthquake Research and Information

1994-08-01

The seismic activity in the southern Appalachian area was monitored by the Southern Appalachian Regional Seismic Network (SARSN) since late 1979 by the Center for Earthquake Research and Information (CERI) at Memphis State University. This network provides good spatial coverage for earthquake locations especially in east Tennessee. The level of activity concentrates more heavily in the Valley and Ridge province of eastern Tennessee, as opposed to the Blue Ridge or Inner Piedmont. The large majority of these events lie between New York - Alabama lineament and the Clingman/Ocoee lineament, magnetic anomalies produced by deep-seated basement structures. Therefore SARSN, even with its wide station spacing, has been able to define the essential first-order seismological characteristics of the Southern Appalachian seismic zone. The focal depths of the southeastern U.S. earthquakes concentrate between 8 and 16 km, occurring principally beneath the Appalachian overthrust. In cross-sectional views, the average seismicity is shallower to the east beneath the Blue Ridge and Piedmont provinces and deeper to the west beneath the Valley and Ridge and the North American craton. Results of recent focal mechanism studies by using the CERI digital earthquake catalog between October, 1986 and December, 1991, indicate that the basement of the Valley and Ridge province is under a horizontal, NE-SW compressive stress. Right-lateral strike-slip faulting on nearly north-south fault planes is preferred because it agrees with the trend of the regional magnetic anomaly pattern.

Southern Appalachian Regional Seismic Network

International Nuclear Information System (INIS)

Chiu, S.C.C.; Johnston, A.C.; Chiu, J.M.

1994-08-01

The seismic activity in the southern Appalachian area was monitored by the Southern Appalachian Regional Seismic Network (SARSN) since late 1979 by the Center for Earthquake Research and Information (CERI) at Memphis State University. This network provides good spatial coverage for earthquake locations especially in east Tennessee. The level of activity concentrates more heavily in the Valley and Ridge province of eastern Tennessee, as opposed to the Blue Ridge or Inner Piedmont. The large majority of these events lie between New York - Alabama lineament and the Clingman/Ocoee lineament, magnetic anomalies produced by deep-seated basement structures. Therefore SARSN, even with its wide station spacing, has been able to define the essential first-order seismological characteristics of the Southern Appalachian seismic zone. The focal depths of the southeastern U.S. earthquakes concentrate between 8 and 16 km, occurring principally beneath the Appalachian overthrust. In cross-sectional views, the average seismicity is shallower to the east beneath the Blue Ridge and Piedmont provinces and deeper to the west beneath the Valley and Ridge and the North American craton. Results of recent focal mechanism studies by using the CERI digital earthquake catalog between October, 1986 and December, 1991, indicate that the basement of the Valley and Ridge province is under a horizontal, NE-SW compressive stress. Right-lateral strike-slip faulting on nearly north-south fault planes is preferred because it agrees with the trend of the regional magnetic anomaly pattern

The Implication Of Mens Rural-Urban Migration On Household Decision Making In Soy Sub-County Kenya

Directory of Open Access Journals (Sweden)

Lumayo Mildred Fedha

2015-06-01

Full Text Available Abstract While most regions in the world have been experiencing an increase in rural-urban migration some have experienced excessive rates. As mens rural-urban migration occurs one of the sectors that is mostly affected is the family institution where women take up the role of decision making in the household in their absence. This study is an outcome of the study conducted on the impact of rural-urban migration on household decision making in Soy sub-county. The study found that mens absence in the household affects different aspects within the family context. Mens rural-urban migration has led to an increase in the number of women-headed households in the rural areas. Women who are left in charge of households are expected to continue to perform their traditional roles at the same time taking on mens responsibilities within the household. However culture dictates that they consult men even when they are away. From a socio-cultural context mens prolonged absence has many implications on the family and community life and greatly affects institutions such as health education and agriculture. Therefore the presence of men is crucial to household security decision-making and mobility. The study recommends that as much as men are away from home women should be empowered to make household decisions for smooth running of household undertakings.

Evaluating a County-Sponsored Social Marketing Campaign to Increase Mothers’ Initiation of HPV Vaccine for their Pre-teen Daughters in a Primarily Rural Area

Science.gov (United States)

Cates, Joan R.; Shafer, Autumn; Diehl, Sandra J.; Deal, Allison M.

2011-01-01

Routine vaccination against human papillomavirus (HPV), the main cause of cervical cancer, is recommended for 11–12 year old girls, yet vaccine uptake is low. This study evaluates a social marketing campaign initiated by 13 North Carolina counties to raise awareness among parents and reduce barriers to accessing the vaccine in a primarily rural area. The 3-month campaign targeted mothers of girls ages 11–12 and healthcare practices serving pre-teen girls in four counties. Principles of social marketing were: product (recommended vaccine against HPV), price (cost, perception of safety and efficacy, and access), promotion (posters, brochures, website, news releases, doctor’s recommendation), and place (doctors’ offices, retail outlets). We analyzed (1) website traffic, hotline calls, and media placement; (2) cross-sectional surveys of mothers and providers; and (3) HPV immunization rates in intervention versus non-intervention counties. Of respondent mothers (n=225), 82% heard or saw campaign messages or materials. Of respondent providers (n=35), 94% used campaign brochures regularly or occasionally in conversations with parents. HPV vaccination rates within six months of campaign launch were 2% higher for 9–13 year old girls in two of the four intervention counties compared to 96 non-intervention counties. This evaluation supports campaign use in other primarily rural and underserved areas. PMID:21804767

Land tenure insecurity and rural-urban migration in rural China

NARCIS (Netherlands)

Ma Xian lei, Xianlei; Heerink, N.B.M.; Ierland, van E.C.; Shi Xiaoping, X.

2016-01-01

This paper examines the impact of land tenure security perceptions on rural-urban migration decisions of rural households, using data collected in Minle County in Northwest China. We find that tenure security perceptions play a significant role in household migration decisions in villages without

Chapter 1: The Appalachian regional reforestation initiative

Science.gov (United States)

Patrick Angel; Vic Davis; Jim Burger; Don Graves; Carl. Zipper

2017-01-01

The Appalachian Regional Reforestation Initiative (ARRI) is a cooperative effort by the States of the Appalachian region with the U.S. Department of the Interior's Office of Surface Mining Reclamation and Enforcement (OSMRE) to encourage restoration of high-quality forests on reclaimed coal mines in the eastern United States. The goals of ARRI are to communicate...

A coordinated school health approach to obesity prevention among Appalachian youth: the Winning with Wellness Pilot Project.

Science.gov (United States)

Schetzina, Karen E; Dalton, William T; Lowe, Elizabeth F; Azzazy, Nora; VonWerssowetz, Katrina M; Givens, Connie; Pfortmiller, Deborah T; Stern, H Patrick

2009-01-01

Childhood obesity has been an increasing problem in the United States, especially in rural areas. Effective prevention approaches are needed. This article describes the development, implementation, effectiveness, feasibility, and sustainability of a school-based obesity prevention pilot project, Winning with Wellness. The program was based on the coordinated school health model and included a community-based participatory research approach aimed at promoting healthy eating and physical activity in a rural Appalachian elementary school. Findings from this preliminary project revealed improvements in nutrition offerings and increased physical activity during the school day. In addition, the program was found to be acceptable to teachers, successfully implemented utilizing both existing and newly developed resources, and sustainable as evidenced in continued practice and expansion to other area schools.

Appalachian clean coal technology consortium

International Nuclear Information System (INIS)

Kutz, K.; Yoon, Roe-Hoan

1995-01-01

The Appalachian Clean Coal Technology Consortium (ACCTC) has been established to help U.S. coal producers, particularly those in the Appalachian region, increase the production of lower-sulfur coal. The cooperative research conducted as part of the consortium activities will help utilities meet the emissions standards established by the 1990 Clean Air Act Amendments, enhance the competitiveness of U.S. coals in the world market, create jobs in economically-depressed coal producing regions, and reduce U.S. dependence on foreign energy supplies. The research activities will be conducted in cooperation with coal companies, equipment manufacturers, and A ampersand E firms working in the Appalachian coal fields. This approach is consistent with President Clinton's initiative in establishing Regional Technology Alliances to meet regional needs through technology development in cooperation with industry. The consortium activities are complementary to the High-Efficiency Preparation program of the Pittsburgh Energy Technology Center, but are broader in scope as they are inclusive of technology developments for both near-term and long-term applications, technology transfer, and training a highly-skilled work force

Appalachian clean coal technology consortium

Energy Technology Data Exchange (ETDEWEB)

Kutz, K.; Yoon, Roe-Hoan [Virginia Polytechnic Institute and State Univ., Blacksburg, VA (United States)

1995-11-01

The Appalachian Clean Coal Technology Consortium (ACCTC) has been established to help U.S. coal producers, particularly those in the Appalachian region, increase the production of lower-sulfur coal. The cooperative research conducted as part of the consortium activities will help utilities meet the emissions standards established by the 1990 Clean Air Act Amendments, enhance the competitiveness of U.S. coals in the world market, create jobs in economically-depressed coal producing regions, and reduce U.S. dependence on foreign energy supplies. The research activities will be conducted in cooperation with coal companies, equipment manufacturers, and A&E firms working in the Appalachian coal fields. This approach is consistent with President Clinton`s initiative in establishing Regional Technology Alliances to meet regional needs through technology development in cooperation with industry. The consortium activities are complementary to the High-Efficiency Preparation program of the Pittsburgh Energy Technology Center, but are broader in scope as they are inclusive of technology developments for both near-term and long-term applications, technology transfer, and training a highly-skilled work force.

Prevalence of hearing impairment in a rural midwestern cohort: estimates from the Keokuk county rural health study, 1994 to 1998.

Science.gov (United States)

Flamme, Gregory A; Mudipalli, V Ranjit; Reynolds, Stephen J; Kelly, Kevin M; Stromquist, Ann M; Zwerling, Craig; Burmeister, Leon F; Peng, Shu-Chen; Merchant, James A

2005-06-01

The current paper estimates the prevalence of hearing problems in a rural population, analyzes the prevalence of hearing problems across age groups, and compares the prevalence of hearing problems in this population with results obtained in other populations. Data were obtained from a random sample of the residents of a rural county, stratified by farm, rural non-farm, and town residence. Hearing test results were obtained from participants between the ages of 8 and 92 years (N = 1972; 47% male). Pure-tone thresholds were classified as normal or impaired using a number of metrics, including speech intelligibility index values. Selected comparisons of crude rates were made with previous population-based studies of hearing loss prevalence. Nearly all (99%) of the participants in this study had significant hearing impairment. Atypical hearing impairment is most prevalent at 6 kHz. In males, this excess impairment shifts to lower frequencies with age but monotonically decreases in females. Notched configurations were most common among those between 30 and 59 years old. In females, the prevalence of hearing impairments sufficient to interfere with speech understanding begins to rapidly increase in the 6th decade (4th decade in males). Comparisons with prior population-based studies in the United States and Great Britain identified few significant differences. Significant hearing impairment is common in rural populations. The high prevalence in this population is similar to that found in other population-based studies. Future studies are needed to examine (1) the risk factors for hearing impairment, (2) the natural course of hearing problems across the life span, and (3) the effect of programs for the prevention of hearing impairment and rehabilitation for persons with existing hearing impairments.

Application of Deep Learning and Supervised Learning Methods to Recognize Nonlinear Hidden Pattern in Water Stress Levels from Spatiotemporal Datasets across Rural and Urban US Counties

Science.gov (United States)

Eisenhart, T.; Josset, L.; Rising, J. A.; Devineni, N.; Lall, U.

2017-12-01

In the wake of recent water crises, the need to understand and predict the risk of water stress in urban and rural areas has grown. This understanding has the potential to improve decision making in public resource management, policy making, risk management and investment decisions. Assuming an underlying relationship between urban and rural water stress and observable features, we apply Deep Learning and Supervised Learning models to uncover hidden nonlinear patterns from spatiotemporal datasets. Results of interest includes prediction accuracy on extreme categories (i.e. urban areas highly prone to water stress) and not solely the average risk for urban or rural area, which adds complexity to the tuning of model parameters. We first label urban water stressed counties using annual water quality violations and compile a comprehensive spatiotemporal dataset that captures the yearly evolution of climatic, demographic and economic factors of more than 3,000 US counties over the 1980-2010 period. As county-level data reporting is not done on a yearly basis, we test multiple imputation methods to get around the issue of missing data. Using Python libraries, TensorFlow and scikit-learn, we apply and compare the ability of, amongst other methods, Recurrent Neural Networks (testing both LSTM and GRU cells), Convolutional Neural Networks and Support Vector Machines to predict urban water stress. We evaluate the performance of those models over multiple time spans and combine methods to diminish the risk of overfitting and increase prediction power on test sets. This methodology seeks to identify hidden nonlinear patterns to assess the predominant data features that influence urban and rural water stress. Results from this application at the national scale will assess the performance of deep learning models to predict water stress risk areas across all US counties and will highlight a predominant Machine Learning method for modeling water stress risk using spatiotemporal

Preliminary Findings on Rural Homelessness in Ohio.

Science.gov (United States)

First, Richard J.; And Others

This report is designed to present preliminary findings from the first comprehensive study of rural homelessness in the United States. The study was conducted during the first 6 months of 1990, and data were collected from interviews with 921 homeless adults in 21 randomly selected rural counties in Ohio. The sample counties represent 26% of the…

Diabetes Self-Management Education Programs in Nonmetropolitan Counties - United States, 2016.

Science.gov (United States)

Rutledge, Stephanie A; Masalovich, Svetlana; Blacher, Rachel J; Saunders, Magon M

2017-04-28

Diabetes self-management education (DSME) is a clinical practice intended to improve preventive practices and behaviors with a focus on decision-making, problem-solving, and self-care. The distribution and correlates of established DSME programs in nonmetropolitan counties across the United States have not been previously described, nor have the characteristics of the nonmetropolitan counties with DSME programs. July 2016. DSME programs recognized by the American Diabetes Association or accredited by the American Association of Diabetes Educators (i.e., active programs) as of July 2016 were shared with CDC by both organizations. The U.S. Census Bureau's census geocoder was used to identify the county of each DSME program site using documented addresses. County characteristic data originated from the U.S. Census Bureau, compiled by the U.S. Department of Agriculture's Economic Research Service into the 2013 Atlas of Rural and Small-Town America data set. County levels of diagnosed diabetes prevalence and incidence, as well as the number of persons with diagnosed diabetes, were previously estimated by CDC. This report defined nonmetropolitan counties using the rural-urban continuum code from the 2013 Atlas of Rural and Small-Town America data set. This code included six nonmetropolitan categories of 1,976 urban and rural counties (62% of counties) adjacent to and nonadjacent to metropolitan counties. In 2016, a total of 1,065 DSME programs were located in 38% of the 1,976 nonmetropolitan counties; 62% of nonmetropolitan counties did not have a DSME program. The total number of DSME programs for nonmetropolitan counties with at least one DSME program ranged from 1 to 8, with an average of 1.4 programs. After adjusting for county-level characteristics, the odds of a nonmetropolitan county having at least one DSME program increased as the percentage insured increased (adjusted odds ratio [AOR] = 1.10, 95% confidence interval [CI] = 1.08-1.13), the percentage with a high

Depression, Smoking, and Ego-Centric Social Network Characteristics in Ohio Appalachian Women.

Science.gov (United States)

Lam, Jeffrey; Lu, Bo; Doogan, Nate; Thomson, Tiffany; Ferketich, Amy; Paskett, Electra D; Wewers, Mary Ellen

2017-01-01

Depression is a serious, costly, and debilitating disorder that is understudied in rural women. Studies show that depression is associated with low social integration and support, but few studies investigate the relationship between depression and social network characteristics. This study examined the associations among women from three Ohio Appalachian counties enrolled in a health study, which aimed to collect information for a future social network smoking cessation intervention. An address-based sampling method was used to randomly select and recruit 404 women. A cross-sectional survey and interview were used to collect information about demographic, psychosocial, behavioral factors, and ego-centric social network characteristics, which are variables derived from an individual (ego) and her first degree contacts (alters). The CES-D scale assessed depressive symptoms. A multivariable logistic regression analysis described the association between these factors and participants with depression (defined as CES-D≥16). Higher network density, or greater number of relationships among alters divided by the total amount of alters, reduced the risk for depression (OR = 0.84, 95% confidence interval [CI] 0.73-0.95). Additionally, women with a high percentage of smoking alters were at greater risk for depression (OR = 1.19, 95% CI 1.02-1.39). Other factors associated with risk for depression included perceived stress score (OR = 1.34, 95% CI 1.24-1.45), loneliness score (OR = 1.37, 95% CI 1.05-1.80), and days with poor physical health (OR = 1.06, 95% CI 1.02-1.11). Findings suggest that psychosocial factors and social networks should be considered when addressing depression in clinical practice.

Risk perception for diabetes in Appalachian women.

Science.gov (United States)

Chopra, Ishveen; Chopra, Avijeet

2017-01-01

The social and economic burden of diabetes is large and growing. Diabetes is a significant public health issue in the Appalachian region; women constitute approximately 50% of those diagnosed with diabetes. This cross-sectional study examined the relationship among sociodemographic, anthropometric, lifestyle, and psychosocial factors (cognitive and affective representations) and perceived risk of diabetes in non-diabetic, non-elderly (21-50 years) Appalachian women residing in West Virginia (N = 202). Participants were recruited through social media, flyers, and a newsletter from the West Virginia University Extension. The final survey was conducted from March 2015 to June 2015. Bivariate analyses were used to examine unadjusted relations among sociodemographic, anthropometric, lifestyle, and psychosocial factors and comparative perceived risk of diabetes. In a multivariable logistic regression model, we found that younger age, higher body mass index, non-White race, greater diabetes knowledge, personal control, and moderate amounts of physical activity were significantly, positively associated with higher diabetes risk perception (p related to diabetes risk perception among Appalachian women. Understanding perceived diabetes-related risk may aid in the development of effective intervention strategies to reduce the burden of diabetes among Appalachian and other populations. These cross-sectional findings need further evaluation in longitudinal studies.

Is Romanian Rural Tourism Sustainable? Revealing Particularities

Directory of Open Access Journals (Sweden)

Daniela Ruxandra Andrei

2014-12-01

Full Text Available Research on sustainable tourism involves developing an appropriate framework to highlight the interdependences of economic, social and environmental systems. The interdependence is based on the entropy of the system while respecting the principle of holism and diversity of rural tourism sustainability. In this context, sustainability in general and rural tourism in particular can be considered a complex system of development, which in some ways can be studied by statistical and econometric methods that allow the analysis of the interdependences between the variables of rural tourism at county level and at the level of rural communities. Conducting such studies involves identifying the rural communities where rural tourism has reached significant levels. Based on this consideration, this paper aims to identify the development regions and counties of Romania where the trends of development of rural tourism are significantly above the average recorded at country level, as a first step towards particular studies of sustainability in rural communities.

Examination of the relative importance of hospital employment in non-metropolitan counties using location quotients.

Science.gov (United States)

Smith, Jon L

2013-01-01

The US Health Care and Social Services sector (North American Industrial Classification System 'sector 62') has become an extremely important component of the nation's economy, employing approximately 18 million workers and generating almost $753 billion in annual payrolls. At the county level, the health care and social services sector is typically the largest or second largest employer. Hospital employment is often the largest component of the sector's total employment. Hospital employment is particularly important to non-metropolitan or rural communities. A high quality healthcare sector serves to promote economic development and attract new businesses and to provide stability in economic downturns. The purpose of this study was to examine the intensity of hospital employment in rural counties relative to the nation as a whole using location quotients and to draw conclusions regarding how potential changes in Medicare and Medicaid might affect rural populations. Estimates for county-level hospital employment are not commonly available. Estimates of county-level hospital employment were therefore generated for all counties in the USA the Census Bureau's County Business Pattern Data for 2010. These estimates were used to generate location quotients for each county which were combined with demographic data to generate a profile of factors that are related to the magnitude of location quotients. The results were then used to draw inferences regarding the possible impact of the Patient Protection and Affordable Care Act 2010 (ACA) and the possible imposition of aspects of the Budget Control Act 2011 (BCA). Although a very high percentage of rural counties contain medically underserved areas, an examination of location quotients indicates that the percentage of the county workforce employed by hospitals in the most rural counties tends to be higher than for the nation as a whole, a counterintuitive finding. Further, when location quotients are regressed upon data

Teen Birth Rates for Urban and Rural Areas in the United States, 2007-2015.

Science.gov (United States)

Hamilton, Brady E; Rossen, Lauren M; Branum, Amy M

2016-11-01

Data from the National Vital Statistics System •Birth rates for teenagers aged 15-19 declined in urban and rural counties from 2007 through 2015, with the largest declines in large urban counties and the smallest declines in rural counties. •From 2007 through 2015, the teen birth rate was lowest in large urban counties and highest in rural counties. •Declines in teen birth rates in all urban counties between 2007 and 2015 were largest in Arizona, Massachusetts, Connecticut, Minnesota, and Colorado, with 17 states experiencing a decline of 50% or more. •Declines in teen birth rates in all rural counties between 2007 and 2015 were largest (50% or more) in Colorado and Connecticut. •In 2015, teen birth rates were highest in rural counties and lowest in large urban counties for non-Hispanic white, non-Hispanic black, and Hispanic females. Teen birth rates have demonstrated an unprecedented decline in the United States since 2007 (1). Declines occurred in all states and among all major racial and Hispanic-origin groups, yet disparities by both geography and demographic characteristics persist (2,3). Although teen birth rates and related declines have been described by state, patterns by urban-rural location have not yet been examined. This report describes trends in teen birth rates in urban (metropolitan) and rural (nonmetropolitan) areas in the United States overall and by state from 2007 through 2015 and by race and Hispanic origin for 2015. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

THE POTENTIALITIES AND THE AGRICULTURAL PRODUCTION ACHIEVEMENT LEVEL IN OLT COUNTY

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Emil MARINESCU

2013-08-01

Full Text Available This paper aims at investigating the current situation of rural development perspective based on knowledge of the human factor in Olt County. The first and most important observation is the repercussions on the demographics of rural population structure and balance in Olt County where it appears on one side of its unevenness, with a trend of diminishing the employment, hence the number of employees. The analysis of agricultural density, represented by the area in hectares / capita reveals the existence of a low level of rural population pressure on agricultural space. On the structure of agricultural branches it was surprised on one hand the annual variation in levels of achievement, but on the other hand the share of services which is insignificant. All this contributes to the low attractiveness of agriculture for young people in the rural county of Olt.

Timing of Mississippi Valley-type mineralization: Relation to Appalachian orogenic events

Energy Technology Data Exchange (ETDEWEB)

Kesler, S.E.; van der Pluijm, B.A. (Univ. of Michigan, Ann Arbor (USA))

1990-11-01

Although Mississippi Valley-type deposits in Lower Ordovician carbonate rocks of the Appalachian orogen are commonly interpreted to have been precipitated by basinal brines, the timing of brine migration remains poorly known. Late Paleozoic K-Ar isotopic ages on authigenic K-feldspar, which is widespread in Appalachian carbonate rocks, as well as evidence of paleomagnetic overprints of similar age, have focused attention on the possibility that these Mississippi Valley-type deposits formed as a result of late Paleozoic deformation. Geologic and geochemical similarities among most of these deposits, from Georgia to Newfoundland, including unusually high sphalerite/galena ratios, isotopically heavy sulfur, and relatively nonradiogenic lead, suggest that they are coeval. Sphalerite sand that parallels host-rock layering in many of the deposits indicates that mineralization occurred before regional deformation. Although the late Paleozoic age of deformation in the southern Appalachians provides little constraint on the age of Mississippi Valley-type mineralization, deformation of these deposits in the Newfoundland Appalachians is early to middle Paleozoic in age. Thus, if Ordovician-hosted, Appalachian Mississippi Valley-type deposits are coeval, they must have formed by middle Paleozoic time and cannot be the product of a late Paleozoic fluid-expulsion event. This hypothesis has important implications for basin evolution, fluid events, and remagnetization in the Appalachians.

FUNCTIONAL SHORT FOOD SUPPLY CHAINS IN THE FIELD OF ROMANIAN RURAL TOURISM. CASE STUDY: HARGHITA AND NEAMȚ COUNTIES

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Lucian TANASA

2015-08-01

Full Text Available Nowadays, one cannot talk about an authentic rural tourism within a certain destination without emphasizing the local cultural heritage (cultural landscape, customs and traditions, gastronomy and so on. In the existing context, the local gastronomy is perceived as a marketing instrument efficient in differentiating the rural touristic destinations. A special place in the development of the traditional cuisine is represented by the setting up and the promotion of the short food supply chains which can be achieved by sustaining the small local producers and by putting into practice an environment-friendly traditional agriculture. Sustaining the partnerships between the owners of accommodation units and the small local agricultural producers represents an essential element in putting into practice a sustainable and qualitative rural tourism. Romania has a substantial potential as regards the enhancement of short food supply chains thanks to: the large number of semi-subsistence agricultural farms (with an area under 5 hectares, the „village-town connection” as regards the food procurement, especially from acquaintances and relatives and the carrying on of a traditional agriculture at a large scale in the rural households.The case studies emphasized in the current paper (Harghita and Neamţ Counties focus on the existence of short food supply chains, functional in the rural tourism sector under very different ways: touristic sheepfolds, trout farms, inns, authentic holiday villages, peasant guest houses etc.

Availability of more healthful food alternatives in traditional, convenience, and nontraditional types of food stores in two rural Texas counties.

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Bustillos, Brenda; Sharkey, Joseph R; Anding, Jenna; McIntosh, Alex

2009-05-01

Limited research has focused on the availability of more healthful food alternatives in traditional food stores (supermarkets and grocery stores) in rural areas. Current market trends suggest that food items may be available for purchase in stores other than traditional food stores. An observational survey was developed and used on-site to document the availability and variety of fruit and vegetables (fresh, canned, and frozen), meats (meat, poultry, fish, and eggs), dairy (milk, yogurt, and cheese), and grains (whole grains and refined grains) in all traditional food stores, convenience stores, and nontraditional food stores (dollar stores and mass merchandisers) in two rural Texas counties. Descriptive statistics and t tests identified that although the widest selection of more healthful food items was available in supermarkets, not all supermarkets carried all items. Grocery stores carried less variety of fresh fruits (8+/-0.7 vs 4.7+/-0.3; Pconvenience or nontraditional food stores. Among convenience and nontraditional food stores, "dollar" stores offered the best variety of more healthful canned fruits and vegetables, whole-wheat bread, and whole-grain cereal. Mass merchandisers and dollar stores offered a greater variety of more healthful types of canned tuna and poultry, reduced-fat and skim milk, and low-fat tortillas. In these rural counties, traditional food stores offered greater availability of more healthful food choices across food groups. More healthful food choices in canned fruits and vegetables, canned meat and fish, milk, and grains were also available in dollar stores, mass merchandisers, and convenience stores. Results suggest that a complete understanding of the food environment, especially in rural areas, requires knowledge of the availability and variety of healthful food in all types of stores that are accessible to families.

The basic elements of economic infrastructure of rural areas in counties of the wielkopolskie voivodship Wyposażenie obszarów wiejskich powiatów województwa wielkopolskiego w podstawowe elementy infrastruktury gospodarczej

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Małgorzata Dolata

2011-12-01

Full Text Available The analysis of studies presented in the paper allows to conclude that rural areas of Wielkopolskie voivodship are considerably differentiated as far as the distribution of economic infrastructure is concerned. Very high and high levels of infrastructure can be found in the counties in the central part of the voivodship around Poznań, its capital and two counties in the northern part of the voivodship. These counties have attained higher level of individually studied elements of infrastructure, as compared with the values calculated for rural areas in Poland in general. Counties of low and very low level of infrastructure occupy south-eastern part of the voivodship and vast areas located in its north-western part. In these areas not all inhabitants have access to gas-line system, sewage network and sewage treatment plants.

Investigation of Factors Affecting Fuel Consumption of Rural Households in Central District of Zahedan County

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Maryam Sharifzadeh

2014-08-01

Full Text Available Domestic fuel forms a significant part of the total energy demand and providing adequate and sustainable fuel is considered as a pivotal foundation for development. This survey study aims at investigating domestic fuel consumption patterns of rural areas in central district of Zahedan County, Eastern Iran. The sample was consisted of 250 household heads resided in rural areas with more than 25 households. The validity of questionnaire was confirmed by a panel of experts and its reliability was measured by using a pilot study. Findings revealed that, only 43 percent (n=102 household revealed an efficient energy use behavior. The efficient energy consumers were significantly different with respect to their education level, age, income, and the other household characteristics. Results from the structural equation modeling which was used to confirm adequacy of the reasoned action model of fuel consumption behavior, showed that 0.24 percent of fuel consumption behavior was determined by attitude, intention and subjective norms towards fuel consumption. The paper presented applied suggestions regarding fuel consumption with special consideration on health and ecosystem and indoor sanitation issues.

What Aspects of Rural Life Contribute to Rural-Urban Health Disparities in Older Adults? Evidence From a National Survey.

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Cohen, Steven A; Cook, Sarah K; Sando, Trisha A; Sabik, Natalie J

2017-11-29

Rural-urban health disparities are well-documented and particularly problematic for older adults. However, determining which specific aspects of rural or urban living initiate these disparities remains unclear. The purpose of this study was to assess associations between place-based characteristics of rural-urban status and health among adults age 65+. Data from the 2012 Behavioral Risk Factor Surveillance System were geographically linked to place-based characteristics from the American Community Survey. Self-reported health (SRH), obesity, and health checkup within the last year were modeled against rural-urban status (distance to nearest metropolitan area, population size, population density, percent urban, Urban Influence Codes [UIC], Rural-Urban Continuum Codes [RUCC], and Rural-Urban Commuting Area [RUCA]) using generalized linear models, accounting for covariates and complex sampling, overall, and stratified by area-level income. In general, increasing urbanicity was associated with a reduction in negative SRH for all 7 measures of rural-urban status. For low-income counties, this association held for all measures and characteristics of rural-urban status except population density. However, for high-income counties, the association was reversed-respondents living in areas of increasing urbanicity were more likely to report negative SRH for 4 of the 7 measures (RUCC, UIC, RUCA, and percent urban). Findings were mixed for the outcome of obesity, where rural areas had higher levels, except in low-income counties, where the association between rurality and obesity was reversed (OR 1.033, 95%CI: 1.002-1.064). These results suggest that rural-urban status is both a continuum and multidimensional. Distinct elements of rural-urban status may influence health in nuanced ways that require additional exploration in future studies. © 2017 National Rural Health Association.

The Availability of Competitive Foods and Beverages to Middle School Students in Appalachian Virginia Before Implementation of the 2014 Smart Snacks in School Standards.

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Mann, Georgianna; Kraak, Vivica; Serrano, Elena

2015-09-17

The study objective was to examine the nutritional quality of competitive foods and beverages (foods and beverages from vending machines and à la carte foods) available to rural middle school students, before implementation of the US Department of Agriculture's Smart Snacks in School standards in July 2014. In spring 2014, we audited vending machines and à la carte cafeteria foods and beverages in 8 rural Appalachian middle schools in Virginia. Few schools had vending machines. Few à la carte and vending machine foods met Smart Snacks in School standards (36.5%); however, most beverages did (78.2%). The major challenges to meeting standards were fat and sodium content of foods. Most competitive foods (62.2%) did not meet new standards, and rural schools with limited resources will likely require assistance to fully comply.

Evaluation of the Vocational Preparation and Success of Handicapped Individuals Who Reside in Rural Areas of Florida. Florida Rural Research Project. Final Report.

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Budd, Diane M.

Phase 2 of a three-phase project examined the secondary education background and employment adjustment of handicapped youth in rural counties in Florida. (Phase 1 was a pilot study.) Subjects were former special education students in five rural project counties who had been identified as needing services in the area of educable mental retardation,…

Rural attitudes, opinions, and drug use.

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Logan, T K; Schenck, J E; Leukefeld, C G; Meyers, J; Allen, S

1999-01-01

There are two primary purposes of this paper. The first is to summarize the results of a survey conducted in a rural area of Kentucky on attitudes and behaviors regarding substance use. The second purpose is to examine differences in drug attitudes and behaviors for higher and lower density rural areas. Participants for this study were contacted by telephone in March 1996. The sample was generated by random digit dialing for eight county telephone exchanges. The sample included 334 respondents from the eight counties who were grouped into respondents from higher density areas (n = 132) and lower density areas (n = 202). Results indicated that respondents from both higher density and lower density areas were similar on drug use and attitudes. However, lower density areas reported their county as a worse place to live and less safe than respondents from higher density areas. Respondents from lower density areas were also more likely to report there was more alcohol/drug use and more alcohol bootlegging in the past year, and that bootlegging alcohol is a serious problem in their county. Future research could include the examination of heterogeneity of rural areas using different indices.

Mobility of US Rural Primary Care Physicians During 2000-2014.

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McGrail, Matthew R; Wingrove, Peter M; Petterson, Stephen M; Bazemore, Andrew W

2017-07-01

Despite considerable investment in increasing the number of primary care physicians in rural shortage areas, little is known about their movement rates and factors influencing their mobility. We aimed to characterize geographic mobility among rural primary care physicians, and to identify location and individual factors that influence such mobility. Using data from the American Medical Association Physician Masterfile for each clinically active US physician, we created seven 2-year (biennial) mobility periods during 2000-2014. These periods were merged with county-level "rurality," physician supply, economic characteristics, key demographic measures, and individual physician characteristics. We computed (1) mobility rates of physicians by rurality; (2) linear regression models of county-level rural nonretention (departure); and (3) logit models of physicians leaving rural practice. Biennial turnover was about 17% among physicians aged 45 and younger, compared with 9% among physicians aged 46 to 65, with little difference between rural and metropolitan groups. County-level physician mobility was higher for counties that lacked a hospital (absolute increase = 5.7%), had a smaller population size, and had lower primary care physician supply, but area-level economic and demographic factors had little impact. Female physicians (odds ratios = 1.24 and 1.46 for those aged 45 or younger and those aged 46 to 65, respectively) and physicians born in a metropolitan area (odds ratios = 1.75 and 1.56 for those aged 45 or younger and those aged 46 to 65, respectively) were more likely to leave rural practice. These flndings provide national-level evidence of rural physician mobility rates and factors associated with both county-level retention and individual-level departures. Outcomes were notably poorer in the most remote locations and those already having poorer physician supply and professional support. Rural health workforce planners and policymakers must be cognizant of

County Library Service to Rural Schools. Bulletin, 1930, No. 20

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Lathrop, Edith A.

1930-01-01

An efficient county library contemplates maximum service for money expended. Situated at the county seat or at some other centrally located place within the county, its book stock is carried to every resident of the county through a system branches, stations, and school deposits, and the services of an automobile and the parcel post. A trained…

Southern Appalachian assessment. Summary report, Report 1 of 5

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NONE

1996-07-01

This final report for the Southern Appalachian Man and the Biosphere Program is comprised of two documents: (1) a brief summary of programs and projects, and (2) a more extensive summary report included as an attachment. The purpose of the program is to promote a sustainable balance between the conservation of biological diversity, compatible economic uses, and cultural values across the Southern Appalachians. Program and project areas addressing regional issues include environmental monitoring and assessment, sustainable development/sustainable technologies, conservation biology, ecosystem management, environmental education and training, cultural and historical resources, and public information and education. The attached summary report is one of five that documents the results of the Southern Appalachian Assessment; it includes atmospheric, social/cultural/economic, terrestrial, and aquatic reports.

7 CFR 1900.3 - State, district, and county office employees.

Science.gov (United States)

2010-01-01

... 7 Agriculture 12 2010-01-01 2010-01-01 false State, district, and county office employees. 1900.3 Section 1900.3 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF...

The Urban/Rural Dichotomy in the Distribution of Breast Cancer Across Pennsylvania.

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Boukovalas, Stefanos; Sariego, Jack

2015-09-01

Breast cancer rates clearly differ across the United States. This is due to a variety of factors, but at least one determinant is the population density. Breast cancer detection rates and treatment paradigms may differ in rural areas when compared with more urban ones. As the population becomes more mobile and diffuse, this may or may not be a worsening problem. The current analysis was undertaken to examine the breast cancer incidence and outcomes in a single state in an attempt to plan for resource allocation in the future. A retrospective analysis was performed using data available from the Pennsylvania Department of Health regarding breast cancer rates by county, the distribution of cases with regard to degree of rurality, death rates by county as a function of rurality, and the age distribution of all presenting cases. Data from 1999 were compared with those of 2009. The United States Census Bureau definition of rurality was used, which specifies that a county be classified as rural if the population density is less than 284 persons/square mile. Between 1999 and 2009, the population of Pennsylvania increased by approximately 3.4 per cent (421,325 people). The urban population increased by 3.9 per cent, whereas the rural population increased by only 2.2 per cent. During that same period, the number of cancer cases/100,000 population remained about the same: 391.41 in 1999; 390.7 in 2009. However, the distribution of cases shifted during that time toward more rural areas of the state: in 1999, there were 372.3 breast cancer cases/100,000 population compared with 2009 when the rate was 384.4/100,000 population. The number of cancer deaths/100,000 population actually dropped overall during the decade: 98.5 in 1999 versus 82.3 in 2009. Though this was true in both urban and rural counties, the decrease was much less pronounced in the rural areas. In urban counties, the death rate dropped from 100.5 to 81.5/100,000 population, whereas in rural counties, the drop was

Community-Level Exposure to the Rural Mining Industry: The Potential Influence on Early Adolescent Alcohol and Tobacco Use.

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Gay, Christopher; Clements-Nolle, Kristen; Packham, John; Ackerman, Gerald; Lensch, Taylor; Yang, Wei

2018-01-31

Rural youth have higher rates of alcohol and tobacco use compared to their urban counterparts. However, the economic dependence of rural communities may differentially influence risk behaviors. While research has shown that adults working in mining have elevated rates of alcohol and tobacco use, the influence of living in a mining community on early adolescent substance use is unknown. Using data from a representative sample of 4,535 middle school students in a state with heavy reliance on mining, we conducted weighted logistic regression to investigate whether community-level mining economic dependence influences rural-urban differences in adolescent alcohol and tobacco use. All models adjusted for sociodemographics, military family involvement, parental monitoring, and length of residence. Over one quarter of the sampled students lived in rural counties and approximately half of these counties met the USDA mining economic typology. After stratifying rural counties by mining and nonmining economic dependence, students in rural mining counties had significantly higher odds of all measures of alcohol use (AORs ranged from 1.83 to 3.99) and tobacco use (AORs ranged from 1.61 to 5.05) compared to students in urban counties. Only use of smokeless tobacco was higher among students in rural nonmining counties. Our findings demonstrate rural-urban disparities in adolescent substance use that are particularly pronounced among youth living in counties with economic dependence on mining. Future research on this subject should include a wider range of community-level factors that may have specific relevance in rural settings to inform the development of population-level interventions. © 2018 National Rural Health Association.

Case study: Khoramdareh County

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Vahid Riahi Riahi

2016-10-01

Full Text Available Environmental sustainability of rural settlements based on a systematic viewpoint may be defined as a realization of sustainable development in different social, economic and environmental aspects of rural areas. Achieving this goal requires that we pay more attention to effective elements and factors through a set of sustainability indices. This research was meant to analyze sustainable factors of rural settlement in three dimensions: environmental, social and economic context using multi-criteria decision analysis and explanation of the relationships between its active and effective factors in the rural area of the Khorramdarreh County in the province of Zanjan. The research method used is the descriptive analytic approach. Data from 287 households were sampled randomly from a total of 1143 households in the four villages including: Rahmat Abad, Alvand, Baghdareh and, Sukhariz (out of 15 villages in the Khorramdarreh County. In the process of doing this research and after calculating the weights, the difference in the sustainability of environmental, social, economic and physical aspects in rural areas of this county have been determined. Data was collected using library and field research through questionnaires. Data analysis was performed by the One-Sample t Test and the Vikur and path analysis techniques, using statistical software SPSS. The findings show that environmental sustainability in the study area is half desirable. Among the different aspects of environmental sustainability, the most effective factors are physical, economic, social and environmental aspects, respectively. Little attention of policy-making –system to socio-cultural and environmental aspects, especially in practice, and rapid and unplanned utilization of production resources are the most important factors affecting this situation in two given dimensions. Although, in programmed documents the planning system agents emphasize on the socio-cultural sustainability

Thermal maturity patterns in Pennsylvanian coal-bearing rocks in Alabama, Tennessee, Kentucky, Virginia, West Virginia, Ohio, Maryland, and Pennsylvania: Chapter F.2 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

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Ruppert, Leslie F.; Trippi, Michael H.; Hower, James C.; Grady, William C.; Levine, Jeffrey R.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

Thermal maturation patterns of Pennsylvanian strata in the Appalachian basin and part of the Black Warrior basin were determined by compiling previously published and unpublished percent-vitrinite-reflectance (%R0) measurements and preparing isograd maps on the basis of the measurements. The isograd values range from 0.6 %R0 in Ohio and the western side of the Eastern Kentucky coal field to 5.5 %R0 in the Southern field in the Pennsylvania Anthracite region, Schuylkill County, Pa. The vitrinite-reflectance values correspond to the American Society of Testing Materials (ASTM) coal-rank classes of high-volatile C bituminous to meta-anthracite, respectively. In general, the isograds show that thermal maturity patterns of Pennsylvanian coals within the Appalachian basin generally decrease from east to west. In the Black Warrior basin of Alabama, the isograds show a circular pattern with the highest values (greater than 1.6 %R0) centered in Jefferson County, Ala. Most of the observed patterns can be explained by variations in the depth of burial, variations in geothermal gradient, or a combination of both; however, there are at least four areas of higher ranking coal in the Appalachian basin that are difficult to explain by these two processes alone: (1) a set of west- to northwest-trending salients centered in Somerset, Cambria, and Fayette Counties, Pa.; (2) an elliptically shaped, northeast-trending area centered in southern West Virginia and western Virginia; (3) the Pennsylvania Anthracite region in eastern Pennsylvania; and (4) the eastern part of the Black Warrior coal field in Alabama. The areas of high-ranking coal in southwestern Pennsylvania, the Black Warrior coal field, and the Pennsylvania Anthracite region are interpreted here to represent areas of higher paleo-heat flow related to syntectonic movement of hot fluids towards the foreland associated with Alleghanian deformation. In addition to the higher heat flow from these fluids, the Pennsylvania

WAYS FOR DEVELOPMENT OF RURAL COMMUNITIES IN VALCEA COUNTY

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Remus STOIAN

2014-12-01

Full Text Available Compilation of the ways for developing a county level, helps to: create a vision about community that we want in the future, provide a complete picture of how the economy, environment, infrastructure can improve the county to set development goals and priorities that are reflected in measures to achieve the objectives. Also, the development of these paths of development may underlie a guide for improving community life and to reduce disparities. In this work we performed analysis of investment programs that benefit local communities in Valcea County in the period 2008-2016. Finally, the County development strategy based on RDP measures was set up for the period 2014-2020.

Mercury bioaccumulation in Southern Appalachian birds, assessed through feather concentrations

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Rebecca Hylton Keller; Lingtian Xie; David B. Buchwalter; Kathleen E. Franzreb; Theodore R Simons

2014-01-01

Mercury contamination in wildlife has rarely been studied in the Southern Appalachians despite high deposition rates in the region. From 2006 to 2008 we sampled feathers from 458 birds representing 32 species in the Southern Appalachians for total mercury and stable isotope ä 15N. Mercury concentrations (mean ± SE) averaged 0.46...

Predicting the regeneration of Appalachian hardwoods: adapting the REGEN model for the Appalachian Plateau

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Lance A. Vickers; Thomas R. Fox; David L. Loftis; David A. Boucugnani

2013-01-01

The difficulty of achieving reliable oak (Quercus spp.) regeneration is well documented. Application of silvicultural techniques to facilitate oak regeneration largely depends on current regeneration potential. A computer model to assess regeneration potential based on existing advanced reproduction in Appalachian hardwoods was developed by David...

Rural Health Networks: How Network Analysis Can Inform Patient Care and Organizational Collaboration in a Rural Breast Cancer Screening Network.

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Prusaczyk, Beth; Maki, Julia; Luke, Douglas A; Lobb, Rebecca

2018-04-15

Rural health networks have the potential to improve health care quality and access. Despite this, the use of network analysis to study rural health networks is limited. The purpose of this study was to use network analysis to understand how a network of rural breast cancer care providers deliver services and to demonstrate the value of this methodology in this research area. Leaders at 47 Federally Qualified Health Centers and Rural Health Clinics across 10 adjacent rural counties were asked where they refer patients for mammograms or breast biopsies. These clinics and the 22 referral providers that respondents named comprised the network. The network was analyzed graphically and statistically with exponential random graph modeling. Most (96%, n = 45) of the clinics and referral sites (95%, n = 21) are connected to each other. Two clinics of the same type were 62% less likely to refer patients to the same providers as 2 clinics of different types (OR = 0.38, 95% CI = 0.29-0.50). Clinics in the same county have approximately 8 times higher odds of referring patients to the same providers compared to clinics in different counties (OR = 7.80, CI = 4.57-13.31). This study found that geographic location of resources is an important factor in rural health care providers' referral decisions and demonstrated the usefulness of network analysis for understanding rural health networks. These results can be used to guide delivery of patient care and strengthen the network by building resources that take location into account. © 2018 National Rural Health Association.

Seismological Constraints on Lithospheric Evolution in the Appalachian Orogen

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Fischer, K. M.; Hopper, E.; Hawman, R. B.; Wagner, L. S.

2017-12-01

Crust and mantle structures beneath the Appalachian orogen, recently resolved by seismic data from the EarthScope SESAME Flexible Array and Transportable Array, provide new constraints on the scale and style of the Appalachian collision and subsequent lithospheric evolution. In the southern Appalachians, imaging with Sp and Ps phases reveals the final (Alleghanian) suture between the crusts of Laurentia and the Gondwanan Suwannee terrane as a low angle (Kellogg, 2017) isostatic arguments indicate crustal thicknesses were 15-25 km larger at the end of the orogeny, indicating a thick crustal root across the region. The present-day residual crustal root beneath the Blue Ridge mountains is estimated to have a density contrast with the mantle of only 104±20 kg/m3. This value is comparable to other old orogens but lower than values typical of young or active orogens, indicating a loss of lower crustal buoyancy over time. At mantle depths, the negative shear velocity gradient that marks the transition from lithosphere to asthenosphere, as illuminated by Sp phases, varies across the Appalachian orogen. This boundary is shallow beneath the northeastern U.S. and in the zone of Eocene volcanism in Virginia, where low velocity anomalies occur in the upper mantle. These correlations suggest recent active lithosphere-asthenosphere interaction.

Influence of Urbanicity and County Characteristics on the ...

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Background: Air pollution epidemiology studies, often conducted in large metropolitan areas due to proximity to regulatory monitors, are limited in their ability to examine potential associations between air pollution exposures and health effects in rural locations. Methods: In a time-stratified case-crossover framework, we examined associations between asthma emergency department (ED) visits in North Carolina (2006-2008) collected by a surveillance system, and short-term ozone exposures using predicted concentrations from the Community Multiscale Air Quality (CMAQ) model. Associations were estimated by county groupings based on four urbanicity classifications (representative of county size and urban proximity) and county health. Results: Ozone was associated with asthma ED visits in all-year and warm season (April-October) analyses [Odds Ratio (OR) =1.019; 95% CI: 0.998, 1.040; OR=1.020; 95% CI: 0.997, 1.044, respectively, for a 20 ppb increase in lag 0-2 days ozone]. The association was strongest in Less Urbanized counties, with no evidence of a positive association in Rural counties. Associations were similar when adjusted for fine particulate matter in copolluant models. Associations were stronger for children (5-17 years of age) compared with other age groups, and for individuals living in counties with poorer health status compared with counties that had the highest health rankings, although estimated associations for these subgroups were imprecise. Conclu

Use and users of the Appalachian Trail: a geographic study

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Robert E. Manning; William Valliere; Jim Bacon; Alan Graefe; Gerard Kyle; Rita Hennessy

2001-01-01

The Appalachian National Scenic Trail (AT) is a public footpath that spans 2,160 miles of Appalachian Mountain ridgelines from Maine to Georgia. This paper describes the first comprehensive study of recreational use and users of the AT. The primary study method was a survey of visitors to the AT. The Trail was divided into 22 relatively homogeneous sections within four...

A controlled community-based trial to promote smoke-free policy in rural communities.

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Hahn, Ellen J; Rayens, Mary Kay; Adkins, Sarah; Begley, Kathy; York, Nancy

2015-01-01

Rural, tobacco-growing areas are disproportionately affected by tobacco use, secondhand smoke, and weak tobacco control policies. The purpose was to test the effects of a stage-specific, tailored policy-focused intervention on readiness for smoke-free policy, and policy outcomes in rural underserved communities. A controlled community-based trial including 37 rural counties. Data were collected annually with community advocates (n = 330) and elected officials (n = 158) in 19 intervention counties and 18 comparison counties over 5 years (average response rate = 68%). Intervention communities received policy development strategies from community advisors tailored to their stage of readiness and designed to build capacity, build demand, and translate and disseminate science. Policy outcomes were tracked over 5 years. Communities receiving the stage-specific, tailored intervention had higher overall community readiness scores and better policy outcomes than the comparison counties, controlling for county-level smoking rate, population size, and education. Nearly one-third of the intervention counties adopted smoke-free laws covering restaurants, bars, and all workplaces compared to none of the comparison counties. The stage-specific, tailored policy-focused intervention acted as a value-added resource to local smoke-free campaigns by promoting readiness for policy, as well as actual policy change in rural communities. Although actual policy change and percent covered by the policies were modest, these areas need additional resources and efforts to build capacity, build demand, and translate and disseminate science in order to accelerate smoke-free policy change and reduce the enormous toll from tobacco in these high-risk communities. © 2014 National Rural Health Association.

Variation and Trends of Landscape Dynamics, Land Surface Phenology and Net Primary Production of the Appalachian Mountains

Energy Technology Data Exchange (ETDEWEB)

Wang, Yeqiao; Zhao, Jianjun; Zhou, Yuyu; Zhang, Hongyan

2012-12-15

The gradients of the Appalachian Mountains in elevations and latitudes provide a unique regional perspective of landscape variations in the eastern United States and a section of the southeastern Canada. This study reveals patterns and trends of landscape dynamics, land surface phenology and ecosystem production along the Appalachian Mountains using time series data from Global Inventory Modeling and Mapping Studies (GIMMS) and AVHRR Global Production Efficiency Model (GloPEM) datasets. We analyzed the spatial and temporal patterns of Normalized Difference Vegetation Index (NDVI), length of growing season (LOS) and net primary production (NPP) of selected ecoregions along the Appalachian Mountains regions. We compared the results out of the Appalachian Mountains regions in different spatial contexts including the North America and the Appalachian Trail corridor area. To reveal latitudinal variations we analyzed data and compared the results between 30°N-40°N and 40°N-50°N latitudes. The result revealed significant decreases in annual peak NDVI in the Appalachian Mountains regions. The trend for the Appalachian Mountains regions was -0.0018 (R2=0.55, P<0.0001) NDVI unit decrease per year during 25 years between 1982 and 2006. The LOS had prolonged 0.3 day yr-1 during 25 years over the Appalachian Mountains regions. The NPP increased by 2.68 gC m-2yr-2 in Appalachian Mountains regions from 1981 to 2000. The comparison with the North America reveals the effects of topography and ecosystem compositions of the Appalachian Mountains. The comparison with the Appalachian Trail corridor area provides a regional mega-transect view of the measured variables.

Inter-Regional Spillovers and Urban-Rural Disparity in U.S. Employment Growth

OpenAIRE

Hisamitsu Saito; Munisamy Gopinath; JunJie Wu

2011-01-01

A wide urban-rural disparity is observed in employment growth in the United States. For example, employment growth averaged 2.1 percent in urban counties during 1998-2007, compared with just 1 percent in rural counties. In this study, we examine the sources of U.S. employment growth using the county-level industry data. From an analytical labor-market model, we derive equilibrium employment growth as a function of growth in neighborhood characteristics and initial conditions such as accumulat...

A guide to understanding the variation in premiums in rural health insurance marketplaces.

Science.gov (United States)

Barker, Abigail R; McBride, Timothy D; Kemper, Leah M; Mueller, Keith

2014-05-01

Key Findings. (1) State-level decisions in implementing the Patient Protection and Affordable Care Act of 2010 (ACA) have led to significant state variation in the design of Health Insurance Marketplace (HIM) rating areas. In some designs, rural counties are grouped together, while in others, rural and urban counties have been deliberately mixed. (2) Urban counties have, on average, approximately one more firm participating in the marketplaces, representing about 11 more plan offerings, than rural counties have. (3) The highest-valued "platinum" plan types are less likely to be available in rural areas. Thus, the overall mix of plan types should be factored into the reporting of average premiums. (4) Levels of competition are likely to have a greater impact on the decisions of firms considering whether to operate in higher-cost areas or not, as those firms must determine how they can pass such costs on to consumers, conditional on the market share they are likely to control.

Cancer Risk Assessment by Rural and Appalachian Family Medicine Physicians

Science.gov (United States)

Kelly, Kimberly M.; Love, Margaret M.; Pearce, Kevin A.; Porter, Kyle; Barron, Mary A.; Andrykowski, Michael

2009-01-01

Context: Challenges to the identification of hereditary cancer in primary care may be more pronounced in rural Appalachia, a medically underserved region. Purpose: To examine primary care physicians' identification of hereditary cancers. Methods: A cross-sectional survey was mailed to family physicians in the midwestern and southeastern United…

Final Environmental Statement and Supplemental Information for Aquilla Lake, Aquilla Creek, Hill County, Texas.

Science.gov (United States)

1976-04-13

P. Gregory Mr. Joe Yelderman, Jr. B. M. and Jan J. Jean Mr. James W. Wight Ms. Mary Ann Sulak Johnson County Rural Water Supply J. R. Joplin Mr. Loyd...Gregory Mr. Joe Yelderman, Jr. B. M. and Jan J. Jean Mr. James W. Wight Ms. Mary Ann Sulak Johnson County Rural Water Supply J. R. Joplin Mr. Loyd S

Measuring the attractiveness of rural communities in accounting for differences of rural primary care workforce supply.

Science.gov (United States)

McGrail, Matthew R; Wingrove, Peter M; Petterson, Stephen M; Humphreys, John S; Russell, Deborah J; Bazemore, Andrew W

2017-01-01

Many rural communities continue to experience an undersupply of primary care doctor services. While key professional factors relating to difficulties of recruitment and retention of rural primary care doctors are widely identified, less attention has been given to the role of community and place aspects on supply. Place-related attributes contribute to a community's overall amenity or attractiveness, which arguably influence both rural recruitment and retention relocation decisions of doctors. This bi-national study of Australia and the USA, two developed nations with similar geographic and rural access profiles, investigates the extent to which variations in community amenity indicators are associated with spatial variations in the supply of rural primary care doctors. Measures from two dimensions of community amenity: geographic location, specifically isolation/proximity; and economics and sociodemographics were included in this study, along with a proxy measure (jurisdiction) of a third dimension, environmental amenity. Data were chiefly collated from the American Community Survey and the Australian Census of Population and Housing, with additional calculated proximity measures. Rural primary care supply was measured using provider-to-population ratios in 1949 US rural counties and in 370 Australian rural local government areas. Additionally, the more sophisticated two-step floating catchment area method was used to measure Australian rural primary care supply in 1116 rural towns, with population sizes ranging from 500 to 50 000. Associations between supply and community amenity indicators were examined using Pearson's correlation coefficients and ordinary least squares multiple linear regression models. It was found that increased population size, having a hospital in the county, increased house prices and affluence, and a more educated and older population were all significantly associated with increased workforce supply across rural areas of both countries

Rural Health Disparities

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... in the Delta Region for specific data. U.S. – Mexico Border While life expectancy in many counties of ... documents the successes, challenges, and relevant information for planning. ... on rural/urban disparities see What sources cover health behaviors and ...

Underdiagnosis and Lower Rates of Office Visits for Overweight/Obese Pediatric Patients in Rural Compared with Urban Areas.

Science.gov (United States)

SanGiovanni, Christine; McElligott, James; Morella, Kristen; Basco, William

2017-07-01

This study compared the number of children enrolled in Medicaid in rural and urban areas of South Carolina with an overweight/obesity diagnosis and the mean rates of office visits with overweight/obesity diagnosed. Medicaid claims data from 2012 for children in three South Carolina counties, categorized as urban, rural high resource, and rural low resource, were used to identify those who had been diagnosed as being overweight/obese during any encounter. Logistic and Poisson regressions were performed to predict whether overweight/obese children in each county would receive an overweight/obesity visit diagnosis and to calculate the mean rate of total office visits with an overweight/obesity diagnosis in each county. A total of 1233 children enrolled in Medicaid were diagnosed as being overweight/obese at any encounter in the designated counties. Well visits with overweight/obesity diagnosed varied significantly, with 42.6%, 28%, and 11% in urban, rural high-resource counties, and rural low-resource counties, respectively ( P overweight/obese at a well visit. All of the children had a low number of total office visits with overweight/obesity diagnosed. When comparing the counties, urban children (1.22 visits per year) had more visits than rural low-resource children (0.75 visits per year, P Overweight/obesity is underdiagnosed in rural children enrolled in Medicaid in South Carolina, which affects the number of children who receive help to manage their weight. Interventions to overcome barriers of diagnosis and management are necessary to address childhood obesity properly.

Some Enlightenments of "Beautiful Rural Construction" on Rural Energy Policy in Beijing—Applying Informatization Means

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Zhi, Wang; Kongan, Wu

2018-06-01

"Beautiful rural construction" is a systematic project, rural energy is one of the important contents of its construction. In accordance with the concept of eco-friendly construction, Beijing carried out a thorough "structural adjustment of rural energy optimization," "Earthquake energy-saving projects of rural housing" and other measures. By conventional heating technology research in Beijing 13 counties and 142 villages, we predict the future of rural energy will further the implementation of solar heating, electric heating and other new green energy technologies. It is suggested to establish the "Beijing Rural Information Service Platform" and "Beautiful Rural Information Resource Bank" through the means of informatization, which will greatly strengthen the regulation and control of rural people-land relationship and realize the systematic optimization, making the cities and villages have. Space for human survival and sustainable development.

Development and testing of a rural credit supervision system at the level of counties and rural properties utilizing remote sensing techniqes

Science.gov (United States)

Batista, G. T. (Principal Investigator); Delima, A. M.; Tardin, A. T.; Rudorff, B. F. T.; Mendonca, F. J.; Dosanjosferreirapinto, S.; Chen, S. C.; Duarte, V.

1984-01-01

Remote sensing techniques for supporting the rural credit supervision system were developed and tested. The test area comprised the counties of Aracatuba and Guararapes, located in the State of Sao Paulo. Aerial photography, LANDSAT images and topographic charts were used. Aerial photographs were extremely useful for the out lining of properties boundaries with financing of sugarcane plantations by the Banco do Brasil S.A.. The percentage of correctly interpreted sugarcane on LANDSAT images, considering the 85 analyzed properties, was of 63.12%. The occurrence of atypical conditions such as excessive raining, sugarcane in bloom, and wind damaged sugarcane and sugarcane not harvested due to planning failures verified during the period the images were obtained, were some of the contributing factors associated with a low interpretation performance. An alternative approach was developed using several LANDSAT overpasses and auxiliary field data, which resulted in 91.77 percent correct.

Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

Science.gov (United States)

Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

Fossil fuels from the Appalachian basin region have been major contributors to the Nation’s energy supplies over much of the last three centuries. Appalachian coal and petroleum resources are still available in sufficient quantities to contribute significantly to fulfilling the Nation’s energy needs. Although both conventional oil and gas continue to be produced in the Appalachian basin, most new wells in the region are drilled in shale reservoirs to produce natural gas.

Home Care Services and the Rural Elderly.

Science.gov (United States)

Hayslip, Bert, Jr.; And Others

1980-01-01

Independent studies examined a needs v an agency perspective on home health care service needs within a rural county. Interviews with 299 elderly, aged 60-93, revealed there were substantial needs for home health care services and the desire for services varied with residence within the county. (Author)

Farmers of Jin county want fewer children.

Science.gov (United States)

Xiao, M

1986-04-01

The economic reform practiced in the vast rural areas in China gives a great impetus to the vigorous development of rural economy and the the rapid improvement of living standard. Meanwhile, reform pounds at the traditional childbearing ideas. The striking change in the childbearing attitudes of the farmers of the Jin County is a good example. As the farmers of the country are getting well-off when the commodity economy develops rapidly with the rural economic reforms, their childbearing attitudes change. Profound changes have taken place in their mode of production and their life style. The young couples of the county begin to seek small families instead of traditional big ones. They are convinced that under the new situation of reforms, the farmers of an old generation are in no way competent as the head of the family to guide production and therefore want to build their own small families by freeing themselves from the binds of the traditional patriarchal system. The increase in the cost of bringing up children and the economic loss resulting from the absence from work for looking after children constitute another reason to prefer a small family. The son is no more the only economic guarantee for the aged. As a result of the rapid development of the rural economy, a retirement system has been established among the farmers of the Jin county. "It is unreliable to expect that the son will support his aged parents. Now it is better to earn more money and the collective can be depended upon by the aged."

[Impact of rural land market on farm household's behavior of soil & water conservation and its regional difference: A case study of Xingguo, Shangrao, and Yujiang County in Jiangxi province ecologically vulnerable districts].

Science.gov (United States)

Zhong, Tai-Yang; Huang, Xian-jin

2006-02-01

The paper analyzed the farm households' decision-making progress of soil & water conservation and its two-stage conceptual model. It also discussed the impacts of rural land market on the farm households' behavior of soil & water conservation. Given that, the article established models for the relations between the land market and soil & water conservation, and the models' parameters were estimated with Heckman's two-stage approach by using the farm household questionnaires in Xingguo, Shangrao and Yujiang counties of Jiangxi province. The paper analyzed the impact o f rural land market on farm household's behavior of soil & water conservation and its regional difference with the result of model estimation. The results show that the perception of soil & water loss and the tax & fee on the farm land have significant influence upon the soil and water conservation from the view of the population; however, because of different social and economic condition, and soil & water loss, there are differences of the influence among the three sample counties. These differences go as follows in detail: In Xingguo County, the rent-in land area and its cost have remarkable effect on the farm households' soil & water conservation behavior; In Yujiang County, the rent-in land area, rent-in cost and rent-out land area remarkably influence the farm households' behavior of soil and water conservation, with the influence of the rent-in land area being greater than Xingguo County; In Shangrao County, only rent-out land area has significant influence on the behaviors of soil & water conservation; In all samples, Xingguo County and Yujiang County samples, the rent-out income has no significant influence on the farm household's decision-making behavior soil and water conservation. Finally, the paper put forward some suggestions on how to bring the soil & water loss under control and use land resource in sustainable ways.

Effect of medicare payment on rural health care systems.

Science.gov (United States)

McBride, Timothy D; Mueller, Keith J

2002-01-01

Medicare payments constitute a significant share of patient-generated revenues for rural providers, more so than for urban providers. Therefore, Medicare payment policies influence the behavior of rural providers and determine their financial viability. Health services researchers need to contribute to the understanding of the implications of changes in fee-for-service payment policy, prospects for change because of the payment to Medicare+Choice risk plans, and implications for rural providers inherent in any restructuring of the Medicare program. This article outlines the basic policy choices, implications for rural providers and Medicare beneficiaries, impacts of existing research, and suggestions for further research. Topics for further research include implications of the Critical Access Hospital program, understanding how changes in payment to rural hospitals affect patient care, developing improved formulas for paying rural hospitals, determining the payment-to-cost ratio for physicians, measuring the impact of changes in the payment methodology used to pay for services delivered by rural health clinics and federally qualified health centers, accounting for the reasons for differences in historical Medicare expenditures across rural counties and between rural and urban counties, explicating all reasons for Medicare+Choice plans withdrawing from some rural areas and entering others, measuring the rural impact of proposals to add a prescription drug benefit to the Medicare program, and measuring the impact of Medicare payment policies on rural economies.

Rural migration in Nevada: Lincoln County. Phase 1, 1992--1993

Energy Technology Data Exchange (ETDEWEB)

Soden, D.L.; Carns, D.E.; Mosser, D.; Conary, J.S.; Ansell, J.P.

1993-12-31

The principal objective of this project was to develop insight into the scope of migration of working age Nevadans out of their county of birth; including the collection of data on their skill levels, desire to out or in-migrate, interactions between families of migratory persons, and the impact that the proposed high-level nuclear waste repository at Yucca mountain might have on their individual, and collective, decisions to migrate and return. The initial phase of this project reported here was conducted in 1992 and 1993 in Lincoln County, Nevada, one of the counties designated as ``affected`` by the proposed repository program. The findings suggest that a serious out-migration problem exists in Lincoln County, and that the Yucca mountain project will likely affect decisions relating to migration patterns in the future.

48 CFR 1852.219-74 - Use of rural area small businesses.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Use of rural area small... and Clauses 1852.219-74 Use of rural area small businesses. As prescribed in 1819.7103, insert the following clause: Use of Rural Area Small Business (SEP 1990) (a) Definitions. Rural area means any county...

State Appalachian Development Plans and Investment Programs for Fiscal Year 1980. ABSTRACTS.

Science.gov (United States)

Appalachian Regional Commission, Washington, DC.

The Appalachian Regional Commission (ARC), established by Congress in 1965 as a means of relieving the chronic economic and social distresses of the Appalachian region, is composed of the governors of the 13 states that comprise Appalachia. Local development plans, based upon needs and priorities, are presented to ARC every year by the governor of…

Spatial Planning of Rural tourism with MAPPAC technique. Case study Khur and Biabanak County, (Iran

Directory of Open Access Journals (Sweden)

Hassan Ali Faraji Sabokbar

2014-12-01

Full Text Available Reviewing the concepts of space and tourism industry, tourism is in an old, deep, unbreakable bound with spatial and physical dimensions. In this way, the lack of systematic and scientific ranking process in spatial locating of rural tourism spots and also improper distribution of infrastructures are the critical deficiencies in this field. The research intends to introduce the hidden potentials and unique capabilities of Khur and Biabanak County, Iran. And prioritize their tourism spots. So tourism planners would be able to recognize proper space distribution. First, the weights of each criterion were calculated by a pairwise comparison questionnaire of AHP method, and MAPPAC technique was used for ranking. AHP was done in Expert Choice software and MAPPAC in MS Excel. Results showed that villages such as Bayaze, Jandagh, Mehrejan, Garmeh, and Iraj which are also older have a higher rank.

ISSUES CONCERNING THE TYPOLOGY OF RURAL TOURISTIC PENSIONS FORM MARGINIMEA SIBIULUI, SIBIU COUNTY, ROMANIA

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Mirela STANCIU

2014-12-01

Full Text Available The study was conducted in May-June 2013, in two places in the tourist area called "Mărginimea Sibiului", Sibiu, Romania. The research instrument used was a questionnaire comprising 25 questions and was sent to the owners / managers of pensions (18 people by 9 people from rural places Sibiel and 9 people from Gura Râului. According to data from Sibiu County Tourism Association, in Sibiel there are recorded 40 tourist structures, and in Gura Râului, 22. Data from the field were processed, systematized and interpreted. The overall objectives were: establishing typology of tourist structures, knowing the comfort of pensions, the average capacity of accommodation, the average length of stay. Special attention was given to the knowledge of the main sights of natural and anthropogenic existing and surrounding area. Improving in pensions an infrastructure for sport as a means of leisure was another objective of the research. We also were interested in issues related to the average age of tourists, their backgrounds, insofar there is demand for sports. We wanted to see if the pensions are serving traditional products and cuisine and their origin. Another goal pursued was related to the education level of owners / managers of pensions, their satisfaction in relation to the results achieved, difficulties encountered in the current work, and how to promote services and products. The paper presents some ways to promote rural tourism in Sibiu.

Coal and petroleum resources in the Appalachian basin: index maps of included studies: Chapter B.1 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

Science.gov (United States)

Ruppert, Leslie F.; Trippi, Michael H.; Kinney, Scott A.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

This chapter B.1 of U.S. Geological Survey (USGS) Professional Paper 1708 provides index maps for many of the studies described in other chapters of the report. Scientists of the USGS and State geological surveys studied coal and petroleum resources in the central and southern Appalachian structural basins. In the southern Appalachian basin, studies focused on the coal-bearing parts of the Black Warrior basin in Alabama. The scientists used new and existing geologic data sets to create a common spatial geologic framework for the fossil-fuel-bearing strata of the central Appalachian basin and the Black Warrior basin in Alabama.

Migration signatures across the decades: Net migration by age in U.S. counties, 1950-2010

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Richelle L. Winkler

2015-05-01

Full Text Available Background: Migration is the primary population redistribution process in the United States. Selective migration by age, race/ethnic group, and spatial location governs population integration, affects community and economic development, contributes to land use change, and structures service needs. Objective: Delineate historical net migration patterns by age, race/ethnic, and rural-urban dimensions for United States counties. Methods: Net migration rates by age for all US counties are aggregated from 1950−2010, summarized by rural-urban location and compared to explore differential race/ethnic patterns of age-specific net migration over time. Results: We identify distinct age-specific net migration 'signatures' that are consistent over time within county types, but different by rural-urban location and race/ethnic group. There is evidence of moderate population deconcentration and diminished racial segregation between 1990 and 2010. This includes a net outflow of Blacks from large urban core counties to suburban and smaller metropolitan counties, continued Hispanic deconcentration, and a slowdown in White counterurbanization. Conclusions: This paper contributes to a fuller understanding of the complex patterns of migration that have redistributed the U.S. population over the past six decades. It documents the variability in county age-specific net migration patterns both temporally and spatially, as well as the longitudinal consistency in migration signatures among county types and race/ethnic groups.

Predictors of maternal language to infants during a picture book task in the home: Family SES, child characteristics and the parenting environment.

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Vernon-Feagans, Lynne; Pancsofar, Nadya; Willoughby, Mike; Odom, Erica; Quade, Alison; Cox, Martha

2008-01-01

This study investigated the contribution of child characteristics and parenting environment to the relationship between family SES/demographic characteristics and maternal language to infants.1157 children were drawn from a representative sample of 1292 infants born to mothers in rural Appalachian counties and rural counties in southern minority U.S. communities. Mothers and their 6-8 month old babies were videotaped at home while talking about a wordless picture book. Mothers' language output and complexity were analyzed. Child temperament, age, and parenting environment (knowledge of child development and observed mother-child engagement) were predictors of maternal language. Furthermore, their inclusion reduced the magnitude of the association between demographic characteristics and maternal language. Tests of mediation suggested that the parenting environment partially mediates the relationship between SES/demographic characteristics and maternal language. Findings are discussed with respect to identifying proximal processes that explain how SES may exert its influence on the language of young children.

Chapter 11: Reforestation to enhance Appalachian mined lands as habitat for terrestrial wildlife

Science.gov (United States)

Petra Wood; Jeff Larkin; Jeremy Mizel; Carl Zipper; Patrick Angel

2017-01-01

Surface mining is widespread throughout the Appalachian coalfields, a region with extensive forests that are rich in wildlife. Game species for hunting, nongame wildlife species, and other organisms are important contributors to sustainable and productive ecosystems. Although small breaks in the forest canopy are important to wildlife diversity, most native Appalachian...

Development of Sustainable Rural Tourism

Directory of Open Access Journals (Sweden)

Sandra Kantar

2017-06-01

Full Text Available This paper presents a sociological view of possibilities for the development of sustainable rural tourism in Koprivnica-Krizevci county, which is located in the north-western part of Croatia. The possibilities for developing rural tourism within the concept of sustainable development have been researched through qualitative empirical research interview method. Research subjects were the owners of tourist farms, decision makers, experts and other stakeholders in the tourism development. Rural tourism represents an alternative to maritime tourism and is relatively undeveloped but important in terms of development of rural areas and family farms. This paper enables an insight into an integrated sustainability of rural tourism which consists of four dimensions: biologicalecological, economic, socio-cultural and political sustainability. In conclusion, integral sustainability in rural tourism is not achieved in all dimensions. Therefore, rural tourism could be a strategy for sustainable development for rural areas and also could be a tool for product differentiation for area that are at stagnation stage.

Appalachian National Scenic Trail pilot survey

Science.gov (United States)

Stan Zarnoch; Michael Bowker; Ken Cordell; Matt Owens; Gary T. Green; Allison Ginn

2011-01-01

Visitation statistics on the Appalachian National Scenic Trail (AT) are important for management and Federal Government reporting purposes. However, no survey methodology has been developed to obtain accurate trailwide estimates over linear trails that traverse many hundreds of back-country miles. This research develops a stratified random survey design which utilizes...

Appalachian Regional Commission: 1979 Annual Report.

Science.gov (United States)

Appalachian Regional Commission, Washington, DC.

Narrative text, tables, maps, and photographs present an overview of the Appalachian Regional Commission's (ARC) activities in fiscal year 1979, past achievements, and future goals. Major accomplishments of 1979 include: utilization of the $233 million appropriation for highway construction; approval of over $143 million in ARC funds for 985…

Rural hospital wages

Science.gov (United States)

Hendricks, Ann M.

1989-01-01

Average fiscal year 1982 wages from 2,302 rural American hospitals were used to test for a gradient descending from hospitals in counties adjacent to metropolitan areas to those not adjacent. Considerable variation in the ratios of adjacent to nonadjacent averages existed. No statistically significant difference was found, however. Of greater importance in explaining relative wages within States were occupational mix, mix of part-time and full-time workers, case mix, presence of medical residencies, and location in a high-rent county within the State. Medicare already adjusts payments for only two of these variables. PMID:10313454

Urban-rural differences in a population-based breast cancer screening program in Croatia

Science.gov (United States)

Stamenić, Valerija; Strnad, Marija

2011-01-01

Aim To investigate urban-rural differences in the distribution of risk factors for breast cancer. Methods We analyzed the data from the first round of the “Mamma” population based-screening program conducted in Croatia between 2007 and 2009 and self-reported questionnaire results for 924 patients with histologically verified breast cancer. Reproductive and anthropometric characteristics, family history of breast cancer, history of breast disease, and prior breast screening history were compared between participants from the city of Zagreb (n = 270) and participants from 13 counties with more than 50% of rural inhabitants (n = 654). Results The screen-detected breast cancer rate was 4.5 per 1000 mammographies in rural counties and 4.6 in the city of Zagreb, while the participation rate was 61% in rural counties and 59% in Zagreb. Women from Zagreb had significantly more characteristics associated with an increased risk of breast cancer (P < 0.001 in all cases): no pregnancies (15% vs 7%), late age of first pregnancy (≥30 years) (10% vs 4%), and the most recent mammogram conducted 2-3 years ago (32% vs 14%). Women from rural counties were more often obese (41% vs 28%) and had early age of first live birth (<20 years) (20% vs 7%, P < 0.001 for both). Conclusion Identification of rural-urban differences in mammography use and their causes at the population level can be useful in designing and implementing interventions targeted at the reduction of inequalities and modifiable risk factors. PMID:21328724

Conservation and Environmental Education in Southern Appalachian Schools. A Report of a Needs Assessment.

Science.gov (United States)

Bousquet, Woodward S.; Jarvis, Ralph W.

An assessment of conservation and environmental education needs in southern Appalachian schools is provided in this survey. Superintendents of school districts and teachers within the southern Appalachian region responded to a questionnaire which was designed to determine: (1) the current status of conservation and environmental education; (2)…

Correlates of alcohol consumption in rural western Kenya: A cross-sectional study

OpenAIRE

Takahashi, Risa; Wilunda, Calistus; Magutah, Karani; Mwaura-Tenambergen, Wanja; Wilunda, Boniface; Perngparn, Usaneya

2017-01-01

Background Studies on alcohol consumption in rural areas in sub-Saharan Africa are scarce. This study aimed to determine the prevalence and determinants of alcohol consumption in rural western Kenya. The study was conducted as a preliminary stage of a community-based intervention to reduce hazardous alcohol consumption. Methods A cross-sectional survey of 478 participants aged 18?65?years residing in Ikolomani Sub-county, Kakamega County was conducted in April 2015. Data were collected using ...

Exploring the association of urban or rural county status and environmental, nutrition- and lifestyle-related resources with the efficacy of SNAP-Ed (Supplemental Nutrition Assistance Program-Education) to improve food security.

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Rivera, Rebecca L; Dunne, Jennifer; Maulding, Melissa K; Wang, Qi; Savaiano, Dennis A; Nickols-Richardson, Sharon M; Eicher-Miller, Heather A

2018-04-01

To investigate the association of policy, systems and environmental factors with improvement in household food security among low-income Indiana households with children after a Supplemental Nutrition Assistance Program-Education (SNAP-Ed) direct nutrition education intervention. Household food security scores measured by the eighteen-item US Household Food Security Survey Module in a longitudinal randomized and controlled SNAP-Ed intervention study conducted from August 2013 to April 2015 were the response variable. Metrics to quantify environmental factors including classification of urban or rural county status; the number of SNAP-authorized stores, food pantries and recreational facilities; average fair market housing rental price; and natural amenity rank were collected from government websites and data sets covering the years 2012-2016 and used as covariates in mixed multiple linear regression modelling. Thirty-seven Indiana counties, USA, 2012-2016. SNAP-Ed eligible adults from households with children (n 328). None of the environmental factors investigated were significantly associated with changes in household food security in this exploratory study. SNAP-Ed improves food security regardless of urban or rural location or the environmental factors investigated. Expansion of SNAP-Ed in rural areas may support food access among the low-income population and reduce the prevalence of food insecurity in rural compared with urban areas. Further investigation into policy, systems and environmental factors of the Social Ecological Model are warranted to better understand their relationship with direct SNAP-Ed and their impact on diet-related behaviours and food security.

Future Extreme Event Vulnerability in the Rural Northeastern United States

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Winter, J.; Bowen, F. L.; Partridge, T.; Chipman, J. W.

2017-12-01

Future climate change impacts on humans will be determined by the convergence of evolving physical climate and socioeconomic systems. Of particular concern is the intersection of extreme events and vulnerable populations. Rural areas of the Northeastern United States have experienced increased temperature and precipitation extremes, especially over the past three decades, and face unique challenges due to their physical isolation, natural resources dependent economies, and high poverty rates. To explore the impacts of future extreme events on vulnerable, rural populations in the Northeast, we project extreme events and vulnerability indicators to identify where changes in extreme events and vulnerable populations coincide. Specifically, we analyze future (2046-2075) maximum annual daily temperature, minimum annual daily temperature, maximum annual daily precipitation, and maximum consecutive dry day length for Representative Concentration Pathways (RCP) 4.5 and 8.5 using four global climate models (GCM) and a gridded observational dataset. We then overlay those projections with estimates of county-level population and relative income for 2060 to calculate changes in person-events from historical (1976-2005), with a focus on Northeast counties that have less than 250,000 people and are in the bottom income quartile. We find that across the rural Northeast for RCP4.5, heat person-events per year increase tenfold, far exceeding decreases in cold person-events and relatively small changes in precipitation and drought person-events. Counties in the bottom income quartile have historically (1976-2005) experienced a disproportionate number of heat events, and counties in the bottom two income quartiles are projected to experience a greater heat event increase by 2046-2075 than counties in the top two income quartiles. We further explore the relative contributions of event frequency, population, and income changes to the total and geographic distribution of climate change

Effects of Rural Medical Insurance on Chronically Ill Patients' Choice of the Same Hospital Again in Rural Northern China.

Science.gov (United States)

Jiang, Ke; You, Daming; Li, Zhendong; Wei, Wei; Mainstone, Mitchell

2018-04-12

The emergence of rural health insurance plays a crucial role in alleviating the pressure on rural medical expenditure. Under the current medical system in northern China, rural medical insurance may reduce the free referral of patients with chronic diseases among hospitals. This study was carried out based on the results of an investigation of rural chronically-ill patients in eight county hospitals in northern China, as well as through the comparison and analysis of patients with chronic diseases, considering whether they were with or without rural health insurance. The main results showed that both age ( χ 2 = 22.9, p rural peoples' willingness to buy health insurance. Meanwhile, both the quality of the hospital's treatment ( B = 0.555, p rural health insurance had weakened the three relationships upon which the aforementioned correlations were based.

Synthetic rope applications in Appalachian logging

Science.gov (United States)

Ben D. Spong; Jingxin Wang

2008-01-01

New ultra-high molecular weight polyethylene rope has shown good results as a replacement for wire rope in logging applications in the western United States. A single case study trial was performed in Appalachian forest conditions to assess the appropriateness of this technology for hardwood logging applications. The study focused on use of the rope in West Virginia...

Conserving the Appalachian medicinal plant industry

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James L. Chamberlain

2006-01-01

An industry based on plants that flourish in the mountains of Appalachia is at a critical crossroads. The medicinal plant industry has relied on the conservation of Appalachian forest resources for more than 300 years. There is growing and widespread concern that many of the species, on which this vibrant and substantial industry depends, are being depleted and...

Violence in Rural, Suburban, and Urban Schools in Pennsylvania.

Science.gov (United States)

Flynn, Kalen; McDonald, Catherine C; D'Alonzo, Bernadette A; Tam, Vicky; Wiebe, Douglas J

2018-01-01

School violence is a public health issue with direct and collateral consequences that has academic and social impacts for youth. School violence is often considered a uniquely urban problem, yet more research is needed to understand how violence in rural and suburban schools may be similar or different from urban counterparts. Using school violence data from a state with urban, suburban, and rural counties, we explored the landscape of school violence in Pennsylvania (PA) through mapping, descriptive statistics, and factor analysis. Results show school violence is not solely an urban problem. Schools in all county types and across grade levels deal with violence to varying degrees, and the majority of schools across county types experience low levels of violence. Types of violence experienced by PA schools loaded onto three factors, suggesting that targeted interventions may be better suited to addressing school violence.

Association between community health center and rural health clinic presence and county-level hospitalization rates for ambulatory care sensitive conditions: an analysis across eight US states.

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Probst, Janice C; Laditka, James N; Laditka, Sarah B

2009-07-31

Federally qualified community health centers (CHCs) and rural health clinics (RHCs) are intended to provide access to care for vulnerable populations. While some research has explored the effects of CHCs on population health, little information exists regarding RHC effects. We sought to clarify the contribution that CHCs and RHCs may make to the accessibility of primary health care, as measured by county-level rates of hospitalization for ambulatory care sensitive (ACS) conditions. We conducted an ecologic analysis of the relationship between facility presence and county-level hospitalization rates, using 2002 discharge data from eight states within the US (579 counties). Counties were categorized by facility availability: CHC(s) only, RHC(s) only, both (CHC and RHC), and neither. US Agency for Healthcare Research and Quality definitions were used to identify ACS diagnoses. Discharge rates were based on the individual's county of residence and were obtained by dividing ACS hospitalizations by the relevant county population. We calculated ACS rates separately for children, working age adults, and older individuals, and for uninsured children and working age adults. To ensure stable rates, we excluded counties having fewer than 1,000 residents in the child or working age adult categories, or 500 residents among those 65 and older. Multivariate Poisson analysis was used to calculate adjusted rate ratios. Among working age adults, rate ratio (RR) comparing ACS hospitalization rates for CHC-only counties to those of counties with neither facility was 0.86 (95% Confidence Interval, CI, 0.78-0.95). Among older adults, the rate ratio for CHC-only counties compared to counties with neither facility was 0.84 (CI 0.81-0.87); for counties with both CHC and RHC present, the RR was 0.88 (CI 0.84-0.92). No CHC/RHC effects were found for children. No effects were found on estimated hospitalization rates among uninsured populations. Our results suggest that CHCs and RHCs may play a

Association between community health center and rural health clinic presence and county-level hospitalization rates for ambulatory care sensitive conditions: an analysis across eight US states

Directory of Open Access Journals (Sweden)

Laditka Sarah B

2009-07-01

Full Text Available Abstract Background Federally qualified community health centers (CHCs and rural health clinics (RHCs are intended to provide access to care for vulnerable populations. While some research has explored the effects of CHCs on population health, little information exists regarding RHC effects. We sought to clarify the contribution that CHCs and RHCs may make to the accessibility of primary health care, as measured by county-level rates of hospitalization for ambulatory care sensitive (ACS conditions. Methods We conducted an ecologic analysis of the relationship between facility presence and county-level hospitalization rates, using 2002 discharge data from eight states within the US (579 counties. Counties were categorized by facility availability: CHC(s only, RHC(s only, both (CHC and RHC, and neither. US Agency for Healthcare Research and Quality definitions were used to identify ACS diagnoses. Discharge rates were based on the individual's county of residence and were obtained by dividing ACS hospitalizations by the relevant county population. We calculated ACS rates separately for children, working age adults, and older individuals, and for uninsured children and working age adults. To ensure stable rates, we excluded counties having fewer than 1,000 residents in the child or working age adult categories, or 500 residents among those 65 and older. Multivariate Poisson analysis was used to calculate adjusted rate ratios. Results Among working age adults, rate ratio (RR comparing ACS hospitalization rates for CHC-only counties to those of counties with neither facility was 0.86 (95% Confidence Interval, CI, 0.78–0.95. Among older adults, the rate ratio for CHC-only counties compared to counties with neither facility was 0.84 (CI 0.81–0.87; for counties with both CHC and RHC present, the RR was 0.88 (CI 0.84–0.92. No CHC/RHC effects were found for children. No effects were found on estimated hospitalization rates among uninsured populations

Study design, intervention, and baseline characteristics of a group randomized trial involving a faith-based healthy eating and physical activity intervention (Walk by Faith) to reduce weight and cancer risk among overweight and obese Appalachian adults.

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Baltic, Ryan D; Weier, Rory C; Katz, Mira L; Kennedy, Stephenie K; Lengerich, Eugene J; Lesko, Samuel M; Reese, David; Roberto, Karen A; Schoenberg, Nancy E; Young, Gregory S; Dignan, Mark B; Paskett, Electra D

2015-09-01

Increased prevalence of overweight and obesity among Appalachian residents may contribute to increased cancer rates in this region. This manuscript describes the design, components, and participant baseline characteristics of a faith-based study to decrease overweight and obesity among Appalachian residents. A group randomized study design was used to assign 13 churches to an intervention to reduce overweight and obesity (Walk by Faith) and 15 churches to a cancer screening intervention (Ribbons of Faith). Church members with a body mass index (BMI) ?25 were recruited from these churches in Appalachian counties in five states to participate in the study. A standard protocol was used to measure participant characteristics at baseline. The same protocol will be followed to obtain measurements after completion of the active intervention phase (12months) and the sustainability phase (24months). Primary outcome is change in BMI from baseline to 12months. Secondary outcomes include changes in blood pressure, waist-to-hip ratio, and fruit and vegetable consumption, as well as intervention sustainability. Church members (n=664) from 28 churches enrolled in the study. At baseline 64.3% of the participants were obese (BMI?30), less than half (41.6%) reported regular exercise, and 85.5% reported consuming less than 5 servings of fruits and vegetables per day. Church members recruited to participate in a faith-based study across the Appalachian region reported high rates of unhealthy behaviors. We have demonstrated the feasibility of developing and recruiting participants to a faith-based intervention aimed at improving diet and increasing exercise among underserved populations. Copyright © 2015. Published by Elsevier Inc.

75 FR 82146 - Appalachian Community Bank, FSB, McCaysville, GA, Notice of Appointment of Receiver

Science.gov (United States)

2010-12-29

... DEPARTMENT OF THE TREASURY Office of Thrift Supervision Appalachian Community Bank, FSB... contained in section 5(d)(2) of the Home Owners' Loan Act, the Office of Thrift Supervision has duly appointed the Federal Deposit Insurance Corporation as sole Receiver for Appalachian Community Bank, FSB...

China's rural electrification and poverty reduction

International Nuclear Information System (INIS)

Yang Ming

2003-01-01

This paper aims at quantifying the impact of rural investment in power sector on the rural economic development and poverty reduction in China. An econometric model was developed and six Chinese provinces with different economic background are studied. These provinces comprise Jiangsu and Liaoning with well-developed rural economy, Hebei and Henan with medium-developed rural economy, and Shannxi and Xinjiang with the least-developed rural economy. Over 20-yr historical data for the six provincial rural areas--counties and below, was collected in rural economic development, households, population, per capita income, community infrastructure development, capital investment, electricity consumption, output values in agriculture sector, and township and village enterprises. SPSS V10.0 software program was used in the research. This paper concludes that priority of capital investment in rural power sector should be given to Jiangsu and Liaoning if the objective of the investment is to develop rural economy, and that the priority should be given to Hebei and Henan if the objective is to reduce poverty in rural area

Composition of natural gas and crude oil produced from 10 wells in the Lower Silurian "Clinton" Sandstone, Trumbull County, Ohio: Chapter G.7 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

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Burruss, Robert A.; Ryder, Robert T.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

Natural gases and associated crude oils in the “Clinton” sandstone, Medina Group sandstones, and equivalent Tuscarora Sandstone in the northern Appalachian basin are part of a regional, continuous-type or basin-centered accumulation. The origin of the hydrocarbon charge to regional continuoustype accumulations is poorly understood. We have analyzed the molecular and stable isotopic composition of gases and oils produced from 10 wells in the “Clinton” sandstone in Trumbull County, Ohio, in an initial attempt to identify the characteristics of the accumulated fluids. The analyses show that the fluids have remarkably uniform compositions that are similar to previously published analyses of oils (Cole and others, 1987) and gases (Laughrey and Baldasarre, 1998) in Early Silurian reservoirs elsewhere in Ohio; however, geochemical parameters in the oils and gases suggest that the fluids have experienced higher levels of thermal stress than the present-day burial conditions of the reservoir rocks. The crude oils have an unusual geochemical characteristic: they do not contain detectable levels of sterane and triterpane biomarkers. The origin of these absences is unknown.

The Rural Alabama Pregnancy and Infant Health (RAPIH) Program.

Science.gov (United States)

Leeper, J. D.; And Others

The impact of the Rural Alabama Pregnancy and Infant Health (RAPIH) Program was evaluated in relation to prenatal care, birth outcome measures, and several child health and home environment outcomes. Begun in 1983, RAPIH targets poor rural blacks in three of west-central Alabama's poorest counties, where economic conditions and infant mortality…

County-Level Population Economic Status and Medicare Imaging Resource Consumption.

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Rosenkrantz, Andrew B; Hughes, Danny R; Prabhakar, Anand M; Duszak, Richard

2017-06-01

The aim of this study was to assess relationships between county-level variation in Medicare beneficiary imaging resource consumption and measures of population economic status. The 2013 CMS Geographic Variation Public Use File was used to identify county-level per capita Medicare fee-for-service imaging utilization and nationally standardized costs to the Medicare program. The County Health Rankings public data set was used to identify county-level measures of population economic status. Regional variation was assessed, and multivariate regressions were performed. Imaging events per 1,000 Medicare beneficiaries varied 1.8-fold (range, 2,723-4,843) at the state level and 5.3-fold (range, 1,228-6,455) at the county level. Per capita nationally standardized imaging costs to Medicare varied 4.2-fold (range, $84-$353) at the state level and 14.1-fold (range, $33-$471) at the county level. Within individual states, county-level utilization varied on average 2.0-fold (range, 1.1- to 3.1-fold), and costs varied 2.8-fold (range, 1.1- to 6.4-fold). For both large urban populations and small rural states, Medicare imaging resource consumption was heterogeneously variable at the county level. Adjusting for county-level gender, ethnicity, rural status, and population density, countywide unemployment rates showed strong independent positive associations with Medicare imaging events (β = 26.96) and costs (β = 4.37), whereas uninsured rates showed strong independent positive associations with Medicare imaging costs (β = 2.68). Medicare imaging utilization and costs both vary far more at the county than at the state level. Unfavorable measures of county-level population economic status in the non-Medicare population are independently associated with greater Medicare imaging resource consumption. Future efforts to optimize Medicare imaging use should consider the influence of local indigenous socioeconomic factors outside the scope of traditional beneficiary-focused policy

Introduction to selected references on fossil fuels of the central and southern Appalachian basin: Chapter H.1 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

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Ruppert, Leslie F.; Lentz, Erika E.; Tewalt, Susan J.; Román Colón, Yomayra A.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

The Appalachian basin contains abundant coal and petroleum resources that have been studied and extracted for at least 150 years. In this volume, U.S. Geological Survey (USGS) scientists describe the geologic framework and geochemical character of the fossil-fuel resources of the central and southern Appalachian basin. Separate subchapters (some previously published) contain geologic cross sections; seismic profiles; burial history models; assessments of Carboniferous coalbed methane and Devonian shale gas; distribution information for oil, gas, and coal fields; data on the geochemistry of natural gas and oil; and the fossil-fuel production history of the basin. Although each chapter and subchapter includes references cited, many historical or other important references on Appalachian basin and global fossil-fuel science were omitted because they were not directly applicable to the chapters.

Spatially varying predictors of teenage birth rates among counties in the United States

Directory of Open Access Journals (Sweden)

Carla Shoff

2012-09-01

Full Text Available BACKGROUND Limited information is available about teenage pregnancy and childbearing in rural areas, even though approximately 20 percent of the nation's youth live in rural areas. Identifying whether there are differences in the teenage birth rate (TBR across metropolitan and nonmetropolitan areas is important because these differences may reflect modifiable ecological-level influences such as education, employment, laws, healthcare infrastructure, and policies that could potentially reduce the TBR. OBJECTIVE The goals of this study are to investigate whether there are spatially varying relationships between the TBR and the independent variables, and if so, whether these associations differ between metropolitan and nonmetropolitan counties. METHODS We explore the heterogeneity within metropolitan/nonmetropolitan county groups separately using geographically weighted regression (GWR, and investigate the difference between metropolitan/nonmetropolitan counties using spatial regime models with spatial errors. These analyses were applied to county-level data from the National Center for Health Statistics and the US Census Bureau. RESULTS GWR results suggested that non-stationarity exists in the associations between TBR and determinants within metropolitan/nonmetropolitan groups. The spatial regime analysis indicated that the effect of socioeconomic disadvantage on TBR significantly varied by the metropolitan status of counties. CONCLUSIONS While the spatially varying relationships between the TBR and independent variables were found within each metropolitan status of counties, only the magnitude of the impact of the socioeconomic disadvantage index is significantly stronger among metropolitan counties than nonmetropolitan counties. Our findings suggested that place-specific policies for the disadvantaged groups in a county could be implemented to reduce TBR in the US.

[Comprehensive evaluation of county-level construction land intensive utility in Guangdong province: a case study for Zijin County].

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Zhang, Jun-Ping; Hu, Yue-Ming; Tian, Yuan; Wang, Lu; Liu, Su-Ping

2010-02-01

Based on the weights and membership values of evaluation indices, a measurement model of construction land intensive utility in Zijin County of Guangdong Province was established, and the basic principles of the greatest compatible class were adopted to classify the intensive utility levels of the construction land based on fuzzy recognition. Additionally, the intensive utility potential of construction land in Zijin County in 2005 was calculated by comparing the per capita construction land in towns, independent industrial and mining areas, and rural residential areas with the latest national land use standards for planning of town launched in 2007. The predicted value of the model was 0.421, suggesting that the construction land utility in Zijin County was still low- effective and extensive. Theoretically, the construction land area could be decreased by 555.69-2197.69 hm2, which meant there was a great potential in the intensive utility of construction land in the county.

My Future, My Family, My Freedom: Meanings of Schooling for Poor, Rural Chinese Youth

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Xiang, Xin

2018-01-01

In this article, Xin Xiang investigates what dushu, or "schooling," means for rural senior secondary school students in a high-poverty county in southwestern China. With the persistence of China's rural-urban education inequality and alarming reports about secondary school dropout rates, rural students' and their families' attitudes…

Rural influentials' perceptions of tourism and its potential for economic development: a qualitative study

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Steven W. Burr

1995-01-01

Rural residents' perceptions of tourism and its associated impacts are likely to be important in planning, development, marketing, and operation of existing and future tourism projects. This study examines rural influentials' perceptions of tourism as a tool for economic revitalization in Pennsylvania's rural counties, its present impact, and its...

Application of plate tectonics to the location of new mineral targets in the Appalachians. Progress report no. 3

International Nuclear Information System (INIS)

Kutina, J.

1979-01-01

This report is concerned with the application of plate tectonics to the location of new mineral targets in the U.S. It reviews analyses presented in previous reports which suggest that the basement of the Central and Eastern U.S. consists of large crustal blocks separated by major zones of tectonic weakness. The curvature of the Appalachian Fold Belt appears to be related to the east-west boundaries caused by subsiding and uplifting at these zones. A plot of epigenetic uranium occurrences reveals that they tend to cluster along the greater curvatures of the Appalachian orogeny. These findings have led to a systematic study of the regularities in the distribution of ore deposits in the Appalachians presented in this report. They include a description of geologic and geographic base maps, preparation of maps showing distribution of individual minerals, and regularities in the distribution of uranium in the Appalachians. Comments on the segmentation of the Appalachian orogeny by transverse lineaments are presented. The report contains seventeen maps of the eastern half of the U.S. showing specific mineral deposits in relation to geologic formations

GPM Ground Validation Southern Appalachian Rain Gauge IPHEx V1

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National Aeronautics and Space Administration — The GPM Ground Validation Southern Appalachian Rain Gauge IPHEx dataset was collected during the Integrated Precipitation and Hydrology Experiment (IPHEx) field...

Sawlog sizes: a comparison in two Appalachian areas

Science.gov (United States)

Curtis D. Goho; A. Jeff Martin

1973-01-01

Frequency distributions of log diameter and length were prepared for eight Appalachian hardwood species. Data obtained in Ohio, Kentucky, and Tennessee, were compared with information collected previously from West Virginia and New England. With the exception of red oak, significant regional differences were found.

Peers, stereotypes and health communication through the cultural lens of adolescent Appalachian mothers.

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Dalton, Elizabeth; Miller, Laura

2016-01-01

The purpose of this study was to understand how young Appalachian mothers retrospectively construct sexual and reproductive health communication events. Sixteen in-depth qualitative interviews were conducted with mothers between the ages of 18 and 22 from the South Central Appalachian region of the USA. Findings indicate that within this population, peer influence, stereotypes medical encounters and formal health education are experienced within a culture that exhibits tension between normalising and disparaging adolescent sexuality. Theoretical and applied implications acknowledge the role of Appalachian cultural values, including egalitarianism, traditional gender roles and fatalism, in understanding the social construction of young people's sexuality in this region. Practical implications for sexual education and the nature of communication in the healthcare setting can be applied to current education curricula and medical communication practices. We suggest that future programmes may be more effective if they are adapted to the specific culture within which they are taught.

The Retention of Hispanic/Latino Teachers in Southeastern Rural Elementary Schools

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Rodriguez, Oscar

2017-01-01

This qualitative study reviewed reasons so few Hispanic/Latino teachers remain employed with rural county public elementary schools. The study evaluated issues that present high retention and attrition concerns for Hispanic/Latino teachers in rural schools. In addition, the dissertation offered suggestions on ways to increase the representation of…

County-level cumulative environmental quality associated with cancer incidence.

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Jagai, Jyotsna S; Messer, Lynne C; Rappazzo, Kristen M; Gray, Christine L; Grabich, Shannon C; Lobdell, Danelle T

2017-08-01

Individual environmental exposures are associated with cancer development; however, environmental exposures occur simultaneously. The Environmental Quality Index (EQI) is a county-level measure of cumulative environmental exposures that occur in 5 domains. The EQI was linked to county-level annual age-adjusted cancer incidence rates from the Surveillance, Epidemiology, and End Results (SEER) Program state cancer profiles. All-site cancer and the top 3 site-specific cancers for male and female subjects were considered. Incident rate differences (IRDs; annual rate difference per 100,000 persons) and 95% confidence intervals (CIs) were estimated using fixed-slope, random intercept multilevel linear regression models. Associations were assessed with domain-specific indices and analyses were stratified by rural/urban status. Comparing the highest quintile/poorest environmental quality with the lowest quintile/best environmental quality for overall EQI, all-site county-level cancer incidence rate was positively associated with poor environmental quality overall (IRD, 38.55; 95% CI, 29.57-47.53) and for male (IRD, 32.60; 95% CI, 16.28-48.91) and female (IRD, 30.34; 95% CI, 20.47-40.21) subjects, indicating a potential increase in cancer incidence with decreasing environmental quality. Rural/urban stratified models demonstrated positive associations comparing the highest with the lowest quintiles for all strata, except the thinly populated/rural stratum and in the metropolitan/urbanized stratum. Prostate and breast cancer demonstrated the strongest positive associations with poor environmental quality. We observed strong positive associations between the EQI and all-site cancer incidence rates, and associations differed by rural/urban status and environmental domain. Research focusing on single environmental exposures in cancer development may not address the broader environmental context in which cancers develop, and future research should address cumulative environmental

Measuring rural homeowners' willingness to pay for land conservation easements

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Seong-Hoon Cho; David H. Newman; J. Michael Bowker

2005-01-01

Rapid growth of rural communities in the Blue Ridge Mountains of Macon County, North Carolina has been giving rise to concerns over declining environmental quality and increasing need for land-use policy. This paper examines willingness to pay (WTP) for hypothetical conservation easements as an alternative land-use policy for the county. Despite the fact that Macon...

Providing Cardiology Care in Rural Areas Through Visiting Consultant Clinics.

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Gruca, Thomas S; Pyo, Tae-Hyung; Nelson, Gregory C

2016-06-30

Workforce experts predict a future shortage of cardiologists that is expected to impact rural areas more severely than urban areas. However, there is little research on how rural patients are currently served through clinical outreach. This study examines the impact of cardiology outreach in Iowa, a state with a large rural population, on participating cardiologists and on patient access. Outreach clinics are tracked annually in the Office of Statewide Clinical Education Programs Visiting Medical Consultant Database (University of Iowa Carver College of Medicine). Data from 2014 were analyzed. In 2014, an estimated 5460 visiting consultant clinic days were provided in 96 predominantly rural cities by 167 cardiologists from Iowa and adjoining states. Forty-five percent of Iowa cardiologists participated in rural outreach. Visiting cardiologists from Iowa and adjoining states drive an estimated 45 000 miles per month. Because of monthly outreach clinics, the average driving time to the nearest cardiologist falls from 42.2±20.0 to 14.7±11.0 minutes for rural Iowans. Cardiology outreach improves geographic access to office-based cardiology care for more than 1 million Iowans out of a total population of 3 million. Direct travel costs and opportunity costs associated with physician travel are estimated to be more than $2.1 million per year. Cardiologists in Iowa and adjoining states have expanded access to office-based cardiology care from 18 to 89 of the 99 counties in Iowa. In these 71 counties without a full-time cardiologist, visiting consultant clinics can accommodate more than 50% of office visits in the patients' home county. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

Oak Regeneration Guidelines for the Central Appalachians

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Kim C. Steiner; James C. Finley; Peter J. Gould; Songlin Fei; Marc McDill

2008-01-01

This article presents the first explicit guidelines for regenerating oaks in the central Appalachians. The objectives of this paper are (1) to describe the research foundation on which the guidelines are based and (2) to provide users with the instructions, data collection forms, supplementary tables, and decision charts needed to apply the guidelines in the field. The...

The encyclopedia of southern Appalachian forest ecosystems: A prototype of an online scientific knowledge management system

Science.gov (United States)

Deborah K. Kennard; H. Michael Rauscher; Patricia A. Flebbe; Daniel L. Schmoldt; William G. Hubbard; J. Bryan Jordin; William Milnor

2003-01-01

The Encyclopedia of Southern Appalachian Forest Ecosystems (ESAFE), a hyperdocument-based encyclopedia system available on the Internet, provides an organized synthesis of existing research on the management and ecology of Southern Appalachian forests ecosystems. The encyclopedia is dynamic, so that new or revised content can be submitted directly through the Internet...

Do US metropolitan core counties have lower scope 1 and 2 CO2 emissions than less urbanized counties?

Science.gov (United States)

Tamayao, M. M.; Blackhurst, M. F.; Matthews, H. S.

2014-10-01

Recent sustainability research has focused on urban systems given their high share of environmental impacts and potential for centralized impact mitigation. Recent research emphasizes descriptive statistics from place-based case studies to argue for policy action. This limits the potential for general insights and decision support. Here, we implement generalized linear and multiple linear regression analyses to obtain more robust insights on the relationship between urbanization and greenhouse gas (GHG) emissions in the US We used consistently derived county-level scope 1 and scope 2 GHG inventories for our response variable while predictor variables included dummy-coded variables for county geographic type (central, outlying, and nonmetropolitan), median household income, population density, and climate indices (heating degree days (HDD) and cooling degree days (CDD)). We find that there is not enough statistical evidence indicating per capita scope 1 and 2 emissions differ by geographic type, ceteris paribus. These results are robust for different assumed electricity emissions factors. We do find statistically significant differences in per capita emissions by sector for different county types, with transportation and residential emissions highest in nonmetropolitan (rural) counties, transportation emissions lowest in central counties, and commercial sector emissions highest in central counties. These results indicate the importance of regional land use and transportation dynamics when planning local emissions mitigation measures.

Do US metropolitan core counties have lower scope 1 and 2 CO2 emissions than less urbanized counties?

International Nuclear Information System (INIS)

Tamayao, M M; Matthews, H S; Blackhurst, M F

2014-01-01

Recent sustainability research has focused on urban systems given their high share of environmental impacts and potential for centralized impact mitigation. Recent research emphasizes descriptive statistics from place-based case studies to argue for policy action. This limits the potential for general insights and decision support. Here, we implement generalized linear and multiple linear regression analyses to obtain more robust insights on the relationship between urbanization and greenhouse gas (GHG) emissions in the US We used consistently derived county-level scope 1 and scope 2 GHG inventories for our response variable while predictor variables included dummy-coded variables for county geographic type (central, outlying, and nonmetropolitan), median household income, population density, and climate indices (heating degree days (HDD) and cooling degree days (CDD)). We find that there is not enough statistical evidence indicating per capita scope 1 and 2 emissions differ by geographic type, ceteris paribus. These results are robust for different assumed electricity emissions factors. We do find statistically significant differences in per capita emissions by sector for different county types, with transportation and residential emissions highest in nonmetropolitan (rural) counties, transportation emissions lowest in central counties, and commercial sector emissions highest in central counties. These results indicate the importance of regional land use and transportation dynamics when planning local emissions mitigation measures. (letter)

PROPOSALS FOR CONSTRUCTION OF TOURIST IMAGE IN BOTOSANI COUNTY

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Maria-Simona Cuciureanu

2013-03-01

Full Text Available The article aims to highlight the main elements that make the tourism potential in Botosani County unique and the need to develop a touristic image of this area. The touristic potential of the rural areas is huge, but it is harnessed and exploited. We believe that through authenticity we can create an attractive territory for tourists. And that the existing potential of the rural tourism is an opportunity to improve the living standards, which should have three primary phases: identification, promotion and development. The study proposes the creation of several priority axes and an rural tourism brand, with the priority items identified.

Disparity in Breast Cancer Late Stage at Diagnosis in Missouri: Does Rural Versus Urban Residence Matter?

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Williams, Faustine; Thompson, Emmanuel

2016-06-01

Despite the fact that black women have a lower incidence of breast cancer compared to white women, black women experience higher death rates than any other group. We examined the stage of breast cancer presentation by race and geographic region using population-based breast cancer incidence in all 115 counties in the state of Missouri. We used 2003-2008 breast cancer incidence data from Missouri Cancer Registry and Research Center. County of residence was categorized as urban or rural using the rural-urban continuum code. We computed the conditional proportion of stage at diagnosis by race and metropolitan status and also used Pearson's chi-squared test with Yates' continuity correction to determine statistical significance of association. Results of the study indicate that a greater proportion of black women (38.8 %) compared to white women (30.2 %) were diagnosed with more advanced breast metastasis. Our results further suggest that stage at diagnosis depended on county of residence or metropolitan status (p = .04). Women living in non-metropolitan counties were slightly more likely to have late-stage breast cancer than their metropolitan counterparts (32.0 vs 30.7 %). Overall, black women had 1.5-fold increased odds of late-stage breast cancer diagnosis compared to their white counterparts (OR = 1.50; 95 % CI, 1.39, 1.63; p diagnosis among women living in non-metropolitan or rural counties was over 11 % higher compared with their metropolitan or urban counterpart. The current study corroborates previous findings that the risk of late-stage breast cancer diagnosis was higher among women residing in non-metropolitan rural counties.

Community Health Policy Assessment of a Rural Northeast Missouri County using the Centers for Disease Control and Prevention’s CHANGE Tool

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Mitch Stewart

2013-06-01

Full Text Available Background: In order to build a framework to address policy gaps and needs, community’s risk factors were identified and the extent to which current policies were in place to address the risk factors were compared. Methods: Face-to-face interviews, using the US Centers for Disease Con¬trol and Prevention’s CHANGE tool were conducted in a rural Northeast Missouri county possessing exceptionally high chronic disease rates to as¬sess the factor(s had the greatest influence on the rates in each sector of the community. Results: The Health Care Agency sector possessed the most factors cate¬gorized as environmental and policy assets, and the Community-at-Large and Business/Worksite sectors seemed to possess the least environmental and policy factors categorized as assets.Conclusions: Because organizational policies can strongly influence community health practices and behaviors, collaborative leadership from the Health Care Agency sector, comprehensive worksite health promotion programs in the Business/Worksite and Community In¬stitu¬tions/Organizations sectors, and tobacco-free school policies are recom¬mended. Multiple community sectors must work together to change not only behaviors but also environments in this county.

Executive summary: Chapter A.1 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

Science.gov (United States)

Ruppert, Leslie F.; Ryder, Robert T.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

Fossil fuels from the Appalachian basin region have been major contributors to the Nation’s energy needs over much of the last three centuries. Early records indicate that Appalachian coal was first mined in the middle 1700s (Virginia and Pennsylvania) and was used sparingly to fuel colonial settlements and, later, a fledgling industrial-based economy along the eastern seaboard of the United States (de Witt and Milici, 1989). In 2011, central Appalachian basin coal production accounted for approximately 77 percent of all U.S. metallurgical (or coking) coal and 29 percent of total U.S. production (U.S. Energy Information Administration, 2013). Following initial discoveries and commercial use in western New York (1821) and Ohio and West Virginia (mid-1830s), the Appalachian petroleum (oil and gas) industry began in earnest in 1859 with the discovery of oil at the Drake well in northwestern Pennsylvania. Between 1860 and 1989, the Appalachian basin produced more than 2.5 billion barrels of oil (BBO) and more than 30 trillion cubic feet of gas (TCFG) from more than 500,000 wells (de Witt and Milici, 1989). Although both oil and gas continue to be produced in the Appalachian basin, most new wells in the region are drilled in shale reservoirs to produce natural gas.

Intention for Healthy Eating among Southern Appalachian Teens

Science.gov (United States)

Wu, Tiejian; Snider, Jeromy Blake; Floyd, Michael R.; Florence, James E.; Stoots, James Michael; Makamey, Michael I.

2009-01-01

Objective: To describe the intention for healthy eating and its correlates among southern Appalachian teens. Methods: Four hundred sixteen adolescents 14 to 16 years old were surveyed with self-administered questionnaires. Results: About 30% of the adolescents surveyed had definite intentions to eat healthfully during the next 2 weeks. The scales…

Intentional injuries in young Ohio children: is there urban/rural variation?

Science.gov (United States)

Anderson, Brit L; Pomerantz, Wendy J; Gittelman, Michael A

2014-09-01

Intentional injuries are the third leading cause of death in children 1 year to 4 years of age. The epidemiology of these injuries based on urban/rural geography and economic variables has not been clearly established. The study purposes are (1) to determine the rate of severe intentional injuries in children younger than 5 years in urban versus rural Ohio counties and (2) to determine if poverty within counties is associated with intentional injury rate. Demographic and injury data on children younger than 5 years who experienced intentional injuries, from January 1, 2003, to December 31, 2011, were extracted retrospectively from the Ohio Trauma Acute Care Registry. We calculated injury rates using the county of residence and US census data. We assigned each county to an urbanization level based on population density (A, most urban; D, most rural). Mean income and percentage of families with children younger than 5 years living below poverty in Ohio counties were obtained from the US census. Rates are per 100,000 children younger than 5 years per year. A total of 984 patients were included; the overall injury rate was 15.9. The mean age was 0.66 years (SD, 1.02 years); 583 (59.2%) were male and 655 (66.6%) were white. One hundred twenty-nine (13.1%) died. Injury rates by urbanization level were as follows: A, 16.5; B, 10.7; C, 18.7; and D, 15.2 (p = 0.285). There were significant associations between county injury rate and mean income (p = 0.05) and percentage of families with children younger than 5 years living below poverty (p = 0.04). We found no association between intentional injury rate and urbanization level in young Ohio children. However, we did find an association between county mean income and percentage of families living below poverty, with intentional injury rate suggesting that financial hardship may be an important risk factor of these injuries.

Population aging and migrant workers: bottlenecks in tuberculosis control in rural China.

Science.gov (United States)

Bele, Sumedh; Jiang, Wei; Lu, Hui; You, Hua; Fan, Hong; Huang, Lifang; Wang, Qungang; Shen, Hongbing; Wang, Jianming

2014-01-01

Tuberculosis is a serious global health problem. Its paradigms are shifting through time, especially in rapidly developing countries such as China. Health providers in China are at the forefront of the battle against tuberculosis; however, there are few empirical studies on health providers' perspectives on the challenges they face in tuberculosis control at the county level in China. This study was conducted among health providers to explore their experiences with tuberculosis control in order to identify bottlenecks and emerging challenges in controlling tuberculosis in rural China. A qualitative approach was used. Semi-structured, in-depth interviews were conducted with 17 health providers working in various positions within the health system of one rural county (ZJG) of China. Data were analyzed based on thematic content analysis using MAXQDA 10 qualitative data analysis software. Health providers reported several problems in tuberculosis control in ZJG county. Migrant workers and the elderly were repeatedly documented as the main obstacles in effective tuberculosis control in the county. At a personal level, doctors showed their frustration with the lack of new drugs for treating tuberculosis patients, and their opinions varied regarding incentives for referring patients. The results suggest that several problems still remain for controlling tuberculosis in rural China. Tuberculosis control efforts need to make reaching the most vulnerable populations a priority and encourage local health providers to adopt innovative practices in the local context based on national guidelines to achieve the best results. Considerable changes in China's National Tuberculosis Control Program are needed to tackle these emerging challenges faced by health workers at the county level.

Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location – Sublette County, Wyoming, 2008–2011

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Pride, Kerry R., E-mail: hgp3@cdc.gov [Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA (United States); Wyoming Department of Health, 6101 Yellowstone Road, Suite 510, Cheyenne, WY 82002 (United States); Peel, Jennifer L. [Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO 80523 (United States); Robinson, Byron F. [Scientific Education and Professional Development Program Office, Office of Surveillance, Epidemiology and Laboratory Services, Centers for Disease Control and Prevention, 1600 Clifton Rd, NE, E-92, Atlanta, GA 30333 (United States); Busacker, Ashley [Field Support Branch, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Wyoming Department of Health, 6101 Yellowstone Road, Suite 510, Cheyenne, WY 82002 (United States); Grandpre, Joseph [Chronic Disease Epidemiologist, Wyoming Department of Health, 6101 Yellowstone Road, Suite 510, Cheyenne, WY 82002 (United States); Bisgard, Kristine M. [Scientific Education and Professional Development Program Office, Office of Surveillance, Epidemiology and Laboratory Services, Centers for Disease Control and Prevention, 600 Clifton Road, NE, E-92, Atlanta, GA 30333 (United States); Yip, Fuyuen Y. [Air Pollution and Respiratory Disease Branch, Centers for Disease Control and Prevention, 600 Clifton Rd, NE, E-92, Atlanta, GA 30333 (United States); Murphy, Tracy D. [Wyoming Department of Health, 101 Yellowstone Road, Suite 510, Cheyenne, WY 82002 (United States)

2015-02-15

Objective: Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008–2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Methods: Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008–December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0–3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. Results: The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47±8 ppb. The unconstrained distributed lag of 0–3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990–1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994–1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. Conclusions: The results demonstrate an association of increasing ground

Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location – Sublette County, Wyoming, 2008–2011

International Nuclear Information System (INIS)

Pride, Kerry R.; Peel, Jennifer L.; Robinson, Byron F.; Busacker, Ashley; Grandpre, Joseph; Bisgard, Kristine M.; Yip, Fuyuen Y.; Murphy, Tracy D.

2015-01-01

Objective: Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008–2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Methods: Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008–December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0–3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. Results: The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47±8 ppb. The unconstrained distributed lag of 0–3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990–1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994–1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. Conclusions: The results demonstrate an association of increasing ground

Strengthening rural Latinos' civic engagement for health: The Voceros de Salud project.

Science.gov (United States)

López-Cevallos, Daniel; Dierwechter, Tatiana; Volkmann, Kelly; Patton-López, Megan

2013-11-01

This article describes the Latino Health Ambassadors Network (Voceros de Salud ) project created to support and mobilize Latino community leaders to address health inequalities in a rural Oregon county. Voceros de Salud is discussed as a model that other rural communities may implement towards strengthening Latino civic engagement for health.

Treatment of early-stage prostate cancer among rural and urban patients.

Science.gov (United States)

Baldwin, Laura-Mae; Andrilla, C Holly A; Porter, Michael P; Rosenblatt, Roger A; Patel, Shilpen; Doescher, Mark P

2013-08-15

Geographic barriers and limited availability of cancer specialists may influence early prostate cancer treatment options for rural men. This study compares receipt of different early prostate cancer treatments between rural and urban patients. Using 2004-2006 SEER Limited-Use Data, 51,982 early prostate cancer patients were identified (T1c, T2a, T2b, T2c, T2NOS; no metastases) who were most likely to benefit from definitive treatment (rural-urban residence overall, and for different sociodemographic and cancer characteristics, and different states based on logistic regression analyses, using general estimating equation methods to account for clustering by county. Adjusted definitive treatment rates were lower for rural (83.7%) than urban (87.1%) patients with early-stage prostate cancer (P ≤ .01). Rural men were more likely than urban men to receive non-definitive surgical treatment and no initial treatment. The lowest definitive treatment rates were among rural subgroups: 70 to 74 years (73.9%), African Americans (75.6%), American Indians/Alaska Natives (77.8%), single/separated/divorced (76.8%), living in New Mexico (69.3%), and living in counties with persistent poverty (79.6%). Between 2004 and 2006, this adjusted analysis found that men who were living in rural areas were less likely to receive definitive treatment for their early-stage prostate cancer than those living in urban areas. Certain rural patient groups with prostate cancer need particular attention to ensure their access to appropriate treatment. Rural providers, rural health care systems, and cancer advocacy and support organizations should ensure resources are in place so that the most vulnerable rural groups (men between 60 and 74 years of age; African American men; men who are single, separated, or divorced; and men living in rural New Mexico) can make informed prostate cancer treatment choices based on their preferences. Copyright © 2013 American Cancer Society.

Northern long-eared bat day-roosting and prescribed fire in the central Appalachians

Science.gov (United States)

Ford, W. Mark; Silvis, Alexander; Johnson, Joshua B.; Edwards, John W.; Karp, Milu

2016-01-01

The northern long-eared bat (Myotis septentrionalis Trovessart) is a cavity-roosting species that forages in cluttered upland and riparian forests throughout the oak-dominated Appalachian and Central Hardwoods regions. Common prior to white-nose syndrome, the population of this bat species has declined to functional extirpation in some regions in the Northeast and Mid-Atlantic, including portions of the central Appalachians. Our long-term research in the central Appalachians has shown that maternity colonies of this species form non-random assorting networks in patches of suitable trees that result from long- and short-term forest disturbance processes, and that roost loss can occur with these disturbances. Following two consecutive prescribed burns on the Fernow Experimental Forest in the central Appalachians, West Virginia, USA, in 2007 to 2008, post-fire counts of suitable black locust (Robinia pseudoacacia L.; the most selected species for roosting) slightly decreased by 2012. Conversely, post-fire numbers of suitable maple (Acer spp. L.), primarily red maple (Acer rubrum L.), increased by a factor of three, thereby ameliorating black locust reduction. Maternity colony network metrics such as roost degree (use) and network density for two networks in the burned compartment were similar to the single network observed in unburned forest. However, roost clustering and degree of roost centralization was greater for the networks in the burned forest area. Accordingly, the short-term effects of prescribed fire are slightly or moderately positive in impact to day-roost habitat for the northern long-eared bat in the central Appalachians from a social dynamic perspective. Listing of northern long-eared bats as federally threatened will bring increased scrutiny of immediate fire impacts from direct take as well as indirect impacts from long-term changes to roosting and foraging habitat in stands being returned to historic fire-return conditions. Unfortunately, definitive

Home health care agency staffing patterns before and after the Balanced Budget Act of 1997, by rural and urban location.

Science.gov (United States)

McAuley, William J; Spector, William; Van Nostrand, Joan

2008-01-01

The Balanced Budget Act (BBA) of 1997 and other recent policies have led to reduced Medicare funding for home health agencies (HHAs) and visits per beneficiary. We examine the staffing characteristics of stable Medicare-certified HHAs across rural and urban counties from 1996 to 2002, a period encompassing the changes associated with the BBA and related policies. Data were drawn from Medicare Provider of Service files and the Area Resource File. The unit of analysis was the 3,126 counties in the United States, grouped into 5 categories: metropolitan, nonmetropolitan adjacent, and 3 nonmetropolitan nonadjacent groups identified by largest town size. Only relatively stable HHAs were included. We generated summary HHA staff statistics for each county group and year. All staff categories, other than therapists, declined from 1997 to 2002 across the metropolitan and nonmetropolitan county groupings. There were substantial population-adjusted decreases in stable HHA-based home health aides in all counties, including remote counties. The limited presence of stable HHA staff in certain nonmetropolitan county types has been exacerbated since implementation of the BBA, especially in the most rural counties. The loss of aides in more rural counties may limit the availability of home-based long-term care in these locations, where the need for long-term care is considerable. Future research should examine the degree to which the presence of HHA staff influences actual access and whether other paid and unpaid sources of care substitute for Medicare home health care in counties with limited supplies of HHA staff.

The Transportation of Convicts from County Tipperary to Australia 1836-1853

OpenAIRE

Butler, Patrick

2005-01-01

The aims and objectives of this work are to consider the socio-economic conditions prevailing in county Tipperary during the period in question. The affects on those residing within the county, both rural and urban, and to try and understand how socioeconomic conditions had such an influence in the perpetration of crime and the resulting cases of transportation. The investigation of why, when and how convicts were transported to Australia from the late eighteenth up to the midd...

Local bureaucrats as bricoleurs. The everyday implementation practices of county environment officers in rural Kenya

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Mikkel Funder

2015-03-01

Full Text Available Bricolage in natural resource governance takes place through the interplay of a variety of actors. This article explores the practices of a group whose agency as bricoleurs has received little attention, namely the government officers who represent the state in the everyday management of water, land, forests and other resources across rural Africa. Specifically we examine how local Environment Officers in Taita Taveta County in Kenya go about implementing the national environmental law on the ground, and how they interact with communities in this process. As representatives of “the local state”, the Environment Officers occupy an ambiguous position in which they are expected to implement lofty laws and policies with limited means and in a complex local reality. In response to this they employ three key practices, namely (i working through personal networks, (ii tailoring informal agreements, and (iii delegating public functions and authority to civil society. As a result, the environmental law is to a large extent implemented through a blend of formal and informal rules and governance arrangements, produced through the interplay of the Environment Officers, communities and other local actors.

Rural and Urban Differences in Air Quality, 2008-2012, and Community Drinking Water Quality, 2010-2015 - United States.

Science.gov (United States)

Strosnider, Heather; Kennedy, Caitlin; Monti, Michele; Yip, Fuyuen

2017-06-23

The places in which persons live, work, and play can contribute to the development of adverse health outcomes. Understanding the differences in risk factors in various environments can help to explain differences in the occurrence of these outcomes and can be used to develop public health programs, interventions, and policies. Efforts to characterize urban and rural differences have largely focused on social and demographic characteristics. A paucity of national standardized environmental data has hindered efforts to characterize differences in the physical aspects of urban and rural areas, such as air and water quality. 2008-2012 for air quality and 2010-2015 for water quality. Since 2002, CDC's National Environmental Public Health Tracking Program has collaborated with federal, state, and local partners to gather standardized environmental data by creating national data standards, collecting available data, and disseminating data to be used in developing public health actions. The National Environmental Public Health Tracking Network (i.e., the tracking network) collects data provided by national, state, and local partners and includes 21 health outcomes, exposures, and environmental hazards. To assess environmental factors that affect health, CDC analyzed three air-quality measures from the tracking network for all counties in the contiguous United States during 2008-2012 and one water-quality measure for 26 states during 2010-2015. The three air-quality measures include 1) total number of days with fine particulate matter (PM 2.5 ) levels greater than the U.S. Environmental Protection Agency's (EPA's) National Ambient Air Quality Standards (NAAQS) for 24-hour average PM 2.5 (PM 2.5 days); 2) mean annual average ambient concentrations of PM 2.5 in micrograms per cubic meter (mean PM 2.5 ); and 3) total number of days with maximum 8-hour average ozone concentrations greater than the NAAQS (ozone days). The water-quality measure compared the annual mean

Assessment of Appalachian basin oil and gas resources: Carboniferous Coal-bed Gas Total Petroleum System: Chapter G.1 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

Science.gov (United States)

Milici, Robert C.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

The Carboniferous Coal-bed Gas Total Petroleum System, which lies within the central and southern Appalachian basin, consists of the following five assessment units (AUs): (1) the Pocahontas Basin AU in southern West Virginia, eastern Kentucky, and southwestern Virginia; (2) the Central Appalachian Shelf AU in Tennessee, eastern Kentucky, and southern West Virginia; (3) the East Dunkard (Folded) AU in western Pennsylvania and northern West Virginia; (4) the West Dunkard (Unfolded) AU in Ohio and adjacent parts of Pennsylvania and West Virginia; and (5) the Appalachian Anthracite and Semi-Anthracite AU in Pennsylvania and Virginia. Only two of these assessment units were assessed quantitatively by the U.S. Geological Survey (USGS) in the National Oil and Gas Assessment in 2002. The USGS estimated the Pocahontas Basin AU and the East Dunkard (Folded) AU to contain a mean of about 3.6 and 4.8 trillion cubic feet (TCF) of undiscovered, technically recoverable gas, respectively.

A logging residue "yield" table for Appalachian hardwoods

Science.gov (United States)

A. Jeff Martin

1976-01-01

An equation for predicting logging-residue volume per acre for Appalachian hardwoods was developed from data collected on 20 timber sales in national forests in West Virginia and Virginia. The independent variables of type-of-cut, products removed, basal area per acre, and stand age explained 95 percent of the variation in residue volume per acre. A "yield"...

Correlation of Crustal Structures and Seismicity Patterns in Northern Appalachians

Science.gov (United States)

Yang, X.; Gao, H.

2017-12-01

The earthquake distributions in northern Appalachians are bounded by major geologically-defined terrane boundaries. There is a distinct seismic gap within Taconic Belt between the Western Quebec Seismic Zone (WQSZ) to the west and the seismically active Ganderia terrane to the east. It is not clear, however, what crustal structures control the characteristics of earthquake clustering in this region. Here we present a newly constructed crustal shear velocity model for the northern Appalachians using Rayleigh wave data extracted from ambient noises. Our tomographic model reveals strongly heterogeneous seismic structures in the crust. We observe multiple NW-dipping patches of high-velocity anomalies in the upper crust beneath the southeastern WQSZ. The upper crust shear velocities in the Ganderia and Avalonia region are generally lower than those beneath the WQSZ. The middle crust has relatively lower velocities in the study area. The earthquakes in the study area are constrained within the upper crust. Most of the earthquake hypocenters within the WQSZ are concentrated along the NW-dipping boundaries separating the high-velocity anomalies. In contrast, most of the earthquake hypocenters in the Ganderia and Avalonia region are diffusely distributed without clear vertical lineaments. The orientations of maximum compressive stresses change from W-E in the Ganderia and Avalonia region to SW-NE in the WQSZ. The contrasts in seismicity, velocity, and stress field across the Taconic Belt indicate that the Taconic Belt terrane may act as a seismically inactive buffer zone in northern Appalachians.

Struggles for Educational Equity in Prince Edward County, VA: Resistance, Southern Manifesto Ideologies, and School Choice

Science.gov (United States)

Tillerson-Brown, Amy

2016-01-01

In light of contemporary school choice proposals and the 60th anniversary of the Southern Manifesto, the Prince Edward County, Virginia public schools crisis provides interesting historical discussion. Prince Edward County (PEC), a rural community in central Virginia, was one of five school districts represented in the 1954 "Brown v. Board of…

Population aging and migrant workers: bottlenecks in tuberculosis control in rural China.

Directory of Open Access Journals (Sweden)

Sumedh Bele

Full Text Available BACKGROUND: Tuberculosis is a serious global health problem. Its paradigms are shifting through time, especially in rapidly developing countries such as China. Health providers in China are at the forefront of the battle against tuberculosis; however, there are few empirical studies on health providers' perspectives on the challenges they face in tuberculosis control at the county level in China. This study was conducted among health providers to explore their experiences with tuberculosis control in order to identify bottlenecks and emerging challenges in controlling tuberculosis in rural China. METHODS: A qualitative approach was used. Semi-structured, in-depth interviews were conducted with 17 health providers working in various positions within the health system of one rural county (ZJG of China. Data were analyzed based on thematic content analysis using MAXQDA 10 qualitative data analysis software. RESULTS: Health providers reported several problems in tuberculosis control in ZJG county. Migrant workers and the elderly were repeatedly documented as the main obstacles in effective tuberculosis control in the county. At a personal level, doctors showed their frustration with the lack of new drugs for treating tuberculosis patients, and their opinions varied regarding incentives for referring patients. CONCLUSION: The results suggest that several problems still remain for controlling tuberculosis in rural China. Tuberculosis control efforts need to make reaching the most vulnerable populations a priority and encourage local health providers to adopt innovative practices in the local context based on national guidelines to achieve the best results. Considerable changes in China's National Tuberculosis Control Program are needed to tackle these emerging challenges faced by health workers at the county level.

Comal County, Texas: Preparing for Life after High School

Science.gov (United States)

Walter, Frank

2018-01-01

Comal County, Texas, may be rural but its students face many of the same challenges as students in urban districts. Communities In Schools of South Central Texas works with the local school district to identify student needs and provide critical supports to help young people prepare for life after high school.

Stratigraphic framework of Cambrian and Ordovician rocks in the central Appalachian Basin from Medina County, Ohio, through southwestern and south-central Pennsylvania to Hampshire County, West Virginia

Science.gov (United States)

Ryder, Robert T.; Harris, Anita G.; Repetski, John E.; revised and digitized by Crangle, Robert D.

2003-01-01

A 275-mi-long restored stratigraphic cross section from Medina County, Ohio, through southwestern and south-central Pennsylvania to Hampshire County, W. Va., provides new details on Cambrian and Ordovician stratigraphy in the central Appalachian basin and the structure of underlying Precambrian basement rocks. From west to east, the major structural elements of the block-faulted basement in this section are (1) the relatively stable, slightly extended craton, which includes the Wooster arch, (2) the fault-controlled Ohio-West Virginia hinge zone, which separates the craton from the adjoining Rome trough, (3) the Rome trough, which consists of an east-facing asymmetric graben and an overlying sag basin, and (4) a positive fault block, named here the South-central Pennsylvania arch, which borders the eastern margin of the graben part of the Rome trough. Pre-Middle Ordovician structural relief on Precambrian basement rocks across the down-to-the-west normal fault that separates the Rome trough and the adjoining South-central Pennsylvania arch amounted to between 6,000 and 7,000 ft. The restored cross section shows eastward thickening of the Cambrian and Ordovician sequence from about 3,000 ft near the crest of the Wooster arch at the western end of the section to about 5,150 ft at the Ohio-West Virginia hinge zone adjoining the western margin of the Rome trough to about 19,800 ft near the depositional axis of the Rome trough. East of the Rome trough, at the adjoining western edge of the South-central Pennsylvania arch, the Cambrian and Ordovician sequence thins abruptly to about 13,500 ft and then thins gradually eastward across the arch to about 12,700 ft near the Allegheny structural front and to about 10,150 ft at the eastern end of the restored section. In general, the Cambrian and Ordovician sequence along this section consists of four major lithofacies that are predominantly shallow marine to peritidal in origin. In ascending stratigraphic order, the lithofacies

Cultural perspectives concerning adolescent use of tobacco and alcohol in the Appalachian mountain region.

Science.gov (United States)

Meyer, Michael G; Toborg, Mary A; Denham, Sharon A; Mande, Mary J

2008-01-01

Appalachia has high rates of tobacco use and related health problems, and despite significant impediments to alcohol use, alcohol abuse is common. Adolescents are exposed to sophisticated tobacco and alcohol advertising. Prevention messages, therefore, should reflect research concerning culturally influenced attitudes toward tobacco and alcohol use. With 4 grants from the National Institutes of Health, 34 focus groups occurred between 1999 and 2003 in 17 rural Appalachian jurisdictions in 7 states. These jurisdictions ranged between 4 and 8 on the Rural-Urban Continuum Codes of the Economic Research Service of the US Department of Agriculture. Of the focus groups, 25 sought the perspectives of women in Appalachia, and 9, opinions of adolescents. The family represented the key context where residents of Appalachia learn about tobacco and alcohol use. Experimentation with tobacco and alcohol frequently commenced by early adolescence and initially occurred in the context of the family home. Reasons to abstain from tobacco and alcohol included a variety of reasons related to family circumstances. Adults generally displayed a greater degree of tolerance for adolescent alcohol use than tobacco use. Tobacco growing represents an economic mainstay in many communities, a fact that contributes to the acceptance of its use, and many coal miners use smokeless tobacco since they cannot light up in the mines. The production and distribution of homemade alcohol was not a significant issue in alcohol use in the mountains even though it appeared not to have entirely disappeared. Though cultural factors support tobacco and alcohol use in Appalachia, risk awareness is common. Messages tailored to cultural themes may decrease prevalence.

Perceptions of Global Warming Among the Poorest Counties in the Southeastern United States.

Science.gov (United States)

Kearney, Gregory D; Bell, Ronny A

2018-03-07

The geographic position and high level of poverty in the southeastern United States are significant risk factors that contribute to the region's high vulnerability to climate change. The goal of this study was to evaluate beliefs and perceptions of global warming among those living in poverty in the poorest counties in the southeastern United States. Results from this project may be used to support public health efforts to increase climate-related messaging to vulnerable and underserved communities. This was an ecological study that analyzed public opinion poll estimates from previously gathered national level survey data (2016). Responses to 5 questions related to beliefs, attitudes, and perceptions of global warming were evaluated. Counties below the national average poverty level (13.5%) were identified among 11 southeastern US states (Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Michigan, North Carolina, South Carolina, Tennessee, Virginia). Student t tests were used to compare public perceptions of global warming among the poorest urban and rural counties with national-level public opinion estimates. Overall, counties below the national poverty level in the southeastern US were significantly less likely to believe that global warming was happening compared with national-level estimates. The poorest rural counties were less likely to believe that global warming was happening than the poorest urban counties. Health care providers and public health leaders at regional and local levels are in ideal positions to raise awareness and advocate the health implications of climate change to decision makers for the benefit of helping underserved communities mitigate and adequately adapt to climate-related threats.

The financial impact of the 'zero-markup policy for essential drugs' on patients in county hospitals in western rural China.

Science.gov (United States)

Zhou, Zhongliang; Su, Yanfang; Campbell, Benjamin; Zhou, Zhiying; Gao, Jianmin; Yu, Qiang; Chen, Jiuhao; Pan, Yishan

2015-01-01

With a quasi-experimental design, this study aims to assess whether the Zero-markup Policy for Essential Drugs (ZPED) reduces the medical expense for patients at county hospitals, the major healthcare provider in rural China. Data from Ningshan county hospital and Zhenping county hospital, China, include 2014 outpatient records and 9239 inpatient records. Quantitative methods are employed to evaluate ZPED. Both hospital-data difference-in-differences and individual-data regressions are applied to analyze the data from inpatient and outpatient departments. In absolute terms, the total expense per visit reduced by 19.02 CNY (3.12 USD) for outpatient services and 399.6 CNY (65.60 USD) for inpatient services. In relative terms, the expense per visit was reduced by 11% for both outpatient and inpatient services. Due to the reduction of inpatient expense, the estimated reduction of outpatient visits is 2% among the general population and 3.39% among users of outpatient services. The drug expense per visit dropped by 27.20 CNY (4.47 USD) for outpatient services and 278.7 CNY (45.75 USD) for inpatient services. The proportion of drug expense out of total expense per visit dropped by 11.73 percentage points in outpatient visits and by 3.92 percentage points in inpatient visits. Implementation of ZPED is a benefit for patients in both absolute and relative terms. The absolute monetary reduction of the per-visit inpatient expense is 20 times of that in outpatient care. According to cross-price elasticity, the substitution between inpatient and outpatient due to the change in inpatient price is small. Furthermore, given that the relative reductions are the same for outpatient and inpatient visits, according to relative thinking theory, the incentive to utilize outpatient or inpatient care attributed to ZPED is equivalent, regardless of the 20-times price difference in absolute terms.

The financial impact of the 'zero-markup policy for essential drugs' on patients in county hospitals in western rural China.

Directory of Open Access Journals (Sweden)

Zhongliang Zhou

Full Text Available With a quasi-experimental design, this study aims to assess whether the Zero-markup Policy for Essential Drugs (ZPED reduces the medical expense for patients at county hospitals, the major healthcare provider in rural China.Data from Ningshan county hospital and Zhenping county hospital, China, include 2014 outpatient records and 9239 inpatient records. Quantitative methods are employed to evaluate ZPED. Both hospital-data difference-in-differences and individual-data regressions are applied to analyze the data from inpatient and outpatient departments.In absolute terms, the total expense per visit reduced by 19.02 CNY (3.12 USD for outpatient services and 399.6 CNY (65.60 USD for inpatient services. In relative terms, the expense per visit was reduced by 11% for both outpatient and inpatient services. Due to the reduction of inpatient expense, the estimated reduction of outpatient visits is 2% among the general population and 3.39% among users of outpatient services. The drug expense per visit dropped by 27.20 CNY (4.47 USD for outpatient services and 278.7 CNY (45.75 USD for inpatient services. The proportion of drug expense out of total expense per visit dropped by 11.73 percentage points in outpatient visits and by 3.92 percentage points in inpatient visits.Implementation of ZPED is a benefit for patients in both absolute and relative terms. The absolute monetary reduction of the per-visit inpatient expense is 20 times of that in outpatient care. According to cross-price elasticity, the substitution between inpatient and outpatient due to the change in inpatient price is small. Furthermore, given that the relative reductions are the same for outpatient and inpatient visits, according to relative thinking theory, the incentive to utilize outpatient or inpatient care attributed to ZPED is equivalent, regardless of the 20-times price difference in absolute terms.

The role of catastrophic geomorphic events in central Appalachian landscape evolution

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Jacobson, R.B.; Miller, A.J.; Smith, J.A.

1989-01-01

Catastrophic geomorphic events are taken as those that are large, sudden, and rare on human timescales. In the nonglaciated, low-seismicity central Appalachians, these are dominantly floods and landslides. Evaluation of the role of catastrophic events in landscape evolution includes assessment of their contributions to denudation and formation of prominent landscape features, and how they vary through space and time. Tropical storm paths and topographic barriers at the Blue Ridge and Allegheny Front create significant climatic variability across the Appalachians. For moderate floods, the influence of basin geology is apparent in modifying severity of flooding, but for the most extreme events, flood discharges relate mainly to rainfall characteristics such as intensity, duration, storm size, and location. Landslide susceptibility relates more directly to geologic controls that determine what intensity and duration of rainfall will trigger slope instability. Large floods and landslides are not necessarily effective in producing prominent geomorphic features. Large historic floods in the Piedmont have been minimally effective in producing prominent and persistent geomorphic features. In contrast, smaller floods in the Valley and Ridge produced erosional and depositional features that probably will require thousands of years to efface. Scars and deposits of debris slide-avalanches triggered on sandstone ridges recover slowly and persist much longer than scars and deposits of smaller landslides triggered on finer-grained regolith, even though the smaller landslides may have eroded greater aggregate volume. The surficial stratigraphic record can be used to extend the spatial and temporal limits of our knowledge of catastrophic events. Many prominent alluvial and colluvial landforms in the central Appalachians are composed of sediments that were deposited by processes similar to those observed in historic catastrophic events. Available stratigraphic evidence shows two

Farmers’ market use is associated with fruit and vegetable consumption in diverse southern rural communities

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2014-01-01

Background While farmers’ markets are a potential strategy to increase access to fruits and vegetables in rural areas, more information is needed regarding use of farmers’ markets among rural residents. Thus, this study’s purpose was to examine (1) socio-demographic characteristics of participants; (2) barriers and facilitators to farmers’ market shopping in southern rural communities; and (3) associations between farmers’ market use with fruit and vegetable consumption and body mass index (BMI). Methods Cross-sectional surveys were conducted with a purposive sample of farmers’ market customers and a representative sample of primary household food shoppers in eastern North Carolina (NC) and the Appalachian region of Kentucky (KY). Customers were interviewed using an intercept survey instrument at farmers’ markets. Representative samples of primary food shoppers were identified via random digit dial (RDD) cellular phone and landline methods in counties that had at least one farmers’ market. All questionnaires assessed socio-demographic characteristics, food shopping patterns, barriers to and facilitators of farmers’ market shopping, fruit and vegetable consumption and self-reported height and weight. The main outcome measures were fruit and vegetable consumption and BMI. Descriptive statistics were used to examine socio-demographic characteristics, food shopping patterns, and barriers and facilitators to farmers’ market shopping. Linear regression analyses were used to examine associations between farmers’ market use with fruit and vegetable consumption and BMI, controlling for age, race, education, and gender. Results Among farmers’ market customers, 44% and 55% (NC and KY customers, respectively) reported shopping at a farmers’ market at least weekly, compared to 16% and 18% of NC and KY RDD respondents. Frequently reported barriers to farmers’ market shopping were market days and hours, “only come when I need something”, extreme

Childhood obesity prevention in rural settings: background, rationale, and study design of ‘4-Health,’ a parent-only intervention

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Lynch Wesley C

2012-04-01

Full Text Available Abstract Background Childhood obesity in rural communities is a serious but understudied problem. The current experiment aims to assess a wide range of obesity risk factors among rural youth and to offer an 8-month intervention program for parents to reduce obesity risk in their preteen child. Methods/Design A two-group, repeated measures design is used to assess the effectiveness of the 4-Health intervention program. Assessments include anthropometric measures, child self-evaluations, parent self-evaluations, and parent evaluations of child. County Extension agents from 21 rural Montana counties recruit approximately 150 parent–child dyads and counties are semi-randomly assigned to the active intervention group (4-Health Educational Program or a “best-practices” (Healthy Living Information control group. Discussion This study will shed light on the effectiveness of this parent-only intervention strategy in reducing obesity risk factors among rural preteens. The 4-Health program is designed to provide information and skills development for busy rural parents that will increase healthy lifestyles of their preteen children and improve the parents’ ability to intervene effectively in the lives of their families during this critical developmental period. Trial registration ClinicalTrials.gov ID: NCT01510587

Leaders' Perspectives on Rural Tourism: Case Studies in Pennsylvania.

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Bourke, Lisa; Luloff, A. E.

1995-01-01

Data from nearly 50 community leaders in 4 nonmetropolitan Pennsylvania counties show that both positive and negative impacts from tourism development were expected; local support was essential. Some feared that tourism was a threat to the rural atmosphere. (SK)

Rural-Urban Differences in Late-Stage Breast Cancer: Do Associations Differ by Rural-Urban Classification System?

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Pruitt, Sandi L; Eberth, Jan M; Morris, E Scott; Grinsfelder, David B; Cuate, Erica L

2016-01-01

Introduction Rural residence is associated with later stage of breast cancer diagnosis in some but not all prior studies. The lack of a standardized definition of rural residence may contribute to these mixed findings. We characterize and compare multiple definitions of rural vs. non-rural residence to provide guidance regarding choice of measures and to further elucidate rural disparities in breast cancer stage at diagnosis. Methods We used Texas Cancer Registry data of 120,738 female breast cancer patients ≥50 years old diagnosed between 1995–2009. We defined rural vs. non-rural residence using 7 different measures and examined their agreement using Kappa statistics. Measures were defined at various geographic levels: county, ZIP code, census tract, and census block group. Late-stage was defined as regional or distant disease. For each measure, we tested the association of rural residence and late-stage cancer with unadjusted and adjusted logistic regression. Covariates included: age; patient race/ethnicity; diagnosis year; census block group-level mammography capacity; and census tract-level percent poverty, percent Hispanic, and percent Black. Results We found moderate to high levels of agreement between measures of rural vs. non-rural residence. For 72.9% of all patients, all 7 definitions agreed as to rural vs. non-rural residence. Overall, 6 of 7 definitions demonstrated an adverse association between rural residence and late-stage disease in unadjusted and adjusted models (Adjusted OR Range = 1.09–1.14). Discussion Our results document a clear rural disadvantage in late-stage breast cancer. We contribute to the heterogeneous literature by comparing varied measures of rural residence. We recommend use of the census tract-level Rural Urban Commuting Area Codes in future cancer outcomes research where small area data are available. PMID:27158685

THE BUSINESS ENVIRONMENT AND THE CURRENT LEVEL IN EDUCATIONAL FORMATION FOR OLT COUNTY AGRICULTURE

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Emil MARINESCU

2013-10-01

Full Text Available The work seeks to underscore its correlative aspect of business initiatives and labor force training from Olt County rural areas. The high schools and alumni structure analysis for the agricultural and veterinary profile of Olt County, shows a variation in the number of agricultural high schools, but an annual discrepancy between the students enrolled number and the graduates number. Simultaneously, from the holdings dimension analysis, it can be seen the accented character of a subsistence agriculture. In the analysis performed it may also be indicated the farming business manifestation / rural areas. Through all these, it can be synthesized the fact that business development in agriculture is related to the need to monitor the total business entrepreneurs evolution, along with their training level.

North America as an exotic terrane'' and the origin of the Appalachian--Andean Mountain system

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Dalziel, I.W.D; Gahagan, L.M. (Univ. of Texas, Austin, TX (United States). Inst. for Geophysics); Dalla Salda, L.H. (Univ. Nacional de La Plata, La Plata (Argentina). Centro de Investigaciones Geologicas)

1992-01-01

North America was sutured to Gondwana in the terminal Alleghanian event of Appalachian orogenesis, thus completing the late Paleozoic assembly of Pangea. The suggestion that the Pacific margins of East Antarctica-Australia and Laurentia may have been juxtaposed during the Neoproterozoic prompts reevaluation of the widely held assumptions that the ancestral Appalachian margin rifted from northwestern Africa during the earliest Paleozoic opening of Iapetus, and remained juxtaposed to that margin, even though widely separated from it at times, until the assembly of Pangea. The lower Paleozoic carbonate platform of northwestern Argentina has been known for a long time to contain Olenellid trilobites of the Pacific or Columbian realm. Although normally regarded as some kind of far-travelled terrane that originated along the Appalachian margin of Laurentia, it has recently been interpreted as a fragment detached from the Ouachita embayment of Laurentia following Taconic-Famatinian collision with Gondwana during the Ordovician. The Oaxaca terrane of Mexico, on the other hand, contains a Tremadocian trilobite fauna of Argentine-Bolivian affinities, and appears to have been detached from Gondwana following the same collision. The Wilson cycle'' of Iapetus ocean basin opening and closing along the Appalachian and Andean orogens may have involved more than one such continental collision during clockwise drift of Laurentia around South America following late Neoproterozoic to earliest Cambrian separation. Together with the collisions of baltic and smaller terranes with Laurentia, this could explain the protracted Paleozoic orogenic history of both the Appalachian and proto-Andean orogens.

Rural and Urban Differences in Vocational Rehabilitation Case Mix, Delivery Practices, and Employment Outcomes

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Ipsen, Catherine; Swicegood, Grant

2015-01-01

Purpose: To examine rural and urban differences in Vocational Rehabilitation (VR) case mix, delivery practices, and employment outcomes. Methods: Rehabilitation Services Administration 911 (RSA-911) case data do not include location indicators that allow for rural analyses. We compiled RSA-911 data with county and ZIP code information from 47 VR…

Investigation on residential radon concentration in Jingchuan county

International Nuclear Information System (INIS)

Zhang Wei; Wan Yihong; Chen Hongxiao; Shang Bin

2009-01-01

This paper reports an investigated result of residential radon concentration in Jingchuan County, Gansu Province, during May 2004 to November 2006. Alpha track detectors were used to measure radon level. Construction types of house and percentages of residents living in the county were also investigated through questionnaires. The result showed that the mean radon concentration in 62 investigated houses was 96.2 Bq·m -3 . The radon concentration in cave dwelling was the highest among all type of dwellings. The average level in cave dwelling is 110.2 Bq·m -3 , which was significantly higher than the national mean value published in literatures, and exceed the WHO recommended value of 100 Bq·m -3 . A considerable number of rural residents are living in cave dwellings in Jingchuan County. Attention should be paid to the radon problem and some proper protection measures taken. (authors)

Rural and Urban Differences in Passenger-Vehicle-Occupant Deaths and Seat Belt Use Among Adults - United States, 2014.

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Beck, Laurie F; Downs, Jonathan; Stevens, Mark R; Sauber-Schatz, Erin K

2017-09-22

Motor-vehicle crashes are a leading cause of death in the United States. Compared with urban residents, rural residents are at an increased risk for death from crashes and are less likely to wear seat belts. These differences have not been well described by levels of rurality. 2014. Data from the Fatality Analysis Reporting System (FARS) and the Behavioral Risk Factor Surveillance System (BRFSS) were used to identify passenger-vehicle-occupant deaths from motor-vehicle crashes and estimate the prevalence of seat belt use. FARS, a census of U.S. motor-vehicle crashes involving one or more deaths, was used to identify passenger-vehicle-occupant deaths among adults aged ≥18 years. Passenger-vehicle occupants were defined as persons driving or riding in passenger cars, light trucks, vans, or sport utility vehicles. Death rates per 100,000 population, age-adjusted to the 2000 U.S. standard population and the proportion of occupants who were unrestrained at the time of the fatal crash, were calculated. BRFSS, an annual, state-based, random-digit-dialed telephone survey of the noninstitutionalized U.S. civilian population aged ≥18 years, was used to estimate prevalence of seat belt use. FARS and BRFSS data were analyzed by a six-level rural-urban designation, based on the U.S. Department of Agriculture 2013 rural-urban continuum codes, and stratified by census region and type of state seat belt enforcement law (primary or secondary). Within each census region, age-adjusted passenger-vehicle-occupant death rates per 100,000 population increased with increasing rurality, from the most urban to the most rural counties: South, 6.8 to 29.2; Midwest, 5.3 to 25.8; West, 3.9 to 40.0; and Northeast, 3.5 to 10.8. (For the Northeast, data for the most rural counties were not reported because of suppression criteria; comparison is for the most urban to the second-most rural counties.) Similarly, the proportion of occupants who were unrestrained at the time of the fatal crash

Seed bank response to prescribed fire in the central Appalachians.

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Thomas M. Schuler; Melissa Thomas Van-Gundy; Mary B. Adams; W. Mark. Ford

2010-01-01

Pre- and post-treatment seed-bank characteristics of woody species were compared after two prescribed fires in a mesic mixed-oak forest in the central Appalachians. Nineteen woody species were identified from soil samples. Mean species richness declined but evenness did not after prescribed burning. The...

Identifying Communication Barriers to Colorectal Cancer Screening Adherence among Appalachian Kentuckians.

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Bachman, Audrey Smith; Cohen, Elisia L; Collins, Tom; Hatcher, Jennifer; Crosby, Richard; Vanderpool, Robin C

2017-08-18

Utilizing data from 40 in-depth interviews, this article identifies both barriers and facilitators to colorectal screening guideline adherence among Appalachian Kentucky adults recruited through a community-based research network. Key findings identify (a) varying levels of knowledge about screening guidelines, (b) reticence to engage in screening processes, and (c) nuanced communication with healthcare providers and family members regarding screening adherence. What participants knew about the screening process was often derived from personal stories or recalled stories from family members about their screening experiences. Reticence to engage in screening processes reflected reports of cumbersome preparation, privacy issues, embarrassment, medical mistrust, fear of receiving a cancer diagnosis, and lack of symptoms. Participants cited many ways to enhance patient-centered communication, and the findings from this study have implications for health communication message design and communication strategies for healthcare practices in Appalachian Kentucky clinics.

Appalachian States Compact Low-Level Radioactive Waste management survey, 1987

International Nuclear Information System (INIS)

Singh, K.N.

1989-03-01

Since the enactment of the Low-Level Radioactive Waste Disposal Act in February 1988, the Commonwealth of Pennsylvania has undertaken major steps to develop a Low-Level Radioactive Waste (LLRW) Disposal Facility within its borders for the exclusive use of radioactive material licensees in the Appalachian States Compact. In order to adequately plan for the design and development of that facility, it is essential to obtain accurate data on LLRW being generated in the Compact. To that end, the Division of Nuclear Safety of the Pennsylvania Bureau of Radiation Protection (BRP) conducted a survey to determine volume and activity of LLRW shipped and stored in 1987 by the licensees in the Appalachian States Compact. The 1986 LLRW survey included licensees in Pennsylvania and Maryland, while surveys conducted prior to 1986 involved only Pennsylvania licensees. So this is the first survey conducted by BRP that has included all four states of the Compact

Patterns of gun deaths across US counties 1999-2013.

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Kalesan, Bindu; Galea, Sandro

2017-05-01

We examined the socio-demographic distribution of gun deaths across 3143 counties in 50 United States' states to understand the spatial patterns and correlates of high and low gun deaths. We used aggregate counts of gun deaths and population in all counties from 1999 to 2013 from the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (WONDER). We characterized four levels of gun violence, as distinct levels of gun death rates of relatively safe, unsafe, violent, and extremely violent counties, based on quartiles of 15-year county-specific gun death rates per 100,000 and used negative binomial regression models allowing clustering by state to calculate incidence rate ratios and 95% confidence intervals (95% CIs). Most states had at least one violent or extremely violent county. Extremely violent gun counties were mostly rural, poor, predominantly minority, had high unemployment rate and homicide rate. Overall, homicide rate was significantly associated with gun deaths (incidence rate ratios = 1.08, 95% CI = 1.06-1.09). In relatively safe counties, this risk was 1.09 (95% CI = 1.05-1.13) and in extremely violent gun counties was 1.03 (95% CI = 1.03-1.04). There are broad differences in gun death rates across the United States representing different levels of gun death rates in each state with distinct socio-demographic profiles. Copyright © 2017 Elsevier Inc. All rights reserved.

AN INVESTIGATION OF VISION PROBLEMS AND THE VISION CARE SYSTEM IN RURAL CHINA.

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Bai, Yunli; Yi, Hongmei; Zhang, Linxiu; Shi, Yaojiang; Ma, Xiaochen; Congdon, Nathan; Zhou, Zhongqiang; Boswell, Matthew; Rozelle, Scott

2014-11-01

This paper examines the prevalence of vision problems and the accessibility to and quality of vision care in rural China. We obtained data from 4 sources: 1) the National Rural Vision Care Survey; 2) the Private Optometrists Survey; 3) the County Hospital Eye Care Survey; and 4) the Rural School Vision Care Survey. The data from each of the surveys were collected by the authors during 2012. Thirty-three percent of the rural population surveyed self-reported vision problems. Twenty-two percent of subjects surveyed had ever had a vision exam. Among those who self-reported having vision problems, 34% did not wear eyeglasses. Fifty-four percent of those with vision problems who had eyeglasses did not have a vision exam prior to receiving glasses. However, having a vision exam did not always guarantee access to quality vision care. Four channels of vision care service were assessed. The school vision examination program did not increase the usage rate of eyeglasses. Each county-hospital was staffed with three eye-doctors having one year of education beyond high school, serving more than 400,000 residents. Private optometrists often had low levels of education and professional certification. In conclusion, our findings shows that the vision care system in rural China is inadequate and ineffective in meeting the needs of the rural population sampled.

Impact of a Rural Domestic Violence Prevention Campaign.

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Gadomski, Anne M.; Tripp, Maria; Wolff, Debra A.; Lewis, Carol; Jenkins, Paul

2001-01-01

A 7-month public health information campaign used radio advertising, mass media articles, mailings, and posters to address attitudes and behavioral intentions toward domestic violence in a rural county. The campaign raised public awareness, particularly among men; increased stated intentions to intervene in a neighbor's domestic violence; and…

Particularities of the Romanian rural education

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Tecău Alina Simona

2018-01-01

Full Text Available The education of preschoolers, pupils or young people that are part of disadvantaged or at-risk groups is a priority objective of political, socio-economic, cultural and civic organizations in Romania. Romanian rural education is facing a sharp drop in the number of pupils. Causes may be related to a large number of families with socio-economic problems, distances, limited access to cutting-edge information, and migration to nearby cities. Identifying causes accurately and measuring the impact on the quality of rural education is also a challenge from the perspective of educational marketing. Case study may constitute a starting point for further research to propose effective solutions to improve education in rural areas. The present work is an analysis of the situation of preschool and gymnasium educational establishment in one of the communes of the county of Braşov.

The Financial Impact of the ‘Zero-Markup Policy for Essential Drugs’ on Patients in County Hospitals in Western Rural China

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Zhou, Zhongliang; Su, Yanfang; Campbell, Benjamin; Zhou, Zhiying; Gao, Jianmin; Yu, Qiang; Chen, Jiuhao; Pan, Yishan

2015-01-01

Objective With a quasi-experimental design, this study aims to assess whether the Zero-markup Policy for Essential Drugs (ZPED) reduces the medical expense for patients at county hospitals, the major healthcare provider in rural China. Methods Data from Ningshan county hospital and Zhenping county hospital, China, include 2014 outpatient records and 9239 inpatient records. Quantitative methods are employed to evaluate ZPED. Both hospital-data difference-in-differences and individual-data regressions are applied to analyze the data from inpatient and outpatient departments. Results In absolute terms, the total expense per visit reduced by 19.02 CNY (3.12 USD) for outpatient services and 399.6 CNY (65.60 USD) for inpatient services. In relative terms, the expense per visit was reduced by 11% for both outpatient and inpatient services. Due to the reduction of inpatient expense, the estimated reduction of outpatient visits is 2% among the general population and 3.39% among users of outpatient services. The drug expense per visit dropped by 27.20 CNY (4.47 USD) for outpatient services and 278.7 CNY (45.75 USD) for inpatient services. The proportion of drug expense out of total expense per visit dropped by 11.73 percentage points in outpatient visits and by 3.92 percentage points in inpatient visits. Conclusion Implementation of ZPED is a benefit for patients in both absolute and relative terms. The absolute monetary reduction of the per-visit inpatient expense is 20 times of that in outpatient care. According to cross-price elasticity, the substitution between inpatient and outpatient due to the change in inpatient price is small. Furthermore, given that the relative reductions are the same for outpatient and inpatient visits, according to relative thinking theory, the incentive to utilize outpatient or inpatient care attributed to ZPED is equivalent, regardless of the 20-times price difference in absolute terms. PMID:25790443

Ruffed grouse population dynamics in the central and southern Appalachians

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John M. Giuliano Tirpak; C. Allan Miller; Thomas J. Allen; Steve Bittner; David A. Buehler; John W. Edwards; Craig A. Harper; William K. Igo; Gary W. Norman; M. Seamster; Dean F. Stauffer

2006-01-01

Ruffed grouse (Bonasa urnbellus; hereafter grouse) populations in the central and southern Appalachians are in decline. However, limited information on the dynamics of these populations prevents the development of effective management strategies to reverse these trends. We used radiotelemetry data collected on grouse to parameterize 6 models of...

Tourism potential value assessment model for rural-mountain and boundary contact areas. Case study: Cluj County, the district of Ciceu and the balneal area of Bacău County (Romania

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Bianca Sorina RĂCĂŞAN

2016-11-01

Full Text Available This paper aimed to develop a specific assessment method focused on the tourism potential of the rural-mountain and boundary contact areas. Once elaborated, the model was employed within three appropriate territories of Cluj, Bistrița and Bacău counties (Romania, who’s investigated administrative units, were repeatedly ranked into hierarchical order according to the different tourist categories, invested with numerical values. In order to reach its goals, several objectives were assigned, from awarding the components of the primary and secondary tourism supply certain scores, proposing scales and calculating values, to comparing the results and identifying best rated tourism potential categories, units and areas. With respect to the research methodology, the most commonly used methods dealt with observation, analysis and synthesis along with comparison, cartographical, statistical and mathematical techniques. Therefore, main results regarded both proposal and testing the evaluation model, highlighting values and ranging territorial units in concordance with the tourist attractiveness power.

How agricultural multiple ecosystem services respond to socioeconomic factors in Mengyin County, China.

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Chen, Yajuan; Yu, Zhenrong; Li, Xuedong; Li, Pengyao

2018-07-15

Provisioning services have always been the main focus of agriculture, and which have led to a decline in biodiversity and have damaged a number of other services. Agriculture should contribute to current and future food security while producing multiple ecosystem services (ES). Restoration outcomes of multiple ES were affected by different socioeconomic drivers, thus a better understanding of how multiple ES respond to socioeconomic drivers can help to restore multiple ES. This paper used rural people's perceptions of ES to quantify and map ecosystem service obtainment and demand in the Mengyin County, China. An integrative index of multiple ecosystem services (IMES) was used to effectively aggregate the values of multiple ES. The threat categorization framework is designed to communicate the degree to which the adequate and sustainable provision of multiple ES is threatened, in order to prioritize conservation actions. The results revealed that 6 townships in the Mengyin County exhibited an excessive obtainment situation (demand is less than obtainment) of multiple ES; an insufficient obtainment situation (demand is greater than obtainment) of multiple ES was mainly situated in the northern part of Mengyin County. Overall, the current state of multiple ES across Mengyin County is classified as "Endangered" classification according to application of threat categorization framework. It is necessary to restructure and manage socioeconomic factors for multiple ES. At national level, the macro decision-making (controlling population density) and the mechanisms (attracting high-quality human resources into the rural) will play an important role in promoting multiple ES management, and it is necessary to provide 3 or more years of tailored educational resources for rural residents to advance multiple ES in agricultural landscape. Development of agricultural PES programs in China that enable farmers to profit from production ES is a sustainable strategy for increasing

Exploring the Attractiveness of a Norwegian Rural Higher Education Institution Using Importance-Performance Analysis

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Hanssen, Thor-Erik Sandberg; Mathisen, Terje Andreas

2018-01-01

High school graduates in rural counties often move to urban areas to study at higher education institutions (HEIs). Because graduates from HEIs often settle in regions in which they graduate, the result is a permanent out-migration of young talent from rural areas. This study adds to the body of literature on student choice by addressing measures…

Active living in rural Appalachia: Using the rural active living assessment (RALA tools to explore environmental barriers

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Adam Hege

2017-12-01

Full Text Available People residing in rural communities are more likely to be physically inactive and subsequently have elevated risks for chronic disease. Recent evidence has shown this could stem from environmental barriers, inadequate programming and policies directed at the promotion of physical activity (PA in rural settings. The objective of this research was to assess active living features in rural towns and townships (n=16 across seven counties in northwestern North Carolina (NC. The study utilized the Town-Wide and Street Segment components of the Rural Active Living Assessment (RALA as well as the 2014 American Community Survey results. The assessments were conducted in the summer of 2016 in the rural Appalachia region of NC. Using the RALA town-wide assessment scoring system (0−100, the range of scores was 18–84, with the mean being 50.06. Three towns had no sidewalks, nine towns had sidewalks on only one side of the main streets, and four had sidewalks on both sides of the main streets. One town was rated as highly walkable, seven towns as moderately walkable, five towns as moderately unwalkable, and three towns as highly unwalkable. The rural Appalachia region of NC offers unique topographic, geographic and environmental barriers to PA. However, our findings indicate many rural towns offer common PA amenities. Future research should utilize qualitative methods and a community-based participatory research approach to more fully understand the challenges with increasing PA in the rural and often isolated Appalachia communities. Keywords: Rural active living assessment (RALA, Health disparities, Physical activity, Rural Appalachia

The participation of the sectors of electric energy consumption in a rural electrification cooperative; A participacao dos setores de consumo de energia eletrica em uma cooperativa de eletrificacao rural

Energy Technology Data Exchange (ETDEWEB)

Higuchi, Cristiane Aparecida Pelegrin [Instituicao Toledo de Ensino (ITE), Bauru, SP (Brazil). Fac. de Ciencias Contabeis], e-mail: cristiane.higuchi@itelefonica.com.br; Siqueira, Jair Antonio Cruz [UNESP, Botucatu, SP (Brazil). Faculdade de Ciencias Agronomicas. Curso de Pos-Graduacao em Energia na Agricultura], e-mail: jairsiqueira@fca.unesp.br; Seraphim, Odivaldo Jose [UNESP, Botucatu, SP (Brazil). Faculdade de Ciencias Agronomicas. Dept. de Engenharia Rural], e-mail: seraphim@fca.unesp.br; Ielo, Frederico G. de Paula F. [Universidade Estadual de Ponta Grossa, PR (Brazil). Dept. de Informatica

2004-07-01

This work had the objective of to evaluate the behavior of the electrical energy distribution in a Rural Electrification Cooperative, placed inside the State of Sao Paulo, embracing the region of the county of Itai, Avare and Paranapanema. Were appraised the electric energy distribution data of the Rural Electrification Cooperative of Itai, Avare and Paranapanema - CERIPA, during the years of 2000, 2001 and 2002. Was evaluated the sale of energy evolution, clearance evolution, general load factor and the electrical distribution for consumer type. The found results allowed to end that the Rural electrification Cooperative, show a good electric energy distribution in residential, rural and irrigation sectors. (author)

Taper and volume equations for selected Appalachian hardwood species

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A. Jeff Martin

1981-01-01

Coefficients for five taper/volume models are developed for 18 Appalachian hardwood species. Each model can be used to estimate diameter at any point on the bole, height to any preselected diameter, and cubic-foot volume between any two points on the bole. The resulting equations were tested on six sets of independent data and an evaluation of these tests is included,...

Summertime elevation of radon in southern Appalachian homes

International Nuclear Information System (INIS)

Gammage, R.B.; Wilson, D.L.

1990-01-01

For houses in particular countries of the southern Appalachians, the atypical situation arises of higher indoor levels of radon during summertime rather than wintertime. Where such conditions prevail, it is recommended that houses be screened for elevated radon during warmer rather than colder seasons of the year. This paper discusses the materials and methods used for the screening, the results and conclusions, and presents some recommendations. 7 refs., 1 fig., 1 tab

Population characteristics of a central Appalachian white tailed deer herd

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Tyler A. Campbell; Benjamin R. Laseter; W. Mark Ford; Karl V. Miller; Karl V. Miller

2005-01-01

Reliable estimates of white-tailed deer (Odocoileus virginianus) population parameters are needed for effective population management. We used radiotelemetrv to compare survival and cause-specific mortality rates between male and female white-tailed deer and present reproductive data for a high-density deer herd in the central Appalachians of West Virginia during...

Evolutionary history of two endemic Appalachian conifers revealed using microsatellite markers

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Kevin M. Potter; John Frampton; Sedley A. Josserand; C. Dana Nelson

2010-01-01

Fraser fir (Abies fraseri [Pursh] Poir.) and intermediate fir (Abies balsamea [L.] Mill. var. phanerolepis Fern.) exist in small populations in the Appalachian highlands of the southeastern United States. We used ten nuclear microsatellite markers to quantify genetic variation within Fraser fir and intermediate...

77 FR 59166 - South Mississippi Electric Cooperative: Plant Ratcliffe, Kemper County Integrated Gasification...

Science.gov (United States)

2012-09-26

... SMEPA lacks sufficient control and responsibility over the Project, RUS determined that financing SMEPA... Ratcliffe, Kemper County Integrated Gasification Combined-Cycle (IGCC) Project AGENCY: Rural Utilities..., Mississippi (the Project). The Acting Administrator of RUS has signed the ROD, which is effective on the...

Hydrologic budget and conditions of Permian, Pennsylvanian, and Mississippian aquifers in the Appalachian Plateaus physiographic province

Science.gov (United States)

McCoy, Kurt J.; Yager, Richard M.; Nelms, David L.; Ladd, David E.; Monti,, Jack; Kozar, Mark D.

2015-08-13

In response to challenges to groundwater availability posed by historic land-use practices, expanding development of hydrocarbon resources, and drought, the U.S. Geological Survey Groundwater Resources Program began a regional assessment of the Appalachian Plateaus aquifers in 2013 that incorporated a hydrologic landscape approach to estimate all components of the hydrologic system: surface runoff, base flow from groundwater, and interaction with atmospheric water (precipitation and evapotranspiration). This assessment was intended to complement other Federal and State investigations and provide foundational groundwater-related datasets in the Appalachian Plateaus.

Population growth, economic security, and cultural change in wilderness counties

Science.gov (United States)

Paul A. Lorah

2000-01-01

A familiar version of the “jobs versus the environment” argument asserts that wilderness areas limit economic growth by locking up potentially productive natural resources. Analysis of the development paths of rural Western counties shows that this is unlikely: the presence of Wilderness is correlated with income, employment and population growth. Similarly, Wilderness...

Constraints on seismic anisotropy beneath the Appalachian Mountains from Love-to-Rayleigh wave scattering

Science.gov (United States)

Servali, A.; Long, M. D.; Benoit, M.

2017-12-01

The eastern margin of North America has been affected by a series of mountain building and rifting events that have likely shaped the deep structure of the lithosphere. Observations of seismic anisotropy can provide insight into lithospheric deformation associated with these past tectonic events, as well as into present-day patterns of mantle flow beneath the passive margin. Previous work on SKS splitting beneath eastern North America has revealed fast splitting directions parallel to the strike of the Appalachian orogen in the central and southern Appalachians. A major challenge to the interpretation of SKS splitting measurements, however, is the lack of vertical resolution; isolating anisotropic structures at different depths is therefore difficult. Complementary constraints on the depth distribution of anisotropy can be provided by surface waves. In this study, we analyze the scattering of Love wave energy to Rayleigh waves, which is generated via sharp lateral gradients in anisotropic structure along the ray path. The scattered phases, known as quasi-Love (QL) waves, exhibit amplitude behavior that depend on the strength of the anisotropic contrast as well as the angle between the propagation azimuth and the anisotropic symmetry axis. We analyze data collected by the dense MAGIC seismic array across the central Appalachians. We examine teleseismic earthquakes of magnitude 6.7 and greater over a range of backazimuths, and isolate surface waves at periods between 100 and 500 seconds. We compare the data to synthetic seismograms generated by the Princeton Global ShakeMovie initiative to identify anomalous QL arrivals. We find evidence significant QL arrivals at MAGIC stations, with amplitudes depending on propagation azimuth and station location. Preliminary results are consistent with a sharp lateral gradient in seismic anisotropy across the Appalachian Mountains in the depth range between 100-200 km.

Study on Plan of Rural Waterfront Greenway in Beijing Based On Valley Economy

Science.gov (United States)

Feng, Li; Ma, Xiaoyan

2018-01-01

Valley economy is a major strategy for the development of Beijing mountainous area. This paper tried to apply the theory of rural waterfront greenway in valley, propose the grade system of rural greenway, which has important meaning to the refining of ecological network, the integration of tourism resources, and the promotion of agricultural industry in rural area. By way of illustration, according to the detailed analysis of the hydrology, altitude, slope, aspect, soil and vegetation conditions by GIS, the waterfront greenway, named ‘four seasons flowers’, in Yanqing county area was planned, so as to provide scientific guidance for the rural waterfront greenway construction.

‘It’s about the smoke, not the smoker’: messages that motivate rural communities to support smoke-free policies

OpenAIRE

Kostygina, Ganna; Hahn, Ellen J.; Rayens, Mary Kay

2013-01-01

Rural residents are exposed to sophisticated tobacco advertising and tobacco growing represents an economic mainstay in many rural communities. There is a need for effective health messages to counter the pro-tobacco culture in these communities. To determine relevant cultural themes and key message features that affect receptivity to pro-health advertisements among rural residents, 11 exploratory focus groups and surveys with community advocates (N = 82) in three rural Kentucky counties were...

OPPORTUNITIES AND RISKS OF GLOBALIZATION IN RURAL AREAS. CASE STUDY: BOTOSANI COUNTY

Directory of Open Access Journals (Sweden)

Maria-Simona Cuciureanu

2014-04-01

Full Text Available The global economy plays an important role in the development of a region or a county/district as it promotes the exploitation of resources and space in a logical and rational manner. The trend of global economic uniformity allows opportunities and risks to Botoșani County since globalization involves economic development and rising living standards, but loss of cultural values, traditions and customs. The area of study currently confronts with socio-economic and demographic changes that may be addressed by globalization, but at the same time spatial development according to global standards will cause the loss of Botoșani County’s authenticity.

A whole stand basal area projection model for Appalachian hardwoods

Science.gov (United States)

John R. Brooks; Lichun Jiang; Matthew Perkowski; Benktesh Sharma

2008-01-01

Two whole-stand basal area projection models were developed for Appalachian hardwood stands. The proposed equations are an algebraic difference projection form based on existing basal area and the change in age, trees per acre, and/or dominant height. Average equation error was less than 10 square feet per acre and residuals exhibited no irregular trends.

A 3D stand generator for central Appalachian hardwood forests

Science.gov (United States)

Jingxin Wang; Yaoxiang Li; Gary W. Miller

2002-01-01

A 3-dimensional (3D) stand generator was developed for central Appalachian hardwood forests. It was designed for a harvesting simulator to examine the interactions of stand, harvest, and machine. The Component Object Model (COM) was used to design and implement the program. Input to the generator includes species composition, stand density, and spatial pattern. Output...

Fuels management in the southern Appalachian Mountains, hot continental division

Science.gov (United States)

Matthew J. Reilly; Thomas A. Waldrop; Joseph J. O’Brien

2012-01-01

The Southern Appalachian Mountains, Hot Continental Mountains Division, M220 (McNab and others 2007) are a topographically and biologically complex area with over 10 million ha of forested land, where complex environmental gradients have resulted in a great diversity of forest types. Abundant moisture and a long, warm growing season support high levels of productivity...

NPDES Permit for Crow Municipal Rural & Industrial Pilot Water Treatment Plant in Montana

Science.gov (United States)

Under NPDES permit MT-0031827, the Crow Indian Tribe is authorized to discharge from the Crow Municipal Rural & Industrial (MR&I) Pilot Water Treatment Plant in Bighorn County, Montana to the Bighorn River.

Transportation Problems in Special Education Programs in Rural Areas - A Specific Solution and Some Suggestions for Delivery System Development.

Science.gov (United States)

Brody, Z. H.

The paper describes transportation problems encountered and solutions employed in delivering systems of comprehensive services to handicapped children in Anderson County, Tennessee, a predominantly rural area with considerable mountain area. Detailed are methods of transportation utilized in the four different program areas of the county special…

Na-Cl-Br systematics of fluid inclusions from Mississippi Valley-type deposits, Appalachian Basin: Constraints on solute origin and migration paths

Energy Technology Data Exchange (ETDEWEB)

Kesler, S.E.; Martini, A.M.; Appold, M.S.; Walter, L.M.; Huston, T.J. [Univ. of Michigan, Ann Arbor, MI (United States); Furman, F.C. [Univ. of Missouri, Rolla, MO (United States)

1996-01-01

This study evaluated Na-Cl-Br systematics of fluid inclusion-hosted brines in Mississippi Valley-type (MVT) deposits from the Appalachian Basin. Unlike other geochemical tracers such as lead and strontium isotopes which constrain metal sources, Na-Cl-Br systematics identify sources of brine salinity. Saline formation waters can vary systematically within and between basins with regard to their Na-Cl-Br compositions depending on the importance of halite dissolution relative to retention of subaerially evaporated seawater for the halogen budget. Oil field brine compositions from the Illinois and Appalachian basins are quite distinct in their Na-Cl-Br systematics. Compositions of saline fluid inclusions in MVT deposits generally are consistent with these regional differences. These results shed new light on the extent of regional flow systems and on the geochemical evolution of saline fluids responsible for mineralization. Nearly all fluid inclusions analyzed from the Appalachian MVT deposits have Na/Br and Cl/Br ratios less than modern seawater, consistent with ratios observed in marine brines involved in halite precipitation. The Na-Cl-Br systematics of the brines responsible for Appalachian MVT deposits may be inherited from original marine brines refluxed into the porous carbonate shelf sediments that host these deposits. The Cl/Br and Na/Br ratios of most fluid inclusion-hosted brines from Appalachian MVT sphalerites and fluorites fall into two compositional groups, one from the Lower Cambrian paleoaquifer and another from the Lower Ordovician paleoaquifer. Leachates from most MVT barite deposits form a third compositional group having lower Na/Br and Cl/Br ratios than the other two. Appalachian MVT leachate compositions differ significantly from those in MVT deposits in the Cincinnati arch-midcontinent region suggesting that these two MVT provinces formed from brines of different origin or flow path. 59 refs., 8 figs., 2 tabs.

The Great Urban Leap? On the Local Political Economy of Rural Urbanisation in China

Directory of Open Access Journals (Sweden)

Elena Meyer-Clement

2016-01-01

Full Text Available This paper provides insights into the local political economy of China’s current in situ urbanisation as compared to the 1980s and 1990s, focusing on the role played by county and township governments in shaping urbanisation in their localities. Marked differences were observed in the extent to which local cadres are able to steer the urbanisation process and adapt the relevant policies to local conditions and demands of the population. If leading county and township cadres are able to assert a relatively autonomous position vis-à-vis the superior municipality, a rural urbanisation process that considers both urban and rural interests and integrates local economic initiatives seems to become a potential alternative to the prevailing city-centred urban expansionism.

Political Awareness of Sixth Graders in a Rural Kentucky County.

Science.gov (United States)

Singleton, J. Allen; Conner, Mary Lou

1981-01-01

Presents charts depicting responses of rural sixth grade students to factual and opinion questions about political awareness. Concludes that students have limited knowledge and awareness of the various levels of government and of matters related to government. (Author/KC)

Food beliefs and practices among the Kalenjin pregnant women in rural Uasin Gishu County, Kenya.

Science.gov (United States)

Riang'a, Roselyter Monchari; Broerse, Jacqueline; Nangulu, Anne Kisaka

2017-05-25

Understanding food beliefs and practices is critical to the development of dietary recommendations, nutritional programmes, and educational messages. This study aimed to understand the pregnancy food beliefs and practices and the underlying reasons for these among the contemporary rural Kalenjin communities of Uasin Gishu County, Kenya. Through semi-structured interviews, data was collected from 154 pregnant and post-natal Kalenjin women about restricted and recommended foods, and why they are restricted or recommended during pregnancy. Respondents were purposively selected (based on diversity) from those attending Maternal and Child Health (MCH) care in 23 rural public health facilities. Key informant interviews (n = 9) with traditional Birth Attendants (TBA) who were also herbalists, community health workers, and nursing officers in charge of MCH were also conducted. Quantitative data was analysed using SPSS software. Data from respondents who gave consent to be tape recorded (n = 42) was transcribed and qualitatively analysed using MAXQDA software. The restriction of animal organs specifically the tongue, heart, udder and male reproductive organs, meat and eggs, and the recommendation of traditional green vegetables and milk was reported by more than 60% of the respondents. Recommendation of fruits, traditional herbs, ugali (a dish made of maize flour, millet flour, or Sorghum flour, sometimes mixed with cassava flour), porridge and liver, and restriction of avocadoes and oily food were reported by more than 20% of the respondents. The reasons for observing these dietary precautions were mainly fears of: big foetuses, less blood, lack of strength during birth, miscarriages or stillbirths, and maternal deaths as well as child's colic and poor skin conditions after birth. Pregnancy food beliefs were widely known and practised mainly to protect the health of the mother and child, and ensuring successful pregnancy outcome. Given the deep-rooted nature of the

⁸⁷Sr/⁸⁶Sr Concentrations in the Appalachian Basin: A Review

Energy Technology Data Exchange (ETDEWEB)

Mordensky, Stanley P. [Oak Ridge Inst. for Science and Education (ORISE), Oak Ridge, TN (United States); National Energy Technology Lab. (NETL), Albany, OR (United States); Lieuallen, A. Erin [Oak Ridge Inst. for Science and Education (ORISE), Oak Ridge, TN (United States); National Energy Technology Lab. (NETL), Albany, OR (United States); Verba, Circe [National Energy Technology Lab. (NETL), Albany, OR (United States); Hakala, Alexandra [National Energy Technology Lab. (NETL), Pittsburgh, PA, (United States)

2016-06-16

This document reviews ⁸⁷Sr/⁸⁶Sr isotope data across the Appalachian Basin from existing literature to show spatial and temporal variation. Isotope geochemistry presents a means of understanding the geochemical effects hydraulic fracturing may have on shallow ground substrates. Isotope fractionation is a naturally occurring phenomenon brought about by physical, chemical, and biological processes that partition isotopes between substances; therefore, stable isotope geochemistry allows geoscientists to understand several processes that shape the natural world. Strontium isotopes can be used as a tool to answer an array of geological and environmental inquiries. In some cases, strontium isotopes are sensitive to the introduction of a non-native fluid into a system. This ability allows strontium isotopes to serve as tracers in certain systems. Recently, it has been demonstrated that strontium isotopes can serve as a monitoring tool for groundwater and surface water systems that may be affected by hydraulic fracturing fluids (Chapman et al., 2013; Kolesar Kohl et al., 2014). These studies demonstrated that ⁸⁷Sr/⁸⁶Sr values have the potential to monitor subsurface fluid migration in regions where extraction of Marcellus Shale gas is occurring. This document reviews publicly available strontium isotope data from 39 sample locations in the Appalachian Basin (Hamel et al., 2010; Chapman et al., 2012; Osborn et al., 2012; Chapman et al., 2013; Capo et al., 2014; Kolesar Kohl et al., 2014). The data is divided into two sets: stratigraphic (Upper Devonian/Lower Mississippi, Middle Devonian, and Silurian) and groundwater. ArcMap™ (ESRI, Inc.) was used to complete inverse distance weighting (IDW) analyses for each dataset to create interpolated surfaces in an attempt to find regional trends or variations in strontium isotopic values across the Appalachian Basin. ⁸⁷Sr/⁸⁶Sr varies up to ~ 0.011 across the

Environmental analysis of geopressured-geothermal prospect areas, Brazoria and Kenedy Counties, Texas

Energy Technology Data Exchange (ETDEWEB)

White, W.A.; McGraw, M.; Gustavson, T.C.

1978-01-01

Preliminary environmental data, including current land use, substrate lithology, soils, natural hazards, water resources, biological assemblages, meteorological data, and regulatory considerations have been collected and analyzed for approximately 150 km/sup 2/ of land: (1) near Chocolate Bayou, Brazoria County, Texas, where a geopressured-geothermal test well was drilled in 1978, and (2) near the rural community of Armstrong, Kenedy County, Texas, where future geopressured-geothermal test well development may occur. The study was designed to establish an environmental data base and to determine, within spatial constraints set by subsurface reservoir conditions, environmentally suitable sites for geopressured-geothermal wells.

Rural migration: what attracts new residents to non-metropolitan areas.

Science.gov (United States)

Maynard, L J; Kelsey, T W; Thee, R J; Fousekis, P

1997-01-01

"This study uses the experience of three non-metropolitan counties in Pennsylvania to explore which community characteristics have the greatest influence on people's decisions to move to rural areas. Personal characteristics affected how in-migrants evaluated prospective rural residential locations. Higher income in-migrants placed a high priority on job opportunities, housing quality, a short commute to work, quality of schools, and low local taxes. Lower income in-migrants were more likely to value a location near family and friends. Ability to own a home, housing costs, and local taxes were also important." excerpt

Cardboard Houses with Wings: The Architecture of Alabama's Rural Studio

Science.gov (United States)

Botz-Bornstein, Thorsten

2010-01-01

The Rural Studio, an outreach program of Auburn University, designs innovative houses for poor people living in Alabama's Hale County by using "junk" such as car windshields, carpet tiles, baled cardboard, and old license plates. The article theorizes this particular architecture in terms of Critical Regionalism, developed by…

Baseline groundwater quality from 34 wells in Wayne County, Pennsylvania, 2011 and 2013

Science.gov (United States)

Sloto, Ronald A.

2014-01-01

Wayne County, Pennsylvania, is underlain by the Marcellus Shale, which currently (2014) is being developed elsewhere in Pennsylvania for natural gas. All residents of largely rural Wayne County rely on groundwater for water supply, primarily from bedrock aquifers (shales and sandstones). This study, conducted by the U.S. Geological Survey in cooperation with the Pennsylvania Department of Conservation and Natural Resources, Bureau of Topographic and Geologic Survey (Pennsylvania Geological Survey), provides a groundwater-quality baseline for Wayne County prior to development of the natural gas resource in the Marcellus Shale. Selected wells completed in the Devonian-age Catskill Formation, undifferentiated; the Poplar Gap and Packerton Members of the Catskill Formation, undivided; and the Long Run and Walcksville Members of the Catskill Formation, undivided, were sampled.

Social Vulnerability and Ebola Virus Disease in Rural Liberia.

Science.gov (United States)

Stanturf, John A; Goodrick, Scott L; Warren, Melvin L; Charnley, Susan; Stegall, Christie M

2015-01-01

The Ebola virus disease (EVD) epidemic that has stricken thousands of people in the three West African countries of Liberia, Sierra Leone, and Guinea highlights the lack of adaptive capacity in post-conflict countries. The scarcity of health services in particular renders these populations vulnerable to multiple interacting stressors including food insecurity, climate change, and the cascading effects of disease epidemics such as EVD. However, the spatial distribution of vulnerable rural populations and the individual stressors contributing to their vulnerability are unknown. We developed a Social Vulnerability Classification using census indicators and mapped it at the district scale for Liberia. According to the Classification, we estimate that districts having the highest social vulnerability lie in the north and west of Liberia in Lofa, Bong, Grand Cape Mount, and Bomi Counties. Three of these counties together with the capital Monrovia and surrounding Montserrado and Margibi counties experienced the highest levels of EVD infections in Liberia. Vulnerability has multiple dimensions and a classification developed from multiple variables provides a more holistic view of vulnerability than single indicators such as food insecurity or scarcity of health care facilities. Few rural Liberians are food secure and many cannot reach a medical clinic in Liberia may be warranted. We demonstrate how social vulnerability index approaches can be applied in the context of disease outbreaks, and our methods are relevant elsewhere.

Manual herbicide application methods for managing vegetation in Appalachian hardwood forests

Science.gov (United States)

Jeffrey D. Kochenderfer; James N. Kochenderfer; Gary W. Miller

2012-01-01

Four manual herbicide application methods are described for use in Appalachian hardwood forests. Stem injection, basal spray, cut-stump, and foliar spray techniques can be used to control interfering vegetation and promote the development of desirable reproduction and valuable crop trees in hardwood forests. Guidelines are presented to help the user select the...

Proceedings: Wildland Fire in the Appalachians: Discussions Among Managers and Scientists

Science.gov (United States)

Thomas A. Waldrop

2014-01-01

Many challenges face fire managers and scientists in the Appalachian Mountains because of the region’s diverse topography and limited research supporting prescribed burning. This conference was designed to promote communication among managers, researchers, and other interested parties. These proceedings contain 30 papers and abstracts that describe ongoing research,...

The economics of potential reduction of the rural road system in Kansas.

Science.gov (United States)

2011-11-01

Benefitcost analysis was used to examine the question of road closure in the three counties. The cost of road : closure is the additional travel cost of rural residents due to more circuitous routing to their destinations. The benefit is : the avo...

[Population-based study on infection and genotype distribution of high-risk human among women in rural areas of China, 2014].

Science.gov (United States)

Di, J L; Luo, X M; Wu, J L; Song, B; Ma, L

2017-04-06

Objective: To explore the epidemiologic characterization of high-risk human papillomavirus (HR-HPV) infection and genotype distribution of HR-HPV among women in rural areas of China. Methods: This study used multiple layers of stratified cluster random sampling method. During January to December in 2014, 117 counties of 27 provinces were selected as the HPV test screening pilot project counties. The women aged 35-64 years with rural areas Hukou in these project counties were selected as the study subjects. A total 457 799 women received HPV DNA test. Among them, 118 237 women from 32 counties in 11 provinces received qualified HPV DNA test by fluorescent PCR to detect HPV genotypes. Results: Among 118 237 rural women, the overall HR-HPV positive infection rate was 7.8% (9 249/118 237). The infection rate increased with age and reached an infection peak at the 60-64 age groups (9.9%, 831/8 394). The HR-HPV positive infection rate in western regions (6.9%, 2 144/31 130) was statistical significantly lower than in central regions (8.2%, 1 894/23 023) and eastern regions (8.1%, 5 211/64 084) (χ(2)=51.46, PChina. The single infection rates were 20.9% (1 355/6 496), 18.7% (1 215/6 496), and 11.2% (725/6 496), respectively. The multiple infection rates were 47.2% (77/163), 17.8% (29/163), and 18.4% (30/163), respectively. Conclusion: The HR-HPV positive infection rate in rural areas of Chinese woman was 7.8%, western region has lower infection rate compared with central and eastern regions. HPV 52 was first of the most common genotypes in rural areas of China.

SUSTAINABLE DEVELOPMENT OF RURAL TOURIST PRODUCT IN ROMANIACASE STUDY GORJ COUNTY

Directory of Open Access Journals (Sweden)

NEAMȚU Liviu

2015-06-01

Full Text Available Development of rural tourism as a tourism branch meets all requirements of sustainable development considering that can be touched all three pillars of this type of development: economic development, social development, environmental protection. In recent years rural tourism has benefited of sustainable development approaches, like other tourist product, unfortunately more in economically developed countries than in less developed countries such as Romania. A balanced development can be ensured through planning and zoning land to allow adapted development for tourism to the capacity of ecosystems. Any equipment or infrastructure item that is done at community level is a potential incentive for local development. Natural and human environment will become more active, stimulating local people to conserve natural monuments, archaeological sites, historical buildings and remains as important resources for economic growth and social welfare of local communities. The setting up of the tourist village typology is based on the highlighting of the specific of the rural localities, their classification within the tourist area of Romania, on a few fundamental types. From the theoretical point of view, the issue of the tourist villages typology could be optionally approached, but its application represents a necessary solution for the determination of the tourist features to be applied.

A tale of two land uses in the American West: rural residential growth and energy development

Science.gov (United States)

Assal, Timothy J.; Montag, Jessica M.

2012-01-01

This paper describes a spatiotemporal land use map for a rural county in the western United States. Sublette County, Wyoming has undergone recent land use change in the form of heightened rural residential development on private land and increased energy development on both public and private land. In this study we integrate energy production data, population census data, ownership parcel data, and a series of Landsat Thematic Mapper and Enhanced Thematic Mapper scenes (over a 25-year period) to create a map that illustrates the changing landscape. Spatial change on the landscape is mapped at 30 square meters, congruent with a Landsat pixel. Sublette County has a wealth of wildlife and associated habitat which is affected by both types of growth. While we do not attempt to quantify the effect of disturbance on wildlife species, we believe our results can provide important baseline data that can be incorporated into land use planning and ecological-wildlife research at the landscape scale.

Rural migration in southern Nevada

International Nuclear Information System (INIS)

Mosser, D.; Soden, D.L.

1993-01-01

This study reviews the history of migration in two rural counties in Southern Nevada. It is part of a larger study about the impact of a proposed high-level nuclear waste repository on, in and out-migration patterns in the state. The historical record suggests a boom and bust economic cycle has predominated in the region for the past century creating conditions that should be taken into account, by decision makers, when ascertaining the long-term impacts of the proposed repository

Managing Appalachian hardwood stands using four regeneration practices--34 year results

Science.gov (United States)

H. Clay Smith; Gary W. Miller

1987-01-01

Adjacent Appalachian hardwood stands in West Virginia established on excellent growing sites were managed for a 34-year period using four regeneration practices. These practices included a commercial clearcut, 15.5-in diameter-limit, and two single-tree selection practices. An uncut area was maintained as a control. Stand development, growth response, and some stumpage...

Spatial Patterns and the Regional Differences of Rural Settlements in Jilin Province, China

Directory of Open Access Journals (Sweden)

Xiaoyan Li

2017-11-01

Full Text Available The spatial patterns of rural settlements are important for understanding the drivers of land use change and the relationship between human activity and environmental processes. It has been suggested that the clustering of houses decreases the negative effects on the environment and promotes the development of the countryside, but few empirical studies have quantified the spatial distribution patterns of houses. Our aim was to explore the regional differences in rural settlement patterns and expand our understanding of their geographic associations, and thus contribute to land use planning and the implementation of the policy of “building a new countryside”. We used spatial statistical methods and indices of landscape metrics to investigate different settlement patterns in three typical counties within different environments in Jilin Province, Northeast China. The results indicated that rural settlements in these three counties were all clustered, but to a varied degree. Settlement density maps and landscape metrics displayed uniformity of the settlement distributions within plain, hill, and mountainous areas. Influenced by the physical environment, the scale, form, and degree of aggregation varied. Accordingly, three types of rural settlements were summarized: a low-density, large-scale and sparse type; a mass-like and point-scattered type; and a low-density and high cluster-like type. The spatial patterns of rural settlements are the result of anthropogenic and complex physical processes, and provide an important insight for the layout and management of the countryside.

The Great Urban Leap? On the Local Political Economy of Rural Urbanisation in China

Directory of Open Access Journals (Sweden)

Elena Meyer-Clement

2016-01-01

Full Text Available This paper provides insights into the local political economy of China’s current in situ urbanisation as compared to the 1980s and 1990s, focusing on the role played by county and township governments in shaping urbanisation in their localities. Marked differences were observed in the extent to which local cadres are able to steer the urbanisation process and adapt the relevant policies to local conditions and demands of the population. If leading county and township cadres are able to assert a relatively autonomous position vis-à-vis the superior municipality, a rural urbanisation process that considers both urban and rural interests and integrates local economic initiatives seems to become a potential alternative to the prevailing city-centred urban expansionism.

Overview of Appalachian Basin high-angle and horizontal air and mud drilling

International Nuclear Information System (INIS)

Yost, A.B. III; Javins, B.H.

1991-01-01

The United States Department of Energy's Morgantown Energy Technology Center has been investigating the potential of using high angle and horizontal drilling technology to improve gas production from low permeability reservoirs for more than 20 years. A chronology of 45 high angle and horizontal wells have been identified to show the date, type well, type build curve, location, formation and the type of application. The historical well drilling events that have taken place since the first well are discussed to evaluate the progress in developing the technology. Detailed discussion about how the drilling technology developed in the Appalachian Basin for directional drilling and completion was provided. A discussion of the types of applications for high and horizontal drilling in the Appalachian Basin were identified. A summary of four jointly funded DOE/Industry horizontal wells were discussed to illustrate how the air horizontal drilling technology developed and learning curves for drilling cost and feet per day were provided to illustrate the improvement in the technology and equipment reliability

Dental Workforce Availability and Dental Services Utilization in Appalachia: A Geospatial Analysis

Science.gov (United States)

Feng, Xue; Sambamoorthi, Usha; Wiener, R. Constance

2016-01-01

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, socio-economic characteristics and dental services utilization in Appalachia from the 2010 Behavioral Risk Factor Surveillance System (BRFSS) using person-level data. We obtained county-level dental workforce availability and physician-to-population ratio estimates from Area Health Resource File, and linked them to the county-level BRFSS data. The dependent variable was the proportion using dental services within the last year in each county (ranging from 16.6% to 91.0%). We described the association between dental workforce availability and dental services utilization using ordinary least squares regression and spatial regression techniques. Spatial analyses consisted of bivariate Local Indicators of Spatial Association (LISA) and geographically weighted regression (GWR). Results Bivariate LISA showed that counties in the central and southern Appalachian regions had significant (p dental workforce availability, low percent dental services utilization). GWR revealed considerable local variations in the association between dental utilization and dental workforce availability. In the multivariate GWR models, 8.5% (t-statistics >1.96) and 13.45% (t-statistics >1.96) of counties showed positive and statistically significant relationships between the dental services utilization and workforce availability of dentists and dental hygienists, respectively. Conclusions Dental workforce availability was associated with dental services utilization in the Appalachian region; however, this association was not statistically significant in all counties. The findings suggest

Effects of the COPE Cognitive Behavioral Skills Building TEEN Program on the Healthy Lifestyle Behaviors and Mental Health of Appalachian Early Adolescents.

Science.gov (United States)

Hoying, Jacqueline; Melnyk, Bernadette Mazurek; Arcoleo, Kimberly

2016-01-01

Appalachian adolescents have a high prevalence of obesity and mental health problems that exceed national rates, with the two conditions often co-existing. The purpose of this study was to evaluate the feasibility and preliminary efficacy of a 15-session cognitive-behavioral skills building intervention (COPE [Creating Opportunities for Personal Empowerment] Healthy Lifestyles TEEN [Thinking, Emotions, Exercise, and Nutrition] Program) on healthy lifestyle behaviors, physical health, and mental health of rural early adolescents. A pre- and posttest pre-experimental design was used with follow-up immediately after the intervention. Results support improvement in the students' anxiety, depression, disruptive behavior, and self-concept scores after the COPE intervention compared with baseline. Additionally, healthy lifestyle behavior scores improved before the intervention compared with after the intervention. COPE is a promising intervention that improves mental health and healthy lifestyle behaviors and can be integrated routinely into school-based settings. Copyright © 2016 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

77 FR 39733 - Proposed Information Collection; Comment Request: Appalachian Trail Management Partner Survey

Science.gov (United States)

2012-07-05

... DEPARTMENT OF THE INTERIOR National Park Service [WASO-NRSS-10750; 2490-STC] Proposed Information Collection; Comment Request: Appalachian Trail Management Partner Survey AGENCY: National Park Service (NPS), Interior. ACTION: Notice of an extension of a currently approved information collection (1024-0259...

Water quality of streams in Johnson County, Kansas, 2002-07

Science.gov (United States)

Rasmussen, T.J.

2009-01-01

Water quality of streams in Johnson County, Kansas was evaluated from October 2002 through December 2007 in a cooperative study between the U.S. Geological Survey and the Johnson County Stormwater Management Program. Water quality at 42 stream sites, representing urban and rural basins, was characterized by evaluating benthic macroinvertebrates, water (discrete and continuous data), and/or streambed sediment. Point and nonpoint sources and transport were described for water-quality constituents including suspended sediment, dissolved solids and major ions, nutrients (nitrogen and phosphorus), indicator bacteria, pesticides, and organic wastewater and pharmaceutical compounds. The information obtained from this study is being used by city and county officials to develop effective management plans for protecting and improving stream quality. This fact sheet summarizes important results from three comprehensive reports published as part of the study and available on the World Wide Web at http://ks.water.usgs.gov/Kansas/studies/qw/joco/. ?? 2009 ASCE.

Prevalence of Substance Use in a Rural Teenage Population.

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Silverman, Wade H.

1991-01-01

Surveyed all secondary school students (n=1,175) in rural county school system to assess prevalence rates of substance use for teenagers and their parents. Age, sex, and race were related to frequency and type of substance abuse. Lifestyle variables such as music preferences, sexual activity, and choice of friends also related to substance use.…

Structure and petroleum plays of the St. Lawrence Platform and Appalachians in southern Quebec : insights from interpretation of MRNQ seismic reflection data

Energy Technology Data Exchange (ETDEWEB)

Castonguay, S.; Lavoie, D. [Natural Resources Canada, Quebec, PQ (Canada). Geological Survey of Canada, Quebec Division; Dietrich, J. [Natural Resources Canada, Calgary, AB (Canada). Geological Survey of Canada; Laliberte, J.Y. [Ministere des Ressources naturelles et de la Faune du Quebec, Charlesbourg, QC (Canada). Direction generale des hydrocarbures et des biocarburants

2010-09-15

This paper presented the results of a study in which 3 regional seismic reflection lines originally acquired in 1978 were reprocessed and reinterpreted using current techniques and methodologies. The profiles cross the Chambly-Fortierville syncline and provide images of the St. Lawrence Platform and the Appalachian foreland thrust belt of southern Quebec, including one that spans the entire width of the southern Quebec Appalachians. Post-stack seismic data processing and time migration were used to improve the quality of the original seismic sections, allowing interpretations that provide new information on subsurface geology, such as the recognition of complex structural patterns in platform and foreland units, the presence of a triangle zone at the structural front, and the geometry of thrust slices of platform units and Appalachian thrust beds, as well as images of the internal Humber Zone, including back-thrust faults and mega thrust wedges. The Saint-Flavien natural gas-field and other potential targets in the St. Lawrence Platform and Appalachian Foreland are imaged in the seismic profiles. The study provided new insights into the structure, geological evolution, and petroleum potential of the St. Lawrence Platform and the Appalachian foreland thrust belt of southern Quebec, including a potential, previously unrecognized Ordovician hydrothermal dolomite play. The new subsurface interpretations give a clearer view of the major structure affecting the Utica Shale, providing new insights into the limits of the unconventional shale gas play in the St. Lawrence Platform. 53 refs., 8 figs.

Evolutionary history and population genetics of fraser fir and intermediate fir, southern Appalachian endemic conifers imperiled by an exotic pest and climate change

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Kevin M. Potter; John Frampton; Sedley Josserand; C. Dana. Nelson

2010-01-01

Two Abies (true fir) taxa are endemic to high elevations of the Appalachian Mountains, where both are restricted to small populations and are imperiled by the same exotic insect. Fraser fir (Abies fraseri) exists in a handful of island-like populations on mountain ridges in the southern Appalachians of North Carolina, Tennessee and...

Rural adolescents' access to adolescent friendly health services.

Science.gov (United States)

Secor-Turner, Molly A; Randall, Brandy A; Brennan, Alison L; Anderson, Melinda K; Gross, Dean A

2014-01-01

The purpose of this study was to assess rural North Dakota adolescents' experiences in accessing adolescent-friendly health services and to examine the relationship between rural adolescents' communication with health care providers and risk behaviors. Data are from the Rural Adolescent Health Survey (RAHS), an anonymous survey of 14- to 19-year-olds (n = 322) attending secondary schools in four frontier counties of North Dakota. Descriptive statistics were used to assess participants' access to adolescent-friendly health services characterized as accessible, acceptable, and appropriate. Logistic regressions were used to examine whether participant-reported risk behaviors predicted communication with health care providers about individual health risk behaviors. Rural adolescents reported high access to acceptable primary health care services but low levels of effective health care services. Participant report of engaging in high-risk behaviors was associated with having received information from health care providers about the leading causes of morbidity and mortality. These findings reveal missed opportunities for primary care providers in rural settings to provide fundamental health promotion to adolescents. Copyright © 2014 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

Superintendent Turnover in Kentucky. Issues & Answers. REL 2011-No. 113

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Johnson, Jerry; Huffman, Tyler; Madden, Karen; Shope, Shane

2011-01-01

This study examines superintendent turnover in Kentucky public school districts for 1998/99-2007/08, looking at how turnover varies by rural status, Appalachian and non-Appalachian region, and 2007/08 school district characteristics. Key findings include: (1) Kentucky school districts averaged one superintendent turnover during 1998/99-2007/08;…

Superintendent Turnover in Kentucky. Summary. Issues & Answers. REL 2011-No. 113

Science.gov (United States)

Johnson, Jerry; Huffman, Tyler; Madden, Karen; Shope, Shane

2011-01-01

This study examines superintendent turnover in Kentucky public school districts for 1998/99-2007/08, looking at how turnover varies by rural status, Appalachian and non-Appalachian region, and 2007/08 school district characteristics. Key findings include: (1) Kentucky school districts averaged one superintendent turnover during 1998/99-2007/08;…

Bat activity following restoration prescribed burning in the central Appalachian Upland and riparian habitats

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Austin, Lauren V.; Silvis, Alexander; Ford, W. Mark; Muthersbaugh, Michael; Powers, Karen E.

2018-01-01

After decades of fire suppression in eastern North America, land managers now are prioritizing prescribed fire as a management tool to restore or maintain fire-adapted vegetation communities. However, in long—fire-suppressed landscapes, such as the central and southern Appalachians, it is unknown how bats will respond to prescribed fire in both riparian and upland forest habitats. To address these concerns, we conducted zero-crossing acoustic surveys of bat activity in burned, unburned, riparian, and non-riparian areas in the central Appalachians, Virginia, USA. Burn and riparian variables had model support (ΔAICc fire differently between upland and riparian forest habitats, but overall, large landscape-level prescribed fire has a slightly positive to neutral impact on all bats species identified at our study site post—fire application.

Effects of prescribed fire in a central Appalachian oak-hickory stand

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G.W. Wendel; H. Clay Smith; H. Clay Smith

1986-01-01

A prescribed fire in a central Appalachian mixed hardwood stand caused considerable damage to the butt logs of many overstory trees. Although there were increases in the abundance and distribution of several species of hardwoods, advanced red and chestnut oaks were poorly distributed 5-years after burning. An abundance of striped maple and other shrubs in the...

Rural and small-town attitudes about alcohol use during pregnancy: a community and provider sample.

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Logan, T K; Walker, Robert; Nagle, Laura; Lewis, Jimmie; Wiesenhahn, Donna

2003-01-01

While there has been considerable research on prenatal alcohol use, there have been limited studies focused on women in rural and small-town environments. This 2-part study examines gender differences in attitudes and perceived barriers to intervention in large community sample of persons living in rural and small-town environments in Kentucky (n = 3,346). The study also examines rural/small-town prenatal service providers' perceptions of barriers to assessment and intervention with pregnant substance abusers (n = 138). Surveys were administered to a convenience sample of employees and customers from 16 rural and small-town community outlets. There were 1503 males (45%) and 1843 females (55%) ranging in age from under 18 years old to over 66 years old. Surveys also were mailed to prenatal providers in county health departments of the 13-county study area, with 138 of 149 responding. Overall results of the community sample suggest that neither males nor females were knowledgeable about the harmful effects of alcohol use during pregnancy. Results also indicate substantial gender differences in alcohol attitudes, knowledge, and perceived barriers. Further, prenatal care providers identified several barriers in assessment and treatment of pregnant women with alcohol use problems in rural and small-town communities, including lack of knowledge and comfort with assessment as well as a lack of available and accessible treatment for referrals.

Predicting intensity of white-tailed deer herbivory in the Central Appalachian Mountains

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Kniowski, Andrew B.; Ford, W. Mark

2018-01-01

In eastern North America, white-tailed deer (Odocoileus virginianus) can have profound influences on forest biodiversity and forest successional processes. Moderate to high deer populations in the central Appalachians have resulted in lower forest biodiversity. Legacy effects in some areas persist even following deer population reductions or declines. This has prompted managers to consider deer population management goals in light of policies designed to support conservation of biodiversity and forest regeneration while continuing to support ample recreational hunting opportunities. However, despite known relationships between herbivory intensity and biodiversity impact, little information exists on the predictability of herbivory intensity across the varied and spatially diverse habitat conditions of the central Appalachians. We examined the predictability of browsing rates across central Appalachian landscapes at four environmental scales: vegetative community characteristics, physical environment, habitat configuration, and local human and deer population demographics. In an information-theoretic approach, we found that a model fitting the number of stems browsed relative to local vegetation characteristics received most (62%) of the overall support of all tested models assessing herbivory impact. Our data suggest that deer herbivory responded most predictably to differences in vegetation quantity and type. No other spatial factors or demographic factors consistently affected browsing intensity. Because herbivory, vegetation communities, and productivity vary spatially, we suggest that effective broad-scale herbivory impact assessment should include spatially-balanced vegetation monitoring that accounts for regional differences in deer forage preference. Effective monitoring is necessary to avoid biodiversity impacts and deleterious changes in vegetation community composition that are difficult to reverse and/or may not be detected using traditional deer

Two countries, one forest: Working beyond political boundaries in the Northern Appalachian/Acadian Forest

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James Sullivan

2007-01-01

Two Countries, One Forest (2C1Forest) is a collaboration of conservation organizations and researchers committed to the long-term ecological health of the Northern Appalachian/ Acadian ecoregion of the United States and Canada.

Stand and within-stand factors influencing Golden-winged Warbler use of regenerating stands in the central Appalachian Mountains

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Marja H. Bakermans

2015-06-01

Full Text Available The Golden-winged Warbler (Vermivora chrysoptera is currently being considered for protected status under the U.S. Endangered Species Act. The creation of breeding habitat in the Appalachian Mountains is considered a conservation priority for this songbird, which is dependent on extensively forested landscapes with adequate availability of young forest. We modeled abundance of Golden-winged Warbler males in regenerating harvested forest stands that were 0-17 years postharvest at both mid-Appalachian and northeast Pennsylvania regional scales using stand and within-stand characteristics of 222 regenerating stands, 2010-2011. Variables that were most influential at the mid-Appalachian scale were different than those in the northeast region. Across the mid-Appalachian ecoregion, the proportion of young forest cover, i.e., shrub/scrub cover, within 1 km of regenerating stands best explained abundance of Golden-winged Warblers. Golden-winged Warbler response was best explained by a concave quadratic relationship in which abundance was highest with 5-15% land in young forest cover. We also found evidence that the amount of herbaceous cover, i.e., the amount of grasses and forbs, within a regenerating stand positively influenced abundance of Golden-winged Warblers. In northeastern Pennsylvania, where young forest cover is found in high proportions, the distance to the nearest regenerating stand best explained variation in abundance of Golden-winged Warblers. Abundance of Golden-winged Warblers was 1500 m away. When modeling within-stand features in the northeast region, many of the models were closely ranked, indicating that multiple variables likely explained Golden-winged Warbler response to within-stand conditions. Based on our findings, we have proposed several management guidelines for land managers interested in creating breeding habitat for Golden-winged Warblers using commercial timber operations. For example, we recommend when managing for

Frac Sand Mines Are Preferentially Sited in Unzoned Rural Areas.

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Locke, Christina

2015-01-01

Shifting markets can cause unexpected, stochastic changes in rural landscapes that may take local communities by surprise. Preferential siting of new industrial facilities in poor areas or in areas with few regulatory restrictions can have implications for environmental sustainability, human health, and social justice. This study focuses on frac sand mining-the mining of high-quality silica sand used in hydraulic fracturing processes for gas and oil extraction. Frac sand mining gained prominence in the 2000s in the upper midwestern United States where nonmetallic mining is regulated primarily by local zoning. I asked whether frac sand mines were more commonly sited in rural townships without formal zoning regulations or planning processes than in those that undertook zoning and planning before the frac sand boom. I also asked if mine prevalence was correlated with socioeconomic differences across townships. After creating a probability surface to map areas most suitable for frac sand mine occurrence, I developed neutral landscape models from which to compare actual mine distributions in zoned and unzoned areas at three different spatial extents. Mines were significantly clustered in unzoned jurisdictions at the statewide level and in 7 of the 8 counties with at least three frac sand mines and some unzoned land. Subsequent regression analyses showed mine prevalence to be uncorrelated with land value, tax rate, or per capita income, but correlated with remoteness and zoning. The predicted mine count in unzoned townships was over two times higher than that in zoned townships. However, the county with the most mines by far was under a county zoning ordinance, perhaps indicating industry preferences for locations with clear, homogenous rules over patchwork regulation. Rural communities can use the case of frac sand mining as motivation to discuss and plan for sudden land-use predicaments, rather than wait to grapple with unfamiliar legal processes during a period of

Social Capital and Human Mortality: Explaining the Rural Paradox with County-Level Mortality Data

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Yang, Tse-Chuan; Jensen, Leif; Haran, Murali

2011-01-01

The "rural paradox" refers to standardized mortality rates in rural areas that are unexpectedly low in view of well-known economic and infrastructural disadvantages there. We explore this paradox by incorporating social capital, a promising explanatory factor that has seldom been incorporated into residential mortality research. We do so while…

Keeping It Safe: Aging in Place among Rural Older Adults

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Peek, Gina G.; Bishop, Alex J.

2016-01-01

The purpose of the study addressed in this article was to identify ways to reduce risk and improve safe aging in place among rural older adults. Resident and Extension faculty and county educators visited study participants at home to assess functional capacity and the home environment. Extension professionals may be uniquely positioned to provide…

Multi-Element Analysis and Geochemical Spatial Trends of Groundwater in Rural Northern New York

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Michael O’Connor

2010-05-01

Full Text Available Samples from private wells (n = 169 throughout St. Lawrence County, NY were analyzed by ICP-MS multi-element techniques. St. Lawrence County spans three diverse bedrock terranes including Precambrian crystalline rocks of the Adirondack Lowlands (mostly paragneisses and Highlands (mostly orthogneisses, as well as Paleozoic sedimentary rocks of the St. Lawrence Valley. An ArcGIS database was constructed and used to generate contour plots for elements across the county. Strontium isotopes and unique geochemical signatures were used to distinguish water from various geologic units. The results were consistent with a large (7,309 km2, sparsely populated (~110,000, rural region with diverse bedrock and glacial cover.

Why Individuals Hike the Appalachian Trail: A Qualitative Approach to Benefits

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Goldenberg, Marni; Hill, Eddie; Freidt, Barbara

2008-01-01

The Appalachian Trail (AT) is a 2,175 mile-long National Scenic Trail extending from Maine to Georgia. Since its inception in the early 1920s, individuals, families, schools, and other organizations, just to name a few, have used the AT. Approximately 3 to 4 million visitors hike a portion of the AT each year (ATC, 2006). Throughout its 80-year…

A Field-Based Aquatic Life Benchmark for Conductivity in Central Appalachian Streams (Final Report)

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EPA announced the availability of the final report, A Field-Based Aquatic Life Benchmark for Conductivity in Central Appalachian Streams. This report describes a method to characterize the relationship between the extirpation (the effective extinction) of invertebrate g...

Current State of Child Health in Rural America: How Context Shapes Children's Health.

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Probst, Janice C; Barker, Judith C; Enders, Alexandra; Gardiner, Paula

2018-02-01

Children's health is influenced by the context in which they live. We provide a descriptive essay on the status of children in rural America to highlight features of the rural environment that may affect health. We compiled information concerning components of the rural environment that may contribute to health outcomes. Areas addressed include the economic characteristics, provider availability, uniquely rural health risks, health services use, and health outcomes among rural children. Nearly 12 million children live in the rural United States. Rural counties are economically disadvantaged, leading to higher rates of poverty among rural versus urban children. Rural and urban children are approximately equally likely to be insured, but Medicaid insures a higher proportion of children in rural areas. While generally similar in health, rural children are more likely to be overweight or obese than urban children. Rural parents are less likely to report that their children received preventive medical or oral health visits than urban parents. Rural children are more likely to die than their urban peers, largely due to unintentional injury. Improving rural children's health will require both increased public health surveillance and research that creates solutions appropriate for rural environments, where health care professionals may be in short supply. Most importantly, solutions must be multisectoral, engaging education, economic development, and other community perspectives as well as health care. © 2016 National Rural Health Association.

Using hyperdocuments for knowledge management: an encyclopedia of southern appalachian forest ecosystems

Science.gov (United States)

Deborah K. Kennard; H. Michael Rauscher; Daniel L. Schmoldt; Patricia A. Flebbe; J.B. Jordin; W.G. Hubbard; M.C. Covington; N. Rushton

2001-01-01

Land managers increasingly need improved access to research knowledge that is thoroughly organized, condensed, and presented in a form that is useful for problem solving. In this paper, we describe the application of hyperdocuments for knowledge management, using an example of a newly developed hypertext encyclopedia on the southern Appalachians. The Encyclopedia of...

Trends in Tuberculosis Reported from the Appalachian Region: United States, 1993-2005

Science.gov (United States)

Wallace, Ryan M.; Armstrong, Lori R.; Pratt, Robert H.; Kammerer, J. Steve; Iademarco, Michael F.

2008-01-01

Context: Appalachia has been characterized by its poverty, a factor associated with tuberculosis, yet little is known about the disease in this region. Purpose: To determine whether Appalachian tuberculosis risk factors, trends, and rates differ from the rest of the United States. Methods: Analysis of tuberculosis cases reported to the Centers for…

Comparisons of Spatial Predictions of Conductivity on a Stream Network in an Appalachian Watershed

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We made spatial predictions of specific conductance based on spatial stream network (SSN) modeling to compare conductivity measurements of components of the network, such as headwaters, tributaries, and mainstem, which have different spatial extents in a study Appalachian watersh...

Analysis of Income Inequality Based on Income Mobility for Poverty Alleviation in Rural China

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Tingting Li

2015-12-01

Full Text Available Since the reform and opening up, the Chinese economy has achieved sustained high-speed growth. However, the widening gaps in income, especially for rural China, seem to be a dark lining to these extraordinary achievements. Taking the duration of poverty into the consideration, this article analyzes the income inequality of rural per capita net income (RPCNI based on income mobility in rural China. Analysis results showed that Gini coefficient of RPCNI declined, but that income mobility was mainly limited in the interior for low- and high-income groups. Income inequalities rose sharply within eastern and western China from 1990 to 2010. Benefiting from the developed economy, the upward mobility was universal in eastern China. The spillover effect on neighboring poor counties was feeble in western China, which directly caused long-term rich and poor. The Gini coefficient of RPCNI in central China was always at a low level, corresponding to the phenomenon of short-term rich and long-term poor. In northeastern China, the Gini coefficient sharply decreased and the large body of income mobility between non-neighboring groups was quite remarkable. The spatial pattern of intra-provincial Gini coefficient and income mobility of RPCNI has been divided by the “HU line”, which is a “geo-demographic demarcation line” discovered by Chinese population geographer HU Huanyong in 1935. In southeastern China, the characteristics of income mobility of each county depended on the distance between the county and the capital city. The spatial pattern of income mobility of RPCNI in agricultural provinces was different from that in non-agricultural provinces. According to the income inequality and income mobility, appropriate welfare and development policies was proposed to combat rural poverty at both regional and provincial scales.

Denitrification potential in sediments of headwater streams in the southern appalachian mountains, USA

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Lara A. Martin; Patrick J. Mulholland; Jackson R. Webster; H. Maurice Vallett

2001-01-01

We investigated variations in resource availability (NOa-N and labile organic C [LOCJ] as determinants of potential denitrification in stream sediments in the southern Appalachian Mountains, USA. stream-water and sediments were sampled seasonally in 2 streams of contrasting NO3,-N availability, Noland Creek (high NO

Social Vulnerability and Ebola Virus Disease in Rural Liberia.

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John A Stanturf

Full Text Available The Ebola virus disease (EVD epidemic that has stricken thousands of people in the three West African countries of Liberia, Sierra Leone, and Guinea highlights the lack of adaptive capacity in post-conflict countries. The scarcity of health services in particular renders these populations vulnerable to multiple interacting stressors including food insecurity, climate change, and the cascading effects of disease epidemics such as EVD. However, the spatial distribution of vulnerable rural populations and the individual stressors contributing to their vulnerability are unknown. We developed a Social Vulnerability Classification using census indicators and mapped it at the district scale for Liberia. According to the Classification, we estimate that districts having the highest social vulnerability lie in the north and west of Liberia in Lofa, Bong, Grand Cape Mount, and Bomi Counties. Three of these counties together with the capital Monrovia and surrounding Montserrado and Margibi counties experienced the highest levels of EVD infections in Liberia. Vulnerability has multiple dimensions and a classification developed from multiple variables provides a more holistic view of vulnerability than single indicators such as food insecurity or scarcity of health care facilities. Few rural Liberians are food secure and many cannot reach a medical clinic in <80 minutes. Our results illustrate how census and household survey data, when displayed spatially at a sub-county level, may help highlight the location of the most vulnerable households and populations. Our results can be used to identify vulnerability hotspots where development strategies and allocation of resources to address the underlying causes of vulnerability in Liberia may be warranted. We demonstrate how social vulnerability index approaches can be applied in the context of disease outbreaks, and our methods are relevant elsewhere.

Adaptation and validation of the REGEN expert system for the Central Appalachians

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Lance A. Vickers; Thomas R. Fox; David L. Loftis; David A. Boucugnani

2011-01-01

REGEN is an expert system that predicts future species composition at the onset of stem exclusion using preharvest stand conditions. To extend coverage into hardwood stands of the Central Appalachians, we developed REGEN knowledge bases for four site qualities (xeric, subxeric, submesic, mesic) based on relevant literature and expert opinion. Data were collected from...

Using silviculture to influence carbon sequestration in southern Appalachian spruce-fir forests

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Patrick T. Moore; R. Justin DeRose; James N. Long; Helga. van Miegroet

2012-01-01

Enhancement of forest growth through silvicultural modification of stand density is one strategy for increasing carbon (C) sequestration. Using the Fire and Fuels Extension of the Forest Vegetation Simulator, the effects of even-aged, uneven-aged and no-action management scenarios on C sequestration in a southern Appalachian red spruce-Fraser fir forest were modeled....

Coping behaviour of extension agents in role conflict situations : a case study in Xinji county, China

NARCIS (Netherlands)

Huang, R.Q.

1998-01-01

This book is about the coping behaviour of extension agents in role conflict situations in a changing environment in China. The study presents the case of cotton production in Xinji county, China.

Chapter 1 gives background information on Chinese agricultural and rural

Effects of Career Education on 9th Graders in Rural Mississippi.

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Sprabery, Carol A.; King, Jo Carol

This study evaluated a career education program for 141 ninth grade students at Kemper County High School in rural Mississippi in an effort to reduce the dropout rate and increase career awareness. A mental health counselor gave students monthly instruction on career issues necessary for vocational life after high school graduation. A local…

Galvanizing Local Resources: A Strategy for Sustainable Development in Rural China

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Cho, Eun Ji

2014-01-01

China has been undergoing a rapid development over the past decades, and rural areas are facing a number of challenges in the process of the change. The "New Channel" project, initiated to promote sustainable development and protect natural and cultural heritage in Tongdao county in China from a rapid urbanization and economic…

Improving reproductive health in rural China through participatory planning.

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Kaufman, Joan; Liu, Yunguo; Fang, Jing

2012-01-01

China's new health reform initiative aims to provide quality accessible health care to all, including remote rural populations, by 2020. Public health insurance coverage for the rural poor has increased, but rural women have fared worse because of lower status and lack of voice in shaping the services they need. Use of prenatal care, safe delivery and reproductive tract infections (RTIs) services is inadequate and service seeking for health problems remains lower for men. We present findings from a study of gender and health equity in rural China from 2002 to 2008 and offer recommendations from over a decade of applied research on reproductive health in rural China. Three studies, conducted in poor counties between 1994 and 2008, identified problems in access and pilot tested interventions and mechanisms to increase women's participation in health planning. They were done in conjunction with a World Bank programme and the global Gender and Health Equity Network (GHEN). Reproductive health service-seeking improved and the study interventions increased local government commitment to providing such services through new health insurance mechanisms. Findings from the studies were summarised into recommendations on gender and health for inclusion in new health reform efforts.

Teacher Unions, (Neo) Liberalism and the State: The Perth County Conspiracy of 1885

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Smaller, Harry

2004-01-01

In 1885, following a period of severe economic depression and social unrest in colonial Canada, state teachers in rural Perth County, Ontario met and formed the nucleus of what could clearly be described as a teachers' union. The idea spread quickly, and within six months the founding convention of a province-wide union was held in Toronto.…

Differences Between Rural and Urban Areas in Mortality Rates for the Leading Causes of Infant Death: United States, 2013-2015.

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Ely, Danielle M; Hoyert, Donna L

2018-02-01

The leading causes of infant death vary by age at death but were consistent from 2005 to 2015 (1-6). Previous research shows higher infant mortality rates in rural counties compared with urban counties and differences in cause of death for individuals aged 1 year and over by urbanization level (4,5,7,8). No research, however, has examined if mortality rates from the leading causes of infant death differ by urbanization level. This report describes the mortality rates for the five leading causes of infant, neonatal, and postneonatal death in the United States across rural, small and medium urban, and large urban counties defined by maternal residence, as reported on the birth certificate for combined years 2013-2015. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

Analysis on Physical Characteristics of Rural Solid Waste in Dongjiang River Source Area, China

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WANG Tao

2014-06-01

Full Text Available Dongjiang river is the source of drinking water of Guangdong Province and Hongkong, and the source area includes three counties in Ganzhou city of Jiangxi Province: Xunwu, Anyuan and Dingnan. Three typical villages were chosen in Dongjiang river source area to investigate the producing quantity and physical characteristics of rural solid waste. Results of investigation showed that the dominant ingredient in rural solid waste in Dongjiang river source area was kitchen waste, taking over 60%, followed by dust, reaching 12%, while other components took less than 10%. The per-capita producing quantity of solid waste of county-level village was 0.2~0.47 kg·d -1 and averaged by 0.36 kg·d -1, while that of town-level village was 0.18~0.35 kg· d -1, averaged by 0.29 kg· d -1 and that of hamlet was 0.07~0.33 kg· d -1, averaged by 0.17 kg· d -1. Water content in rural mixed solid waste of investigated area was significantly linear with percentage of kitchen waste in the mixed waste(R 2 =0.626, P=0.019. The average calorie wasaround 2 329 kJ·kg -1, which indicated that the rural solid waste in Dongjiang river source area was not suitable for incineration disposal directly.

An exploratory study of mental health and HIV risk behavior among drug-using rural women in jail.

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Staton-Tindall, Michele; Harp, Kathi L H; Minieri, Alexandra; Oser, Carrie; Webster, J Matthew; Havens, Jennifer; Leukefeld, Carl

2015-03-01

Rural women, particularly those in the criminal justice system, are at risk for HIV related to the increasing prevalence of injection drug use as well as limited services. Research on HIV risk correlates, including drug use and mental health, has primarily focused on urban women incarcerated in prisons. The purpose of this exploratory study is to examine dual HIV risk by 3 different mental health problems (depression, anxiety, and posttraumatic stress disorder [PTSD]) among drug-using women in rural jails. This study involved random selection, screening, and face-to-face interviews with 136 women in 1 Appalachian state. Analyses focused on the relationship between mental health and HIV risk. Nearly 80% of women self-reported symptoms of depression, and more than 60% endorsed symptoms consistent with anxiety and PTSD symptoms. Mental health significantly correlated with severity of certain types of drug use, as well as risky sexual activity. In addition, for women experiencing anxiety and PTSD, injection drug use moderated the relationship between mental health and risky sexual activity. Based on these rates of drug use, mental health problems, and the emergence of injection drug use in rural Appalachia, the need to explore the relationships between these issues among vulnerable and understudied populations, such as rural women, is critical. Because of service limitations in rural communities, criminal justice venues such as jails provide opportune settings for screening, assessment, and intervention for drug use, mental health, and HIV education and prevention. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

Prescribed Burning For Laurel and Rhodendron Control in the Southern appalachians

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Ralph M. Hooper

1969-01-01

Prescribed fire shows promise as a tool for the control of laurel and rhododendron in the Southern Appalachian mountains. A recent prescribed fire killed the tops of 70 percent of ail laurel under 0.5 inch d.b.h. and 70 percent of the rhododendron under 1 inch d.b.h. Seventeen months after the bum, almost all of the top-killed laurel and rhododendron have...

Socio-economic development of Dongguan County promoted by family planning.

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Hu, F

1986-10-01

Because of its geographical position and its population of over 1.19 million, Dongguan County in Guangdong Province, China occupies an important position in the family planning program of the whole province, and country. In the 1st 10 days of July 1985, the Family Planning Commission of Guangdong Province conducted a survey of Dongguan County. The results show 6 remarkable changes: 1) both rural and urban people are more and more likely to practice family planning on their own accord. (The total fertility rate dropped from 5.9 in the early years of the People's Republic to 2.05 in 1982); 2) women, released from heavy household chores, have become a vital new force for the development of industrial production (The gross industrial output value of the town industry increased by 87.57% from 1987 to 1984.); 3) the living standard of both rural and urban people improved along with more flourishing industrial and agricultural production; 4) educational work and population quality have improved; 5) moral culture has progressed (Family planning is commonly practiced.); and 6) social development has occurred, such as purification of tap water, and the building of cultural, sport, and recreational facilities. The County Family Planning commission achieved its successes by political mobilization policies, scientific birth control, and good services. Their main approaches include 1) associating political mobilization with the local reality; 2) popularizing knowledge of birth control science and life science through special schools, training courses, lectures, and research; 3) rewarding 1-child families with material benefits; and 4) improving living conditions of widowed and childless old people to alleviate worries of sonless households.

Characterization of major-ion chemistry and nutrients in headwater streams along the Appalachian National Scenic Trail and within adjacent watersheds, Maine to Georgia

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Argue, Denise M.; Pope, Jason P.; Dieffenbach, Fred

2012-01-01

An inventory of water-quality data on field parameters, major ions, and nutrients provided a summary of water quality in headwater (first- and second-order) streams within watersheds along the Appalachian National Scenic Trail (Appalachian Trail). Data from 1,817 sampling sites in 831 catchments were used for the water-quality summary. Catchment delineations from NHDPlus were used as the fundamental geographic units for this project. Criteria used to evaluate sampling sites for inclusion were based on selected physical attributes of the catchments adjacent to the Appalachian Trail, including stream elevation, percentage of developed land cover, and percentage of agricultural land cover. The headwater streams of the Appalachian Trail are generally dilute waters, with low pH, low acid neutralizing capacity (ANC), and low concentrations of nutrients. The median pH value was slightly acidic at 6.7; the median specific conductance value was 23.6 microsiemens per centimeter, and the median ANC value was 98.7 milliequivalents per liter (μeq/L). Median concentrations of cations (calcium, magnesium, sodium, and potassium) were each less than 1.5 milligrams per liter (mg/L), and median concentrations of anions (bicarbonate, chloride, fluoride, sulfate, and nitrate) were less than 10 mg/L. Differences in water-quality constituent levels along the Appalachian Trail may be related to elevation, atmospheric deposition, geology, and land cover. Spatial variations were summarized by ecological sections (ecosections) developed by the U.S. Forest Service. Specific conductance, pH, ANC, and concentrations of major ions (calcium, chloride, magnesium, sodium, and sulfate) were all negatively correlated with elevation. The highest elevation ecosections (White Mountains, Blue Ridge Mountains, and Allegheny Mountains) had the lowest pH, ANC, and concentrations of major ions. The lowest elevation ecosections (Lower New England and Hudson Valley) generally had the highest pH, ANC, and

Pollution Sources and Mortality Rates across Rural-Urban Areas in the United States

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Hendryx, Michael; Fedorko, Evan; Halverson, Joel

2010-01-01

Purpose: To conduct an assessment of rural environmental pollution sources and associated population mortality rates. Methods: The design is a secondary analysis of county-level data from the Environmental Protection Agency (EPA), Department of Agriculture, National Land Cover Dataset, Energy Information Administration, Centers for Disease Control…

An Exploration and Analysis of the Modes of Rural School Consolidation in China

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Hongyong, Jia; Fenfen, Zhou

2013-01-01

Based on research involving 177 primary and secondary schools spread over thirty-eight counties in six provinces (including one autonomous region), this article explores and analyzes four modes used in rural school consolidation in China. These four modes are: complete amalgamation, annexation, crossover, and centralization-decentralization.

Perceptions of Healthful Eating and Influences on the Food Choices of Appalachian Youth

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Swanson, Mark; Schoenberg, Nancy E.; Davis, Rian; Wright, Sherry; Dollarhide, Kaye

2013-01-01

Objective: Patterns of overweight and obesity have an unequal geographic distribution, and there are elevated rates in Appalachia. Perceptions of Appalachian youth toward healthful eating and influences on food choice were examined as part of formative research to address these disparities. Methods: Eleven focus groups, averaging 6 youth (n = 68)…

Geocoding rural addresses in a community contaminated by PFOA: a comparison of methods

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Gallagher Lisa G

2010-04-01

Full Text Available Abstract Background Location is often an important component of exposure assessment, and positional errors in geocoding may result in exposure misclassification. In rural areas, successful geocoding to a street address is limited by rural route boxes. Communities have assigned physical street addresses to rural route boxes as part of E911 readdressing projects for improved emergency response. Our study compared automated and E911 methods for recovering and geocoding valid street addresses and assessed the impact of positional errors on exposure classification. Methods The current study is a secondary analysis of existing data that included 135 addresses self-reported by participants of a rural community study who were exposed via public drinking water to perfluorooctanoate (PFOA released from a DuPont facility in Parkersburg, West Virginia. We converted pre-E911 to post-E911 addresses using two methods: automated ZP4 address-correction software with the U.S. Postal Service LACS database and E911 data provided by Wood County, West Virginia. Addresses were geocoded using TeleAtlas, an online commercial service, and ArcView with StreetMap Premium North America NAVTEQ 2008 enhanced street dataset. We calculated positional errors using GPS measurements collected at each address and assessed exposure based on geocoded location in relation to public water pipes. Results The county E911 data converted 89% of the eligible addresses compared to 35% by ZP4 LACS. ArcView/NAVTEQ geocoded more addresses (n = 130 and with smaller median distance between geocodes and GPS coordinates (39 meters than TeleAtlas (n = 85, 188 meters. Without E911 address conversion, 25% of the geocodes would have been more than 1000 meters from the true location. Positional errors in TeleAtlas geocoding resulted in exposure misclassification of seven addresses whereas ArcView/NAVTEQ methods did not misclassify any addresses. Conclusions Although the study was limited by small

Geocoding rural addresses in a community contaminated by PFOA: a comparison of methods.

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Vieira, Verónica M; Howard, Gregory J; Gallagher, Lisa G; Fletcher, Tony

2010-04-21

Location is often an important component of exposure assessment, and positional errors in geocoding may result in exposure misclassification. In rural areas, successful geocoding to a street address is limited by rural route boxes. Communities have assigned physical street addresses to rural route boxes as part of E911 readdressing projects for improved emergency response. Our study compared automated and E911 methods for recovering and geocoding valid street addresses and assessed the impact of positional errors on exposure classification. The current study is a secondary analysis of existing data that included 135 addresses self-reported by participants of a rural community study who were exposed via public drinking water to perfluorooctanoate (PFOA) released from a DuPont facility in Parkersburg, West Virginia. We converted pre-E911 to post-E911 addresses using two methods: automated ZP4 address-correction software with the U.S. Postal Service LACS database and E911 data provided by Wood County, West Virginia. Addresses were geocoded using TeleAtlas, an online commercial service, and ArcView with StreetMap Premium North America NAVTEQ 2008 enhanced street dataset. We calculated positional errors using GPS measurements collected at each address and assessed exposure based on geocoded location in relation to public water pipes. The county E911 data converted 89% of the eligible addresses compared to 35% by ZP4 LACS. ArcView/NAVTEQ geocoded more addresses (n = 130) and with smaller median distance between geocodes and GPS coordinates (39 meters) than TeleAtlas (n = 85, 188 meters). Without E911 address conversion, 25% of the geocodes would have been more than 1000 meters from the true location. Positional errors in TeleAtlas geocoding resulted in exposure misclassification of seven addresses whereas ArcView/NAVTEQ methods did not misclassify any addresses. Although the study was limited by small numbers, our results suggest that the use of county E911 data in rural

Built Environment and Active Commuting: Rural-Urban Differences in the U.S.

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Fan, Jessie X; Wen, Ming; Wan, Neng

2017-12-01

The purpose of this research was to investigate rural-urban differences in participation rates in three modes of active commuting (AC) and their built environmental correlates. The 2010 Census supplemented with other datasets were used to analyze AC rates in percent of workers age 16+ walking, biking, or taking public transportation to work in 70,172 Census tracts, including 12,844 rural and 57,328 urban. Random-intercept factional logit regressions were used to account for zero-inflated data and for clustering of tracts within counties. We found that the average AC rates were 3.44% rural and 2.77% urban (purban (purban (ptransportation to work. Some environmental variables had similar relationships with AC in rural and urban tracts, such as a negative association between tract greenness and prevalence of walking to work. Others had opposite correlational directions for rural vs. urban, such as street connectivity for walking to work and population density for both walking to work and public transportation to work. We concluded that rurality is an important moderator in AC-environment relationships. In developing strategies to promote AC, attention needs to be paid to rural-urban differences to avoid unintended consequences.

Mortality In Rural China Declined As Health Insurance Coverage Increased, But No Evidence The Two Are Linked.

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Zhou, Maigeng; Liu, Shiwei; Kate Bundorf, M; Eggleston, Karen; Zhou, Sen

2017-09-01

Health insurance holds the promise of improving population health and survival and protecting people from catastrophic health spending. Yet evidence from lower- and middle-income countries on the impact of health insurance is limited. We investigated whether insurance expansion reduced adult mortality in rural China, taking advantage of differences across Chinese counties in the timing of the introduction of the New Cooperative Medical Scheme (NCMS). We assembled and analyzed newly collected data on NCMS implementation, linked to data from the Chinese Center for Disease Control and Prevention on cause-specific, age-standardized death rates and variables specific to county-year combinations for seventy-two counties in the period 2004-12. While mortality rates declined among rural residents during this period, we found little evidence that the expansion of health insurance through the NCMS contributed to this decline. However, our relatively large standard errors leave open the possibility that the NCMS had effects on mortality that we could not detect. Moreover, mortality benefits might arise only after many years of accumulated coverage. Project HOPE—The People-to-People Health Foundation, Inc.

Community Rates of Breastfeeding Initiation.

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Grubesic, Tony H; Durbin, Kelly M

2016-11-01

Breastfeeding initiation rates vary considerably across racial and ethnic groups, maternal age, and education level, yet there are limited data concerning the influence of geography on community rates of breastfeeding initiation. This study aimed to describe how community rates of breastfeeding initiation vary in geographic space, highlighting "hot spots" and "cool spots" of initiation and exploring the potential connections between race, socioeconomic status, and urbanization levels on these patterns. Birth certificate data from the Kentucky Department of Health for 2004-2010 were combined with county-level geographic base files, Census 2010 demographic and socioeconomic data, and Rural-Urban Continuum Codes to conduct a spatial statistical analysis of community rates of breastfeeding initiation. Between 2004 and 2010, the average rate of breastfeeding initiation for Kentucky increased from 43.84% to 49.22%. Simultaneously, the number of counties identified as breastfeeding initiation hot spots also increased, displaying a systematic geographic pattern in doing so. Cool spots of breastfeeding initiation persisted in rural, Appalachian Kentucky. Spatial regression results suggested that unemployment, income, race, education, location, and the availability of International Board Certified Lactation Consultants are connected to breastfeeding initiation. Not only do spatial analytics facilitate the identification of breastfeeding initiation hot spots and cool spots, but they can be used to better understand the landscape of breastfeeding initiation and help target breastfeeding education and/or support efforts.

Transformative State Capacity in Post-Collective China: The Introduction of the New Rural Cooperative Medical System in Two Counties of Western China, 2006-2008.

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Klotzbücher, Sascha; Lässig, Peter

2009-06-01

In 2002, the Chinese leadership announced a turnaround in national welfare policy: Local insurance at county level, called the New Rural Cooperative Medical System (NRCMS), was to cover all counties by 2010. This paper addresses the main characteristics of NRCMS as an example of 'transformative state capacity' in decentralised policy fields and its feature 'responsiveness' as a market-based means of its introduction.Reviewing the modes of governance and comparing the introduction of local schemes based on two case studies of western China since 2006, this paper argues that the flexibility shown by local administrators in considering structural and procedural adjustments is the result not only of central directives but also of local initiatives. Forms of locally embedded responsiveness to the needs and perceptions of health care recipients are crucial in enhancing the accountability and responsiveness of local cadres. These new modes of 'responsiveness' or responsive regulation are important in understanding and conceptualising the transformative state capacity. Responsive settings using centrally defined local feedback loops are different from hierarchical control and the formal institutionalised representation of the interests of the local population, and are a rough but effective means of enhancing both flexibility and the efficiency of control and financing by the central state. These feedback loops, which are based on voluntary enrolment and on central state subsidies made dependent on contributions received from participants and local government, are complementary forms of governance at grassroots level.

Plant succession and community restoration following felling and burning in the Southern Appalachian Mountains

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Barton D. Clinton; James M. Vose

2000-01-01

Recent declines in the yellow pine component of pine-hardwood stands in the Southern Appalachian Mountains has prompted managers to increase the use of fire as a silvicultural tool. The fell and burn treatment is designed to remove competing vegetation (hardwoods and mountain laurel...

Rural Medicine Realities: The Impact of Immersion on Urban-Based Medical Students.

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Crump, Allison M; Jeter, Karie; Mullins, Samantha; Shadoan, Amber; Ziegler, Craig; Crump, William J

2017-05-02

The purpose of our study was to determine what effect a rural-based 8-week surgical clerkship during the third year of medical school in a rural setting has on students' opinions about rural living and practice. Thirty-three third-year medical students completed a rural health opinion survey at the beginning and end of their 8-week rural rotation and a survey measuring their interest in rural practice after the rotation. The setting was a rural hospital with an average acute care census of 100 that is a regional referral center for 5 rural counties. Urban campus-based students had a statistically significant positive change in opinions about rural comfortable living, availability of quality services, community support, and medical resources. The urban campus-based students also showed a significantly increased interest in small town practice after the rotation. Our hypothesis that urban-based students would report an increased level of rural community support at the end of the rotation was confirmed. These urban-based students also reported positive opinions about rural living and practice. The students primarily based at the urban campus also showed a statistically significant more positive attitude toward pursuing a career in a small town after the 8-week experience. This suggests that brief rural immersion experiences may make the larger student pool at an urban campus available to address rural workforce challenges. Future studies at multiple rural sites with a larger sample size are needed to confirm this possibility. © 2017 National Rural Health Association.

Demographic ageing of the population in the County of Šibenik-Knin: grandparent boom

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Snježana Mrđen

2016-01-01

Full Text Available This paper analyses demographic ageing of the population in the County of Šibenik-Knin by using basic demographic indicators based on data collected from population censuses from 1971 to 2011. It analyses spatial differentiation of the ageing process at the level of the County, micro-regions, towns/municipalities and settlements. The research also provides a comparison of population ageing in different counties of the Republic of Croatia, from which it is evident that the County of Šibenik-Knin, as well as the Country of Lika-Senj, has the oldest population in Croatia. Ageing in the County of Šibenik-Knin, which was triggered by extreme rural exodus that was most intensive from the end of 1960s to the early 1970s, as well as by continuous declining fertility rates and by inherited age composition, was recorded at all territorial levels of the County. Although the ageing process started in littoral area (Primorje, hinterland (Zagora experienced a faster and more intensive ageing. Based on numerous indicators of demographic ageing and its intensity, and compared with the point value indicators of ageing, it is evident that the population of the County of Šibenik-Knin is characterized by advanced old age. However, more than half of the observed settlements are characterized by very advanced or extremely advanced old age.

Effectiveness of a primary care practice intervention for increasing colorectal cancer screening in Appalachian Kentucky.

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Dignan, Mark; Shelton, Brent; Slone, Stacey A; Tolle, Cheri; Mohammad, Sohail; Schoenberg, Nancy; Pearce, Kevin; Van Meter, Emily; Ely, Gretchen

2014-01-01

This report describes findings from a randomized controlled trial of an intervention to increase colorectal cancer (CRC) screening in primary care practices in Appalachian Kentucky. Sixty-six primary care practices were randomized to early or delayed intervention groups. The intervention was provided at practices using academic detailing, a method of education where providers receive information on a specific topic through personal contact. Data were collected in cross-sectional surveys of medical records at baseline and six months post-intervention. A total of 3844 medical records were reviewed at baseline and 3751 at the six-month follow-up. At baselines, colonoscopy was recommended more frequently (43.4%) than any other screening modality, followed by fecal occult blood testing (18.0%), flexible sigmoidoscopy (0.4%), and double-contrast barium enema (0.3%). Rates of documented screening results were higher for all practices at the six-month follow-up for colonoscopy (31.8% vs 29.6%) and fecal occult blood testing (12.2% vs 11.2%). For early intervention practices that recommended screening, colonoscopy rates increased by 15.7% at six months compared to an increase of 2.4% in the delayed intervention practices (p=.01). Using academic detailing to reach rural primary care providers with a CRC screening intervention was associated with an increase in colonoscopy. Copyright © 2013 Elsevier Inc. All rights reserved.

The role of amenities and quality of life in rural economic growth

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Steven C. Deller; Tsung-Hsiu (Sue) Tsai; David W. Marcouiller; Donald B.K. English

2001-01-01

A structural model of regional economic growth is estimated using data for 2243 rural US. counties. Five indices designed to capture specific amenity and quality of life characteristics are constructed using 54 separate indicators. Results suggest that amenity characteristics can be organized into consistent and meaningful empirical measures that move beyond ad hoc...

Improvements in Care and Reduced Self-Management Barriers Among Rural Patients With Diabetes

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Dettori, Nancy; Flook, Benjamin N.; Pessl, Erich; Quesenberry, Kim; Loh, Johnson; Harris, Colleen; McDowall, Janet M.; Butcher, Marcene K.; Helgerson, Steven D.; Gohdes, Dorothy; Harwell, Todd S.

2005-01-01

Improved preventive care and clinical outcomes among patients with diabetes can reduce complications and costs; however, diabetes care continues to be suboptimal. Few studies have described effective strategies for improving care among rural populations with diabetes. In 2000, the Park County Diabetes Project and the Montana Diabetes Control…

An Evaluation of Elementary School Nutrition Practices and Policies in a Southern Illinois County

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Sherry, Jennifer S.

2008-01-01

The purpose of this study is to assess elementary school nutrition programs in a rural county in southern Illinois. The researcher interviewed the food service managers of eight schools and completed the School Health Index (SHI) based on their responses. Eighty-seven percent of the schools did not have venues such as vending machines outside the…

Spatial Disparities of Financial Intermediaries in Cluj County

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LELIA PAPP

2009-01-01

Full Text Available The present paper aims at identifying the disparities in the spatial distribution of financial intermediaries by taking as case-study a specific territorial unit, namely Cluj County. The knowledge of the number and location of financial intermediaries has importance in understanding the complex functionality of the territory, as well as in the complex process of territorial management, since there is a close linkage between the presence and the activity of the different financial institutions and economic and social development. The analysis is focused on the following financial intermediaries: monetary financial institutions, other financial intermediaries, insurance companies and pension funds. The interpreted data, the calculated indicators (such as the number of banks per 1,000 inhabitants, the number of ATMs per 1,000 inhabitants and the cartographic materials indicate a high concentration of financial intermediaries in Cluj-Napoca, a slight diversity in the other five towns of the county and low presence or even their absence in rural area.

Why small and medium chemical companies continue to pose severe environmental risks in rural China

International Nuclear Information System (INIS)

He, Guizhen; Zhang, Lei; Mol, Arthur P.J.; Wang, Tieyu; Lu, Yonglong

2014-01-01

In China, rural chemical SMEs are often believed to still largely operate below the sustainability radar. This paper investigates to what extent and how chemical SMEs are already experiencing pressure to improve their environmental performance, using an in-depth case study in Jasmine County, Hebei province. The results show that local residents had rather low trust in the environmental improvement promises made by the enterprises and the local government, and disagreed with the proposed improvement plans. Although the power of local residents to influence decision making remained limited, the chemical SMEs started to feel increasing pressures to clean up their business, from governments, local communities and civil society, and international value chain stakeholders. Notwithstanding these mounting pressures chemical SME's environmental behavior and performance has not changed radically for the better. The strong economic ties between local county governments and chemical SMEs continue to be a major barrier for stringent environmental regulation. -- Highlights: • Rural chemical SMEs are often below the sustainability radar in China. • Close local government-SMEs tie remained as a barrier for effective environmental enforcement. • Rural communities proved unable to collectively raise their voice. • National government must adopt environment-oriented political incentives. -- The paper provides a major understanding of how and why the large number of existing chemical SMEs in rural China still form major chemical risks

The Impact of International Students on American Students and Faculty at an Appalachian University

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Jourdini, My Mustapha

2012-01-01

This study examined the effects of exposure to international students on American student and faculty perceptions at a regional Appalachian University. A revised and improved version of Jaleh Shabahang's (1993) "International Education Opinionnaire" was used to survey American students and faculty regarding their perceptions of the…

Festive culture in pre-reformation rural Suffolk

OpenAIRE

Jewell, Katharine Louise

2014-01-01

This thesis is a study of the relationship between festive culture and rural communities in the pre-Reformation period. Using a wide range of evidence, both material and documentary, it uses the county of Suffolk as a case-study. This thesis argues against the prevailing view that festive culture constituted a distinct break from everyday life. It demonstrates that festive culture was an important part of the quotidian working routine and, as such, takes as its starting point evidence of fest...

Feasibility of Rainfed Viticulture in Marivan Rural Region Using SWOT Method, Sarkal County

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Rehaneh soltani moqadas

2016-02-01

Full Text Available Abstract Due to being in mountainous regions, Sarkal County has not developed much either physically or agriculturally. However, its specific climatic conditions have provided an opportunity to establish rainfed vineyards. The aim of this study was to evaluate the potentials and capability of the region for establishing rainfed vineyards as well as identify the benefits of rainfed vineyards for future planning. For this purpose, a questionnaire was prepared and sent to 83 grape growers in 31 villages. In addition, associated managers were interviewed according to 343 Kookran formula. The current study offers solutions for developing rainfed vineyards, applying the measurement method, case studies, and also enumerating the pros and cons, and opportunities as well as threats based on SWOT. As the next step, the provided solutions were prioritized based on QSPM matrix. The results showed that the solutions for developing rainfed vineyards are kind of aggressive solutions. According to the internal factors assessment Matrix, the final score of 2.52 shows that establishing and developing rainfed vineyards based on internal factors in Sarkal County is highly possible. Moreover, the external factors assessment Matrix with a total score of 3.44 shows that in the present conditions, the development of rainfed vineyards in Sarkal County reinforces the opportunities. Finally, SO6 approach titled “constructing Agro-processing industries to save the vintage and cut down the damages” was selected and introduced using QSPM matrix, which reads.

Cardiovascular risk in minority and underserved women in Appalachian Tennessee: a descriptive study.

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Pearson, Tamera Lea

2010-04-01

The purposes of this study were to translate current knowledge regarding cardiovascular risk factors, screening, and prevention to a disparate population of women and to ascertain the cardiovascular health status and risk factors in a sample of minority and underserved Appalachian women. Demographic data were collected from a voluntary sample of women from a disparate population living in Appalachian Tennessee. A coronary risk profile recorded family health history, personal health history, and lifestyle habits affecting risk for cardiovascular disease. Physiologic measurements included body mass index, blood pressure, fasting glucose, cholesterol levels, ankle brachial index, and carotid artery stenosis. Women in Appalachia Tennessee from a disparate population have high risks for heart disease and stroke. This is a critical time to address any modifiable risk factors and aggressively treat underlying cardiovascular diseases such as hypertension and hypercholesterolemia. Nurse practitioners (NPs) often provide primary care to women who may not be aware of their cardiovascular risks or actual disease. NPs can ensure that their practice incorporates primary and secondary cardiovascular prevention through screening, individual health education, and aggressive evidence-based treatment plans for women.

Geographic information system (GIS)-based maps of Appalachian basin oil and gas fields: Chapter C.2 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

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Ryder, Robert T.; Kinney, Scott A.; Suitt, Stephen E.; Merrill, Matthew D.; Trippi, Michael H.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

One of the more recent maps of Appalachian basin oil and gas fields (and the adjoining Black Warrior basin) is the U.S. Geological Survey (USGS) compilation by Mast and others (1998) (see Trippi and others, this volume, chap. I.1). This map is part of a larger oil and gas field map for the conterminous United States that was derived by Mast and others (1998) from the Well History Control System (WHCS) database of Petroleum Information, Inc. (now IHS Energy Group). Rather than constructing the map from the approximately 500,000 proprietary wells in the Appalachian and Black Warrior part of the WHCS database, Mast and others (1998) subdivided the region into a grid of 1-mi2 (square mile) cells and allocated an appropriate type of hydrocarbon production (oil production, gas production, oil and gas production, or explored but no production) to each cell. Each 1-mi2 cell contains from 0 to 5 or more exploratory and (or) development wells. For example, if the wells in the 1-mi2 cell consisted of three oil wells, one gas well, and one dry well, then the cell would be characterized on the map as an area of oil and gas production. The map by Mast and others (1998) accurately shows the distribution and types of hydrocarbon accumulation in the Appalachian and Black Warrior basins, but it does not show the names of individual fields. To determine the locality and name of individual oil and gas fields, one must refer to State oil and gas maps (for example, Harper and others, 1982), which are generally published at scales of 1:250,000 or 1:500,000 (see References Cited), and (or) published journal articles.

A social–contextual investigation of smoking among rural women: multi-level factors associated with smoking status and considerations for cessation.

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Nemeth, Julianna M; Thomson, Tiffany L; Lu, Bo; Peng, Juan; Krebs, Valdis; Doogan, Nathan J; Ferketich, Amy K; Post, Douglas M; Browning, Christopher R; Paskett, Electra D; Wewers, Mary E

2018-03-01

The social-contextual model of tobacco control and the potential mechanisms of the maintenance or cessation of smoking behavior among disadvantaged women, including rural residents, have yet to be comprehensively studied. The purpose of this study was to determine the association between selected individual, interpersonal, workplace, and neighborhood characteristics and smoking status among women in Appalachia, a US region whose residents experience a disproportionate prevalence of tobacco-related health disparities. These findings may assist in efforts to design and test scientifically valid tobacco control interventions for this and other disadvantaged populations. Women, 18 years of age and older, residing in three rural Ohio Appalachian counties, were recruited using a two-phase address-based sampling methodology for a cross-sectional interview-administered survey between August 2012 and October 2013 (N=408). Multinomial logistic regression was employed to determine associations between select multilevel factors (independent variables) and smoking status (dependent variable). The sample included 82 (20.1%) current smokers, 92 (22.5%) former smokers, and 234 (57.4%) women reporting never smoking (mean age 51.7 years). In the final multivariable multinomial logistic regression model, controlling for all other significant associations, constructs at multiple social-contextual levels were associated with current versus either former or never smoking. At the individual level, for every additional year in age, the odds of being a former or never smoker increased by 7% and 6% (odds ratio (OR) (95% confidence interval(CI)): 1.07 (1.0-1.11) and 1.06 (1.02-1.09)), respectively, as compared to the odds of being a current smoker. With regard to depression, for each one unit increase in the Center for Epidemiologic Studies Depression Scale score, the odds of being a former or never smoker were 5% and 7% lower (OR(95%CI): 0.95(0.91-0.999) and 0.93(0.88-0.98)), respectively

Changes to southern Appalachian water yield and stormflow after loss of a foundation species

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Steven T. Brantley; Chelcy Ford Miniat; Katherine J. Elliott; Stephanie H. Laseter; James M. Vose

2014-01-01

Few studies have examined how insect outbreaks affect landscape-level hydrologic processes. We report the hydrologic effects of the invasive, exotic hemlock woolly adelgid (HWA) in a headwater catchment in the southern Appalachian Mountains. The study watershed experienced complete mortality of an evergreen tree species, Tsuga canadensis (L.) Carr. (...

Tsuga canadensis (L.) Carr, mortality will impact hydrologic processes in southern Appalachian forest ecosystems

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Chelcy R. Ford; James M. Vose

2007-01-01

Eastern hemlock (Tsuga canadensis (L.) Carr.) is one of the principal riparian and cove canopy species in the southern Appalachian Mountains. Throughout its range, eastern hemlock is facing potential widespread mortality from the hemlock woolly adelgid (HWA). If HWA-induced eastern hemlock mortality alters hydrologic function, land managers...

Built environment and active commuting: Rural-urban differences in the U.S

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Jessie X. Fan

2017-12-01

Full Text Available The purpose of this research was to investigate rural-urban differences in participation rates in three modes of active commuting (AC and their built environmental correlates. The 2010 Census supplemented with other datasets were used to analyze AC rates in percent of workers age 16+ walking, biking, or taking public transportation to work in 70,172 Census tracts, including 12,844 rural and 57,328 urban. Random-intercept factional logit regressions were used to account for zero-inflated data and for clustering of tracts within counties. We found that the average AC rates were 3.44% rural and 2.77% urban (p<0.01 for walking to work, 0.40% rural and 0.58% urban (p<0.01 for biking to work, and 0.59% rural and 5.86% urban (p<0.01 for public transportation to work. Some environmental variables had similar relationships with AC in rural and urban tracts, such as a negative association between tract greenness and prevalence of walking to work. Others had opposite correlational directions for rural vs. urban, such as street connectivity for walking to work and population density for both walking to work and public transportation to work. We concluded that rurality is an important moderator in AC-environment relationships. In developing strategies to promote AC, attention needs to be paid to rural-urban differences to avoid unintended consequences.

Accessible Transportation, Geographic Elevation, and Masticatory Ability Among Elderly Residents of a Rural Area.

Science.gov (United States)

Hamano, Tsuyoshi; Tominaga, Kazumichi; Takeda, Miwako; Sundquist, Kristina; Nabika, Toru

2015-06-26

Given that public transportation networks are often worse in rural areas than in urban areas, rural residents who do not drive can find it difficult to access health-promoting goods, services, and resources related to masticatory ability. Moreover, geographical location, assessed by elevation, could modify this association. The aim of this study was to test whether the association between access to transportation and masticatory ability varied by elevation. Data were collected from a cross-sectional study conducted in Mizuho and Iwami counties, Japan. Objective masticatory ability was evaluated using a test gummy jelly and elevation was estimated by the geographic information systems according to the participant's address. After excluding subjects with missing data, 672 subjects (Mizuho = 401 and Iwami = 271) were analyzed. After adjustment for potential confounders, being a driver was not significantly associated with masticatory ability among elderly people living at low elevation (≤313 m) in Mizuho county. However, after the same adjustment, being a driver remained significantly associated with increased masticatory ability among elderly at high elevations. Similar findings were observed in Iwami county. Accessible transportation was significantly associated with increased mastication ability in elderly people living at high elevations, but not in those living at low elevations.

Accessible Transportation, Geographic Elevation, and Masticatory Ability Among Elderly Residents of a Rural Area

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Tsuyoshi Hamano

2015-06-01

Full Text Available Given that public transportation networks are often worse in rural areas than in urban areas, rural residents who do not drive can find it difficult to access health-promoting goods, services, and resources related to masticatory ability. Moreover, geographical location, assessed by elevation, could modify this association. The aim of this study was to test whether the association between access to transportation and masticatory ability varied by elevation. Data were collected from a cross-sectional study conducted in Mizuho and Iwami counties, Japan. Objective masticatory ability was evaluated using a test gummy jelly and elevation was estimated by the geographic information systems according to the participant’s address. After excluding subjects with missing data, 672 subjects (Mizuho = 401 and Iwami = 271 were analyzed. After adjustment for potential confounders, being a driver was not significantly associated with masticatory ability among elderly people living at low elevation (≤313 m in Mizuho county. However, after the same adjustment, being a driver remained significantly associated with increased masticatory ability among elderly at high elevations. Similar findings were observed in Iwami county. Accessible transportation was significantly associated with increased mastication ability in elderly people living at high elevations, but not in those living at low elevations.

Assessment of undiscovered continuous gas resources in Upper Devonian Shales of the Appalachian Basin Province, 2017

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Enomoto, Catherine B.; Trippi, Michael H.; Higley, Debra K.; Rouse, William A.; Dulong, Frank T.; Klett, Timothy R.; Mercier, Tracey J.; Brownfield, Michael E.; Leathers-Miller, Heidi M.; Finn, Thomas M.; Marra, Kristen R.; Le, Phuong A.; Woodall, Cheryl A.; Schenk, Christopher J.

2018-04-19

Using a geology-based assessment methodology, the U.S. Geological Survey estimated mean undiscovered, technically recoverable continuous resources of 10.7 trillion cubic feet of natural gas in Upper Devonian shales of the Appalachian Basin Province.

Epidemiology of multiple sclerosis in London and Middlesex County, Ontario, Canada.

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Hader, W J; Elliot, M; Ebers, G C

1988-04-01

A case-controlled epidemiologic study of multiple sclerosis (MS) was carried out in London, Ontario, and its surrounding Middlesex County for the period 1974-1983. The prevalence rates for clinically definite/probable MS on January 1, 1984 were 94/100,000 for the city and 91/100,000 for the county. The estimated annual incidence rate for the decade 1974-83 was 3.4/100,000. The female-to-male sex ratio was 2.5:1. A familial history of MS was recorded in 14.4% of close relatives and a total of 17% when distant relatives are included. The MS group is predominantly of British (70%) and European (23%) origin. The urban-rural residence pattern analysis indicates no significant regional influence on the risk of developing MS.

Frac Sand Mines Are Preferentially Sited in Unzoned Rural Areas.

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Christina Locke

Full Text Available Shifting markets can cause unexpected, stochastic changes in rural landscapes that may take local communities by surprise. Preferential siting of new industrial facilities in poor areas or in areas with few regulatory restrictions can have implications for environmental sustainability, human health, and social justice. This study focuses on frac sand mining-the mining of high-quality silica sand used in hydraulic fracturing processes for gas and oil extraction. Frac sand mining gained prominence in the 2000s in the upper midwestern United States where nonmetallic mining is regulated primarily by local zoning. I asked whether frac sand mines were more commonly sited in rural townships without formal zoning regulations or planning processes than in those that undertook zoning and planning before the frac sand boom. I also asked if mine prevalence was correlated with socioeconomic differences across townships. After creating a probability surface to map areas most suitable for frac sand mine occurrence, I developed neutral landscape models from which to compare actual mine distributions in zoned and unzoned areas at three different spatial extents. Mines were significantly clustered in unzoned jurisdictions at the statewide level and in 7 of the 8 counties with at least three frac sand mines and some unzoned land. Subsequent regression analyses showed mine prevalence to be uncorrelated with land value, tax rate, or per capita income, but correlated with remoteness and zoning. The predicted mine count in unzoned townships was over two times higher than that in zoned townships. However, the county with the most mines by far was under a county zoning ordinance, perhaps indicating industry preferences for locations with clear, homogenous rules over patchwork regulation. Rural communities can use the case of frac sand mining as motivation to discuss and plan for sudden land-use predicaments, rather than wait to grapple with unfamiliar legal processes

Modeling and simulating two cut-to-length harvesting systems in central Appalachian hardwoods

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Jingxin Wang; Chris B. LeDoux; Yaoxiang Li

2003-01-01

The production rates and costs of two cut-to-length harvesting systems was simulated using a modular ground-based simulation model and stand yield data from fully stocked, second growth even aged central Appalachian hardwood forests. The two harvesters simulated were a modified John Deere 988 tracked excavator with a model RP 1600 single grip sawhead and an excavator...

The prevalence and correlates of lifetime psychiatric disorders and trauma exposures in urban and rural settings: results from the national comorbidity survey replication (NCS-R.

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Jennifer S McCall-Hosenfeld

Full Text Available Distinctions between rural and urban environments produce different frequencies of traumatic exposures and psychiatric disorders. We examine the prevalence of psychiatric disorders and frequency of trauma exposures by position on the rural-urban continuum.The National Comorbidity Survey Replication (NCS-R was used to evaluate psychiatric disorders among a nationally-representative sample of the U.S. population. Rurality was designated using the Department of Agriculture's 2003 rural-urban continuum codes (RUCC, which differentiate counties into levels of rurality by population density and adjacency to metropolitan areas. Lifetime psychiatric disorders included post-traumatic stress disorder (PTSD, anxiety disorders, major depressive disorder, mood disorders, impulse-control disorders, and substance abuse. Trauma exposures were classified as war-related, accident-related, disaster-related, interpersonal or other. Weighted logistic regression models examined the odds of psychiatric disorders and trauma exposures by position on the rural-urban continuum, adjusted for relevant covariates.75% of participants were metropolitan, 12.2% were suburban, and 12.8% were from rural counties. The most common disorder reported was any anxiety disorder (38.5%. Drug abuse was more common among metropolitan (8.7%, p = 0.018, compared to nonmetropolitan (5.1% suburban, 6.1% rural participants. A one-category increase in rurality was associated with decreased odds for war-related trauma (aOR = 0.86, 95%CI 0.78-0.95. Rurality was not associated with risk for any other lifetime psychiatric disorders or trauma exposure.Contrary to the expectation of some rural primary care providers, the frequencies of most psychiatric disorders and trauma exposures are similar across the rural-urban continuum, reinforcing calls to improve mental healthcare access in resource-poor rural communities.

Reviving the Rural Factory: Automation and Work in the South. Volumes 1 and 2.

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Rosenfeld, Stuart A.; And Others

These two volumes examine how the public sector can help revitalize southern rural counties adversely affected by global competition and technological advances. The first volume examines public and private factors that influence investment decisions in new technologies and outcomes of those decisions; effects of automation on employment and the…

Persistence of Allegheny woodrats Neotoma magister across the mid-Atlantic Appalachian Highlands landscape, USA

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W. Mark Ford; Steven B. Castleberry; Michael T. Mengak; Jane L. Rodrigue; Daniel J. Feller; Kevin R. Russell

2006-01-01

We examined a suite of macro-habitat and landscape variables around active and inactive Allegheny woodrat Neotoma magister colony sites in the Appalachian Mountains of the mid-Atlantic Highlands of Maryland, Virginia, and West Virginia using an information-theoretic modeling approach. Logistic regression analyses suggested that Allegheny woodrat presence was related...

Statewide Dissemination of a Rural, Non-Chain Restaurant Intervention: Adoption, Implementation and Maintenance

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Nothwehr, F.; Haines, H.; Chrisman, M.; Schultz, U.

2014-01-01

The obesity epidemic calls for greater dissemination of nutrition-related programs, yet there remain few studies of the dissemination process. This study, guided by elements of the RE-AIM model, describes the statewide dissemination of a simple, point-of-purchase restaurant intervention. Conducted in rural counties of the Midwest, United States,…

A Participatory Regional Partnership Approach to Promote Nutrition and Physical Activity Through Environmental and Policy Change in Rural Missouri

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Barnidge, Ellen K.; Baker, Elizabeth A.; Estlund, Amy; Motton, Freda; Hipp, Pamela R.; Brownson, Ross C.

2015-01-01

Background Rural residents are less likely than urban and suburban residents to meet recommendations for nutrition and physical activity. Interventions at the environmental and policy level create environments that support healthy eating and physical activity. Community Context Healthier Missouri Communities (Healthier MO) is a community-based research project conducted by the Prevention Research Center in St. Louis with community partners from 12 counties in rural southeast Missouri. We crea...

A conceptual model exploring the relationship between HIV stigma and implementing HIV clinical trials in rural communities of North Carolina.

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Sengupta, Sohini; Strauss, Ronald P; Miles, Margaret S; Roman-Isler, Malika; Banks, Bahby; Corbie-Smith, Giselle

2010-01-01

HIV/AIDS disproportionately affects minority groups in the United States, especially in the rural southeastern states. Poverty and lack of access to HIV care, including clinical trials, are prevalent in these areas and contribute to HIV stigma. This is the first study to develop a conceptual model exploring the relationship between HIV stigma and the implementation of HIV clinical trials in rural contexts to help improve participation in those trials. We conducted focus groups with HIV service providers and community leaders, and individual interviews with people living with HIV/AIDS in six counties in rural North Carolina. Themes related to stigma were elicited. We classified the themes into theoretical constructs and developed a conceptual model. HIV stigma themes were classified under the existing theoretical constructs of perceived, experienced, vicarious, and felt normative stigma. Two additional constructs emerged: causes of HIV stigma (e.g., low HIV knowledge and denial in the community) and consequences of HIV stigma (e.g., confidentiality concerns in clinical trials). The conceptual model illustrates that the causes of HIV stigma can give rise to perceived, experienced, and vicarious HIV stigma, and these types of stigma could lead to the consequences of HIV stigma that include felt normative stigma. Understanding HIV stigma in rural counties of North Carolina may not be generalizeable to other rural US southeastern states. The conceptual model emphasizes that HIV stigma--in its many forms--is a critical barrier to HIV clinical trial implementation in rural North Carolina.

Tourism implications on local waste management. Case study: Neamț County

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Mihai, Florin-Constantin

2013-01-01

The paper examines tourism as potential source of waste generation in urban and rural areas from Neamt County. An assessment method is proposed and the final result is mapping the process at local scale. In order to analyze the tourism impact on local waste management system, the waste generated by tourists (estimated values) is related to local household waste generation. This paper outlines the disparities within cities and communes and it also analyses the bad practices of tourists support...

Aboveground biomass and nutrient accumulation 20 years after clear-cutting a southern Appalachian watershed

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Katherine J. Elliott; Lindsay R. Boring; Wayne T. Swank

2002-01-01

In 1975, we initiated a long-term interdisciplinary study of forest watershed ecosystem response to clear- cutting and cable logging in watershed 7 at the Coweeta Hydrologic Laboratory in the southern Appalachian Mountains of North Carolina. This paper describes ~20 years of change in species composition, aboveground biomass, leaf area index (LAI),...

Surficial geology and geomorphology of Potter County, Pennsylvania

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Denny, C.S.

1956-01-01

Potter County is located in the Appalachian Plateaus of north-central Pennsylvania and contains the headwaters of the Genesee River, the Allegheny River, and the Susquehanna River. Drift of Wisconsin age covers the northeastern part of the county. This study includes a detailed survev of the surficial deposits of the Genesee quadrangle in north-central Potter County and a reconnaissance of the remainder of the county; a soil survey and a botanical survey were carried on concurrently. The region is a deeply dissected plateau having extensive areas of steeply sloping land separated by narrow ridges and valleys; there is very little level land. Near the junction of the three watersheds the uplands rise to altitudes of more than 2,500 feet. The maximum relief in the Susquehanna drainage is more than 1,500 feet; in the Genesee and Allegheny drainage it. is about 800 feet. Valley walls are steep (15° to 30°), and the uplands have gentle slopes (0.5° to 10°). The drainage pattern is trellised. The climate is continental. Temperatures range from about -30° F. to more than 100° F. The average annual precipitation ranges approximately from 34 to 42 inches. Floods may occur at any season of the year. The large volumes of water from rain or melting snow carried by small streams come from springs. There is little precise data on frost in the ground, but it is probable that the ground seldom freezes in forested areas. The soils of Potter County have relatively immature profiles with poorly developed horizons that commonly have many characteristics inherited from their parent materials. At the great soil group level, the zonal soils are divided into Podzol soils and Brown Podzolic soils. Many soils have a high silt content in the upper part of the profile, apparently derived (at least partly) from a mantle of eolian silt. Mos~ of Potter County is covered by second-growth forests consisting of 40- to 60-year-old hardwood stands. The present forests growing on slopes and

Transformational Leadership: A Qualitative Study of Rural Elementary Schools in Fresno County

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Pina, Xavier

2013-01-01

Principal leadership is crucial to improving school effectiveness and positively affecting organizational culture in the midst of expectations from education reform mandates. Principals who provide direction and exercise influence can inspire commitment from organizational members to attain shared goals. Rural school principals face unique…

Global climate change and fragmentation of native brook trout distribution in the southern Appalachian Mountains

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Patricia A. Flebbe

1997-01-01

Current distributions of native brook trout (Salvelinus fontinalis) in the Southern Appalachians are restricted to upper elevations by multiple factors, including habitat requirements, introduced rainbow (Oncorhynchus mykiss) and brown (Salmo trutta) trout, and other human activities. Present-day distribution of brook trout habitat is already fragmented. Increased...

Site quality in Appalachian hardwoods: the biological and economic response under selection silviculture

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Orris D. McCauley; George R., Jr. Trimble

1975-01-01

The relative or percentage value response after 12 years of selective cutting practices on low- and high-quality sites in Appalachian hardwoods amounted to a 119-percent increase on the low-quality site and 145 percent on the high-quality site. The absolute value or actual dollar response, on the other hand, showed that the low-quality site increased in value only $76/...

Predicting climate change extirpation risk for central and southern Appalachian forest tree species

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Kevin M. Potter; William W. Hargrove; Frank H. Koch

2010-01-01

Climate change will likely pose a severe threat to the viability of certain forest tree species, which will be forced either to adapt to new conditions or to shift to more favorable environments if they are to survive. Several forest tree species of the central and southern Appalachians may be at particular risk, since they occur in limited high-elevation ranges and/or...

An economic assessment of implementing streamside management zones in central Appalachian hardwood forests

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Yaoxiang Li; Chris B. LeDoux; Jingxin Wang

2006-01-01

The effects of variable width of streamside management zones (25, 50, 75, and 100 ft) (SMZs) and removal level of trees (10%, 30%, and 50% of basal area) on production and cost of implementing SMZs in central Appalachian hardwood forests were simulated by using a computer model. Harvesting operations were performed on an 80-year-old generated natural hardwood stand...

New methods for estimating non-timber forest product output: an Appalachian case study

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Steve Kruger; James. Chamberlain

2015-01-01

Assessing the size and structure of non-timber forest product (NTFP) markets is difficult due to a lack of knowledge about NTFP supply chains. Harvesting ginseng and other wild medicinal plants has long provided a source of income and cultural identity in Appalachian communities in the eastern United States. With the exception of ginseng, the extent of the harvest of...

Analysis of Food Poverty of Rural Women in Villages of Central district of Boyer-Ahmad County

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2014-10-01

Full Text Available The findings revealed that about 31 percent of women were below and 69% were above the food poverty line. Comparison of averages of some variables including education status, employment (head of household, income, banking facilities such as credit and loans, property and assets, savings, economic skills, economic participation, government supports, husband's attitude, self-confidence, self-esteem, physical and mental healths showed that there are significant differences between poor and non-poor rural women. The discriminant analysis indicated that variables like husband attitude, self-confidence, and self-essteem correctly classified about 87.7 percent of rural women as poor or non-poor. Due to the husband's attitude had a significant role in differentiation of the two groups, the social and cultural education of rural men are recommended. Furthermore, the supporting sterategies that includes the distribution of food commodities, unemployment insurance and pensions, medical insurance and development of educational services for rural women is suggested.

Prevalence of Intestinal Parasites Among the Rural Primary School Students in the West of Ahvaz County, Iran, 2015

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Jasem Saki

2017-02-01

Full Text Available Background Parasitic infections are among the most important global health problems, especially in the developing countries. They are among the most common forms of infectious diseases in the world. According to the report of the world health organization (WHO, about 3.5 billion people worldwide are infected by a kind of parasite, and 450 million people each year become ill due to complications caused by parasites. Objectives Due to a lack of accurate statistics on the prevalence of the parasite in primary school children in rural areas of West of Ahvaz, Iran, the current study aimed at investigating the prevalence of intestinal parasites in the mentioned group. Methods The current descriptive epidemiologic analysis was conducted on 306 rural primary school students in the Western regions of Ahvaz County in 2015. Collected samples were transferred to the laboratory of parasitology in the school of medicine, and underwent a direct and sedimentary formalin-ether test. Results Out of the 306 students under study, 180 (58.8% were male and 126 (41.2% female. Of these students 88 (28.8% were with 1 or more intestinal parasites, which Giardia lamblia, with the prevalence of 61 (19.9% subjects had the highest rate, followed by Entamoeba dispar, Entamoeba histolytica, Blastocystis hominis, and Entamoeba coli with the prevalence of 12 (3.9%, 9 (2.9%, and 6 (1.9%, respectively, . Six (1.9% students showed coinfection by the 2 parasites. There was a significant relationship between the prevalence of the parasite and the variables of age, the source of drinking water, and the method of washing vegetables and fruits, but no significant relationship was observed between the prevalence of the parasite, and parents’ level of education and children’s gender. There was no case of infection with the worms. Conclusions Similar to other recent studies, only protozoan infection was observed in the current study. Giardia lamblia had the highest infection rate

Dental Care Utilization among North Carolina Rural Older Adults

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Arcury, Thomas A.; Savoca, Margaret R.; Anderson, Andrea M.; Chen, Haiying; Gilbert, Gregg H.; Bell, Ronny A.; Leng, Xiaoyan; Reynolds, Teresa; Quandt, Sara A.

2012-01-01

Objectives This analysis delineates the predisposing, need, and enabling factors that are significantly associated with regular and recent dental care in a multi-ethnic sample of rural older adults. Methods A cross-sectional comprehensive oral health survey conducted with a random, multi-ethnic (African American, American Indian, white) sample of 635 community-dwelling adults aged 60 years and older was completed in two rural southern counties. Results Almost no edentulous rural older adults received dental care. Slightly more than one-quarter (27.1%) of dentate rural older adults received regular dental care and slightly more than one-third (36.7%) received recent dental care. Predisposing (education) and enabling (regular place for dental care) factors associated with receiving regular and recent dental care among dentate participants point to greater resources being the driving force in receiving dental care. Contrary to expectations of the Behavioral Model of Health Services, those with the least need (e.g., better self-rated oral health) received regular dental care; this has been referred to as the Paradox of Dental Need. Conclusions Regular and recent dental care are infrequent among rural older adults. Those not receiving dental care are those who most need care. Community access to dental care and the ability of older adults to pay for dental care must be addressed by public health policy to improve the health and quality of life of older adults in rural communities. PMID:22536828

Seasonal dynamics of ectomycorrhizal fungus assemblages on oak seedlings in the southeastern Appalachian Mountains

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John F. Walker; Orson K. Jr. Miller; Jonathan L. Horton

2008-01-01

The potential for seasonal dynamics in ectomycorrhizal (EM) fungal assemblages has important implications for the ecology of both the host trees and the fungal associates. We compared EM fungus distributions on root systems of out-planted oak seedlings at two sites in mixed southeastern Appalachian Mountain forests at the Coweeta Hydrologic Laboratory in North Carolina...

Using fire to restore pine/hardwood ecosystems in the Southern Appalachians of North Carolina

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James M. Vose; Wayne T. Swank; Barton D. Clinton; Ronald L. Hendrick; Amy E. Major

1997-01-01

In the Southern Appalachians, mixed pine/hardwood ecosystems occupy the most xeric sites (i.e., south/west aspect ridge sites). They are typically comprised of varying proportions of pitch pine (Pinus rigida), Virginia pine (Pinus virginiana), and/or shortleaf pine (Pinus echinata) and a mixture of hardwoods, including scarlet oak (Quercus coccinea), chestnut oak (...

Nitrogen deposition and cycling across an elevation and vegetation gradient in southern Appalachian forests

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Jennifer D. Knoepp; James M. Vose; Wayne T. Swank

2008-01-01

We studied nitrogen (N) cycling pools and processes across vegetation and elevation gradients in. the southern Appalachian Mountains in SE USA. Measurements included bulk deposition input, watershed export, throughfall fluxes, litterfall, soil N pools and processes, and soil solution N. N deposition increased with elevation and ranged from 9.5 to 12.4 kg ha-...

Using hyperdocuments to manage scientific knowledge: the prototype Encyclopedia of Southern Appalachian Forest Ecosystems

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Deborah K. Kennard; H. Michael Rauscher; Patricia A. Flebbe; Daniel L. Schmoldt; William G. Hubbard; J. Bryan Jordin; William Milnor

2005-01-01

Despite the overwhelming body of research available on the ecology and management of Southern Appalachian forests, a gap exists between what scientists know and what the management community is able to apply on the ground. Most research knowledge still resides in highly technical, narrowly focused research publications housed in libraries. The internet, combined with...

Effects of riparian zone buffer widths on vegetation diversity in southern Appalachian headwater catchments

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Katherine J. Elliott; James M. Vose

2016-01-01

In mountainous areas such as the southern Appalachians USA, riparian zones are difficult to define. Vegetation is a commonly used riparian indicator and plays a key role in protecting water resources, but adequate knowledge of floristic responses to riparian disturbances is lacking. Our objective was to quantify changes in stand-level floristic diversity of...

Influence of forest road buffer zones on sediment transport in the Southern Appalachian Region

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Johnny M. Grace; Stanley J. Zarnoch

2013-01-01

A gap exists in the understanding of the effectiveness of forest road best management practices (BMP) in controlling sediment movement and minimizing risks of sediment delivery to forest streams. The objective of this paper is to report the findings of investigations to assess sediment travel distances downslope of forest roads in the Appalachian region, relate...

Bystander Cardiopulmonary Resuscitation Is Clustered and Associated With Neighborhood Socioeconomic Characteristics: A Geospatial Analysis of Kent County, Michigan.

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Uber, Amy; Sadler, Richard C; Chassee, Todd; Reynolds, Joshua C

2017-08-01

Geographic clustering of bystander cardiopulmonary resuscitation (CPR) is associated with demographic and socioeconomic features of the community where out-of-hospital cardiac arrest (OHCA) occurred, although this association remains largely untested in rural areas. With a significant rural component and relative racial homogeneity, Kent County, Michigan, provides a unique setting to externally validate or identify new community features associated with bystander CPR. Using a large, countywide data set, we tested for geographic clustering of bystander CPR and its associations with community socioeconomic features. Secondary analysis of adult OHCA subjects (2010-2015) in the Cardiac Arrest Registry to Enhance Survival (CARES) data set for Kent County, Michigan. After linking geocoded OHCA cases to U.S. census data, we used Moran's I-test to assess for spatial autocorrelation of population-weighted cardiac arrest rate by census block group. Getis-Ord Gi statistic assessed for spatial clustering of bystander CPR and mixed-effects hierarchical logistic regression estimated adjusted associations between community features and bystander CPR. Of 1,592 subjects, 1,465 met inclusion criteria. Geospatial analysis revealed significant clustering of OHCA in more populated/urban areas. Conversely, bystander CPR was less likely in these areas (99% confidence) and more likely in suburban and rural areas (99% confidence). Adjusting for clinical, demographic, and socioeconomic covariates, bystander CPR was associated with public location (odds ratio [OR] = 1.19; 95% confidence interval [CI] = 1.03-1.39), initially shockable rhythms (OR = 1.48; 95% CI = 1.12-1.96), and those in urban neighborhoods (OR = 0.54; 95% CI = 0.38-0.77). Out-of-hospital cardiac arrest and bystander CPR are geographically clustered in Kent County, Michigan, but bystander CPR is inversely associated with urban designation. These results offer new insight into bystander CPR patterns in mixed urban and rural

T-H-A-T-S: timber-harvesting-and-transport-simulator: with subroutines for Appalachian logging

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A. Jeff Martin

1975-01-01

A computer program for simulating harvesting operations is presented. Written in FORTRAN IV, the program contains subroutines that were developed for Appalachian logging conditions. However, with appropriate modifications, the simulator would be applicable for most logging operations and locations. The details of model development and its methodology are presented,...

Successional dynamics and restoration implications of a montane coniferous forest in the central Appalachians, USA

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Thomas M. Schuler; Rachel J. Collins

2002-01-01

Central Appalachian montane red spruce (Picea rubens Sarg.) communities have been greatly reduced in extent and functional quality over the past century. This community decline has put several plant and animal species, such as the endangered Virginia northern flying squirrel (Glaucomys sabrinus fuscus Shaw), at risk from habitat...

Silvicultural and integrated pest management strategies for restoring eastern hemlock to degraded southern Appalachian mountain ecosystems.

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W.A. Whittier; A.E. Mayfield III; R.M. Jetton

2017-01-01

The ecologically foundational species eastern hemlock, Tsuga canadensis, is being functionally eliminated from southern Appalachian forests by the hemlock woolly adelgid (HWA, Adelges tsugae). The management of HWA has focused on chemical and biological control, conservation of hemlock genetic resources, and host resistance...

Arranged Marriages: Relationships Between Regular and Irregular Forces, During the Early American Revolutionary War in Monmouth County, New Jersey

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2013-12-10

regiments of English, Irish, and Scottish lineage.4 The British government attempted to augment the British Army by hiring additional forces, preferring...miles north-south, nearly 1,100 square miles total. The county was rural and sparsely populated, with few roads. The coastline stretched 80 miles, with

Is healthcare caring in Hawai'i? Preliminary results from a health assessment of lesbian, gay, bisexual, transgender, questioning, and intersex people in four counties.

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Stotzer, Rebecca L; Ka'opua, Lana Sue I; Diaz, Tressa P

2014-06-01

This paper presents findings from a statewide needs assessment of lesbian, gay, bisexual, transgender, questioning, and intersex (LGBTQI) people in Hawai'i that relate to health status and health-related risk factors such as having health insurance coverage, having a regular doctor, experiencing sexual orientation (SO) or gender identity/expression (GI/E) discrimination in health/mental health care settings, and delaying care due to concerns about SO and GIE discrimination in Hawai'i, Honolulu, Kaua'i, and Maui counties. Results suggest that LGBTQI people in these counties generally rated their self-assessed health as "very good" or "excellent," but had slightly higher rates of smoking and less health insurance coverage than the general population of Hawai'i. Many respondents reported challenges to their health, and negative experiences with healthcare. Unlike prior studies that have shown no difference or a rural disadvantage in care, compared to urban locations, Hawai'i's counties did not have a clear rural disadvantage. Honolulu and Kaua'i Counties demonstrated better health indicators and lower percentages of people who had delayed care due to gender identity concerns. Findings suggest that health/mental health care providers should address potential bias in the workplace to be able to provide more culturally competent practice to LGBTQI people in Hawai'i.

Appalachian basin oil and natural gas: stratigraphic framework, total petroleum systems, and estimated ultimate recovery: Chapter C.1 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

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Ryder, Robert T.; Milici, Robert C.; Swezey, Christopher S.; Trippi, Michael H.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

The most recent U.S. Geological Survey (USGS) assessment of undiscovered oil and gas resources of the Appalachian basin was completed in 2002 (Milici and others, 2003). This assessment was based on the total petroleum system (TPS), a concept introduced by Magoon and Dow (1994) and developed during subsequent studies such as those by the U.S. Geological Survey World Energy Assessment Team (2000) and by Biteau and others (2003a,b). Each TPS is based on specific geologic elements that include source rocks, traps and seals, reservoir rocks, and the generation and migration of hydrocarbons. This chapter identifies the TPSs defined in the 2002 Appalachian basin oil and gas assessment and places them in the context of the stratigraphic framework associated with regional geologic cross sections D–D′ (Ryder and others, 2009, which was re-released in this volume, chap. E.4.1) and E–E′ (Ryder and others, 2008, which was re-released in this volume, chap. E.4.2). Furthermore, the chapter presents a recent estimate of the ultimate recoverable oil and natural gas in the basin.

Geotechnical Characterization of Mined Clay from Appalachian Ohio: Challenges and Implications for the Clay Mining Industry

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Moran, Anthony R.; Hettiarachchi, Hiroshan

2011-01-01

Clayey soil found in coal mines in Appalachian Ohio is often sold to landfills for constructing Recompacted Soil Liners (RSL) in landfills. Since clayey soils possess low hydraulic conductivity, the suitability of mined clay for RSL in Ohio is first assessed by determining its clay content. When soil samples are tested in a laboratory, the same engineering properties are typically expected for the soils originated from the same source, provided that the testing techniques applied are standard, but mined clay from Appalachian Ohio has shown drastic differences in particle size distribution depending on the sampling and/or laboratory processing methods. Sometimes more than a 10 percent decrease in the clay content is observed in the samples collected at the stockpiles, compared to those collected through reverse circulation drilling. This discrepancy poses a challenge to geotechnical engineers who work on the prequalification process of RSL material as it can result in misleading estimates of the hydraulic conductivity of the samples. This paper describes a laboratory investigation conducted on mined clay from Appalachian Ohio to determine how and why the standard sampling and/or processing methods can affect the grain-size distributions. The variation in the clay content was determined to be due to heavy concentrations of shale fragments in the clayey soils. It was also concluded that, in order to obtain reliable grain size distributions from the samples collected at a stockpile of mined clay, the material needs to be processed using a soil grinder. Otherwise, the samples should be collected through drilling. PMID:21845150

Geotechnical characterization of mined clay from Appalachian Ohio: challenges and implications for the clay mining industry.

Science.gov (United States)

Moran, Anthony R; Hettiarachchi, Hiroshan

2011-07-01

Clayey soil found in coal mines in Appalachian Ohio is often sold to landfills for constructing Recompacted Soil Liners (RSL) in landfills. Since clayey soils possess low hydraulic conductivity, the suitability of mined clay for RSL in Ohio is first assessed by determining its clay content. When soil samples are tested in a laboratory, the same engineering properties are typically expected for the soils originated from the same source, provided that the testing techniques applied are standard, but mined clay from Appalachian Ohio has shown drastic differences in particle size distribution depending on the sampling and/or laboratory processing methods. Sometimes more than a 10 percent decrease in the clay content is observed in the samples collected at the stockpiles, compared to those collected through reverse circulation drilling. This discrepancy poses a challenge to geotechnical engineers who work on the prequalification process of RSL material as it can result in misleading estimates of the hydraulic conductivity of the samples. This paper describes a laboratory investigation conducted on mined clay from Appalachian Ohio to determine how and why the standard sampling and/or processing methods can affect the grain-size distributions. The variation in the clay content was determined to be due to heavy concentrations of shale fragments in the clayey soils. It was also concluded that, in order to obtain reliable grain size distributions from the samples collected at a stockpile of mined clay, the material needs to be processed using a soil grinder. Otherwise, the samples should be collected through drilling.

Geotechnical Characterization of Mined Clay from Appalachian Ohio: Challenges and Implications for the Clay Mining Industry

Directory of Open Access Journals (Sweden)

Anthony R. Moran

2011-06-01

Full Text Available Clayey soil found in coal mines in Appalachian Ohio is often sold to landfills for constructing Recompacted Soil Liners (RSL in landfills. Since clayey soils possess low hydraulic conductivity, the suitability of mined clay for RSL in Ohio is first assessed by determining its clay content. When soil samples are tested in a laboratory, the same engineering properties are typically expected for the soils originated from the same source, provided that the testing techniques applied are standard, but mined clay from Appalachian Ohio has shown drastic differences in particle size distribution depending on the sampling and/or laboratory processing methods. Sometimes more than a 10 percent decrease in the clay content is observed in the samples collected at the stockpiles, compared to those collected through reverse circulation drilling. This discrepancy poses a challenge to geotechnical engineers who work on the prequalification process of RSL material as it can result in misleading estimates of the hydraulic conductivity of the samples. This paper describes a laboratory investigation conducted on mined clay from Appalachian Ohio to determine how and why the standard sampling and/or processing methods can affect the grain-size distributions. The variation in the clay content was determined to be due to heavy concentrations of shale fragments in the clayey soils. It was also concluded that, in order to obtain reliable grain size distributions from the samples collected at a stockpile of mined clay, the material needs to be processed using a soil grinder. Otherwise, the samples should be collected through drilling.

Production and cost analysis of a feller-buncher in central Appalachian hardwood forest

Science.gov (United States)

Charlie Long; Jingxin Wang; Joe McNeel; John Baumgras; John Baumgras

2002-01-01

A time study was conducted to evaluate the productivity and cost of a feller-buncher operating in a Central Appalachian hardwood forest. The sites harvested during observation consisted of primarily red maple and black cherry. Trees felled in the study had an average diameter at breast height (DBH) of 16.1 in. and a total merchantable height of 16 ft. A Timbco 445C...

Properties, origin and nomenclature of rodlets of the inertinite maceral group in coals of the central Appalachian basin, U.S.A.

Science.gov (United States)

Lyons, P.C.; Finkelman, R.B.; Thompson, C.L.; Brown, F.W.; Hatcher, P.G.

1982-01-01

Resin rodlets, sclerenchyma strands and woody splinters, which are collectively called rodlets, were studied by chemical, optical petrographic, and scanning-electron microscopic (SEM) techniques. A study was made of such rodlets from the bituminous coal beds of the central Appalachian basin (Pennsylvanian; Upper Carboniferous) of the United States. Comparisons were made with rodlets from coal beds of the Illinois basin, the Southern Anthracite Field of Pennsylvania, the St. Rose coal field of Nova Scotia, and European and other coal fields. In order to determine their physical and chemical properties, a detailed study was made of the rodlets from the Pomeroy coal bed (high volatile A bituminous coal; Monongahela Formation; Upper Pennsylvanian) of Kanawha County, West Virginia. The origin of the rodlets was determined by a comparative analysis of a medullosan (seed fern) stem from the Herrin (No. 6) coal bed (high volatile C bituminous coal; Carbondale Formation) from Washington County, Illinois. Rodlets are commonly concentrated in fusain or carbominerite layers or lenses in bituminous coal beds of the central Appalachian basin. Most of the rodlets examined in our study were probably derived from medullosan seed ferns. The three types of rodlets are distinguished on the basis of cellularity, morphology and fracture. The resin rodlets studied by us are noncellular and appear to be similar in properties and origin to those found in coal beds of the Middle and Upper Pennsylvanian of the Illinois basin. The resin rodlets extracted from the Pomeroy coal bed exhibit high relief and high reflectance when polished and viewed in reflected light; they are opaque in transmitted light. In cross section, the resin rodlets are oval to round and have diameters ranging from 60 to 450 ??m. Many are solid, but some have vesicles, canals or cavities, which are commonly filled with clay, probably kaolinite. Typically, they have distinct fracture patterns ("kerfs") in longitudinal and

Imidacloprid movement in soils and impacts on soil microarthropods in southern Appalachian eastern hemlock stands

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Jennifer D. Knoepp; James M. Vose; Jerry L. Michael; Barbara C. Reynolds

2012-01-01

Imidacloprid is a systemic insecticide effective in controlling the exotic pest Adelges tsugae (hemlock woolly adelgid) in eastern hemlock (Tsuga canadensis) trees. Concerns over imidacloprid impacts on nontarget species have limited its application in southern Appalachian ecosystems. We quantified the movement and adsorption of imidacloprid in forest soils after soil...

Group and Interaction Effects with "No Child Left Behind": Gender and Reading in a Poor, Appalachian District

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Robert Bickel

2004-01-01

Full Text Available Critics of “No Child Left Behind” judge that it oversimplifies the influence of social context and the place of socially ascribed traits, such as social class, race, and gender, in determining achievement. We hold that this is especially likely to be true with regard to gender-related group effects and gender-implicated interaction effects. We make our concerns concrete in a multilevel, repeated measures analysis of reading achievement in a poor, rural school district located in the southern coalfields of Appalachian West Virginia. Our results suggest that as the percentage of students who are male increases, school mean scores in reading achievement decline for three reasons: individual males do less well than females; the greater the percentage of males, the lower the scores for all students; added to that, the greater the percentage of males, the lower the scores for males specifically. Given the accountability measures and sanctions proposed by “No Child Left Behind,” having a large percentage of males in a school could be disastrous. We conclude that gender effects in reading achievement are complex, easily overlooked, and have no obvious remedy. As such, they lend credence to the view that “No Child Left Behind” oversimplifies the social context of schooling and underestimates the importance of social ascription.

Determination of organic-matter content of Appalachian Devonian shales from gamma-ray logs

International Nuclear Information System (INIS)

Schmoker, J.W.

1981-01-01

The organic-matter content of the Devonian shale of the Appalachian basin is important for assessing the natural-gas resources of these rocks, and patterns of organic-matter distribution convey information on sedimentary processes and depositional environment. In most of the western part of the Appalachian basin the organic-matter content of the Devonian shale can be estimated from gamma-ray wire-line logs using the equation: phi 0 = (γ/sub B/ - γ)/1.378A, where phi 0 is the organic-matter content of the shale (fractional volume), γ the gamma-ray intensity (API units), γ/sub B/ the gamma-ray intensity if no organic matter is present (API units), and A the slope of the crossplot of gamma-ray intensity and formation density (API units/(g/cm 3 )). Organic-matter contents estimated using this equation are compared with organic-matter contents determined from direct laboratory analyses of organic carbon for 74 intervals of varying thickness from 12 widely separated wells. The organic-matter content of these intervals ranges from near zero to about 20% by volume. The gamma-ray intensity of the Cleveland Member of the Ohio Shale and the lower part of the Olentangy Shale is anomalously low compared to other Devonian shales of similar richness, so that organic-matter content computed for each of these units from gamma-ray logs is likely to be too low. Wire-line methods for estimating organic-matter content have the advantages of economy, readily available sources of data, and continuous sampling of the vertically heterogenous shale section. The gamma-ray log, in particular, is commonly run in the Devonian shale, its response characteristics are well known, and the cumulative pool of gamma-ray logs forms a large and geographically broad data base. The quantitative computation of organic-matter content from gamma-ray logs should be of practical value in studies of the Appalachian Devonian shale. 16 figures

The Impact of Negative Life Events on Attempted Suicide in Rural China.

Science.gov (United States)

Liu, Yanzheng; Zhang, Jie

2018-03-01

This study aims to explore the impact of negative life events (NLEs) on attempted suicide in a Chinese cultural setting. The sample comprised 791 suicide attempters and an equal number of controls matched on age, sex, and location from selected rural counties in China. Conditional logistic regression model was used to examine the association between NLEs and suicide risk. The impact of NLEs on attempted suicide was further examined using regression-based method to explore its mediation effect. The types of NLEs that were most likely to precede a suicide attempt in rural sample included the events in marriage/love, family/home, and friend/relationship. Rural women were more likely to experience more interpersonal conflicts than rural men. Approximately 75.6% of suicide attempters had experienced at least one NLE, and NLEs were strongly associated with attempted suicide. Total effect (0.676), direct effect (0.501), and the total indirect effect (0.301) of NLEs on suicide attempts were significantly mediated by hopelessness and depression. NLEs play a crucial role in predicting suicidal attempt in rural China, and they are mediated by depression and hopelessness.

Tourism implications on local waste management. Case study: Neamț County, Romania

OpenAIRE

Mihai , Florin ,

2013-01-01

International audience; The paper examines tourism as potential source of waste generation in urban and rural areas from Neamt County. An assessment method is proposed and the final result is mapping the process at local scale. In order to analyze the tourism impact on local waste management system, the waste generated by tourists (estimated values) is related to local household waste generation. This paper outlines the disparities within cities and communes and it also analyses the bad pract...

Factors influencing the satisfaction of rural physician assistants: a cross-sectional study.

Science.gov (United States)

Filipova, Anna A

2014-01-01

The purpose of the study was to determine factors that attract physician assistants (PAs) to rural settings, and what they found satisfying about their practice and community. A cross-sectional survey design was used. All PAs who were practicing in both nonmetropolitan counties and rural communities in metropolitan counties, in a single midwestern US state, served as the population for the study. A total of 414 usable questionnaires were returned of the 1,072 distributed, a 39% response rate. Factor analysis, descriptive statistics, Pearson's correlation analysis, and robust regression analyses were used. Statistical models were tested to identify antecedents of four job satisfaction factors (satisfaction with professional respect, satisfaction with supervising physician, satisfaction with authority/ autonomy, and satisfaction with workload/salary). The strongest predictor of all four job satisfaction factors was community satisfaction, followed by importance of job practice. Additionally, the four job satisfaction factors had some significant associations with importance of socialization, community importance, practice attributes (years of practice, years in current location, specialty, and facility type), job responsibilities (percentage of patient load not discussed with physician, weekly hours as PA, inpatient visits), and demographics (marital status, race, age, education).

Empowering Rural Appalachian Youth Through Integrated Inquiry-based Earth Science

Science.gov (United States)

Cartwright, T. J.; Hogsett, M.

2009-05-01

Science education must be relevant and inspiring to keep students engaged and receptive to learning. Reports suggest that science education reform can be advanced by involving students in active research (NSF 1996). Through a 2-year Geoscience Education award from the National Science Foundation, a program called IDGE (Integrated Design for Geoscience Education) has targeted low-income, under-represented, and minority high school students in rural Appalachia in inquiry-based projects, international collaboration, and an international environmental expedition incorporating the GLOBE program protocols. This program targeted Upward Bound students at Marshall University in Huntington, West Virginia. The Upward Bound is a federally-supported program targeting low-income, under-represented, and minority students for inclusion in a summer academic- enrichment program. IDGE builds on the mission of Upward Bound by encouraging underprivileged students to investigate science and scientific careers. This outreach has proven to be successful in enhancing positive attitudes and understanding about science and increasing the number of students considering science careers. IDGE has found that students must be challenged to observe the world around them and to consider how their decisions affect the future of our planet, thus making geoscience relevant and interesting to the students. By making the geoscience course inquiry-based and incorporating field research that is relevant to local environmental issues, it becomes possible for students to bridge the gap between science in theory and science in practice while remaining engaged. Participants were able to broaden environmental connections through an ecological expedition experience to Costa Rica, serving as an opportunity to broaden the vision of students as members of an international community of learners and scientists through their experiences with a diverse natural environment. This trip, in coordination with the inclusion

Geology of the Devonian black shales of the Appalachian Basin

Science.gov (United States)

Roen, J.B.

1984-01-01

Black shales of Devonian age in the Appalachian Basin are a unique rock sequence. The high content of organic matter, which imparts the characteristic lithology, has for years attracted considerable interest in the shales as a possible source of energy. The recent energy shortage prompted the U.S. Department of Energy through the Eastern Gas Shales Project of the Morgantown Energy Technology Center to underwrite a research program to determine the geologic, geochemical, and structural characteristics of the Devonian black shales in order to enhance the recovery of gas from the shales. Geologic studies by Federal and State agencies and academic institutions produced a regional stratigraphic network that correlates the 15 ft black shale sequence in Tennessee with 3000 ft of interbedded black and gray shales in central New York. These studies correlate the classic Devonian black shale sequence in New York with the Ohio Shale of Ohio and Kentucky and the Chattanooga Shale of Tennessee and southwestern Virginia. Biostratigraphic and lithostratigraphic markers in conjunction with gamma-ray logs facilitated long-range correlations within the Appalachian Basin. Basinwide correlations, including the subsurface rocks, provided a basis for determining the areal distribution and thickness of the important black shale units. The organic carbon content of the dark shales generally increases from east to west across the basin and is sufficient to qualify as a hydrocarbon source rock. Significant structural features that involve the black shale and their hydrocarbon potential are the Rome trough, Kentucky River and Irvine-Paint Creek fault zone, and regional decollements and ramp zones. ?? 1984.

Early Jurassic clay authigenesis in the Central Appalachian Valley and Ridge province; infiltration of surface-derived fluids during Pangean rifting

Science.gov (United States)

Lynch, E. A.; van der Pluijm, B.; Vennemann, T. W.

2017-12-01

The eastern margin of North America has a protracted and intricate tectonic history. The terminal collision of Gondwana and Laurentia in the late Paleozoic formed the Appalachian mountain belt, a trans-continental orogen that persisted for almost 100 million years until Mesozoic break-up of the supercontinent Pangea. A host of studies have targeted the evolution and migration of fluids through Appalachian crust in an effort to understand how fluid promotes mass and heat redistribution, and mediates crustal deformation, particularly during the assembly of Pangea. Folded clay units from the Central Appalachian Valley and Ridge province were sampled for stable and radiogenic isotope analysis. Separation of samples into different grain-size fractions characterizes detrital (host) and authigenic (neomineralized) clays. Stable H-isotope compositions reveal a systematic pattern with varying proportions of illite polytypes—the finer, younger fraction is D-depleted compared to the coarser, primarily detrital fraction. For each individual location, the H-isotopic composition of the fluid from which the authigenic population was grown is calculated. δDVSMOW of these fluids has a range from -77 to -52 ± 2 ‰, consistent with a surface-derived fluid source. The notably negative values for several samples indicates a meteoric composition of moderate to high elevation origin, suggesting that they are not connate waters, but instead preserve infiltration of fluids due to fracture-induced permeability. Key to this interpretation is 40Ar/39Ar-dating of a subset of these samples that reveals a post-orogenic age for authigenic clay mineralization in the Early Jurassic ( 180 Ma). These ages are evidence that surface fluid infiltration was unrelated to the Appalachian orogeny, but coeval with (upper) crustal extension from the initial break-up of Pangea and the emplacement of the Central Atlantic Magmatic Province.

[Malaria epidemiologic characteristics in Wuhe County of Anhui Province from 2009 to 2011].

Science.gov (United States)

Wang, Xue-Mei; Xia, Li-Huan; Fang, Qiang; Tao, Zhi-Yong; Jiao, Yu-Meng; Xia, Hui; Sun, Xin

2013-02-01

To understand the malaria epidemiologic characteristics in Wuhe County, Anhui Province from 2009 to 2011, so as to provide the evidence for formulating effective malaria control and prevention interventions. The data of malaria cases from the reporting system and malaria epidemiological investigations were collected and analyzed statistically in Wuhe County from 2009 to 2011. The total number of malaria cases was 349 in Wuhe County from 2009 to 2011, and the incidence showed a downtrend. The sex ratio of patients was 1.42: 1 (205 males vs. 144 females). The ranks of patient age groups were 11-20 years old at the first and 31-40 at the second, and the youngest was 1 year old, and the oldest was 100 years old. The seasonal factor was observed clearly, malaria cases were rare during the period of January to March, the case numbers increased in April and reached the peak during the period of June to September, and the cases from November to December accounted for only 2.01% of the total cases. Among the 349 patients, there were only 2 patients (0.57%) living in urban areas and the rest 347 patients (99.43%) all living in rural areas. The incidence of the urban population was 0.08/10 000, and it was significantly lower than that of the rural population (1.78/10,000, P Town and Xiaoxi Town, the annual incidences were 5.53/10,000 and 4.78/10,000, respectively. The cases in hill townships accounted for 36.10% of the total cases. The most patients in these areas lived in brick or cement buildings without mosquito-proof doors or windows. They preferred sleeping outside during summer, and were generally lack of the malaria prevention knowledge. In Wuhe County, the malaria incidence is decreasing year by year, and the epidemiologic factors are related to the living conditions, mosquito-proof facility using, sleeping habit, and malaria awareness of the residents.

78 FR 57373 - Appalachian Power Company; Notice of Application To Increase Water Withdraw and Construct Water...

Science.gov (United States)

2013-09-18

... License Article 202 and Soliciting Comments, Motions To Intervene, Protests, and Recommendations Take..., protests, comments, or recommendations using the Commission's eFiling system at http://www.ferc.gov/docs... pursuant to article 202. b. Project No: 2376-048. c. Date Filed: July 31, 2013. d. Applicant: Appalachian...

Renewable Energy for Rural Economic Development

Energy Technology Data Exchange (ETDEWEB)

Hartman, Cathy L. [Utah State Univ., Logan, UT (United States); Stafford, Edwin R. [Utah State Univ., Logan, UT (United States)

2013-09-30

When Renewable Energy for Rural Economic Development (RERED) began in 2005, Utah had no commercial wind power projects in operation. Today, the state hosts two commercial wind power plants, the Spanish Fork Wind Project and the Milford Wind Corridor Project, totaling 324 megawatts (MW) of wind capacity. Another project in San Juan County is expected to break ground very soon, and two others, also in San Juan County, are in the approval process. RERED has played a direct role in advancing wind power (and other renewable energy and clean technology innovations) in Utah through its education outreach and research/publication initiatives. RERED has also witnessed and studied some of the persistent barriers facing wind power development in communities across Utah and the West, and its research expanded to examine the diffusion of other energy efficiency and clean technology innovations. RERED leaves a legacy of publications, government reports, and documentary films and educational videos (archived at www.cleantech.usu.edu) to provide important insights for entrepreneurs, policymakers, students, and citizens about the road ahead for transitioning society onto a cleaner, more sustainable future.

Rural Land Use Change during 1986-2002 in Lijiang, China, Based on Remote Sensing and GIS Data.

Science.gov (United States)

Peng, Jian; Wu, Jiansheng; Yin, He; Li, Zhengguo; Chang, Qing; Mu, Tianlong

2008-12-11

As a local environmental issue with global importance, land use/land cover change (LUCC) has always been one of the key issues in geography and environmental studies with the expansion of regional case studies. While most of LUCC studies in China have focused on urban land use change, meanwhile, compared with the rapid change of urban land use in the coastal areas of eastern China, slow but distinct rural land use changes have also occurred in the mountainous areas of western China since the late 1980s. In this case through a study in Lijiang County of Yunnan Province, with the application of remote sensing data and geographic information system techniques, the process of rural land use change in mountain areas of western China was monitored through extensive statistical analysis of detailed regional data. The results showed significant increases in construction land, paddy field and dry land, and a decrease in dense forest land and waste grassland between 1986 and 2002. The conversions between dense forest land and sparse forest land, grassland, waste grassland and dry land were the primary processes of rural land use change. Sparse forest land had the highest rate of land use change, with glacier or snow-capped land the lowest; while human settlement and rural economic development were found to be the main driving forces of regional difference in the integrated land use change rate among the 24 towns of Lijiang County. Quantified through landscape metrics, spatial patterns of rural land use change were represented as an increase in landscape diversity and landscape fragmentation, and the regularization of patch shapes, suggesting the intensification of human disturbances and degradation of ecological quality in the rural landscape.

Productivity and cost of manual felling and cable skidding in central Appalachian hardwood forests

Science.gov (United States)

Jingxin Wang; Charlie Long; Joe McNeel; John Baumgras; John Baumgras

2004-01-01

A field production study was conducted for a manual harvesting system using a chainsaw and cable skidder in a central Appalachian hardwood forest site. A partial cut was performed on a 50-acre tract with an average slope of 25 percent. Felling time pre tree was most affected by diameter at breast height and the distance between harvested trees while skidding cycle time...

Maternal care in rural China: a case study from Anhui province

Directory of Open Access Journals (Sweden)

Li Xiaohong

2008-03-01

Full Text Available Abstract Background Studies on prenatal care in China have focused on the timing and frequency of prenatal care and relatively little information can be found on how maternal care has been organized and funded or on the actual content of the visits, especially in the less developed rural areas. This study explored maternal care in a rural county from Anhui province in terms of care organization, provision and utilization. Methods A total of 699 mothers of infants under one year of age were interviewed with structured questionnaires; the county health bureau officials and managers of township hospitals (n = 10 and county level hospitals (n = 2 were interviewed; the process of the maternal care services was observed by the researchers. In addition, statistics from the local government were used. Results The county level hospitals were well staffed and equipped and served as a referral centre for women with a high-risk pregnancy. Township hospitals had, on average, 1.7 midwives serving an average population of 15,000 people. Only 10–20% of the current costs in county level hospitals and township hospitals were funded by the local government, and women paid for delivery care. There was no systematic organized prenatal care and referrals were not mandatory. About half of the women had their first prenatal visit before the 13th gestational week, 36% had fewer than 5 prenatal visits, and about 9% had no prenatal visits. A major reason for not having prenatal care visits was that women considered it unnecessary. Most women (87% gave birth in public health facilities, and the rest in a private clinic or at home. A total of 8% of births were delivered by caesarean section. Very few women had any postnatal visits. About half of the women received the recommended number of prenatal blood pressure and haemoglobin measurements. Conclusion Delivery care was better provided than both prenatal and postnatal care in the study area. Reliance on user fees gave

Effect of the new rural cooperative medical system on farmers' medical service needs and utilization in Ningbo, China.

Science.gov (United States)

Chen, Jianhua; Yu, Hai; Dong, Hengjin

2016-10-20

Many countries are developing health mechanisms to pursue the goal of universal coverage. In China, a rural health insurance system entitled New Cooperative Medical System (NCMS) has being developed since 2003. This paper aims to explore the changes in the health service needs and utilization among rural residents in Ningbo, China after the implementation of the new rural cooperative medical system (NCMS), and provide evidence to further improve the strategies of NCMS in China. Stratified multistage cluster sampling was used to randomly select 10 villages from 5 townships in Yuyao and Fenghua counties of Ningbo Municipality. Eighty families were selected from each village, and face-to-face interviews were conducted by trained investigators to collect data using questionnaires. The two-week visiting rate and prevalence of chronic diseases among the farmers included in the study was 25.40 and 22.50 %, respectively, which were higher than the levels in 2003 and 2008. The rate of not visiting the healthcare facility amongst those with illness, and the rate of non- hospitalization amongst those who required it were 32.36 and 0.60 %, respectively, which was lower than the levels in 2003 and 2008. Most of the outpatient visits were to the village clinics, while the hospitalizations were mainly to county hospitals. NCMS greatly affected the utilization of healthcare services from outpatient clinics and improved the hospitalization rate in county hospitals. Financial difficulties are not the major causes of non-hospitalization and non-visiting any longer. These findings suggest that the NCMS policies alleviated the medical burdens of farmers in a certain degree.

Response of white-footed mice (Peromyscus leucopus) to fire and fire surrogate fuel reduction treatments in a southern Appalachian hardwood forest

Science.gov (United States)

Greenberg, C.H.; Otis, D.L.; Waldrop, T.A.

2006-01-01

An experiment conducted as part of the multidisciplinary National Fire and Fire Surrogate Study was designed to determine effects of three fuel reduction techniques on small mammals and habitat structure in the southern Appalachian mountains. Four experimental units, each >14-ha were contained within each of three replicate blocks at the Green River Game Land, Polk County, NC. Treatments were (1) prescribed burning (B); (2) mechanical felling of shrubs and small trees (M); (3) mechanical felling + burning (MB); (4) controls (C). Mechanical understory felling treatments were conducted in winter 2001-2002, and prescribed burning was conducted in March 2003. After treatment, there were fewer live trees, more snags, and greater canopy openness in MB than in other treatments. Leaf litter depth was reduced by burning in both B and MB treatments, and tall shrub cover was reduced in all fuel reduction treatments compared to C. Coarse woody debris pieces and percent cover were similar among treatments and controls. We captured 990 individuals of eight rodent species a total of 2823 times. Because white-footed mice composed >79% of all captures, we focused on this species. Populations in experimental units increased 228% on average between 2001 and 2002, but there was no evidence of an effect of the mechanical treatment. From 2002 to 2003, all units again showed an average increase in relative population size, but increases were greater in MB than in the other treatments. Age structure and male to female ratio were not affected by the fuel reduction treatment. Average adult body weight declined from 2001 to 2002, but less so in M than in units that remained C in both years. The proportion of mice captured near coarse woody debris was similar to the proportion captured in open areas for all treatments, indicating that white-footed mice did not use coarse woody debris preferentially or change their use patterns in response to fuel reduction treatments. Land managers should

Establishing perennial seed-based energy crops on reclaimed surface mine soils in the central Appalachians

Science.gov (United States)

Jamie L. Schuler; Shawn Grushecky; Jingxin. Wang

2014-01-01

Renewable energy has been at the forefront of the United States' energy policies. Cellulosic feedstocks have received considerable interest in the Appalachian region because of their abundance and availability, but cost competition from other energy sectors has limited their use in the region. Some other bioenergy feedstocks, such as corn and soybeans, are not a...

Seroprevalence of Toxoplasma gondii in American Black Bears ( Ursus americanus ) of the Central Appalachians, USA.

Science.gov (United States)

Cox, John J; Murphy, Sean M; Augustine, Ben C; Guthrie, Joseph M; Hast, John T; Maehr, Sutton C; McDermott, Joseph

2017-07-01

We assessed Toxoplasma gondii seroprevalence in 53 free-ranging American black bears ( Ursus americanus ) in the Central Appalachian Mountains, US. Seroprevalence was 62% with no difference between males and females or between juvenile and adult bears. Wildlife agencies should consider warnings in hunter education programs to reduce the chances for human infection from this source.

Factors affecting the rural domestic waste generation

Directory of Open Access Journals (Sweden)

A.R. Darban Astane

2017-12-01

Full Text Available The current study was carried out to evaluate the quantity and quality of rural domestic waste generation and to identify the factors affecting it in rural areas of Khodabandeh county in Zanjan Province, Iran. Waste samplings consisted of 318 rural households in 11 villages. In order to evaluate the quality and quantity of the rural domestic waste, waste production was classified into 12 groups and 2 main groups of organic waste and solid waste. Moreover, kriging interpolation technique in ARC-GIS software was used to evaluate the spatial distribution of the generated domestic waste and ultimately multiple regression analysis was used to evaluate the factors affecting the generation of domestic waste. The results of this study showed that the average waste generated by each person was 0.588 kilograms per day. with the share of organic waste generated by each person being 0.409 kilograms per day and the share of solid waste generated by each person being 0.179 kilograms per day. The results from spatial distribution of waste generation showed a certain pattern in three groups and a higher rate of waste generation in the northern and northwestern parts, especially in the subdistrict. The results of multiple regression analysis showed that the households’ income, assets, age, and personal attitude are respectively the most important variables affecting waste generation. The housholds’ attitude and indigenous knowledge on efficient use of materials are also the key factors which can help reducing waste generation.

Clinical indications and determinants of the rise of cesarean section in three hospitals in rural China.

Science.gov (United States)

Qin, Cheng; Zhou, Min; Callaghan, William M; Posner, Samuel F; Zhang, Jun; Berg, Cynthia J; Zhao, Gengli

2012-10-01

This study investigated changes in cesarean delivery rate and cesarean indications in 3 county-level hospitals in rural China. Hospital delivery records in 1997 and 2003 were used to examine the reasons behind the changes. In Chengde County Hospital, the cesarean delivery rate increased from 28% in 1997 to 54% in 2003. The rate increased from 43% in 1997 to 65% in 2003 in Anxian County Hospital and Anxian Maternal and Child Health Hospital. The dramatic increase in cesarean delivery in the study hospitals was associated with a shift from more severe to mild or no clinical indications. The ratio of mild to moderate to severe hypertension increased substantially. More than half of the cephalopelvic disproportion cases were diagnosed prior to labor. The majority of nuchal cord cases were diagnosed without fetal distress. Maternal/family request was the number one cesarean indication in Anxian County Hospital and Anxian MCH Hospital in 2003. Ultrasound evidence of nuchal cord moved from the ninth ranked indication in 1997 to the second in 2003 in Chengde County Hospital.

Acid deposition and water use efficiency in Appalachian forests

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Malcomb, J.

2017-12-01

Multiple studies have reported increases in forest water use efficiency in recent decades, but the drivers of these trends remain uncertain. While acid deposition has profoundly altered the biogeochemistry of Appalachian forests in the past century, its impacts on forest water use efficiency have been largely overlooked. Plant ecophysiology literature suggests that plants up-regulate transpiration in response to soil nutrient limitation in order to maintain sufficient mass flow of nutrients. To test the impacts of acid deposition on forest eco-hydrology in central Appalachia, we integrated dendrochronological techniques, including tree ring δ13C analysis, with catchment water balance data from the Fernow Experimental Forest in West Virginia. Tree cores from four species were collected in Fernow Watershed 3, which has received experimental ammonium sulfate additions since 1989, and Watershed 7, an adjacent control catchment. Initial results suggest that acidification treatments have not significantly influenced tree productivity compared to a control watershed, but the effect varies by species, with tulip poplar showing greatest sensitivity to acidification. Climatic water balance, defined as the difference between growing season precipitation and evapotranspiration, is significantly related to annual tree ring growth, suggesting that climate may be driving tree growth trends in chronically acidified Appalachian forests. Tree ring 13C analysis from Fernow cores is underway and these data will be integrated with catchment hydrology data from five other sites in central Appalachia and the U.S. Northeast, representing a range of forest types, soil base saturations, and acid deposition histories. This work will advance understanding of how climate and acid deposition interact to influence forest productivity and water use efficiency, and improve our ability to model carbon and water cycling in forested ecosystems impacted by acid deposition.

County Spending

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Montgomery County of Maryland — This dataset includes County spending data for Montgomery County government. It does not include agency spending. Data considered sensitive or confidential and will...

Rural Women's Perceptions About Cancer Disparities and Contributing Factors: a Call to Communication.

Science.gov (United States)

Molina, Yamile; Zimmermann, Kristine; Carnahan, Leslie R; Paulsey, Ellen; Bigman, Cabral A; Khare, Manorama M; Zahnd, Whitney; Jenkins, Wiley D

2017-02-27

Rural cancer disparities are increasingly documented in the USA. Research has identified and begun to address rural residents' cancer knowledge and behaviors, especially among women. Little, however, is known about rural female residents' awareness of cancer inequities and perceived contributing factors affecting them and their families. The purpose of this study was to address these gaps in the literature via a secondary analysis of qualitative needs assessment in Illinois' rural southernmost seven counties, a geographic region with relatively high rates of cancer incidence, morbidity, and mortality. A convenience sample of 202 rural adult female residents was recruited and participated in 26 focus groups, with 3-13 women per group. Inductive content analysis, guided by the principle of constant comparison, was used to analyze the qualitative data. Most respondents indicated their awareness of disproportionate cancer burden in their communities. Individual-level behaviors and environmental toxins were identified as contributing factors. Interestingly, however, environmental toxins were more often discussed as factors contributing to geographic differences, whereas individual-level behaviors were noted as important for overall cancer prevention and control. This study provides important insight into female rural residents' perspectives and offers novel venues for educational programs and research in the context of communication to eliminate disparities.

The role of microcredits in the development of mountainous and plain rural areas (A case study of the villages of Kardeh and Miyan-velayat in the Mashhad County

Directory of Open Access Journals (Sweden)

Mahdi Javanshiri

2017-07-01

Full Text Available Not so long ago, the main obstacle to the development of undeveloped countries was thought to be the lack of capital. However, today it is believed that capital is a necessary condition for development, but not the sufficient one. Therefore, one of the strategies to achieve economic development is to make use of an efficient financial system to circulate stagnant capitals in the community. Accordingly, micro-credits were introduced in developing countries over the past 30 years, aiming to provide low-income groups with financial services. These funds are used to provide villagers with loans, particularly those who are active in production. The availability of liquidity helps villagers meet their financial needs and start a production process and get agricultural products for plantings. The study also aimed to examine the role of microcredits in rural development, with emphasis on the impact of geographical factors in attracting such funds in mountainous and plain rural area of the Mashhad County. This study is an applied research carried out in a descriptive-analytical method. Based on Cochran's formula, 207 rural households were selected. The ratio of households in each area was also calculated by Cochran's formula to be a total of 90 households from mountainous areas, and 118 households from plain areas that were selected. The required data were collected from library sources and the survey (questionnaires among the households that received the funds. The results showed that the effectiveness of microcredits is not significantly different in mountainous and plain areas. However, there is a significant difference between the two areas considering the difficulties and satisfaction level of villagers in getting the loans, such that villagers in plain areas were more satisfied than those in mountainous areas.

Implementing the ACHIEVE model to prevent and reduce chronic disease in rural Klickitat County, Washington.

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Horne, Laura; Miller, Katie; Silva, Sandra; Anderson, Lori

2013-04-18

In the United States, 133 million people live with 1 or more chronic diseases, which contribute to 7 of 10 deaths annually. To prevent and reduce the prevalence of chronic diseases, the National Association of County and City Health Officials (NACCHO) provided technical assistance and funding to 33 local health departments in Washington State, including the Klickitat County Health Department (KCHD), to implement the Action Communities for Health, Innovation, and Environmental Change (ACHIEVE) model. Klickitat County residents experience higher rates of obesity and overweight than people living in urban areas in the state. KCHD applied the ACHIEVE model to accomplish 2 objectives: 1) to engage the community in community health assessment, action plan development for chronic disease prevention, and implementation of the plan and 2) to work with targeted sectors to promote worksite wellness and to establish community gardens and bicycling and walking trails. KCHD convened and spearheaded the Healthy People Alliance (HPA) to complete a community assessment, develop a community action plan, implement the plan, and evaluate the plan's success. KCHD, working with HPA, accomplished all 5 phases of the ACHIEVE model, expanded a multisector community coalition, developed Little Klickitat River Trail and 3 community gardens, and created and promoted a worksite wellness toolkit. Assistance and training that NACCHO provided through ACHIEVE helped the KCHD engage nontraditional community partners and establish and sustain a community coalition.

Heat flow at the proposed Appalachian Ultradeep Core Hole (ADCOH) Site: Tectonic implications

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Costain, John K.; Decker, Edward R.

The heat flow in northwestern South Carolina at the Appalachian Ultradeep Core Hole (ADCOH) site area is approximately 55 mW/m². This data supplements other data to the east in the Piedmont and Atlantic Coastal Plain provinces where heat flows > 55 mW/m² are characteristic of post- and late-synmetamorphic granitoids. Piedmont heat flow and heat generation data for granites, metagranites, and one Slate Belt site, in a zone approximately parallel to major structural Appalachian trends, define a linear relation. Tectonic truncation of heat-producing crust at a depth of about 8 km (a depth equal to the slope of the heat flow-heat production line) is proposed to explain the linear relation. Using the value of reduced heat flow estimated from this empirical relation, and assuming thicknesses of heat-producing crust defined by new ADCOH seismic data, the heat flow and heat production at the ADCOH site are consistent with a depth to the base of the Inner Piedmont crystalline allochthon of about 5.5 km. Seismic data at the ADCOH site confirm that the Inner Piedmont is tectonically truncated at about 5.5 km by the Blue Ridge master decollement. Temperatures at 10 km at the ADCOH site are predicted to be less than 200 °C.

Evaluating relationships between natural resource management, land use changes, and flooding in the Appalachian region

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Nicolas P. Zegre; Samuel J. Lamont

2013-01-01

Th e Appalachian Region has a long history of natural resource management and recurrent history of frequent and large-scale floods. Land use activities such as urbanization, mining, forest harvesting, and agriculture can have a noticeable effect on the volume, magnitude, timing, and frequency of floods. Determining the effects of land use on flooding is difficult for...

Indiana bats, northern long-eared bats, and prescribed fire in the Appalachians: challenges and considerations.

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Susan Loeb; Joy O' Keefe

2014-01-01

The Indiana bat (Myotis sodalist) is an endangered species and the northern long-eared bat (M. septentrionalis) has been proposed for listing as endangered. Both species are found throughout the Appalachians, and they commonly inhabit fire-dependent ecosystems such as pine and pine-oak forests. Due to their legal status, prescribed burns in areas where these species...

Release of Suppressed Red Spruce Using Canopy Gap Creation--Ecological Restoration in the Central Appalachians

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J.S. Rentch; W.M. Ford; Thomas Schuler; Jeff Palmer; C.A. Diggins

2016-01-01

Red spruce (Picea rubens) and red spruce-northern hardwood mixed stands once covered as much as 300,000 ha in the Central Appalachians, but now comprise no more than 21,000 ha. Recently, interest in restoration of this forest type has increased because red spruce forests provide habitat for a number of rare animal species. Our study reports the...

Hyperdiversity of ectomycorrhizal fungus assemblages on oak seedlings in mixed forests in the southern Appalachian Mountains

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John F. Walker; Orson K. Miller; Jonathan L. Horton

2005-01-01

Diversity of ectotrophic mycobionts on outplanted seedlings of two oak species (Quercus rubra and Quercus prinus) was estimated at two sites in mature mixed forests in the southern Appalachian Mountains by sequencing nuclear 5.8S rRNA genes and the flanking internal transcribed spacer regions I and II (ITS). The...

[Prevalence of hyperlipidemia and possible risk factors in rural Chinese adults: cohort study of health population in Yuhuan rural].

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Su, Meifang; Fu, Chaowei; Li, Songtao; Ying, Xuhua; He, Na; Jiang, Qingwu

2013-09-01

To examine the prevalence of hyperlipidemia and its related factors in adults in rural Yuhuan, China. A cross-sectional study was carried out as a baseline study of Rural Yuhuan Health Population Cohort in all communities in Yuhuan County, Zhejiang Province, China. A total of 118,571 subjects aged 35 years old or above participated in this study. The trained health/medical workers collected the general information, health conditions and so on by the face-to-face interview. Totally, 5 ml blood samples were taken. Hyperlipidemia was defined as blood triglyceride > or = 1.70 mmol/L and/or total cholesterols > or = 5.18 mmol/L. SPSS 16.0 was used for statistical analysis. Data of the fifth China population census 2000 was used as the standard population. Among 118,571 eligible subjects, the averages of blood triglyceride and total cholesterols were (1.71 +/- 14.42) mmol/L and (5.48 +/- 40.25 ) mmol/L, respectively, and there was a statistical difference in gender on blood triglyceride (t = 4.163, P education levels, smoking, alcohol consumption and body mass index were significantly related to hyperlipidemia. Hyperlipidemia, especial hypercholesterolemia, was common in adults aged 35 years old or above living in rural China.

The 2014 assessment of stream quality in the Piedmont and southern Appalachian Mountain region of southeastern United States

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Celeste Journey; Paul M. Bradley; Peter Van Metre

2016-01-01

During the spring and summer of 2014, the U.S. Geological Survey (USGS) National Water- Quality Assessment Program (NAWQA) assessed stream quality across the Piedmont and southern Appalachian Mountain region in the southeastern United States.

Risk assessment of metals in road-deposited sediment along an urban–rural gradient

International Nuclear Information System (INIS)

Zhao, Hongtao; Li, Xuyong

2013-01-01

We applied the traditional risk assessment methods originally designed for soils and river sediments to evaluation of risk associated with metals in road-deposited sediment (RDS) along an urban–rural gradient that included central urban (UCA), urban village (UVA), central suburban county (CSA), rural town (RTA), and rural village (RVA) areas in the Beijing metropolitan region. A new indicator RI RDS was developed which integrated the RDS characteristics of mobility, grain size and amount with the potential ecological risk index. The risk associated with metals in RDS in urban areas was generally higher than that in rural areas based on the assessment using traditional methods, but the risk was higher in urban and rural village areas than the areas with higher administration units based on the indicator RI RDS . These findings implied that RDS characteristics variation with the urban–rural gradient must be considered in metal risk assessment and RDS washoff pollution control. Highlights: ► Spatial pattern of metal risk level associated with road-deposited sediment (RDS) along urban–rural gradients varied. ► Risk level of metals changed significantly when grain size was considered. ► A new index integrating RDS characteristics and potential ecological risk was developed. ► Results from the new index were improved relative to those of traditional assessment methods. -- A new index integrating road-deposited sediment characteristics and potential ecological risk was developed to assess metal risk along the urban–rural gradient

Effect of logging wounds on diameter growth of sawlog-size Appalachian hardwood crop trees

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Neil I. Lamson; H. Clay Smith; H. Clay Smith

1988-01-01

In previously thinned, even-aged Appalachian hardwood stands, 5-year diameter growth of 102 wounded and 102 unwounded codominant crop trees were compared. A wounded crop tre was defined as one with at least one exposed sapwood logging wound at least 100 inch2 in size. An unwounded crop tree of the same species and size was selected near each of the 102 wounded trees....

Determinants of Tracking Intentions, and Actual Education Choices among Junior High School Students in Rural China

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Song, Yingquan; Loyalka, Prashant; Wei, Jianguo

2013-01-01

This article analyzes rural middle school students' tracking intentions (academic high school, vocational high school, or going to work), actual education choices, and the factors affecting them, using a random sampled baseline survey and follow-up survey of 2,216 second-year students residing outside of county seats in forty-one impoverished…

Mercury sedimentation in lakes in western Whatcom County, Washington, USA and its relation to local industrial and municipal atmospheric sources

Science.gov (United States)

Paulson, A.J.; Norton, D.

2008-01-01

Concentrations of mercury (Hg) were measured in six dated cores from four lakes in western Whatcom County, Washington, USA, that were at various bearings from a chlor-alkali plant, two municipal waste incinerators and a municipal sewage sludge incinerator. The importance of atmospheric emissions of Hg from these local municipal and industrial sources was evaluating by comparing the temporal trends in sedimentation of the lake cores with the emission history of each Hg species and by examining the geographical distribution of Hg sedimentation in relation to the region's primary wind pattern. Local municipal and industrial sources of atmospheric Hg were not responsible for the majority of the Hg in the upper layer of sediments of Whatcom County lakes because of (1) the significant enrichment of Hg in lake sediments prior to emissions of local industrial and municipal sources in 1964, (2) smaller increases in Hg concentrations occurred after 1964, (3) the similarity of maximum enrichments found in Whatcom County lakes to those in rural lakes around the world, (4) the inconsistency of the temporal trends in Hg sedimentation with the local emission history, and (5) the inconsistency of the geographic trends in Hg sedimentation with estimated deposition. Maximum enrichment ratios of Hg in lake sediments between 2 and 3 that are similar to rural areas in Alaska, Minnesota, and New England suggest that global sources of Hg were primarily responsible for increases of Hg in Whatcom County lakes beginning about 1900. ?? 2007 GovernmentEmployee: U.S. Government, Department of Interior, U.S. Geological Survey.

A Study of the Time–Space Evolution Characteristics of Urban–Rural Integration Development in a Mountainous Area Based on ESDA-GIS: The Case of the Qinling-Daba Mountains in China

Directory of Open Access Journals (Sweden)

Xin Wu

2016-10-01

Full Text Available The multi-index comprehensive evaluation method is used in this paper to estimate the urban–rural integration development level of the Qinling-Daba Mountains in China and build an evaluation index system that is composed by five subsystems and 18 basic indexes. The integration of the indexes is conducted through linear weight sum method and the weight of each index is determined through analytic network process to get the urban–rural integration development coordination indexes of each county in the Qinling-Daba Mountains. Meanwhile, the time–space evolution characteristic of urban–rural integration development in the Qinling-Daba Mountains in the past 10 years is studied through exploratory spatial data analysis and GIS technology. The results indicate that urban–rural integration displays a spatial imbalance, with a situation of polarization, i.e., high–level counties gathering with each other; the spatial aggregation rule of west–high, east–low is coupled with land conditions, industrial activity, and the transportation situation to affect the urban–rural development. Finally, we propose that development priorities should be circular industry, eco-agriculture, and tourism to accelerate urban–rural development and work towards a comprehensive modern transportation system and other infrastructure in the Qinling-Daba Mountains.

China's rural public health system performance: a cross-sectional study.

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Tian, Miaomiao; Feng, Da; Chen, Xi; Chen, Yingchun; Sun, Xi; Xiang, Yuanxi; Yuan, Fang; Feng, Zhanchun

2013-01-01

In the past three years, the Government of China initiated health reform with rural public health system construction to achieve equal access to public health services for rural residents. The study assessed trends of public health services accessibility in rural China from 2008 to 2010, as well as the current situation about the China's rural public health system performance. The data were collected from a cross-sectional survey conducted in 2011, which used a multistage stratified random sampling method to select 12 counties and 118 villages from China. Three sets of indicators were chosen to measure the trends in access to coverage, equality and effectiveness of rural public health services. Data were disaggregated by provinces and by participants: hypertension patients, children, elderly and women. We examined the changes in equality across and within region. China's rural public health system did well in safe drinking water, children vaccinations and women hospital delivery. But more hypertension patients with low income could not receive regular healthcare from primary health institutions than those with middle and high income. In 2010, hypertension treatment rate of Qinghai in Western China was just 53.22% which was much lower than that of Zhejiang in Eastern China (97.27%). Meanwhile, low performance was showed in effectiveness of rural public health services. The rate of effective treatment for controlling their blood pressure within normal range was just 39.7%. The implementation of health reform since 2009 has led the public health development towards the right direction. Physical access to public health services had increased from 2008 to 2010. But, inter- and intra-regional inequalities in public health system coverage still exist. Strategies to improve the quality and equality of public health services in rural China need to be considered.

Investigating the Impact of the Cisco 21st Century Schools Initiative on Forrest County Agricultural High School. Summative Report

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Ba, Harouna; Meade, Terri; Pierson, Elizabeth; Ferguson, Camille; Roy, Amanda; Williams, Hakim

2009-01-01

Forrest County Agricultural High School (FCAHS) is located in Brooklyn, a small rural town in southern Mississippi and part of the Hattiesburg Metropolitan Statistical Area. Unlike the other schools that participated in the Cisco 21S initiative, FCAHS is not part of a larger school district. Therefore, the unit of analysis throughout this summary…

Research on the evaluation method of rural hollowing based on RS and GIS technology: a case study of the Ningxia Hui autonomous region in China

Science.gov (United States)

Yin, Kai; Wen, MeiPing; Zhang, FeiFei; Yuan, Chao; Chen, Qiang; Zhang, Xiupeng

2016-10-01

With the acceleration of urbanization in China, most rural areas formed a widespread phenomenon, i.e., destitute village, labor population loss, land abandonment and rural hollowing. And it formed a unique hollow village problem in China finally. The governance of hollow village was the objective need of the development of economic and social development in rural area for Chinese government, and the research on the evaluation method of rural hollowing was the premise and basis of the hollow village governance. In this paper, several evaluation methods were used to evaluate the rural hollowing based on the survey data, land use data, social and economic development data. And these evaluation indexes were the transition of homesteads, the development intensity of rural residential areas, the per capita housing construction area, the residential population proportion in rural area, and the average annual electricity consumption, which can reflect the rural hollowing degree from the land, population, and economy point of view, respectively. After that, spatial analysis method of GIS was used to analyze the evaluation result for each index. Based on spatial raster data generated by Kriging interpolation, we carried out re-classification of all the results. Using the fuzzy clustering method, the rural hollowing degree in Ningxia area was reclassified based on the two spatial scales of county and village. The results showed that the rural hollowing pattern in the Ningxia Hui Autonomous Region had a spatial distribution characteristics that the rural hollowing degree was obvious high in the middle of the study area but was low around the study area. On a county scale, the specific performances of the serious rural hollowing were the higher degree of extensive land use, and the lower level of rural economic development and population transfer concentration. On a village scale, the main performances of the rural hollowing were the rural population loss and idle land. The

75 FR 18500 - Guidance on Improving EPA Review of Appalachian Surface Coal Mining Operations under the Clean...

Science.gov (United States)

2010-04-12

..., Monday through Friday, excluding legal holidays. The telephone number for the Public Reading Room is (202... recognizes the importance of this guidance to its Federal and state partners, to the regulated community, and... of Appalachian Surface Coal Mining Operations under the Clean Water Act, National Environmental...

Forecasting Forest Type and Age Classes in the Appalachian-Cumberland Subregion of the Central Hardwood Region

Science.gov (United States)

David N. Wear; Robert Huggett

2011-01-01

This chapter describes how forest type and age distributions might be expected to change in the Appalachian-Cumberland portions of the Central Hardwood Region over the next 50 years. Forecasting forest conditions requires accounting for a number of biophysical and socioeconomic dynamics within an internally consistent modeling framework. We used the US Forest...

Vegetation response to large scale disturbance in a southern Appalachian forest: Hurricane Opal and salvage logging

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Katherine J. Elliott; Stephanie L. Hitchcock; Lisa Krueger

2002-01-01

Disturbance such as catastrophic windthrow can play a major role in the structure and composition of southern Appalachian forests. We report effects of Hurricane Opal followed by salvage logging on vegetation dynamics (regeneration, composition, and diversity) the first three years after disturbance at the Coweeta Hydrologic Laboratory in western North Carolina. The...

Occurrence of an exotic earthworm (Amynthas agrestis) in undisturbed soils of the southern Appalachian Mountains, USA

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Mac. A. Callaham; Paul F. Hendrix; Ross J. Phillips

2003-01-01

This study documents the occurrence of an aggressive invasive earthworm species in undisturbed forest soils of the southern Appalachian Mountains of northern Georgia, USA. Earthworms were sorted from samples collected in pitfall traps that had been set in mature, mesic oak-hickory forests in remote, high elevation, locations across northern Georgia. Specimens were...

Food Insecurity and Behavioral Characteristics for Academic Success in Young Adults Attending an Appalachian University.