Appalachian Health and Well-Being

Appalachians have been characterized as a population with numerous disparities in health and limited access to medical services and infrastructures, leading to inaccurate generalizations that inhibit their healthcare progress. Appalachians face significant challenges in obtaining effective care, and the public lacks information about both their healthcare needs and about the resources communities have developed to meet those needs. In Appalachian Health and Well-Being, editors Robert L. Ludke and Phillip J. Obermiller bring together leading researchers and practitioners to provide a much-needed compilation of data- and research-driven perspectives, broadening our understanding of strategies to decrease the health inequalities affecting both rural and urban Appalachians. The contributors propose specific recommendations for necessary research, suggest practical solutions for health policy, and present best practices models for effective health intervention. This in-depth analysis offers new insights for students, health practitioners, and policy makers, promoting a greater understanding of the factors affecting Appalachian health and effective responses to those needs. Robert L. Ludke is a professor of family and community medicine at the University of Cincinnati. He is also a member of the Board of the Urban Appalachian Council. Phillip J. Obermiller is a Senior Visiting Scholar in the School of Planning at the University of Cincinnati and a past president of the Appalachian Studies Association. This volume pulls together an enormous amount of information that has been scattered in obscure publications in diverse fields. It synthesizes that information, puts it in context, and makes it available to the anyone interested in general health issues. It should be in the library of every postsecondary education institution with an Appalachian constituency. -- Wayne Meyers, M.D. A well-written, insightful work that encompasses the breadth of this important topic. -- Baretta R. Casey, M.D., M.P.H. Ludke and Obermiller\u27s work goes far beyond the borders of Appalachia to document the relationship between health and economic status. It particularly emphasizes the long-term effects of poverty on health. Its usefulness is not limited to Appalachia but to all those who believe that the opportunity for good health should not be defined by income and wealth. -- William W. Philliber, author of Appalachian Migrants in Urban America An important and much-needed book. Mountaineers, both those inside the region as well as those beyond it, will receive better care from health-care providers and more humane treatment by policy makers if both read carefully the multidisciplinary perspectives contained in this timely volume. -- Chad Berry, author of Southern Migrants, Northern Exiles An excellent introduction to the persisting health challenges of Appalachia, where health disparities are one of the continuing markers of inequality. In this volume some of the region\u27s leading health researchers examine the economic, environmental, behavioral and systemic causes of those disparities. -- Ronald D Eller, Distinguished Professor of History, author of Uneven Ground: Appalachia since 1945 Brings together researchers who present data addressing health disparities affecting urban and rural Appalachians and offers possible solutions. -- Kentucky Enquirer Ludke and Obermiller summarize the state of Appalachian health. . . . An important addition to the body of work documenting the state of Appalachia. -- Kentucky Libraries A truly exemplary book. . . . Surveys nine areas of health in the region and concludes with policy recommendations. -- Apalachian Heritage An important addition to the body of work documenting the state of Appalachia. -- Kentucky Libraries This medical text, the first of its kind, focuses on health of the region’s inhabitants as well as those who have moved away. -- Library Journal While the idea of geographically-based health disparities is still evolving, this engaging resource has greatly expanded the concept in what is a remarkable volume of well-organized, well-written, evidence-based studies on health in Appalachia presented from a host of critical perspectives. This book should become required reading for policy makers, health care providers, community activists, and students everywhere. -- Elke Jones Zschaebitz, David C. Gordon, Family and Community Health Appalachian Health and Well-being develops an enriched analytical framework for health care and creates a new, comprehensive source of knowledge that will benefit multidirectional efforts to improve Appalachian health. Authors offer informed recommendations for assessing and preventing disease and promoting health. This compilation is a pioneering work that will inform and guide readers and serve as a model for future Appalachian health research. -- Journal of Appalachian Studieshttps://uknowledge.uky.edu/upk_medicine_and_health_sciences/1013/thumbnail.jp

Effects of circadian rhythm phase alteration on physiological and psychological variables: Implications to pilot performance (including a partially annotated bibliography)

The effects of environmental synchronizers upon circadian rhythmic stability in man and the deleterious alterations in performance and which result from changes in this stability are points of interest in a review of selected literature published between 1972 and 1980. A total of 2,084 references relevant to pilot performance and circadian phase alteration are cited and arranged in the following categories: (1) human performance, with focus on the effects of sleep loss or disturbance and fatigue; (2) phase shift in which ground based light/dark alteration and transmeridian flight studies are discussed; (3) shiftwork; (4)internal desynchronization which includes the effect of evironmental factors on rhythmic stability, and of rhythm disturbances on sleep and psychopathology; (5) chronotherapy, the application of methods to ameliorate desynchronization symptomatology; and (6) biorythm theory, in which the birthdate based biorythm method for predicting aircraft accident susceptability is critically analyzed. Annotations are provided for most citations

Semantic discovery and reuse of business process patterns

Patterns currently play an important role in modern information systems (IS) development and their use has mainly been restricted to the design and implementation phases of the development lifecycle. Given the increasing significance of business modelling in IS development, patterns have the potential of providing a viable solution for promoting reusability of recurrent generalized models in the very early stages of development. As a statement of research-in-progress this paper focuses on business process patterns and proposes an initial methodological framework for the discovery and reuse of business process patterns within the IS development lifecycle. The framework borrows ideas from the domain engineering literature and proposes the use of semantics to drive both the discovery of patterns as well as their reuse