Responding to Appalachian Voices: Steps in Developing Substance-Use Recovery Ecosystems

A description is presented of the four-step process used by the Appalachian Regional Commission to develop a new Recovery to Work initiative. The Commission identified, defined, and described issues facing individuals who complete substance abuse disorder treatment and who seek reentry into the workforce. Key elements were identified for resources and supports to develop and maintain community-based substance abuse recovery ecosystems. The steps included conceptualization, data collection, analysis, and review to formulate recommendations for program and policy development. The full process of development was accomplished in twelve months

Listening to Voices in Appalachia: Gathering Wisdom from the Field About Substance-Abuse Recovery Ecosystems

New qualitative data collected through six regional community-based listening sessions and community meetings are presented that describe elements of the Appalachian Regional Commission’s Recovery Ecosystem Model. These data informed the Model, which was used in formulating the new ARC Recovery-to-Work initiative. Input was intentionally solicited from multiple sectors, including persons recovering from substance abuse disorder, treatment and recovery service providers, workforce development agencies, employers, and community advocacy groups

Establishing and Evaluating Equitable Partnerships

In this paper, the authors present two models for establishing and evaluating partnerships. They also provide a working definition of a partnership, propose strategies for identifying resources for starting and maintaining partnerships, and provide several methods for evaluating them. Their purpose is to increase understanding of the dynamics of building stronger, more equity-based partnerships. Models recommended are the Give-Get and Double Rainbow

The Minigrant Model: A Strategy to Promote Local Implementation of State Cancer Plans in Appalachian Communities

East Tennessee State University (ETSU) was awarded a grant through an interagency agreement between the Centers for Disease Control and Prevention and the Appalachian Regional Commission to promote cancer control activities between state comprehensive cancer control (CCC) coalitions and local Appalachian communities. We invited representatives from CCC coalitions and Appalachian communities to a forum to develop a plan of action. The attendees recommended a minigrant model that uses a request for proposals (RFP) strategy to encourage CCC coalitions and Appalachian communities to collaboratively conduct forums and roundtables locally. They set criteria to guide the development of the RFPs and the agendas for the roundtables and forums that ensured new communication and collaboration between the CCC coalitions and the Appalachian communities. We established the roundtable agenda to focus on the presentation and discussion of state and local Appalachian community cancer risk, incidence, and death rates and introduction of state cancer plans. The forums had a more extensive agenda to present cancer data, describe state cancer plans, and describe successful cancer control programs in local Appalachian communities. This article describes the ETSU minigrant model that supports forums and roundtables and reports how this strategy improves cooperative partnerships between CCC coalitions and Appalachian communities in the local implementation of state cancer plans in Appalachia

Local Implementation of Cancer Control Activities in Rural Appalachia, 2006

Underserved communities with high cancer rates often are not involved in implementing state cancer control activities locally. An East Tennessee State University research team formed 2 Appalachian Community Cancer Research Review Work Groups, 1 in northeast Tennessee and 1 in southwest Virginia. During 4 sessions, the research team presented regional cancer data to the work groups. Work group participants explored research from a lay perspective and identified possible reasons for cancer disparities in central Appalachia. The fifth session was a community dissemination activity in which work group participants engaged in cancer education and action by presenting the research to their local communities in unique ways. During a sixth session, both work groups discussed these interventions and further attempted to answer the question, "What makes the experience of cancer unique in Appalachia?" This article describes the key steps of this community-based participatory research process

Finite-size behaviour of the microcanonical specific heat

For models which exhibit a continuous phase transition in the thermodynamic limit a numerical study of small systems reveals a non-monotonic behaviour of the microcanonical specific heat as a function of the system size. This is in contrast to a treatment in the canonical ensemble where the maximum of the specific heat increases monotonically with the size of the system. A phenomenological theory is developed which permits to describe this peculiar behaviour of the microcanonical specific heat and allows in principle the determination of microcanonical critical exponents.Comment: 15 pages, 7 figures, submitted to J. Phys.

Understanding the Challenges of Reducing Cancer in Appalachia: Addressing a Place-Based Health Disparity Population

The Appalachian region of the United States has long been recognized for its poor economic and social indicators. Only during the past decade have multi-state data become more accessible to describe the regions’ poor health status and resulting outcomes. A recent community-based participatory study engaged rural Appalachians to describe “what makes Appalachia different?” from other geographic areas and cultural groups in the United States and identify those characteristics that influence the region’s health. This article summarizes the community interpretation of these findings

The morphogenetic role of midline mesendoderm and ectoderm in the development of the forebrain and the midbrain of the mouse embryo

The anterior midline tissue (AML) of the late gastrula mouse embryo comprises the axial mesendoderm and the ventral neuroectoderm of the prospective forebrain, midbrain and rostral hindbrain. In this study, we have investigated the morphogenetic role of defined segments of the AML by testing their inductive and patterning activity and by assessing the impact of their ablation on the patterning of the neural tube at the early-somite-stage. Both rostral and caudal segments of the AML were found to induce neural gene activity in the host tissue; however, the de novo gene activity did not show any regional characteristic that might be correlated with the segmental origin of the AML. Removal of the rostral AML that contains the prechordal plate resulted in a truncation of the head accompanied by the loss of several forebrain markers. However, the remaining tissues reconstituted Gsc and Shh activity and expressed the ventral forebrain marker Nkx2.1. Furthermore, analysis of Gsc-deficient embryos reveals that the morphogenetic function of the rostral AML requires Gsc activity. Removal of the caudal AML led to a complete loss of midline molecular markers anterior to the 4th somite. In addition, Nkx2.1 expression was not detected in the ventral neural tube. The maintenance and function of the rostral AML therefore require inductive signals emanating from the caudal AML. Our results point to a role for AML in the refinement of the anteroposterior patterning and morphogenesis of the brain

No ocean acidification effects on shell growth and repair in the New Zealand brachiopod Calloria inconspicua (Sowerby, 1846)

AbstractSurface seawaters are becoming more acidic due to the absorption of rising anthropogenic CO2. Marine calcifiers are considered to be the most vulnerable organisms to ocean acidification due to the reduction in the availability of carbonate ions for shell or skeletal production. Rhychonelliform brachiopods are potentially one of the most calcium carbonate-dependent groups of marine organisms because of their large skeletal content. Little is known, however, about the effects of lowered pH on these taxa. A CO2 perturbation experiment was performed on the New Zealand terebratulide brachiopod Calloria inconspicua to investigate the effects of pH conditions predicted for 2050 and 2100 on the growth rate and ability to repair shell. Three treatments were used: an ambient pH control (pH 8.16), a mid-century scenario (pH 7.79), and an end-century scenario (pH 7.62). The ability to repair shell was not affected by acidified conditions with >80% of all damaged individuals at the start of the experiment completing shell repair after 12 weeks. Growth rates in undamaged individuals >3 mm in length were also not affected by lowered pH conditions, whereas undamaged individuals <3 mm grew faster at pH 7.62 than the control. The capability of C. inconspicua to continue shell production and repair under acidified conditions suggests that this species has a robust control over the calcification process, where suitable conditions at the site of calcification can be generated across a range of pH conditions.The authors would like to thank the science support staff at the Portobello Marine Laboratory, University of Otago, for their help in the set up and maintenance of the ocean acidification experimental system. Thanks also to Kim Currie at National Institute of Water and Atmospheric Research for the DIC and total alkalinity measurements. ELC is supported by the NERC PhD Studentship (NE/T/A/ 2011).This is the final version of the article. It first appeared from Oxford University Press via http://dx.doi.org/10.1093/icesjms/fsv03

Understanding the Role of Religion in Cancer Care in Appalachia

Religion and spirituality may influence outcomes in cancer prevention and therapy and contribute to cancer disparities in deeply religious communities like the Appalachian region of the United States. Finding a method to bridge this division is essential to reduce cancer health disparities in this population. Religious beliefs may lead patients to seek less aggressive medical care, influence them to believe that the diagnosis of cancer is a mandate from God and cannot be managed by the healthcare system, ultimately compromising outcomes and contributing to disparities in healthcare in such communities. The significant role of religion and spirituality in decision making relevant to cancer care has been reinforced through clinical experience and conversations with Appalachian focus groups. The influence needs to be recognized, emphasized and handled appropriately by healthcare providers. Physicians in practice need to be able to relate to this dimension and work with local spiritual support systems to provide both a medical and spiritual prescription for the individual\u27s journey through cancer care or prevention approaches