As the Crow Flies: An Underrepresentation of Food Deserts in the Rural Appalachian Mountains

Diet and dietary related health outcomes such as obesity and diabetes are major public health concerns. While personal choice and dietary behaviors are major influences on how an individual eats, the environment influences these choices and behaviors. The nutrition environment is one key influence and its relationship with food choice, behaviors, and socioeconomic influences is complex. Within the structure of the nutrition environment, food access and socioeconomic status compound influencing nutrition behavior and food choice. Food deserts are defined as geographic region of low access to healthy affordable food in low income areas. The USDA developed a system for the analysis of food deserts in the United States. However, the methods the USDA uses do not acknowledge potential geographical barriers present in rural mountainous regions including Appalachia. The purpose of this research is to determine whether the USDA methodology underrepresents food deserts in Appalachia and to develop a modified analysis model for the region. The region was analyzed at the census tract level using methods based on USDA guidelines for low income, rurality, and grocery store identification, then applied in Geographic Information Systems (GIS) to roadway data. Network analysis of drive time from grocery stores to 20 minutes away was performed. Low income, rural census tracts with 33% of their area outside of the 20-minute drive time zone were identified as food deserts. Counties containing tracts were then compared to USDA designated counties, using the dependent variables of obesity and diabetes diagnosis rates and controlled for by county level rurality and economic distress. Of the counties designated as rural, 63 contained food deserts by the modified methods and the USDA model identified 20, there was an overlap in identification of 12 counties. There was no significant difference for 2 methods in health outcomes for the counties. In conclusion, the modified methods do identify a larger food desert region. It is crucial to understand the geographic barriers to regions when addressing nutrition environment concerns. The underrepresentation of food desert areas can leave populations and communities underserved and without much needed resources to improve their access to healthy and affordable foods

Rapid building damage assessment workflow: An implementation for the 2023 Rolling Fork, Mississippi tornado event

Rapid and accurate building damage assessments from high-resolution satellite imagery following a natural disaster is essential to inform and optimize first responder efforts. However, performing such building damage assessments in an automated manner is non-trivial due to the challenges posed by variations in disaster-specific damage, diversity in satellite imagery, and the dearth of extensive, labeled datasets. To circumvent these issues, this paper introduces a human-in-the-loop workflow for rapidly training building damage assessment models after a natural disaster. This article details a case study using this workflow, executed in partnership with the American Red Cross during a tornado event in Rolling Fork, Mississippi in March, 2023. The output from our human-in-the-loop modeling process achieved a precision of 0.86 and recall of 0.80 for damaged buildings when compared to ground truth data collected post-disaster. This workflow was implemented end-to-end in under 2 hours per satellite imagery scene, highlighting its potential for real-time deployment.Comment: In submission to the 2023 ICCV Humanitarian Assistance and Disaster Response Worksho

An Investigation Of The Rotator Cuff In Male Rock Climbers And Kayakers

The purpose of this research was to determine if rock climbers and kayakers would have a greater difference in strength between internal rotation and external rotation of the rotator cuff of the shoulder when compared with a control group

Factors Affecting Household Adoption of an Evacuation Plan in American Samoa After the 2009 Earthquake and Tsunami.

American Samoa is still recovering from the debilitating consequences of the September 29, 2009 tsunami. Little is known about current household preparedness in American Samoa for future earthquakes and tsunamis. Thus, this study sought to enumerate the number of households with an earthquake and tsunami evacuation plan and to identify predictors of having a household evacuation plan through a post-tsunami survey conducted in July 2011. Members of 300 households were interviewed in twelve villages spread across regions of the principle island of Tutuila. Multiple logistic regression showed that being male, having lived in one\u27s home for \u3c 30 years, and having a friend who suffered damage to his or her home during the 2009 tsunami event increased the likelihood of having a household evacuation plan. The prevalence of tsunami evacuation planning was 35% indicating that survivors might feel that preparation is not necessary given effective adaptive responses during the 2009 event. Results suggest that emergency planners and public health officials should continue with educational outreach to families to spread awareness around the importance of developing plans for future earthquakes and tsunamis to help mitigate human and structural loss from such natural disasters. Additional research is needed to better understand the linkages between pre-event planning and effective evacuation responses as were observed in the 2009 events

Misperceptions of Overweight: Associations of Weight Misperception with Health-Related Quality of Life Among Normal-Weight College Students

Excerpt:Misperceptions about personal weight are common and include both under- and overestimates.1–6 Overweight misperception is found among both males and females across different racial/ethnic and age groups but is generally more common among females. Studies also indicate that body weight misperception is common among university students.2,4,7,8 In a study assessing the prevalence of weight misperception among U.S. college students, 12.9% of students had inflated body weight perception and 15.1% considered themselves to be thinner than they actually were.7 Gender and racial/ethnic differences in weight misperception have been observed among normal-weight college adults. According to the 2008 National College Health Assessment (NCHA), 28.8% of college females and 39.4% of college males were overweight or obese. However, more females (38.0%) than males (30.8%) described themselves as overweight or obese.8 Non-Hispanic white people are also more likely to report overweight misperception than other racial/ethnic minority groups.8,

Factors Affecting Household Adoption of an Evacuation Plan in American Samoa After the 2009 Earthquake and Tsunami.

American Samoa is still recovering from the debilitating consequences of the September 29, 2009 tsunami. Little is known about current household preparedness in American Samoa for future earthquakes and tsunamis. Thus, this study sought to enumerate the number of households with an earthquake and tsunami evacuation plan and to identify predictors of having a household evacuation plan through a post-tsunami survey conducted in July 2011. Members of 300 households were interviewed in twelve villages spread across regions of the principle island of Tutuila. Multiple logistic regression showed that being male, having lived in one\u27s home for \u3c 30 years, and having a friend who suffered damage to his or her home during the 2009 tsunami event increased the likelihood of having a household evacuation plan. The prevalence of tsunami evacuation planning was 35% indicating that survivors might feel that preparation is not necessary given effective adaptive responses during the 2009 event. Results suggest that emergency planners and public health officials should continue with educational outreach to families to spread awareness around the importance of developing plans for future earthquakes and tsunamis to help mitigate human and structural loss from such natural disasters. Additional research is needed to better understand the linkages between pre-event planning and effective evacuation responses as were observed in the 2009 events

Quantifying Collaboration Using Himmelman\u27s Strategies for Working Together: Findings from the Tennessee Coordinated School Health Program

Purpose: Coordinated school health programs (CSHPs), a type of health promoting school (HPS) program adopted by Canada and the USA, were developed to provide a comprehensive approach to school health in the USA. Community partnerships are central to CSHP and HPS efforts, yet the quality of collaboration efforts is rarely assessed. The purpose of this paper is to use Himmelman’s strategies for working together to assess the types of partnerships that are being formed by CSHPs and to explore the methodological usefulness of this framework. The Himmelman methodology describes four degrees of partnering interaction: networking, coordinating, cooperating, and collaborating, with each degree of interaction signifying a different level of partnership between organizations. Design/methodology/approach: Data were collected as part of the 2008-2009 and 2009-2010 CSHP annual Requests for Proposal from all 131 public school systems in Tennessee. Thematic analysis methods were used to assess partnerships in school systems. Descriptive analyses were completed to calculate individual collaboration scores for each of the eight CSHP components (comprehensive health education, physical education/activity, nutrition services, health services, mental health services, student, family, and community involvement, healthy school environment, and health promotion of staff) during the two data collection periods. The level of collaboration was assessed based on Himmelman’s methodology, with higher scores indicating a greater degree of collaboration. Scores were averaged to obtain a mean score and individual component scores were then averaged to obtain statewide collaboration index scores (CISs) for each CSHP component. Findings: The majority of CSHPs partnering activities can be described as coordination, level two in partnering interaction. The physical activity component had the highest CISs and scored in between coordinating and cooperating (2.42), while healthy school environment had the lowest score, scoring between networking and coordinating (1.93), CISs increased from Year 1 to Year 2 for all of the CSHP components. Applying the theoretical framework of Himmelman’s methodology provided a novel way to quantify levels of collaboration among school partners. This approach offered an opportunity to use qualitative and quantitative methods to explore levels of collaboration, determine current levels of collaboration, and assess changes in levels of collaboration over the study period. Research limitations/implications: This study provides a framework for using the Himmelman methodology to quantify partnerships in a HPS program in the USA. However, the case study nature of the enquiry means that changes may have been influenced by a range of contextual factors, and quantitative analyses are solely descriptive and therefore do not provide an opportunity for statistical comparisons. Practical implications: Quantifying collaboration efforts is useful for HPS programs. Community activities that link back to the classroom are important to the success of any HPS program. Himmelman’s methodology may be useful when applied to HPSs to assess the quality of existing partnerships and guide program implementation efforts. Originality/value: This research is the first of its kind and uses a theoretical framework to quantify partnership levels in school health programs. In the future, using this methodology could provide an opportunity to develop more effective partnerships in school health programs, health education, and public health