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 ...

BACKGROUND Appalachia is a region of the United States noted for the poverty and poor health outcomes of its residents. Residents of the poorest Appalachian counties have a high prevalence of diabetes and risk factors (obesity, low income, low education, etc.) for type 2 diabetes. However, diabetes prevalence exceeds what these risk factors alone explain. Based on this, the history of poor heal...

Children living in rural and Appalachian communities are at high risk for childhood obesity. The purpose of this manuscript was to review existing childhood and family obesity interventions targeting Appalachian and rural communities to explore recommendations for intervention development. Peer-reviewed studies were selected through a systematic literature search. Seventeen studies met inclusio...

Van der Plmjm, B.A., 1987. Timing and spatial distribution of deformation in the Newfoundland Appalachians: a “multi-stage collision” history. In: H.J. Zwart, M. Martens, I. van der Molen, C.W. Passchier, C. Spiers and R.L.M. Vissers (Editors), Tectonic and Structural Processes on a Macro-, Mesoand Micro-Scale. Tectonophysics, 135: 15-24. The Newfoundland Appalachians have been interpreted as a...

ABSTRACT Upper Devonian and Lower–Middle Mississippian strata of the North American midcontinent are ubiquitously fine-grained silt-rich, comprising both so-called shale as well argillaceous limestone (or calcareous siltstone) that accumulated in Laurentian epeiric sea. Although long recognized recording marine deposition, origin transport siliciclastic material these units remains enigmatic be...

In this work we present the results of a new analytical model that examines the coupling between glacial erosion and orogen development. Surface processes are assumed to be glacially dominated, and tectonic activity is controlled by critical wedge mechanics. In these circumstances, we find that orogen width is strongly dependent on both the rate of accretion and on the rate of precipitation. Th...

OBJECTIVE The objective of this study was to determine the cost-efficiency of vaccinating against Human Papillomavirus (HPV) in Medicaid enrolled females of the Appalachian region of Kentucky (n = 49,411 females) aged 12 to 25 years, versus paying for the treatment of cervical cancer cases (n = 643 cases) within this population later in life. METHODS In order to determine the cost of vaccinat...

PURPOSE The purpose of this study was to test whether population mortality rates from heart, respiratory and kidney disease were higher as a function of levels of Appalachian coal mining after control for other disease risk factors. METHODS The study investigated county-level, age-adjusted mortality rates for the years 2000-2004 for heart, respiratory and kidney disease in relation to tons of...