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"Wayfaring Strangers: The Musical Voyage from Scotland and Ulster to Appalachia" is a book by Fiona Ritchie and Doug Orr that explores the cultural pathways of traditional Scottish and Irish folk music as it traveled to Appalachia. The book examines the influences of Welsh, English, German, Dutch, French, African American, and Cherokee cultures on these songs. It is structured into three main sections and includes photographs, maps, and sidebars covering various topics related to folk music. The authors also exchange letters discussing their perspectives on Old and New World music. The book sheds light on the history of American folk music and its connection to immigrant experiences. It includes a contextual timeline, resource centers, a discography, and a bibliography for further exploration. Scholars and music enthusiasts will find this book to be a valuable resource. [Extracted from the article]

Prostate cancer is the most common cancer after non-melanoma skin cancer and the second leading cause of cancer deaths in US men. Its incidence and mortality rates vary substantially across geographical regions and over time, with large disparities by race, geographic regions (i.e., Appalachia), among others. The widely used Cox proportional hazards model is usually not applicable in such scenarios owing to the violation of the proportional hazards assumption. In this paper, we fit Bayesian accelerated failure time models for the analysis of prostate cancer survival and take dependent spatial structures and temporal information into account by incorporating random effects with multivariate conditional autoregressive priors. In particular, we relax the proportional hazards assumption, consider flexible frailty structures in space and time, and also explore strategies for handling the temporal variable. The parameter estimation and inference are based on a Monte Carlo Markov chain technique under a Bayesian framework. The deviance information criterion is used to check goodness of fit and to select the best candidate model. Extensive simulations are performed to examine and compare the performances of models in different contexts. Finally, we illustrate our approach by using the 2004-2014 Pennsylvania Prostate Cancer Registry data to explore spatial-temporal heterogeneity in overall survival and identify significant risk factors. [ABSTRACT FROM AUTHOR]

In this paper, we analyze double modal use in American English based on a multi-billion-word corpus of geolocated posts from the social media platform Twitter. We identify and map 76 distinct double modals totaling 5,349 examples, many more types and tokens of double modals than have ever been observed. These descriptive results show that double modal structure and use in American English is far more complex than has generally been assumed. We then consider the relevance of these results to three current theoretical debates. First, we demonstrate that although there are various semantic tendencies in the types of modals that most often combine, there are no absolute constraints on double modal formation in American English. Most surprisingly, our results suggest that double modals are used productively across the US. Second, we argue that there is considerable dialect variation in double modal use in the southern US, with double modals generally being most strongly associated with African American Language, especially in the Deep South. This result challenges previous sociolinguistic research, which has often highlighted double modal use in White Southern English, especially in Appalachia. Third, we consider how these results can help us better understand the origins of double modals in America English: although it has generally been assumed that double modals were introduced by Scots-Irish settlers, we believe our results are more consistent with the hypothesis that double modals are an innovation of African American Language. [ABSTRACT FROM AUTHOR]

Introduction: Older adults living alone in rural areas frequently experience health declines, social isolation, and limited access to services. To address these challenges, our medical academic university supported a quality improvement project for developing and evaluating the Visiting Neighbors program in two rural Appalachian counties. Our Visiting Neighbors program trained local volunteers to visit and guide rural older adults in healthy activities. These age-appropriate activities (Mingle, Manage, and Move– 3M's) were designed to improve the functional health of older adults. The program includes four in-home visits and four follow-up telephone calls across three months. Purpose: The purpose of this paper was to describe the 3M's Visiting Neighbors protocol steps guiding the quality improvement procedures relating to program development, implementation, and evaluation. Methods and materials: This Visiting Neighbors study used a single-group exploratory quality improvement design. This program was tested using quality improvement standards, including collecting participant questionnaires and visit observations. Results: Older adults (> 65 years) living alone (N = 30) participants were female (79%) with a mean age of 82.96 (SD = 7.87) years. Volunteer visitor participants (N = 10) were older adult females. Two volunteer visitors implemented each visit, guided by the 3M's activities manual. All visits were verified as being consistently delivered (fidelity). Enrollment and retention data found the program was feasible to conduct. The older adult participants' total program helpfulness ratings (1 to 5) were high (M = 51.27, SD = 3.77). All volunteer visitor's program helpfulness ratings were also high (M = 51.78, SD = 3.73). Discussion: The Visiting Neighbors program consistently engaged older Appalachian adults living alone in the 3M's activities. The feasibility and fidelity of the 3M's home visits were verified. The quality improvement processes included engaging the expert advisory committee and rural county stakeholders to ensure the quality of the program development, implementation, and evaluation. [ABSTRACT FROM AUTHOR]

This paper examines how residents of Southern Appalachia observe changes in their natural environment, the values that they assign to plants and animals in that environment, and their understandings and explanations of environmental change. We use semi-structured interviews and participant observation to determine that multigenerational residents and newcomers to the region are observing and noting change in different components of the environment and that they have different determinations of both the causes and likely consequences of that change. While multigenerational residents focus their observation and commentary on staple crops and culturally-important species, newcomers to the area concentrate on species related to recreational pursuits, giving each group insights into different aspects of environmental change. These findings are translated into recommendations for more inclusive and effective environmental and conservation planning. [ABSTRACT FROM AUTHOR]