Making and Breaking Big Rural: Science and Technology Construct the Coalfield examines science and technology research and its role in constructing a rural industrial space such as the Pocahontas Coalfield in Southern West Virginia/Southwest Virginia. It examines the ramifications of this single sector rural space, and of automation and coalfield technology, on its inhabitants, especially on their capacity for democratic practice. In a call for science and research for public benefit, it proposes how scientific and technological research ought to engage with the people and the environment in this rural industrial space, and in the rural space more generally. Using a case study of the Pocahontas Coalfield as a springboard, a draft of a National Rural Strategy for the United States also is proposed. / Ph. D.

This thesis argues that although historians treat the relationship between professional medicine and folk medicine in Southern Appalachia as a competition and place Appalachian folk medicine as a victim of professionalization, the two forms of medicine are best understood as systems of knowledge. Through interviews, medical journals and administrative records, medical school records, and other archival sources, I trace how gender, race, and class shaped knowledge in Appalachian folk medicine and professional medicine during Prohibition and the early twentieth century. Despite the characterization of folk medicine as a victim to professionalization, I find that people in Southern Appalachia actively understood and engaged with shifting ideas of health and constant concerns over the high costs of medicine and limited accessibility to doctors throughout the twentieth century. / Master of Arts

This study examines the use of regional cultural icons, like hillbillies, nineteenth century pioneer caricatures, and rural/wilderness landscapes, in paintings from an Appalachian tourist center. These icons, produced by the public media’s portrayal of the Appalachian region over several generations, contribute to a sense of cultural difference associated with people of Appalachia. The research question driving this project is: would cultural distinctiveness exist if cultural stereotypes were not a part of the tourist center’s local economics, politics, and social life? Building on ideas from consumption studies, this project explores consumption practices of artists and tourists as they interact with icons in art galleries and other commercial spaces located in a popular vacation destination. Artists and tourists both play out the role of consumer because they choose and make use of icons. This project also draws on ethnographies from tourism and tourist art and from theories of ritual and performance studies. Data gathered from formal interviews, gallery surveys, content analysis of paintings, observations, and participant-observation is analyzed to describe the kinds of images consumed in an Appalachian tourist art market, as well as the marketing techniques employed by business owners to facilitate the tourist’s consumption of images, the performative qualities of consumer behavior and gallery spaces, the various meanings signified by images to consumers, and the structural ways individuals are taught to associate certain meanings with images. This project deconstructs notions of cultural distinctiveness associated with the Appalachian region, while showing some cultural icons to be personally important to artists and tourists. Showing how the tourism industry affects cultural perceptions of marginalized groups, this research also reveals the ways dominant cultural assumptions, like racial and class categories as well as experiences with the past, are communicated via art images. Recounting artists’ stories of working within a tourism context enables this research to describe how individuals and communities employ sales strategies to minimize their perceptions of economic risks. This project concludes that the perpetual use of stereotypes is motivated by the need for a tourist setting to seem different and by the values stereotypes bear for consumers’ personal identities and preferences.

<p>“Redistributing Risk” explains how coal, which powered the industrial revolution, continued to be a linchpin of U.S. energy production long into the post-industrial era. During the nineteenth and early twentieth centuries, coal fueled everything from railroad engines to the foundries that forged the steel on which they rode. But the market for coal dwindled during the middle of the twentieth century, and by the 1960s many Americans viewed it as a relic of a dirty and dangerous industrial past. Surprisingly, the industry rebounded during the 1970s, when concerns about energy supplies pushed policymakers and electricity producers to renew the nation’s reliance on coal. In the forty years since, new technology has amplified demand for electricity, and coal has powered yet another revolution in the global political economy. Ironically, a fuel that mid-century observers saw as a thing of the past actually illuminated their future.</p><p>I argue that the key to the industry’s success during the 1970s was a redistribution of the risks associated with coal mining. By the late 1960s, the danger of underground mining was among the industry’s greatest liabilities. High death rates from workplace accidents and the millions disabled by respiratory diseases like coal miners’ pneumoconiosis (commonly referred to as black lung) contributed significantly to coal’s poor reputation. Death rates began to plummet after Congress passed the first comprehensive federal mine safety law in 1969, but miners’ efforts to enforce safety through work stoppages and the pressure to stabilize productivity led operators toward a greater reliance on surface methods, which were safer for workers but more dangerous for nearby communities, ecosystems, and—with the later spread of mountaintop removal—to the mountains themselves.</p> / Dissertation

Nurses working in the North Carolina counties of South Central Appalachia (NC-SCA) are a unique subset of nursing professionals. A continued nursing shortage is projected in this area while staffing has improved in other areas of SCA. The purpose of this research was to ascertain the level of job embeddedness of nurses working in NC-SCA in order to offer guidance regarding retention of nurses working in this area. Actively working licensed practical nurses, registered nurses, and advanced practice nurses (nurse practitioners, certified nurse midwives, clinical nurse specialists, and certified registered nurse anesthetists) from 29 North Carolina counties included in South Central Appalachia comprise the study population. Rural Nursing Theory alongside the concept and theory of Job Embeddedness (JE) examines organizational and community influences on retention. Data collection consisted of an online survey and included a demographic questionnaire along with the JE research instrument. Understanding what keeps these nurses on the job is beneficial to nurses, health care organizations, and patients. History of living in rural area, years at job position, intent to stay, work commute in miles, and work commute drive time were significant factors in Job Embeddedess prediction.

This is a supporting paper for a Master of Fine Arts graduate thesis exhibition of black and white photographs held in Slocumb Gallery April 2-7, 2001. The exhibit represents my major concentration of study in Art at East Tennessee State University. The photographs depict cultural aspects of the rural Smoky Mountains. I begin with a description of the means used to suggest the mysterious aspects of human existence in everyday life. The second chapter discusses the influences of Henri Cartier-Bresson and Graciella Iturbide and details aspects of the Surrealist aesthetic suggested in this body of work. Other articulated contemporary influences include Emmet Gowin, Sally Mann, and Andrea Modica. The content and treatment of five photographs from the exhibition is the main focus of chapter three. In conclusion, the photographs delineate an intimate portrait of several rural families and stand as a tribute to the mysterious in a common place.

No description available.

No description available.

Oral histories detailing interactions with railroads during the first half of the 20th century in southern Appalachia. For full abstract, visit the American Folklore Society Annual Meeting Program Book.

Uterine cancer is the nation’s most common gynecologic malignancy but is understudied in the geographically and socioeconomically diverse state of Kentucky (KY). This study assessed the frequency, distribution, and survival of uterine corpus malignancies in KY, and specifically the differences between Appalachia (AP) and non-Appalachia (NAP). This study utilizes SEER and Kentucky Cancer Registries to study uterine corpus malignancy between January 1, 2000 and December 31, 2014. The analysis looks at incidence between diagnoses in AP and NAP. Evaluation criteria includes: tumor histology (Type I, Type II, sarcoma, and mixed uterine malignancy), age, race, smoking status, stage at diagnosis, insurance status, and county of residence at diagnosis.