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Background: Central to effective public health policy and practice is the trust between the population served and the governmental body leading health efforts, but that trust has eroded in the years preceding the pandemic. Vaccine hesitancy among adults is also a growing concern across the United States. Recent data suggest that the trustworthiness of information about the coronavirus 2019 (COVID-19) vaccine was a larger concern than the vaccine's adverse effects or risks., Objective: This study aims to describe the methods used to create a public health microinfluencer social media vaccine confidence campaign for the COVID-19 vaccine in underserved Tennessee communities. A secondary objective is to describe how the Social-Ecological Model (SEM) and Social Cognitive Theory may address vaccine hesitancy using community pharmacies., Methods: In late 2020, 50 independent community pharmacies in underserved communities across Tennessee were involved in a public health project with the State of Tennessee Department of Health and the University of Tennessee Health Science Center College of Pharmacy. The project involved a 3-pronged, pharmacy-based COVID-19 vaccination outreach project, including (1) social media messaging (i.e., microinfluencer approach), (2) community partner collaboration, and (3) in-pharmacy promotion. Quantitative and qualitative data will assess the quality and effectiveness of the program. Social media outcomes will also be assessed to measure the impact of the microinfluencer social media training., Results: Project implementation is planned for 6 months (January 2021 to June 2021) after an initial month of planning by the research team (December 2020) and preceding several months of assessment (July 2021 and beyond)., Conclusions: Novel, theory-based approaches will be necessary to improve vaccine confidence. One approach to promoting public health, derived from the SEM, may be to use trusted microinfluencers on social media platforms, such as local community pharmacists and community leaders., (Copyright © 2022 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.)

Provides information on the collection of the papers of Tennessee political leader Edward Hull Crump which chronicles his career and provides an opportunity to explore the lives of 20th century U.S. citizens as they negotiated the catastrophes of economic devastation and global war. Important documents housed in the Crump collection; Details of the magazine and newspaper articles that document the evolution of Crump's media image; Letters and petitions from individual citizens and neighborhood groups demanding city action included in the Crump collection.

Presents abstracts of papers presented at the 51st annual meeting of the Association of American Geographers on April 11-14, 1955 in Memphis, Tennessee. Research in the design and use of geography teaching materials; Influence of underlying rock structures on valley profiles in the Georgia Piedmont; Review of the users of public land survey records as descriptive resources.

The purpose of this study was to explore the production, communication, interpretation and contestation of new physical education (PE) and physical activity (PA) policy initiatives introduced in Mississippi and Tennessee for the academic year 2006-2007. These states provide a relevant context to study such issues, since Mississippi has the highest and Tennessee has the fifth-highest rate of childhood obesity in the United States (Trust for America's Health, 2009). The social-ecological model was used as a theoretical framework to interpret the social, economic, temporal, and political interactions that shaped the development, interpretation, and implementation of these policies (Stokols, 1992). A multiple-level case study design (Yin, 2003) was adopted in which the policy process was analyzed and compared across eight high schools. Four high schools were purposefully selected in each state that provided a broad range of contextual differences and collected data in real-time during a one-year period. We conducted 73 interviews with key stakeholders, including policymakers, school administrators, teachers and students, and observed PE lessons and school-based activities. The researchers identified themes from the data: "Policy process"; "Expectation of compliance"; "Unfunded mandate"; "Problematic policy enactment"; "Academic pressure"; "Marginalized status of PE"; "Narrow PE curriculum"; and "Dislike of PE". Even though new PE and PA legislation had been passed in both states, no substantive change occurred in any of the schools during our study. This work moves beyond a superficial understanding of how policy initiatives impact PA and PE provisions within schools, particularly at the secondary level. We recommend the development of support systems within the school through the creation of clear goals, strategic plans, and professional development to implement new policy initiatives. (Contains 1 table and 1 note.)

Describes how the University of Tennessee in Memphis dealt with the automation of the paper flow process and the resulting approval that accompanied much of this work. Reducing paper flow complexity; Document management systems; Database systems; Problems with commercial products.

Investigates the claim of scientists regarding the evidence for nuclear fusion in a breaker of organic solvent at the Oak Ridge National Laboratory in Tennessee. Consequences of the claim for nuclear proliferation and energy production; Contradiction of other scientists on the claim; Comparison between nuclear fission and fusion.

Reports on the issues highlighted at the NSTA High School Committee Town Meeting held in the summer of 1997 in Memphis Tennessee. Details on the main issue highlighted; Suggestions to problems faced in the main issue; Identification of persons who are interested in these issues.

This paper provides an introduction to a long-term biological monitoring program and the Environmental Management special issue titled Long-term Biological Monitoring of an Impaired Stream: Implications for Environmental Management. The Biological Monitoring and Abatement Program, or BMAP, was implemented to assess biological impairment downstream of U.S. Department of Energy (DOE) facilities in Oak Ridge, Tennessee, beginning in 1985. Several of the unique aspects of the program include its long-term consistent sampling, a focus on evaluating the effectiveness of specific facility abatement and remedial actions, and the use of quantitative sampling protocols using a multidisciplinary approach. This paper describes the need and importance of long-term watershed-based biological monitoring strategies, in particular for addressing long-term stewardship goals at DOE sites, and provides a summary of the BMAP's objectives, spatial and temporal extent, and overall focus. The primary components of the biological monitoring program for East Fork Poplar Creek in Oak Ridge, Tennessee are introduced, as are the additional 9 papers in this Environmental Management special issue. [ABSTRACT FROM AUTHOR]

Objectives. To assess heterogeneity in pandemic-period excess fatal overdoses in the United States, by location (state, county) and substance type. Methods. We used seasonal autoregressive integrated moving average (SARIMA) models to estimate counterfactual death counts in the scenario that no pandemic had occurred. Such estimates were subtracted from actual death counts to assess the magnitude of pandemic-period excess mortality between March 2020 and August 2021. Results. Nationwide, we estimated 25 668 (95% prediction interval [PI] = 2811, 48 524) excess overdose deaths. Specifically, 17 of 47 states and 197 of 592 counties analyzed had statistically significant excess overdose-related mortality. West Virginia, Louisiana, Tennessee, Kentucky, and New Mexico had the highest rates (20–37 per 100 000). Nationally, there were 5.7 (95% PI = 1.0, 10.4), 3.1 (95% PI = 2.1, 4.2), and 1.4 (95% PI = 0.5, 2.4) excess deaths per 100 000 involving synthetic opioids, psychostimulants, and alcohol, respectively. Conclusions. The steep increase in overdose-related mortality affected primarily the southern and western United States. We identified synthetic opioids and psychostimulants as the main contributors. Public Health Implications. Characterizing overdose-related excess mortality across locations and substance types is critical for optimal allocation of public health resources. (Am J Public Health. 2024;114(6):599–609. https://doi.org/10.2105/AJPH.2024.307618) [ABSTRACT FROM AUTHOR]

This paper focuses on the role relationships between owners, trainers, judges, and federal inspectors in the Tennessee walking horse industry and the accommodations they reach in responding to pressures each places on the others. The paper deals with the practice of soring, or blistering, to alter the gait of the animal and its continued practice despite outcry from humane groups, other horsemen, and the federal government. Trainers are subjected to enormous pressures to win, which means they believe they must "sore" their animals. Because this practice is illegal, they must act in a manner contrary to legal mandates while giving firm lip service to supporting antisoring guidelines. The study method involved unfocused interviews with 4 U.S. Department of Agriculture inspectors, 14 trainers, and 8 owners. No notes or recording material of any kind were present during the interviews, although notes were committed to paper immediately afterward. Because the first author has been a horseman for some years, he approached the trainers, the jargon of horsemen being unfamiliar to the general public. Other interviews and trade journals were gleaned by both authors. [ABSTRACT FROM AUTHOR]

Eminent domain gives public agencies the right to acquire property from private individuals in exchange for just compensation. Following Kelo vs. New London 2005, the powers of eminent domain were extended, opening the door for potential abuses of power by government officials. In this paper, I empirically investigate the use of eminent domain using newly digitized records from the Tennessee Valley Authority (TVA), which extensively used eminent domain to construct dams in the 1930s. Using a sample of families living in one reservoir location, I find empirical evidence that land tenure, the number of property holdings, and debt levels affected the holdout decision, suggesting that holdouts are individuals with high subjective values. I then develop a screening model with asymmetric information in seller valuations to predict when eminent domain will be used and what settlement values and court awards would be. I test the model's and find that individuals who held out increased their property value by about 5 %, and incentives to holdout existed only for individuals who received initially low settlement proposals. [ABSTRACT FROM AUTHOR]

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Background: Cardiovascular events are known to be the leading cause of death among on-duty firefighters. Implementing fitness standards may help reduce the incidence of cardiovascular deaths; however, standards vary between firefighter type and states. We aimed to investigate the rate of cardiovascular events among firefighters across states. Methods: Using publicly available data from the United States Fire Administration, we explored the rates of cardiovascular deaths between firefighter type (e.g., career, volunteer, and wildland) and state. Specifically, we examined rates of cardiovascular deaths between California and Tennessee, which have fitness standards for all firefighters, and New York, which does not have fitness standards for volunteer firefighters. We used descriptive statistics and trend analysis to examine the data. Findings: Most cardiovascular events occur among volunteer firefighters (60.6%, n = 877). Volunteer firefighters had 7.5 (95% CI = [4.8, 11.7], p <.001) greater odds of cardiovascular events compared to wildland firefighters, who had the lowest incidence of cardiovascular events (1.7%, n = 24). New York reported the most cardiovascular events (n = 161), primarily among volunteer firefighters (73.9%, n = 119). After the passage of legislation mandating fitness standards in California, a downtrend in the number of volunteer firefighter fatalities is observed. However, a null effect was observed in Tennessee after the passage of similar fitness standards as in California. Conclusions/Applications to Practice: Volunteer firefighters are significantly more likely to die of a cardiovascular event than career and wildland firefighters, both of which have stricter fitness standards. However, the effect of legislation mandating stricter fitness standards among volunteers did not produce a clear benefit for preventing fatalities. Nurses need to promote cardiovascular health among volunteer firefighters. [ABSTRACT FROM AUTHOR]

Purpose - The purpose of this paper is to provide insight into the major supply chain issues of the automotive manufacturing industry in the southern USA. Design/methodology/approach - This paper is based on the results of a survey of automotive suppliers in Tennessee and Alabama. The survey focused on supply chain issues and demographics, specifically on 20 JIT-related problems and 100 company characteristics. Findings - Identifies the extent of JIT implementation in Tennessee's and Alabama's growing automotive industry and the general characteristics of the companies that use JIT. Also identifies the types of problems experienced by JIT automotive suppliers; categorizes the problems as one-time, periodically recurring, or ongoing; and identifies the most troublesome problems. Research limitations/implications - The survey results point to several problem areas of JIT suppliers for research focus, including identification of ways that small companies can resolve JIT implementation issues, the most common ongoing problem of unstable customer schedules, and the most frequently cited problems of poor production quality. Practical implications - The findings of this study can help others considering a conversion to a JIT system improve the likelihood of a successful implementation by making them aware of the implementation issues experienced by the JIT automotive suppliers in Tennessee and Alabama. It also provides guidelines for specific improvements that could be implemented by Tennessee and Alabama suppliers. Originality/value - This paper provides a concise review of JIT literature. It also examines the growing automotive manufacturing industry in the southern USA. These smaller, primarily non-union automotive suppliers represent a research set that has not been previously studied. [ABSTRACT FROM AUTHOR]

Flood frequency analysis, as commonly practiced, focuses on the estimation of return periods associated with annual maximum flood peaks of various magnitudes. In some applications, it is desirable to perform joint (i.e., simultaneous) flood frequency analyses on seasonal as well as annual bases. However, a problem one encounters in seasonal flood frequency analysis is that the consistency or interrelationship that must exist between the annual maximum and individual seasonal flood frequency distributions may not be preserved. The most important cause of inconsistencies is that one cannot arbitrarily specify the parametric forms of the annual and all of the seasonal distributions. A correct theoretical analysis of the joint frequency problem would require the use of a rather unusual and complicated distributional model. Since this is not practical, this paper presents two approximate but useful methods for joint frequency analysis using the log Pearson Type 3 distribution. It is shown via examples that the two methods can be applied to reasonably model annual and five seasonal flood distributions in the Tennessee Valley. [ABSTRACT FROM AUTHOR]

This paper explored the impact of religion on Christian women's experiences of male perpetrated domestic violence. A review of the extant research relative to this issue revealed that little is known about the relationship between religion and experiences of domestic violence. Participants in the Memphis, Tennessee area were asked to describe the relationship between their religion or faith and their experiences of domestic violence. Interviews were audio-taped and transcribed. Transcripts of the interviews were analyzed within a grounded theory methodological framework (Glaser & Strauss, 1967). Findings highlight the diverse and at times conflicting religious oriented coping strategies employed by Christian battered women to survive violence perpetrated by their spouse or intimate partner. [ABSTRACT FROM AUTHOR]

This paper introduces a data-based approach as an alternative way to help teachers formulate decisions about the validity of test accommodations for students with LD. Three rationales for the approach are provided: (a) an inadequate research base to guide decision-making; (b) the heterogeneity of the LD population; and (c) problems with teachers' use of subjective judgment. Well-controlled studies on test accommodations are too scarce to draw firm conclusions about effects for the group of students labeled learning disabled (LD). Moreover, in light of the heterogeneity of learning disabilities, the individual, rather than the LD label, may be the more appropriate unit for deciding which test accommodations preserve the validity of test scores for students with LD. In this paper, we provide a rationale for a data-based approach to help teachers formulate decisions about the validity of test accommodations for individual students with LD. Then we describe an objective assessment process teachers may use in determining valid test accommodations. We conclude with recommendations for practitioners. [ABSTRACT FROM AUTHOR]

Examines the role of diagrams in executing assembly procedures of origami objects among college students in Nashville, Tennessee. Facilitation of instructional diagrams in the construction and use of mental models; Comparison between final-state and step-by-step diagrams; Effect of the final diagram on the interaction with instructional condition.

The article, through the example of Nashville, Tennessee, convinces that progress in urban geography will be made only by a comparative study of a large number of urban centers. The study in this article is concerned with the commercial district or business area but more particularly with the retail section of the commercial area. The quality of buildings and business in general is the highest from Fifth to Seventh. Most of the buildings are new and are the largest in the retail business sections of the city.