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Experiences Of Non-Tenured African American Female Nursing Faculty At Predominately White Institutions, Allison R. Bethune Jan 2023

Experiences Of Non-Tenured African American Female Nursing Faculty At Predominately White Institutions, Allison R. Bethune

Walden Dissertations and Doctoral Studies

The proportionally fewer female African American nursing faculty at predominately White institutions (PWIs) have frequently reported adverse employment conditions in academia. The faculty within nursing schools at PWIs does not reflect society’s diversity. The problem addressed through this study is the low number of female African American nursing faculty in PWIs. The purpose of this basic qualitative study was to examine the experiences of non-tenured female African American nursing faculty at PWIs. The conceptual framework that informed this study is Crenshaw’s intersectionality. The research question addressed the experiences of non-tenured female African American nursing faculty at PWIs. Six non-tenured female …

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Sexual Violence And University Campus Response To Sexual Violence, Jennifer Bivins Jan 2023

Sexual Violence And University Campus Response To Sexual Violence, Jennifer Bivins

Walden Dissertations and Doctoral Studies

While anyone can be a victim of sexual violence, college-aged females between the ages of 18 and 21 are more likely to be victimized than any other group. Sexual violence continues to be a barrier to education, and colleges/universities make it challenging for students to report on campus. The purpose of this study is to explore the factors, intervention/prevention strategies, and policies/procedures used to address sexual violence on a university campus. The framework used was the ecological model, which focuses on factors and influences within the environment that affected individual behavior. The research questions focused on participants describing their experiences …

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Mental Health Treatment And The Criminal Justice System, Susana Lehan-Trasente Jan 2023

Mental Health Treatment And The Criminal Justice System, Susana Lehan-Trasente

Walden Dissertations and Doctoral Studies

The criminal justice system has established interventions for those who have mental illness and have been charged with criminal complaints. In New York State, the Mental Health Court has been established to address these issues and is to be used by all counties. However, the treatment and probation interventions vary from county to county. Saratoga County uses a Single Point of Access (SPOA) which receives referrals from the general court and probation officers. SPOA refers clients to a variety of treatment interventions available in the county. In Monroe County, the Mental Health Court refers the criminally involved/mentally ill individual to …

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Faith-Based Leaders’ Perception On The Need For Active Assailant Contingency Planning, Tanzania Merriweather Jan 2023

Faith-Based Leaders’ Perception On The Need For Active Assailant Contingency Planning, Tanzania Merriweather

Walden Dissertations and Doctoral Studies

Violence is identifiable as a common threat to public and community safety. Violent incidents have had an extensive history within society and are especially concerning when orchestrated against religious institutions. There is existing research concerning massive violent incidents in sanctuaries and churches; however, there is limited research on the perceptions of religious leaders on the need for safety planning to prepare for and combat these incidents. This phenomenological study was completed to explore the perceptions of eight faith-based leaders on the need for safety contingency planning for sanctuaries and churches. The research questions posed for this study were designed to …

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Mindfulness Skills And Retention Risk In First-Generation Undergraduate Students, Tim Morenz Jan 2023

Mindfulness Skills And Retention Risk In First-Generation Undergraduate Students, Tim Morenz

Walden Dissertations and Doctoral Studies

First-generation college students experience more negative emotional states and higher stress levels than their continuing generation peers, take approximately two years longer to complete undergraduate degree programs, and are less than one percent likely to re-enroll in college. Mindfulness skills have been reported to alleviate anxiety and stress, improve adjustment to college, and improve academic performance, but a gap in the literature existed specific to first-generation college students. Guided by the theory of planned behavior and the monitor and acceptance theory, the purpose of this quantitative study was to examine the relationship between trait mindfulness skills and retention risk in …

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Nurses' Lived Experiences Caring For Covid-19 Patients In The United States, Cynthia Rose Rodriguez Jan 2023

Nurses' Lived Experiences Caring For Covid-19 Patients In The United States, Cynthia Rose Rodriguez

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has affected healthcare services and delivery and may leave unprecedented effects on nurses’ physical and mental health. Research is sparse on the pandemic’s effects on nurses, but studies have identified the stressful factors that may contribute to nurses’ health and well-being. The purpose of this qualitative interpretive phenomenological study was to understand the lived experiences of nurses caring for COVID-19 patients in the United States and discover how their experiences impact them on a personal and professional level. Hans Selye’s general adaptation theory served as the theoretical basis for this study with Edmund Husserl’s life worldview used …

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Strategies To Improve Hospital Patient Satisfaction To Increase Performance-Based Reimbursements, Celso G. Silla Iii Jan 2023

Strategies To Improve Hospital Patient Satisfaction To Increase Performance-Based Reimbursements, Celso G. Silla Iii

Walden Dissertations and Doctoral Studies

Officials from the Centers for Medicare and Medicaid Services (CMS) created the hospital valued-based purchasing (VBP) program focused on controlling cost, inefficiencies, and quality-of-care. Hospital leaders are incentivized or penalized based on meeting quality outcomes and risk millions of dollars in reimbursement if they do not meet the quality-of-care standards specified in the CMS hospital VBP program. Grounded in the transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies hospital leaders used to improve patient satisfaction to increase VBP performance-based reimbursements. Participants included eight hospital leaders from seven hospitals in California who successfully implemented …

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Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams Jan 2023

Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams

Walden Dissertations and Doctoral Studies

When children enter kindergarten, they are expected to demonstrate an interrelated set of skills and competencies including pre-academic skills, cognitive abilities, socioemotional well-being, and physical health. The problem that was the focus of this study was that many students who complete prekindergarten are not ready for kindergarten. Guided by Garcia’s kindergarten readiness framework, the purpose of this basic qualitative study was to increase understanding of the perspectives of parents and prekindergarten teachers regarding their role in developing kindergarten readiness, and the factors they believe support or hinder their efforts. Eight prekindergarten teachers and 8 parents of prekindergarten students from one …

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The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez Jan 2023

The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez

Walden Dissertations and Doctoral Studies

AbstractChildbirth has been increasingly viewed as a potentially traumatic event and process impacting both mother and infant. Previous research on childbirth has concentrated on the development of postpartum depression and its impact; research on posttraumatic stress disorder (PTSD) after childbirth has been limited. However, the results of this research study suggested that the development of childbirth-related PTSD may be a far more common phenomenon than previously suggested. Bowlby’s attachment theory and Ainsworth’s further development and expansion of the theory served as a framework which investigated the experiences of 10 biological females, aged 21 and over previously diagnosed with PTSD after …

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Exploring Goal Setting And Motivational Experiences For Adult Workers With Autism, Daniel Ball Jan 2023

Exploring Goal Setting And Motivational Experiences For Adult Workers With Autism, Daniel Ball

Walden Dissertations and Doctoral Studies

AbstractWhile the heterogeneity of autism for adults has been much more accepted over the past 40 years, research still has a broad gap to fill as there is scarce empirical evidence on how interventions, such as motivational tactics, need to be adapted to meet individual abilities and needs. Also, the number of workers entering the workforce each year is growing as a ratio. It is posited by various authors that one in 52 people are now diagnosed as having the disorder and this number has doubled over the past decade. Furthermore, 80% of this population is underemployed or unemployed, representing …

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Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown Jan 2023

Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown

Walden Dissertations and Doctoral Studies

High turnover rates can challenge an organization's ability to provide quality care to clients, maintain a safe environment, and achieve strategic goals. Effective retention strategies can allow the organization to grow and develop to continue to provide services for those in need. The focus of this study was identifying how an organization can improve its retention strategies, create succession plans, and decrease turnover to encourage organizational growth. The Baldrige Excellence Framework was used to guide the study, focusing on leadership, workforce, operations, and management. Data were collected through multiple sources. Semi structured interviews were used to gather data through open-ended …

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Best Practice Strategies To Prevent Suicide In Behavioral Health, David Solomon Gamble Jan 2023

Best Practice Strategies To Prevent Suicide In Behavioral Health, David Solomon Gamble

Walden Dissertations and Doctoral Studies

AbstractThe capacity for mental health clinicians to provide culturally relevant suicide prevention services has become an issue within current society, given the complexity and impact of the circumstances that have disrupted everyday life. Thus, this became a problem for the organization and the target population used for this study. The current capacity of leadership and clinicians who provided prevention services was developed to address the underlying mental health disorders and not directly address the environmental impact. The approach for the study adhered to Yin's work on case studies. The case study research provided the process and outcome data by introducing …

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The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant Jan 2023

The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant

Walden Dissertations and Doctoral Studies

Reducing preterm births is a local, national, and global public health priority. Preterm birth rates continue to rise with evident racial and ethnic differences. The purpose of the quantitative study was to analyze the Mississippi Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 8 data to investigate the association between preterm births, timing of prenatal care, insurance types, and marital status among 5,666 women who gave birth in Mississippi between 2016 - 2020 using logistic regression. The social-ecological model was used to explain the impact of preterm births at the individual, interpersonal, and policy levels. Marital status was shown to be …

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Social Work's Unremitting Identity Crisis: Can The Dsw Provide Answers?, Debra Joyce Hall Jan 2023

Social Work's Unremitting Identity Crisis: Can The Dsw Provide Answers?, Debra Joyce Hall

Walden Dissertations and Doctoral Studies

AbstractThis study is centered on a long-standing professional identity dilemma that poses potential problems for the future of the field of social work. Current literature points to specific shortcomings in the field that threaten the future of the profession. Some researchers also suggest that the reemergence of the Doctorate of Social Work (DSW) may be used to solve some of the identity concerns with the profession. The study further asserts that practicing licensed clinical social workers (LCSW) have not been a part of the conversation regarding the identity issues or the remedies that the field is considering. Using both a …

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Practice Size And Geographical Location And Annual Merit-Based Incentive Payment System Scores In Dermatology, Issam H. Harmouch Jan 2023

Practice Size And Geographical Location And Annual Merit-Based Incentive Payment System Scores In Dermatology, Issam H. Harmouch

Walden Dissertations and Doctoral Studies

Despite the transition to value-based care in the healthcare industry using the Merit-Based Incentive Payment Systems (MIPS), small and rural physician practices still score in the poor category annually. These poor performances negatively impact funding for staffing and service availability; further, little research has focused on the factors behind these poor performance scores. The purpose of this study was to examine the relationship between practice size and organization geographical location on annual MIPS scores among dermatologists in the South-Central United States. The Donabedian model was used as the theoretical framework for this study that focused on the three qualities of …

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Effect Of A Stress Management Module On First-Year Osteopathic Medical Students’ Stress Levels, Yasmine Mignon Hill Jan 2023

Effect Of A Stress Management Module On First-Year Osteopathic Medical Students’ Stress Levels, Yasmine Mignon Hill

Walden Dissertations and Doctoral Studies

Medical students have consistently identified medical school as a stressful experience. Although studies show stress management to be beneficial for helping students alleviate stress, few studies have been conducted with osteopathic medicine (DO) students as participants. The purpose of the quasi-experimental study was to assess the effect of participation in a 4-week stress management module on first-year DO students’ stress levels. This study was grounded in Quick and Quick’s preventive stress management theory and Bandura’s self-efficacy theory, which together suggest that early recognition of stress and consistent stress management coping mechanisms are beneficial for altering and sustaining stress levels. For …

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The Relationship Between College Credits Earned In A Community College Dual Enrollment Program And First-Year Grade Point Average, Johnesa Hodge Jan 2023

The Relationship Between College Credits Earned In A Community College Dual Enrollment Program And First-Year Grade Point Average, Johnesa Hodge

Walden Dissertations and Doctoral Studies

The increased number of college credits earned in dual enrollment programs initiated concern by educators, researchers, and policymakers regarding college readiness. However, data are scarce and inconsistent across governing states and community colleges to measure college readiness and dual enrollment’s effectiveness. The purpose of this quantitative study examined early college credits earned in general education, career and technical education, college orientation disciplines, and first-year grade point average (GPA) to measure college readiness. Conley’s key dimensions of college and career readiness model grounded the study. Archival transcript data were collected from a Michigan community college for 524 former dual enrollment students. …

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The Social Construction Of Performance Enhancing Steroid Policies And Their Impact On U.S. Army Service Members, Trevor Scott Jackson Jan 2023

The Social Construction Of Performance Enhancing Steroid Policies And Their Impact On U.S. Army Service Members, Trevor Scott Jackson

Walden Dissertations and Doctoral Studies

The United States military has seen a continued rise in the use of illicit performance enhancing substances, particularly androgenic-anabolic steroids (AAS), by service members in highly demanding occupational specialties. Despite these rising trends, there remains a lack of understanding of how U.S. Army substance abuse policy impacts service members’ motivations to use banned performance enhancing drugs. The purpose of this qualitative study was to better understand the motivations of service members who use performance enhancing AAS, as well as the impacts of substance abuse policies on those individuals. This study’s questions asked how social constructs and Army policy impacted service …

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The Linear Evolution Of Local Emergency Management Training In Response To Domestic Terrorism, Jeffrey Januchowski Jan 2023

The Linear Evolution Of Local Emergency Management Training In Response To Domestic Terrorism, Jeffrey Januchowski

Walden Dissertations and Doctoral Studies

AbstractThis paper presents a research study in the field of emergency management. The study aims to identify training or educational needs for the emergency manager at the local level of government to effectively handle disasters. The study uses phenomenon theory with semi-structured interviews that gather data from emergency managers that have experience with major disasters and training requirements. Participants were experts in the emergency management profession with the ability to speak appropriately about the phenomenon. Research questions identified the training methods that produce the best results along with the specific hazards emergency managers may encounter. The research design used questionnaires …

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Associations Of Stress, Health Behaviors, And Obesity Among African American Immigrants, Wole David Akinsola Jan 2023

Associations Of Stress, Health Behaviors, And Obesity Among African American Immigrants, Wole David Akinsola

Walden Dissertations and Doctoral Studies

AbstractObesity has been identified as a predisposing factor that poses a serious threat for the development of chronic diseases and contributes to health disparities affecting both minority and vulnerable populations. Though previous studies reported the association of stress with health status and behavior, there is little or no research on the heterogeneity of obesity predictors in specific minority populations in the United States. The purpose of this study was to examine the predictors of obesity among adult African American immigrant populations in the United States. Studying obesity in this population may help policymakers tailor interventions that could reduce obesity prevalence. …

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A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch Jan 2023

A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch

Walden Dissertations and Doctoral Studies

Evidence from an urban hospital initially revealed that ethnicity had no bearing on treatment modalities or mortality among patients admitted and diagnosed with COVID-19 symptoms from January 1, 2020 to January 1, 2021. The purpose of this study was focused on answering three principal research questions concerning evidence at one hospital of differences in medication used, whether intubation was used, and mortality by ethnicity for those treated for COVID-19 while controlling for age, gender, and co-morbidities. The health belief model served as the theoretical framework. Data was collected from 1188 patient charts, and binary logistic regression was used to test …

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Educating Oncology Nurses On Identifying And Managing Cancer-Related Distress, Rosemary Vivella Irish Jan 2023

Educating Oncology Nurses On Identifying And Managing Cancer-Related Distress, Rosemary Vivella Irish

Walden Dissertations and Doctoral Studies

AbstractUp to 50% of patients diagnosed with cancer will experience significant levels of distress. Cancer is related to psychological distress and can negatively impact recovery from surgery, increase treatment side effects, and decrease overall quality of life. The National Comprehensive Cancer Network recommended screening for distress as part of comprehensive cancer care. In the practice setting, there was a need for better assessment of distress in cancer patients. The purpose of this staff education project was to address a gap in practice regarding the lack of knowledge of screening for distress by providing education to oncology nurses on how to …

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Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones Jan 2023

Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones

Walden Dissertations and Doctoral Studies

AbstractOvercrowding in emergency departments (EDs) is a systemic issue, resulting in inefficiencies affecting patient care quality. Hospital leaders struggle with reducing bottlenecks in EDs and providing a better patient care experience. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore strategies used to reduce inefficiencies in EDs. The participants included five directors, administrators, and clinical managers from a hospital ED in Idaho Falls, Idaho, who successfully used strategies to reduce inefficiencies in EDs. Data were analyzed from semistructured interviews and a review of organization documents and artifacts following Yin’s five-step data analysis …

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Human Resource Managers’ Strategies To Reduce Coercive Management Practices, Lakerria Shantel Brown Jan 2023

Human Resource Managers’ Strategies To Reduce Coercive Management Practices, Lakerria Shantel Brown

Walden Dissertations and Doctoral Studies

Coercive management is a detrimental phenomenon in the health care industry that negatively impacts the organization and employees. Human resource managers in the health care industry who fail to identify and implement strategies to reduce coercive management practices experience poor employee engagement, increased voluntary turnover, and counterproductive work behavior by employees. Grounded in the leader-member exchange theory, the purpose of this qualitative multiple case study was to explore strategies human resource managers in the health care industry use to reduce coercive management practices. The participants were four human resource managers from the health care industry in Georgia who successfully developed …

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Staff Education Plan For Treatment Of Obstetrical Hypertension In The Emergency Department, Ashley Dawn Delia Jan 2023

Staff Education Plan For Treatment Of Obstetrical Hypertension In The Emergency Department, Ashley Dawn Delia

Walden Dissertations and Doctoral Studies

The United States has the highest childbearing morbidity and mortality rate of any industrialized nation, and the rate has steadily increased over the last three decades. It is estimated that at least half of all maternal deaths are preventable. Hypertensive disorders that present during pregnancy, regardless of etiology, are associated with this increased maternal morbidity and mortality. Obstetrical hypertension, when recognized in settings like the emergency department, readily responds to medical intervention. While guidelines for recognition and treatment of severe and high range blood pressure readings have been defined, hospital emergency departments do not consistently have a related education program …

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Developing A Governance Framework For A Commercially Successful, Inclusive, And Safe Metaverse, Hamady Dia Jan 2023

Developing A Governance Framework For A Commercially Successful, Inclusive, And Safe Metaverse, Hamady Dia

Walden Dissertations and Doctoral Studies

This study aimed to fill a significant gap in the literature on empirical research on the governance structure of the Metaverse. The purpose of this study was to describe Metaverse strategy and innovation management experts’ views on how business leaders and policymakers may collaborate on shaping a governance structure for the Metaverse. This study used a multiple case study design to collect data from a purposeful sample of eight Metaverse experts using a semistructured interview format. This study was framed by three key concepts: Rogers’s concept of diffusion of innovations, Ball’s concept of the Metaverse, and Fernandez and Hiu’s concept …

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Nonprofit Administrator Strategies To Procure And Retain Long-Term Donors, Dr. Maxine Rolle Jan 2023

Nonprofit Administrator Strategies To Procure And Retain Long-Term Donors, Dr. Maxine Rolle

Walden Dissertations and Doctoral Studies

Abstract Nonprofit sector administrators inability to procure and retain long-term donors can result in reduced revenue and possible organization failure. Nonprofit administrators who lack strategies to procure and retain long-term donors can negatively impact organizational performance and success. Grounded in network theory, the purpose of this qualitative multiple-case study was to explore strategies nonprofit administrators use to procure and retain long-term committed donors to remain operable. The participants comprised four administrators of four separate nonprofit organizations in Fort Lauderdale, Florida who procured and retained long-term committed donors to remain operable for at least 5 years. Data were collected through semistructured …

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Strategies For Revitalized Immigrant-Owned Small Businesses To Sustain Growth Following Emergencies, Goi Jooyul Yol Jan 2023

Strategies For Revitalized Immigrant-Owned Small Businesses To Sustain Growth Following Emergencies, Goi Jooyul Yol

Walden Dissertations and Doctoral Studies

AbstractThe COVID-19 pandemic revealed obstacles for immigrant small business owners (ISBOs) to sustain growth. ISBOs need strategies for growth sustainability following emergencies because United States immigrant-owned small businesses accounting for 28% of the main street businesses, declined by 36% in revenues between January to April 2020 due to the pandemic. Grounded in the entrepreneurial ecosystem framework and business continuity management model, the purpose of this qualitative multiple-case study was to explore strategies four South Dakota ISBOs used to revitalize their businesses to ensure sustainable growth after the COVID-19 emergency. Data were collected by conducting semistructured interviews and reviews of organization …

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Global Narratives On Unequal Outcomes Produced By Lockdown In Africa: A Social Science Perspective On The 'One-Size-Fits All' Covid-19 Response, Kelley Sams, C Grant Jan 2023

Global Narratives On Unequal Outcomes Produced By Lockdown In Africa: A Social Science Perspective On The 'One-Size-Fits All' Covid-19 Response, Kelley Sams, C Grant

Walden Faculty and Staff Publications

No abstract provided.

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The Geographic Pattern And Socioecological Factors Of Helicobacter Pylori Infections In The United States, Judith Ann Merryweather Jan 2023

The Geographic Pattern And Socioecological Factors Of Helicobacter Pylori Infections In The United States, Judith Ann Merryweather

Walden Dissertations and Doctoral Studies

AbstractHelicobacter pylori (H. pylori) is one of the most common human pathogens and may play a role in the development of several distinct diseases, which include gastric ulcer, duodenal ulcer, and gastric cancer. Studying geographic territories of the United States may reveal clusters with high rates of H. pylori infection and perhaps the prevalence of gastric cancer; however, geographic mapping of patterns in the United States is scarce. The purpose of this study was to investigate changes in H pylori infection patterns in the United States between two different time points (2000–2002 and 2016–2018). The primary hypotheses of this study …

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