CHSU Discovery

QI project Aim- Insertion of Etonogestrel implant on first clinic visit. Introduction-Current clinical practice mandates 2 clinical visits for Etonogestrel implant, first to rule out pregnancy with urine pregnancy test and then additional wait of 7 …

Abstract Case Diagnosis: A 51-year-old woman with a past medical history significant only for BPPV presents with an unusual presentation of acute transverse myelitis that is subsequently treated with medical management and four weeks of intensive in…

Abstract:Introduction: Large bowel obstruction (LBO) is a less common cause of bowel obstruction, butit has a broad range of differentials. The most common etiology in the United States is colorectaladenocarcinoma. Patient presentation includes diff…

Abstract There is a prevalence of chronic wounds in the United States affecting over 6 million people. Many factors contribute to this high prevalence, including lack of education on when to seek care for their wounds, contributing to the high preva…

Abstract Timely post-hospitalization mental health follow-up is essential for patient recovery, yet many individuals in California's Central Valley face significant barriers to accessing these services. Cultural, socioeconomic, and educational facto…

Abstract Gastric carcinoma remains a major global health concern concern, with over 769,000 deaths worldwide in 2020.¹ Prognosis has a 5-year survival >50% in localized disease and <1 year in distant metastases.² In advanced stages, …

Academic health sciences libraries are integral to medical education, yet the specific resources they offer for board exam preparation (prep) within colleges of osteopathic medicine (COM) programs are not fully understood. This study …

Background:Conduct disorder (CD) refers to a collection of adolescent behavioral and emotional disorders that present with a six-month history of socially unacceptable mannerisms such as hostility, aggression, and violation of established rules. Tot…

Abstract: The prevalence of Staphylococcus aureus infections in the postoperative setting, particularly in joint arthroplasties, presents a persistent challenge worldwide. Despite the use of various antibiotic regimens as the primary treatment appro…

Abstract:Introduction: CVID is the most common primary immunodeficiency in adults. It is defined aspoor response to vaccines and low immunoglobulins, excluding other causes. Paradoxically,one of the most common complications of CVID is autoimmunity …

Abstract Central California is among the world’s largest producers of nutrient-rich foods, yet this region sees higherrates of pediatric obesity compared to the national average. This study aims to analyze pediatric patient data in a rural agr…

Abstract Breast Cancer, the most common type of cancer in women, is the second leading cause of cancer deaths in women. Furthermore, 1 in 8 women, about 12%, will develop invasive breast cancer over the course of her lifetime. In the case …

Abstract • Chronic metabolic diseases are major drivers of rising U.S. healthcare expenditures, with approximately 90% of annual medical costs linked to these conditions, largely due to escalating medication dependence1,2.• …

Abstract:The mitochondria are dynamic, vital, maternally-inherited organelles with their own genome(mtDNA) that function as the powerhouse of the cell and as a signaling hub regulating various physiological processes including programmed cell death …

In California’s Central Valley, there are approximately 12,000 children living with epilepsy. Studies show that the adolescent/young adult (AYA) population benefits from transition programs and social support groups. For children under the car…

Medical students are under increased stress due to the rigorous curriculum, leading to a higher risk of burnout and poor mental health. Physical activity (PA) is a proven stress-reduction strategy that medical students may use to improve overall hea…

Abstract California’s Central Valley has historically had a shortage of physicians which continues to this day. As residency programs in the Valley continue to expand in size, scope, and number retention remains a key issue. We aim to survey t…

Abstract Access to healthcare for unhoused individuals remains a significant challenge, with social determinants playing a crucial role in health disparities. Street medicine programs have emerged as an effective solution, bridging the gap between t…

Abstract:   Introduction and Background: Radiation dermatitis (RD) is one of the most common side effects of radiotherapy for cancer, affecting over 90 percent of patients receiving radiotherapy. RD presents a formidable challenge not o…

Abstract Tricyclic antidepressants (TCAs) are used to treat major depressive disorder by increasing serotonin and norepinephrine levels through reuptake inhibition. This enhances neurotransmitter activity, improving mood and cognitive function. …