CHSU Discovery

Background: Facts: While hypertension is one of the highest prevalent diseases in the United States; control of blood pressure to an acceptable range is a shocking 45%.1 As of 2020, local data from Fresno Community Health Improvement Partnership (F…

Introduction: Type 2 diabetes is a chronic disease that is related to insulin resistance and dysregulation of energy metabolism.The relationship of diabetes and hyperglycemia to atrophy in specific areas of the brain have not been fully investigated…

In this case series, we aim to evaluate and discuss the benefits and complications of the Boston Keratoprosthesis in a private practice setting. Based on our study, the results of K-Pro implantation have been promising, especially when factors such …

Abstract MicroRNAs (miRNAs) are short 22 nucleotide long, non-coding RNA molecules found to play a pivotal role in post-transcriptional gene expression modulation within the nervous system. These imperfect sequence guides fine-tune rather than compl…

Abstract Warfarin: oral anticoagulant used to prevent and treat thromboembolisms• Mechanism of action: inhibits vitamin K epoxidase reductase, depletes vitamin Kstores, and reduces the synthesis of factors II, VII, IX, X, and Proteins C/S•…

Abstract Carbon monoxide (CO) is an odorless and colorless poisonous gas produced from many common uncomplete combustions processes in poorly ventilated areas, including fumes from car engines, gas stoves, or burning charcoal. Acute CO poisoning is …

Abstract Introduction  Food insecurity is limited access to nutritious and safe foods. As a response to food insecurity in Merced, Golden Valley Health Center (GVHC) has created their Food Pharmacy to address food insecurity and provide clie…

Abstract Background: There is a growing body of evidence outlining the symptomatic evolution and long-term healthcomplications following Sars-CoV-2 infection. There is a greater risk of developing persistent symptoms following recovery from COVID-19…

Background   • Cogan’s syndrome (CS) is a rare, systemic autoimmune disorder withocular and auditory manifestations• Classic form includes:• Non-syphilitic interstitial keratitis (IK)• Sensorineural hearing loss with v…

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…

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 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. …

Abstract: Introduction and Background: Research suggests that there are differences in how various cultural groups perceive psychedelic-assisted psychotherapy (PAT) following psychoeducation (Carter et al., 2023), highlighting the signific…

Abstract Secondary depression resulting from chronic pain can linger because of poor consideration of the primarycause, leading to increased morbidity and functional limitation. Recent studies indicate that 20% of U.S. adultsexperience chronic pain,…

Abstract: Introduction: Dialysis disequilibrium syndrome is a rare neurologic constellation of symptoms that shortly follow starting dialysis, especially if the patient is dialysis-naive. It occurs due to the rapid correction of electrolytes and rem…

Abstract One of the most fascinating and perplexing chronic pain syndromes is Complex Regional Pain Syndrome(CRPS). Patients exposed to minor trauma or injury present with a syndrome marked by persistent, disproportionate, and progressive pain. Whil…

Abstract Access to health care has become increasingly difficult for homeless populations due to numerous barriers that limit ability to seek proper care. Street medicine is a rising intervention in health care in which health screenings and treatme…