CHSU Discovery

Abstract:Background and Purpose: Parkinson's disease (PD) is a neurodegenerative disorder that affects movement, balance, and gait. Virtual reality (VR) based exercises in conjunction with physical therapy can provide a safe and controlled environme…

Foot wounds are important to be taken care of and treated early on as they may cause complex medical problems, including osteomyelitis. This can lead to difficult multi-faceted treatment options, even amputation. Preventing foot wounds, especially i…

A hypertensive crisis is defined as an acute, marked elevation in blood pressure (≥ 180/120 mmHg) associated with (emergency) or without (urgency) acute target organ damage.Examples of hypertensive emergencies include:encephalopathy, stroke, aort…

Abstract This case study focuses on a woman in her late fifties with past medical history of recurrent childhood respiratory and skin infections presenting to the pulmonology clinic with dyspnea and wheezing only partially relieved with inhalers and…

Intro:The Solute Carrier 22 (SLC22) family is perhaps best known as a family of “drug” transporters.OCT1, OAT1, and OAT3 are among the most important multi-specific drug transporters in thebody. The SLC22 family of transporters can be se…

Abstract Purpose Online learning has steadily grown in popularity suggesting a need to optimize online Team Based Learning (TBL) delivery techniques. This need was highlighted during the COVID-19 pandemic when instructors rapidly transitioned to on…

Abstract Shingles is the reactivation of the chicken pox virus in the body leading to a painful rash along a nerve pathway. Shingles can lead to postherpetic neuralgia (PHN) which is a complication due to shingles. It occurs if your nerve fibers are…

Abstract This case presents a 65-year-old female with a past medical history of HTN, osteoarthritis, GERD, and umbilical hernia was brought in by EMS for evaluation of abdominal pain and syncope. She was hypotensive and admitted to the ICU for septi…

Introduction: Academic fields of study that engage with artifacts, cellular and anatomical structures can benefit from 3D printing technologies. 3D models offer innovative ways to engage with content to foster retention and learners&r…

Abstract: Introduction: Alzheimer’s dementia affects approximately 50 million people in the world and was the sixth leading cause of death in the United States in 2014 (Heron, 2016). The death rate due to Alzheimer’s increased by 55% fro…

Abstract:Alzheimer’s dementia affects approximately 50 million people in the world and was the sixth leading cause of death in the United States in 2014 (Heron, 2016). The death rate due to Alzheimer’s increased by 55% from 1999 to 2014 …

Community Medicine rotation is paramount in Family Medicine residency education to learn about the application of Population Health science in addressing the Social Determinants of Health (SDoH) impacting vulnerable and underserved populations. A mo…

Abstract After investigation of relevant literature, it has been identified that no-show rates and barriers to patient visits are a relevant obstacle for health care clinics. The most common barriers to appointment adherence fell under the categorie…

Adverse childhood experiences scores ( have long been identified as indicators for adverse health outcomes in adulthood. 1 According to the U.S. Department of Health and Human Services, pediatric victimization rates have fallen from 8.9 in 2019 to 8…

Abstract:Introduction and Background: Functional constipation is defined by infrequent difficultbowel movements, often manifested by fecal incontinence and withholding behaviors. Incontrast, irritable bowel syndrome (IBS) presents a wider range of s…

Background:COVID-19, also known as SARS-CoV-2, is a novel coronavirus that has had a profound impact on the healthcare field. While it is primarily a respiratory infection that commonly presents with symptoms such as dry cough, shortness of breath, …

Abstract Type 2 diabetes mellitus (T2D) is increasingly prevalent and burdensome, affecting 1 in 10 people in the United States and approximately 49% of all adults in Fresno County as of 2016. T2D pathophysiology is characterized by insulin resistan…

Abstract: Ultrasound-guided pericapsular nerve group (PENG) blocks are a type of regional nerve block that has gained increasing popularity for providing effective analgesia in patients with hip fractures. This retrospective case series evaluated th…

Abstract Breast cancer screening (BCS) rates are below the Healthcare Effectiveness Data and Information Set (HEDIS) baseline target of 75th percentile in Central Valley (California). Breast cancer is the leading cancer diagnosis for women in the Un…

AbstractThe patient population at United Health Centers (UHC) Bullard in Fresno experiencesbarriers to seeking mental health resources such as lack of awareness regardingavailable resources, cultural stigma, financial constraints, lack of transporta…