CHSU Discovery

Abstract Herpes Zoster (Shingles) results from the reactivation of latent Varicella Zoster Virus (VZV) residing in the dorsal root ganglia and typically presents as a painful, unilateral vesicular rash across affected dermatomes. Immunocompromised i…

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…

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 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…

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 Partial Anomalous Pulmonary Venous Return (PAPVR) is a rare congenitalanomaly where one or more pulmonary veins drain into the right atrium orsystemic venous circulation instead of the left atrium, creating a left-to-rightshunt. This can le…

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 Coccidioidomycosis is a fungal infection endemic to the southwestern United States, caused by Coccidioides immitis or C. posadasii (1). While often self-limiting, presentation maybe variable, particularly in diabetic and immu…

Abstract Existing literature is limited on the efficacy and compliance of COVID-19 vaccines. Most current research studies were trials, which limited access to higher analysis studies to develop a project’s aim. To solidify the understanding o…

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: Myelodysplastic syndrome (MDS) represents neoplasms characterized by myelopoiesis with altered differentiation. Patients with MDS often present with cytopenias including anemia and thrombocytopenia. Here, we present a case of MDS in t…

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…

Abstract:This comprehensive literature review addresses the scarcity and limited study ofhypotension treatments compared to abundant antihypertensive drugs. Hypotension,categorized as absolute, relative, or orthostatic, has diverse causes. This revi…

  Abstract Hypertension remains a significant health concern in California’s Central Valley, particularly in King County, which ranks among the highest for cardiovascular mortality. To improve hypertension management, Aria Health, a fe…

  Hypertension in California's Central Valley has become a primary concern for healthcare providers. Underserved populations, including many in California's Central Valley, often face heightened complication rates due to limited healthcare a…

Abstract Childhood obesity is a growing problem, especially in California. In 2019, it was reported that 31% of children and teens aged 10-17 were either overweight or obese 1. In Madera County, more than 44% of children are obese or overweight 2. T…

Abstract: Background: Anterior Cruciate Ligament (ACL) reconstruction is one of the most common surgical procedures in the field of orthopedic surgery; this is especially true in younger athletes. Injury to the ACL commonly occurs during load-bearin…

Abstract Alien Hand Syndrome (AHS) is a rare neurological disorder caused by lesions in thefrontal lobe, corpus callosum, or parietal lobe, leading to a disconnect between motorcontrol, sensory input, and body awareness (1).• The pathophysiolog…

Abstract Psychiatric conditions often have variable presentations, especially as many of these disorders have similar symptoms and significant comorbidity. Multiple psychiatric disorders occurring concurrently are often mistaken as a single disease …