CHSU Discovery

Abstract In this ongoing cross-sectional study, a survey was created to record the symptoms of patients with fibromyalgia (FM) severity, including chronic pain, chronic fatigue, and sleep disturbances, on a scale from 0 (no symptom) to 10 (worst int…

Abstract  Introduction: The treatment for pulmonary tuberculosis (TB) is 4 months of rifampin, isoniazid, pyrazinamide, and ethambutol (RIPE) followed by 2 months of rifampin and isoniazid only (RI). Anti-TB drugs and TB can both cause encephal…

Abstract Preventable chronic diseases like hypertension, obesity, and type 2 diabetes are rising among American adults, prompting discussions on lifestyle modifications. However, the role of childhood dietary habits, particularly sodium intake, rem…

Abstract: Introduction: Hypertriglyceridemia associated acute pancreatitis is a disease lacking a standardized management approach. The objective of this study was to evaluate the safety and efficacy of a continuous intravenous insulin infusion ord…

Abstract The COVID-19 pandemic highlighted a growing mental health crisis in pediatric populations, especially regarding treatment-resistant depression (TRD), mood disorders, and Post-Traumatic Stress Disorder (PTSD).​ Ketamine, originally developed…

Background: Autism spectrum disorder (ASD) and traumatic brain injury (TBI) each affect many children1, and the two conditions often have overlap in symptoms2. Lack of provider knowledge and comfort in treating TBI in ASD patients could be a barrier…

Pneumocystis pneumonia (PCP) is caused by Pneumocystis Jirovecii. HIV is an RNA retrovirus that infects CD4 (T-helper) cells, which drop from normal level of 600-1000 cells/mm3 at rate of 50-100 per year in untreated people. CDC defines HIV+ person …

Abstract There is a high prevalence of uncontrolled hypertension (HTN) in California’s medically underserved central valley. Affordable and straightforward lifestyle interventions, such as the Dietary Approaches to Stop Hypertension (DASH) die…

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: 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…

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…

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 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…

  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…

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…

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…

Abstract Background: Diabetes mellitus is a major public health concern in California’s Central Valley, with counties such as Fresno and Merced experiencing high prevalence rates. Effective management of type 2 diabetes (T2D) requires routine…

Background: With the prevalence of obesity, hypertension, and the convenience of unhealthy eating choices, Type II Diabetes is a growing disease that has affected millions of Americans, both young and old. Nutrition is a major component in improving…