CHSU Discovery

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 This pilot observational study examines the effect of the COVID-19 restrictions, transportation, and healthliteracy (HL) during the pandemic on HbA1c testing rates at a local Federally Qualified Health Center (FQHC). We hypothesize that ide…

Amongst 40% of population with SLE who test positive for Antiphospholipid antibodies (aPL) only 7-15% of the patients develop Antiphospholipid antibody syndrome. Repeat aPL after a duration of 12 or more weeks and lack of continuity of care can some…

Abstract Colorectal cancer (CRC) is a leading cause of cancer-related deaths globally. Incidence rates among individuals under 50 years are rising, which has led to the lowering of the recommended screening age from 50 to 45 years for those at an av…

Abstract:Coccidioidomycosis is endemic in the western hemisphere, commonly occurring through inhalation of arthroconidia. Sixty percent are asymptomatic, while 40% have pneumonia-like symptoms. Extra-thoracic coccidioidomycosis has an overall incide…

Abstract:Introduction and Background: Hemophagocytic lymphohistiocytosis (HLH) is a severe, life-threatening inflammatory disorder, with an estimated annual incidence of 1.5 per million, affecting multiple organ systems and carrying a high risk of m…

Primary brain tumors are considered relatively rare. Most cases of brain tumors consist of metastatic disease from the lung, breast, colon, and kidney. The most common primary brain tumors include meningiomas, glioblastomas, and astrocytomas. Brain …

Abstract: Introduction: Emphysematous gastritis, characterized by air within the stomach wall due to gas-producing organisms, presents with symptoms of abdominal distention, tenderness, and acute abdomen bearing a high mortality rate of 60-80%. Conv…

Abstract Context: Premedical preparatory programs at osteopathic medical schools that recruit students from medically underserved areas (MUAs) may promote interest in practicing osteopathic medicine in underserved areas. In these programs, fostering…

Abstract: Introduction/Background: Malignant Mucosal melanoma (MMM) arising from melanocytes in the mucosal linings of the body, is the least common and most aggressive form of melanoma. The Pathogenesis of mucosal melanoma is not well known compare…

Abstract:  Purpose of Study: The patient, a previously healthy 32-year-old female, initially presented with psychiatric symptoms, including psychosis, agitation, and delusions. Subsequent neurological examination revealed the presence of s…

Background: Attention-deficit/hyperactivity disorder (ADHD) is one of the most common childhood neurodevelopmental disorders characterized by symptoms of inattention, hyperactivity, and impulsivity.1 • While the exact cause of ADHD is still unk…

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…

Abstract Aim Nearly 10% of California’s adult population has diabetes. In California’s Central Valley, patients with T2DM face disproportionate challenges to diabetes management. Lifestyle education and modifications have been shown to l…

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 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…

AbstractPhotobiomodulation (PBM) is a non-invasive treatment modality that utilizes lightto induce intracellular changes in target tissue, leading to therapeutic effects. Thechromophore Cytochrome C Oxidase (CCO) plays a key role by absorbing light …

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…