CHSU Discovery

Abstract: Introduction:This case report aims to present a challenging diagnostic journey encountered in a 79-year-old Tagalog-speaking female with tuberculosis meningitis. This study aims to shed light on the difficulties faced during the diagnostic…

Background: The COVID-19 pandemic has highlighted the significant mental health challenges faced by adolescents in regions with low socioeconomic status such as the Central Valley, CA. Measures like school closures and social distancing disrupt vita…

Abstract:  Coccidioidomycosis, commonly known as Valley Fever, is a fungal infection endemic to the Central Valley, often manifesting as pneumonia. While disseminated forms of the disease are rare, they can present extra-pulmonary manifestation…

Abstract The HIV/AIDS epidemic that started in the late 1980s continues to burden millions worldwide every year. The US Preventive Services task force estimates over 1 million Americans are currently living with HIV. The World Health Organization fi…

Cultural competency is a multifaceted topic that affects the quality of healthcare formany patients, especially in regard to the LGBTQIA+ community. Providing LGBTQIA+education in graduate health care programs, like medical schools, can improve theq…

Abstract Stress limits healthcare wellbeing in the workplace setting. Ramos-Sanchez et al. found a statistically significant reduction in anxiety when exercise was incorporated into daily routines. Reif et al. evaluated a wellness program for 4,800 …

Abstract:   NADPH oxidases (NOXs) are an enzyme family that produce reactive oxygen species (ROS) functionally to aid in signaling and other biological processes. The NOX family is comprised of seven isoforms: NOX1, NOX2, NOX3, NOX4, NO…

Abstract Promising Approach Osteopathic Healthcare Delivery, Trainee Readiness? Challenge/issue Malnutrition conservatively affects approximately 30% of hospitalized patients. Consequences of malnutrition may include longer hospital length of stay, …

Abstract:Introduction and Background: Limited data exist on the epidemiology and prevalenceof various etiologies of pediatric esophageal dysphagia (PED).Esophagogastroduodenoscopy (EGD) is commonly used as the standard diagnosticprocedure in pediatr…

Abstract   Cancer remains a significant global health burden, with treatment primarily focused on biomedical approaches. Lifestyle factors, particularly nutrition, are often overlooked in standard cancer care. Growing evidence suggests that nu…

Abstract Obesity is most commonly defined by the Body Mass Index (BMI) greater than or equal to 30 kg/m2. BMI is calculated by dividing weight in kilograms over height in meters. Just under the category of obesity, is overweight, which is defined a…

Abstract Ischemic stroke leads to motor, sensory, and cognitive impairments that reduce quality of life.​ Neuroplasticity enables the brain to reorganize and form new connections essential for recovery.​ Rehabilitation leverages neuroplasticity, wit…

Abstract:Introduction: Autoimmune hepatitis is a rare autoimmune liver disease characterized by elevated liver enzymes, hypergammaglobulinemia, and autoantibodies. It predominantly affects young to middle-aged women, but can also occur in the elderl…

Abstract:Intravascular lithotripsy (IVL) is a novel technique for the treatment of severely calcified plaque lesions that uses acoustic shockwaves in a balloon-based delivery system. Shockwaves induce calcium fractures, which facilitate stent expans…

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Abstract Glucagon-like peptide-1 (GLP-1) is an incretin hormone primarily secreted by L-cells in the gut after eating, prompting insulin release to reduce blood sugar Levels. In pancreatic β-cells, GLP-1 binds to its receptor, activating adenyl…

Abstract:A literature review was performed which found that many patients with cervixes face financial, cultural, and language barriers when accessing cervical cancer screenings1. The most significant concerns reported by patients regarding access t…

AbstractTotal laparoscopic hysterectomy (TLH) is a common minimally invasive surgery; rising obesity rates prompt investigation into how body mass index (BMI) affects surgical outcomes, especially among underrepresented populations like transgender …

Abstract Meconium peritonitis is a sterile chemical reaction due to in-utero bowel obstructionand perforation with leakage of meconium into the peritonium.(1) Inflammatoryresponse secondary to the chemical peritonitis could result in ascites, dystro…

Abstract Background: San Joaquin Valley counties are ranked low on a composite index of health factors reflectinghealth/risk behaviors, physical environment, access to care, and socioeconomic factors. During the COVID-19 pandemic, access to technolo…