Richard Feinn

Quinnipiac University | QU · School of Medicine

Objective: Egocentric social network analyses show that drinking habits of college students’ friends predict personal alcohol consumption. To date, most of this research focused on between-person, cross-sectional, or long-term longitudinal designs to evaluate these effects. This study used intensive longitudinal methods to examine episode-specific...

Repeat blood cultures are common in children after an initial positive culture. However, in contrast to adults, there are little data to help guide clinicians when a repeat culture is necessary to assess for persistent bacteremia. This study identifies factors associated with persistent bloodstream infections (BSI) in children to inform diagnostic...

Anatomic and reverse total shoulder arthroplasty (aTSA/rTSA) have become prominent treatments for glenohumeral joint pathologies, but the role of chronic preoperative steroid use in aTSA/rTSA outcomes remains underexplored. Complications related to chronic preoperative steroid use are under appreciable scrutiny in hip, knee, and lumbar surgeries. F...

This study uses secondary data analysis to assess the relationship between social isolation (SI) and population density in the US, as well as any moderating influence that race/ethnicity may have on that relationship. A recent consensus on the measure of SI is that it focuses on the objective absence of social connections, whereas loneliness refers...

Objective Breast milk (BM) enhancement is often used to meet the nutritional needs of preterm infants after hospital discharge to achieve optimal growth. This study compared growth at 18–28 months corrected age (CA) among very preterm (VP) and very low birth weight (VLBW) infants discharged from the neonatal intensive care units (NICUs) on two BM e...

Purpose Little is known about the relationship between discourse comprehension and production in traumatic brain injury (TBI), especially for spoken language. This study examined to what extent narrative discourse comprehension accounts for narrative discourse production outcomes (story grammar, story completeness). A secondary aim was to provision...

The majority of data on food insecurity in diabetes comes from samples of type 2 diabetes or youth with type 1 diabetes. This study screened for food insecurity among adults with type 1 diabetes in the 2022 Behavioral Risk Factor Surveillance Survey, which was the first year that respondents who endorsed diabetes were asked to indicate whether they...

Background Spaced retrieval is a learning technique that involves engaging in repeated memory testing after increasingly lengthy intervals of time. Spaced retrieval has been shown to improve long-term memory in Alzheimer disease (AD), but it has historically been difficult to implement in the everyday lives of individuals with AD. Objective This r...

Sepsis is a leading cause of pediatric mortality and timely antibiotic administration has been shown to improve outcomes. In this retrospective review of a single center sepsis dataset, we identified younger age and female sex as more likely to have delays in antibiotics.

Adverse childhood events (ACEs) contribute to the development of mood and anxiety disorders and substance dependence. However, the extent to which these effects are direct or indirect and whether genetic risk moderates them is unclear. We examined associations among ACEs, mood/anxiety disorders and substance dependence in 12,668 individuals (44.9%...

Students value a close, supportive relationship with their professors, which has been shown to enhance their learning in higher education. However, more needs to be known about how quality faculty-student relationships shape students’ engagement and approaches to learning in higher education. In a diverse sample of 966 undergraduates from two diffe...

Purpose Experiential learning using high-fidelity simulation is a valuable tool for teaching Doctor of Physical Therapy (DPT) students the cardiopulmonary examination. There are currently no standardized assessment tools to evaluate student performance and provide feedback on these skills. The cardiovascular and pulmonary section of the American Ph...

Background: Prior studies indicate that neuroactive steroids mediate some of alcohol's effects. Dutasteride, widely used to treat benign prostatic hypertrophy, is an inhibitor of 5-alpha reductase enzymes, which play a central role in the production of 5α-reduced neuroactive steroids. The purpose of this study was to test dutasteride's tolerabilit...

The purpose of the study is to examine whether the physical examination technique, Myrick The Hip Internal Rotation with Distraction (THIRD), is reliable and valid. The Myrick THIRD test has previously established and documented sensitivity, specificity, positive predictive value, and internal and external validity. The goal of this original resear...

The literature concerning resident involvement in shoulder surgery is limited. The purpose of this study was to examine whether resident involvement across all orthopedic shoulder surgeries is associated with adverse 30-day outcomes. Utilizing the American College of Surgeons National Surgical Quality Improvement Program database, patients who unde...

Background: Recent evidence indicates that alcohol and other substance co-use, compared to alcohol-only use, might be more closely associated with negative reinforcement processes, and thus more likely during periods of increased stress. The present study examined this possibility by using data from an intensive longitudinal (daily) study of colleg...

Aim We examined household food insecurity (HFI) and autonomic nervous system (ANS) function in a subset of low-income Latinos with type 2 diabetes with data from a stress management trial. Methods Inclusion Latino or Hispanic, Spanish speaking, age less than 18 years, ambulatory status, type 2 diabetes more than 6 months, A1c less than 7.0%. Exc...

Background Rhabdomyolysis has historically been associated with viral infections, of which influenza A is the most common. A literature review suggests that up to 1/3 of patients hospitalized with COVID-19 develop acute kidney injury (AKI), and of those, nearly half are admitted to the ICU. AKI complicating COVID-19 infection is attributed to sever...

Introduction Joint bleeds are a common and frequent complication associated with hemophilia, increasing the risk of hemophilic arthropathy. It is important to define and characterize the presence of joint complications in mild hemophilia to develop strategies to mitigate disease burden. Aims To characterize the prevalence, clinical characteristics...

The current study explored how relational antecedents and emotional experiences were associated with faculty-centered versus student-centered approaches to teaching in higher education. One hundred and forty-one faculty members from two institutions of higher education in the United States completed self-report surveys regarding an undergraduate co...

Background Spaced retrieval is an effective technique for supporting learning and memory. It involves repeatedly recalling information that one desires to learn after increasingly lengthy intervals of time. It is still unclear how older adults, including individuals with Alzheimer’s Disease (AD), can best implement spaced retrieval in their daily l...

Background Differences in adaptive strategies used by individuals living with dementia have the potential to impact wellbeing. Two new measures were developed using human-centered design to capture daily adaptive strategies and outcomes. The Living Well Inventory for Dementia (LWI-D) and the Quality of Day Scale (QODS) capture important aspects of...

Background: Over 400,000 patients are admitted annually for small bowel obstruction (SBO), of which 20-40% require operative intervention, representing more than 2.3 billion dollars in healthcare expenses. Recurrence of SBO increases with a longer duration of follow-up with up to 15-20% recurrence rates within a five-year period. Small bowel follow...

Introduction : Venous thromboembolism (VTE), encompassing deep venous thrombosis (DVT) and pulmonary embolism (PE), is a major public health hazard, with up to 30-50% of patients with unprovoked VTE experiencing a recurrent VTE event. These recurrent VTE events are associated with significant morbidity and mortality. However, transition strategies...

Background Sepsis is a leading cause of pediatric mortality, with nearly 5,000 children dying annually.(Weiss, Fitzgerald et al. 2015) Clinical advances in care bundles to improve sepsis recognition and timely treatment have demonstrated improved outcomes.(Lane, Funai et al. 2016) Recently, literature suggests an association between pediatric sepsi...

Purpose To assess the diagnostic performance and reliability of 18 CT signs to diagnose cecal volvulus, a surgical emergency, versus a group of non-volvulus mimickers. Materials and methods Four radiologists retrospectively and independently assessed 18 CT signs in 191 patients with cecal volvulus (n = 63) or a non-volvulus control group ((n = 128...

Background Adverse childhood events (ACEs) contribute to the development of mood and anxiety disorders and substance dependence. However, the extent to which these effects are direct or indirect and whether genetic risk moderates them is unclear. Methods We examined associations among ACEs, mood/anxiety disorders, and substance dependence in 12,66...

Background Adverse childhood events (ACEs) contribute to the development of mood and anxiety disorders and substance dependence. However, the extent to which these effects are direct or indirect and whether genetic risk moderates them is unclear. Methods We examined associations among ACEs, mood/anxiety disorders, and substance dependence in 12,66...

Background Refugees have high levels of psychological distress that hamper lifestyle change efforts. We previously reported that community health educator (CHE) diabetes prevention interventions decreased HbA1c and depressive symptoms among Cambodian-American refugees with depression; this paper reports health behavior outcomes of those interventio...

BACKGROUND Spaced retrieval is a learning technique that involves engaging in repeated memory testing after increasingly lengthy intervals of time. Spaced retrieval has been shown to improve long-term memory in Alzheimer disease (AD), but it has historically been difficult to implement in the everyday lives of individuals with AD. OBJECTIVE This r...

Purpose: To examine the longitudinal, bidirectional associations of sleep quality with depressive symptoms, diabetes-specific distress and diabetes management self-efficacy among adolescents and young adults with type 1 diabetes. Methods: Cross-lagged analyses used baseline, three-, six- and nine-month data from a randomized trial among 60 young...

Purpose: To examine the 30-day postoperative outcomes of resident involvement in shoulder-stabilization surgical procedures using the American College of Surgeons National Surgical Quality Improvement database. Methods: We conducted a retrospective review of the National Surgical Quality Improvement database for all shoulder-stabilization proced...

Introduction: People with intellectual and/or developmental disabilities (IDD) are a historically marginalized population and often require complex team-based health care services. Health care students receive little, if any, training about caring for this population. Improving training at the student level can improve health care quality for this...

There is an emerging call for new strengths-based measures to guide research, care, and support for persons living with Alzheimer's disease and related dementias. Person-centered interventions have demonstrated a positive impact in global quality of life, but many promising approaches lack strengths-based measures with sufficient sensitivity to doc...

Purpose The goal of this study was to identify some potential key cognitive and communicative processes underlying narrative discourse ability following traumatic brain injury (TBI). Specifically, this study (a) investigated the contribution of working memory (WM) and inferencing to narrative discourse comprehension and production; (b) tested key a...

Depression and antidepressant medications increase risk for type 2 diabetes. Cambodian-Americans have exceedingly high rates of both depression and diabetes. This paper reports outcomes of a diabetes prevention trial for Cambodian-Americans with depression. Primary outcomes were HbA1c, insulin resistance and depressive symptoms. Participants were a...

Emerging infection diseases (EIDs) are an increasing threat to global public health, especially when the disease is newly emerging. Institutions of higher education (IHEs) are particularly vulnerable to EIDs because student populations frequently share high-density residences and strongly mix with local and distant populations. In fall 2020, IHEs r...

Background: To examine whether individual differences in intensive longitudinal data-derived affective dynamics (i.e. positive and negative affect variability and inertia and positive affect-negative affect bipolarity) - posited to be indicative of emotion dysregulation - are uniquely related to drinking level and affect-regulation drinking motives...

Background and aims: Genetic risk can influence disease progression. We measured the impact of genetic risk for substance use disorders (SUDs) on substance use onset and progression of symptoms. Design, setting, participants: Using findings from genome-wide association studies (GWASs) of alcohol use disorder (AUD), opioid use disorder (OUD) and...

Introduction: There is no published information on the epidemiology of wilderness rescues in California outside of national parks. The objective of this study was to investigate the epidemiology of wilderness search and rescue (SAR) missions in California and identify risk factors for individuals requiring rescue due to accidental injury, illness,...

Prescription stimulant misuse (PSM) has been studied extensively in college populations, but few studies have examined how PSM changes after graduation. We used a longitudinal design to follow individuals at risk for PSM 2 years after college graduation to document PSM prevalence, motives, and predictors of PSM persistence. Participants from two sm...

Emerging infection diseases (EIDs) are an increasing threat to global public health, especially when the disease is newly emerging. Institutions of higher education (IHEs) are particularly vulnerable to EIDs because student populations frequently share high-density residences and strongly mix with local and distant populations. In fall 2020, IHEs r...

This study focused on the potential effects of a hybrid learning model on sleep and activity level during the COVID-19 pandemic. The results of this study showed an inversely correlated relationship between the utilization of a HyFlex (online and in-person) learning model and students’ activity level. For each additional online class a student took...

Dan Olweus’ pioneering work on traditional bullying laid the foundation for how cyberbullying is defined and measured today. Many researchers believe that these two forms of bullying share some similarities. However, two perspectives have been outlined for the relationship between traditional bullying and cyberbullying--the extension perspective (p...

Published 02/11/2022 Copyright © Copyright 2022 Vera et al. This is an open access abstract distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Objective: Prostate Cancer is the...

Background The obese population is more likely to develop degenerative joint disease requiring total joint arthroplasty (TJA) and also experience increased rates of adverse post-surgical outcomes. This study assessed whether a quantifiable weight loss prior to TJA had any impact on perioperative and 30-day outcomes in obese patients. Method Using...

Objective Cambodian Americans have complex, interrelated and persistent medical and mental health problems stemming from genocide and the social determinants of health. We examined changes in multiple domains of self-reported health outcomes from a diabetes prevention trial. Methods: Cambodian Americans with depression and high risk for diabetes (n...

Background Charting the clinical course of substance use disorders (SUDs) to identify etiologic contributors to milestone onset and progression could inform intervention efforts. Methods We calculated polygenic risk scores (PRS) in 5,692 European-ancestry individuals (EUR) (56.2% male) and 4,918 African-ancestry (AFR) individuals (54.9% male) usin...

Introduction: Few studies have been published to date exploring the effectiveness of ketamine for treatment-resistant depression (TRD) in large clinical samples. We report on the clinical outcomes of a large cohort treated with ketamine as part of clinical practice. Methods: Deidentified electronic chart data were obtained from a multisite private...

Objectives Pain is common among torture survivors and refugees. Clear communication about one’s pain is vital to timely and precise diagnosis and treatment but is rarely recognized as a social determinant of health. We examined whether self-reported difficulty communicating with their health care provider, along with standard social determinants, i...

BACKGROUND Virtual reality (VR) devices are increasingly used in healthcare settings. Use between patients has the potential to unintentionally transmit pathogens between patients and/or hospital staff. No standard operating procedure for disinfection exists to ensure safe use between patients. OBJECTIVE To determine the efficacy of disinfectants...

Background: Virtual reality (VR) devices are increasingly used in healthcare settings. Use between patients has the potential to unintentionally transmit pathogens between patients and/or hospital staff. No standard operating procedure for disinfection exists to ensure safe use between patients. Objective: To determine the efficacy of disinfecta...

This paper reports secondary data analysis of associations between psychological distress and health behaviors among Cambodian Americans. Data are from baseline assessments from a diabetes prevention trial. All participants met criteria for depression and were free of diabetes. Participants (n=191) completed surveys, a food frequency assessment, an...

Sound foundational knowledge improves disease conceptualization and clinical diagnosis. Vertical integration (VI) is an appealing educational strategy to refresh relevant pre-clinical information during clinical rotations. However, an optimal learning approach for this has not yet been established. We hypothesized that a small group collaborative d...

This study represents a new line of research focused on the potential effects of a hybrid learning model on established health predictors (sleep and activity level) during the COVID-19 pandemic. This research explored the correlation between the mode of education delivery (online vs. in-person classes) to the students’ sleep duration and activity l...

Objective: College students use electronic nicotine delivery systems (ENDS) more often than any other US demographic group. In a novel application of the acquired preparedness model, we examined how proximal (e.g., cognitions) and distal (e.g., dispositional) influences accounted for ENDS use and dependence. Participants: Undergraduates (N = 107...

Despite the need for and relevance of leadership skills to the success of medical trainees and healthcare professionals, few medical schools offer formal leadership training during the preclinical years. Where such curricula exist, we have found few schools that intentionally incorporate key principles of lifestyle medicine critical to short- and l...

Background and aims Public health and clinic-based educational strategies are desperately needed to stem the tide of death from heart disease among people with diabetes in low and middle-income countries. This study translated the Heart Disease Fact Questionnaire into Persian and evaluated its reliability and validity for use in Iran. Methods Usin...

We evaluated the impact of short-term captive housing on gut flora diversity in Fundulus heteroclitus by characterizing culturable gut bacteria immediately after fish capture and following short-term (28-day) captive housing. Bacterial colony and cell morphology served as crude but statistically significant endpoints for detecting alteration in cul...

This study evaluated the diagnostic test characteristics of Myrick The Hip Internal Rotation with Distraction (THIRD) vs magnetic resonance imaging (MRI) or magnetic resonance arthrogram (MRA) for diagnosing hip labral pathology. A 7-year retrospective medical record review was performed. All medical records that had the chief complaint of hip pain...

Background: Epidemiological data suggest that populations exposed to starvation show increased incidence of type 2 diabetes but these studies are limited by lack of person-level data. Cambodians resettled in the USA survived severe malnutrition during distinct historical eras. We examined the relationship of individual exposure to starvation with...

Objective: Engagement in mental health treatment is low, which can lead to poor outcomes. We evaluated the efficacy of offering patients financial incentives to increase their mental health treatment engagement, also referred to as contingency management. Method: We meta-analyzed studies offering financial incentives for mental health treatment...

Introduction Sleep and physical activity are related to psychological trauma. Less is known about how individuals with distinct sleep and activity profiles differ on specific clusters of trauma symptoms. Cambodian-Americans who survived the Pol Pot genocide experienced severe collective trauma. This analysis explored group differences between sleep...

Objectives We explored associations between night eating and health outcomes in Latinos with type 2 diabetes. Methods Participants (n = 85) completed surveys, were measured for anthropometrics, provided blood samples, and wore Holter monitors for 24 hours to assess heart rate variability. Results Participant mean age was 60.0 years, hemoglobin A1...

Skin‐bleaching is a common practice globally and is associated with many cutaneous and systemic health risks. Anecdotally, skin‐bleaching is linked to impairments in wound healing, but there are little data to support the claim. This cross‐sectional survey of health care professionals serving the Greater Accra Region, Ghana region investigates thei...

Objective Optimizing needleless connector hub disinfection practice is a key strategy in central-line–associated bloodstream infection (CLABSI) prevention. In this mixed-methods evaluation, 3 products with varying scrub times were tested for experimental disinfection followed by a qualitative nursing assessment of each. Methods Needleless connecto...