2024
Neuroethics, Covert Consciousness, and Disability Rights: What Happens When Artificial Intelligence Meets Cognitive Motor Dissociation?
Fins J, Shulman K. Neuroethics, Covert Consciousness, and Disability Rights: What Happens When Artificial Intelligence Meets Cognitive Motor Dissociation? Journal Of Cognitive Neuroscience 2024, 36: 1667-1674. PMID: 38579252, DOI: 10.1162/jocn_a_02157.Peer-Reviewed Original ResearchConceptsCognitive motor dissociationCovert consciousnessBrain injuryRight-to-die movementOvert behaviorEEG studiesCognitive activityMotor dissociationSevere brain injuryNormative challengesModes of assessmentDisability biasClinical practiceNormative reasonsGenerate speechEthical challengesArtificial intelligenceAlphabet soupAnticipatory governanceTranslational research
2023
Cognitive Motor Dissociation: Gap Analysis and Future Directions
Claassen J, Kondziella D, Alkhachroum A, Diringer M, Edlow B, Fins J, Gosseries O, Hannawi Y, Rohaut B, Schnakers C, Stevens R, Thibaut A, Monti M. Cognitive Motor Dissociation: Gap Analysis and Future Directions. Neurocritical Care 2023, 40: 81-98. PMID: 37349602, DOI: 10.1007/s12028-023-01769-3.Peer-Reviewed Original ResearchConceptsMethodsThe Neurocritical Care SocietyCognitive motor dissociationNeurocritical Care SocietyDisorders of consciousnessCare SocietyFunctional magnetic resonance imagingHealth care personnelEducational gapPotential prognostic relevanceCaregiver accountsManagement of patientsIdentification of patientsPatient experienceCare personnelInternational group of expertsUnmet needsMagnetic resonance imagingPrognostic significanceKnowledge gapsMethodological variablesTreatment trialsEpidemiological dataGroup of expertsClinical practiceLarge-scale implementation
2022
Ethics and the 2018 Practice Guideline on Disorders of Consciousness
Peterson A, Young M, Fins J. Ethics and the 2018 Practice Guideline on Disorders of Consciousness. Neurology 2022, 98: 712-718. PMID: 35277446, PMCID: PMC9071367, DOI: 10.1212/wnl.0000000000200301.Peer-Reviewed Original Research
2019
Disorders of Consciousness in Clinical Practice
Fins J. Disorders of Consciousness in Clinical Practice. 2019, 449-478. DOI: 10.1093/med/9780190208875.003.0011.Peer-Reviewed Original ResearchEnd-of-life careEnd-of-lifeLong-term careImpaired decision-making capacityDisorders of consciousnessClinical practiceDecision-making capacityAncillary care obligationsVulnerable populationsProfessional obligationsCareMinimally conscious stateNeuroimaging assessmentsIntensive careCare obligationsDiagnostic classificationBrain injuryCommunication strategiesCovert consciousnessClinicInitial presentationConscious stateEthical implicationsPatientsRehabilitation
2017
My Time in Medicine
Fins J. My Time in Medicine. Perspectives In Biology And Medicine 2017, 60: 19-32. PMID: 28890446, DOI: 10.1353/pbm.2017.0016.Peer-Reviewed Original Research
2016
Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research
Fins J. Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research. The AMA Journal Of Ethic 2016, 18: 1182. PMID: 28009244, DOI: 10.1001/journalofethics.2016.18.12.ecas2-1612.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessMinimally conscious stateEnd-of-life careConscious stateEnd-of-lifeEthical obligationNeuropalliative careDeep brain stimulationPatientsBrain statesClinicians' ethical obligationsClinical practiceCivil rightsConsciousnessScientific advancesDiagnostic discernmentClinical researchBrain stimulationResearch decisionsDisordersFunctional communicationInvestigate useCareNeuroethicsPain
2013
Disorders of Consciousness Following Severe Brain Injury
Fins J, Schiff N. Disorders of Consciousness Following Severe Brain Injury. 2013, 162-174. DOI: 10.1093/acprof:oso/9780195389784.003.0013.Peer-Reviewed Original ResearchDisorders of consciousnessBrain statesInterviews of familiesTraditional nosologyBehavioral measuresFunctional communicationMinimally conscious stateNeuroimaging dataDiagnostic classificationMeasures of assessmentBrain injuryDisordersConscious stateBrainFamily experiencesClinical practiceNeuroimagingNosology
2012
Truth‐Telling and Cancer Diagnoses: Physician Attitudes and Practices in Qatar
del Pozo P, Fins J, Helmy I, Chaki R, Shazly T, Wafadari D, Mahfoud Z. Truth‐Telling and Cancer Diagnoses: Physician Attitudes and Practices in Qatar. The Oncologist 2012, 17: 1469-1474. PMID: 22874085, PMCID: PMC3500369, DOI: 10.1634/theoncologist.2012-0128.Peer-Reviewed Original Research
2009
Chapter 9 Deep Brain Stimulation Ethical Issues in Clinical Practice and Neurosurgical Research
Fins J. Chapter 9 Deep Brain Stimulation Ethical Issues in Clinical Practice and Neurosurgical Research. 2009, 81-91. DOI: 10.1016/b978-0-12-374248-3.00010-0.Peer-Reviewed Original ResearchFood and Drug AdministrationFood and Drug Administration approvalDeep brain stimulationManagement of chronic painResearch of deep brain stimulationBenefit of neuromodulationTreatment of Parkinson's diseaseBrain stimulationRefractory Parkinson's diseaseChronic painParkinson's diseaseObsessive-compulsive disorderManagement of epilepsyClinical trialsClinical investigationDrug AdministrationEthical issuesPutative treatmentsClinical practiceTraumatic brain injuryClinical applicationMovement disordersEssential tremorTherapeutic deploymentPatients
2007
Neuroimaging and neuroethics: clinical and policy considerations
Fins J, Shapiro Z. Neuroimaging and neuroethics: clinical and policy considerations. Current Opinion In Neurology 2007, 20: 650-654. PMID: 17992084, DOI: 10.1097/wco.0b013e3282f11f6d.Peer-Reviewed Original ResearchConceptsMinimally conscious stateMechanisms of recoveryBrain injuryConscious stateMechanisms of brain recoveryFunctional imagingDiagnostic nosologyDisorders of consciousnessNeuroimaging responsesDiagnostic categoriesSevere brain injuryPremature disseminationNeuroimagingBrain recoveryDisordersHealth policyConsciousness disorderEthical implicationsTherapeutic approachesClinical diagnosisClinical practiceCliniciansPatientsNosologyImplicationsCommercialism in the Clinic: Finding Balance in Medical Professionalism
Fins J. Commercialism in the Clinic: Finding Balance in Medical Professionalism. Cambridge Quarterly Of Healthcare Ethics 2007, 16: 425-432. PMID: 18018923, DOI: 10.1017/s0963180107070533.Peer-Reviewed Original ResearchConceptsHealth economicsHealth policyMedical professionalsClinical practiceCenter programAmerican medicineClinton planClinton Administration's Health Security ActHealth Security ActHealthcareProfessionalsHealthSecurity ActClinicMedicineMoral obligationAdviceJonsenInvitationHuman valuesPracticeSpeech IFellowProgramPlanning