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
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
2020
The COVID-19 Crisis and Clinical Ethics in New York City.
Fins J, Prager K. The COVID-19 Crisis and Clinical Ethics in New York City. The Journal Of Clinical Ethics 2020, 31: 228-232. PMID: 32773405, DOI: 10.1086/jce2020313228.Peer-Reviewed Original ResearchConceptsEthics consultationEthical challengesClinical ethics consultationClinical ethics servicesCrisis standards of careClinical ethicsEthical communityMedical futilityColumbia teamMoral distressCritical intelligenceEthics ServiceEthicsSenior hospital administratorsNewYork-PresbyterianInstitutional lifeCrisis standardsResource allocation questionsNew York CityExtraordinary circumstancesWeill CornellDisproportionate burden of COVID-19Collective responseMedical CenterColumbia campusPandemics, Protocols, and the Plague of Athens: Insights from Thucydides
Fins J. Pandemics, Protocols, and the Plague of Athens: Insights from Thucydides. The Hastings Center Report 2020, 50: 50-53. PMID: 32596885, DOI: 10.1002/hast.1132.Peer-Reviewed Original Research
2019
Ethical Challenges of Risk, Informed Consent, and Posttrial Responsibilities in Human Research With Neural Devices
Hendriks S, Grady C, Ramos K, Chiong W, Fins J, Ford P, Goering S, Greely H, Hutchison K, Kelly M, Kim S, Klein E, Lisanby S, Mayberg H, Maslen H, Miller F, Rommelfanger K, Sheth S, Wexler A. Ethical Challenges of Risk, Informed Consent, and Posttrial Responsibilities in Human Research With Neural Devices. JAMA Neurology 2019, 76: 1506-1514. PMID: 31621797, PMCID: PMC9395156, DOI: 10.1001/jamaneurol.2019.3523.Peer-Reviewed Original ResearchEthical challengesEvaluation of capacityInformed consentDisclosure of informationConsent disclosureHuman researchEthical analysisEthical researchEthical frameworkResearch participantsConsentAnalysis of riskInnovative NeurotechnologiesInstitutional review boardReview boardSubject matter expertiseBenefit participantsStandard pillarsFundersFinancial burdenDisclosure
2018
Assessment of Covert Consciousness in the Intensive Care Unit
Edlow B, Fins J. Assessment of Covert Consciousness in the Intensive Care Unit. Journal Of Head Trauma Rehabilitation 2018, 33: 424-434. PMID: 30395042, PMCID: PMC6317885, DOI: 10.1097/htr.0000000000000448.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingTraumatic brain injuryAcute severe traumatic brain injurySevere traumatic brain injuryIntensive care unitCovert consciousnessEthical challengesIntensive care unit patientsTask-based functional magnetic resonance imagingTask-based fMRILife-sustaining therapyWithdrawal of life-sustaining therapyCare unitEthical frameworkBehavioral assessmentCritically ill patientsEvaluation normsMagnetic resonance imagingConsciousnessBrain injuryGoals of careClinical scenariosIll patientsRecovered consciousnessTreatment decisionsOff the Charts: Medical documentation and selective redaction in the age of transparency
McCarthy M, de Asua D, Gabbay E, Fins J. Off the Charts: Medical documentation and selective redaction in the age of transparency. Perspectives In Biology And Medicine 2018, 61: 118-129. PMID: 29805152, DOI: 10.1353/pbm.2018.0031.Peer-Reviewed Original Research
2016
Chapter 15 Neuroethics and Disorders of Consciousness A Pragmatic Approach to Neuropalliative Care
Fins J. Chapter 15 Neuroethics and Disorders of Consciousness A Pragmatic Approach to Neuropalliative Care. 2016, 241-252. DOI: 10.1016/b978-0-12-800948-2.00015-7.Peer-Reviewed Original ResearchBrain damageMystery of consciousnessDisorders of consciousnessImpaired decision-making capacityClinical pragmatismDecision-making capacityHuman rights issuesAmerican pragmatic traditionBrain injuryMoral problemsBrainRights issuesDisordersClinical contextHuman consciousnessEthical challengesConsciousnessComplexity of researchArgument IImpaired consciousness
2013
Disorders of Consciousness and Disordered Care: Families, Caregivers, and Narratives of Necessity
Fins J. Disorders of Consciousness and Disordered Care: Families, Caregivers, and Narratives of Necessity. Archives Of Physical Medicine And Rehabilitation 2013, 94: 1934-1939. PMID: 23770277, DOI: 10.1016/j.apmr.2012.12.028.Peer-Reviewed Original ResearchConceptsAmerican health care systemAcute care needsSurrogate decision makersHealth care systemDisorders of consciousnessAffordable Care ActDecision-making capacityCare needsSevere disorders of consciousnessCare decisionsOngoing careCare systemReimbursement frameworkCare ActReimbursement strategiesCareMedical necessityCivil rightsMedical infrastructureRehabilitationEthical challengesReimbursementSevere disordersCaregiversPatients
2012
Improving end-of-life care for head and neck cancer patients
Shuman A, Fins J, Prince M. Improving end-of-life care for head and neck cancer patients. Expert Review Of Anticancer Therapy 2012, 12: 335-343. PMID: 22369325, DOI: 10.1586/era.12.6.Peer-Reviewed Original ResearchConceptsEnd-of-life experiencesHead and neck cancer patientsEnd-of-lifeNeck cancer patientsImprove end-of-life careEnd-of-life carePalliative care team involvementTerminal head and neck cancer patientsHead and neck cancerCancer patientsQuality of lifeNeck cancerClinical decision-makingPractice improvementTeam involvementSymptom controlEthical challengesPatient populationTreatment of head and neck cancerRelevant dataDecision-makingPatientsCancerCareProactive consideration
2010
Conflicts of interest in deep brain stimulation research and the ethics of transparency.
Fins J, Schiff N. Conflicts of interest in deep brain stimulation research and the ethics of transparency. The Journal Of Clinical Ethics 2010, 21: 125-32. PMID: 20866018, DOI: 10.1086/jce201021205.Peer-Reviewed Original Research