2024
Cognitive Motor Dissociation in Disorders of Consciousness
Bodien Y, Allanson J, Cardone P, Bonhomme A, Carmona J, Chatelle C, Chennu S, Conte M, Dehaene S, Finoia P, Heinonen G, Hersh J, Kamau E, Lawrence P, Lupson V, Meydan A, Rohaut B, Sanders W, Sitt J, Soddu A, Valente M, Velazquez A, Voss H, Vrosgou A, Claassen J, Edlow B, Fins J, Gosseries O, Laureys S, Menon D, Naccache L, Owen A, Pickard J, Stamatakis E, Thibaut A, Victor J, Giacino J, Bagiella E, Schiff N. Cognitive Motor Dissociation in Disorders of Consciousness. New England Journal Of Medicine 2024, 391: 598-608. PMID: 39141852, DOI: 10.1056/nejmoa2400645.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingTask-based fMRICognitive motor dissociationDisorders of consciousnessComa Recovery Scale-RevisedCognitive tasksMotor dissociationObserved responseBrain injuryVerbal commandsBrain traumaScale-RevisedMagnetic resonance imagingDisordersBrainParticipantsEtiological factorsAssociated with younger ageElectroencephalographyCohort of personsResonance imagingProspective cohort studyTaskElectroencephalography dataMedian age
2019
North of Home: Obligations to Families of Undocumented Patients
Fins J, Real de Asúa D. North of Home: Obligations to Families of Undocumented Patients. The Hastings Center Report 2019, 49: 12-14. PMID: 30790302, DOI: 10.1002/hast.972.Peer-Reviewed Original ResearchConceptsLife-sustaining therapyWithdrawal of life-sustaining therapyIncapacitated patientsEthical concernsSocial workersDoctors' desireFurther careFamily inputState lawsUndocumented patientsIntensive care unitDoctorsCare unitMultisystem organ failureObligationsDecision-United StatesOrgan failureDesireFamily
2017
The Care of the Ultra-Orthodox Jewish Patient
Gabbay E, McCarthy M, Fins J. The Care of the Ultra-Orthodox Jewish Patient. Journal Of Religion And Health 2017, 56: 545-560. PMID: 28102466, DOI: 10.1007/s10943-017-0356-6.Peer-Reviewed Original ResearchConceptsStigma associated with mental illnessEnd-of-life decisionsEnd-of-lifeUltra-Orthodox Jewish patientsSystem of valuesModern hospital settingUltra-Orthodox worldEthical scenariosReligious traditionsEnhance careUltra-Orthodox Jewish communityMental illnessPrenatal careModern medical practicePatient autonomyJewish communityHospital settingStandard risk assessmentTraditional societiesMedical practiceCareJewish patientsUnique challengesDivineTraditionCare under the Influence
Fins J, Knowlton S. Care under the Influence. The Hastings Center Report 2017, 47: 8-9. PMID: 28074588, DOI: 10.1002/hast.675.Peer-Reviewed Original ResearchConceptsER physiciansWork-related callsImpaired physiciansAffiliated clinicsAlcohol consumptionER doctorsPhysiciansElevated liver enzymesEmergency roomMedical historyBlood alcohol levelsLab resultsDrinking of waterLiver enzymesHospitalistsAlcohol levelsDrinkingInternistsStairsDoctorsAlcoholAdmitting
2016
Rehabilitation, Education, and the Integration of Individuals with Severe Brain Injury into Civil Society: Towards an Expanded Rights Agenda in Response to New Insights from Translational Neuroethics and Neuroscience.
Wright M, Fins J. Rehabilitation, Education, and the Integration of Individuals with Severe Brain Injury into Civil Society: Towards an Expanded Rights Agenda in Response to New Insights from Translational Neuroethics and Neuroscience. Yale Journal Of Health Policy, Law, And Ethics 2016, 16: 233-87. PMID: 29756752.Peer-Reviewed Original Research
2014
Extracorporeal membrane oxygenation in adults: A brief review and ethical considerations for nonspecialist health providers and hospitalists
Meltzer E, Ivascu N, Acres C, Stark M, Kirkpatrick J, Paul S, Sedrakyan A, Fins J. Extracorporeal membrane oxygenation in adults: A brief review and ethical considerations for nonspecialist health providers and hospitalists. Journal Of Hospital Medicine 2014, 9: 808-813. PMID: 25332093, DOI: 10.1002/jhm.2262.Peer-Reviewed Original ResearchConceptsExtracorporeal membrane oxygenationMembrane oxygenationVA-ECMOTreated with extracorporeal membrane oxygenationManaging extracorporeal membrane oxygenationVenoarterial extracorporeal membrane oxygenationVenovenous extracorporeal membrane oxygenationProvision of ECMODiscontinuation of treatmentConsistent with patient preferencesClinical responseRespiratory failureGoals of careHeart failureCardiac arrestCo-manage patientsCounseling familiesPatient preferencesPatientsPatient referralHealth providersHealthcare providersEthical considerationsHospitalistsProvidersExtracorporeal Membrane Oxygenation as a Bridge to Chemotherapy in an Orthodox Jewish Patient
Meltzer E, Ivascu N, Acres C, Stark M, Furman R, Fins J. Extracorporeal Membrane Oxygenation as a Bridge to Chemotherapy in an Orthodox Jewish Patient. The Oncologist 2014, 19: 985-989. PMID: 25096998, PMCID: PMC4153457, DOI: 10.1634/theoncologist.2014-0025.Peer-Reviewed Original ResearchConceptsLife-sustaining therapyVA-ECMOBridge to treatmentExtracorporeal membrane oxygenationOrthodox Jewish womenEthics consultationCardiopulmonary supportMembrane oxygenationVenoarterial extracorporeal membrane oxygenationClinical ethics consultationInitiation of VA-ECMOJewish womenTemporary cardiopulmonary supportAcademic medical centerReceipt of chemotherapyLonger-term therapyVA-ECMO useClinical staffReligious traditionsAbsence of recoveryReligious leadersCultural liaisonsReligious objectsCurable lymphomaChemotherapy inductionAnesthesiologists’ familiarity with the ASA and ACS guidelines on Advance Directives in the perioperative setting
Nurok M, Green D, Chisholm M, Fins J, Liguori G. Anesthesiologists’ familiarity with the ASA and ACS guidelines on Advance Directives in the perioperative setting. Journal Of Clinical Anesthesia 2014, 26: 174-176. PMID: 24793713, DOI: 10.1016/j.jclinane.2013.11.011.Peer-Reviewed Original ResearchConceptsAmerican College of Surgeons guidelinesAmerican College of SurgeonsAdvance directivesPerioperative settingConsequences of poor adherenceGuideline implementationCollege of SurgeonsPatient careNational guidelinesPoor adherenceAmerican CollegeInvestigate best practicesSociety guidelinesStudy objectiveAmerican Society of Anesthesiologists (ASANational society guidelinesBest practicesGuidelinesAmericanFamiliarityAnesthesiologistsAmerican SocietyCareSetsAdherence
2013
Surrogate expectations in severe brain injury
Suppes A, Fins J. Surrogate expectations in severe brain injury. Brain Injury 2013, 27: 1141-1147. PMID: 23895513, PMCID: PMC5454804, DOI: 10.3109/02699052.2013.804201.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAdvance Care PlanningAdvance DirectivesBrain InjuriesCaregiversChildComaDecision MakingFamilyFemaleGriefHumansIntensive Care UnitsMaleMiddle AgedNew YorkPersistent Vegetative StatePhysician's RoleProfessional-Family RelationsPrognosisProxySeverity of Illness IndexStress, PsychologicalConceptsSource of injuryExpectations of recoveryPsychosocial featuresDecision-making expectationsQuantitative questionnaireImprove treatment of patientsFamily membersPatient recoveryTreatment of patientsPatient diagnosisRelated factorsDOC patientsBrain injuryPatientsImproved treatmentInjuryCurrent diagnosisExpectationsQuestionnaireDiagnosisCliniciansBrainSurveyFactorsClinical Ethics Consultation in Oncology
Shuman A, Montas S, Barnosky A, Smith L, Fins J, McCabe M. Clinical Ethics Consultation in Oncology. JCO Oncology Practice 2013, 9: 240-245. PMID: 23943899, DOI: 10.1200/jop.2013.000901.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationNational Cancer Institute-designated comprehensive cancer centerCancer Institute-designated comprehensive cancer centerEnd-of-life careDo-not-resuscitate ordersOverall goals of carePalliative care expertsPalliative care consultationGoals of carePatient casesEnd-of-lifeComprehensive cancer centerCare consultationCode statusSources of interpersonal conflictAdvance directivesCare expertsStaff educationSurrogate decisionPatient's wishesMedical futilityOncology populationCommunication lapsesClinical careSurrogate Decision Making in the Case of a Pregnant Woman Newly Disabled With Brain Injury
Fins J, Hammond C, Tarsney P, Panero A, Martinez J, Kirschner K. Surrogate Decision Making in the Case of a Pregnant Woman Newly Disabled With Brain Injury. PM&R 2013, 5: 57-65. PMID: 23332910, DOI: 10.1016/j.pmrj.2012.12.001.Peer-Reviewed Original Research
2012
Clinical ethics consultation in patients with head and neck cancer
Shuman A, McCabe M, Fins J, Kraus D, Shah J, Patel S. Clinical ethics consultation in patients with head and neck cancer. Head & Neck 2012, 35: 1647-1651. PMID: 23161591, DOI: 10.1002/hed.23204.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationHead and neck cancerCommunication barriersNeck cancerLife-sustaining treatmentComprehensive cancer centerCode statusAirway management concernsEthical themesSymptom controlCancer CenterEthicsConsultationData abstractionDNRAirway managementCancerPatientsInterpersonal conflictBarriersDatabaseThemesClinical challengeHeadTruth‐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 ResearchMedullary Thyroid Carcinoma: Ethical Issues for the Surgeon
Shuman A, Shaha A, Tuttle R, Fins J, Morris L. Medullary Thyroid Carcinoma: Ethical Issues for the Surgeon. Annals Of Surgical Oncology 2012, 19: 2102-2107. PMID: 22322952, DOI: 10.1245/s10434-012-2235-4.Peer-Reviewed Original ResearchConceptsGenetic testingEvidence-based guidelinesPerceived stigmaEthical issuesProphylactic surgeryGenetic inheritance patternFamily membersFamilial medullary thyroid carcinomaManagement of affected patientsMedullary thyroid cancerMedullary thyroid carcinomaThyroid carcinomaThyroid cancerInheritance patternIndividual autonomyChildrenInterventionPatientsSurgeonsGuidelinesTestConfidentialityFamilyPotential conflictsCancer
2011
Dissociations between behavioural and functional magnetic resonance imaging-based evaluations of cognitive function after brain injury
Bardin J, Fins J, Katz D, Hersh J, Heier L, Tabelow K, Dyke J, Ballon D, Schiff N, Voss H. Dissociations between behavioural and functional magnetic resonance imaging-based evaluations of cognitive function after brain injury. Brain 2011, 134: 769-782. PMID: 21354974, PMCID: PMC3044833, DOI: 10.1093/brain/awr005.Peer-Reviewed Original ResearchConceptsBrain-injured subjectsBlood oxygen level-dependent responsesBrain-injured patientsCognitive functionFunctional magnetic resonance imaging assessmentsEvaluation of cognitive functionFunctional neuroimaging methodsOvert behavioral responsesSeverely brain-injured patientsNeuroimaging methodsBrain functionBehavioral responsesBrain injuryMagnetic resonance imaging-based methodMotor functionControl groupBrainMagnetic resonance imaging assessmentSubjectsClinical useImaging assessmentResponse
2009
Deep Brain Stimulation, Neuroethics, and the Minimally Conscious State: Moving Beyond Proof of Principle
Schiff N, Giacino J, Fins J. Deep Brain Stimulation, Neuroethics, and the Minimally Conscious State: Moving Beyond Proof of Principle. JAMA Neurology 2009, 66: 697-702. PMID: 19506129, DOI: 10.1001/archneurol.2009.79.Peer-Reviewed Original ResearchImplantable cardioverter-defibrillator deactivation at the end of life: A physician survey
Kelley A, Reid M, Miller D, Fins J, Lachs M. Implantable cardioverter-defibrillator deactivation at the end of life: A physician survey. American Heart Journal 2009, 157: 702-708.e1. PMID: 19332199, DOI: 10.1016/j.ahj.2008.12.011.Peer-Reviewed Original ResearchConceptsEnd of lifeDeactivation discussionsICD deactivationImplantable cardioverter-defibrillator deactivationLikert-scaled itemsAdvance directivesLogistic regression analysisGeneral internistsPhysician surveyExpert guidancePredictors of willingnessOlder adultsSubstantial distressICD managementMail surveyPhysiciansICD shocksSurvey's backgroundRegression analysisSpecialtyICD useImplantable cardioverter-defibrillator (ICDVignettesICDCardioverter-defibrillator (ICD
2008
Clinical Ethics and the Quality Initiative: A Pilot Study for the Empirical Evaluation of Ethics Case Consultation
Nilson E, Acres C, Tamerin N, Fins J. Clinical Ethics and the Quality Initiative: A Pilot Study for the Empirical Evaluation of Ethics Case Consultation. American Journal Of Medical Quality 2008, 23: 356-364. PMID: 18820140, DOI: 10.1177/1062860608316729.Peer-Reviewed Original ResearchConceptsEthics consultationEnd-of-life decision makingNew York-Presbyterian Healthcare SystemDo-not-resuscitate ordersQuality of careEthics case consultationClinical ethics consultationEthics consultation processSurrogate decision makingEnd-of-lifeDecision-making capacityEquitable carePatient-centeredNonmedical servicesClinical ethicsEthical dilemmasPsychosocial outcomesClinical careHealthcare systemCase consultationIntensive care unit patientsEthicsCareQuality imperativesQuality Initiative
2007
Behavioural improvements with thalamic stimulation after severe traumatic brain injury
Schiff N, Giacino J, Kalmar K, Victor J, Baker K, Gerber M, Fritz B, Eisenberg B, O’Connor J, Kobylarz E, Farris S, Machado A, McCagg C, Plum F, Fins J, Rezai A. Behavioural improvements with thalamic stimulation after severe traumatic brain injury. Nature 2007, 448: 600-603. PMID: 17671503, DOI: 10.1038/nature06041.Peer-Reviewed Original Research
2006
Face Transplantation: An Extraordinary Case with Lessons for Ordinary Practice
Preminger B, Fins J. Face Transplantation: An Extraordinary Case with Lessons for Ordinary Practice. Plastic & Reconstructive Surgery 2006, 118: 1073-1074. PMID: 16980872, DOI: 10.1097/01.prs.0000232312.91372.d2.Peer-Reviewed Original Research