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
2023
Daniel Callahan's Decade of Doubt.
Shulman K, Fins J. Daniel Callahan's Decade of Doubt. Perspectives In Biology And Medicine 2023, 66: 249-266. PMID: 37755715, DOI: 10.1353/pbm.2023.0022.Peer-Reviewed Original ResearchConceptsDaniel CallahanFabric of American lifeAmerican civic lifeReligious perspectiveCatholic journalistsHastings CenterPublic lifeContemporary worldCallahanRelevant todayAmerican lifeCivic lifeWomen's rightsDanielPolitical discourseFaithHalf-centurySecularismReligionThinkersBioethicsLifeMisgivingsDialogueScholarship
2021
Congee for the Soul
Gabbay E, Fins J, Banja J, Evans T. Congee for the Soul. The Hastings Center Report 2021, 51: 10-12. PMID: 33630323, DOI: 10.1002/hast.1212.Peer-Reviewed Original Research
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 decisions
2017
Four ethical priorities for neurotechnologies and AI
Yuste R, Goering S, Arcas B, Bi G, Carmena J, Carter A, Fins J, Friesen P, Gallant J, Huggins J, Illes J, Kellmeyer P, Klein E, Marblestone A, Mitchell C, Parens E, Pham M, Rubel A, Sadato N, Sullivan L, Teicher M, Wasserman D, Wexler A, Whittaker M, Wolpaw J. Four ethical priorities for neurotechnologies and AI. Nature 2017, 551: 159-163. PMID: 29120438, PMCID: PMC8021272, DOI: 10.1038/551159a.Peer-Reviewed Original ResearchPatient Reflections on Decision Making for Laryngeal Cancer Treatment
Shuman A, Larkin K, Thomas D, Palmer F, Fins J, Baxi S, Lee N, Shah J, Fagerlin A, Patel S. Patient Reflections on Decision Making for Laryngeal Cancer Treatment. Otolaryngology 2017, 156: 299-304. PMID: 28116989, PMCID: PMC5528848, DOI: 10.1177/0194599816683377.Peer-Reviewed Original ResearchConceptsPatients' reflectionsDecisional conflictVoice-related qualityReferral patternsReflections of patientsPatient-reported functional outcomesLaryngeal cancerFunctional outcomesTreatment decisionsTertiary care cancer centerInvolvement of surgeonsPatient prioritiesSingle-institution tertiary care cancer centerProvider inputDecisional regretPatient voiceManagement of laryngeal cancerOverall scoreGlobal scoreMedical oncologistsCancer CenterCancer treatment planningLaryngeal cancer treatmentRadiation oncologistsLaryngeal carcinomaThe 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 challengesDivineTradition
2016
Understanding and Utilizing the Convening Power of Ethics Consultation
Fins J. Understanding and Utilizing the Convening Power of Ethics Consultation. The AMA Journal Of Ethic 2016, 18: 540. PMID: 27213886, DOI: 10.1001/journalofethics.2016.18.5.msoc2-1605.Peer-Reviewed Original ResearchRehabilitation, 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
2015
Withdrawal of Life-Sustaining Treatment
Hinderer K, Friedmann E, Fins J. Withdrawal of Life-Sustaining Treatment. Dimensions Of Critical Care Nursing 2015, 34: 91-99. PMID: 25650494, DOI: 10.1097/dcc.0000000000000097.Peer-Reviewed Original ResearchConceptsEOL decisionsEnd-of-lifeCritical care nursesMechanical ventilation withdrawalCare nursesFamilies of critically ill patientsVentilator withdrawalImproving EOL careAdvance care planningPatient-proxy pairsWithdrawal of life-sustaining therapySecondary analysis of dataWithdrawal of mechanical ventilationLife-sustaining therapyEOL careCare planningPatient-directedResponses to questionsDisease trajectoryProxies' decisionsModification of directionSecondary analysisImprove patientAnalysis of dataNurses
2014
Extracorporeal 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
Stigmatization of Substance Use Disorders among Internal Medicine Residents
Meltzer E, Suppes A, Burns S, Shuman A, Orfanos A, Sturiano C, Charney P, Fins J. Stigmatization of Substance Use Disorders among Internal Medicine Residents. Substance Use & Addiction Journal 2013, 34: 356-362. PMID: 24159906, DOI: 10.1080/08897077.2013.815143.Peer-Reviewed Original ResearchConceptsMedical Condition Regard ScaleNarcotic pain medicationInternal medicine residentsSubstance use disordersPain medicationMedicine residentsInternal medicine residents' attitudesMCRS scoresAddiction educationPostgraduate training yearAcademic medical centerProspective cohort studyYears of trainingOptimal careStigmatized conditionsImprove attitudesTraining yearMedicine courseAttitude improvementAssess attitudesCohort studyResidence backgroundNew York CityAddiction medicineMedical CenterSurrogate 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 ResearchReanalysis of “Bedside detection of awareness in the vegetative state: a cohort study”
Goldfine A, Bardin J, Noirhomme Q, Fins J, Schiff N, Victor J. Reanalysis of “Bedside detection of awareness in the vegetative state: a cohort study”. The Lancet 2013, 381: 289-291. PMID: 23351802, PMCID: PMC3641526, DOI: 10.1016/s0140-6736(13)60125-7.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 ResearchExtracorporeal membrane oxygenation for ARDS in adults.
Meltzer E, Fins J. Extracorporeal membrane oxygenation for ARDS in adults. New England Journal Of Medicine 2012, 366: 575-6; author reply 576. PMID: 22316467, DOI: 10.1056/nejmc1114604.Peer-Reviewed Original Research