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Articles by Nathan E. Goldstein
From Bandwidth to Bedside — Bringing AI-Enabled Care to Rural America | NEJM
Are you a member of an institution such as a university or hospital?Learn more about Institutional Access Notes This article was published on November 29, 2025, at NEJM.org. Disclosure forms provided by the authors are available at NEJM.org. Supplementary Material Disclosure Forms (nejmp2509491_disclosures.pdf)
Cuyahoga River Round 2, This Time With PFAS - The Supreme Court’s Clean Water Act Decision
The Supreme Court of the US has handed down another decision that burdens the EPA, impacting its authority and oversight. On March 4, 2025, the Supreme Court ruled 5-4 in favour of San Francisco in City and County of San Francisco v Environmental Protection Agency. The Court’s decision found that the EPA “overstepped its authority by imposing unclear ‘narrative’ water quality standards in its National Pollutant Discharge Elimination System (NPDES) permits”.
A Neutered EPA: Smaller Staff, “Smaller Protections”
Recent developments under the anti-environment-postured Trump administration have raised eyebrows among corporate leaders, environmental professionals and software vendors. In a series of policy directives, a White House memorandum in late February directed the Environmental Protection Agency (EPA) to prepare for substantial layoffs, with the President announcing a 65% reduction in its total personnel.
What America's seniors can learn from his health care choices
With Jimmy Carter’s passing, many will reflect on his impact at home and abroad. Yet, one his most personal acts will also stand as one of his most enduring legacies. At 100, not only was our 39th president the longest-lived president, he was also to first to publicly elect hospice care, prioritizing the quality of his last days over simply being alive.
Navigating The New Dynamics Of EHS Software In The ESG Era
24, July 2024 - 1 hour 4:00 pm BST | 11:00 am EDT | 8:00 am PDT The EHS software and function landscape has been revolutionized by its intersection with ESG. This transformation is marked by stages reflecting a firm's maturity, regulatory exposure, investor pressure, adaptability, and vendor innovation. EHS functions have evolved from managing ad hoc requests, delivering data and planning, executing, and owning sustainability initiatives, to stepping back to be a buttressing function.
Choosing a Better Path—What Jimmy Carter Is Teaching Us About Seniors' Health Choices | Opinion
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Choosing a Better Path—What Jimmy Carter Is Teaching Us About Seniors' Health Choices | Opinion - NewsBreak
Welcome to NewsBreak, an open platform where diverse perspectives converge. Most of our content comes from established publications and journalists, as well as from our extensive network of tens of thousands of creators who contribute to our platform. We empower individuals to share insightful viewpoints through short posts and comments.
Too Hot To Handle: The Rising Impact Of Climate Change
In the final weeks of June, an estimated 100 million people were under some level of heat advisory in the northeastern United States as it underwent its first heat wave of the 2024 summer season. Temperatures hit above 100 degrees Fahrenheit (37°C) in the state of Maine, which is well above the summer average high of 80°F (26°C). Sadly, this is a new reality, with NOAA predicting a hotter-than-average summer, and climate projections expecting global temperatures to continue to rise.
Groundwater: The Risk Less Seen
Our Environment, Health & Safety research is designed for EHS professionals seeking to improve the effectiveness of their EHS information management strategies.
Climate Week: Water Risks Are No Longer An Undercurrent
Our Environment, Health & Safety research is designed for EHS professionals seeking to improve the effectiveness of their EHS information management strategies.
EHS Evolution: Exploring The Role Of ESG And Risk Management
Our Environment, Health & Safety research is designed for EHS professionals seeking to improve the effectiveness of their EHS information management strategies.
Palliative care in heart failure guidelines: A comparison of the 2021 ESC and the 2022 AHA/ACC/HFSA guidelines on heart failure
References 1, , , , , , et al.; American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics – 2023 update: A report from the American Heart Association. Circulation 2023; 147: e93–e621. https://doi.org/10.1161/CIR.0000000000001123 2, , , , . Symptom distress and quality of life in patients with advanced congestive heart failure. J Pain Symptom Manage 2008; 35: 594–603.
Clinician Perspectives on Palliative Care for People with Hepatocellular Carcinoma: Facilitators of and Barriers to Referral
Abstract : Simple Summary Hepatocellular carcinoma (HCC) is the most common type of liver cancer. HCC is difficult to cure and rates are rising. Treatment advances over the last decade have led to people living longer with HCC. Palliative care services offer potential additional support, but they receive referrals infrequently compared with other cancers. We need a better understanding of when these teams do and do not make palliative care referrals.
Proactive Resilience: Future Proofing EHS Functions For Emerging Risks
Over the past three decades, the EHS function has evolved from being primarily pen-and-paper based to a modern-day operation that leverages advanced digital technologies to complete its wide-ranging duties. This evolution, driven in part by advancements in technological capabilities, is a response to the broader avenues of risk that are now present in modern facilities and work environments.
EHS And The Influx Of ESG: Holding True To The Pillars Of Health And Safety
Our Environment, Health & Safety research is designed for EHS professionals seeking to improve the effectiveness of their EHS information management strategies.
EHS And The Influx Of ESG: Holding True To The Pillars Of Health And Safety
EHS And The Influx Of ESG: Holding True To The Pillars Of Health And Safety In today’s business environment, it is unusual to see EHS mentioned without the inclusion of ESG in some manner. From events, news articles, marketing campaigns and boardroom decisions, the EHS function has found itself intrinsically linked with the ESG movement.
The Supreme Court Rolled Back The Clean Water Act - What Does That Mean For You?
The Supreme Court Rolled Back The Clean Water Act – What Does That Mean For You? On May 25th 2023, the United States Supreme Court delivered a ruling on the Clean Water Act (CWA) that reduced the scope of water bodies covered, and limited the power of the Environmental Protection Agency (EPA) and the US Army Corp.
The Supreme Court Rolled Back The Clean Water Act - What Does That Mean For You?
Our Environment, Health & Safety research is designed for EHS professionals seeking to improve the effectiveness of their EHS information management strategies.
Building a Cardiac Palliative Care Program: A Qualitative Study of the Experiences of Ten Program Leaders from Across the United States
: Palliative care is guideline-recommended for patients with advanced heart failure (HF). However, studies on how cardiac palliative care is provided in the United States (US) are lacking. : To study how cardiac palliative care programs provide services, and to identify challenges and facilitators they encountered in program development.
Train Derailments, And What They Can Teach Us About Safety And Inaction
Train Derailments, And What They Can Teach Us About Safety And Inaction On February 3rd, 2023, while the world was following the spy balloon saga, a train derailed in East Palestine, Ohio. A derailment is not something that is usually reported in great detail, but this Norfolk Southern train was carrying a load of hazardous chemicals, including butyl acrytlate and vinyl chloride.
Western Water Woes And What They Mean For EHS Teams
Western Water Woes And What They Mean For EHS Teams January 31, 2023 was the second deadline for seven US states – Arizona, California, Colorado, New Mexico, Nevada, Utah and Wyoming – to submit a plan for water use cutbacks in the Colorado River Basin. This deadline came and went, yet no unanimous proposal appeared. What does this mean?
Digital Technology Is Transforming The Application Of The Hierarchy Of Controls
Digital Technology Is Transforming The Application Of The Hierarchy Of Controls In today’s workspace, vendors and firms are constantly finding new ways to uplift traditional EHS fundamentals and drag them into the digital age. The hierarchy of controls (HOC), a long-held method of thinking, is now being integrated into the digital world, with use cases at each step of the pyramid. Innovation is pushing the boundaries on what is and could be possible when it comes to safety.
Climate Risk: A Clear And Present Challenge For EHS Functions
Climate Risk: A Clear And Present Challenge For EHS Functions 2022 saw an increased number of climate-change-fuelled weather events that influenced dangerous working conditions for employees, assets and firms as a whole around the world. From the Pacific Northwest heatwaves to the Christmas bomb cyclone events, these environmental disasters provide logistical nightmares and present a real risk to the health and safety of workers.
A Flexible Mid-Market Is A Strong Mid-Market: A Look Into 2023 And Beyond
A Flexible Mid-Market Is A Strong Mid-Market: A Look Into 2023 And Beyond With the turn of the year, the global economic outlook continues to provide uncertainty, as capital markets and governments take actions that seem to be motivated by the threat or reality of a recession. These behaviours reach all the way down to the mid-market firms, who share the same uncertain economic ecosystem as their enterprise counterparts.
EHS Software Mid-Market: Mega Trends For 2027
Our Environment, Health & Safety research is designed for EHS professionals seeking to improve the effectiveness of their EHS information management strategies.
As The Climate Changes, “High And Dry” Takes On A New And More Sinister Meaning
As The Climate Changes, “High And Dry” Takes On A New And More Sinister Meaning Today’s headlines are filled with an increasing number of water-related articles that focus on either a sudden abundance or a startling lack of water.
Risk and Reward: EHS Functions Executing On The CEO’s Sustainability Strategy
Risk and Reward: EHS Functions Executing On The CEO’s Sustainability Strategy As firms race to define and finalize their sustainability strategies, it is becoming increasingly clear that the operational business functions – EHS, engineering, real estate, and maintenance, are mission critical to drive implementation and boost ESG & Sustainability performance. These strategies have been kick-started often with declarations from the C-suite that have come after intense deliberation.
Novel Applications Of Existing Technology Showcase EHS Training Modernization
Novel Applications Of Existing Technology Showcase EHS Training Modernization Training, a cornerstone of EHS functions, can often be viewed by employees and contractors as a dull and repetitive necessity of the job. This can lead to dangerous situations where workers may casually browse or even skip sessions that cover concepts and operations detailing procedures core to their job function and their safety.
Improving the Integration of Palliative Care in Heart Failure
In this issue of JAMA Internal Medicine, Bakitas and colleagues report the results of their nurse-led trial to improve outcomes in patients with advanced heart failure (HF).1 This study builds on their previous work on project ENABLE (Educate, Nurture, Advise, Before Life Ends), a palliative care telehealth intervention for patients with advanced cancer, which has been shown to improve quality of life and mood.2 The investigators have adapted their original cancer-based ENABLE intervention...
Improving Communication in Heart Failure Patient Care
Journal of the American College of Cardiology Original Investigation Nathan E. Goldstein, Harriet Mather, Karen McKendrick, Laura P. Gelfman, Mathew D. Hutchinson, Rachel Lampert, Hannah I. Lipman, Daniel D. Matlock, Jacob J. Strand, Keith M. Swetz, Jill Kalman, Jean S. Kutner, Sean Pinney and R. Sean Morrison This article requires a subscription or purchase to view the full text. If you are a subscriber or member, click the login link or the subscribe link in the top menu above to access this article.
The Complexities of Advance Care Planning in Individuals With Advanced Dementia
In this issue of JAMA Internal Medicine, Mitchell and colleagues1 present their findings from a randomized clinical trial of a video-assisted decision support tool to improve advance care planning in nursing home residents with advanced dementia. They performed a cluster randomized trial of 402 residents with advanced dementia in the setting of 64 Boston-area nursing homes.
LGBTQ Jewish Pride, Flags and the Call to Resistance
This year, Congregation Beit Simchat Torah (CBST) was invited to join with 17 other organizations in the Resistance Coalition that led the LGBTQ Pride March on June 25th in New York City. Our goal was to bring a clear and consistent message of resistance to the Trump Administration’s threats to American democracy, and tochechah — reproach — of Trump’s victimization of the most vulnerable members of our society: immigrants and refugees, Muslims, Queer youth, and trans people.
Implantable Cardioverter-Defibrillator Use in Older Adults
Since their initial clinical demonstration in 1980, implantable cardioverter–defibrillators (ICDs) have prolonged countless lives with successful treatment of sudden cardiac arrest.1 No other therapy has proved as effective in preventing death from ventricular arrhythmias, and important advances in ICD technology continue to improve outcomes for well-selected patients.2 Although indicated for a wide range of inherited and acquired conditions,3 ICDs are predominantly placed in older patients...
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