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Journal of Medical Ethics最新文献

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Response: arguments to abolish the legal age limits of access to information about the gamete donor by donor offspring. 答复：主张取消对捐献者后代获取配子捐献者信息的法定年龄限制。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-04-24 DOI: 10.1136/jme-2024-110230
Inge van Nistelrooij, Nicolette Woestenburg
{"title":"Response: arguments to abolish the legal age limits of access to information about the gamete donor by donor offspring.","authors":"Inge van Nistelrooij, Nicolette Woestenburg","doi":"10.1136/jme-2024-110230","DOIUrl":"10.1136/jme-2024-110230","url":null,"abstract":"<p><p>The <i>Journal of Medical Ethics</i> previously published on the debate in the UK and the Netherlands concerning the legal age limits imposed on donor-conceived people for access to information about the identity of gamete and embryo donors. In that publication, three arguments were foregrounded against lowering these age limits as a general rule for all donor-conceived people. In this contribution, we engage with these arguments and argue why we think they are insufficient to maintain the age limits. In contrast, we argue for a more suited, contextual and relational ethical framework based on care ethics, which emphasises relational autonomy and its dynamic, contextual development. This framework, we argue, provides a comprehensive approach for the analysis we made of the question of age limits and was applied in research performed in the Netherlands, commissioned by the Dutch Minister of Health. The framework enabled us to weigh the multidisciplinary-legal, psychological, phenomenological and ethical-findings of our research.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141766309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Future of good medical ethics. 未来良好的医德。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-04-24 DOI: 10.1136/jme-2025-110966
John McMillan
{"title":"Future of good medical ethics.","authors":"John McMillan","doi":"10.1136/jme-2025-110966","DOIUrl":"https://doi.org/10.1136/jme-2025-110966","url":null,"abstract":"","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":"51 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
On the ethical permissibility of in situ reperfusion in cardiac transplantation after the declaration of circulatory death. 论宣布循环死亡后心脏移植原位再灌注的伦理容许性。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-04-24 DOI: 10.1136/jme-2022-108819
Karola Veronika Kreitmair
{"title":"On the ethical permissibility of <i>in situ</i> reperfusion in cardiac transplantation after the declaration of circulatory death.","authors":"Karola Veronika Kreitmair","doi":"10.1136/jme-2022-108819","DOIUrl":"10.1136/jme-2022-108819","url":null,"abstract":"<p><p>Transplant surgeons in the USA have begun performing a novel organ procurement protocol in the setting of circulatory death. Unlike traditional donation after circulatory death (DCD) protocols, <i>in situ</i> normothermic perfusion DCD involves reperfusing organs, including the heart, while still contained in the donor body. Some commentators, including the American College of Physicians, have claimed that <i>in situ</i> reperfusion after circulatory death violates the widely accepted Dead Donor Rule (DDR) and conclude that <i>in situ</i> reperfusion is ethically impermissible. In this paper I argue that, in terms of respecting the DDR, <i>in situ</i> reperfusion cardiac transplantation does not differ from traditional DCD cardiac transplantation. I do this by introducing and defending a refined conception of circulatory death, namely <i>vegetative state function permanentism</i> I also argue against the controversial brain occlusion feature of the <i>in situ</i> reperfusion DCD protocol, on the basis that it is ethically unnecessary and generates the problematic appearance of ethical dubiousness.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9942947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethical argument for establishing good manufacturing practice for phage therapy in the UK. 在英国建立噬菌体疗法良好生产规范的伦理论证。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-04-24 DOI: 10.1136/jme-2023-109423
Mehrunisha Suleman, Jason R Clark, Susan Bull, Joshua D Jones
{"title":"Ethical argument for establishing good manufacturing practice for phage therapy in the UK.","authors":"Mehrunisha Suleman, Jason R Clark, Susan Bull, Joshua D Jones","doi":"10.1136/jme-2023-109423","DOIUrl":"10.1136/jme-2023-109423","url":null,"abstract":"<p><p>Antimicrobial resistance (AMR) poses an increasing threat to patient care and population health and there is a growing need for novel therapies to tackle AMR. Bacteriophage (phage) therapy is a re-emerging antimicrobial strategy with the potential to transform how bacterial infections are treated in patients and populations. Currently, in the UK, phages can be used as unlicensed medicinal products on a 'named-patient' basis. We make an ethical case for why it is crucially important for the UK to invest in Good Manufacturing Practice (GMP) for both ongoing unlicensed and future licensed phage therapy. Access to phages produced to GMP (GMP phages) will ensure effective patient care and better outcomes as well as health systems benefits. The UK also has the potential to become a global leader in the timely and cost-efficient manufacturing and supply of a therapy that meets internationally recognised standards.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139717619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nrima - a particular Javanese value and its impact on healthcare. Nrima - 爪哇语的一种特殊价值观及其对医疗保健的影响。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-04-24 DOI: 10.1136/jme-2023-109815
Agnes Bhakti Pratiwi, Retna Siwi Padmawati, Dick L Willems
{"title":"<i>Nrima</i> - a particular Javanese value and its impact on healthcare.","authors":"Agnes Bhakti Pratiwi, Retna Siwi Padmawati, Dick L Willems","doi":"10.1136/jme-2023-109815","DOIUrl":"10.1136/jme-2023-109815","url":null,"abstract":"","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anticipatory gaps challenge the public governance of heritable human genome editing. 预期差距对遗传性人类基因组编辑的公共管理提出了挑战。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-04-24 DOI: 10.1136/jme-2023-109801
Jon Rueda, Seppe Segers, Jeroen Hopster, Karolina Kudlek, Belén Liedo, Samuela Marchiori, John Danaher
{"title":"Anticipatory gaps challenge the public governance of heritable human genome editing.","authors":"Jon Rueda, Seppe Segers, Jeroen Hopster, Karolina Kudlek, Belén Liedo, Samuela Marchiori, John Danaher","doi":"10.1136/jme-2023-109801","DOIUrl":"10.1136/jme-2023-109801","url":null,"abstract":"<p><p>Considering public moral attitudes is a hallmark of the anticipatory governance of emerging biotechnologies, such as heritable human genome editing. However, such anticipatory governance often overlooks that future morality is open to change and that future generations may perform different moral assessments on the very biotechnologies we are trying to govern in the present. In this article, we identify an 'anticipatory gap' that has not been sufficiently addressed in the discussion on the public governance of heritable genome editing, namely, uncertainty about the moral visions of future generations about the emerging applications that we are currently attempting to govern now. This paper motivates the relevance of this anticipatory gap, identifying the challenges it generates and offering various recommendations so that moral uncertainty does not lead to governance paralysis with regard to human germline genome editing.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141492282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A generational ban creates inequality between non-smokers. 代际禁令造成了不吸烟者之间的不平等。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-04-24 DOI: 10.1136/jme-2024-110602
Ben Saunders
{"title":"A generational ban creates inequality between non-smokers.","authors":"Ben Saunders","doi":"10.1136/jme-2024-110602","DOIUrl":"10.1136/jme-2024-110602","url":null,"abstract":"","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rethinking selective prohibitions: the inconsistency of a generational smoking ban in a permissive society. 反思选择性禁令：在一个宽松的社会中，代际禁烟令的不一致性。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-04-24 DOI: 10.1136/jme-2024-110577
Alberto Boretti
{"title":"Rethinking selective prohibitions: the inconsistency of a generational smoking ban in a permissive society.","authors":"Alberto Boretti","doi":"10.1136/jme-2024-110577","DOIUrl":"10.1136/jme-2024-110577","url":null,"abstract":"","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
(Un)equal treatment in the 'tobacco-free generation'. (无烟一代 "的（不）平等待遇。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-04-24 DOI: 10.1136/jme-2024-110209
Johannes Kniess
{"title":"(Un)equal treatment in the 'tobacco-free generation'.","authors":"Johannes Kniess","doi":"10.1136/jme-2024-110209","DOIUrl":"10.1136/jme-2024-110209","url":null,"abstract":"<p><p>The idea of a 'tobacco-free generation' promises to make smoking a thing of the past by making cigarettes unavailable to birth cohorts in the future. If implemented, such a generational ban would lead to a society in which some individuals are allowed the freedom to smoke while others are not. This paper examines the ethical significance of this fact through the lens of 'relational egalitarianism', an approach to social justice that emphasises equal and respectful social relationships. It explores various dimensions in which a society can fail to live up to the idea of equal status, such as the denial of moral agency, discrimination, stigmatisation, the unequal recognition of interests and violations of political equality. While acknowledging the complexity of practical and ethical challenges, the paper maintains that the generational ban need not violate egalitarian commitments.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The unnecessary 'more'-compared to ROPA: a reply to Mangione. 不必要的 "更多"--与 ROPA 相比：回复 Mangione。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-04-24 DOI: 10.1136/jme-2024-110285
Jolie Zhou
{"title":"The unnecessary 'more'-compared to ROPA: a reply to Mangione.","authors":"Jolie Zhou","doi":"10.1136/jme-2024-110285","DOIUrl":"10.1136/jme-2024-110285","url":null,"abstract":"<p><p>In her recent paper, Emanuele Mangione proposes combining maternal spindle transfer (MST) and reciprocal effortless in vitro fertilisation (ReIVF) to enable both females to have genetic and gestational ties with the same child, which can particularly benefit lesbian couples. This response rejects Mangione's proposal for the reason that the additional biological ties created by MST+ReIVF, compared with the reception of oocytes from partner (ROPA), are unnecessary. ROPA is currently the most effective method for redistributing biological ties within lesbian couples, allowing one member to provide the egg and the other to carry the fetus. The additional biological ties created by MST+ReIVF are quantitatively too small to significantly enhance parental bonding or couple relationships, and their potential harms to both prospective parents and children outweigh any minor benefits. Furthermore, like ROPA, MST+ReIVF fails to address deeper feminist concerns. Therefore, I propose a new idea: combining in vitro gametogenesis with ectogenesis, which can offer far more reproductive choices and greater potential to address deeper feminist concerns than MST+ReIVF.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141971258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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