Linacre Quarterly最新文献

Post a Lookout: Patient Safety and the Anesthetist as a Watchman. 岗哨：病人安全和麻醉师作为岗哨。

IF 0.5

Linacre Quarterly Pub Date : 2025-10-06 DOI: 10.1177/00243639251383614

Hope M Gehle

{"title":"Post a Lookout: Patient Safety and the Anesthetist as a Watchman.","authors":"Hope M Gehle","doi":"10.1177/00243639251383614","DOIUrl":"10.1177/00243639251383614","url":null,"abstract":"As I assisted a surgeon during my third year of medical school, my proximity to a patient's hope for health and the possibility of her death revealed the great power and privilege of the operating room (OR). Although patient safety has improved over the last century, few actions in the OR are harmless. Vigilance, and its role in harm prevention, is reflected in quality improvement literature and the lighthouse logo of the American Society of Anesthesiologists. I propose a related framework that builds on the themes of vigilance and patient safety: The work of the anesthetist can be understood by biblical reference to the close surveillance of a watchman who announces what he sees (Isaiah 21:6). In the Bible, the term watchman recognizes whoever is overseeing from a watchtower, whether a military sentinel, an agricultural caretaker, or a prophet. This essay extends this analogy for anesthetists who are like watchmen of the OR. Like these lookouts of scripture who warn of chariots and swords, safeguard fields and vineyards, and announce the sun's rising, anesthetists are guardians of the patient's body and mind in the night of the OR and welcome the patient to a new day after a \"deep sleep\" (Genesis 2:21). Anesthetists as watchmen have significant responsibility in their vigilance and duty to respond to threats, and their attentive work contributes to the interdependent goal of restored health for the patient. Through this scriptural analogy to watchmen, anesthesia practitioners might have a theological framework for integrating their work of vigilance and advocacy for patient safety with that of God's prophets and Israel's forebearers.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251383614"},"PeriodicalIF":0.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sydney Sweeney's "Great Genes" Ad Goes Viral-But Sanger's Eugenics Still Gets a Pass. 悉尼·斯威尼的“伟大的基因”广告走红——但桑格的优生学仍然得到了认可。

IF 0.5

Linacre Quarterly Pub Date : 2025-09-18 DOI: 10.1177/00243639251377624

Gerard Nadal

引用次数: 0

On the Death of a Self-Integrating Organism: A Reply to "A Biophilosophical Approach to the Determination of Brain Death". 论自我整合有机体的死亡：对“确定脑死亡的生物哲学方法”的答复。

IF 0.5

Linacre Quarterly Pub Date : 2025-09-15 DOI: 10.1177/00243639251375335

Nicanor Pier Giorgio Austriaco

{"title":"On the Death of a Self-Integrating Organism: A Reply to \"A Biophilosophical Approach to the Determination of Brain Death\".","authors":"Nicanor Pier Giorgio Austriaco","doi":"10.1177/00243639251375335","DOIUrl":"10.1177/00243639251375335","url":null,"abstract":"To advance the debate over the brain death (BD) criteria, Sulmasy and colleagues have recently proposed that the BD criteria can be saved if three things are done. First, they suggest that the philosophical rationale used to justify the BD criteria should be changed to acknowledge that the human body is self-integrated and not integrated by the brain. They then propose that this self-integration is lost when the total functioning of the brain, especially the functioning of the hypothalamus, is lost. Finally, they affirm that medical criteria for BD should be expanded to include a diagnosis of diabetes insipidus to ensure that there has been a total loss of brain function. In response, I agree with Sulmasy and his colleagues that the human organism is a self-integrating system. However, I will also affirm that it is self-integrating because it is self-organized. Next, I will interrogate the claim that loss of total brain function, including loss of all hypothalamic function, can trigger the death of a self-integrating organism. In principle, I agree, but I also think that there are other organs that are also vital for the self--integration of the body. Thus, I affirm that we cannot justify and defend the total BD criteria for death as Sulmasy and his colleagues have attempted to do so without opening ourselves up to other combinations of systemic organ failures that would trigger loss of the inherent capacity to self-integrate: Death by neurological criteria has evolved to death by integrative criteria. Finally, we close with a brief discussion of the impact of Sulmasy and colleagues' proposal on the contemporary BD debate: I believe that it still cannot give us the moral certainty that we are looking for to justify the organ transplantation of vital organs from BD patients because there is already clinical evidence that suggests that some BD patients were able to survive for a long period of time even without hypothalamic function.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251375335"},"PeriodicalIF":0.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Healing Relationship and Suffering: A Catholic Perspective. 治愈关系和痛苦：天主教的观点。

IF 0.5

Linacre Quarterly Pub Date : 2025-08-25 DOI: 10.1177/00243639251366465

Bro Ignatius Perkins

引用次数: 0

The Brain as a Whole? Neuroendocrine Functions and Death by Neurological Criteria. 大脑是一个整体吗？神经内分泌功能与神经学标准的死亡。

IF 0.5

Linacre Quarterly Pub Date : 2025-08-25 DOI: 10.1177/00243639251366464

Samuel Berendes

{"title":"The Brain as a Whole? Neuroendocrine Functions and Death by Neurological Criteria.","authors":"Samuel Berendes","doi":"10.1177/00243639251366464","DOIUrl":"https://doi.org/10.1177/00243639251366464","url":null,"abstract":"Death by neurological criteria, often referred to as \"brain death,\" has been the source of significant controversy in the past decades. The legal definition of brain death focuses on the irreversible loss of all brain function, including the brain stem, leading to an understanding of whole-brain death. Of particular importance for the brain death debate, the American Academy of Neurology has recently asserted that the loss of neuroendocrine function is not necessary for brain death determination. The question becomes whether it is consistent with a sound anthropology to accept brain death despite continuing neuroendocrine function. I argue that it is, as neuroendocrine function depends on the brain as a whole. This will be shown through engaging with the writings of Thomas Aquinas, especially as they relate to a hylomorphic understanding of the human person. Additionally, I will engage with understandings of brain death as the loss of the integrative unity of the human organism, particularly with Maureen Condic's distinction between integration and coordination. Through this, I will demonstrate that arguments that neuroendocrine functions do not in themselves constitute a vital function but, rather, depend on the brain as a whole.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251366464"},"PeriodicalIF":0.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Personalist Bioethics as a Guide to Assessing Emerging Anti-aging Therapies. 个人生命伦理学作为评估新出现的抗衰老疗法的指南。

IF 0.5

Linacre Quarterly Pub Date : 2025-08-14 DOI: 10.1177/00243639251361196

Ana Rodríguez-Díaz, Esperanza Marín-Conde, Lucia Gómez-Tatay

{"title":"Personalist Bioethics as a Guide to Assessing Emerging Anti-aging Therapies.","authors":"Ana Rodríguez-Díaz, Esperanza Marín-Conde, Lucia Gómez-Tatay","doi":"10.1177/00243639251361196","DOIUrl":"10.1177/00243639251361196","url":null,"abstract":"Over the last several years, the idea that aging is inevitable has been replaced by scientific evidence showing that it is rather a malleable process. In this article, the most relevant and promising therapies have been classified into three large groups, based on their possible bioethical implications: (1) nutritional interventions, (2) pharmacological interventions, and (3) gene therapies. After defining the mechanisms of action of each group of treatments, as well as the risks and benefits currently identified, we evaluated each group following guidelines for the ethical assessment of interventions on the human body. These are based on the principles of personalist bioethics, which has allowed us to discern the licitness of such practices. After performing the analysis, we concluded that, at present, only nutritional interventions can be considered acceptable as anti-aging therapies. Drugs and gene therapies are still at too early a stage of development and their application would endanger human life. Finally, some recommendations are proposed in the field of aging founded on health care, based on healthy dietary control that, in turn, allows us to embrace the frailty and weakness of human nature, which become more evident during old age.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251361196"},"PeriodicalIF":0.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correspondence. 信件。

IF 0.5

Linacre Quarterly Pub Date : 2025-08-12 DOI: 10.1177/00243639251365361

Lionel S Zuckier

引用次数: 0

The Challenge to Catholic Medical Education. 天主教医学教育面临的挑战。

IF 0.5

Linacre Quarterly Pub Date : 2025-08-06 eCollection Date: 2025-08-01 DOI: 10.1177/00243639251356598

Edward T Auer

引用次数: 0

Human Dignity vs. Modern Medicine. 人类尊严vs.现代医学。