Linacre Quarterly最新文献_第7页

Five New Principles to Govern Intersex Pediatric Surgery: A Reply to Kevin G. Behrens. 管理双性儿童手术的五个新原则：对凯文·g·贝伦斯的回复。

IF 0.6

Linacre Quarterly Pub Date : 2025-11-17 DOI: 10.1177/00243639251389487

Rashad Rehman

{"title":"Five New Principles to Govern Intersex Pediatric Surgery: A Reply to Kevin G. Behrens.","authors":"Rashad Rehman","doi":"10.1177/00243639251389487","DOIUrl":"10.1177/00243639251389487","url":null,"abstract":"Individuals with intersex conditions are biological males and females who have, through various disorders/differences of sexual development, an (epistemically) unclear biological sex. Intersex pediatric surgery (IPS) is clarification surgery which seeks to restoratively, functionally, and aesthetically clarify or disambiguate the sex of a child with intersex conditions. IPS is performed in healthcare institutions by a urologist, ideally one with technical certification in pediatric urology. The pediatric urologist is (or may be) part of the multidisciplinary healthcare team assigned to the child with intersex conditions and his or her family. Formal philosophical arguments against IPS have been found to be implausible. As such, contemporary clinical recommendations for the care of individuals with intersex conditions head in this direction. Because surgical moratoria over IPS are consequently inappropriate, regulatory ethical principles serve to protect and promote the flourishing of children with intersex conditions. This commentary has two goals: the first is to articulate and philosophically challenge Kevin G. Behrens' principled ethical approach to IPS, which stands to date as a novel and strong approach to IPS, and the second is to articulate and defend five plausible ethical principles to govern IPS decision-making that partially replace Behrens'.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251389487"},"PeriodicalIF":0.6,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12623220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557560","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

Organ Donation Ethics: A Casuist Analysis of Routine-Salvage Versus Opt-in Models. 器官捐献伦理：常规挽救与选择加入模式的因果分析。

IF 0.6

Linacre Quarterly Pub Date : 2025-11-17 DOI: 10.1177/00243639251394196

Tai Metzger, Tina Izad, Zeeshan Javed, Zaheen Hossain

{"title":"Organ Donation Ethics: A Casuist Analysis of Routine-Salvage Versus Opt-in Models.","authors":"Tai Metzger, Tina Izad, Zeeshan Javed, Zaheen Hossain","doi":"10.1177/00243639251394196","DOIUrl":"10.1177/00243639251394196","url":null,"abstract":"Organ transplantation remains an ethically complex issue, in part due to the growing disparity between organ supply and demand. This paper applies a casuist ethical framework to analyze the moral justifications of two models of organ procurement by comparing organ donation to inheritance and public resources. The opt-in model aligns with the principle of bodily autonomy, treating organ donation as a personal decision akin to leaving behind an inheritance. It ensures explicit consent, allowing individuals full control over their postmortem bodily integrity. However, this model often results in lower donation rates due to inaction. Conversely, the routine-salvage model views organs as a public resource, prioritizing societal welfare by increasing the donor pool and reducing organ shortages. This approach raises ethical concerns about presumed consent and potential violations of autonomy. Casuist analysis suggests that while bodily autonomy remains a crucial ethical principle, it is not absolute. The opt-out model presents a pragmatic solution, forcing society to weigh the ethical importance of individual autonomy against the moral imperative to save lives.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251394196"},"PeriodicalIF":0.6,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12623222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557563","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

Could the Contraceptive Pill Pose a Risk to Brain Development in Young Girls? 避孕药会对年轻女孩的大脑发育造成风险吗？

IF 0.6

Linacre Quarterly Pub Date : 2025-11-13 DOI: 10.1177/00243639251389448

René Ecochard

{"title":"Could the Contraceptive Pill Pose a Risk to Brain Development in Young Girls?","authors":"René Ecochard","doi":"10.1177/00243639251389448","DOIUrl":"10.1177/00243639251389448","url":null,"abstract":"It is well-established that adolescence, for both girls and young men, is a period of anatomical and functional transformation of the brain, enabling them to acquire the aptitudes of adults, that is, for girls, the aptitudes of adult women and mothers. According to several scientific studies, the hormones secreted by the ovaries, estrogen and progesterone contribute to this brain development during adolescence. Therefore, there is concern that hormonal contraceptives may modify the temperament of adolescent girls by altering their hormonal balance. In this article, we presented research showing that: (1) brain changes during adolescence occur in parallel with changes in sex hormone levels; (2) the gradual establishment of natural cycles during adolescence creates an estrogenic environment that is very different from that produced by hormonal contraceptives; and (3) hormonal contraceptives can cause changes in temperament and, consequently, personality. These facts are little-known in the medical community. It is therefore necessary to disseminate this information within the medical profession. It is also essential to provide young girls and their parents with comprehensive information before prescribing hormonal contraceptive treatment. This will enable them to make informed decisions.Nontechnical summary: Adolescence is a period of brain transformation that prepares girls for their lives as women and perhaps mothers. The hormones of the menstrual cycle contribute to this brain change. The level of these hormones comes from the gradual establishment of the female cycle. The evolution and nature of these hormones are very different from those produced by hormonal contraception. We conclude that it is necessary to inform young girls and their parents about these effects before prescribing hormonal contraception.Short summary: Scientific evidence suggests that contraceptive hormones may pose a risk to brain development in young girls.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251389448"},"PeriodicalIF":0.6,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12615246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145542913","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

Human Dignity and the Metaphysical Crisis in Postmodern Ethics. 人的尊严与后现代伦理学的形而上学危机。

IF 0.5

Linacre Quarterly Pub Date : 2025-11-13 DOI: 10.1177/00243639251390484

Patrícia Frantz, Francisca Rego, Stela Barbas

{"title":"Human Dignity and the Metaphysical Crisis in Postmodern Ethics.","authors":"Patrícia Frantz, Francisca Rego, Stela Barbas","doi":"10.1177/00243639251390484","DOIUrl":"10.1177/00243639251390484","url":null,"abstract":"The concept of human dignity is frequently invoked in contemporary ethical, legal, and political discourse, yet often remains ungrounded in any coherent ontological framework. This article argues that the contemporary fragility and fragmentation of the idea of dignity stem from a deeper metaphysical crisis: the abandonment of a realist conception of human nature and the rise of nominalism. By contrasting nominalism with Aristotelian-Thomistic realism, it shows that human dignity cannot be coherently sustained without recognizing a stable and objective human essence. Through historical and philosophical analysis, the article traces how modern thought has increasingly severed the link between language and being, replacing the classical understanding of personhood with functional, procedural, or relational definitions. As a result, dignity is frequently tied to contingent attributes such as autonomy, sentience, or cognitive performance-criteria that exclude the most vulnerable members of the human family. The article examines how this metaphysical shift affects bioethical deliberations in areas such as embryonic research, end-of-life care, artificial intelligence, and transhumanism. It argues that without a stable ontological foundation, dignity becomes a rhetorical construct, vulnerable to technocratic reductionism and moral relativism. In response to contemporary objections-including pluralism, autonomy, and historicism-the article defends the ongoing relevance of a realist metaphysics. Far from suppressing freedom or diversity, it provides the necessary framework for dialogue, responsibility, and moral coherence. It concludes that defending human dignity in the postmodern age requires more than legal instruments or ethical consensus: it demands a renewed inquiry into the being of the human person, and the metaphysical foundations that make dignity not only intelligible but inviolable.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251390484"},"PeriodicalIF":0.5,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12615227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145542933","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

Pretest Probability in Determining Brain Death via Brain Blood Flow Studies. 通过脑血流研究确定脑死亡的试验前概率。

IF 0.6

Linacre Quarterly Pub Date : 2025-11-12 DOI: 10.1177/00243639251394193

Christos Lazaridis, Ali Mansour, Fernando D Goldenberg

引用次数: 0

Christmas Contingency Call of Christ. 基督的圣诞应急召唤。

IF 0.5

Linacre Quarterly Pub Date : 2025-11-06 DOI: 10.1177/00243639251390436

Lealani Mae Y Acosta

引用次数: 0

Some Revelatory Insights from the Psalms for Catholic Medical Practice. 《诗篇》对天主教医疗实践的启示。