The Linacre Quarterly最新文献

{"title":"Led by the Holy Spirit.","authors":"Macy Rupprecht","doi":"10.1177/0024363920921084","DOIUrl":"https://doi.org/10.1177/0024363920921084","url":null,"abstract":"<p><p>The vocational call to being a physician has been one of the greatest honors and blessings of my life. As a Catholic physician, being a direct extension of the healing hands of our Lord is something this is not easily translated into words. I reflect on two cases that remind me of this great calling.</p>","PeriodicalId":505854,"journal":{"name":"The Linacre Quarterly","volume":"87 3","pages":"252-253"},"PeriodicalIF":0.5,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0024363920921084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38183908","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}

{"title":"Medicine and Mission in a Time of Plague.","authors":"Barbara Golder","doi":"10.1177/0024363920924990","DOIUrl":"https://doi.org/10.1177/0024363920924990","url":null,"abstract":"","PeriodicalId":505854,"journal":{"name":"The Linacre Quarterly","volume":"87 3","pages":"250-251"},"PeriodicalIF":0.5,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0024363920924990","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38183907","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}

{"title":"Induced Abortion and the Increased Risk of Maternal Mortality.","authors":"Patrick J Marmion,&nbsp;Ingrid Skop","doi":"10.1177/0024363920922687","DOIUrl":"https://doi.org/10.1177/0024363920922687","url":null,"abstract":"<p><p>After years of failure to obtain accurate statistics on maternal mortality, the United States noted a sharp increase in its maternal mortality rate with widening racial and ethnic disparities. The 2016 report shocked the nation by documenting a 26 percent increase in maternal mortality from 18.8/100,000 live births in 2000 to 23.8 in 2014. Suggested etiologies of this increase included artifact as a result of improved maternal death surveillance, incorrect use of <i>ICD</i>-<i>10</i> codes, healthcare disparities, lack of family support and other social barriers, substance abuse and violence, depression and suicide, inadequate preconception care, patient noncompliance, lack of standardized protocols for handling obstetric emergencies, failure to meet expected standards of care, aging of the pregnant patient cohort with associated increase in chronic diseases and cardiovascular complications, and lack of a comprehensive national plan. While some of the increase in maternal mortality may be a result of improved data collection, pregnancy-related deaths are occurring at a higher rate in the United States than in other developed countries. Some have suggested that the increased maternal mortality is due to limiting women's access to legal abortion. In order to discover effective strategies to improve pregnancy outcomes, maternal mortality must be investigated in an unbiased manner. This review explores the relationship between legal-induced abortion and maternal mortality.</p><p><strong>Summary: </strong>In Finland, where epidemiologic record linkage has been validated, the risk of death from legal induced abortion is reported to be almost four times greater than the risk of death from childbirth. It is difficult to do this comparison in the United States not only because prior induced abortion history is often not recorded for a pregnancy-related death but also because less than one-quarter of the states require health care providers to report abortion deaths for investigation. These omissions are important because mortality risk in pregnancies subsequent to abortion is increased due to abortion-induced morbidities such as preterm birth and abnormal placentation. Legal induced abortion is a root cause of the racial and ethnic disparity noted in maternal mortality. In the United States, the death rate from legal induced abortion performed at 18 weeks gestation is more than double that observed for women experiencing vaginal delivery.</p>","PeriodicalId":505854,"journal":{"name":"The Linacre Quarterly","volume":"87 3","pages":"302-310"},"PeriodicalIF":0.5,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0024363920922687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38183915","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}

{"title":"Newman's Compelling Reasons for a Medical School with Catholic Professors.","authors":"Juan R Vélez","doi":"10.1177/0024363920917495","DOIUrl":"https://doi.org/10.1177/0024363920917495","url":null,"abstract":"<p><p>Only one year after starting the Catholic University of Ireland (1854), John Henry Newman arranged for the purchase of a medical school, the Cecilia-Street Medical School, which gained immediate success and has continued to this day as a part of University College Dublin. This article is a historical piece that examines the importance Newman gave to Catholic doctrine for the formation of medical students. He understood that according to a hierarchy of sciences, theology and religion are above medicine and its practice and that there are some important religious truths that future Catholic physicians need to learn. In this article, we present a brief history of the origins of the medical school, and discuss his choice of only Catholic professors, and his concern for the doctrinal and moral formation of future doctors.</p><p><strong>Summary: </strong>When John Henry Newman established a medical school in Dublin he chose from only Catholic professors to ensure that the students, almost all Catholic, would receive teaching consistent with their faith, and also that they would have as role models Catholic physicians. He understood the harmony between science and faith, and thus sought professors with very good medical knowledge, who at the same time professed the Catholic faith.</p>","PeriodicalId":505854,"journal":{"name":"The Linacre Quarterly","volume":"87 3","pages":"292-301"},"PeriodicalIF":0.5,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0024363920917495","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38183914","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}

{"title":"Does the Uniform Determination of Death Act Need to Be Revised?","authors":"Doyen Nguyen","doi":"10.1177/0024363920926018","DOIUrl":"https://doi.org/10.1177/0024363920926018","url":null,"abstract":"<p><p>Prompted by concerns raised by the rise in litigations, which challenge the legal status of brain death (BD), Lewis and colleagues recently proposed a revision of the Uniform Determination of Death Act (UDDA). The revision consists of (i) narrowing down the definition of BD to the loss of specific brain functions, namely those functions that can be assessed on bedside neurological examination; (ii) requiring that the determination of BD must be in accordance with the specific guidelines designated in the revision; and (iii) eliminating the necessity for obtaining consent prior to performing the tests for BD determination. By analyzing Lewis and colleagues' revision, this article shows that this revision is fraught with difficulties. Therefore, this article also proposes two approaches for an ethical revision of the UDDA; the first is in accordance with scientific realism and Christian anthropology, while the second is grounded in trust and respect for persons. If the UDDA is to be revised, then it should be based on sound ethical principles in order to resolve the ongoing BD controversies and rebuild public trust.</p><p><strong>Summary: </strong>This article critically examines the recent revision of the Uniform Determination of Death Act (UDDA) advanced by Lewis and colleagues. The revision only further reinforces the status quo of brain death without taking into account the root cause of the litigations and controversies about the declaration of death by neurological criteria. In view of this deficiency, this article offers two approaches to revising the UDDA, both of which are founded on sound moral principles.</p>","PeriodicalId":505854,"journal":{"name":"The Linacre Quarterly","volume":"87 3","pages":"317-333"},"PeriodicalIF":0.5,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0024363920926018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38181816","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}

{"title":"Request for Submissions.","authors":"","doi":"10.1177/0024363920925005","DOIUrl":"https://doi.org/10.1177/0024363920925005","url":null,"abstract":"","PeriodicalId":505854,"journal":{"name":"The Linacre Quarterly","volume":"87 3","pages":"361"},"PeriodicalIF":0.5,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0024363920925005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38181822","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}

{"title":"Youth, Health, and Suicide.","authors":"Joanna Bogle","doi":"10.1177/0024363920906990","DOIUrl":"https://doi.org/10.1177/0024363920906990","url":null,"abstract":"<p><p>The mental health of young people is a preoccupation across the West. Youth suicide is a rising problem. Are we exploring the reasons for this with honesty and courage? Mental health and emotional security are bound up with a sense of identity and belonging.</p>","PeriodicalId":505854,"journal":{"name":"The Linacre Quarterly","volume":"87 2","pages":"239-240"},"PeriodicalIF":0.5,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0024363920906990","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38054191","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}

{"title":"Creating Catholic Regenerative Medicine Organizations in a Secular Biotechnology Field: A Physician-Scientist Experience.","authors":"Alan Moy","doi":"10.1177/0024363919890941","DOIUrl":"https://doi.org/10.1177/0024363919890941","url":null,"abstract":"<p><p>One aspect of the progressive secularization of biotechnology is the use of the by-products from abortion and the use of human embryos. These morally illicit cells and tissue create a significant moral and economic challenge for Catholics at different stages of their career. A practicing Catholic physician or scientific professional will face the dilemma of how to reconcile their Catholic identity with their profession. While the Catechism is clear on what actions Catholics should not pursue, there has been less religious guidance on what activities Catholics should proactively pursue in their professional life to advance the Catholic culture. This essay will examine these themes through the lens of a true story of the author's experience in starting Catholic for-profit and nonprofit biotechnology organizations.</p><p><strong>Summary: </strong>Abortion and the destruction of human embryos create a moral dilemma for Catholics at different stages of a physician or scientist's career. A practicing Catholic physician or scientist must reconcile their Catholic identity with their profession. While there is little professional guidance on how to advance the culture, Jesus says that one must take up the cross and direct their God-given gifts towards His name. The only way to succeed and thrive in a secular healthcare environment is to emulate Jesus by putting aside their own self-interest; pray for courage against ridicule; accept risk; and pursue scientific and medical excellence.</p>","PeriodicalId":505854,"journal":{"name":"The Linacre Quarterly","volume":"87 2","pages":"218-222"},"PeriodicalIF":0.5,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0024363919890941","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38054187","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}

{"title":"Special Issue November 2021.","authors":"","doi":"10.1177/0024363920906707","DOIUrl":"https://doi.org/10.1177/0024363920906707","url":null,"abstract":"Medicine is mission, whether practiced at home or abroad. But what do we mean by “mission”? Does it have a particular meaning to Catholics? And is there something more to being an actual “medical missionary”? These are ideas we hope to explore in The Linacre Quarterly Special Issue of November 2021, “Medicine in Mission.” Many members of the Catholic Medical Association have been involved in medical missionary work, and others are interested in becoming involved. This special issue intends not only to share the work and spirit of those who are doing such service, but also to inspire others to give themselves in new ways. Pope Francis and the Bishops of the United States have called us to be “missionary disciples.” How can we prepare our minds and hearts to meet this call? Relevant topics include–but are not limited to–the following:","PeriodicalId":505854,"journal":{"name":"The Linacre Quarterly","volume":"87 2","pages":"241"},"PeriodicalIF":0.5,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0024363920906707","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38054192","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}

{"title":"Why Aquinas's Metaphysics of Gender Is Fundamentally Correct: A Response to John Finley.","authors":"William Newton","doi":"10.1177/0024363919884795","DOIUrl":"https://doi.org/10.1177/0024363919884795","url":null,"abstract":"<p><p>In an important article, John Finley suggests a correction to Aquinas's understanding of gender distinction. Disagreeing with Aquinas, Finley proposes that gender distinction (male and female) stems from the soul rather than from the body. In this essay, I will show that this is not a tenable position because it does not fit with either what we know about the physical development of sex differences or the unity of man and woman as a single human species. I will defend Aquinas's fundamental insights into the root of gender distinction without defending his biological understanding of the process itself. I will argue that there is a single generic generative power in the soul that is determined by the matter to which the soul is united, to be expressed as either male or female. This paradigm, I believe, copes better than the one offered by Finley with phenomena such as intersexed persons and sex reassignment surgery. While I do not accept the idea of a feminine or masculine soul, the paradigm offered here does lead to the notion of the soul being feminized or masculinized on account of the matter that it informs.</p>","PeriodicalId":505854,"journal":{"name":"The Linacre Quarterly","volume":"87 2","pages":"198-205"},"PeriodicalIF":0.5,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0024363919884795","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38054185","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}