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Some Ethical Reflections on AIDS 关于艾滋病的伦理思考
Q4 MEDICAL ETHICS
Linacre Quarterly
Pub Date : 2023-11-01 DOI: 10.1177/00243639231200633
Michael LaChat
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引用次数: 0
Mifepristone Antagonization with Progesterone to Avert Medication Abortion: A Scoping Review. 米非司酮与黄体酮拮抗剂避免药物流产:一项范围综述。
IF 0.5 Q4 MEDICAL ETHICS
Linacre Quarterly
Pub Date : 2023-11-01 Epub Date: 2023-05-29 DOI: 10.1177/00243639231176592
Paul L C DeBeasi

The safety and efficacy of mifepristone antagonization with progesterone to avert medication abortion, also known as abortion pill rescue, is a subject of vigorous debate. Two prominent medical associations have taken positions that either entirely reject or fully support its use. This scoping review aimed to gain insight into the safety and efficacy of its use. Analysis of 16 studies showed that the continuing pregnancy rate after ingesting mifepristone alone is ≦25 percent for gestational ages ≦49 days. Analysis of four studies showed that two-thirds of the women who changed their minds and received progesterone after initiating their medication abortion with mifepristone could safely continue their pregnancies. There is no increased maternal or fetal risk from using bioidentical progesterone in early pregnancy. If a woman has already taken mifepristone for her medication abortion and then changes her mind, timely supplementation with progesterone may allow her pregnancy to continue. The conclusion that mifepristone antagonization with progesterone is a safe and effective treatment has implications for medication abortion informed consent. Summary: Two-thirds of the women who changed their minds and received progesterone after initiating their medication abortion with mifepristone could safely continue their pregnancies. If a woman has already taken mifepristone for her medication abortion and then changes her mind, timely supplementation with progesterone may allow her pregnancy to continue. Physicians should disclose this treatment option to their patients at the time of informed consent.

米非司酮与黄体酮拮抗避免药物流产的安全性和有效性，也被称为流产药抢救，是一个激烈争论的主题。两个著名的医学协会采取了完全反对或完全支持使用这种药物的立场。这项范围审查旨在深入了解其使用的安全性和有效性。16项研究分析显示，孕龄≦49天，单独服用米非司酮后继续妊娠率≦25%。对四项研究的分析表明，三分之二的妇女在开始使用米非司酮进行药物流产后改变主意并接受黄体酮治疗，可以安全地继续怀孕。在妊娠早期使用生物同型黄体酮不会增加母体或胎儿的风险。如果妇女已经服用米非司酮进行药物流产，然后改变主意，及时补充黄体酮可能使她的妊娠继续。结论米非司酮与黄体酮拮抗是一种安全有效的治疗方法，对药物流产知情同意具有重要意义。总结:三分之二的妇女在开始米非司酮药物流产后改变主意并接受黄体酮治疗后可以安全地继续妊娠。如果妇女已经服用米非司酮进行药物流产，然后改变主意，及时补充黄体酮可能使她的妊娠继续。医生应在知情同意时向患者披露这种治疗方案。
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引用次数: 0
Call for Papers Special Issue 2024: Doing No Harm 征稿特刊2024:不做伤害
Q4 MEDICAL ETHICS
Linacre Quarterly
Pub Date : 2023-11-01 DOI: 10.1177/00243639231209637
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引用次数: 0
General Call for Papers 论文公开征集
Q4 MEDICAL ETHICS
Linacre Quarterly
Pub Date : 2023-11-01 DOI: 10.1177/00243639231209636
Celebrating over 50 years of publication, the Southern Quarterly is an internationallyknown scholarly journal devoted to the interdisciplinary study of Southern arts and culture. For SoQ, “the arts” is defined broadly, and includes painting, sculpture, music, dance, poetry, photography, and popular culture. We also publish studies of Southern culture from such disciplines as literature, folklore, anthropology, and history. “The South” is defined as the region from the Mason Dixon Line to Central America. Regular features include reviews of books and films, periodic reviews of exhibitions and performances, as well as interviews with writers and artists.
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引用次数: 0
Special Section: How Covid Changed the Face of Medicine 特别部分:新冠病毒如何改变医学面貌
Q4 MEDICAL ETHICS
Linacre Quarterly
Pub Date : 2023-11-01 DOI: 10.1177/00243639231198667
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引用次数: 0
The Impact of Social Media on Human Flourishing and Mental Health: A Personalist Perspective 社交媒体对人类繁荣和心理健康的影响:一个个人主义的视角
Q4 MEDICAL ETHICS
Linacre Quarterly
Pub Date : 2023-10-25 DOI: 10.1177/00243639231209972
Victor Ajluni
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引用次数: 0
Not Our Finest Hour 不是我们最好的时刻
Q4 MEDICAL ETHICS
Linacre Quarterly
Pub Date : 2023-10-16 DOI: 10.1177/00243639231206639
Tod Worner
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引用次数: 0
Thoughts in Solitude, During and After COVID 在COVID期间和之后的孤独思考
Q4 MEDICAL ETHICS
Linacre Quarterly
Pub Date : 2023-10-06 DOI: 10.1177/00243639231198469
Deacon Greg Kandra
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引用次数: 0
Lived Experiences of ICU Nurses During COVID-19 COVID-19期间ICU护士的生活体验
Q4 MEDICAL ETHICS
Linacre Quarterly
Pub Date : 2023-09-29 DOI: 10.1177/00243639231198896
Gloria Littlemouse, Patricia Finch-Guthrie, Margaret Kroposki
This qualitative, phenomenological study described ICU nurses’ lived experiences caring for patients with COVID-19 while trying to engage in self-care and care for their families. Eleven ICU nurses shared their individual experiences working in a hospital ICU. Watson's theory of Caring Science guided the study to ensure a holistic interpretation of the data. Six themes and fifteen subthemes emerged, which revealed that ICU nurses faced barriers to self-care. The conclusion of the data analysis was that hospital leaders need to make Caring Science evident to ICU nurses during crises by trained Caritas coaches to build resilient frontline nurses through compassion.
这项定性、现象学研究描述了ICU护士在照顾COVID-19患者的同时，努力从事自我护理和照顾家人的生活经历。11位ICU护士分享了他们在医院ICU工作的个人经历。沃森的关怀科学理论指导了这项研究，以确保对数据的整体解释。出现6个主题和15个副主题，揭示了ICU护士面临的自我护理障碍。数据分析的结论是，医院领导者需要在危机期间通过训练有素的明爱教练向ICU护士展示关怀科学，以通过同情心培养有弹性的一线护士。
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引用次数: 0
Greeting: A Case for Microethics in Medical Communication 问候语:医学传播中的微观伦理学案例
Q4 MEDICAL ETHICS
Linacre Quarterly
Pub Date : 2023-09-24 DOI: 10.1177/00243639231202411
Aleksandra Głos
Applying the lens of microethics, this essay analyzes the ethical meaning of greeting in medical communication. Although the importance of greeting is recognized in many healthcare communication guidelines, its ethical meaning is rarely considered. Drawing from patients’ stories, this essay describes ways in which a greeting or its absence may contribute to patients’ healing or be morally detrimental to them. It argues that greeting as a basic form of recognition welcomes patients in their embodied vulnerability and opens a space for their narrative inclusion.
本文运用微观伦理学的视角，分析了问候语在医疗传播中的伦理意义。虽然问候的重要性在许多医疗保健沟通指南中得到认可，但其伦理意义很少被考虑。从病人的故事中，这篇文章描述了问候或不问候可能有助于病人康复或在道德上对他们有害的方式。它认为，问候作为一种基本的认可形式，欢迎患者体现出的脆弱性，并为他们的叙事包容开辟了空间。
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引用次数: 0
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