Evidence map›Paper›PMID 32431427›Full record

ArticleThe Linacre quarterly2019

Refinements in the Organism as a Whole Rationale for Brain Death.

James L Bernat

Open access · greenAbstract read
In one paragraph

Article in The Linacre quarterly, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. A structured analysis of the concept of brain death.Theoretical medicine and bioethics · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Rationale for revisions to the definition of death and criteria for its determination in Canada.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Requests for somatic support after neurologic death determination: Canadian physician experiences.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

James L BernatGeisel School of Medicine at Dartmouth, Hanover, NH, USA.ORCID https://orcid.org/0000-0003-1128-0442
Dartmouth College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Death can be defined as the permanent cessation of the organism as a whole. Although the organism as a whole is a century-old concept, it remains better intuited than analyzed. Recent concepts in theoretical biology including hierarchies of organization, emergent functions, and mereology have informed the idea that the organism as a whole is the organism's critical emergent functions. Because the brain conducts the critical emergent functions including conscious awareness and control of respiration and circulation, the cessation of brain functions is death of the organism. A newer concept, the brain as a whole, may offer a superior criterion of death to the whole-brain criterion, because it more closely matches accepted clinical brain death tests and confirms the cessation of the organism's emergent functions. Although the concepts of organism as a whole and brain as a whole remain vague and in need of rigorous biophilosophical analysis, their future precision will be restricted by the categorical limitations intrinsic to theoretical biological models.

Indexed as

Brain as a wholeBrain deathBrain stem deathCriterion of deathDefinition of deathEmergent functionsOrganism as a whole

Identifiers

PMID32431427
PMCPMC6880069
OpenAlexW2972683617

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.