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About 10,000 papers for “Compromise”

Compromise

Harriet Martineau · Cambridge University Press eBooks · 2010

The greatest advantage of long life, at least to those who know how and wherefore to live, is the opportunity which it gives of seeing moral experiments worked out, of being present at the fructification of social causes; and of thus gaining a kind of wisdom which in ordinary cases seems reserved for a future life. An equivalent for this advantage is possessed by such as live in those critical periods of society when retribution is hastened, or displayed in clear connexion with the origin of its events. The present seems to be such an age. It is an age in which the societies of the whole world are daily learning the consequences of what their fathers did, the connexion of cause and effect being too palpable to be disputed; it is an age when the active men of the new world are witnessing the results of their own early counsels and deeds. It seems indeed as if the march of events were everywhere accelerated for a time, so as to furnish some who are not aged with a few complete pieces of experience. Some dispensation,—like the political condition of France, for instance,—will still be centuries in the working out: but in other cases,—the influence of eminent men, for example,—results seem to follow more closely than in the slower and quieter past ages of the world.

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Compromise

Guang-Shing. Cheng · The Hastings Center Report · 2007

Compromise Guang-Shing Cheng (bio) The cases you never forget are the young ones, because they are the hardest to let go. Karyn Woods was thirty-one years old and dying. Three different medications raised her blood pressure to a barely safe range; the ventilator delivered higher and higher levels of oxygen to her lungs. High doses of diuretics failed to make her urinate. Her right heart was failing, a result of longstanding, untreated pulmonary hypertension. Karyn was on no sedative medications, yet she did not wake up when I yelled into her ear. She had made no progress since she was admitted three nights ago for severe shortness of breath. As the critical care fellow in the medical intensive care unit, I sat in front of her bed with James, a physician assistant. The most recent set of labs confirmed our fears. Karyn's lactic acid level—a measure of tissue damage—had risen to three times the normal value. We had been unable to correct the acidemia with the ventilator. Earlier that day, we had looked into starting her on dialysis to get rid of the excess acid and fluid that were contributing to her demise. Not surprisingly, the renal consult service declined, stating that dialysis was a futile measure. What she needed—and what we couldn't provide—was a new heart and a new set of lungs. What hope we had of saving her was rapidly slipping away. At this point, James turned to me and asked what we would do if she coded—that is, if her heart went into a dangerous rhythm or stopped altogether. We both knew that this would likely happen to Karyn in the near future. I could envision the event, which I had witnessed many times in the hospital: a mad rush of white coats and nurses, a young intern pumping the patient's chest, residents yelling for intravenous kits and epinephrine. I could see the patient's limbs jerk like a puppet's after the defibrillation paddles were deployed. For a moment everyone would be silent, fixated on the monitor, watching the rapid rhythm fade into nothingness, the hiccup of the blood pressure. And then the chest compressions would begin again. Twenty, thirty minutes of going through the algorithm of drugs, shock, drugs, shock, to end without an intact human life. Full code—this is the default pathway for every patient who comes to an American hospital. For better or for worse, the medical team performs the drill unless the patient has a legal document saying "do not resuscitate." Most of the time—particularly for young patients such as Karyn—any change to the code status is not addressed until death is imminent. On television shows, the patient always seems to wake up from a code. In reality, cardiopulmonary resuscitation succeeds in less than 15 percent of hospitalized patients; of these patients who survive the code, an even smaller percentage leave the hospital alive. For a person like Karyn with severe underlying cardiopulmonary disease and profound acidemia, the likelihood of surviving the code is almost zero. Knowing this, why should a physician perform a maneuver when there is no possibility of benefit? In the same vein, a surgeon wouldn't offer major bypass surgery for someone whose cardiac function was so poor that he wouldn't survive the operating table. And yet our current practice dictates that the default pathway of CPR must be actively discontinued. Although physicians can legally justify changing a patient's code status on the basis of medical futility without patient or family input, in practice this is rarely done. Short of CPR, Karyn was already on maximal life support. CPR would make her death a violent, chaotic one. It was time to have that end of life talk with the grandmother who kept vigil at her bedside. She was next of kin, the one who'd raised Karyn and now had to speak for her. The attending physician, Dr. Taylor, knew, like James and I, that the likelihood of Karyn surviving the next few days was slim. He planned to meet with her grandmother later that evening to advise her that Karyn's code...

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Compromise

Jacob G. Oakley · Apress eBooks · 2024

To cap off our understanding of space system cybersecurity we will look at the actual compromise of these systems using frameworks, known examples, and discuss a related competition. I will also go over non-cyber threats to space systems that must be considered as part of the risk calculus that goes into mitigating threats at the intersection of the space and cyber domains.

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Compromise

Alin Fumurescu · Princeton University Press eBooks · 2022

Cited by 1

Compromise?

Young Peoples Socialist League · CUNY Academic Works (City University of New York) · 1937

Cited by 0

Compromise

Aurelian Craiutu · Cambridge University Press eBooks · 2023

Ths chapter examines compromise as a face of moderation and shows how compromise properly understood can help us address the deep affective and ideological polarization in American society today. The compromsing mindset open to conciliation and bargaining is opposed to the uncompromising one that borders on authoritarianism.

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Compromise

David Isaacs · Journal of Paediatrics and Child Health · 2021

The word compromise is a strange beast. It can be used both as a verb and as a noun. It derives from the Latin comprissum meaning a mutual promise, through Old French compromis and late Middle English when compromise meant mutual consent to arbitration. Like so many English words in current use, it was introduced into the vernacular by William Shakespeare. In The Merchant of Venice, Shylock tells Antonio a story about how Jacob and his uncle Laban compromised over a flock of sheep (Fig. 1). Here, Shakespeare uses the word as meaning to reach an agreement, a negotiation. In Greek mythology, Persephone, the daughter of Zeus and Demeter, goddess of fertility and crops, was abducted by Hades and taken into the Underworld. Her mother's pining resulted in eternal winter. Zeus pleaded with his brother Hades to free Persephone, but Hades tricked her into eating six pomegranate seeds. Anyone who has eaten in the Underworld cannot leave. However, Zeus persuaded Hades to compromise. Persephone could remain in the Underworld for 6 months each year (one for each pomegranate seed), the winter, and could roam the Earth for the other 6 months, bringing spring, summer and the flourishing of crops. Nowadays, the idea of compromise can have either positive or negative connotations. In political negotiation, particularly in warfare or where military engagement is imminent, compromise may be the only way of achieving a result that saves lives on both sides, in which instance it may be ethical to compromise. There is, however, an implication that compromise suggests weakness. Addressing this construct of compromise as potential weakness, President John F Kennedy said: ‘Let us never negotiate out of fear. But let us never fear to negotiate’. Compromising one's principles, on the other hand, is ethically suspect. Mahatma Gandhi said ‘All compromise is based on give and take, but there can be no give and take on fundamentals. Any compromise on mere fundamentals is a surrender. For it is all give and no take’. Here, the word compromise is used to denote a lowering of moral standards. In health care, the concept of compromise is complex. Public hospitals' funding is determined by governments, which may leave the hospitals susceptible to political influence: if the hospital is seen as supporting views that do not align with those of the government, the government may covertly reduce funding. The threat of being underfunded may put pressure on public hospitals to compromise their principles. In 2018, when children were transferred from Nauru to Australia for urgent medical care, children remained in immigration detention whilst in hospital. The government insisted that each child and each parent needed two guards. Even a 6-month-old infant being treated for an infection had two guards, presumably to prevent the baby from making a roll for freedom. A number of children were transferred from Nauru because they had stopped eating and drinking.1 Border Force guards insisted they had orders to keep adult and child detainees in line of sight day and night. Some guards interpreted this to mean they must sit in the ward corridor outside the patient's room, others wanted to remain inside the room of adolescents, even at night. When children were detained in adolescent wards, the guards' presence was also intimidating to other patients, many of whom had psychiatric problems such as eating disorders. The parents of hospitalised child detainees and adult detainees admitted to adult hospitals sometimes needed to attend outpatients or pathology. Some guards treated them in the most demeaning ways, handcuffing them or, if this was refused, marching them through hospital corridors holding their upper arm and muttering to passers-by: ‘They're illegals’ or ‘We're protecting Australia's borders’. Hospital responses varied. Some hospital administrators listened to staff working in refugee health and stood firm, insisting that they made the rules inside hospitals and that guards could not enter patients' rooms and could stay outside the ward, not in the corridor. Some hospitals refused to allow guards to demean adult detainees and infringe their dignity. Other hospitals, however, preferred to compromise with Border Force and accept some degree of infringement of the dignity and privacy of detainees, an approach which those of us caring for refugees thought lacked courage and was ethically highly suspect. Hippocrates advocated that physicians should put their patients first. However, hospital administrators may be prepared to compromise that primary tenet of health care in order not to jeopardise their relationship with the government. Advocacy is one of the central tenets of the health profession, who have a long-standing moral obligation to give a voice to those with no voice.2 There is a lamentable lack of community support for the humane treatment of those seeking asylum.3 It is a compromise too far to purport to advocate for refugees while failing to act when their human rights are being infringed.3 Another hospital issue where compromise is contentious involves parents who are highly and aggressively critical of staff. Such parents often try to split teams.4, 5 The situation is particularly difficult when a parent makes frequent complaints to the Health Department and threatens to go to the press. The hospital executive has divided loyalties, torn between listening to and upholding the parent's complaints and supporting stressed hospital staff.5 The Health Department, fearing adverse publicity, may side with the complainant. In such circumstances, it is wise to focus on the best interests of the child. The child's welfare is compromised if parents continually criticise and undermine staff, who are then more likely to make mistakes. We should certainly be open with parents about our mistakes. But hospital executive need to support staff by endorsing them setting limits on aggressive behaviour and enforcing those limits. This might involve developing a plan of graded warnings, with exclusion first from the bedside and then from the hospital for increasing periods of time for repeated infractions.5 Politicians may talk about the art of compromise. Paediatricians should be more concerned about the ethics of compromise. If compromise would result in an outcome that we consider ethically unacceptable, then we should refuse to compromise our principles. I thank Stephen Isaacs, Henry Kilham and Anne Preisz for constructive comments.

Cited by 1Open access

Compromise

Oliver P. Richmond, Gëzim Visoka · 2022

Cited by 0

Compromise?

Young Peoples Socialist League · Library (Trinity College) · 1937

NYCC Anti-war Notices 1934-1936; CCNY Anti-war Notices 1934-1936; Student Publications: The Campus Newspaper Collection

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Compromise

The Journal of the Abraham Lincoln Association

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Compromise

Carol Lahines · Project Muse (Johns Hopkins University) · 2024

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Compromise

Manfred F. R. Kets de Vries · 2023

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Compromise

Ronald G. Driggers · Optical Engineering · 2013

Janis Joplin once said, “Don’t compromise yourself; you are all you’ve got.” I like her quote and I agree with it when it comes to how we treat ourselves, how we treat others, and how we see ourselves. Everything else in this world is negotiable and it should be. I like another quote by Winston Churchill, “The English never draw a line without blurring it.” In this case, I would like to thank the English for making the world a better place.

Cited by 0Open access