Task Analysis Essay Example

Task Analysis Essay Law and Management in Occupational Health and Safety Patients in the Perioperative environment are often required to be repositioned on the operating table and most of these patients have had a regional or general anaesthetic, making it impossible for them (the patient) to assist staff in that repositioning. The added risk in any repositioning is loss or damage to the patients’ airway, and maintaining the patients’ musculoskeletal alignment, so as to not cause any damage to nerves, muscles, limbs, spine and or neck etc. The repositioning should be assessed to determine if it can be done manually or by some assistive devices. During the surgery it may be necessary to lift the patients’ legs, arms or head to prepare the area for sterile field draping, which may result in nursing or theatre support staff at risk of musculoskeletal injuries, and in situations where bariatric patients (over 100kgs) the manual handling staff may need limb holding devices. Prior to surgery, the anaesthetic nurse, anaesthetist, surgeon, theatre support technician or orderly should plan and collaborate regarding positioning, support and moving devices as well as the technique which will be utilised in the moving and repositioning of the patient – during and after the procedure when the patient will be transferred on to another bed for the post-operative recovery period. When transferring a patient from patient bed to operating table, it is important to have enough staff to assist with the transfer and to use the correctly placed support devices as well as using good body mechanics (ergonomic techniques). We will write a custom essay sample on Task Analysis specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Task Analysis specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Task Analysis specifically for you FOR ONLY $16.38 $13.9/page Hire Writer When patients are obese it may be necessary to use soft gel straps to support the patients legs so that they do not move off the operating table and cause debilitating and painful nerve damage. This project is to develop a Safety Management Plan to implement a safe practical way to identify, assess and control risks in the Perioperative environment (Operating Theatre) specifically relating to the lateral transfer and or movement of patients requiring surgery at this hospital facility. Perioperative Manual Handling Safety Management Plan Perioperative Manual Handling Safety Management Plan Using the 5 step process in the Queensland Government risk assessment plan the following matrix is how the Perioperative unit could benefit from experienced, safety motivated and interested staff could act as agents for change and safety in a more deliberate and focussed way to reduce the hazard of musculoskeletal injuries to staff especially in the task of laterally transferring patients from the operating table to the postoperative bed. These patients are usually unconscious and unable to assist or communicate their needs and concerns at this time. Perioperative Safety Management – Risk Identification and Controls| Step 1| Look at the Hazard * Musculoskeletal disorders in nursing staff and orderlies when undertaking a lateral or horizontal transfer of unconscious patient from operating table to post-operative bed| How to look for HazardsKnowledge and Understanding Manual Handling Policies * Manual Tasks Involving the Handling of People Code of Practice 2001 * Workplace Health and Safety Act 1995 * Workplace Health and Safety Regulation 2008 * Manual Handling Training especially regarding unconscious patients| What to look for * Practices that are causing discomfort either for the member of staff or patient * Practices that are likely to cause nerve or musculoskeletal injuries – shoulder, fingers, wrist, forearm, back, neck, sciatic nerve, knees, ankles| Step 2| Decide who might be harmed and how * Nursing Staff * Orderlies * Anaesthetists * Surgeons/Assistants * Recovery Staff | Assess the riskHow might someone b e harmed * Injury to patient when moving the unconscious patient from operating bed to recovery bed with a supported airway * Lateral or sideways movement requiring pushing, pulling and lifting of limbs by team members * The staff member who controls move not always in ‘sync’ with rest of team – uncoordinated transfer * Existing musculoskeletal disorders experienced by staff and patients| What is this harm? * Airway becoming dislodged * Back, Neck, arm, shoulder injury to staff using Manual Handling techniques and devices * Uncoordinated transfer * Sideways twisting for person holding feet during transferHow likely is this harm? According to the consequences/ likelihood matrix below * Injury to patient – likely/major consequences * Unplanned airway removal – likely/major to catastrophic * Musculoskeletal injury – likely/moderate to major * Exacerbating and worsening musculoskeletal disorders– likely/major to catastrophic (permanent loss of employment) * Team unpreparedness – likely/minor major| Step 3| Decide the control measures| Regulations ? * Workplace Health and Safety Act 1995 * Workplace Health and Safety Regulation 2008Codes of Practice? * Manual Tasks Involving the Handling of People Code of Practice 2001What are existing controls? * Mater Operating Theatres Manual Handling Policies and Clinical Practices Manual * Manual Handling Training – Generic – needs to be targeted especially movement and care regarding unconscious patientsAre controls as high as possible? Current Manual Handling training stands at a compulsory slide sheet in-service lasting approximately 5 minutes every six months * In-service is generic and not specifically targeted to moving unconscious patients who are not able to follow instructions or cooperate with staff requests in this lateral move post operatively * Training needs to be comprehensive and developed with ergonomic and physical therapist input so that staff movement and body positioning minimises potential and foreseeable damage to limbs, nerves, shoulders and lower backs * Equipment needs be demonstrated in a non-clinical simulation before using on any patients to maximise the potential for team confidence and competence in the use of equipment – minimising harm in actual situations| Do controls protect everyone? * Controls at present minimise the importance of Manual handling techniques * Manual handling needs to have a higher profile in the unit so that it is possible to protect patients, staff and visiting surgeons and anaesthetists * Controls in place are in policy manuals, and highlighted at orientation (can be months after starting employment). * New staff are on the job immediately and therefore don’t have ‘training’ at the best and high est level of competency and developmentWhat additional controls are required? Higher profile on training by manual handling experts * Regular manual handling workshops and training groups in simulated situations = staff practice on other staff. * In-service and practical demonstrations to highlight the importance of correct posture for staff, correct lateral moving techniques and equipment for staff * Correct and helpful exercises that staff can do ‘on the run’ so that the manual handling tasks are done after staff are ‘warmed up’ * Weekly highlights on noticeboard on an important point regarding safe lifting, moving and back care for staff = many hospitals and aged care centres have excellent back injury prevention programs and are readily available at websites and search engine destinations. Step 4| Put Control measures in placeOHamp;S representative to Train and utilise staff who are Interested and experienced in Manual Handling of people| Developing a p lan for improving controlsTrain the Trainer programs for interested personnel not necessarily Registered Nurses (Enrolled Nurses with experience and interest)Train staff in the Incident Reporting Program and to build Staff confidence in using the software – when a hazard is reported or an injury – Staff need to be confident that it will be followed up and that negative consequences of hazard identification and reporting are not safe practices in the workplace | Improving controls * Making the Incident reporting program more user friendly and encourage staff to use the program and give timely feedback on statistics * Encourage staff to report all injuries and near misses so that the unit builds a culture of ‘safety is every ones business and responsibility’ * Make safety a priority and that means staff safety as well as patient safety – reward safety issues and hazard reporting * Encourage staff to come up with solutions to risks and hazard identifi cation – involve everyone| Step 5| Review the Controls * 3 monthly reviews of competencies and updating of training for any new staff * Staff surveys to indicate self- satisfaction of training and competencies| Are the controls working? * Feedback from Staff self-satisfaction surveys * Anecdotal feedback from workshops and training sessions * Improvement or decline – what would staff change or improve? | Are there any new Problems? * New staff training before actually moving a patient * Generic manual handling policies * Minimum lateral transfer equipment – slide sheet and patslide? Hovermat beds possible? * People not lifting feet when patslide positioned – heel damage or pain if patslide strikes patients heel or ankle? * Apathy, lack of interest and poor technique? | PURPOSE AND SCOPE of Safety Management Plan Mercy Health and Aged Care Central Queensland Limited (MHAACCQ, 2010) is committed to the provision of a place of work that is safe and without r isk to the health, safety and welfare of its employees, or any other person of our workplace We believe that * All injuries can be prevented * Working safely is a condition of employment * Employee involvement is essential * Management are ultimately accountable for safety Munn (2011) suggests that tasks performed in the perioperative environment may present a high risk to staff for musculoskeletal injuries relating to patient handling include * Transferring patients on and off operating tables ( in this case Lateral pushing and pulling of up to 180 kgs) * Repositioning patients on operating table ( this unit has weight limits on operating table 300 kgs) * Lifting and holding patients extremities – orthopaedic, cosmetic and general surgery * Standing for prolonged periods of time – scrub nurse has limited movement whilst scrubbed * Holding retractors for long periods of time – self retaining retractors not always suitable * Lifting and carrying equipment and supplies Pushing, pulling and moving equipment on wheels – endoscopic and microscopes Manual Handling is a major cause of injury in health care facilities. Manual handling regulations require a hazard identification, risk assessment and control approach. Obligations and the Workplace Health and Safety Act 1995 The Workplace Health and Safety Act 1995 imposes obligations on people at workplaces to ensure workplace health and safety. This is done when persons are free from the risk of death, injury or illness created by workplaces, relevant workplace areas, work activities or plant and substances for use at a workplace. Ensuring workplace health and safety involves identifying and managing exposure to the risks at your workplace. RESPONSIBILITIES Part 3, Division 2, Section 28 Obligations of persons conducting business or undertaking (1) A person (the relevant person) who conducts a business or undertaking has an obligation to ensure the workplace health and safety of the person, each of the person’s workers and any other persons is not affected by the conduct of the relevant person’s business or undertaking. (2) The obligation is discharged if the person, each of the person’s workers and any other persons are not exposed to ri sks to their health and safety arising out of the conduct of the relevant person’s business or undertaking. (3) The obligation applies— (a) whether or not the relevant person conducts the business or undertaking as an employer, self-employed person or otherwise; and (b) whether or not the business or undertaking is conducted for gain or reward†¦Ã¢â‚¬  Work Health and Safety Act 1995 (Qld) Part 3, Div 1, Section 26 (3) If a code of practice states a way of managing exposure to a risk, a person discharges the person’s workplace health and safety obligation for exposure to the risk only by— (a) adopting and following a stated way that manages exposure to the risk; or (b) doing all of the following— (i) adopting and following another way that gives the same level of protection against the risk; (ii) taking reasonable precautions; (iii) exercising proper diligence. † People handling activities and injury The most frequently injured body part s from people handling activities undertaken without assistance are the back, shoulders and wrist. People handling activities can contribute to a number of Work-Related Musculoskeletal Disorders (WRMDs) including: a) Low Back Disorders (injuries to muscles, ligaments, inter-vertebral discs and other structures in the back). b) Tendon Disorders (injuries affecting the tendons in the wrist, and elbows particularly). c) Nerve Disorders (injuries affecting the wrist, neck and shoulder). d) Upper limb muscle strains (injuries affecting the rotator cuff* and forearm particularly). â€Å"WRMDs occur in two ways: gradual wear and tear (cumulative trauma) caused by frequent periods of muscular effort involving the same body parts, and sudden damage caused by nexpected movements, intense or strenuous activity, for example, when people being handled move suddenly or when the worker is handling a load beyond their capacity. Gradual wear and tear is the most common way WRMDs occur. Even when an injury seems to be caused by overload, the triggering event might just be the final trauma to tissu es already damaged by previous exposures to people handling and other manual activities. It is recommended that when a healthcare worker needs to lift more than 15. 3 kilos of patient weight, lifting aids should be used. The lateral transfer of a patient from one surface to another, such as from operating table to patients bed, poses a risk to staff for developing musculoskeletal disorders. Some general guiding principles pertaining to the transfer of a patient to an operating table are: * The number of staff involved in a transfer is needed to be sufficient based on the patients weight, and to ensure that ALL extremities are supported and the patients alignment and airway are maintained * The lateral transfer device needs to support the whole length of the patients body * The are where the patient is being transferred to needs to be slightly lower * When a patient is being transferred from supine (on back) to prone (on front) the support equipment (such as pillows or spine table need to be utilised in the transfer * Mechanical devices such as Hover Mat air assisted mattress transfer devices have been devised to assist in the safe transfer of Perioperative patients† Manual Tasks Involving the Handling of People Code of Practice 2001, Qld. â€Å" Section 27A Managing exposure to risks (1) To properly manage exposure to risks, a person must— (a) identify ha zards; and (b) assess risks that may result because of the hazards; and (c) decide on appropriate control measures to prevent, or minimise the level of, the risks; and (d) implement control measures; and e) monitor and review the effectiveness of the measures. (2) To properly manage exposure to risks, a person should consider the appropriateness of control measures in the following order— (a) eliminating the hazard or preventing the risk; (b) if eliminating the hazard or preventing the risk is not possible, minimising the risk by measures that must be considered in the following order— (i) substituting the hazard giving rise to the risk with a hazard giving rise to a lesser risk; (ii) isolating the hazard giving rise to the risk from anyone who may be at risk; (iii) minimising the risk by engineering means; (iv) applying administrative measures; (v) using personal protective equipment. 9 Without limiting section 28, discharging an obligation under the section includes, having regard to the circumstances of any particular case, doing all of the following— (a) providing and maintaining a safe and healthy work environment; (b) providing and maintaining safe plant; (c) ensuring the safe use, handling, storage and transport of substances; (d) ensuring safe systems of work; (e) providing information, instruction, training and supervision to ensure health and safety. † Workplace Health and Safety Act 1995, Qld Manual Tasks Involving the Handling of People Code of Practice 2001 The People Handling Code of Practice states ways to prevent or minimise exposure to risk due to the handling of people that can cause or aggravate work related musculoskeletal disorders. It applies to any workplace activity requiring the use of force by a person to hold, support, transfer (lift, lower, carry, push, pull, slide), or restrain another person at a workplace. This code outlines practical ways in which a person to whom this code applies can meet the requirements of the Workplace Health and Safety Act 1995. Guidance on the broad area of manual tasks in all its forms, including the moving of equipment used for handling people, is provided in the Manual Tasks Code of Practice. What is â€Å"people handling†? People handling refers to any workplace activity where a person is physically moved, supported or restrained at a workplace. Specifically, people handling refers to workplace activities requiring the use of force exerted by a worker* to hold, support, transfer* (lift, lower, carry, push, pull, slide), or restrain* a person* at a workplace. * Exacerbating and worsening musculoskeletal disorders– likely/major to catastrophic (permanent loss of employment) * Team unpreparedness – likely/minor major * http://www. noweco. com/risk/risk04e. gif All people handling activities are a potential source of injury and therefore, a hazard. If you undertake people handling at your workplace, you should use a process to manage the risks associated with this hazard People handling is often only one part of a theatre nurses job. If other parts of the nurses job also involve manual handling of other loads, it is necessary to assess the whole job and manage the risks associated with undertaking those activities which add to the accumulative stress on the worker’s body. 1. People handling activities is a collective term for a group of related people handling tasks. 2. People handling tasks are the specific ‘pieces’ of work undertaken at the workplace, which involve the physical movement of a person. 3. People handling actions are the individual elements of the task and refer to movements which are undertaken. † Manual Tasks Involving the Handling of People Code of Practice 2001, Qld. Common work-related actions within people handling tasks which contribute to WRMDs include: * frequent and repetitive lifting with a bent and/or twisted back regardless of weight * static working positions with the back bent, for example, holding a limb during a surgical procedure or providing stability while a person stands â€Å" Manual Tasks Involving the Handling of People Code of Practice 2001, Qld. Risk factors To gain a greater understanding of the relationship between people handling activities and injury, it is useful to consider the ‘risk factors’ which influence the level of risk associated with undertaking people handling tasks. These risk factors can be grouped into two distinct categories: * direct risk factors – which directly stress/injure the worker’s body * contributing risk factors and modifying risk factors which affect how the task or action is done. There are three direct risk factors: * forceful exertion * working postures (awkward, static) * repetition and duration. The risk management process Under the Workplace Health and Safety Act 1995 (the Act), exposure to health and safety risks that arise from workplace hazards (such as people handling) must be managed. The Act places this responsibility for workplace health and safety upon certain people (such as relevant persons and persons in control of workplaces) Risk management is an ongoing process. It should be undertaken: * now, if it has not been undertaken before * when changes occur at, or are planned for, the workplace * when there are indications for potential injury * after an incident (or ‘near miss’) occurs * at regularly scheduled times appropriate to the workplace. The steps below illustrate the application of the risk management process to managing exposure to the risks associated with people handling. Identification The first step in the process of managing exposure to people handling risks is identification. This step involves identifying people handling tasks, actions within each task, direct risk factors, and, contributing and modifying risk factors The first part of identification is to make a list of those tasks undertaken at the workplace that involve handling people. 1. Consult with workers and observe the tasks. 2. Make a list of all the people handling tasks. 3. Make a list of the actions within each of these tasks 4. For each action, determine which of the direct risk factors are present. 5. For each action, identify the contributing and modifying factors Assessment Assessment involves determining the level of risk associated with each of the people handling actions identified. The desired outcome of the assessment step is a prioritised list of people handling actions requiring control. Further, when more than one people handling task is assessed, then the overall risk estimate for the task can be used to develop a prioritised list of tasks requiring control. Consult with workers throughout this process to assist with determining the level of risk associated with each of the people handling actions and the priority of each task. 1. Consult with the workers. 2. Determine the level of risk associated with each action 3. Prioritise actions for control. In order to prioritise the people handling actions, the risk associated with performing each action should be assessed. It is up to the assessor how this assessment is done. The assessor can choose any method of risk assessment as long as a prioritised list of actions is achieved. A way of assessing risk is to consider the likelihood and consequences of an incident occurring at the workplace. Likelihood – of an incident occurring at the workplace * To estimate the likelihood of an incident occurring at the workplace, the following aspects can be considered: * how often the action is undertaken the number of workers performing the same or a similar action * the duration of time that the action is performed * distractions * the effectiveness of existing control measures * capacity and characteristics of the workers * environment * availability and use of equipment * condition of equipment * injury data/history6. Consequences – of an incident occurring at the workplace To estimate consequences, the severity of a potential injury or illness that could result from performing a people handling action can be considered. Reference can also be made to injury records and statistics, and information on injuries from people handling in related industries for an indication of the potential severity of injury. Use this likelihood and consequence estimate to rank and then, list the people handling actions requiring control. The decision is then made that for some actions, for example, those for which it is very unlikely that an incident would occur and for which the consequences are minor, may not require control. A summary of the assessment process Consult with workers: * Estimate the likelihood of an incident occurring at the workplace. * Estimate the consequences of an incident occurring at the workplace * List the people handling actions in the order of they require control. Questions to ask: * What do the workers think? * What is the likelihood and potential severity of injury associated with each action? * What should be fixed? What should be fixed first? Control Risk control strategies involve: * making decisions about the best measure(s) to control exposure to the contributing and modifying risks identified * implementing the chosen controls. Consultation with workers is an importan t part of this process. Design controls involve the arrangement, or alteration of: * physical aspects of the work area such as equipment or furniture/fittings, or * the work procedure. * Design controls are preferred because they * can eliminate or at least minimise exposure to risk factors * have the advantage of being relatively permanent (compared with administrative controls). For these reasons, implement design controls wherever possible. Administrative controls are achieved primarily by modifying existing personnel arrangements. Administrative controls do not remove the root cause of potential problems. These controls can only reduce exposure to the risk of injury. They might also be forgotten or not followed under stressful or other conditions as they are behaviour based, for example coping with staff reduction It includes consideration of factors such as – * the work postures required to carry out the action, how often it is repeated and for how long. Provide mechani cal aids where appropriate given the sterile environment in the perioperative unit – Hovermats are elpful in reducing the load of manual handling – but these are prohibitively expensive and require as many people to move patient safely as any other method Task-specific training Training in work methods for specific tasks or actions helps workers to carry out these tasks/actions in a safe and effective way. * Controls should not create other risks – the solutions should not result in a transfer of risk, for example, incorrect use of a handling aid, such as a transfer sheet can create forceful exertions on the workers forearm Although all the manual handling issues in the Perioperative are beyond this papers’ parameters, at least this area of patient care should be lifted to a much higher profile from a management, safety and a professional longevity perspective. Low back pain has been described as one of the main occupational problems among healthcare workers and nurses frequently have the highest incidence (Karahan, Kav, Abbasoglu amp; Dogan,2008) What is needed is a consistent, determined and educated effort on the part of the unit manager, nurse educator and occupational health and safety team to implement a program that will drive the manual handling of people to the forefront of safety practices in the unit – where bariatric patients (more than 100kgs) are becoming the norm rather than the exception, across all age groups and gender. Hospital and other care facilities have not generally been designed with the movement of bariatric patients in mind. ( Safework Australia, 2009). It is assumed largely by practicing nurses in the perioperative unit that new staff that join the team have some background in manual handling. Many students report that they have little to no manual handling training, other than hands on with another marginally more experienced nurse directing their work task, this is not a satisfactory or safe method of training – either for the nurse or the patient. Much more emphasis must be directed at the pre-employment and career development process in the safe development and competent use of manual handling techniques of vulnerable, often otherwise well patients who have mostly elective surgery for non- life threatening procedures. As the patient advocate, it is the nurses responsibility to ensure a safe passage through the perioperative journey.

What Does It Mean To Be a Muslim Essays

What Does It Mean To Be a Muslim Essays What Does It Mean To Be a Muslim Essay What Does It Mean To Be a Muslim Essay Recent events have put the Muslim population of the world in the middle of public attention. Unfortunate events like the 9/11 terrorist’s bombings have place Muslims in a bad light because of some people’s accusations that the Islamic religion is somehow related to terrorism. Nevertheless, even though the suicide bombers who are responsible in these terrorists’ acts are indeed Muslims, it does not necessarily mean that all those people should be characterized as such. However, those people who lack the necessary knowledge about Islam as well as those people who adhere to these beliefs become susceptible in giving judgments toward the Muslims in the forms of stereotypes and prejudices. Being the case, a persisting question arises, what does it really mean to be a Muslim? To be a Muslim means to have a deep commitment towards your religion that is observable in words and in actions that is mindful of the well-being of oneself and most especi ally of other people.In order to understand what it is to be a Muslim, the meaning of the Islamic religion must first be understood. The word â€Å"Islam† means â€Å"to submit† or â€Å"submission† (Chittick, 1992, 2). Thus, Islam is defined as â€Å"voluntary submission to God’s will by following His revealed messages† (Chittick, 1992, 2). The Koran states that â€Å"Muslims† are those who freely submit to God. As such, religion is a very important aspect of being a Muslim wherein they adhere and practice the different teachings and beliefs of their religion. The principles that guide the Islamic religion are found in the Koran. The Koran or Qu’ran is a book of Holy Scriptures of the Islamic religion that contains a record of the Prophet Muhammad’s teachings, which he delivered during the seventh century (Dawood, 1990). Since, Muhammad is considered as the messenger of Allah or God; his teachings are also recognized as coming from the divine. Among the most notable principles that guide the Muslim in the practice of their faith are the Five Pillars of Islam.The five pillars of Islam are: Shahadah, Salat, Zakat, Sawm, Hajj. First, the Shahadaha also known as the testimony is the basic foundation of remaining four pillars as it is considered as the gist of Islam’s central points. It is a profession of faith wherein an individual bear witness that there is no other god but Allah and Muhammad is His prophet (Schimmel, 1992). Second, the Salat or the ritual prayer, which is performed properly five times a day. Third, the Zakat or giving alms or tax is considered as a form of charity, which is given to the poor and the needy. Fourth, Sawm is the practice of fasting during the month of Ramadan. Lastly, the Hajj is the pilgrimage to Mecca, the center of Islamic teaching, at least once in a Muslim’s lifetime (BBC, 2008). These Five Pillars served as the framework in the life of every Muslims. These also proves that Muslims give due importance to their religion by actually practicing it in their daily lives and not just merely something that believe or preach.The important element in a Muslim’s worldview is rooted in their Islamic belief. The Islamic perception of the world is concerned not only in the present situation or reality of events but it also includes the life after death or the Day of Judgment. It can be said that Muslims believe in â€Å"dual worldviews†, which makes it different from the Westerners’ view. Dissimilar to Western perspective that is dependent on logical reasoning and rationality, Muslims still based their views mainly from the Koran (Asri and Fahmi, 2004). This only shows the great influence that their religion has with the other aspect of their lives.The attitudes or characteristics of a Muslim are also influenced by his or her religion. According to the Prophet Muhammad, a believer of Islam also known as the Muslims are describ ed as morally upright, giving, and compassionate. This is clearly seen in his sermon, which states that a believer has a life that is mindful of the law and exemplified righteous deeds. He or she has good morals and treats other with respect. A Muslim also has a purified heart and soul because he or she does not hate others or being hypocritical about them. A believer of the Islamic religion spends his or her wealth for the cause of Allah, which could be exemplified through acts of charity. Most importantly, Muslims are compassionate. They are not offensive towards other people and their actions are guided accordingly in order not to harm their fellow human beings (Al Balagh Foundation, n.d.).Since Muslims are characterized as morally upright individuals, they tend to adhere to strict codes of conduct. The moral teachings of the Islamic religion is grounded from the belief that Allah gave every individual the necessary intellect in order for him or her to differentiate what is right from what is wrong. Temptation is something that is present and observable in the world. It exists among the midst of every individual but a human being’s capability to discern and make morally judgments should enable him or her to fight these temptations.  Ã‚   In this sense, an individuals’ morality is what makes him or her different from other living creatures that Allah created. Animals do not have the capability to distinguish good from evil, which made humans distinct from them. Being the case, an individual who practiced lying, cheating, deceitfulness, and other unjust deeds are worse than an animal. The Islamic teachings mandate that humans should have a life that is guided by principles and moral virtues. Muslims should follow good, praiseworthy as well as moral behavior and forego of immoral and bad conduct. This is related from the belief that an individual who possesses a bad character causes harm to oneself as well as to the society as a whole because h is or her actions affect other people (Al Balagh, n.d.).Contrary to some people’s belief that resurrection and the judgment day are only observable in religions like Christianity, Islam also has their own teachings when it comes to these matters. The central doctrine of the Qu’ran also give due importance to the Last Day or the Day of Judgment. Based upon the Islamic belief, the souls of the death remain in their graves while waiting for resurrection to take place. Nevertheless, during this period of waiting they already can already foresee what will happen to them during the Day of Judgment. Those people who follow the teachings of Islam and live a life that is in accordance with the principles that Allah gave them will always be at peace. On the other hand, those people who lived an immoral life and completely disregard the teachings of their religion will suffer in their graves, which only indicate that they are bound for hell (Religion Facts, 2008).During the Judgm ent Day, those humans that are resurrected will face Allah. Allah will judge them according to their actions while they are still on earth. Their eternal destination is dependent upon the balance of their good and evil deeds. There are only two destinations that these people will go to. They can either be admitted to Paradise wherein they will experience spiritual and physical well-being forever or they will be condemned to Hell in which they will suffer spiritually and be physically tormented for eternity. This kind of judgment is also described as passing over Hell through a narrow bridge in order to get to Heaven. Those who are sinful will be weighted by their bad deeds and fall in Hell forever (Religion Facts, 2008).People who do not completely understand the Islamic teaching thought that Muslims practiced intolerance especially with regards to non-believers or those who adhere to a different religion. This kind of adage is proven to be wrong. According to the basic principle of Islam, faith should be observed towards all prophets of the world. This clearly debunks this aforementioned allegation. The Islamic religion preached the love and respect for other religions in the world but more than that it gives emphasis in having â€Å"faith† for these other beliefs. This only proves that Muslims are tolerant of people who do not adhere to their religion. Moreover, it does not only preach faith for other religions, Islam also gives equal for all (Ali, n.d.).Being a tolerant and inclusive systematic religion, Islam is characterized with an interrelated set of ideals and realities that influence individuals. As such, many concepts in this religion are also connected with each other. This is exemplified by martyrdom and Jihad. Jihad is often described as the mere idea of holy war; however, its literal meaning is the â€Å"struggle† or â€Å"effort† (BBC, 2008). Muslims pertain to Jihad in three various kind of struggle. First, a believer of th e religion’s internal struggles to live a life that is guided by the Muslim faith. Second, is the struggle to establish a sound society of Muslims. Lastly and the most controversial is the struggle to defend the Islamic religion even with the use of force. There are references in the Islamic writings that describe this third form of struggle as military in nature wherein this means is utilized in order to counter anything that threatens Islam (BBC, 2008). The concept of martyrdom is usually related with the idea of holy war because it is being prepared to die in the process of submission to the Islamic religion. However, martyrdom is not only realized by dying in the course of battle because the other kinds of struggle in the light of living the Islamic faith are also associated with it (Ezzati, 1986).During this modern age, Islam is also faced with numerous challenges with regards to criticisms about the practice of this religion. One of the most notable issues being raise i s the inequality between men and women in Islamic religion. However, the scriptures of Islam disprove such claim. It gives men authority over women but it gives emphasis that men should treat them properly. Divorce is also seen as a prerogative of the man but women also have to divorce their husband if it is stated in the contract. Moreover, the way women conservatively dress and act in the Muslim society is also scrutinized by Westerners as a form of subordination. Nevertheless, Muslim women defend these practices as a part of their religion and culture, which they willingly and voluntarily follow. In relation to these, other modern phenomena like globalization and internationalism are not something the Islamic society completely disagrees from, the only thing they want to ensure is that modernity will not disrupt the Islamic religion that they uphold.Being a Muslim entails being committed to the religion that you adhere to. This is clearly established by the great influence that I slam has in the different aspects in the life of a Muslim. Muslims does not merely believe or preach about their religion but rather they make sure that they practiced its very values and ideals in their everyday lives. This is observable in their decisions, actions, and even when it comes to their perspective about the world. It only shows that to be a Muslim is indeed to be a firm believer of Islam.ReferencesAl Balagh. (n.d.). The Characteristics of a Muslim. Retrieved October 6, 2008, fromal-islam.org/gallery/kids/Books/bca3/.Ali, M.M. (n.d.). Liberal view of other religions by Islam. Retrieved October 6, 2008, frommuslim.org/islam/tolerance.htm.Asri, M., Fahmi, M. (2004). Contribution of the Islamic Worldview Towards CorporateGovernance. Retrieved October 6, 2008, fromiiu.edu.my/iaw/Students%20Term%20Papers_files/Asri%20and%20Fahmi%20IslWWandCG.htm.BBC. (2008). Five Pillars of Islam. Retrieved October 6, 2008, frombbc.co.uk/religion/religions/islam/practices/fivepillars.shtml.B BC. (2008). Jihad. Retrieved October 6, 2008, frombbc.co.uk/religion/religions/islam/beliefs/jihad_1.shtml.Chittick, W. (1992). Faith and Practice of Islam: Three Thirteenth Century Sufi Texts. NewYork: SUNY Press.Dawood, N.J. (1990). The Koran: Revised Edition. New York: Penguin Classics.Religion Facts. (2008). Islamic Beliefs about the Afterlife. Retrieved October 6, 2008, fromreligionfacts.com/islam/beliefs/afterlife.htm.Schimmel, A. (1992). Islam: An Introduction. New York: SUNY Press.

Data analysis Essay Example | Topics and Well Written Essays - 1250 words

Data analysis - Essay Example The data gathering process is conducted through online questionnaires or surveys in order to determine the information, which is gathered and then analyzed. The Strategic Communication is first important in communicating to authors what was uncovered in the research. Secondly, when the book is ready to be sold, the Strategic Communication, through advertising and public relations (PR), reflects the changes made in this new edition to all those who potentially will adopt or purchase this book for their courses (Churchill and Iacobucci 566). As another example of Strategic Communications, a Vice-President in a business may need to inform the board of directors about a new process that can be implemented, but with some additional costs. The research done as to the plan’s effectiveness and what it will cost, is essential to selling this new process to the board of directors. Therefore, the statistics which shows this information, is an essential part to successfully selling the ne w plan or operation. 2. Differentiate between a population and sample. The difference is that a population consists, for example, of all people who drink coffee at Starbucks (Zikmund 296). The sample of the population must be taken from within that population of all people who drink coffee from Starbucks (Week 4, p.2). ... This is part of variables when we determine these parameters of the data while canvasing those people who have applied to take the survey Week 4, p.4). If any of the required parameters (variables) are not present, such as a certain age group, buying Starbucks coffee more than once a month, who are currently working, and own a home, for example, then those returns are not vetted or accepted. In general, use 10% of the overall group to get a representation, such as 100/1000 (Muijs 35). In describing a sample of School of Communication students, they would need to be taking classes in public relations, journalism, marketing, and radio/television courses (Zikmund 296). Age is not considered a factor but it can be a descriptive of the sampling, as older students also take these courses, not just those who are 18 to 22 years of age. In defining parameters for attaining the sample, the objective for this might be that only those who are majoring in any of these courses, and within a certai n age group, can apply to the research study. Other parameters that could be applied in some cases, is to only have honor students apply, rather than the whole population of students in the School of Communications. Creating such parameters in the invitation communication means that only those who closely fit the parameters, will apply, rather than the whole school or college, thus saving on wasted time weeding out those who do not fit in to the objective (Muijs 35; week 4, p.6). 3. Explain what statistical significance is. Statistical significance is the process of testing data through various operations. One example might be in creating two different messages, with a call to action, which will be sent to a sample group. This would be called A/B testing to see which

Write an analysis of an authors works, first discussing the authors Research Paper

Write an analysis of an authors works, first discussing the authors life to put the author in an accurate time and place relevant to your analysis of his or her work - Research Paper Example The works of Faulkner, Hughes and Poe represents a typical middle class American family in the early 19th century struggling to handle financial challenges. The compositions reflect a time when the society was reeling from the effects of wars (Miller 3). Despite the difference in the backgrounds of the three composers, they were investigative in their compositions. Henceforth, people refer to them as gothic composers. Indeed, they pondered at miseries in the societies as presented in their compositions. The authors utilized imagery and symbolism in their creations. This piece analyses the works of Faulkner, Hughes and Poe in relation to their lifestyles. William Faulkner grew up from a humble background in Mississippi where he joined the military and later rose to the rank of a sergeant. The military provided Faulkner an exposure like no other. While working in the forces, he interacted with people from various backgrounds (Aiken 7). At first, it was hard for William to acknowledge the challenges that people were facing in the society. The author got the idea of writing creative compositions from his environment. This was his mission to salvage the society from the problems people were facing. His first work was a novel he wrote in 1925 (Aiken 2). The compositions that followed were influenced by the stories he heard from his elders about the Americas history. He used imagery in his works. He devoted to inform the audience the decadence that was going on in the southern states. Hughes focused on enlightening the American society from undertaking several odd jobs. At the time, he had intended to reflect on the challenges that affected blacks in America. According to Miller (8), literature gave Hughes an opportunity of reflect on the challenges that affected blacks in America. The previous scholars who had written works on

Contextual Analysis of Rodney Graham's Halcion Sleep Term Paper

Contextual Analysis of Rodney Graham's Halcion Sleep - Term Paper Example The pill has been presented as the leap from the societal pressures that an individual takes to escape the pressures of society, which is certainly inappropriate for him. In the film Halcion Sleep, Rodney Graham has been filmed on the backseat of a car in the state of unconscious due to the dose of drug. The whole film is a sequence of Graham’s journey in an unconscious or sub-conscious state from the room of the motel, where he has consumed the drug, to his apartment in the center of Vancouver city. In the film, the city lights and life of Vancouver is being focused through the rear windshield of the car. The total length of the film is twenty six minutes in which the journey of sleeping Graham has been presented; however, the production of the film is contained with deeper interpretations which will be explicated in the following paper (Graham 0:01-26:21). Halcion Sleep is metaphoric representation of the average human individuals who bears significant and severe societal pr essures to survive in the society. ... Although these problems are diverse and multilateral in nature, but it can be categorized in multiple dimensions from which the pressure on individuals builds up. The most significant and grave problems, which develop pressure in individuals are social problems which are further correlated with political problems (Sterba 103-114). The political structure of a society determines the quality of life, economic conditions and stability and individual’s status and roles in a society. These determinations are necessarily coupled with several responsibilities for each individual to survive in the society. In the traditional or modern, that is capitalist system, systems, every individual cannot be pertained to be considered on similar grounds. These grounds are being measured in terms of social economic status of individuals. As this dissimilarity among the individuals of society is developed, the society becomes divided into classes in which individuals belonging to lower or middle c lasses are pertained to struggle more than the higher economic class. These struggles are largely focused on the acquisition of better economic status by which there social status can be raised (Sterba 120-126). These striving life of individuals make them mentally fatigued and pressurized due to the political and social structure of the society. It is the class difference, which inevitably creates the divide in individuals of the society. It is because of the class difference, there is status divide and with this discrimination, individuals are brought to mental and physical pressures. Life’s struggle which is actually futile in a sense has to be made by each member of the society, because the society sets a tradition that every man is part of this competition. Consequentially the

Posterior Reversible Encephalopathy (PRES)

Posterior Reversible Encephalopathy (PRES) Posterior Reversible Encephalopathy (PRES): A Rare Presenting Feature of Pheochromocytoma Abstract Hypertension in young is mostly due to secondary causes and one of them is pheochromocytoma. These are catecholamine secreting enterochromaffin tumors causing paroxysmal hypertension. Adrenal pheochromocytoma presenting as posterior reversible encephalopathy syndrome (PRES) is very rare and has not been described in literature so far. Here, we report a case of previously healthy adolescent boy, who presented with acute onset severe headache, blurring of vision, generalized tonic clonic motor seizure and altered sensorium. His blood pressure was 234/126 mm Hg. The magnetic resonance imaging (MRI) of brain showed hyperintense signal on T2-weighted and fluid attenuated inversion recovery (FLAIR) images in bilateral parietal and occipital regions. High blood pressure and classical MRI findings were consistent with the diagnosis of PRES. Abdominal ultrasonography (USG) revealed a right adrenal mass. A diagnosis of pheochromocytoma was confirmed by abdominal triple phase contrast- computed tomography (CT) and 24-hour urinary metanephrine assay. After the blood pressure was stabilized with alpha and beta blockade, adrenal tumor was surgically excised. Histopathologic examination of tissue confirmed the diagnosis of pheochromocytoma. The MRI brain showed complete resolution of hyperintense signals (T2-weighted and FLAIR images) on two-months follow-up. He was symptom free at six months and one year follow-up. Key words: Posterior reversible encephalopathy syndrome (PRES); Reversible posterior leukoencephalopathy (RPLE); Pheochromocytoma; Hypertensive Encephalopathy; Hypertension Abbreviations: ADC: apparent diffusion coefficient; CT: computed tomography; MRI: magnetic resonance imaging; DWI: diffusion-weighted imaging; PRES: posterior reversible encephalopathy syndrome Introduction Hypertension in young is mostly due to secondary causes which include renal diseases (chronic renal failure, renal artery stenosis, polycystic kidney disease), coarctation of the aorta, systemic lupus erythematosus (SLE) and endocrinopathies. Pheochromocytomas are rare catecholamine secreting enterochromaffin tumors. The patients of pheochromocytoma usually present with spells of headache, sweating and palpitations due to excessive catecholamines. The cerebral manifestation of pheochromocytoma are uncommon. Posterior reversible encephalopathy syndrome (PRES) as a presenting feature of pheochromocytoma is rare. Case Report A 14-year-old previously healthy boy presented in emergency department with acute onset severe holocranial headache, blurring of vision, generalized tonic clonic motor seizure followed by altered sensorium. There was no previous history of nausea, vomiting, diarrhea, flushing, excessive sweating, migraine, autoimmune and connective tissue disorders, drug abuse, toxin exposure, hypertension or diabetes mellitus. He had no similar illness in past and family history was negative. His pulse rate and blood pressure were 130 beats per minute and 234/126 mm Hg, respectively. He was confused but followed simple commands. The pupillary size and light reaction were normal on both sides. Fundus examination showed bilateral papilledema. He was moving all the four limbs equally without asymmetry on painful stimulus. Plantars were bilaterally extensor. Signs of meningeal irritation (neck rigidity and Kernigs signs) were negative. Complete hemogram, serum electrolyte, renal function tests and other biochemistry including thyroid function tests were normal. Serum anti-nuclear antibodies (ANA), anti-double-stranded DNA antibody (anti-dsDNA) and ELISA test for human immunodeficiency virus (HIV) were negative. X-ray chest was normal. Electrocardiography (ECG) showed tachycardia. Magnetic resonance imaging (MRI) of brain showed hyperintense signal changes on T2-weighted and fluid attenuated inversion recovery (FLAIR) images in bilateral occipito-parietal regions. No restriction was seen on diffusion-weighted images (DWI) [Figure 1]. CT angiography of brain vessels was normal. High blood pressure and classical MRI findings were consistent with the diagnosis of PRES. On further evaluation, abdominal ultrasonography (USG) showed right adrenal mass. An abdominal triple phase contrast-enhanced CT scan revealed heterogeneous, contrast enhancing adrenal gland mass lesion measuring 32 x 26 mm suggestive of pheochromocytoma [Figure 2]. The diagnosis was confirmed by 24-hour urinary metanephrine assay. The plasma aldosterone concentration (PAC) and plasma renin activity (PRA) ratio (PAC/PRA) was 10.4. The 24- hour urinary normetanephrine was 31,572 Â µg/24 hour (normal: 63-402 Â µg/24 hour), urinary metanephrine was 1,524 Â µg/24 hour (normal: 32-167 Â µg/24 hour) and plasma noradrenaline level was 18,635 pg/mL (normal: 0-400 pg/mL). Patient was managed intensively with nitroprusside infusion to reduce blood pressure. Injectable phenytoin was administered according to body weight to control seizures. Once patient was stabilized, he was started on oral alpha-blocker prazosin (20 mg/day) followed by beta-blocker propranolol (40 mg/day). After adequate alpha and beta blockade, patient was planned for surgery and resection of adrenal mass was done. Histopathologic examination confirmed the diagnosis of pheochromocytoma without invasion of the adrenal capsule [Figure-3]. The MRI brain showed complete resolution of hyperintense signals (T2-weighted and FLAIR images) and 24-hour urine metanephrines were normal on two-months follow-up. He was asymptomatic at six months and one year follow-up. Discussion Pheochromocytomas are neuroendocrine tumors arising from chromaffin cells of the adrenal medulla or extra-adrenal paraganglia. The classical features like holocranial headache, palpitations, hypertension, hyperhidrosis, hyperglycemia and hypermetabolism are due to excessive catecholamines production in these tumors. The cardiac complications such as arrhythmias, myocardial infarction and sudden deaths are associated with cardiotoxic effects of high blood catecholamines levels. Pheochromocytoma is a rare cause of secondary hypertension and accounts for 0.5% to 2.0% of all causes of hypertension in children. The neurological complications (ischemic or hemorrhagic stroke) are related to increased platelet aggregation, hypertension and vasospasm due to high catecholamines levels. The various potential triggers of pheochromocytoma crisis leading to hemodynamic instability are stress, blood loss, surgery and anesthesia. The diagnosis of pheochromocytoma is confirmed by 24-hour urinary meta nephrine and normetanephrine levels. Clinical features of reversible posterior leukoencephalopathy syndrome (PRES) are acute onset headaches, vision loss, seizures and altered sensorium. It is mostly due to hypertension, however other common causes are chronic renal disease, uremic encephalopathy, ergot alkaloids, steroids, chemotherapy, vasculitis and tumors. Pheochromocytoma is one of the rare cause of PRES due to secondary hypertension. However, to the best of our knowledge, acute, life-threatening initial presentation of pheochromocytoma as PRES has not been described in literature. Magnetic resonance images (MRI) of brain typically shows hyperintense signal changes on T2-weighted and fluid attenuated inversion recovery (FLAIR) images due to vasogenic edema. It mostly involves the cortical and subcortical white matter of the parietooccipital, frontal and temporal regions. Cerebral hemorrhage, cytotoxic edema and contrast enhancement are atypical imaging findings of PRES. The parietooccipital cortex and subcortical w hite matter were affected in our case. Classically, these signal abnormalities are reversible on antihypertensive therapy. The pathophysiology of PRES is still poorly understood, however, various hypothesis have been proposed. Severe hypertension causes deranged autoregulation of sympathetically mediated cerebral arterioles. It leads to increased permeability in the blood-brain barrier and causes vasogenic edema. Sympathetic innervation of the vertebrobasilar system is not as extensive or as complete as that of the anterior circulation. Therefore, PRES predominantly affects parietooccipital cortex and subcortical white matter. Other possible mechanism may be endothelial dysfunction due to circulating toxins or chemotherapy agents. There may be cerebral infarction or hemorrhage due to compromise of the microcirculation by pressure from surrounding vasogenic edema. The exact etiology of the seizure remains unknown, but may result from effects of the pheochromocytoma on reducing seizure threshold via its actions on metabolic or hypertensive parameters. Our patient had high levels of circulating catecholamin es, produced autonomously by tumor. Once vasogenic edema subsided with antihypertensive therapy, all the abnormal MRI findings vanished. Clinical topography (acute onset headache, visual blurring, seizure and altered sensorium), high blood pressure and typical MRI findings suggested diagnosis of PRES. In our patient, other differential diagnosis such as thrombocytopenic thrombotic purpura (TTP), hemolytic uremic syndrome (HUS), encephalitis, systemic lupus erythematosus (SLE), brain mass lesions and drug toxicity were ruled out by appropriate clinical and laboratory investigations. In our patient, hypertension was detected for the first time on hospital admission and before that he never had any symptoms like headache, palpitations, perspiration or diarrhea. Our patient is of clinical interest as pheochromocytoma presented with life-threatening hypertensive encephalopathy. Management of pheochromocytoma requires aggressive approach including fluid resuscitation and antihypertensive therapy (both alpha and beta blockade) followed by surgical resection of tumor. Conclusion Pheochromocytomas are catecholamine secreting enterochromaffin tumors causing paroxysmal hypertension. Our patient is of clinical interest as an acute, life-threatening hypertensive encephalopathy (PRES) as a presenting feature of adrenal pheochromocytoma has not been described in literature so far. Pheochromocytoma should be ruled out in every young patient with acute hypertensive encephalopathy. Figure Legends Figure 1. Magnetic resonance imaging (MRI) of brain showing hyperintense signals on T2-weighted and fluid-attenuated inversion recovery (FLAIR) images in parieto-occipital region. No diffusion restriction is seen. [ T1-weighted axial (A), T2-weighted axial and sagittal (B,C), FLAIR (D), diffusion weighted (DWI) (E) and corresponding apparent diffusion coefficient (ADC) (F) images]. These abnormal signals completely vanished on follow-up MRI after six weeks. Figure 2. Triple phase contrast-enhanced computed tomography (CT) of abdomen showing heterogenous enhancing mass lesion measuring 32 x 26 mm in right adrenal gland. [Axial CT: Arterial phase (A,B), Venous phase (C) and Delayed phase (D)]. Figure 3. Hematoxylin and eosin (HE) stained microphotographs showing large pleomorphic nuclei, abundant basophilic cytoplasm and cell-nesting pattern (zellballen pattern). [HE stain 40x view (A), 100x view (B,C)]. 1

The Young Lords of New York :: Puerto Rico Migrants American History Essays

The Young Lords of New York On 7 June 1969, hundreds of Puerto Ricans gathered in Spanish Harlem, New York City to protest the arrest of Juan" Fi" Ortiz for a series of falsified crimes.[2] As a crowd gathered outside the People's Church in El Barrio, Felipe Luciano addressed those assembled asserting that, " We will not allow the brutalization of our community to go on without a response. For every Puerto Rican that is brutalized, there will be retaliation."[3]Luciano's statements were not ignored, and as the crowd filtered into the streets their shouts of Despierta, Boricua. Defiende lo tuyo filled the air. The events of 7 June 1969 were but one of many moments in the history of New York City's Puerto Rican community that gave rise to and lent support for the Young Lords Party.[4] Indeed over the course of the next five years this ethnic group of radical intellectuals would help bring attention to the plight of the Puerto Rican community in New York City. This essay explores the history of the late twentieth century Puerto Rican migrants in New York City through an examination of the Young Lords Party (1969 to 1974). In doing so, it examines several significant topics, including the growth of the Puerto Rican population in New York City; the unique challenges this ethnic group faced, and the origins, growth and decline of the Young Lords Party. Twentieth Century Migration of Puerto Ricans To New York City For us to clearly understand the Young Lords, it must be understood how the Puerto Rican Community came to be in New York City and other American cities such as Newark and Chicago. With the Spanish American War of 1898 came added difficulty for the population of Puerto Rico. Recently acquired by the United States, citizens of Puerto Rico were actually citizens of nowhere until granted statutory citizenship to the United States in 1917. Yet three years earlier, on 12 March 1914 the citizens of Puerto Rico opposing this imposition of American citizenship sent a "Memorandum to the President and Congress of the United States" stating, " We firmly and loyally oppose our being declared, against our express will or without our express content, citizens of any other than our own beloved country which God granted to us as an inalienable gift and incoercible right."[5] Even without support of the Puerto Rican people the Jones Act was passed. The Young Lords of New York :: Puerto Rico Migrants American History Essays The Young Lords of New York On 7 June 1969, hundreds of Puerto Ricans gathered in Spanish Harlem, New York City to protest the arrest of Juan" Fi" Ortiz for a series of falsified crimes.[2] As a crowd gathered outside the People's Church in El Barrio, Felipe Luciano addressed those assembled asserting that, " We will not allow the brutalization of our community to go on without a response. For every Puerto Rican that is brutalized, there will be retaliation."[3]Luciano's statements were not ignored, and as the crowd filtered into the streets their shouts of Despierta, Boricua. Defiende lo tuyo filled the air. The events of 7 June 1969 were but one of many moments in the history of New York City's Puerto Rican community that gave rise to and lent support for the Young Lords Party.[4] Indeed over the course of the next five years this ethnic group of radical intellectuals would help bring attention to the plight of the Puerto Rican community in New York City. This essay explores the history of the late twentieth century Puerto Rican migrants in New York City through an examination of the Young Lords Party (1969 to 1974). In doing so, it examines several significant topics, including the growth of the Puerto Rican population in New York City; the unique challenges this ethnic group faced, and the origins, growth and decline of the Young Lords Party. Twentieth Century Migration of Puerto Ricans To New York City For us to clearly understand the Young Lords, it must be understood how the Puerto Rican Community came to be in New York City and other American cities such as Newark and Chicago. With the Spanish American War of 1898 came added difficulty for the population of Puerto Rico. Recently acquired by the United States, citizens of Puerto Rico were actually citizens of nowhere until granted statutory citizenship to the United States in 1917. Yet three years earlier, on 12 March 1914 the citizens of Puerto Rico opposing this imposition of American citizenship sent a "Memorandum to the President and Congress of the United States" stating, " We firmly and loyally oppose our being declared, against our express will or without our express content, citizens of any other than our own beloved country which God granted to us as an inalienable gift and incoercible right."[5] Even without support of the Puerto Rican people the Jones Act was passed.