Labor and delivery Research Paper Example | Topics and Well Written Essays - 750 words

Labor and delivery - Research Paper Example Management of labor and delivery is section in the medical sector that has been allocated with the initiative of dealing with birth and birth complication cases. In this case, proper management strategies need to be initiated in this section in order to offer standard services to patients as well as reduce cases of childbirth mortality (Berghella et. Al, 2008). Methodology A questionnaire was designed and distributed to patients in random hospitals across in various cities of United States of America. The aim of the questionnaires was to investigate the efficiency in service delivery across the state in regards to labor and delivery. It also focused on the cost of labor and delivery in the Texas state. Findings United States of America registers a range of 4 to 4.6 million childbirths annually. There is poor self-diagnosis of active labor (Berghella et. Al, 2008). Few people visit the labor and delivery centers. There were cases of home-delivery. Most hospital had modern labor and de livery machinery. Many hospitals had a good number of nurses, obstetricians as well as gynaecologists and thus operated 24hours a day except a few situated in the remote regions of Texas. Implications In order to achieve standard medical services in the labor and delivery section, labor and delivery management departments opt to facilitate adequate and advanced trainings to obstetricians and gynaecologists. This is to improve their medical skills and enable them to handle advanced cases in the labor and delivery medical section. There is need to equip the hospital or medical center with advanced equipments. The advancement in technology has led to the invention of several medical machineries that are essential in monitoring pregnancy as well as during the delivery period. Obstetricians working in the rural areas of developing countries encounter a lot of difficulties in dealing with advanced levels of the child delivery process such as performing cesarean operations due to lack of r equired machinery and other medical equipments. 2. Labor and delivery nurses

Alcohol and Drugs in College Research Paper Example | Topics and Well Written Essays - 1000 words

Alcohol and Drugs in College - Research Paper Example Although leaders of institutions have a major role to curb the abuse that compromises student’s grades and leads to poor public health, they have solely left the responsibility to students. The paper discusses the extent of the problem, causes, and the solution to this problem. Statistics and Prevalence Unlike in the past, taking drugs and consumption of alcohols has become an acceptable culture in many colleges in America. After some years of struggling with the issue, deans and parents seem to have given up, empowering students to continue. Recent statistics reveals that 49.4% of fulltime students between the age 18-22 binge alcohol and abuse other illegal drugs. From a research done in the year 1993 and another done in 2005, levels of abuse have not changed greatly. However, cases of excessive drinking continue to escalate as students consume alcohol more frequently and o higher levels. The same researches reveal that more students have taken up to drugs with an alarming ra te of more than 100%. For instance, marijuana users have doubled, while heroin and cocaine users went up by 52%. Apparently, female students match up their male student counterparts in drinking although women have a bigger share in drinking. Men college students have a bigger share in illicit drug abuse with women more likely to become heavy smokers Many college students start drinking and abusing drugs in junior high school and in high school. They take in small portions because the environment restricts usage can lead to discontinuation if one is caught with this behaviour. On joining college, such students are happy to find an environment that fosters drug abuse and more so, gives the students the freedom to attend or not to attend lectures. Arguably, students who use drugs and alcohol in high school use them twice as often-on joining colleges. The first factor that accelerates this behaviour is that on joining colleges, students experience a wide range of demands on individual, interpersonal, leaving home, peer pressure, and making new friends. In the course of making new friends, they meet with their peers who use drugs and alcohol and get lured into drugs. At the college level, experimenting with illegal drugs is a normal occurrence and an accepted routine done by students ignoring the negative effects of drugs. (Blum 65-7 0). Some students consume alcohol to lessen the stress they go in the process of adapting or to correct some psychological problems they might have. The second cause of drug and alcohol abuse in colleges is genetics and family history. Casa survey found out that 70% of college students confessed that their parent’s expectations influence them on whether how much they drink or use drugs (CASA web). College students with proper upbringing stand against the testing times of their peers and the pressure from their age. In the current America, most parents are absent and do not have time to advice their kids on proper behaviour in school. In addition, they themselves consume a lot of alcohol, from the bars or at times in the house, playing an inspirational role to their college students. The role of parents in fostering abuse comes in where some parents give too much money to their children. Therefore, they have enough to feed on, cloth, pay hostel and buy expensive illegal drugs. Others do not question their children usage of money. They just send them money as and when their

Importance Of Communication In Service Industry

Importance Of Communication In Service Industry While working in the service industry I learned many important aspects about communication that I consider invaluable, not only in my past positions, but in the career I seek. The communication skills that I learned help me not only learn how to get my message across, but how to do so in a way that could either escalate or deescalate a certain situation. Also it taught me to read the person I was portraying the message to, taking into account things like culture, sex, and demeanor I learned to choose words that were more fitting to each audience so that I could be not only understood but relatable and therefore could have my message accepted better. These communication skills Ive acquired I will be able to use in my desired career as a social worker, working with pregnant teens.

The Tragedy of Global Warming :: Greenhouse Effect Climate Change

The Tragedy of Global Warming The health issues of global warming are causing the human population rate to decrease over time. The health issues are caused by infectious microbes, pollution by chemical and biological wastes. Many of these diseases will cause illnesses or even death in the future. In fact, many scientists and doctors have discovered these diseases will cause human population to decrease by deaths as they are transferred from one person to the next either physical, eating animals contaminated, mosquitoes, or even blood transfusions though needles. Global warming has been discovered to be very dangerous to human health and is causing many deaths around the world. These tragic experiences in other countries are causing the health hazards to become more aware to humans and are giving the USA more time to plan cures for it before it becomes an issue for them. Global warming is affecting the health issues in today’s generation as well as the future’s generation. Global warming causes many different health issues to the human body. With the temperature’s rising, the risk of cancer is increasing. According to the U.S. National Cancer Institute between 1975 and 1991 skin cancer increased by 812 percent. â€Å"El Nino made1998 the warmest year ever recorded†(Bell 129). The warm temperature resulted in the worldwide outbreak of mosquitoes. With the warm temperatures mosquitoes were infected with different diseases such as malaria, dengue fever, yellow fever, rift valley fever and several other kinds of diseases. The World Health Organization said there were â€Å"quantitative leaps† in malaria cases around the world. â€Å"Thousands were infected with Rift Valley fever in Kenya, resulting in 200 deaths†(129). Many people around the world think that the earth is in danger because of global warming. â€Å"Rising temperatures will have enormous impact on the earth in the future†(pewtrust). With the temperatures rising this will cause the icebergs to melt and make the sea level rise. â€Å"Rising sea levels inundating coastal communities, altered crop yields and water supplies, increased floods and droughts and surge in infectious disease. The water will be tainted because of the water runoff pushing chemicals into our water supply. This will cause people to get sick or even die. With it getting hotter the carbon dioxide levels are rising. This may cause weeds to grow faster and take over the crops we need. Paul R. Epstein, a doctor from Harvard Medical School found a very interesting fact in his research that discussed how many people he estimates are going to be affected by global warming in the future.

Clexane Essay

Clexane (enoxaparin) will be the topic for my teaching plan. In the plan it will aim to explain how and why enoxaprin is administered and why it is needed. Clexane injection contains the active ingredient enoxaparin, which is a type of medicine called a low molecule weight heparin. It is a medicine that is used to treat blood clots, or stop clots from forming within the blood vessels, Enoxaparin is used to prevent and treat types of abnormal blood clots. It works by inactivating thrombin in the clotting process. This stops the formation of fibrin, the essential component of blood clots. The medicine is administered by injection under the skin (subcutaneous injection). Clexane is commonly used to prevent clotting after an operation such as a hip replacement, or certain heart conditions. The way clexane works is by preventing certain molecules in the blood called clotting factors from working. Clotting factors are needed to form a clot (e. g. n a cut or a scratch). However, blood clots can form inside the body and travel to areas such as the lungs or brain, where they can form a block. When this happens it is difficult for blood to circulate properly, the clot may also cause severe illness. Clexane will be given in accordance to the weight of the person. Subcutaneous Injection Technique. The patient should take the lying down position ready for the clexane injection to be administered, this is given by a deep subcutaneous injection. To avoid any loss of the drug which is administered in 30 and 40 mg pre-filled syringes, there is an air bubble that should not be expelled before the injection is given. Administration should be alternated between the left and right anterolateral and left and right posterolateral abdominal wall. The whole length of the needle should be introduced into a skin fold held between the thumb and forefinger; the skin fold should be held throughout the injection. To minimise bruising, the injection site should not be rubbed on completion of the injection.

How did Shakespeare appeal to his audience, both in the 17th century, and in the modern era? Essay

Shakespeare’s play, Macbeth, created a big impact when it was written and first performed and it is still popular and well known. So why do so many people still enjoy it? What did Shakespeare do to capture his audience so well? Act 1, Scene 3 is the scene in which the witches meet again. One tells a detailed story about a sailor whom she is planning to torture. This shows the audience how mean the witches can be so the audience isn’t true how trustworthy they are. Soon after, the witches meet with Banquo and Macbeth and they tell them both prophecies; calling Macbeth Thane of Glamis (which he already is), Thane of Cawdor, and they say that he â€Å"shalt be king hereafter† (line 58). At the end of the scene, Ross and Angus come to inform Macbeth that he is thane of Cawdor. It is once they’ve left that he realises that one of the witch’s prophecies has come true so he starts to wonder about the second one. Act 5 is the last act of the play and in scene 5; there are two main events. Firstly, he is told by Seyton, a messenger, that his wife is dead. After this, Macbeth has a soliloquy. Then, straight away, a messenger hurries in and tells Macbeth that Birnam Woods are advancing. This is a turning point in the play because at this point, Macbeth recalls the witches’ prophecy, which said that he was not die until Birnam Woods advanced. The scene ends with Macbeth ordering to ring alarms. The main characters in Act 1, Scene 3 are the witches, Macbeth and Banquo. The witches seem like a big contradiction. The first witch told a story about torturing a sailor to death because his wife refused to give her chestnuts! This shows just how evil the witches were. However, they called themselves sisters and they worked together. For example, the second and third witches offer to give the first witch wind to help. â€Å"I’ll give thee a wind† (line 10). This is contradictory because they have a good side and a bad side so it makes the audience ask themselves if the witches can be trusted. It turns out, at the end of the play, that although the witches told the truth, a lot of trouble could have been avoided if they hadn’t intervened because Macbeth would not have had the ambition to be the king. This is the first scene in which we see Macbeth on stage. So far, he has been portrayed as a brave soldier and â€Å"noble Macbeth†. However, when he sees the witches, he becomes scared. We know Macbeth doesn’t want to admit that he is scared because he doesn’t say it. However, we can tell because in line 49, Banquo says, â€Å"why do you start and seem to fear / things that do sound so fair?† Banquo doesn’t believe the witches at first. He doesn’t take them seriously at all and once they have vanished, he asks himself if him and Macbeth had taken drugs: â€Å"or have we eaten on the insane root,† (line 82). When he finds out that Macbeth is actually Thane of Cawdor, he is really surprised and in line 105, says, â€Å"what, can the devil speak true?† The â€Å"what,† shows the audience that Banquo is surprised. Macbeth is the only major character in act 5, scene 5. However, he changes a lot throughout the scene. At the beginning, he is extremely confident. He says, in lines 2 to 3 that his â€Å"castle’s strength / will laugh a siege to scorn†. After he hears the cry from offstage, he talks to make the audience feel sorry for him. â€Å"I have supped full with horrors,† (line 13) means that he has had enough horror so he is immune to them. He seems numb to the Queen’s death. This is really odd because at the beginning of the play, he seems truly in love with his wife. He only mentions three lines about his wife. After this, he starts talking about life. When the messenger tells him the news about Birnam Woods, he becomes really rude and calls him a â€Å"liar and slave!† Very soon after, he appears much less confident than at the beginning of the scene. He even tells the messenger that he can treat him like he would treat the messenger, which is to hang hi m on a tree until he dies of hunger. Line 39, â€Å"if thy speech be sooth / I care not if thou dost for me as much† The witches in Act 1, Scene 3 all speak in verse; the rhythm is steady and they speak in rhyming couplets. This shows that they are different and odd to normal people. They also speak to Macbeth and Banquo in riddle. This gives the audience doubts about how trustworthy the witches are. In fact, this turns out to be the main problem in the play because a lot would have been avoided if Macbeth had known the whole and exact truth. As soon as Macbeth arrives, he asks lots of questions. He seems desperate to know more and in his speech in line 68, he pleads the witches to â€Å"tell him more†. He also says everything that is going through his head out loud. This shows the audience that he is confused. In this speech, he also uses a lot of commanding words such as â€Å"say†¦ I charge you†¦ you owe†¦ speak†¦ tell†. After the witches vanish, Macbeth starts speaking in really short sentences, which make him seem more thoughtful because we don’t know w hat he’s thinking in between his sentences. After Ross and Angus have left, Macbeth says a lot to the audience (soliloquies). This shows his thoughts and gives the audience audience privilege. This makes the plot seem more exciting. He asks himself a lot of questions in these speeches, which is a change from the constant commanding tone he was using earlier. Lines 131-135, he says, â€Å"why hath it given me earnest of success† meaning, ‘why was I promised a promotion (to be the Thane of Cawdor)’ then he goes on to ask himself â€Å"why do I yield to that suggestion†¦Ã¢â‚¬  meaning, ‘why does it give me such horrible thoughts?’ The audience do not know what these thoughts are although later, we find out that he couldn’t help thinking of murdering King Duncan. At one point, Macbeth even goes into a daze! We know this because in line 142, Banquo says, â€Å"look how our partners rapt.† At the beginning of Act 5, Scene 5, Macbeth gives a lot of orders (Shakespeare used lots of exclamation marks when writing the play). These show that Macbeth is very confident. In lines 2-4, Macbeth says, â€Å"Our castle’s strength will laugh a siege to scorn†. This shows he is not just confident in his way of saying things, but also very arrogant and confident that he will win. However, after his wife, the Queen, dies, Macbeth’s confidence drops. His soliloquy makes the play less realistic because people don’t usually talk to themselves however it is still evocative because it clearly shows Macbeth’s emotions. In his soliloquy, Macbeth mentions that his wife should have died at a more convenient time; line 17, â€Å"she should have died hereafter.† This shows that Macbeth is suddenly completely numb in contrast to him being deeply in love before his wife died. Perhaps, at this pint he is telling himself that he didn’t really care abo ut the Queen because he didn’t want to show his being upset. In line 20, Macbeth starts talking about the meaning of life. This is showing he has a soft side and it’s also the point at which, in my opinion, he really starts to feel sorry for himself and realises the damage of all his mistakes. This section could also be a metaphor because he is comparing life to a play. He reminds the audience that the play is just an unreal story by saying that it’s just a story â€Å"told by an idiot†. It may be that Shakespeare is calling himself an idiot but I think this is highly unlikely. I think, on the other hand, that Macbeth is calling the author (Shakespeare) an idiot because Macbeth’s part in the play is not nice (he turns out to be the tragic hero). Moreover, by saying that an actor plays his character â€Å"and then is heard no more†, Macbeth hints at the end of the story at which he dies. Also, he is near the end of his acting and will probably be seen no more. He is emphasizing this point; perhaps to let people remember him once the play is over. It seems as though Shakespeare wrote this as Macbeth’s true moments, by himself, on stage as the hero. Macbeth’s evocative soliloquy, which shows his soft side, contrasts his really rude manner later. For example, in line 34, he shouts â€Å"liar and slave†. Then he quickly becomes less scary as he starts doubting himself and he even tells the messenger that he has the permission to hand Macbeth onto â€Å"a tree till he dies of hunger†. These sudden changes in moods and politeness show that Macbeth has confused emotions. Equivocation and Evil are the two main themes in Act 1, Scene 3. Equivocation is also the main theme throughout the play. In scene 3, the witches all talk in riddle. This is unclear and therefore a form of equivocation because if the witches told the complete truth, the plot would have been completely different. For example Macbeth would have understood the Birnam Woods riddle. He would have understood that the ‘forest advancing’ meant an army of soldiers against him. Evil is the other main theme in Act 1, Scene 3. This is the scene in which Macbeth contemplates killing King Duncan. He describes his thoughts as awful and they can’t even be spoken; lines 138-139 â€Å"Whose horrid image doth unfix my hair / and make my seated heart knock at my ribs.† However, once Duncan is dead, Macbeth is suddenly able to kill more people more easily. So, what originally seemed very evil became normal for Macbeth. The Evil theme continues in act 5, scene 5. For example in lines 3-5, Macbeth says â€Å"here let them lie till famine and the ague eat them up† Macbeth said this without second thoughts showing that he does not feel very disturbed about people being killed or dieing horribly. Also, the evil in this scene is based more on Violence and Tyranny. For example, in lines 37-39, Macbeth says â€Å"if though speak’st false / upon the next tree shall hang though alive / Till famine cling thee†. This is clearly more gruesome and evil than killing Duncan with a dagger but it is given less importance because killing, by this point, has become more accepted in the play. Another theme in act 5, scene 5 is Appearance Vs Reality. For example, it appears that Birnam Woods are advancing and Macbeth doesn’t understand this however, it turns out to an army of soldiers carrying logs. We can tell that no body really understood why the woods were advancing because in lines 32-33 , a messenger says, â€Å"and anon, methought / the wood began to move†. Also, it appears, when Macbeth is talking about the Queen dieing, that he doesn’t care and he seems completely numb to any pain. However, I think Macbeth is just putting on a false appearance at this point to pretend he is not upset and he’s strong but in fact, I think the reality is that he is very upset but hiding it. Also, going by the riddles, it appears Macbeth is not going to die. He was promised by the second apparition in act 4, scene 1 (line 82-83) that â€Å"none of woman born / shall harm Macbeth.† Both Macbeth and the audience think that everybody is ‘of woman born’ and therefore Macbeth will not die. However, the reality, as is revealed in the very last scene in lines 15-16 in which Macduff explains that he, â€Å"was from his mother’s womb / Untimely ripped.† Meaning that he was born by caesarean section and is therefore going to kill Macbeth. Throughout the whole play, the staging is important to pass messages on to the audience. In Act 1, Scene 3, the witches enter with thunder. This emphasizes the fact that they are weird and mysterious. Also, thunder is usually thought of as a negative thing so Shakespeare, by making the witches related to thunder, give the audience a bad impression of them. It’s as though the thunder symbolises the witches’ wickedness. Also in line 33, the witches dance together â€Å"hand in hand† and they call themselves â€Å"The weird witches† showing that they are different to normal people. The audience sees the witches as outsiders and obviously would find it hard to relate to them. Another weird and mysterious part is when the witches vanish after line 78. The withes actions show the audience that they are different and this, consequently, gives the audience doubts about whether they can be trusted as, as humans, we naturally find it difficult to trust people/things we don’t know. Contrary to the witches, Ross and Angus are completely normal people, and in fact, they enter normally, with no special staging effects. Macbeth is given speaches a couple of times during Act 1, Scene 3. At first, he speaks aside in line 117-119 when he marvels at being Thane of Cawdor and Thane of Glamis and he knows that being king is still to come. He also speaks aside in lines 130, 133, 147 and 152. All of these aside speeches make the play more unrealistic. Shakespeare did this because with the play being unrealistic, it can represent the characters emotions more effectively so they play is more evocative. It also means that the audience solely concentrate on the characters and their emotions. This emphasizes them so this play is written about the emotions and the plot is just a way of portraying them. In act 5, scene 5 the Queen dies offstage. This draws the audience’s feelings towards Macbeth’s emotions and feelings as opposed to the actual death itself. This is important because death has become relatively insignificant by this point in the play because so many people have died. Therefore, drawing attention to the death would not be very effective. However, the audience is very interested in how Macbeth has changed throughout the play so his soliloquies and attention to him are very important in this part of the play. In the 17th century, Shakespeare’s plays were more enjoyed by the public because at the time, they also had a social significance. Historians have also been able to learn about life during the 17th century through Shakespeare’s play as they are closely related to society at that time. For example, in the 1600s there was a big concern about witches. People were extremely scared of them and there were rewards for catching them and horrible punishments for being a witch. This contrasts the play as the witches actually told the truth. The audience is as surprised as Macbeth is when he finds out that he was the Thane of Cawdor. In line 108, Macbeth says, â€Å"what, can the devil speak true?† to show his surprise. On the other, it was nasty of the witches to interfere and they were the main cause of all the problems so they proved to be as bad as society thought they were. The chestnut story in Act 1, Scene 3 shows the audience just how evil the witches are. This makes the audience feel happy because they have just been proved right about their thoughts about witches. Moreover, during Shakespeare’s time, loyalty to the king was one of the most important things. Therefore, Macbeth’s thoughts (line 33) were extremely bad. It would have shocked the audience. This is also one of the main reasons that Duncan’s death is offstage. It would have offended the King if he were shown dieing on stage. In Act 5, Scene 5, it is especially surprising that Macbeth tells the messenger that he is allowed to hang him alive from a tree and let him die of hunger because during the 17th century, social status was very important and the King’s status would have been considered to be much greater than a messenger’s. The fact that Macbeth told the messenger that he could treat him the same, means that Macbeth is bringing his status right down much lower than a King would normally be; to the level of the messenger. In society at that time, this would be extremely different to what everyone was used to so this event would have a huge impact on the audience. In my opinion, the unreality of the play is the main reason that Shakespeare managed to appeal to his audience both in the 17th century and in the modern era. The plot obviously had more social significance in the 17th century and was therefore probably more effective then but the plot isn’t the most important part whereas the emotions our. As our emotions haven’t changed, the play can still be enjoyed now and the modern audience can still understand, and be affected by the evocative speeches and scenes. Cami Rothe Form: 10PE Teacher: A. Partington Coursework: Pre 1914 Drama / Shakespeare

Indian Citizenship Act of 1924

Indian Citizenship Act of 1924 The Indian Citizenship Act of 1924, also known as the Snyder Act, granted full U.S. citizenship to Native Americans. While the Fourteenth Amendment to the U.S. Constitution, ratified in 1868, had bestowed citizenship on all persons born in the United States- including former slaves- the amendment had been interpreted as not applying to indigenous native people. Enacted partially in recognition of the Native Americans who had served in World War I, the act was signed into law by President Calvin Coolidge on June 2, 1924. Though the act granted Native Americans U.S. citizenship, it did not ensure them the right to vote. Key Takeaways: Indian Citizenship Act The Indian Citizenship Act of 1924, signed into law by President Calvin Coolidge on June 2, 1924, granted U.S. citizenship to all Native American Indians.The Fourteenth Amendment had been interpreted as not granting citizenship to indigenous native people. The Indian Citizenship Act was enacted partly as a tribute to American Indians who had fought in World War I.While it granted Native Americans citizenship, it did not grant them the right to vote. Historical Background Ratified in 1868, the 14th Amendment had declared that all persons â€Å"born or naturalized in the United States, and subject to the jurisdiction thereof† were American citizens. However, the â€Å"jurisdiction thereof† clause was interpreted to exclude most Native Americans. In 1870, the U.S. Senate Judiciary Committee declared â€Å"the 14th amendment to the Constitution has no effect whatever upon the status of the Indian tribes within the limits of the United States.† By the late 1800s, about 8% of Native people had qualified for U.S. citizenship due to being â€Å"taxed,† serving in the military, marrying whites, or accepting land allotments offered by the Dawes Act.   Enacted in 1887, the Dawes Act was intended to encourage Native Americans to abandon their Indian culture and â€Å"fit in† to mainstream American society. The act offered full citizenship to those Native Americans who agreed to leave their tribal lands to live on and farm free â€Å"allotments† of land. However, the Dawes Act had a negative effect on Native Americans on and off the reservations. Native Americans who had not already done so by other means won the right to full citizenship in 1924 when President Calvin Coolidge signed the Indian Citizenship Act. While the stated purpose was to reward the thousands of Indians who had served in World War I, Congress and Coolidge hoped the act would break apart the remaining Native nations and force Native Americans to assimilate into white American society. Text of the Indian Citizenship Act of 1924 â€Å"BE IT ENACTED by the Senate and house of Representatives of the United States of America in Congress assembled, That all non-citizen Indians born within the territorial limits of the United States be, and they are hereby, declared to be citizens of the United States: Provided That the granting of such citizenship shall not in any manner impair or otherwise affect the right of any Indian to tribal or other property.† Native American Voting Rights For whatever reasons it was enacted, the Indian Citizenship Act did not grant Native people voting rights. Except for the 15th and 19th Amendments, which ensure African Americans and women the right to vote in all states, the Constitution grants the states the power to determine voting rights and requirements. At the time, many states opposed allowing Native people to vote in their states. As a result, Native Americans were forced to secure the right to vote by winning it in the individual state legislatures. Not until 1962 did New Mexico become the last state to guarantee voting rights for Native Americans. However, like black voters, many Native Americans were still prevented from voting by poll taxes, literacy tests, and physical intimidation. In 1915, the U.S. Supreme Court, in the case of Guinn v. United States, declared literacy tests unconstitutional and in 1965, the Voting Rights Act helped protect the voting rights of Native people in all states. However, the Supreme Court’s 2013 decision in Shelby County v. Holder dismantled a key provision of the Voting Rights Act requiring states with a history of racial bias in voting to get the permission of the U.S. Department of Justice before enacting new voter qualification laws. Weeks before the 2018 midterm elections, the North Dakota Supreme Court upheld a voting requirement that may have prevented many of the state’s Native American residents from voting. Native American Opposition to Citizenship Not all Native people wanted U.S. citizenship. As members of their individual tribal nations, many worried that U.S. citizenship might endanger their tribal sovereignty and citizenship. Particularly outspoken against the act, leaders of the Onondaga Indian Nation felt that forcing U.S. citizenship on all Indians without their consent was â€Å"treason.† Others hesitated to trust a government that had taken their land by force, separated their families, and brutally discriminated against them. Others remained adamantly opposed to being assimilated into white American society at the cost of their Indian culture and identity. Tribal leaders who supported act considered it a path to establishing a national political identity that would give their people a more influential voice in issues affecting them. Many Native Americans felt the government now had an obligation to protect them. They believed that, as U.S. citizens, the government would be required to protect them from white businessmen trying to steal their government-granted land. Sources and Further Reference NCC Staff. On this day, all Indians made United States citizens. National Constitution Center: Constitution Daily.. 1924 Indian Citizenship ActNational Park Service.Hass, Theodore H. (1957). The Legal Aspects of Indian Affairs from 1887 to 1957. American Academy of Political and Social Science.Bruyneel, Kevin. Challenging American Boundaries: Indigenous People and the Gift of U.S. Citizenship. Studies in American Political Development. . Letter of Onondaga Nation to Calvin CoolidgeThe Onondaga Nation and the Haudenosaunee.