Albumin Excretion in Diabetes Mellitus

Diabetes mellitus carries a twenty-fold excess mortality for insulin-dependent (IDDM) and two-fold for non-insulin dependent (NIDDM) patients compared with the nondiabetic population. Almost all of this excess is confined to those people who develop persistent proteinuria and is due mainly to cardiovascular and renal disease. In insulin-dependent diabetes, uraemia is common, whilst in non-insulin dependent diabetes, cardiovascular disease accounts for the majority of deaths. Once persistent proteinuria develops, progression of IDDM patients to end-stage renal disease is inevitable

The Critical Factors of Coaching Practice Leading to Successful Coaching Outcomes

The purpose of this study was to identify the critical aspects in coaching outcomes as perceived by experienced coaches in the United States in both business and life coaching settings. Nineteen coaches provided a total of 109 critical incidents that led the client to the coaching process. Six dimensions of coaching emerged from the coding process; personal philosophies of coaching, coach functions, the coaching process, breakdown and success factors, precipitating factors and outcomes of coaching. A model was constructed to depict the relationship of the dimensions to one another. The personal philosophy of the coach influenced every other dimension. The coach functions were separated from the coaching process as they were interwoven throughout the coaching process and influenced the coaching process along with personal philosophies. The coaching process influenced factors of breakdown and success as did personal philosophies and coach functions. Factors that led to unsuccessful outcomes or breakdowns in coaching were therapeutic issues, coach/client mismatch, a lack of a willingness or ability to take action and make commitments, unrealistic expectations, lack of depth and flow in the coaching process, and negative mindsets that could not be shifted. Conversely, factors that led to successful coaching outcomes were the client connection, unconditional positive regard, the coach selection process, establishing a strong connection between coach and client, client accountability, openness and motivation. The tacit knowledge of the coach became an integral component of the study as coaches related the incidents of success and lack of success as coaches engaged in a coaching process that reflected their personal theories and perspectives. These theories could often be related back to foundational theories of coaching such as client-centered therapy, transformational learning, systems theory, and adult development theories and had become a source of tacit knowledge for study participants. The unplanned or unexpected outcomes revealed the impact of coaching on the whole person or system. Coaches reported that as clients gained successes in one area of their lives, improvement in other areas was also experienced. The electronic version of this dissertation is accessible at the OhioLINK ETD Center, https://etd.ohiolink.edu

The Critical Factors of Coaching Practice Leading to Successful Coaching Outcomes

The purpose of this study was to identify the critical aspects in coaching outcomes as perceived by experienced coaches in the United States in both business and life coaching settings. Nineteen coaches provided a total of 109 critical incidents that led the client to the coaching process. Six dimensions of coaching emerged from the coding process; personal philosophies of coaching, coach functions, the coaching process, breakdown and success factors, precipitating factors and outcomes of coaching. A model was constructed to depict the relationship of the dimensions to one another. The personal philosophy of the coach influenced every other dimension. The coach functions were separated from the coaching process as they were interwoven throughout the coaching process and influenced the coaching process along with personal philosophies. The coaching process influenced factors of breakdown and success as did personal philosophies and coach functions. Factors that led to unsuccessful outcomes or breakdowns in coaching were therapeutic issues, coach/client mismatch, a lack of a willingness or ability to take action and make commitments, unrealistic expectations, lack of depth and flow in the coaching process, and negative mindsets that could not be shifted. Conversely, factors that led to successful coaching outcomes were the client connection, unconditional positive regard, the coach selection process, establishing a strong connection between coach and client, client accountability, openness and motivation. The tacit knowledge of the coach became an integral component of the study as coaches related the incidents of success and lack of success as coaches engaged in a coaching process that reflected their personal theories and perspectives. These theories could often be related back to foundational theories of coaching such as client-centered therapy, transformational learning, systems theory, and adult development theories and had become a source of tacit knowledge for study participants. The unplanned or unexpected outcomes revealed the impact of coaching on the whole person or system. Coaches reported that as clients gained successes in one area of their lives, improvement in other areas was also experienced. The electronic version of this dissertation is accessible at the OhioLINK ETD Center, https://etd.ohiolink.edu

Not by Numbers Alone: A New Decade for Women in the Law

There has been a dramatic increase in both the percentage and the numbers of women who have entered the legal profession in the last fifteen years, but women have not penetrated its higher echelons — partnerships in law firms, general counsel of corporations, and chiefs of government bureaus — in the same percentage that those advances should be reflecting. While entry-level salaries may be equal for male and female attorneys, are women in the legal world discovering the same glass ceilings and barriers to entry at these top levels of economic empowerment that their corporate counterparts have experienced? The author states that the pressure of their numbers has not made it easier for women to attain these higher positions. But as legal firms compete for outstanding women attorneys, they will have to adapt to accommodate the specific needs of such women to assure their advancement

Margaret Marshall to Susan Kean, July 13, 1791

Miss Margaret wrote to Susan, addressed to Philadelphia, PA, by Dr. Joseph Jaudennes, addition and division problems are on the address page. Margaret wrote that Susan and John were invited to a wedding but must not have received the invitation in time. They were missed and she saved Susan a piece of cake. Also mentioned: Mrs. R [Ricketts].https://digitalcommons.kean.edu/lhc_1790s/1081/thumbnail.jp

Margaret Marshall to Mrs. Armstrong, March 28, 1793

Margaret Marshall wrote to Mrs. Armstrong, unaddressed. The letter discussed how Betsey had severe headaches that kept her in bed and the sudden death of a woman likely of scarlet fever. The letter spoke of a gentleman who drowned in grief over the loss and that two of his children were also ill. People included: Peggy Bayard, Mrs. Ricketts, Betsey, Mrs. Van Heauval, Mrs Macomb, Mrs. Houston, Miss Mead, Mrs. Cazenhove, Mrs. Clarkson, John Kean, Peter Kean. Places included: New York, Philadelphia, Rahway.https://digitalcommons.kean.edu/lhc_1790s/1193/thumbnail.jp

Margaret Marshall to Susan Kean, May 15, 1793

Margaret Marshall wrote from New York to Susan Kean in Philadelphia, Pennsylvania. In her dispatch, Marshall complained that New York was dull and she had nothing to amuse herself with aside from plays and the occasional wedding. She informed Susan of family news and gossiped about friends and acquaintances.https://digitalcommons.kean.edu/lhc_1790s/1518/thumbnail.jp

Letter from Margaret Marshall to Hubert Creekmore

Marshall writes from The Nation magazine in New York City to see if Creekmore is interested in reviewing Avrahm Yarmolinsky\u27s anthology.https://egrove.olemiss.edu/creekmore/1041/thumbnail.jp

Letter from Margaret Marshall to Hubert Creekmore

Marshall writes from The Nation magazine in New York City to Creekmore in Jackson, Mississippi, to ask if Creekmore would like to review Gleb Struve\u27s Soviet Russian Literature, 1917-1950 and Juri Jelagin\u27s Taming of the Arts. Includes envelopehttps://egrove.olemiss.edu/creekmore/1080/thumbnail.jp

Living life as inquiry - a systemic practice for change agents

The practical orientation of action research, together with its embedded and participative principles, means it is particularly suited to complex, interconnected questions and ‘real life’ systemic issues. In the realm of first-person action research, Judi Marshall’s (1999) influential article “Living Life as Inquiry” described how such research can extend to one’s whole life whereby professional and personal questions can be set within politically relevant frames. Over the past two decades, many students and researchers have worked with and drawn much imaginative inspiration from the idea of living life as inquiry (LLI). However little has been written to describe how the practice develops and the many forms it can take. This article draws on our extensive experience as inquirers ourselves and as educators, working with students and change agents motivated to address social and environmental concerns. Twenty years after the original article we have conducted a reflective review that included surveying the literature, and working in depth with a range of stories and current practices. From this comes a textured expansion of the language and practice of living life as inquiry as it is approached from the specificity of people’s lives. Through narrative and visual textures, we present views into the many different ways LLI is developed through day-to-day practices of experimentation, data gathering, artistic exploration, intervention and reflection. We explore what this means for quality in the enactment of inquiry. The article draws particular attention to the embodied nature of inquiry and seeks to capture its fleeting, processual quality