Vitamin D3 supplementation led to a significant increase in serum 25(OH)D and decreased school days missed (p = 0.04), but no other advantageous changes in asthma parameters compared with PL. The potential adverse effect of vitamin D deficiency on growth and the potential negative effect of high serum 25(OH)D on pulmonary function warrant further investigation.
Kubler‐Ross′ stages of death and dying – denial, anger,
bargaining, depression and acceptance‐have formed the basis of much of
the therapeutic work with the terminally ill. As death and dying are the
ultimate instances of change in a person′s life, it is hypothesised that
Kubler‐Ross′ work has an application to the theory and process of
change. A four‐stage model of organisational change‐denying, dodging,
doing and sustaining – based on Kubler‐Ross is presented. These
four stages are linked to the four organisational levels, generating a
seven‐phase framework that integrates the complex interplay of denying,
dodging, doing and sustaining in the individual, the team, the group and
the organisation.
One of the central challenges for organizational learning at an intersubjective level has been proposed in terms of developing a shared language as a prerequisite for shared understanding in a community. In this respect, social learning theory suggests communities of practice as loci, and discourse as the medium of such learning. Rather than knowledge acquisition, social learning refers to identity formation through competent participation in a discursive practice. Listening as a central, yet so far neglected, element of discursive practice involves the constitution of a relational basis that allows for intersubjective meaning generation. We suggest listening as a condition for the possibility of social learning and illustrate our suggestion with an empirical case. We discuss the implications of our argument for organizational and social learning as well as its broader relevance.
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