Vanuit de literatuur is bekend dat kanker en met name ook de behandeling van kanker invloed hebben op het seksuele functioneren (Rice, 2000, Ananth et al., 2003, Hughes, 2008, Galbraith and Crighton, 2008, Mercadante et al., 2010, Flynn et al., 2011). Er is echter veel minder bekend over wat voor (Nederlandse) kankerpatiënten en hun partners de weerslag van deze invloed is op hun beleving van seksualiteit en intimiteit (Tan et al., 2002). Ook weten we onvoldoende of deze betrokkenen over seksualiteit en intimiteit zouden willen praten met gezondheidszorgprofessionals en zo ja, op wat voor manier deze communicatie dan bij voorkeur zou verlopen (Hordern and Street, 2007a). Van (Nederlandse) gezondheidszorgprofessionals in de oncologische en palliatieve zorg is onvoldoende bekend hoe zij hun rol zien wat betreft het bespreekbaar maken van en begeleiding bieden bij veranderingen met betrekking tot seksualiteit en intimiteit gedurende het traject dat mensen met kanker doorlopen (Hordern and Street, 2007c, Hordern and Street, 2007b)
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Purpose – Against the background of current leadership theory, this research paper analyses and compares the leadership approaches of two outstanding leaders: Daniel Vasella, chairman of the leading Swiss pharmaceutical organization Novartis and Ricardo Semler, owner of the Brazilian conglomerate Semco. In contrast to many rather abstract, unpractical and pointlessly theoretical papers on leadership this analysis provides a more applied view of leadership by means of the life history approach delivering insight into both leaders’ development and leader personality. Methodology/approach – First, this paper locates the ideas and practices associated with the term “leadership” as a concept through theories that have developed over time and shows how the practices of leading can be derived and understood through chosen theories. Based on this, the specific characteristics and career paths of both leaders are presented and compared so that a final analysis of their leadership approach can be done. The paper is based on secondary sources such as peer-reviewed business journals and literature on leadership. Information about both leaders and their approach to leadership is gathered mainly from published interviews with them. Additional information on Semler is taken from his autobiography. Conclusions – It is difficult to identify an “essence” of leadership, whether that takes the form of personality characteristics or traits, charisma, the ability to transform people or organizations or a brain function. All presented theories of leadership seem to have their raison d’être. Both Vasella and Semler apply a combination of different attitudes and behaviours that characterize their leadership style containing elements of transformational, charismatic, ethical, servant and authentic leadership.
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Background: We developed an Internet-based physical activity (PA) support program (IPAS), which is embedded in a patient portal. We evaluated the effectiveness and costs of IPAS alone (online only) or IPAS combined with physiotherapist telephone counselling (blended care), compared to a control group. Methods: Breast or prostate cancer survivors, 3–36 months after completing primary treatment, were randomized to 6-months access to online only, blended care, or a control group. At baseline and 6-month post-baseline, minutes of moderate-to-vigorous PA (MVPA) were measured by accelerometers. Secondary outcomes were self-reported PA, fatigue, mood, health-related quality of life, attitude toward PA, and costs. (Generalized) linear models were used to compare the outcomes between groups. Results: We recruited 137 survivors (participation rate 11%). We did not observe any significant between-group differences in MVPA or secondary outcomes. Adherence was rather low and satisfaction scores were low to moderate, with better scores for blended care. Costs for both interventions were low. Conclusions: Recruitment to the study was challenging and the interventions were less efficacious than anticipated, which led to lessons learned for future trials. Suggestions for future research are as follows: improved accessibility of the support program, increased frequency of support, and use of activity trackers.
