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The management of contemporary health systems is a problem of many countries, which consists not only of issues related to the establishment of the roles of institutions involved in their functioning, the allocation of funds, asymmetry of information, or access to health services. Problems of the all system often result from faulty management of particular health institutions, and more specifically from the lack of agreement between the management staff, medical staff and patients.

The proposed study is an attempt to systematize the roles assigned recently to physicians and patients on the one hand, on the other – a presentation of non-standard solutions in this area, which are the existing cooperatives in health care in the world. The issue of jointly implemented by both groups of objectives and adaptation of the idea of cooperatives to the management process was justified by the theory of common pool resources and the game theory.

.) Health Enhancing Physical Activity (pp 29-95). Oxford: Meyer & Meyer Sport (UK) Ltd. World Heath Organisation (1948). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. World Health Organisation (2002). Myths about physical activity. Online. Available HTTP:

References World Health Organization (WHO). WHO Report on the Global Tobacco Epidemic, 2008; The MPOWER package. Geneva: WHO; 2008. World Health Organization (WHO). The current status of the tobacco epidemic in Poland. Copenhagen: WHO; 2009. World Health Organization (WHO) / International Agency for Research on Cancer (IARC). Tobacco smoke and involuntary smoking: summary of data reported and evaluation. Geneva: WHO; 2004. World Health Organization (WHO). Legislating for smoke-free workplaces. Copenhagen: WHO; 2006. Office of Environmental Health Hazard

Myelodysplastic syndromes (MDS) are a group of diverse clonal hematopoietic disorders characterized by ineffective hematopoiesis, manifested by morphologic dysplasia in hematopoietic cells and by bone marrow failure, refractory peripheral cytopenia(s) and by a risk of progression to acute myeloid leukemia (AML). The World Health Organization (WHO) Classification of MDS was last updated in 2008.[ 1 , 2 ] The recently identified molecular features by next generation sequencing (NGS) has provided novel insights for the understanding of pathobiology of MDS, and


Based on the situational leadership theory (Hersey&Blanchard), our study aimed to analyze the leadership style in managers of different health facilities from Romania.

We included 41 persons with key positions (general manager, medical director, chief of section/department, nursing director, chief – nurse). All these persons filled the LEADself questionnaire (Leader Effectiveness and Adaptability Description Instrument, Center for Leadership Studies, Hersey and Blanchard). The tool measures three dimensions: the dominant (and secondary) leadership style, the style range (flexibility) and the style adaptability (the leader effectiveness).

We found a dominance of “Selling/Coaching” style, followed by the “Telling/directing” style. The managers were found to have a high relationship supportive behavior. Only three cases of low relationship dominance were found. Also almost all the managers were found as mostly group centered (only 5 cases were more leader centered). The flexibility of the managers was high, only one persons having the style range<2; the effectiveness score varied from 12 o 25, most of the responders having a low or moderate level of adaptability.

References 1. Yang G, Hu A. Tobacco control and China’s future - Chinese tobacco use and tobacco control joint assessment report by Chinese and foreign experts. Beijing: Economic Daily Press; 2010. 2. Doll R, Peto R, Wheatley K, Gray R, Sutherland I. Mortality in relation to smoking: 40 years observations on male British doctors. BMJ 1994;309:901-11. 3. Doll R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years observations on male British doctors. BMJ 2004;328:1519-27. 4. World Health Organization. M power: A policy package to reverse

REFERENCES 1. World Health Organization. Violence, Injury Prevention, and World Health Organization. Global status report on road safety 2013: supporting a decade of action. World Health Organization; 2013. 2. Peden MM. World report on child injury prevention. World Health Organization; 2008. 3. Polish National Police. [ ] (17.11.2016). 4. National Road Safety Council [Internet]. [ .] 5. Goniewicz M, Nogalski A, Khayesi M, et al. Pattern of road traffic injuries in Lublin County, Poland. Cent Eur J Public Health

Tenofovir DF vs Stavudine in combination therapy in antiretroviral naïve patients. JAMA. 2004; 292:191-201. 4. Stavudine US prescribing information. Bristol Myers Squibb. Available at: Accessed November 2006. 5. Hill A, Ruxrungtham K, Hanvanich M, Katlama C, Wolf E, Soriano V, et al. Systematic review of clinical trials evaluating low doses of stavudine as part of antiretroviral treatment. Expert Opin Pharmacother. 2007; 8:1-10. 6. World Health Organisation. Addendum to 2006 HIV Treatment Guidelines. Available at: http

Press; 2005. 21. Tongsiri S, Cairns J. Estimating population-based values for EQ-5D health states in Thailand. Value Health. 2011; 14:1142-5. 22. World Health Organization. Choosing interventions that are cost-effective (WHO-CHOICE): costeffectiveness thresholds [internet] 2005 [cited 2011 Aug 24]. Available from: 23. The World Bank. GDP per capita (current US$) [internet] 2011 [cited 2012 Aug 24]. Available from: 24. Ma YC, Zuo L, Chen JH, Luo Q, Yu XQ, Li Y

References [1] Martin M.A., Tarrero M.A., Gonzaler A. and Machimbarrena M. (2006): Exposure effect relationships, between road traffic noise annoyance and noise cost valuations in valladolid, Spain. – Journal of Applied Acoustics, vol.67, No.10, pp.945-958. [2] Gerges S.N.Y., Sehrndt G. and Parthey W. (2001): Strategies for noise surveys, In: B. Goelzer, C.H. Hansen, G.A. Sehrndt (Eds) Occupational Exposure to Noise: Evaluation, Prevention and Control (Germany: Federal Institute for Occupational Safety and Health, on behalf of the World Health Organization