Introduction: Women’s daily nutrition should include proper amounts of vitamins, ingredients and fluids. The shortage or surplus of any ingredient can negatively affect the health condition of a mother or hera baby Objective: The objective of the study was to assess the quality of the diet of pregnant wome in Poland against the World Health Organization (WHO) and European Union (EU) recommendations concerning requirements for vitamins and minerals. Methodology: 512 pregnant women in their 20th -30th week of pregnancy took part in the research conducted by the means of observation of a 7-day diet. Consumed products were analyzed by the means of DIETETYK software developed by the Polish National Food and Nutrition Institute (NFNI). Obtained micro- values were averaged. The results were compared with the recommendations of the WHO UE and NFN and analyzed statistically (test Chi2). Results: A lower consumption than 400g/day of fruit and vegetables in the diets was found in 4.68% of pregnant women. Mean values for vitamins: D – 2.64 ug/person, B6 – 1.76 mg/person and folic acid – 1603 ug/person, as well as average values for mineral components: calcium 689 mg/person, magnesium 255 mg/person, iron – 10.1 mg/person, zinc – 9.2 mg/person were also lower than daily recommended values. Daily level for sodium, phosphorus and vitamin A were exceeded. Conclusion: Results indicate insufficient knowledge of pregnant women about proper nutrition during pregnancy. Supplementing most vitamins and mineral components, beginning with a first pregnancy trimester, is necessary. Women at childbearing age must be educated about the necessity for proper nutrition during and before a pregnancy.
Background: Multiple sclerosis is a chronic and highly debilitating disease with very high economic and social consequences. Designing changes to improve the functioning of the healthcare model primarily requires learning about the needs of beneficiaries. Aim of the study: The purpose of our study is the results’ description and summary of conclusions of the research conducted in the past years. These results are currently being used for the construction of a coordinated care model for MS patients. Material and methods: One questionnaire survey addressed to MS patients, carried out between 01.12.2013 and 01.02.2014 and the second one addressed to Polish and European medical professionals, carried out between 01.09.2016 and 04.10.2016 performed in 51 European centers and 2 branches of the Turkish Association of patients with MS. Results: In the first survey 84.4% patients declared that during the illness they received mental support mostly from their family: 48.5% received it from physicians; 42.1% from a nurse. 64.8% of the respondents declared that they received no support from social organizations and 77.6% received no support from religious organizations. According to the results of the survey for healthcare professionals in Poland and Europe, in 54.9% of the European institutions and in 22.4% of the Polish institutions, dedicated IT systems are used for processing MS patients’ data. Among institutions using IT, 52.9% of the European and 10.1% of the Polish ones keep the patient’s entire documentation, as well as a patient satisfaction survey, in an IT system. Conclusions: Based on our studies described above, the patients’ needs, resources and capabilities seem to indicate that the scale of system inefficiencies is such that remodeling care for this well-defined group of patients is justified and feasible.