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We summarize the pediatric health care system in Georgia. In the 1990s, the socialist health insurance system was abandoned and replaced by a private health insurance system. In general, Georgia has a relatively high number of physicians per capita, and there are 3 times as many physicians per unit of population in Tbilisi than in other region. Furthermore, the country's universities produce far more physicians than needed. Currently, there are approximately 3000 pediatricians. The Georgian National Center of Disease Control provides guidelines for early detection and screening of diseases, immunization, and mother and child health care. Although Georgia has a limited health budget, it has performed major health reforms. It aims at achieving the highest possible standard of care for children with chronic and disabling conditions, however, future development will depend on the access to more advanced diagnostic and therapeutic technologies., (Copyright © 2016. Published by Elsevier Inc.)

The anthropometric data were studied in early school aged (6-7 years old) children and the degree of harmonization during physical development was evaluated. Representative population of 400 otherwise healthy early school aged children was included in study group. Study period covered the end of school year. In the selected under observation focused population the level of individual anthropometric data was determined in percentile intervals according its position. Anthropometric data assessments by using percentile method it was revealed in early school aged (6-7 years of old children) excess in body height and weight in comparison with normal values. This phenomenon indicates the prevalence of acceleration and weight gain. Anthropometric data in boys were increased while comparing with physical development data in girls. This result difference has the tendency to statistically insignificant. Physical development harmonization values were studied in 200 children. Harmonized physical development revealed in 50 children (25%); disharmonized physical development I 50 children (15%), among them with I degree weight gain were 48 (24%), and with I degree weight deficit were 2 (1%). Markedly disharmonized development had 100 children (50%), among them with II degree weight gain were 98 (49%), and with II degree weight deficit were 2 (1%). According to the children's anthropometric data and assessment by physical development harmonization percentiles tables three groups of children were organized: main, risk group and the group with deviation in physical development. On the basis of resulted data the study of early school age children's physical development gives possibility for risk groups stratification, which in turn itself makes a strong basis for reasonable preventive measurements and stepwise monitoring implementation.

Atopic dermatitis (AD) is one of the most actual problems in modern pediatrics. Sharpness of problem in children's population is not only due to wide prevalence of Atopic dermatitis, but its debut in early age and chronization tendency, which is followed by breach of social adaptation, decrease of life degree and children's invalidization. Seeking for revelation of atopic dermatitis risk factors, observative, analytical retrospective survey - case-control was conducted. With the mentioned aim in mind (in five districts of city Tbilisi, five schools were chosen by method of cluster randomization in which 2454 children were interviewed according to beforehand produced epidemiological questioner. Statistical treatment of resulted outcomes was prepared according to program package SPSS) the residents were divided into two groups: primary or sample group with 278 patients suffering from atopic dermatitis and control group - with 300 conditionally healthy children. Wide area epidemiological study estimated prevalence of Atopic Dermatitis figure (11.3%) in junior school level children of Tbilisi population and significant variation (5.4-28.3%) of figures of prevalence of atopic dermatitis according to administrative districts; manifestation of Atopic Dermatitis in junior school level children of Tbilisi population mostly (39.6%) in 6-7 years old children and reveal with the same frequency in representatives of both sex. Studying of Atopic Dermatitis revealed important risk factors of disease development: genetic load with allergic disease from mother side (OR- 10.27; 95% CI - 7.08-27.04); food allergy till one year (OR- 10.27; 95% CI -6.17-17.24); loaded perinatal anamnesis with medicinal allergy (OR- 9.09; 95% CI -1.98-57.94); loaded perinatal anamnesis with food allergy (OR- 7.99; 95% CI -3.17-21.38); early artificial feeding (OR-5.29; 95 CI 3.30-8.51); not conducting immunoprevention vaccine (OR- 4.98; 95% CI -0.99-33.65); cat in the family (OR- 3.95; 95% CI - 2.61-5.98); frequent conflicts in the family (OR-1.81; 95% CI - 1.22-2.69) most of which are controllable and their correction is the real perspective for decrease of disease.

70 girls and 50 boys--totally 120 practically healthy children were examined; Three age-specific groups with equal number of children were chosen. Goal of the research was to evaluate the adaptation ability and analyse the disadaptive derangements in primary school age children. Cross-sectional, one moment research was carried out according to D. Stot's "Map of Observation". Adaptive potential determination and evaluation of vegetative nervous system functional state was done. Special charts for children were filled in. 56% of pupils were practically healthy and well adapted to school obligations. In the rest of cases different degree and form of school dysadaptation derangements were revealed. The dysadaptation contingent with cognitive function was seen in 14% of children. Emotional attitude derangements to learning process was revealed in 18% of children.; and hard to cope with the derangements correction in behavior was seen in 12% of children. The study results enabled us to reveal different types of school dysadaptation in primary school age children as well as to study the main reasons for their formation on the basis of age-specific characteristics. The above-mentioned fact should be taken into consideration while elaborating complex rehabilitation actions and school disadaptation prevention.

The aim of the study was the estimation of efficiency of anthroposophic treatment of bronchial asthma in children. The study of 92 patients from 3 to 15 years old with bronchial asthma was conducted during two years. 60 children (the basic group), were treated by anthroposophic remedies; 32 children (control group), were treated by classic scheme. It is concluded that antroposophic remedies, make disease course milder and lengthens the period of remission. Anthroposophic remedies (as a supplementary treatment) makes the treatment more effective and enables to reduce and/or substitute chemical remedies.