60 aastat Eesti Lastearstide Seltsi

Eesti Arst 2017; 96(3):179–18

Tallinna Lastehaigla 30 aastat

28. novembril 1979. aastal anti Tallinna Lastehaigla, tollal Tallinna Linna Kliinilise Lastehaigla pidulik avalöök. Eesti Arst 2009; 88(Lisa4):3−

Dotsent Leida Keres – teadusmõtte arendaja pediaatrias

Eesti Arst 2016; 95(4):261–26

Vastsündinute jälgimine Tallinna perearstipraksistes

Töö eesmärgiks oli hinnata vastsündinute jälgimise vastavust terve lapse jälgimise juhendile, vastsündinu terviseseisundit ning emade rahulolu perearsti ja -õe tegevusega. Ankeetküsitluse meetodil uuriti 256 ema, kelle lapsed sündisid kahes Tallinna sünnitusmajas 2007. aastal. Selgus, et juhendi kohaselt jälgis vastsündinuid 24% perearstidest ja 2% pereõdedest. Ligi pooled emadest jätkasid vastsündinu tervisekontrolli sünnitusmajade juures. Ligi kahel kolmandikul vastsündinutest esines terviseprobleeme, mille lahendas ühel neljandikul juhtudest perearst, ülejäänud said võrdselt abi kas lastehaigla vastuvõtutoast või mujalt. Seevastu on perearstikeskuste külastamine sage ja vastab ettenähtule. Uuritavad väljendasid rahulolu pereõega ligi 60%-l ja perearstiga 85%-l juhtudest. 95,7% emadest soovis lastearsti osalemist vastsündinu jälgimises. Eesti Arst 2009; 88(7−8):461−46

Allergiahaigustega seotud tegurid 5–8aastastel Tallinna lastel

Selgitasime allergiahaiguste seoseid pärilike ja keskkonnateguritega 5–8aastastel Tallinna lastel vanemate täidetud küsimustike (n = 2383) alusel. Eestis, kus allergiahaiguste levimus on väike, on nende haiguste sümptomid seotud soo, vanemate allergiahaiguste, rinnapiimaga toitmise kestuse, antibiootikumide ja paratsetamooli kasutamise ning veoautoliikluse tihedusega elukohas. Seost ei ilmnenud ema hariduse, vanemate õdede-vendade olemasolu, varase lasteaeda mineku ega kütmiseks ja toiduvalmistamiseks kasutatud kütusega. Eesti Arst 2009; 88(Lisa4):31−3

Atopic sensitization and the international variation of asthma symptom prevalence in children.

International audienceRATIONALE: Atopic sensitization has long been known to be related to asthma in children, but its role in determining asthma prevalence remains to be elucidated further. OBJECTIVES: To investigate the role of atopic sensitization in the large international variation in the prevalence of childhood asthma. METHODS: Cross-sectional studies of random samples of 8- to 12-year-old children (n = 1,000 per center) were performed according to the standardized methodology of Phase Two of the International Study of Asthma and Allergy in Childhood (ISAAC). Thirty study centers in 22 countries worldwide participated and reflect a wide range of living conditions, from rural Africa to urban Europe. Data were collected by parental questionnaires (n = 54,439), skin prick tests (n = 31,759), and measurements of allergen-specific IgE levels in serum (n = 8,951). Economic development was assessed by gross national income per capita (GNI). MEASUREMENTS AND MAIN RESULTS: The prevalence of current wheeze (i.e., during the past year) ranged from 0.8% in Pichincha (Ecuador) to 25.6% in Uruguaiana (Brazil). The fraction of current wheeze attributable to atopic sensitization ranged from 0% in Ankara (Turkey) to 93.8% in Guangzhou (China). There were no correlations between prevalence rates of current wheeze and atopic sensitization, and only weak correlations of both with GNI. However, the fractions and prevalence rates of wheeze attributable to skin test reactivity correlated strongly with GNI (Spearman rank-order coefficient rho = 0.50, P = 0.006, and rho = 0.74, P < 0.0001, respectively). In addition, the strength of the association between current wheeze and skin test reactivity, assessed by odds ratios, increased with GNI (rho = 0.47, P = 0.01). CONCLUSIONS: The link between atopic sensitization and asthma symptoms in children differs strongly between populations and increases with economic development