The obtained data, from a position of geriatric syndromes, testify to need of including of simple estimated scales of a self-rating of health and cognitive disorders in the program of inspection of the elderly patients being on home social service. The special attention in group of elderly patients with arterial hypertension should be paid to widowers who have a low self-rating of health.
Long term acting climatic and social factors of the North causes desynchronization of human circadian system that can lead to increase in risk of age-associated diseases. Earlier on small sample we have shown, that the higher latitude of residing in the North, the higher rate of occurrence of late chronotype. It is noted also, that parameters of daily rhythm at late chronotype person are less expressed, than at early one. The purpose of present research is to study distribution of rates of various chronotypes depending on latitude of residing. Chronotypes were assessed by the Munich Chronotype Questionnaire (MCTQ). Our study includes 772 inhabitants of Komi Republic. It was shown that there is a significant shift to prevalence of late chronotype among inhabitants of the North. Thus, increase in rate of persons with late chronotype, circadian system of which is most sensitive to negative action climatic and social factors of the North, can be one of the causes of its desynchronization and increasing in risk of age-associated diseases at northerners.
The article contains data about the peculiarities of indicators of the quality of life in elderly migrants of the Far North with arterial hypertension in the period of readaptation to new climatic conditions. Migrants of the Far North and residents of Krasnoyarsk revealed a moderate decline in the quality of life. Among all the factors reducing the quality of life of the subjects of study the most important is the need to be treated and to take drugs for chronic diseases. At the same time, the migrants of the Far North demonstrated a great reduction of the quality of life due to reduced activity in everyday life, dietary restrictions. The inhabitants of Krasnoyarsk showed the same due to reduction of income at retirement, reduced physical activity. At increase the terms of residence on arrival in the southern regions of Central Siberia the proportion of studied people with normal quality of life proved to be reduced and number of persons with a significantly reduced quality of life increases.
The article presents a comparative analysis of vital activity restriction in patients with coronary heart disease (CHD) after surgical myocardial revascularization in elderly and working age patients. It is demonstrated that elderly patients have some features of vital activity restriction, which is necessary to take into account in medical social expertise and rehabilitation program development.
The authors demonstrated role of chemical factor determining workers' psychophysiologic state at work, defined influence of work conditions jeopardy degree on body functions before and during the working shift in contemporary cellulose production.
The sharp increase of absolute number and share of the aged population in St. Petersburg requires changes in the medico-social service provision for the elderly. IPSE survey study was realized in 2000 in St. Petersburg under support of the Tacis Bistro Facility of the European Commission (The findings, conclusions and interpretations expressed in the article are those of authors and should not be taken to reflect the policies or opinions of the Europian Commission). The aim of the survey was to analyse health status, functional ability and use of medical and social services by the 60-89 aged elderly of the city and to identify the groups of elderly population in the most need of help. According to the results of the IPSE survey study, there is a significant number of elderly people who are not able to live independently at home without other people's help (approximately 97,000 elderly people in St. Petersburg who need assistance in daily living). The group of elderly people with considerably declined functional abilities should be a priority in planning the elder care services. For this group intervention programmes need to be developed. Providing the elderly with sufficient home help services fosters their independent living and allows the elderly to live longer at own home. To live at home is often the best choice for both the elderly and also the service system due to lower costs.