[The development of the geriatric service in the Republic Sakha (Yakutia).]

The medical and demographic data on the health status of older citizens in the Republic Sakha (Yakutia) in 2000-2017 and the analysis of medical care for elderly patients in 2015-2017 demonstrated the urgent need to expand primary health care (including at home) and to organize specialized medical care for older citizens (including geriatric service) in one of the largest regions of Russia. The main directions of implementation in the Republic Sakha (Yakutia) of the Strategy of actions in the interests of the older generation of the Russian Federation until 2025 are given: the formation of the legislative basis, the creation of a three-level geriatric service, the introduction of new technologies for the provision of medical care to elderly residents of the Republic, training of personal. Measures are planned to implement the regional program «Older generation¼ of the National project «Demography¼ in order to improve the current medical and demographic situation and increase the life expectancy of the older generation and the whole population of Yakutia.

[Arterial blood pressure in persons of elderly, senile age and long-livers of Yakutsk: population screening].

The values of arterial blood pressure according to the Yakutsk population screening at the age of 60 and older have been studied. The average values of systolic arterial pressure (both sexes--148, men--145, women--151 mm Hg) are higher than normal values specified by Society of Cardiology of Russian Federation. Long-living persons show its decrease that is more marked in men. The average values of diastolic arterial pressure (both sexes--87, men--88, women--87 mm Hg) correspond to the category of high normal pressure and are decreasing with age to more extent in men than in women. The average values of pulse pressure in elderly and senile age are higher than normal values (both sexes--61, men--57, women--64 mm Hg) with a tendency to grow by 90 years old. Differences in arterial blood pressure levels are educed in gerontic persons depending on presence of abdominal obesity, hypercholesterolemia, hyperglycemia, smoking and family anamnesis with cases of hypertension.