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Objectives: to study the clinical and demographic characteristics of working age persons, to highlight the main factors of non-communicable diseases (NCDs), to identify NCDs with physical examination, laboratory tests, electrocardiography and ultrasound imaging, to develop a corporate prevention program for the company to reduce the risk of complications of NCDs.
Research stages:
Currently the emphasis in preventive medicine is also on health of the working population, which is a key state policy in the Russian Federation. Health of working citizens is an important factor in the development and safety of the production sector, but it is also the key to health and well-being of all other groups - children and older generations - that is, in fact, the fundamental factor for social development. Therefore, the integration of health-saving technologies into all areas of working life, including production and work activities, is particularly important. In today's world, it is very important that everyone actively participate in the preservation the health of the individual and its high awareness. Awareness of risk factors for chronic non-communicable diseases and measures prevention throughout life is an important part of a healthy society. Monitoring the health of working citizens allows to predict the problem and take the necessary measures in a timely manner.
In the Russian Federation, medical screening is a complex system, including medical examination by physicians of several specialties and application of the necessary methods of examination to identify chronic non-communicable diseases and their risk factors at an early stage that are the main cause of disability and premature mortality in the country's population, and also to form health status groups and provide recommendations for patients. The examination is carried out once every three years and includes a set of methods of advanced examination to identify early on the most likely chronic non-communicable disease for a given age and gender. Regular checkups are the most important mass and highly effective medical technology of health savings.
The work of carrying out regular preventive examinations and check-ups is carried out by primary health care. Often the quality of such work is limited by manpower shortages, technological and logistical barriers. In modern conditions, these obstacles can be overcome by using mobile systems that include modern digital diagnostic technologies, Allow for more in-depth investigation and identification of risk factors not covered by the standard examination protocol. This will increase the coverage and detection of risk factors, which is an important component of the health saving of the working population
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Persons without NCDs | Persons without known NCDs and not using any medication on a permanent basis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| electrocardiography | Diagnostic Test | 12 standard leads |
| |
| Measure | Description | Time Frame |
|---|---|---|
| prevalence of NCDs risk factors | risk factors of NCDs based on survey results and diagnostic tests | on enrollment |
| prevalence of NCDs | diagnosed NCDs based on survey results, and diagnostic tests | on enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Hospitalization | Urgent or emergent hospitalization during the visit if indicated | on enrollment |
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Inclusion Criteria:
Exclusion Criteria:
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The study is planned to include all working citizens who meet the inclusion criteria and have come for preventive examination. In total, at least 2,000 people are planned to be included in the study. All participants will be given informed consent to participate in the clinical trial
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| Name | Affiliation | Role |
|---|---|---|
| Olga Dzhioeva, MD, PhD | National Medical Research Center for Therapy and Preventive Medicine | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Medical Research Center for Therapy and Preventive Medicine | Moscow | Russia |
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blood and urine samples
| analysis for glucose and cholesterol in the capillary blood |
| Diagnostic Test |
express test |
|
| detection of microalbumuria | Diagnostic Test | express test |
|
| heart ultrasound examination | Diagnostic Test | Ultrasound examination with Lumify Handheld S4-1 Phased Array Ultrasound (Philips) |
|
| carotid artery ultrasound examination | Diagnostic Test | Ultrasound examination with Lumify Handheld L12-4 Linear Array Ultrasound (Philips) |
|
| ID | Term |
|---|---|
| D000073296 | Noncommunicable Diseases |
| D006973 | Hypertension |
| D003327 | Coronary Disease |
| D002561 | Cerebrovascular Disorders |
| D009369 | Neoplasms |
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D001249 | Asthma |
| D003920 | Diabetes Mellitus |
| D012907 | Smoking |
| D000428 | Alcohol Drinking |
| D018476 | Hypokinesia |
| D009765 | Obesity |
| D050177 | Overweight |
| D050171 | Dyslipidemias |
| D006943 | Hyperglycemia |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
| D001982 | Bronchial Diseases |
| D012130 | Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D001519 | Behavior |
| D004327 | Drinking Behavior |
| D020820 | Dyskinesias |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D001835 | Body Weight |
| D052439 | Lipid Metabolism Disorders |
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| ID | Term |
|---|---|
| D004562 | Electrocardiography |
| ID | Term |
|---|---|
| D006334 | Heart Function Tests |
| D003935 | Diagnostic Techniques, Cardiovascular |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D004568 | Electrodiagnosis |
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