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The Parents Together trial aims to determine if the Parents Together program consisting of virtual parent group sessions and coaching calls, will result in better health outcomes for children. The program which is facilitated by a Public Health Nurse seeks to encourage healthy lifestyle behaviours, help build strong family relationships, and promote child development and mental health.
Conditions:
Parenting | Child Nutrition | Early Child Development | Child Eating BehavioursLocation:
- St. Michaels Hospital Pediatric Outpatient Clinic, Toronto, Ontario, Canada
- The Hospital for Sick Children, Toronto, Ontario, Canada
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ALLAges:
2 - 5Trigger finger is a common disease of the hand involving swelling and inflammation of the tendon which flexes a finger, causing catching, locking, and/or pain. Trigger finger is typically treated by hand surgeons with a steroid injection through the front/palm side of the hand into the area near the tendon (i.e., at the base of the affected finger). This steroid injection is often combined with a local anesthetic (numbing agent) to help reduce short-term pain from the injection. However, the front/palm side of the hand is known to be very sensitive, and the steroid injection can be quite painful as the needle pierces the front/palm skin. To reduce the pain of steroid injections for trigger finger, a different approach involves performing the injection from the back/dorsal side of the hand, which is thought to be less sensitive (and therefore less painful) than the front/palm side of the hand. This technique is sometimes used and has been previously studied, but it is not clear if it can offer less injection-related pain than standard treatment. Accordingly, this study will be comparing short-term injection-associated pain between front/palm side and back/dorsal side steroid injections for trigger finger. The study will also seek to understand what area of the hand is numbed by the anesthetic when doing a front/palm side injection versus a back/dorsal side injection of the hand. Overall, the investigators hypothesize that back/dorsal side injections will be less painful than front/palm side injections for trigger fingers and that the area of numbing from the anesthetic will be equivalent between both types of injections.
Conditions:
Trigger Finger DisorderLocation:
- University Health Network - Toronto Western Hospital, Toronto, Ontario, Canada
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ALLAges:
Over 18This pilot clinical trial aims to assess the real world quality of life and survival of patients treated with targeted therapy that has preliminary evidence of efficacy in subjects with advanced rare cancers or cancer harbouring rare molecular aberrations. The treatment has been granted conditional or full approved by Health Canada (HC) as effective and safe. Due to the rarity of the cancer or molecular aberration the uncertainty level of the health technology assessment (HTA) by the pan Canadian Oncology Review (pCODR) was too high for consideration of funding or it was not submitted for consideration. Consequently, the goal of this study is to generate real world evidence to support HTA decision making throughout the life cycle of the product.
Conditions:
CancerLocation:
- BC Cancer, Vancouver, British Columbia, Canada
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ALLAges:
Over 18To evaluate the efficacy of batoclimab 680 milligrams (mg) subcutaneous (SC) once a week (QW) for 12 weeks followed by 340 mg SC QW for 12 weeks versus placebo on proptosis responder rate at Week 24.
Conditions:
Thyroid Eye DiseaseLocation:
- Site Number - 2502, Edmonton, Alberta, Canada
- Site Number - 2500, Ottawa, Ontario, Canada
- Site Number - 2501, Montreal, Quebec, Canada
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ALLAges:
Over 18This study proposes to quantify and describe the quality of life of children with intestinal failure, and to identify the medical and socio-economic factors that impact this quality of life, using data from multiple multidisciplinary intestinal failure centers across the United States and Canada specializing in the care of these participants.
Conditions:
Pediatric Intestinal FailureLocation:
- Hospital for Sick Children, Toronto, Ontario, Canada
- BC Children's Hospital, Vancouver, British Columbia, Canada
- Alberta Children's Hospital, Calgary, Alberta, Canada
Sex:
ALLAges:
1 - 25This pilot clinical trial aims to assess the real world quality of life and survival of patients treated with therapy that has preliminary evidence of efficacy but uncertainty of the magnitude of clinical benefit or cost effectiveness in subjects with cancer. The goal of this study is to collect real world evidence with respect to quality of life and outcomes to support decision making.
Conditions:
CancerLocation:
- BC Cancer, Vancouver, British Columbia, Canada
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ALLAges:
Over 18Patients with chronic respiratory disease may be prescribed oxygen therapy. Currently, the dose of oxygen flow is fixed (FixedO2) depending on activity level i.e. rest, physical activity and sleep. Automated Titration of Oxygen (AutoO2) is a closed-loop system in which the oxygen flow to the patient is continuously machine adjusted to meet the patient's immediate needs on the basis of signals from pulse oximetry (SpO2). The purpose of this study is to examine if automated oxygen control based on pulse oximetry provided to participants is superior to prescribed fixed oxygen flow in keeping SpO2 within the intended target interval of 92 to 96% arterial oxygen saturation.
Conditions:
Chronic Respiratory DiseaseLocation:
- West Park Healthcare Centre, Toronto, Ontario, Canada
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ALLAges:
Over 18Childhood arthritis is a chronic disabling disease. New medications called biologic therapies are now available to treat arthritis that target key biologic molecules that cause inflammation. Biologic therapies, while very effective in treating arthritis in children, may have serious side effects including infections and potentially cancers, and are very expensive and doctors don't know, which one to choose for which child. The investigators will develop tests that enable them to learn about the biology of each child's arthritis and be able to predict when and which biologic therapy to start and when to stop.
Conditions:
Juvenile Idiopathic ArthritisLocation:
- BC Children's Hospital, Vancouver, British Columbia, Canada
- Montréal Children's Hospital, Montréal, Quebec, Canada
- McMaster Children's Hospital, Hamilton, Ontario, Canada
- Stollery Children's Hospital, Edmonton, Alberta, Canada
- IWK Health Centre, Halifax, Nova Scotia, Canada
- The Hospital for Sick Children, Toronto, Ontario, Canada
- Children's Hospital Health Science Centre Winnipeg, Winnipeg, Manitoba, Canada
- Children's Hospital, London Health Sciences Centre, London, Ontario, Canada
- University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Alberta Children's Hospital - University of Calgary, Calgary, Alberta, Canada
- Janeway Children's Hospital and Rehabilitation Centre, St John's, Newfoundland and Labrador, Canada
- Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
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ALLAges:
Under 18The goal of this clinical trial is to compare the effectiveness of upper-body surface cooling with whole-body surface cooling on exercise performance while wearing firefighter clothing in the heat. The main question it aims to answer is: • which cooling protocol best prevents an increase in core temperature during exercise in the heat? Participants will be asked to participate three times in a 60-minute exposure (to 40 degrees C, 40% relative humidity) in which they conduct three work/rest periods including 15 minutes of stepping exercise (20 steps/minute) and 5 minutes of rest. The following three conditions will include: * Control: no cooling garments * Upper-body cooling: cold water-perfused cooling vest * Whole-body cooling: cold water-perfused cooling pants and cooling vest
Conditions:
Body Surface Cooling MethodsLocation:
- 211 Max Bell Centre, University of Manitoba, Winnipeg, Manitoba, Canada
Sex:
ALLAges:
18 - 49Respiratory Muscle Structure and Function in Mechanically Ventilated Patients and Long-term Outcomes
Air is normally pumped in and out of the lungs by the muscles that contribute to inhalation and exhalation, called the respiratory muscles. The abdominal muscles help by forcing air out of your lungs during exhalation; whereas the diaphragm, the main muscle used for breathing, contracts to get air into the lungs during inhalation. With mechanical ventilation, respiratory muscles are able to rest and recover while the breathing machine takes over; however, this may cause respiratory muscle weakness. Patients who develop weakness of these muscles may require more assistance from the ventilator and take longer to recover their ability to breathe without assistance. The impact of this phenomenon on long-term outcomes is uncertain. The RESPIRE study is designed to characterize how respiratory muscles change during mechanical ventilation and to evaluate the impact on long term quality of life. An additional objective of this study is to examine novel measures obtained from automated functions of a ventilator, that may better predict success from weaning from mechanical ventilation.
Conditions:
Respiratory Insufficiency | Lung Injury | Mechanical Ventilation Complication | Diaphragm...Location:
- Toronto General Hospital, Toronto, Ontario, Canada