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This research trial studies biomarkers in tumor tissue samples from patients with newly diagnosed neuroblastoma or ganglioneuroblastoma. Studying samples of tumor tissue from patients with cancer in the laboratory may help doctors identify and learn more about biomarkers related to cancer.
Conditions:
Ganglioneuroblastoma | Stage 4 Neuroblastoma | Stage 4S Neuroblastoma | Localized Resectable...Location:
- CancerCare Manitoba, Winnipeg, Manitoba, Canada
- Kingston Health Sciences Centre, Kingston, Ontario, Canada
- The Montreal Children's Hospital of the MUHC, Montreal, Quebec, Canada
- British Columbia Children's Hospital, Vancouver, British Columbia, Canada
- McMaster Children's Hospital at Hamilton Health Sciences, Hamilton, Ontario, Canada
- Hospital for Sick Children, Toronto, Ontario, Canada
- Saskatoon Cancer Centre, Saskatoon, Saskatchewan, Canada
- University of Alberta Hospital, Edmonton, Alberta, Canada
- IWK Health Centre, Halifax, Nova Scotia, Canada
- Alberta Children's Hospital, Calgary, Alberta, Canada
- Janeway Child Health Centre, Saint John's, Newfoundland and Labrador, Canada
- Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
- Allan Blair Cancer Centre, Regina, Saskatchewan, Canada
- Children's Hospital, London, Ontario, Canada
- Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada
Sex:
ALLAges:
Under 30Patients with Postural Orthostatic Tachycardia Syndrome (POTS) and Post-Acute Sequelae of COVID (PASC, or "Long COVID") experience cognitive dysfunction. The investigators will test the hypothesis that 999 mL of IV saline will improve cognitive function in patients with POTS and Long COVID compared to placebo (50 mL of saline).
Conditions:
Postural Orthostatic Tachycardia Syndrome | Post Acute Sequelae of SARS CoV 2 InfectionLocation:
- University of Calgary, Calgary, Alberta, Canada
Sex:
ALLAges:
18 - 60This study will enroll male and female subjects who are 18 years of age or older with Eosinophilic Granulomatosis With Polyangiitis.
Conditions:
Eosinophilic Granulomatosis With Polyangiitis | Churg-Strauss SyndromeLocation:
- University of Toronto, Toronto, Ontario, Canada
- St Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada
Sex:
ALLAges:
Over 18Calcium Release Deficiency Syndrome (CRDS) is a newly discovered genetic arrhythmia syndrome that confers a risk of life-threatening arrhythmias secondary to RYR2 loss-of-function. The International CRDS registry has been designed to facilitate large-scale evaluation of CRDS, including its phenotypic spectrum, approaches to risk stratification, and optimal treatment strategies.
Conditions:
Calcium Release Deficiency SyndromeLocation:
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec City, Quebec, Canada
- Montréal Heart Institute, Montréal, Quebec, Canada
- Hamilton General Hospital, Hamilton, Ontario, Canada
Sex:
ALLAges:
AnyThe primary objective of this study is to evaluate the long-term safety of mRNA-3705 administered to participants with isolated methylmalonic acidemia (MMA) due to methylmalonyl-coenzyme A mutase (MUT) deficiency who have previously participated in other clinical studies of mRNA-3705.
Conditions:
Methylmalonic AcidemiaLocation:
- Stollery Children's Hospital University of Alberta, Edmonton, Alberta, Canada
- Hospital For Sick Children, Toronto, Ontario, Canada
Sex:
ALLAges:
Over 1To investigate whether genotypic differences can be identified between MS patients developing 'liver injury' (defined as ALT levels five times the upper normal limit and above) compared to those not developing liver injury after exposure to beta-interferon for MS.
Conditions:
Multiple SclerosisLocation:
- London Health Sciences Centre MS clinic, London, Ontario, Canada
- Dalhousie MS Research Unit, Halifax, Nova Scotia, Canada
- MS Clinic UBC Hospital, Vancouver, British Columbia, Canada
- Hôpital Notre-Dame MS clinic, Montréal, Quebec, Canada
- Winnipeg Health Sciences Centre, Winnipeg, Manitoba, Canada
Sex:
ALLAges:
Over 18Pain management is a major concern in oncologic breast surgery and reconstruction. Significant risks for acute and chronic pain after surgery might be reduced through improved pain control pre-operatively. Addition of regional anesthesia to a multimodal peri-operative pain management protocol offers a promising solution for improved recovery. For patients undergoing mastectomy with immediate alloplastic breast reconstruction, this RCT compares TPVB+Pecs local anesthetic block with TPVB local anesthetic block and Pecs placebo normal saline block for their effect on acute pain, chronic pain, opioid consumption, opioid-related side effects, patient-reported quality of recovery after surgery, and length of stay.
Conditions:
Nerve Block | Breast Reconstruction | Surgery, Plastic | MastectomyLocation:
- Mount St Joseph Hospital, Vancouver, British Columbia, Canada
Sex:
FEMALEAges:
Over 19This study will compare the cosmetic scar result from the use of scalpel, electrocautery, and pulsed electron avalanche knife (PEAK) PlasmaBlade (PPB) for the initial skin incision for total mastectomy procedures without immediate breast reconstruction. It is hypothesized that there will be no significant difference in mastectomy scar cosmesis. The purpose and objectives of this study are: 1. To evaluate and compare the cosmetic scar result from the use of scalpel, standard electrocautery, or PEAK PlasmaBlade for initial incision for total mastectomy procedures without immediate breast reconstruction. 2. To inform future equipment choices for breast surgery including potential elimination of scalpels and their attendant risks.
Conditions:
Surgical Wound Infection | Post-operative Pain | Postoperative Complications | Wound Complication | ScarLocation:
- Mount Saint Joseph Hospital, Vancouver, British Columbia, Canada
Sex:
ALLAges:
AnyWith the advent of CT screening for lung cancer, an increasing number of NSCLCs are being detected at very early stages, and the demand for pulmonary segmentectomy is rising rapidly. As such, there is a need to develop new surgical techniques to facilitate minimally invasive pulmonary segmentectomy, as segmentectomy may provide a number of significant advantages over lobectomy for patients presenting with early-stage lung cancer, or for patients unable to undergo a full lobectomy due to existing comorbidities. This study will provide the first case series using preoperative 3D anatomical planning (Synapse 3D) added to ICG and NIF-guided robotic segmentectomy to date and will be the first reported use of Synapse 3D-guided targeted pulmonary segmental resection in Canada. As lung cancer is the most frequently fatal cancer in North America, many thousands of patients will be able to benefit from this operation every year.
Conditions:
Non-small Cell Lung Cancer | Primary NeoplasmLocation:
- St. Josephs Healthcare Hamilton, Hamilton, Ontario, Canada
Sex:
ALLAges:
Over 18Older adults who live with multiple chronic conditions are more likely to experience frequent admissions and discharges from hospital. These transitions are often challenging and leave people at risk of readmission. Appropriate, timely and person-centred communication across all health care providers involved in transitions (in and out of hospital) as well as with patients and their families is critical to ensure a smooth and effective transition process. Digital health technologies can play an important role in improving person-centred communication across clinical settings and clinicians. This project will develop and test a Digital Bridge by connecting communication technologies already in use in hospital and primary care/community settings to improve communication between providers in hospital and in primary care, patients and family caregivers from admission to 6 months post-discharge. The investigators will engage with all the technology users to co-design the Digital Bridge, ensuring that how the investigators connect the existing technologies and adopt them into practice will meet the needs of providers, patients and their caregivers. Next hospital partners will adopt the technology into general medicine and rehabilitation services in hospital systems in Toronto (Sinai Health System) and Mississauga (Trillium Health Partners). The investigators will evaluate the Digital Bridge through a pre-post pragmatic trial, assessing impact on patient experience (quality of transition), patient outcomes (quality of life), transition processes (provider communication and teamwork), and system costs (economic evaluation). This project adopts an implementation science lens, allowing the investigators to collect qualitative data on enablers and barriers to adopting the Digital Bridge to help inform development of a scale and spread strategy.
Conditions:
Older Adults With Complex Care NeedsLocation:
- Sinai Health, Toronto, Ontario, Canada