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The goal of this preference-based pilot study will be to assess the feasibility and acceptability, and impact of a 12-week exercise intervention on oncology care provider burnout. Participants self-select to participate into one of two exercise groups. Group assignment will be based on participant preference. Group 1: Supervised circuit-based resistance exercise Group 2: Nature-based walking
Conditions:
Compassion Fatigue | Burnout, CaregiverLocation:
- Physical Activity and Cancer (PAC) Lab, Halifax, Nova Scotia, Canada
- Physical Activity and Cancer (PAC) Lab, Halifax, Nova Scotia, Canada
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ALLAges:
Over 18There is great interest in restorative therapies (platelet-rich plasma (PRP) injections, shockwave therapy and stem cell therapy) for ED given their non-invasive nature. However, data is still limited and requires further research prior to widespread adoption. Unfortunately, therapies such as PRP injections are being widely used without clinical evidence demonstrating its safety or effectiveness for the treatment of erectile dysfunction. 2-7 To date, there are no treatments that address the underlying cause of endothelial dysfunction, although low-intensity shockwave therapy for ED has shown promising results. Platelet-derived therapies targeting inflammation and promoting tissue/nerve regeneration and may represent a potential treatment option towards this direction. The investigators propose to perform Canada's first pilot RCT to evaluate and safety and efficacy of PRP for the treatment of ED.
Conditions:
Erectile DysfunctionLocation:
- Men's Health Clinic, Winnipeg, Manitoba, Canada
Sex:
MALEAges:
30 - 70Physical activity and dairy consumption during growth and development are each known to improve peak bone mass in young adults. Peak bone mass, the maximum amount of bone a person will have in their lifetime, is typically reached in the early 20's in females and late 20's in males. However, evidence suggests that young people do not consume enough dairy to maximize their bone mass. The resulting effect in peak bone mass can be troublesome, particularly for athletes, such as volleyball players. This study aims to determine whether increased dairy consumption combined with training can have an additive effect on the physiology of young competitive athletes. Specifically, we will examine whether Greek yogurt consumption will lead to beneficial changes in bone metabolism and inflammation, in adolescent and young adult, male and female athletes, similar to those observed with whey protein supplementation. Many athletes choose exclusively protein supplementation and miss out on other nutrients vital for healthy growth and development. By examining the benefits of Greek yogurt across different athlete age groups and sexes, this work will help reshape the attitudes, beliefs, and behaviours surrounding diet of young athletes.
Conditions:
Inflammation | Bone Growth AbnormalLocation:
- Brock University, St. Catharines, Ontario, Canada
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ALLAges:
15 - 22Improved outcomes for high-grade gliomas (HGG) require advances in our ability to monitor changes to tumour biology using non-surgical approaches. "Liquid biopsy" is a term used to describe a technique whereby tumour DNA, which has been shed off and then circulates through the blood stream, is detected and analyzed. Our goal is to develop a new type of liquid biopsy that is suitable for primary brain tumours that uses a method that is highly sensitive and allows for ongoing analysis of these tumours.
Conditions:
High Grade GliomaLocation:
- University Health Network, Toronto, Ontario, Canada
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ALLAges:
18 - 100Finerenone will be compared to placebo to determine efficacy and safety of treatment in patients with heart failure and reduced ejection fraction (HFrEF) who are intolerant or ineligible to receive treatment with steroidal mineralocorticoid receptor antagonists (sMRA).
Conditions:
Heart FailureLocation:
- FIN-11012 Surrey, BC Investigational Site, Surrey, British Columbia, Canada
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ALLAges:
Over 18RADICAL PC1 is a prospective cohort study of men with a new diagnosis of prostate cancer. RADICAL PC2 is a randomized, controlled trial of a systematic approach to modifying cardiovascular and lifestyle risk factors in men with a new diagnosis of prostate cancer.
Conditions:
Prostate Cancer | Cardiovascular DiseaseLocation:
- Juravinski Cancer Centre, Hamilton, Ontario, Canada
- London Health Sciences, Victoria Hospital, London, Ontario, Canada
- University Health Network, Princess Margaret Cancer Centre, Toronto, Ontario, Canada
- McGill University, Montréal, Quebec, Canada
- St. Joseph's Healthcare, Hamilton, Ontario, Canada
- London Health Sciences Centre, London, Ontario, Canada
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- Hopital Maisonneuve-Rosemont, Montréal, Quebec, Canada
- Vancouver General Hospital, Vancouver, British Columbia, Canada
- Grand River Hospital, Grand River Regional Cancer Centre, Kitchener, Ontario, Canada
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Jewish General Hospital, Montreal, Quebec, Canada
- Centre Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
- Queen's University, Kingston, Ontario, Canada
- Niagara Health, St. Catharines Site, Niagara, Ontario, Canada
- Hopital Maisonneuve-Rosemont, Montreal, Quebec, Canada
- Laval University, Québec, Quebec, Canada
- McGill University, Montreal, Quebec, Canada
- University Hospital of Montreal, Montreal, Quebec, Canada
Sex:
MALEAges:
Over 45Small Steps for Big Changes (SSBC) is a diet and exercise counselling program that significantly reduces the risk of developing Type 2 Diabetes (T2D). In partnership with YMCAs in Canada spanning 8 provinces, the aim of this study is to scale-up program delivery and evaluate the implementation and effectiveness of SSBC. To evaluate implementation, the number of staff trained/patients enrolled, attendance, sessions delivered as planned, delivery costs, and number of sites continuing to deliver the program will be examined. To evaluate program effectiveness, changes in patient health (e.g., T2D status, blood glucose, weight, exercise, diet) will be measured over 2 years following program completion.
Conditions:
PrediabetesLocation:
- Castle Downs Family YMCA, Edmonton, Alberta, Canada
- YMCA of Brandon Health and Fitness Centre, Brandon, Manitoba, Canada
- John W. Lindsay YMCA, Halifax, Nova Scotia, Canada
- Tong Louie Family YMCA, Surrey, British Columbia, Canada
- YMCA of Regina Health, Fitness and Aquatics Centre, Regina, Saskatchewan, Canada
- Ches Penney Family YMCA, Saint John's, Newfoundland and Labrador, Canada
- Prince George Family YMCA, Prince George, British Columbia, Canada
- Saint John Regional Y, Saint John, New Brunswick, Canada
- YMCA of Greater Toronto - Scarborough Health and Fitness Centre, Scarborough, Ontario, Canada
- Health and Exercise Psychology Laboratory, Kelowna, British Columbia, Canada
- Elmwood-Kildonan, Winnipeg, Manitoba, Canada
- YMCA 3 Rivers, Kitchener, Ontario, Canada
- YMCA of Greater Toronto - Scarborough Health and Fitness Centre, Scarborough Village, Ontario, Canada
- Ches Penney Family YMCA, St. John's, Newfoundland and Labrador, Canada
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ALLAges:
Over 18Frailty describes the variability in aging and explains why two people of the same chronological age may look very different. Higher frailty leads to poor quality of life, disability, and death. Hospitalized patients living with frailty have a higher risk for functional decline, new impairments in activities of daily living, a longer hospital stay, hospital readmission, and death. A previous study from our team has reported that 60% of inpatients have more difficulty with 1+ basic activity of daily living (i.e., eating, getting out of bed, using the toilet, etc.) after hospitalization compared to pre-admission, with 1-in-4 patients having difficulty with 3+ basic tasks. Patients with few health deficits can recover to their pre-admission level, but those with higher frailty levels cannot, priming them for readmissions. Physical activity and reducing time spent sitting or lying postures prevent and improve frailty. Older patients who walk at least once/day outside their room during hospitalization have \~1.7 days shorter length of hospital stay compared with those who stayed in their room. Although multiple barriers exist to promoting upright time in a hospital, strategies that help address patients' excessive time spent in bed are often not implemented but could attenuate the development of frailty in the hospital. Few exercise interventions in hospital studies have considered frailty. The investigators have conducted a clinical trial within the Halifax Infirmary (Nova Scotia Health) that focused on mobilizing patients (average age: \~75 years) via regular visits by a Kinesiologist and observed that the intervention groups reduced their frailty level from preadmission and admission versus discharge. While preliminary findings from this model were promising, its reach was limited to acute geriatric care and dependent upon researchers to conduct the intervention. At the Georges-L. Dumont hospital, a patient mobilization program has been introduced in General and Internal Medicine (floor 4C) that embedded Kinesiologists within care to visit patients daily. Preliminary findings indicate that patients and staff are enjoying the program via self-report questionnaire. However, evaluations of the program's effectiveness in changing objectively measured activity and frailty levels and whether multiple patient visits would be more effective (e.g., refining the program) are unclear. The investigators propose to evaluate the effectiveness of the existing patient mobilization program and if more patient contact improves outcomes. Our study integrates activity monitoring technology and frailty assessments to help patients leave the hospital healthier and decrease the risk of readmission. Study Objectives: The proposed study will test the hypothesis that, compared to usual care (Kinesiology visit once/day), patients who receive multiple check-ins will, 1) increase their step counts and upright time, 2) decrease their frailty level, and 3) have a less length of stay and less readmission rates.
Conditions:
Frailty At Older AdultsLocation:
- Dr. Georges-L.-Dumont University Hospital Centre, Moncton, New Brunswick, Canada
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ALLAges:
Over 50The goal of this study is to learn if Multispectral Optoacoustic Tomographs (MSOT) works to diagnose and follow the course of neuromuscular diseases (NMDs) in children. MSOT scans will be obtained from muscle region to measure hemo/myoglobin, collagen and lipid content/signal and oxygenation in patients with neuromuscular diseases. No additional research activities -other than MSOT - will be done during this study. Existing clinical, laboratory and imaging data from standard-of-care procedures will be correlated with the MSOT data. The expected total duration of the study is approximately 36 months. Repeated measurements will be done to evaluate disease progression and the value of MSOT in NMD.
Conditions:
Neuromuscular DiseasesLocation:
- CHEO, Ottawa, Ontario, Canada
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ALLAges:
Under 18The study is a randomized, placebo-controlled, triple-blind, parallel group trial, in which the effect of krill oil is investigated in healthy volunteers with self-perceived memory problems. Volunteers are randomly allocated to the 2 study groups including placebo and Lysoveta. Over the whole study period, volunteers will be asked to complete questionnaires to evaluate cognitive performance and mood throughout the duration of the trial. The goal of this clinical trial is to examine Lysoveta on cognitive function in healthy adults with self-perceived memory problems. The main question it aims to answer is: What is the difference in change in episodic, working and spatial memory as assessed by the Computerized Mental Performance Assessment System (COMPASS) between Lysoveta and placebo?
Conditions:
Healthy | Memory ProblemsLocation:
- KGK Science Inc., London, Ontario, Canada