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Effects of AbClo Fascial Approximation Device in Patients With Open Abdomen on Respiratory Mechanics
Patients who underwent an abdominal surgery and had the abdomen remain open are called to have an "open abdomen". To limit the risk of further widening of their wounds, surgeons can use AbClo, which is a non-invasive abdominal binding device, to keep the abdominal wall together (i.e., approximate the fascia). However, as the device also compresses on the abdomen and adjacent lungs, this study aims: * To assess whether the abdominal binding device causes changes in the pressure compressing the lungs, the lung volume, and the function of the lungs. * To assess whether adjusting the breathing machine can mitigate such negative changes. Participants will already be on the abdominal binding device when joining the study. Measurements on various aspects of the lung function (including its physical properties and capability to oxygenate the blood) will be done before and after adjustment of the abdominal binding device to the pressure (measured in the device itself) recommended by the manufacturer, as well as after the surgery to close the abdomen.
Conditions:
Mechanical Ventilation | Open AbdomenEmplacement:
- St. Michael's Hospital, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Over 18This is an international, multicenter study with two components: Registry * A standardized genetic screening and a prospective, standardized, cross-sectional clinical data collection * Enrollment is open to all genes on the RD Rare Gene List Natural History Study * A prospective, standardized, longitudinal Natural History Study * Enrollment opens gene-by-gene, based on funding and within-gene Registry enrollment The study objectives are as follows. Registry Objectives 1. Genotype Characterization 2. Cross-Sectional Phenotype Characterization (within gene) 3. Establish a Link to My Retina Tracker Registry (MRTR) 4. Ancillary Exploratory Studies - Pooling of Genes Natural History Study Objectives 1. Natural History (within gene) 2. Structure-Function Relationship (within gene) 3. Risk Factors for Progression (within gene) 4. Ancillary Exploratory Studies - Pooling of Genes
Conditions:
Retinitis Pigmentosa | Inherited Retinal DegenerationEmplacement:
- University of Toronto, Hospital for Sick Children, Toronto, Ontario, Canada
- University of Alberta and Alberta Health Services, Edmonton, Alberta, Canada
Sexe:
ALLÂges:
Over 4The investigators recently evaluated 4 different oximeters among the most commonly used with arterial catheter in place and compared SpO2 with SaO2 obtained on arterial gas. Correlations between SaO2 and SpO2 were poor for all oximeters, as previously known, and SpO2-SaO2 bias were different between oximeters. Some oximeters (Masimo, Nellcor) had lower biases but they detected less well hypoxemia. Some oximeters underestimated SaO2 (Nonin) but detected very well hypoxemia, and some overestimated SaO2 (Philips). The investigators concluded that oximeters provide different informations to clinicians, and oxygenation targets should take into account for these differences. The assumption is that the SpO2 target AND oximeter used will both have an impact on oxygen flows and that these effects will add up. With a high SpO2 target, oxygen flows will be significantly greater and with the Nonin oximeter, the required flows will be greater than with the Philips oximeter. NB: the results obtained were in a population with light skin pigmentation (96% of the patients were Fitzpatrick 1-2, reflecting the local hospitalized population).
Conditions:
Respiratory Failure | Oxygen ToxicityEmplacement:
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Quebec, Canada
Sexe:
ALLÂges:
Over 18The COVID-19 pandemic has resulted in increased workload and concerns about personal and family safety for frontline healthcare workers (HCWs), which can lead to decreased well-being and worsening mental health. Sleep disruption is particularly prevalent among HCWs providing frontline COVID-19 care. It can have direct consequences on their cognitive and emotional functioning, as well as on patient safety. Cognitive Behavioral Therapy for insomnia (CBTi) is a first-line treatment for insomnia. It has been shown to improve sleep health and wellbeing in the general population. However, there are significant barriers to delivering CBTi to frontline HCWs, including limited availability of trained sleep therapists and high costs. To address this, a Canada-wide randomized controlled trial is developed to determine the effectiveness of a digital CBTi program on the sleep health, mental health, wellness, and overall quality of life of frontline HCWs caring for COVID-19 patients. This study may provide an easily accessible and scalable sleep health intervention that can be included as part of a national and global response to the COVID-19 pandemic.
Conditions:
Insomnia | Anxiety Disorders | Depression | Post Traumatic Stress DisorderEmplacement:
- Toronto Western Hospital, Toronto, Ontario, Canada
- Toronto Western Hospital - UHN, Toronto, Ontario, Canada
Sexe:
ALLÂges:
AnyDifluoromethylornithine (DFMO) will be used in an open label, multicenter, study in combination with etoposide for subjects with relapsed/refractory neuroblastoma.
Conditions:
NeuroblastomaEmplacement:
- CancerCare Manitoba, Winnipeg, Manitoba, Canada
- CIUSSS de l'Estrie-CHUS, Sherbrooke, Quebec, Canada
- UHC Sainte-Justine, Montreal, Quebec, Canada
- CHUQ, Québec, Quebec, Canada
- Montreal Children's Hospital, Montreal, Quebec, Canada
Sexe:
ALLÂges:
Under 31The goal of this pilot clinical trial is to evaluate the utility of a new electronic patient decision aid for stroke prevention therapy in patients with atrial fibrillation. The main questions it aims to answer are: Is the patient decision aid acceptable to both patients and physicians? Does the patient decision aid lead to more effective shared decision-making than standard care among patients with atrial fibrillation who are considering stroke prevention therapy? Participants with a recent diagnosis of atrial fibrillation will be enrolled before an upcoming specialist physician visit. Researchers will compare a pre-visit intervention consisting of standard educational materials plus use of the patient decision aid to educational materials alone to see if using the decision aid results in improved shared decision making during the clinic visit.
Conditions:
Atrial FibrillationEmplacement:
- Calgary Zone, Alberta Health Services, Calgary, Alberta, Canada
- Vita Diagnostics, Calgary, Alberta, Canada
Sexe:
ALLÂges:
Over 18Advanced solid tumors are cancers that have spread to other parts of the body. While many treatments exist, most people become resistant to them, and the cancer returns. Researchers are developing new treatments that combine different medicines for those who do not respond to single medicine. This study is looking at how safe and tolerable GSK5733584 is, how the body handles it, and how well it works when used with other cancer medicines. The study will include participants with advanced solid tumors who have either not responded to standard treatments or cannot tolerate them or have no available effective treatment.
Conditions:
Tumours, GynecologicalEmplacement:
- GSK Investigational Site, Toronto, Ontario, Canada
- GSK Investigational Site, Montreal, Quebec, Canada
- GSK Investigational Site, Montreal, Quebec, Canada
Sexe:
ALLÂges:
Over 18This study will evaluate the effect of fasting duration and elective c-section start time on the overall quality of recovery. Patients will be seen 24 hours after surgery to answer 11 questions on their overall recovery after surgery. Several factors will be tracked to determine their effect on recovery, with the primary variable of interesting
Conditions:
Cesarean Section | Quality Improvement | Quality of Recovery From...Emplacement:
- Jewish General Hospital, Montreal, Quebec, Canada
Sexe:
FEMALEÂges:
AnyThe purpose of this trial is to test whether clients of Sun Life are willing to join in a quit smoking program that offers counselling and tobacco cessation products to all participants over a 12-month period. The study team will track the safety and usage of 3 types of cessation products as well as the effectiveness of a virtual pharmacy (i.e. cessation products delivered to participants directly from a pharmacy) over a 12-week treatment period. The purpose of this study is to look at 3 approved smoking cessation products used in combination with counselling and virtual delivery of the smoking cessation products. The goal is to track product usage, safety, and adherence (how much of the products people use and how many counselling sessions they complete). Within the study there will also be an observational group who will not receive study medication but who will receive free virtual coaching and follow-up for smoking cessation and complete study questionnaires.
Conditions:
TobaccoEmplacement:
- University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Sexe:
ALLÂges:
Over 18CANTOR SING is a pilot single center double blinded randomized study. The investigators will compare the effect of canagliflozin (300 mg daily - intervention arm) vs. placebo (control group) on the FDG aortic uptake in patients with stable CAD (over 60 days post-myocardial infarction) after a 6-month period of treatment. The investigators plan to enroll 8 patients in each arm (total sample size: 16 patients). Primary endpoint is the change in FDG aortic uptake between baseline and 6 months in each arm.
Conditions:
Coronary Artery Disease | Diabetes Type 2Emplacement:
- University of Ottawa Heart Institute, Ottawa, Ontario, Canada