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This study aims to evaluate the efficacy and safety of crovalimab in adult and adolescent participants with aHUS.
Conditions:
Atypical Hemolytic Uremic SyndromeEmplacement:
- Toronto General Hospital, Toronto, Ontario, Canada
- Vancouver General Hospital, Vancouver, British Columbia, Canada
- St. Michael's Hospital, Toronto, Ontario, Canada
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ALLÂges:
Over 12The main aim of this study is to learn about the effect of treatment with vedolizumab IV (vedolizumab) together with tofacitinib in adults with moderate and severe ulcerative colitis (UC). Another aim is to learn about treatment with Vedolizumab alone after the double treatment. All participants will receive vedolizumab together with tofacitinib for 8 weeks and will be checked for response. Participants who show a response to the treatment after 8 weeks will be treated with vedolizumab alone for an additional 44 weeks. Each participant will be followed up for at least 26 weeks after the last dose of vedolizumab.
Conditions:
Ulcerative ColitisEmplacement:
- West GTA Endoscopy Inc., Mississauga, Ontario, Canada
- Taunton Surgical Centre, Oshawa, Ontario, Canada
- London Health Sciences Centre, London, Ontario, Canada
- ABP Research Services Corp., Oakville, Ontario, Canada
- Viable Clinical Research - North Bay, North Bay, Ontario, Canada
- Toronto Digestive Disease Associates (TDDA) Specialty Research, Vaughan, Ontario, Canada
- Barrie GI Associates Inc., Barrie, Ontario, Canada
- Toronto Immune and Digestive Health Institute Inc. (TIDHI), North York, Ontario, Canada
- McGill University Health Centre Montreal General Hospital, Montreal, Quebec, Canada
Sexe:
ALLÂges:
18 - 65Recent findings have demonstrated that electrical stimulation to the spinal cord (i.e. implanted electrodes) can significantly recover bladder, bowel, and sexual function after injury. While promising, a major drawback is that individuals must undergo a highly invasive and expensive surgical procedure to implant the stimulator on top of the spinal cord. Moreover, the inability to re-position the implanted stimulator considerably limits the flexibility of this procedure. In this project, the investigators propose a comprehensive clinical study examining the effects of TCSCS in promoting recovery of these crucial functions in individuals with spinal cord injury (SCI). This non-invasive therapeutic modality uses electrodes applied over the skin to deliver electrical stimulation. It is based on the same principles of ground-breaking work from the investigator's group and others, showing that stimulation of the spinal cord can promote motor and autonomic (cardiovascular, bladder, bowel) recovery in individuals with chronic SCI.
Conditions:
Neurogenic Bladder | Spinal Cord Injuries | Sexual Dysfunction, Physiological | Spinal Cord Stimulation | Neurogenic BowelEmplacement:
- St Paul's Hospital, Vancouver, British Columbia, Canada
- Blusson Spinal Cord Centre, Vancouver, British Columbia, Canada
Sexe:
ALLÂges:
18 - 65In a recent analysis of a large transfusion database (Transfusion Research Utilization, Surveillance and Tracking database \[TRUST\]), the investigators found that the transfusion of ABO non-identical RBCs to group A individual was associated with an increased risk of death in-hospital compared to patients transfused with ABO identical RBCs (Red Blood Cells). Our finding was corroborated in a separate study of low birth weight neonates who received only group O RBCs (e.g., group O neonates received ABO identical RBCs but group A, B, and AB neonates received ABO non-identical RBCs). A subgroup of neonates who received ABO non-identical transfusions had higher mortality (Z. Sohl, personal communication, April 30th, 2020). Similar adverse clinical outcomes have been reported in a number of studies where patients have received ABO non-identical RBCs and/or platelets. Together, these findings raise the concern that the longstanding policy of transfusing group O non-identical RBCs and platelets may increase the risk of harm for some patients. In Hamilton, Ontario hospitals, approximately 20% of transfused patients receive ABO non-identical RBCs every year because of inventory shortages, urgent requests, and specific phenotype requirements. The negative impact of this practice could have widespread national and international implications for transfusion policy. The ability to undertake critical exploratory analyses in transfusion medicine is enabled by large research and administrative data sets that include all Hamilton hospitals. The initial finding of potential harm with ABO non-identical RBCs is hypothesis-generating and requires confirmation through external datasets and translational studies to support a biological mechanism. If confirmed, this hypothesis can then be tested in a clinical trial.
Conditions:
Myelodysplastic SyndromeEmplacement:
- Juravinski Hospital and Cancer Centre, Hamilton, Ontario, Canada
Sexe:
ALLÂges:
18 - 120This single arm clinical trial will assess whether continuous positive airway pressure (CPAP) therapy in the management of moderate-to-severe sleep-related breathing disorders (SRBDs) among para-athletes living with cervical/thoracic, complete or incomplete spinal cord injury (SCI) is effective in improving cognitive impairment, in reducing fatigue, depression, anxiety, and overall quality of life. Further, the study will evaluate the effectiveness of CPAP therapy in improving their performance in sports and the perceived risk of injuries.
Conditions:
Spinal Cord Injuries | Sleep Apnea | Sleep Disorder | Spine Disease | Breathing Disorder During SleepingEmplacement:
- Toronto Rehab - Lyndhurst Centre, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Over 18We propose a multicenter prospective study on pediatric patients with intestinal failure (IF) who weaned off parenteral nutrition (PN).
Conditions:
Intestinal Failure | Parenteral NutritionEmplacement:
- The Hospital for Sick Children, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Under 18One in 10 people have a seizure during their life. Usually no cause is identified. Seizures without an identified cause are called unprovoked first seizure (UFS). Most people with UFS do not have further seizures. Being able to predict the risk of more seizures as soon as possible would help doctors decide whether to suggest treatment after UFS. Studies show that seizures are associated with changes in brain structure and function that are difficult to detect with standard assessments but can be detected with advanced techniques. Changes in connections between brain regions are also linked to subtle problems in thinking and mood. The investigators will examine brain connections using detailed brain scans, thinking, and mood in people with UFS and develop an accurate method for calculating the risk of further seizures. 200 adult patients and 75 matched healthy controls from the Halifax and Kingston First Seizure Clinics will undergo cognitive screening assessment of major cognitive domains, MRI imaging including structural scans, resting-state functional MRI (rsfMRI) and diffusion-weighted imaging (DWI), and EEG. Seizure recurrence will be assessed prospectively and a multimodal machine learning model will be trained to predict seizure recurrence at 12 months.
Conditions:
Epilepsy | Single SeizureEmplacement:
- Queen's University and Kingston Health Sciences Centre, Kingston, Ontario, Canada
- Dalhousie University and Nova Scotia Health Authority, Halifax, Nova Scotia, Canada
Sexe:
ALLÂges:
18 - 65The framework for Pediatric Integrated Nutrition Pathway for Acute Care (P-INPAC) was developed by the Canadian Malnutrition Task Force (CMTF); however, it has not been implemented in a research setting. The framework by CMTF for Integrated Nutrition Pathway for Acute Care (INPAC) in adults was also implemented in the "More-2-Eat" project which led to development of best practices in nutritional culture of the hospitals. Therefore, we intend to undertake this feasibility project at 3-sites to train staff and evaluate the implementation of P-INPAC components as part of routine healthcare procedure.
Conditions:
Nutrition Poor | Malnutrition, ChildEmplacement:
- The Hospital for Sick Children, Toronto, Ontario, Canada
- McMaster Children's Hospital, Hamilton, Ontario, Canada
- Ste-Justine UHC, Montréal, Quebec, Canada
Sexe:
ALLÂges:
30 - 18The purpose of this study is to determine whether results from a fine needle biopsy are the same as results from a larger sample that is acquired from the surgical pathology using the Thyroid GuidePx® test in patients with papillary thyroid carcinoma.
Conditions:
Papillary Thyroid CancerEmplacement:
- Foothills Medical Centre, Calgary, Alberta, Canada
Sexe:
ALLÂges:
Over 18The goal of this observational study is to learn about the sound-induced vibration level of certain structures in the middle ear in the normal-hearing population. The targeted structures are part of a chain of structures responsible for conducting sound within the auditory system and so their ability to vibrate normally in response to sound is relevant to the diagnosis of conductive hearing loss. The main questions the study aims to answer are: * What are the mean and variance of the normal sound-induced vibration level at two anatomical locations, the umbo of the malleus and the tip of the incus? * Are there any significant differences in these vibrational responses associated with sex or age? Participants will have their ossicular mobility measured with an investigational medical device that sends light into the middle ear and measures the motion-induced phase shift on light reflected from the target structures when a sound stimulus is presented. Standard hearing tests including audiometry and tympanometry will also be performed to confirm the normal hearing status of participants.
Conditions:
Conductive Hearing Loss, Middle EarEmplacement:
- Audioptics Medical, Halifax, Nova Scotia, Canada