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The working hypotheses are as follows: #1 The processing of performance signals by automated lognormal segmentation and the extraction of the parameters of interest will make it possible to distinguish groups of patients from healthy elderly subjects. #2 The three instrumental approaches will not have the same degree of reliability as a predictive biomarker of clinical diagnosis established by consensus.

Conditions:
Healthy | Parkinson Disease | Parkinsonian Syndromes
Emplacement:
  • CHUM/Université de Montréal, Montréal, Quebec, Canada
  • CHUM/Université de Montréal, Montreal, Quebec, Canada
Sexe:
ALL
Âges:
50 - 75

By 2050, one in six people in the world will be over 65, leading to an increase in the number of people with neurocognitive disorders (NCD), such as Alzheimer's disease. The number of cases will rise from 57 million to 153 million by 2050. This presents challenges for healthcare systems, as NCDs affect not only mental health but also the physical health, psychological well-being, and social relationships of patients, as well as their caregivers (PCA). In Quebec, primary care is often inadequate for people living with NCDs due to delays in accessing resources, incomplete coverage of needs, and the COVID-19 pandemic, which has exacerbated these challenges. This situation can lead to a deterioration in patients' health, affecting their quality of life as well as that of their PCAs, while also increasing healthcare costs. Many elderly people wish to age at home, but cognitive and functional decline complicates this desire. PCAs, generally family members or close friends, play an essential role in the daily support of these individuals. Their role, as defined in the Act to support caregivers in Quebec, includes non-professional and voluntary assistance to improve the quality of life of the person being cared for. However, the support provided by PCAs can lead to significant stress, especially if public services are insufficient. The exhaustion of PCAs is often correlated with the severity of the care recipient's loss of autonomy. This exhaustion impacts the mental and physical health of PCAs, leading to isolation, depression, and anxiety, as well as reduced productivity and an increase in sick leave. It is therefore urgent to find support solutions to prevent PCA burnout. Telehealth, which involves remote consultations through information and communication technologies (ICT), appears to be a promising solution to improve access to care for people with NCDs, especially in underserved areas. By enabling remote monitoring, telehealth facilitates aging in place while stimulating the remaining capacities of patients, such as responsiveness to sensory stimuli. Artificial intelligence (AI) is also a promising tool for tracking the health of older adults in real-time, detecting early signs of diseases, and providing personalized recommendations. Virtual assistants or avatars, like "Talk-to-Jo," can interact with patients to reduce their sense of loneliness. However, the effectiveness of these technologies depends on their accessibility and adaptability to the needs of patients, particularly in cases of sensory impairments. "Talk-to-Jo" is a digital avatar designed for older adults with NCDs and their PCAs. It asks questions about memory and depression and provides tailored recommendations to prevent or stabilize detected disorders. A first version of this tool is currently available on a tablet. With the growing number of people living with NCDs, it is essential to develop support solutions based on telemedicine and AI. It is important to assess the usability and acceptability of these technologies by patients and their PCAs to ensure their effectiveness.

Conditions:
Neurocognitive Disorders | Caregiver
Emplacement:
  • CRIUGM, Montreal, Quebec, Canada
Sexe:
ALL
Âges:
Over 65

The goal of this randomized controlled trial is to investigate the impact of routine bladder catheterization in uncomplicated cesarean sections on hospitalization time (readiness to discharge), time to ambulation, urinary retention, development of urinary tract infections, prevention of bladder injury, operating time, and patient satisfaction.

Conditions:
Cesarean Section Complications
Emplacement:
  • University of Calgary, Calgary, Alberta, Canada
Sexe:
FEMALE
Âges:
Over 18

Claustrophobia is an irrational fear of restriction and suffocation. It is a specific phobia, according to DSM 5. Claustrophobic patients may fear that restriction of their limbs will hinder their ability to move quickly towards safety. MRI may trigger claustrophobia, because this diagnostic procedure involves a patient laying in a narrow tube. Premedication before MRI scan may occasionally reduce claustrophobia. Prospective observational crossover study of claustrophobic patients who are undergoing MRI scan. At alternate MRI scan sessions, each patient receives rotational premedication using Lorazepam 1mg; or Clonidine tablet 0.2mg; or combined Clonidine 0.2mg + Lorazepam 1mg. Patient will use Claustrophobia Questionnaire, a validated tool, to collect data on the days before and after each MRI scan. CLQ is a patient-administered tool used to assess claustrophobia. In addition, patient will use General Anxiety Disorder Questionnaire, a validated tool, to collect data on the days before and after each MRI scan. GAD-7 is a patient-administered tool that is used to assess anxiety.

Conditions:
Claustrophobia
Emplacement:
  • Salem Anaesthesia Pain Clinic, Surrey, British Columbia, Canada
Sexe:
ALL
Âges:
20 - 99

The purpose of this randomized controlled pilot trial is to test the effectiveness of a six-week tailored physical activity program with and without peer mentoring on the psychological constructs and exercise behaviour of inactive undergraduate women. The objectives are to: * Quantify the degree to which a peer-mentorship intervention affects exercise motivation determined through three basic psychological needs (i.e., autonomy, competence, and relatedness). * Examine general psychological distress and exercise engagement throughout the study. * Qualitatively explore participants' experiences following the completion of the program using an open-ended survey to gain a better understanding of its impact. Researchers will compare the parallel arm conditions to see how the inclusion of social support impacts exercise engagement. Participants will be asked to engage in exercise three times a week at the campus gym; those in the intervention condition will have an assigned peer-mentor who will join them for one weekly session and virtually communicate with them between sessions.

Conditions:
Social Support (Formal and Informal)
Emplacement:
  • Lakehead University, Thunder Bay, Ontario, Canada
Sexe:
FEMALE
Âges:
Any

While undergoing chest wall resection, a surgeon's major concern is obtaining an appropriate surgical margin. Difficulty or failure to do so can result in prolonged operative time, need for re-operation due to a positive resection margin, or need for complex chest wall reconstruction due to unnecessarily wide resection. Over the last decades, surgical navigation systems have been developed to improve operative precision in various surgical fields. This is achieved by integrating patient images with intraoperative findings.

Conditions:
Thoracic Wall
Emplacement:
  • Toronto General Hospital, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
Over 18

The Study To Understand Tilt Tests versus Extended Recordings (STUTTER, POST 10) will test the hypothesis that first performing a diagnostic HUT in older patients with syncope of unknown cause will provide earlier and more diagnoses than inserting an ICM.

Conditions:
Syncope
Emplacement:
  • University of Calgary, Calgary, Alberta, Canada
Sexe:
ALL
Âges:
50 - 110

This is a Phase III, randomised, open-label, sponsor-blinded, 3-arm, multicentre, global study assessing the efficacy and safety of rilvegostomig in combination with bevacizumab with or without tremelimumab compared to atezolizumab in combination with bevacizumab. This study will be conducted in participants with advanced HCC who are not amenable to curative therapy or locoregional therapy

Conditions:
Hepatocellular Carcinoma
Emplacement:
  • Research Site, Halifax, Nova Scotia, Canada
  • Research Site, Ottawa, Ontario, Canada
  • Research Site, Brampton, Ontario, Canada
  • Research Site, Montreal, Quebec, Canada
  • Research Site, Edmonton, Alberta, Canada
  • Research Site, Cambridge, Ontario, Canada
  • Research Site, Québec, Quebec, Canada
  • Research Site, Barrie, Ontario, Canada
  • Research Site, Toronto, Ontario, Canada
  • Research Site, Québec, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

The purpose of this study is to evaluate the safety, tolerability and determine the recommended dose for further clinical evaluation of ELVN-001 in patients with chronic myeloid leukemia with and without T315I mutations in patients who are relapsed, refractory or intolerant to TKIs.

Conditions:
Chronic Myeloid Leukemia | Cml | Chronic Phase Chronic Myeloid Leukemia, BCR-ABL1 Positive
Emplacement:
  • University Health Network (UHN) - Princess Margaret Cancer Centre, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
Over 18

This study compares insulin icodec, taken once a week, with other basal insulins, taken once a day, in people with type 2 diabetes.The purpose of this study is to see how well the approved injectable weekly insulin icodec maintains blood sugar levels when compared to approved and available daily injectable basal insulins in people with type 2 diabetes. The participants will either be prescribed weekly insulin icodec or a daily basal insulin (insulin glargine, insulin detemir or insulin degludec) based on current standards for the treatment of type 2 diabetes. The study will last for about 13 months.

Conditions:
Diabetes Mellitus, Type 2
Emplacement:
  • G.A. Research Associates Ltd., Moncton, New Brunswick, Canada
  • Centricity Research Calgary, Calgary, Alberta, Canada
  • Medical Trust Clinics, Inc., Courtice, Ontario, Canada
  • St. Josephs Health Care, London, Ontario, Canada
  • The Ottawa Hospital_Riverside, Ottawa, Ontario, Canada
  • Centricity Research Toronto Manna Multispec, Toronto, Ontario, Canada
  • Centre hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
  • Centricity Res Pointe-Claire, Pointe-Claire, Quebec, Canada
  • Ctr de Med Metab de Lanaudiere, Terrebonne, Quebec, Canada
  • Fraser Clinical Trials Inc., New Westminster, British Columbia, Canada
  • Centricity Clinical Research Burlington, Burlington, Ontario, Canada
  • Janik Research, Greater Sudbury, Ontario, Canada
  • Malton Medical Clinic, Mississauga, Ontario, Canada
  • Sewa Ram Singal Medicine Professional Corp, Toronto, Ontario, Canada
  • Alpha Recherche Clinique - Clinique de Levis, Lévis, Quebec, Canada
  • Applied Medical Informatics Research, Montreal, Quebec, Canada
  • Centre de Recherche Saint-Louis, Sherbrooke, Quebec, Canada
  • Diex Recherche Victoriaville, Victoriaville, Quebec, Canada
  • Winnipeg Clinic, Winnipeg, Manitoba, Canada
  • Centricity Research Vaughn Endocrinology, Concord, Ontario, Canada
  • Premier Clinical Trial Research Network (PCTRN), Hamilton, Ontario, Canada
  • Centricity Research Ottawa LMC, Nepean, Ontario, Canada
  • Centricity Research Toronto, Toronto, Ontario, Canada
  • Centricity Research Mirabel, Mirabel, Quebec, Canada
  • Clinique Endocrinologie OASIS., Montreal, Quebec, Canada
  • Diex Recherche Sherbrooke Inc., Sherbrooke, Quebec, Canada
  • Alta Clinical Research at Hermitage Medicentre, Edmonton, Alberta, Canada
  • Centricity Research Brampton, Brampton, Ontario, Canada
  • Centricity Research Etobicoke, Etobicoke, Ontario, Canada
  • Western Univ. Cnt for Studies in Fam Med, London, Ontario, Canada
  • Bluewater Clin Res Group Inc, Sarnia, Ontario, Canada
  • Diex Recherche Joliette, Joliette, Quebec, Canada
  • McGill University Health Centre, Montreal, Quebec, Canada
  • ALPHA Recherche Clinique, Québec, Quebec, Canada
  • Diex Recherche Trois-Rivieres, Trois-Rivières, Quebec, Canada
  • Alpha Recherche Clinique - Lebourgneuf, Québec, Quebec, Canada
  • Centre de Recherche Saint-Louis, Québec, Quebec, Canada
  • Diex Recherche Quebec Inc., Québec, Quebec, Canada
  • Recherche Clinique Sigma Inc., Québec, Quebec, Canada
  • Centricity Research Calgary Endocrinology, Calgary, Alberta, Canada
  • Centricity Research Brampton Endocrinology, Brampton, Ontario, Canada
  • Centricity Research Etobicoke Endocrinology, Etobicoke, Ontario, Canada
  • Diex Recherche Sherbrooke Inc., Sherbrooke, Quebec, Canada
Sexe:
ALL
Âges:
Over 18