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The Impact 360 study will evaluate the effects of a combined intervention of exercise, mindfulness, and nutrition on 8 key indicators of health and the mechanisms that drive these changes. 60 subjects aged 50 to 75 without a current diagnosis of a brain disorder will be recruited. This study will follow a partial crossover design. All participants will receive the intervention. Participants randomized into the intervention group after their baseline screening will receive the 6-month intervention. Those randomized into the waitlist group will complete another assessment at the end of the 6-month care as usual phase before receiving the intervention.
Conditions:
Healthy AgingEmplacement:
- University of British Colombia, Vancouver, British Columbia, Canada
Sexe:
ALLÂges:
50 - 75Low-value care is defined as the use of a health service, such as diagnostics and treatments, for which the harms or costs outweigh the benefits. In pediatrics, investigations or treatments can be unpleasant or traumatizing to the child, can prolong the time spent in hospital, and can create a cascade of further futile investigations and treatments. Several of the commonly used diagnostics and treatments in bronchiolitis are considered low-value, making it a great model to study low-value care in pediatrics. The purpose of CareBEST is to study the use of 6 low-value healthcare services in children aged 1 to 12 months hospitalized with bronchiolitis, their costs, and measure the variability in practice of these services. The main questions this study aims to answer are: 1. How frequently are 6 low-value care health services used in children hospitalized with bronchiolitis? These 6 low-value care health services are: 1) respiratory virus testing; 2) chest x-rays; 3) continuous pulse oximetry; 4) short-acting beta-agonists; 5) systemic corticosteroids; and 6) antibiotics. * Are there factors that predict the use of these services? * What are the costs of the use of these services? 2. How much variability is there between different patients, different doctors, and between hospitals in the use of these 6 low-value health services ? 3. Are differences in use of low-value health services associated with patient and family characteristics (like race and ethnicity, socioeconomic status, language), and do these contribute to disparities in care? Participants will have their infant's medical chart reviewed during their hospitalization. They will also have 2 short questionnaires to complete, once during their child's admission to the hospital, and one 30 days later to ask about whether their child required any additional medical care. They will additionally be asked to complete a questionnaire on their perceptions regarding their child's care while hospitalized, including the use of shared-decision making and their understanding of and involvement in the care decisions made. This analysis will provide a better understanding of treatment of bronchiolitis in Canada and help in the development of effective interventions to reduce low-value care.
Conditions:
BronchiolitisEmplacement:
- Kingston Health Science Centre, Kingston, Ontario, Canada
- Stollery Children's Hospital, Edmonton, Alberta, Canada
- Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
- CHU Sainte-Justine, Montréal, Quebec, Canada
- Hôpital Régional de St-Jérôme, Saint-Jérôme, Quebec, Canada
- Alberta Children's Hospital, Calgary, Alberta, Canada
- McMaster Children's Hospital, Hamilton, Ontario, Canada
- Lakeridge Health, Oshawa, Ontario, Canada
- Hôpital Saint-Eustache, Saint-Eustache, Quebec, Canada
- Hôpital Maisonneuve-Rosemont, Montréal, Quebec, Canada
- IWK Health, Halifax, Nova Scotia, Canada
- Trillium Health Partners, Mississauga, Ontario, Canada
- Centre hospitalier Cité-de-la-Santé, Laval, Quebec, Canada
- Centre Hospitalier Université Laval - Centre Mère-Enfant Soleil, Québec, Quebec, Canada
- British Columbia Children's Hospital, Vancouver, British Columbia, Canada
- Children's Hospital of Western Ontario (London Health Science Centre), London, Ontario, Canada
- Hospital for Sick Children, Toronto, Ontario, Canada
- Montreal Children's Hospital, Montréal, Quebec, Canada
- CHU Sainte-Justine, Montreal, Quebec, Canada
- Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada
- Montreal Children's Hospital, Montreal, Quebec, Canada
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ALLÂges:
28 - 1This project addresses the problem of adverse drug reactions in the three most frequently prescribed therapeutic classes of drugs in children: antibiotics, analgesics, and mental health medications. We will conduct pilot testing of a pharmacogenomic testing panel and study how the tests and generated test results are utilized and understood by physicians, pharmacists, patients and their families.
Conditions:
Adverse Drug Reaction (ADR)Emplacement:
- Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
- Children's and Women's Health Centre of British Columbia, Vancouver, British Columbia, Canada
Sexe:
ALLÂges:
AnyThe goal of the study is to evaluate how safe and how well the body handles GSK5458514 when administered in participants with prostate cancer. The study will be conducted in two parts - Part 1 (dose escalation phase) and Part 2 (dose expansion phase).
Conditions:
Neoplasms, ProstateEmplacement:
- GSK Investigational Site, Montreal, Quebec, Canada
Sexe:
MALEÂges:
Over 18This is a Phase 1, randomized, double-blind, placebo-controlled, single dose, first in human safety, tolerability, and pharmacokinetic study of SPY003-207 in healthy participants.
Conditions:
HealthyEmplacement:
- Spyre Site 1, Montreal, Quebec, Canada
Sexe:
ALLÂges:
18 - 60The goal of this clinical trial is to learn if a nature-based intervention program has positive effects on the physical and psychosocial health in a group of older participants with chronic non-specific lower back pain. The main questions it aims to answer are: Will the program improve: * The physical outcomes such as mobility, strength and balance? * The psychosocial health outcomes? Participants will: * Be assessed before and after the program; * Participate in one session per week of the intervention.
Conditions:
Chronic Disease | Older Adults (65 Years and Older) | Chronic Pain (Back / Neck)Emplacement:
- Université du Québec à Chicoutimi, Saguenay, Quebec, Canada
Sexe:
ALLÂges:
Over 65This clinical trial will investigate the effects of capsules containing stool from healthy donors, called fecal microbial transplant (FMT), in rheumatoid arthritis patients.
Conditions:
Arthritis, Rheumatoid | Arthritis | Fecal Microbiota TransplantationEmplacement:
- St. Joseph's Health Care London, London, Ontario, Canada
Sexe:
ALLÂges:
Over 18This study is a two-group feasibility study of oral psilocybin combined with a 12-week group-based program, customized for firefighters. Trained facilitators will help create a trauma-informed space for the group (n = 6-8) to thrive and promote cognitive resilience. The topics covered throughout the 12 weeks include breath-work, mindfulness, self-compassion, embodiment, and Internal Family Systems work. Group 1 (control): 12-week group-based program, with a breathwork day at week 10 Group 2 (intervention): 12-week group-based program, with a 10mg dose of psilocybin (PEX010) at Week 10 Assessment timepoints: * Baseline * Mid-program (Week 6) * End of program (Week 12) * 6-month follow up
Conditions:
Psilocybin | Psychotherapy, GroupEmplacement:
- Centre for Neurology Studies, Surrey, British Columbia, Canada
Sexe:
ALLÂges:
19 - 65A Single Arm, Pivotal, Open Label, Multicenter Clinical Investigation to Evaluate the Clinical Safety and Performance of the CorNeat Keratoprosthesis, for Treatment of Corneal Blindness
Conditions:
Corneal Opacity | Corneal Injuries | Corneal DiseaseEmplacement:
- University of British Columbia, Vancouver, British Columbia, Canada
- UHN - University Health Network, Toronto, Ontario, Canada
Sexe:
ALLÂges:
21 - 80Emerging evidence has shown that sleep interventions such as Cognitive Behavioral Therapy for Insomnia (CBT-I) improve depressive and anxiety symptoms in adults, even when the intervention is brief, such as four to six sessions. The overarching aim of the proposed research is to conduct a pilot trial to evaluate whether a brief intervention for insomnia adapted for improves sleep and subthreshold depressive and anxiety symptoms in adolescents at risk (i.e., with a parental history of depressive or anxiety disorders).
Conditions:
Insomnia | Depressive Symptoms | Anxiety Symptoms | Sleep DisturbanceEmplacement:
- University of Calgary, Calgary, Alberta, Canada