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Producer: Acrobat Distiller 7.0 (Windows). Sflag: 1278039242. Slevelui: 0. Slevel: 5. Company: Huawei Technologies Co., Ltd. Source Modified: D:20100702033531. Creator Tool: PScript5.dll Version 5.2. Document ID: uuid:A8AEF02EA2DDDF11B67E9B57E4C00D78. Instance ID: uuid:d175b6e7-fbba-49ce-868f-feb783cf181f. Derived From Instance ID: uuid:72ed045f-d646-4a1a-8d81-84a06f59e10a. Derived From Document ID: uuid:60eef4f5-5299-45fd-a58b-4a8d8b5dd3aa. Derived From Version ID. Title: English. Creator: z45031. Subject. Headline. Page Count: 24. Author: z45031.The shipment process begins the next business day after an orders is submitted. Order that arrive before 10 a.m. PST begin the shipment process that same day (M-F). Products take 3-5 business days to arrive. LindseyJones is not responsible the practices of local USPS carriers. Specific packaging may vary. Mac versions are not available. Products are not usable except through use of Windows emulating software. 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The content is structured to define and introduce key concepts with examples drawn from real-world experiences in order to impress upon the reader the core content from the field of clinical informatics. The book is divided into sections that group related chapters based on the major foci of the core content: health care delivery; clinical decision-making; information systems; leadership and managing teams; and professionalism. The chapters do not need to be read or taught in order, although the suggested order is consistent with how the editors have structured their curricula over the years. Clinical Informatics Study Guide: Text and Review serves as a reference for those seeking to independently study for a certifying examination or periodically reference while in practice. It further provides a roadmap for faculty who wish to go deeper in courses designed for physician fellows or graduate students in a variety of clinically oriented informatics disciplines, such as nursing, pharmacy, radiology, and public health. I developed the emergency department’s first tracking system ten years ago, and am currently building the first integrated system with tracking, order entry, and documentation. My research activities have focused upon emergency patient’s utilization of emergency departments. My most recent project has incorporated INSPECT data (Indiana’s PMDP) into the electronic record. As Informatician, my role is to integrate the data warehouse with the clinical ED experience. Dr. Dixon’s research focuses on developing and evaluating innovative technologies and processes for managing knowledge regarding individual patients and populations. His recent work has involved leveraging health information exchange (HIE) to enable secondary use of clinical and administrative data for improving public health surveillance, continuity of care for Veterans, the determination of disability, and clinical decision support. Before joining the faculty at Indiana University, Dr. Dixon managed research and development projects for Regenstrief and the Indiana Health Information Exchange. I have read and accept the Wiley Online Library Terms and Conditions of Use Shareable Link Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. Copy URL. By continuing to browseFind out about Lean Library here Find out more and recommend Lean Library. Download PDFThis product could help you Lean Library can solve it Content List. This Study Tests Whether Acupressure Reduces Symptoms of Nausea and Vomiting Abstract Purpose Methods Results Conclusion OA03.01 Improvement in Depressive Symptoms Following a 12-Week Yoga Intervention Predicts Decreased Inflammation at 24 Weeks: Findings From a Nonrandomized Trial With Obese, Monolingual Spanish-Speaking Breast Cancer Survivors Abstract Purpose Methods Results Conclusion OA03.02 Yoga for Chronic Low Back and Neck Pain in Military Personnel Abstract Purpose Methods Results Conclusion OA03.03 Results of Multiple Iterations of a Yoga-Based Training Program for Education and Health-care Professionals on Psychological Health Abstract Purpose Methods Results Conclusion OA03.04 Perceived Stress Mediates the Effect of Yoga on Quality of Life and Disease Activity in Ulcerative Colitis.Simply select your manager software from the list below and click on download.Simply select your manager software from the list below and click on download.For more information view the SAGE Journals Sharing page. EUC was comprised of usual medical care and migraine education literature. Secondary aims evaluated changes in number of migraine days (our main clinical outcome) using daily self-report logs, Migraine Disability Assessment (MIDAS), Headache Impact Test (HIT-6), and Migraine-Specific Quality of Life (MSQL). Fifty-seven (93.4) participants completed daily migraine logs. We observed 98 nonserious adverse events of which 35 were musculoskeletal complaints and 45 were related to migraine attacks. Conclusion Recruitment, retention, and adherence to the interventions are feasible. Methods We estimated incremental cost-effectiveness ratios (ICERs) from societal and health-care perspectives using 8 randomized trials performed in the United States. We used a 2-stage approach to individual participant data meta-analysis with quality-adjusted life years (QALYs) as the effectiveness measure. Costs and QALYs from trials comparing similar interventions were combined, and bootstrap methods were used to calculate cost-effectiveness acceptability curves. Adding SRE to HEA resulted in a similar ICER. Conclusion Adding spinal manipulation to home exercise or supervised rehabilitation exercise is likely cost-effective for spinal pain. While medications remain the standard of care for migraines, many can have side effects, leading patients to seek complementary and integrative medicine options, including chiropractic care. Preliminary studies suggest chiropractic care is a promising nonpharmacologic option for migraineurs as it may address co-occurring neck pain and muscular tension. We sought to understand migraine patients’ perceptions of and experience with chiropractic care. Women were randomly assigned to chiropractic care (10 sessions over 14?weeks) plus enhanced usual care (UC) versus enhanced UC alone. Semistructured interviews were conducted at baseline and 14-week follow-up with 15 randomly selected participants from the 29 participants randomized to the chiropractic group. Qualitative analysis was performed by 2 independent reviewers using a constant comparative method of analysis for generating grounded theory. These qualitative perspectives on chiropractic care aligned with results from the main trial which observed increases in quality of life and less migraine-related disability. Conclusion In our pilot study, women with episodic migraine reported learning about musculoskeletal migraine triggers and ways to manage their migraines through a comprehensive chiropractic intervention. We were interested in examining whether being treated by a chiropractic doctor (DC) for back pain had an influence on a patient’s beliefs and behaviors regarding prescription drug therapy. Two cohorts of patients were assembled: (1) 75 patients treated by DC and (2) 75 treated by a primary care physician (PCP). The 30-item patient survey was conducted at an academic medical center from February 2019 to January 2020. Between-group comparisons were examined using ? 2 analyses and t tests to determine differences in the rates of reporting. Results Although we observed high rates of satisfaction with chiropractic care received within a primary care setting, our results demonstrated that seeing a chiropractor did not change patient attitudes regarding prescription medication. Feasibility (enrollment rate, session attendance, survey completion, and skills practice) and acceptability (enjoyableness, convenience, helpfulness, and relevance) were assessed. Exit interviews assessed survivors’ perceived changes. Exit interviews revealed cognitive, behavioral, emotional, and existential benefits. Demographics, services utilized and outcomes associated with an integrative approach have not been well described. Methods To evaluate the real-world utilization and effectiveness of integrative interventions in patients with cancer, we analyzed data from the Patients Receiving Integrative Medicine Interventions Effectiveness Registry (PRIMIER), a prospective longitudinal study embedded in the BraveNet practice-based research network. Cancer patients were identified by chief complaint reported on the baseline survey or an ICD code in the electronic medical record. PROMIS-29 was administered at baseline and over 12?months of follow-up. We used linear mixed-effects models with a random intercept to account for repeated measures to estimate changes from baseline on PROMIS-29. Significant improvements in anxiety were seen at 2, 4, 6 and 12?months with significant reduction in fatigue at 2 and 12?months. The perceived stress score was significantly improved at all evaluated time points. Participants also had significant increases in their patient activation measure levels at 6 and 12?months. Nonsignificant improvements in sleep, depression, and social function were also appreciated. There was no significant change in overall quality of life score. Conclusion Cancer patients receiving care at integrative medicine clinics experience significant improvements in anxiety, stress, and fatigue with trends toward benefits in sleep, depression, and social functioning. Methods Sixty-three young adult cancer survivors participated in an institutional review board-approved randomized clinical trial of mindfulness-based stress reduction (MBSR) and were either randomized to the 8-week intervention or to a wait list. This analysis pooled baseline to 8-week data from both arms of participants who received MBSR (eg, time 1 and time 2 data for the treatment group; time 3 and time 4 data for wait-list participants). There were no significant differences between each group’s respective baseline. Change scores were created for all variables used in the analysis. Next, mindfulness was included as an independent variable to test its hypothesized mediating role. This supports previous findings that mindfulness may facilitate increased regulation of negative experiences during physical activity through nonreactive tolerance or acceptance of uncomfortable bodily sensations, emotions, or thoughts, or through intensifying positive aspects of physical activity (eg, enjoyment, satisfaction). Our prior pilot research suggested that seriously ill patients benefited from a narrative intervention. It tested miLivingStory, which included a telephone interview to elicit the life and illness story and online tools to support revising and sharing the narrative manuscript. 9 Our current study (1) tested the effects of miLivingStory, compared to miOwnResources, an active control resources-only website and (2) explored the participants’ use of and satisfaction with miLivingStory compared to miOwnResources. Methods Randomized control trial of 86 primarily white, female patients with Stage III or IV cancer. Intervention group: miLivingStory with narrative intervention and resources. Control group: miOwnResources with online cancer resources only. Measures: Primary outcomes, measured by surveys at baseline, 2 and 4?months, included the peace and meaning subscales of the FACIT-Sp and depressed, anxious, and angry mood subscales of POMS-SF. Website use and satisfaction data were collected automatically and by survey. Analysis: Linear mixed modeling, controlling for baseline primary outcome scores, tested for group comparisons. Pair-wise comparisons tested for within- and between-group differences. Descriptive statistics. Conclusion This telephone-based narrative intervention with online tools improved advanced cancer patients’ well-being and sense of peace, accompanied with their satisfaction of the intervention. OA02.05 Acupressure to Reduce Nausea and Vomiting in Youth in Treatment for Cancer or Receiving Hematopoietic Stem Cell Transplant: A Randomized Trialdespite Improved Pharmacologic Management of Nausea and Vomiting, These Symptoms Remain a Problem for Children, Adolescents, and Young Adults in Treatment for Cancer or Receiving a Hematopoietic Stem Cell Transplant. Methods We performed a pragmatic randomized controlled trial in participants being treated for cancer or receiving a HSCT. Patient-reported symptoms were assessed. Electronic medical record (EMR) data on vomiting, and antiemetics use was collected. Linear mixed models were used to analyze differences, and mixed effects negative binomial regression models were used with log transformed outcomes where needed for linearity assumptions. Methods Thirty-five overweight and obese monolingual Spanish-speaking breast cancer survivors completed an institutional review board-approved community-based 12-week yoga intervention. Participants completed Spanish language PROMIS short forms at baseline, 12, and 24?weeks of physical function, fatigue, sleep disturbance, pain interference, depression, anxiety, social role satisfaction, and positive affect. We also collected whole blood spots at all time points, which were analyzed using a validated ELISA protocol. Data analyses included calculation of descriptive statistics, Kendall’s Tau B correlation, and linear regression. Results After adjusting for biomarker data outliers, improvements in PROMIS anxiety and sleep disturbance scores at 12 weeks were significantly associated ( P. P ? P ? Conclusion This study examined the association between PROMIS short forms and biomarkers of inflammation in a community-based yoga study. We observed small negative associations between improvement in depression, anxiety, and sleep disturbance at 12 weeks and decreased inflammation at 24?weeks. Improvement in depression at 12?weeks predicted decreased CRP at 24?weeks, with a moderate-sized effect. Yoga is an evidence-based nonpharmacological intervention with documented benefits in community samples. However, yoga has not been well-studied among military personnel. Participants were randomized to either active yoga or restorative yoga. Participants were assessed at baseline, 12?weeks, and 6?months; were asked to attend 1 to 2 classes weekly for 12?weeks; and to conduct daily yoga home practice. Results In 7?months, 49 participants were enrolled. Approval to locate a research staff member at the military pain clinic was key to recruitment. Of the 49 randomized, 39 (80) attended 1 or more yoga classes. Results Participants from all 4 studies reported improvements in stress from baseline to post and improvements in mindfulness from baseline to follow-up (all P. P ? P ? Conclusion Overall, results from all 4 studies suggest that RISE improves education and health-care professionals’ psychological health. On-going research continues to investigate RISE in different populations and programming lengths, intensities, and venues. OA03.04 Perceived Stress Mediates the Effect of Yoga on Quality of Life and Disease Activity in Ulcerative Colitis. The underlying modes of action remain unclear. Within the present study, we hypothesized that patients’ perceived stress mediates the effects of yoga on health-related quality of life and disease activity. Methods This is a secondary analysis of a randomized controlled trial comparing the effects of yoga to written self-care advice in patients with inactive ulcerative colitis and impaired quality of life (ClinicalTrials.gov registration number: NCT02043600). Perceived stress was assessed using the Perceived Stress Questionnaire, health-related quality of life was measured using the Inflammatory Bowel Disease Questionnaire and disease activity captured using the Clinical Activity Index. Outcomes were assessed at weeks 0, 12, and 24. Results Seventy-seven patients participated.