JAMA : the journal of the American Medical Association
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Randomized Controlled Trial Clinical Trial
Behavioral and pharmacological therapies for late-life insomnia: a randomized controlled trial.
Insomnia is a prevalent health complaint in older adults. Behavioral and pharmacological treatments have their benefits and limitations, but no placebo-controlled study has compared their separate and combined effects for late-life insomnia. ⋯ Behavioral and pharmacological approaches are effective for the short-term management of insomnia in late life; sleep improvements are better sustained over time with behavioral treatment.
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Knowledge about ethnic differences in cardiovascular disease (CVD) risk factors among children and young adults from national samples is limited. ⋯ These findings show strong ethnic differences in CVD risk factors among youths of comparable age and SES from a large national sample. The differences highlight the need for heart disease prevention programs to begin early in childhood and continue throughout young adulthood to reduce the risk of atherosclerosis.
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Randomized Controlled Trial Comparative Study Clinical Trial
Percutaneous electrical nerve stimulation for low back pain: a randomized crossover study.
Low back pain (LBP) contributes to considerable disability and lost wages in the United States. Commonly used opioid and nonopioid analgesic drugs produce adverse effects and are of limited long-term benefit in the management of this patient population. ⋯ In this sham-controlled study, PENS was more effective than TENS or exercise therapy in providing short-term pain relief and improved physical function in patients with long-term LBP.