JAMA internal medicine
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JAMA internal medicine · Feb 2013
Randomized Controlled Trial Comparative StudyA cluster randomized trial of decision support strategies for reducing antibiotic use in acute bronchitis.
National quality indicators show little change in the overuse of antibiotics for uncomplicated acute bronchitis. We compared the effect of 2 decision support strategies on antibiotic treatment of uncomplicated acute bronchitis. ⋯ Implementation of a decision support strategy for acute bronchitis can help reduce the overuse of antibiotics in primary care settings. The effect of printed vs computer-assisted decision support strategies for providing decision support was equivalent.
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JAMA internal medicine · Feb 2013
Randomized Controlled TrialMicronutrient supplementation and pregnancy outcomes: double-blind randomized controlled trial in China.
Beyond perinatal folic acid supplementation, the need for additional prenatal prophylaxis of iron with or without other micronutrients remains unclear. We aim to investigate the maternal and infant health effects of iron plus folic acid and multiple micronutrient supplements vs folic acid alone when provided to pregnant women with no or mild anemia. ⋯ Prenatal iron-folic acid and other micronutrient supplements provided to Chinese women with no or mild anemia prevented later pregnancy anemia beyond any benefit conferred by folic acid alone but did not affect perinatal mortality or other infant outcomes.