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The Effects of Acupoint Stimulation Combined With Transcutaneous Electrical Nerve Stimulation on Labor Pain: Protocol for a Stepped Wedge Cluster Randomized Controlled Trial

The Effects of Acupoint Stimulation Combined With Transcutaneous Electrical Nerve Stimulation on Labor Pain: Protocol for a Stepped Wedge Cluster Randomized Controlled Trial

After disinfecting the ear with an alcohol swab, the midwife will apply vaccaria seeds with adhesive tape onto the selected acupoints and press them for 1-2 min per side to enhance stimulation. Timing of application: The procedure will be performed at the onset of contractions. The seeds should be pressed for 1-2 min per contraction or as tolerated until placental delivery. Postprocedure care: The seeds can remain in place for up to 1-2 days post delivery to alleviate uterine contraction pain.

Yiyun Gu, Xiaojiao Wang, Chunxiang Zhu, Hui Min, Jialu Zhang, Liping Mao, Hua Gao, Hangyun Sun, Xinli Zhu, Chunyi Gu

JMIR Res Protoc 2025;14:e63050

Effects of Digital Sleep Interventions on Sleep Among College Students and Young Adults: Systematic Review and Meta-Analysis

Effects of Digital Sleep Interventions on Sleep Among College Students and Young Adults: Systematic Review and Meta-Analysis

Tsai et al [30] reviewed 4 studies, of which 1 included adolescents and 3 focused on college students. However, certain forms of digital CBT-i, such as interactive therapy and CBT-i delivered using mobile apps, were not analyzed, which considerably limits the applicability of their findings. In addition, Zhang et al [31] analyzed digital sleep interventions in individuals aged 18 years and older with insomnia or poor sleep quality.

Yi-An Lu, Hui-Chen Lin, Pei-Shan Tsai

J Med Internet Res 2025;27:e69657