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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.
JMIR Res Protoc 2025;14:e63050
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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.
J Med Internet Res 2025;27:e69657
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Telehealth Interventions in Pharmacy Practice: Systematic Review of Reviews and Recommendations
J Med Internet Res 2025;27:e57129
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