6 ways chewing gum is wrecking your health
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In turn, if the ginger gum is more effective in reducing VIMS compared to the peppermint gum, the effect would rather be attributable to physiological modulation by the active ingredient. Thus, depending on the outcome, we can narrow down the potential mechanisms. It has been demonstrated that chewing gum is not inferior to 4 mg Ondansetron in treating nausea and vomiting post breast and laparoscopic surgery in bra chafing under arm female patients. It also has been shown to improve the return of gastrointestinal function after major surgery. Health economic analyses will be based on the comparison between the chewing gum and ondansetron groups in terms of total costs and proportions of patients with the primary outcome. Cost incurred by each patient in each treatment arm will be calculated based on resource utilisation , and unit costs.
The participants will be given a patient information leaflet prior to consent being taken. The information leaflet will be provided in simple and clear language. All patients will be informed of the objectives, benefits, risks and obligations imposed by the study.
While in the PACU, patients may spontaneously report nausea or be observed to retch or vomit. If patients do not spontaneously report nausea and are not observed to retch or vomit, they will be asked ‘Are you feeling sick? The PACU nurse will randomise the patient using REDCap,27 an electronic data capture tool hosted at The University of Melbourne, and then administer the randomly allocated intervention.
To minimise both harm and cost, there is emerging interest in drug-free alternative treatments for PONV. A simple drug- and equipment-free treatment—chewing gum—has been found to be efficacious for the related problem of postoperative paralytic ileus following gastrointestinal surgery. Hypothesised mechanisms of its effect include ‘sham feeding’, with increased gastrointestinal activity mediated via cephalic-vagal stimulation from chewing. In the present study, we found that both a peppermint and a ginger-flavored chewing gum were able to significantly alleviate VIMS in a virtual helicopter flight, as compared with a control group that did not chew gum. In contrast to our hypothesis, the active ingredient in ginger did not show any additional beneficial effect.
Peppermint- and ginger-flavored gums were equally effective, as compared to not chewing gum during the task. Moreover, we found a significant negative relationship between pleasant taste and VIMS, in the sense that the more pleasant the taste was perceived, the less severe VIMS symptoms were reported. Taken together, the literature shows evidence that VIMS can be alleviated by noisy mechanical or galvanic stimulation of the mastoid region, using ginger as an active ingredient, and by pleasant distractors.
This video will show you how to perform acupressure to help relieve nausea and vomiting. The primary analysis of the primary outcome of complete response will be based on the per-protocol set . A sensitivity analysis will be conducted for the intention-to-treat set .
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