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Causes of voice problems include: Upper respiratory infections Inflammation caused by gastroesophageal reflux (sometimes called acid reflux, heartburn, or GERD) Vocal misuse and overuse Growths on the vocal folds, such as vocal nodules or laryngeal papillomatosis Cancer of the larynx Neurological diseases (such as spasmodic dysphonia or vocal fold paralysis) Psychological trauma

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Influence of smokeless tobacco ingredients on infant mortality We conducted an analysis to investigate further the impact of adding other ingredients (areca nut, areca leaf, slaked lime) to the smokeless tobacco that is chewed as a quid during pregnancy (Figure 1)

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