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The stronger association between smoking and HF hearing loss than LF hearing loss may be due to the direct ototoxic effects of tobacco on cochlear outer hair cell function 33 or the greater negative impact on HF hearing loss by impairing the auditory system through an increase in carboxyhemoglobin and a decrease in blood flow to the cochlea 34,35

In the simplest terms, right and wrong can be defined thus: what has a good overall impact on health is good, and what has a bad overall impact is bad

Questionnaire interviews, physical examinations, and laboratory tests have been conducted every two years since 1999 to now, to obtain data on demographic, socioeconomic, dietary, physiological measurements, and biomarkers of health and environmental pollutants

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