Abstract
Chewing Tobacco is a global public Health hazard. oral and nasal smokeless products have been used in many countries for centuries. Smokeless tobacco use has been associated with oral cancer and leukoplakia at the site of application of tobacco . .Nicotine is cardio active , changes in heart rate, temperature respiratory rate blood pressure were observed . At present cross-sectional study was done between September 2020 to February 2021 on apparently healthy individuals of age group 20 to 40 years who have the habit of tobacco chewing for more than 2 years. Oral use of smokeless tobacco is widely prevalent in India. On chewing tobacco in any form, nicotine is released into bloodstream which in turn has effect on sympathetic nervous system Hence the present study was conducted to study the effect of oral tobacco on heart rate , respiratory rate , blood pressure and temperature
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