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Put Your Best Voice Forward

Christine, an attorney and mother of three young children, uses her voice all the time. She really never thought much about it — until she had a bad cold over the winter holidays, a gift from her youngest child. She developed laryngitis with notable coughing and significant hoarseness. Although this had happened to her before, her voice always recovered after a few days. Not this time. Her hoarseness persisted, and her voice was low pitched and raspy. It got better with rest, but with her work and family responsibilities, there was no way to reduce her voice use, and the hoarse voice persisted.

Christine’s story is not unique. In fact, temporary hoarseness occurs in almost everyone, and almost 20 percent of the population in the United States has some degree of chronic voice dysfunction. This number is dramatically worse in voice-intensive occupations. School teachers have reported problems with their voices 60 percent of the time in their lifetime and 11 percent at any given time.

Most people use their voices as their primary means of communication without thinking about it. And each voice is a personal signature that carries great weight.

Researchers in the United Kingdom studied the vocal ranges of men and women in courtship scenarios. Results show that men and women vary the strength, tone and pitch of their voices when speaking to members of the opposite sex whom they find attractive. Another study shows that hearing a mother’s voice helps develop the brain of a preemie.

Yes, your voice is powerful, and it plays an essential role in your life.

In addition to normal daily use, events such as sports games or concerts where you cheer and talk loudly may strain your voice. It is actually possible to bruise your vocal folds, which can create a scar and may result in your voice sounding less clear.

To protect and preserve your vocal asset, here are tips to keep your voice healthy:

Warm up your voice before teaching, giving speeches or singing. Do neck and shoulder stretches, glide from low to high tones on different vowel sounds, hum, do lip trills (like the engine of a motorboat) or tongue trills. Check this series of exercises.

Get a full chest of air so you can really project your voice.

Keep your yells and cheers brief. Use a little bit of loud voice, and then bring it back to a conversational level.

Monitor your voice. If your voice is hoarse or your throat starts to feel scratchy due to overuse, rest your voice as much as possible, and drink water to help lubricate your vocal folds.

Avoid frequent throat clearing or harsh coughing. Try sipping water or sucking on a cough drop instead.

— If you have acid reflux, it can damage your vocal folds in your throat. Signs of acid reflux include frequent heartburn, a bad taste in your mouth in the morning, frequent bloating or burping, a lump in the back of your throat or getting hoarse frequently. Check with a specialist to manage this condition.

When is It Cause for Concern?

Short periods of hoarseness following a respiratory infection or after a long or loud period of voice use is not uncommon. With some voice rest, these should resolve within a short period of time.

If your hoarseness lasts more than two or three weeks and is not gradually improving, particularly if you smoke or do not have cold-like symptoms, it should prompt a visit to your doctor.

If there is significant concern, primary care physicians and emergency department doctors will likely refer patients to an ear, nose and throat doctor (also known as ENT doctor or an otolaryngologist), who is specially trained to diagnose and treat problems of the larynx.

Fortunately, even with prolonged hoarseness, there are rarely truly worrisome or life-threatening conditions, and treatment is usually effective.

In the long run, if you have a healthy lifestyle and approach the care of your voice alongside your overall health and wellness, you will keep your voice strong and vigorous.

More from U.S. News

How to Survive Acid Reflux — Without a Pill

What Your Doctors Wish You Knew

The Most Common Patient Complaints

Put Your Best Voice Forward originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. 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Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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