'Excessive use of AC may cause facial paralysis'

KT
April 13, 2018

Dubai, Apr 13: With temperatures ready to soar in the UAE, experts are warning residents to be aware of a certain condition that is caused by a high usage of air conditioners across the country. The sudden transition from extremely warm temperatures outdoors to cold temperatures indoors is one of the leading concerns associated with Bell's palsy, a facial paralysis caused due to the inflammation of the facial nerve in the skull.

The lesser-known condition is characterised by the inability to move one side of the facial muscles and is often mistaken for a brain stroke by patients' due to appearance similar symptoms. Bell's Palsy also causes drooping of the facial muscles, twitching, weakness, drooling, pain around the ear and increased sensitivity to sound.

According to most international population studies, 15-30 cases per 100,000 population of Bell's palsy are observed annually. Additionally, Bell's palsy accounts for 60-75 per cent of acute unilateral facial paralysis cases with the right-side being affected 63 per cent of the time. In rare cases, the condition can occur on both sides of the face.

Due to the onset of summer, doctors are advising people of all age groups to be careful and seek medical assistance in case of any sudden numbness on the face. Sleeping in extremely cold temperatures, leaving your hair wet in cold temperatures and sudden fluctuations between extreme temperatures should be avoided as much as possible.

Recounting a recent case of a young UAE resident, Maria Kristina, physiotherapist, Canadian Specialist Hospital, said: "Eliza was on vacation in Europe when she developed the condition. Following a hot shower, Eliza left the window open and fell asleep with her hair still wet and woke up with numbness around her mouth the next morning. The condition worsened in the next 48 hours and the right side of her face appeared to be paralysed."

Eliza decided to fly back to the UAE for a second opinion. At the Canadian Specialist Hospital, she was referred to the rehabilitation department, where she was treated by physiotherapy in addition to the traditional medication. Eliza completely recovered her facial symmetry after eight sessions and was able to move her facial muscles like before.

"When Eliza visited us, she was unable to fully close her right eye and move her right eyebrow, she couldn't smile, whistle, eat or even drink properly. However, after her third session itself, her muscles had started functioning and she was able to move her eyebrows and lips," said Kristina.

The methods used during physiotherapy include electrical stimulation to help restore the tone and strength of the facial muscles, infrared radiation to improve blood circulation, facial massages to prevent drooping and facial exercises to regain muscle movement. Due to the lack of muscle movement, patients suffering from Bell's Palsy are unable to close their eye leading to increased exposure to light and dust. The constant exposure to air may lead to eye dryness and damage, hence, patients are advised to wear protective eyewear at all times.

"Bell's Palsy is more common than thought due to the high usage of air conditioners in the region. The condition may occur from the transition of cool AC temperatures to the warm temperatures outdoors. Extreme cold temperatures in offices, houses, malls and cinemas may trigger damage to the facial nerve in rare cases and should be avoided. Kids area should always be moderately cool as they too are at risk of developing the condition", added Kristina.

Speaking about the main cause of the disease, Dr Caesar Zahka, consultant neurologist at Burjeel Hospital for advanced surgery, said: "Many people get it after they get out from a warm or hot place (like out of a hot shower) to a cool place with high AC. This sudden change in temperature could be responsible for activating a latent virus in a person causing the problem. The recovery from Bel's palsy takes from few days to at times a year or more. About 10-30 per cent of people may not recover at all."

In addition to medications, doctors now recommend immediate physiotherapy as it expedites the growth of the damaged nerve and helps gain full recovery. Moreover, physiotherapy helps restore the original symmetry of the face and regain complete muscle movement.

What is Bell's palsy?

The condition may occur due to a viral infection or sudden change in temperature which may trigger the nerve damage in the skull leading to paralysis of facial muscles. The damage causes the facial nerve to die and requires proper medications and treatment to help the nerve regrow to its initial length.

Key tips to stay safe in summer:

>Stay clear of the AC vents to avoid direct gush of cold air

>Ensure that there isn't a vast difference between your car's indoor temperature as compared to outdoors

>Use an umbrella, sunglasses or scarf to protect yourself

>Keep yourself hydrated at all times

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News Network
February 14,2020

Feb 14: India will never forget the martyrdom of the security personnel killed in last year's Pulwama attack, Prime Minister Narendra Modi said on Friday.

He termed the slain security personnel were "exceptional individuals" who devoted their lives to serving and protecting the nation.

On February 14 last year, a convoy of vehicles carrying security personnel on the Jammu-Srinagar National Highway was attacked by a vehicle-borne suicide bomber at Lethpora in Pulwama district of Jammu and Kashmir. Forty Central Reserve Police Force (CRPF) personnel were killed in the attack.

"Tributes to the brave martyrs who lost their lives in the gruesome Pulwama Attack last year. They were exceptional individuals who devoted their lives to serving and protecting our nation. India will never forget their martyrdom," tweets PM Modi one year since the Pulwama attack.

"I pay homage to the martyrs of Pulwama Attack. India will forever be grateful of our bravehearts and their families who made supreme sacrifice for the sovereignty and integrity of our motherland," tweets Union Home Minister Amit Shah.

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coastaldigest.com web desk
June 16,2020

New Delhi, Jun 16: Despite Prime Minister Narendra Modi led government’s attempt to downplay the border dispute with China, matters have heated up unprecedentedly along the Line of Actual Control (LAC)- the effective Sino-India border in Eastern Ladakh. 

The country has lost three precious lives – an army officer and two soldiers. The last time blood was spilled on the LAC, before the latest episode, was 45 years ago when the Chinese ambushed an Assam Rifles patrol in Tulung La.

India had lost four soldiers on October 20, 1975 in Tulung La, the last time bullets were fired on the India-China border though both the countries witnessed bitter stand-offs later at Sumdorong Chu valley in 1987, Depsang in 2013, Chumar in 2014 and Doklam in 2017.

Between 1962 and 1975, the biggest clash between India and China took place in Nathu La pass in 1967 when reports suggest that around 80 Indian soldiers were killed and many more Chinese personnel.

While three soldiers, including a Commanding Officer, were killed in the latest episode in Galwan Valley, the government describes it as a "violent clash" and does not mention opening fire.

New Delhi described the locality where the 1975 incident took place as "well within" its territory only to be rebuffed by Beijing as "sheer reversal of black and white and confusion of right and wrong".

The Ministry of External Affairs had then said that the Chinese had crossed the LAC and ambushed the soldiers while Beijing claimed the Indians entered their territory and did not return despite warnings.

The Indian government maintained that the ambush on the Assam Rifles' patrol in 1975 took place "500 metres south of Tulung" on the border between India and Tibet and "therefore in Indian territory". It said Chinese soldiers "penetrating" Indian territory implied a "change in China's position" on the border question but the Chinese denied this and blamed India for the incident.

The US diplomatic cables quoted an Indian military intelligence officer saying that the Chinese had erected stone walls on the Indian side of Tulung La and from these positions fired several hundred rounds at the Indian patrol.

"Four of the Indians had gone into a leading position while two (the ones who escaped) remained behind. The senior military intelligence officer emphasised that the soldiers on the Indian patrol were from the area and had patrolled that same region many times before," the cable said.

One of the US cables showed that former US Secretary of State and National Security Adviser Henry Kissinger sought details of the October 1975 clash "without approaching the host governments on actual location of October 20 incident". He also wanted to know what ground rules were followed regarding the proximity of LAC by border patrols.

A cable sent from the US mission in India on November 4, 1975 appeared to have doubts about the Chinese account saying it was "highly defensive".

"Given the unsettled situation on the sub-continent, particularly in Bangladesh, both Chinese and Indian authorities have authorised stepped up patrols along the disputed border. The clash may well have ensued when two such patrols unexpectedly encountered each other," it said.

Another cable from China on the same day quoted another October 1974 cable, which spoke about Chinese officials being concerned for long that "some hotheaded person on the PRC (People's Republic of China) might provoke an incident that could lead to renewed Sino-Indian hostilities. It went on to say that this clash suggested that "such concerns and apprehensions are not unwarranted".

According to the United States diplomatic cables, Chinese Foreign Ministry on November 3, 1975 disputed the statement of the MEA spokesperson, who said the incident took place inside Indian territory.

The Chinese had said "sheer reversal of black and white and confusion of right and wrong". In its version of the 1975 incident, they said Indian troops crossed the LAC at 1:30 PM at Tulung Pass on the Eastern Sector and "intruded" into their territory when personnel at the Civilian Checkpost at Chuna in Tibet warned them to withdraw.

Ignoring this, they claimed, Indian soldiers made "continual provocation and even opened fire at the Chinese civilian checkpost personnel, posing a grave threat to the life of the latter. The Chinese civilian checkpost personnel were obliged to fire back in self defence."

The Chinese Foreign Ministry spokesperson had also said they told the Indian side that they could collect the bodies "anytime" and on October 28, collected the bodies, weapons and ammunition and "signed a receipt".

The US cables from the then USSR suggested that the official media carried reports from Delhi on the October 1975 incident and they cited only Indian accounts of the incident "ridiculing alleged Chinese claims that the Indians crossed the line and opened fire first".

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Agencies
January 9,2020

The World Bank says that a lack of credit and drop in private consumption have led to a gloomy growth outlook for India with a steep cut in growth rate for the current fiscal year and only a modest gain projected for the next year.

India's growth rate is forecast to be only 5 per cent for the current fiscal year, weighed down by a growth of only 4.5 per cent in the July-September quarter, according to the 2020 Global Economic Prospects report released on Wednesday.

"In India, [economic] activity was constrained by insufficient credit availability, as well as by subdued private consumption," the Bank said.

The growth rate is forecast by the Bank to pick up to 5.8 per cent in the next fiscal year and to 6.1 per cent in 2021-22.

India's growth rate was 6.8 per cent in 2018-19.

The 5 per cent growth rate projection for the current financial year is a sharp cut of 2.5 per cent from the 7.5 per cent forecast made by the Bank in January last year, toppling it from the rank of the world's fastest growing economy.

India's performance follows a global trend of lowered growth weighed down by developed economies.

The report estimated world economic growth rate to be only 2.4 per cent last year and forecast it to edge up 0.1 per cent to 2.5 per cent in the current year.

Even with the lower growth rate of 5 per cent in the current fiscal year and 5.8 per cent forecast for the next, India holds the second rank among large economies, behind only China with an estimated growth rate of 6.1 per cent for 2019 and 5.9 per cent this year.

The report blamed "weak confidence, liquidity issues in the financial sector" and "weakness in credit from non-bank financial companies" for India's slowdown.

The Bank predicated India's recovery to 5.8 per cent in the coming financial year for India but "on the monetary policy stance remaining accommodative" and the assumption that "the stimulative fiscal and structural measures already taken will begin to pay off."

It also warned that sharper-than-expected slowdown in major external markets such as United States and Europe, would affect South Asia through trade, financial, and confidence channels, especially for countries with strong trade links to these economies."

The Bank said that the growth of advanced economies was 1.6 per cent last year and "is anticipated to slip to 1.4 per cent in 2020 in part due to continued softness in manufacturing."

In contrast the growth of emerging market and developing countries is expected to accelerate from 3.5 per cent last year to 4.1 per cent this year, the report said.

In South Asia, Bangladesh is estimated to have the highest growth rate of 7.2 per cent in the current fiscal year, although down from 8.1 per cent last fiscal year.

But its higher regional growth rates are coming off a lower base with a per capital gross domestic product of $1,698 compared to $2,010 for India.

Bangladesh is expected to grow by 7.3 per cent in the next financial year.

Pakistan's growth rate is estimated at only 2.4 per cent in the current fiscal year and is projected to rise to 3 per cent in the next, according to the Bank.

The Bank blamed monetary tightening in Pakistan for a sharp deceleration in fixed investment and a considerable softening in private consumption for the fall in growth rate from 3.3 per cent in the 2018-19 fiscal year.

Sri Lanka's growth rate was estimated to be 2.7 per cent last year and forecast to grow to 3.3 per cent this year.

Nepal grew by an estimated 6.4 per cent in the current fiscal year and will rise to 6.5 per cent in the next.

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