'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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Agencies
July 13,2020

Jaipur, July 13: Amid a deepening political crisis in Rajasthan where the number 2 leader of the Congress party Sachin Pilot has revolted, over 200 Income Tax (I-T) sleuths raided the residences and properties of two of Chief Minister Ashok Gehlot’s close confidants.

The Income Tax department has carried out searches at over a dozen locations linked to Congress leader Dharamender Rathore as well as jewellery firm owner Rajiv Arora, both of whom are considered close to Gehlot.

Officials said that the raids that are underway in Jaipur, Kota, Delhi, and Mumbai were done after a complaint of tax evasion was made. Under the scanner, they said, are transactions that were made outside the country.

The curious timing of the Income Tax department’s action against Gehlot’s aides has made the Congress accuse the sleuths of acting on the behest of the BJP.

Congress spokesperson Randeep Singh Surjewala tweeted: “After all, BJP's lawyers came on the field. The Income Tax Department started raids in Jaipur. When will ED arrive?”

The Congress is facing a cliffhanger in Rajasthan after the open rebellion by deputy chief minister Sachin Pilot, who on Sunday night claimed that he had the support of 30 MLAs and that Gehlot was leading a minority government in the state.

However, Congress leader Avinash Pande on Monday said 109 MLAs have signed a letter of support to the chief minister, well above the majority mark of 100. The party has issued a whip to all the MLAs, asking them to attend the Congress Legislature Party meeting at 10.30 am. 

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News Network
January 20,2020

New Delhi, Jan 20: Union Finance Minister Nirmala Sitharaman on Sunday said the kind of cleaning in the system that the BJP-led government had to carry out after coming to power in 2014 was "unbelievable" and it undertook the exercise without any grudge or worry.

Between 2014-16, there were a lot of questions as to why reforms did not come fast and there were comments that the government was incapable of bringing them, she said delivering the Nani Palkhivala Memorial lecture on "Road Map to $5 Trillion Economy" here.

Pointing out that there were allegations and criticism that the government wants to do something but it did not, Sitharaman said, "I am fully willing to buy that." She recalled that Prime Minister Narendra Modi often said he did not believe in incremental changes and the country needed good transformational change. The stage in which India is today, it cannot have little marginal increments, but good transformational change.

"But still one might say in the last five years the government never did. That can be a critical analysis and I am fully willing to buy that. Because post-2014 the kind of cleaning up the government had to do was unbelievable and we undertook that exercise without a grudge without a worry.. we had to do it and it is part of the game," she said. Elaborating, Sitharaman said states have their own views on Land Acquisition Bill and the government could not have done anything because land, after all, is with them.

Commenting on the topic 'Road Map to $5 trillion economy,' she said quoting Prime Minister Narendra Modi's comments, the government would take the route "Sarkar ka abhaav nahi hona chahiye, prabhaav hona chahiye aur dabaav nahi hona chahiye."

"Abhaav and dabaav both of which are not desirable, abhaav is the inadequacy or lack of adequate presence or shortfall. You do not need a shortfall. You need a government where it should be present, where it is expected to function.", she said.

"So there should not be abhaav. Dabaav (meaning pressure) is not something you want from the government. So, you want Prabhaav. It is broadly an influence, facilitation, broadly the philosophy with which it is mandated, she said.

Noting that the government has got the mandate through the election, she said, "The mandate was spelt out in so many different ways in its manifesto. So the route towards $5 trillion is this."

"We have to be there to facilitate. We have to be there to make it easy. We have to be where you need us, where there is no policy (reforms from the government)," she said.

On the Insolvency and Bankruptcy Code (IBC) implemented by the government, the union minister said the approach of the IBC was not to shut business. "IBC takes on the approach in having some kind of resolution where all people who exploited the company do not come back through the "back door," she said.

IBC was done through better management so that the institution is alive and kicking. It is something which she wanted to carry forward from Modi 1.0 to 2.0. "The point I am trying to make on this road to $5 trillion economy is that it is not just an abstraction, this is not how I want India to be. But in micro-level too, we are coming in response to every stakeholder," she said.

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Well Wisher
 - 
Tuesday, 21 Jan 2020

LOL. Do not say anything, else she will get angry.

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News Network
July 9,2020

New Delhi, Jul 9: The Central Board of Secondary Education has strongly defended its decision to drop topics like democratic rights, citizenship, federalism, secularism etc in the name of reducing the syllabus for Classes 9 to 12 due to COVID-19 pandemic. 

The board has claimed that the dropped lessons "are either being covered by the rationalised syllabus or in the Alternative Academic Calendar of NCERT".

The CBSE said it had to come up with the clarification after realizing its decision was "interpreted differently".

"The rationalisation of syllabus up to 30 per cent has been undertaken by the Board for nearly 190 subjects of class 9 to 12 for the academic session 2020-21 as a one-time measure only. The objective is to reduce the exam stress of students due to the prevailing health emergency situation and prevent learning gaps," it said.

While it has said that no questions can be asked from the reduced syllabus in the next board exams, the CBSE has also directed schools to follow alternative calendars prepared by the NCERT.

"Therefore each of the topics that have been wrongly mentioned in media as deleted have been covered under Alternative Academic Calendar of NCERT which is already in force for all the affiliated schools of the Board," it clarified.

On Wednesday, West Bengal CM Mamata Banerjee tweeted: "Shocked to know that the central Government has dropped topics like citizenship, federalism, secularism and partisan in the name of reducing CBSE course during the COVID crisis."

"We strongly object to this and appeal the HRD Ministry to ensure these vital lessons aren't curtailed at any cost," Banerjee added.

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