ABSTRACT
Serum cortisol concentration indicates the severity of the underlying condition. More severe disease results in increased cortisol concentrations in the blood, increasing the probability of a catastrophic outcome. A high level of serum cortisol is found in patients with community-acquired pneumonia, and these patients are more likely to develop major complications and death. Corticosteroids are endogenous hormones that are produced by the hypothalamus pituitary adrenal pathway, which is involved for stress response. Considering, known risk factors of endocrine disturbance, there has been minimal discussion on measuring the serum cortisol concentration in COVID-19 patients. SARS-CoV-2 mediated pathogenetic pathways, may also affect endogenous steroid synthesis, particularly cortisol. For the purpose of improving survival rate in severe COVID-19 individuals, we discuss briefly about the current and new findings in the support of measuring the serum cortisol levels in severe COVID-19 individuals and facilitate better treatment management in this article.
ABSTRACT
Hot water is good for throat, but the coronavirus 2019 (COVID-19) hidden behind sinuses about 3-4 days. There was no way through which the warm water would reach behind sinuses. The virus that is hiding behind the sinuses enters the lungs within 4 to 5 days and causes respiratory problems. Inhaling vapor reaches the back of the sinuses. Steam inhalation thins mucus and clears nasal passages and reduces inflammation of the upper respiratory tract or inhibits viral replication due to the heat of the steam. The virus is paralyzed at 50 ° C. The virus becomes so weak at 60 0C that it can be resisted by the human immune system. The virus is completely dead at 70 °C. COVID-19 can be killed by breathing vapours through the nose and mouth, according to doctors. Symptoms of mild to moderate infection (COVID-19) usually disappear through vapor inhalation. If everyone started a week-long streaming campaign, the pandemic would end soon. The deadly COVID-19 is likely to be eliminated if everyone inhales steam during the week. There are no negative consequences to this exercise, and it is inexpensive. This review article describes the benefits of inhalation of steam and its use as an adjunct treatment during the COVID-19 pandemic.