General Health and Respiration

Medical Science uses the medicines and probiotics for the respiratory diseases. For example for the current novel Corona virus infection management medicines, masks, gloves, goggles, regular hand cleaning and social distancing are being used across the world to prevent and control the spread of respiratory droplet infection. Covid 19 is severe acute respiratory corona virus 2 that is SARS- CoV-2. The most common symptom of novel corona virus infection is fever. The other symptoms are coughing, dyspnoea, myalgia, rhinorrhoea, headache, vomiting. Corona viruses affect the lung tissue. SARS- CoV-2 is a coronavirus that causes severe viral pneumonia with Acute Respiratory Distress Syndrome (ARDS) in patients and these viruses may bring mortality in some critically ill patients as well as in elderly. The patients also show leukopenia in cell counts [1-4].

The government of USA has taken excellent effective lockdown measures and treatment strategies to control and prevent the spread of the Corona virus infection. Communication strategies play an important role in controlling and preventing the spread of this pandemic. As the disease progresses, more balanced, compassionate and patient supportive communication will work well [1,5].

Current research findings related to asthma [6] show that as rescue therapy,inhalers of corticosteroids and long acting beta agonist might work as useful alternative to regular inhaled corticosteroids and rescue short acting beta agonist therapy in adults with mild asthma.

Furthermore current research has highlighted that continuous positive airway pressure therapy may be clinically effective for the management of Obstructive Sleep Apnea (OSA) where the patient shows sleepiness symptoms at the daytime [7,8]. Mild OSA may be related to the manifestation of hypertension and cardiovascular morbidity. Effective diet plans and exercise programs can yield long term weight loss in OSA patients and decrease the risk for hypertension, heart disease. Furthermore clinical studies have demonstrated that OSA is also a risk factor for stroke and stroke may be reduced with the treatment of OSA [9-11].

Diet therapy for respiration ailments should have enough of antioxidants for example tomato juice, grapes, green food and tea,coffee. Also promising for general health and respiration are immunity building foods like vitamin C rich diet for example lemon, oranges, amla, cauliflower [12-14]. Other items like egg, baked food like cakes and probiotics like yogurt may be promising for healthy respiration. Ginger, turmeric, sunlight are also beneficial for healthy breathing.Heavy food like fried food and non- vegetarian diet for example meats must be restricted to small amounts in cardio- respiratory diseases. Sterilized or boiled water are good for general health and respiration.Drinking enough water, little salt may be mixed in water for healthy respiration.

Mind has direct connection with breathing.Doing regular mind exercises like breath exercises, meditation, prayerfulness, that is necessary for general health and healthy respiration [15].

Emotions have links with breathing. Management of daily emotions for example kindness, compassion are healthy emotions. Power of forgiveness is also very healthy emotion as mentioned in biblical records. Avoid negative emotions like anger and fear emotions. Some of the fear may be protective but excess fearfulness needs to be conquered for health and breathing [15].

Positive thinking patterns are essential for mental and emotional health.

To remain in connection with natural surroundings for some hours in a day for example going near the trees and to get oxygen from the trees for health and healthy breathing.

Nose, lungs,heart, abdomen and skin work in a team for the breathing. Further insights will bring some promising molecules like vaccines, antivirals [3,14] for the pharmacotherapy of Covid -19.

1. Editorial (2020) Covid-19: delay, mitigate and communicate, Lancet Respir Med 8: 321. Link: https://bit.ly/353SFXb
2. Silvio A, Silva N (2020) Respiratory support for patients with Covid- 19 infection,The Lancet Respiratory Medicine 8: 18. Link: https://bit.ly/3cKdeuG
3. Holshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J, et al. (2020) First case of 2019 novel Corona virus in the United States, N Eng J Med 382: 929-936. Link: https://bit.ly/3eR4ogC
4. Yang X, Yu Y, Xu J, Shu H, Xia J, et al. (2020) Clinical Course and Outcomes of Critically ill Patients With SARS-CoV-2 Pneumonia in Wuhan, China: A Single-Centered, Retrospective, Observational Study. Lancet Respir Med 2600: 30079-30085. Link: https://bit.ly/2VzStvQ
5. Li L, Qianghong XV, Yan J (2020) Covid 19: The need for continuous medical education and training, The Lancet Respiratory Medicine 8: 23. Link: https://bit.ly/3eSZbF5
6. Sinha IP, Dodd SR, Grime C, Hawcutt DB, Fernandes RM, et al. (2020) Where next for inhaled corticosteroids in childhood asthma. Lancet Respir Med 8: 345. Link: https://bit.ly/2yIzkiw
7. McNicholas WT (2020) Active management of mild obstructive sleep apnoea: the evidence grows, Lancet Respir Med 8: 322-323. Link: https://bit.ly/3cEDaHO
8. Wimms AJ, Kelly JL, Turnbull CD, McMillan A, Craig SE, et al. (2020) Continuous positive airway pressure versus standard care for the treatment of people with mild obstructive sleep apnoea (MERGE): a multicentre, randomised controlled trial, Lancet Respir Med 8: 349-358. Link: https://bit.ly/2VNg3UE
9. Young T, Peppard PE, Gottlieb DJ (2002) Epidemiology of obstructive sleep apnea: a population health perspective, Am J Respir Crit Care Med 165: 1217-1239. Link: https://bit.ly/2VOMCli
10. Somers VK, Dyken ME, Clary MP, Francois MA (1995) Sympathetic neural mechanisms in obstructive sleep apnea, J Clin Invest 96: 1897-1904. Link: https://bit.ly/2XZGvx5
11. Culebras A (2015) Sleep apnea and stroke, Curr Neurol Neurosci Rep 15: 503.
12. Marcus R, Coulston AM (1996) Water- soluble vitamins: The vitamin B complex and ascorbic acid, In: Hardman JG, Limbird LE, Gilman AG, editors, Goodman and Gilmans The pharmacological basis of therapeutics, 10th edition, McGraw Hill publishers, New York, chapter 63: 1753-1771. Link: https://bit.ly/3cITnMb
13. Marcus R, Coulston AM (1991) Water- soluble vitamins: the vitamin B complex and ascorbic acid, In : Gilman AG, Rall TW, Nies AS, Taylor P, editors, Goodman and Gilmans The pharmacological basis of therapeutics, Pergamon press, New York, 1991, 8th edition, chapter 63: 1530-1552. Link: https://bit.ly/3cITnMb
14. Pauling L (1970) Evolution and the need for ascorbic acid. Proc Natl Acad Sci USA 67: 1643-1648. Link: https://bit.ly/353En8Y
15. Christophe A (2019) Proper breathing brings better health, Scientific American. Link: https://bit.ly/2XXPIWV