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stories. Although eroticism and violence appear in both, the Ukrainian authors, says Kulyk Keefer, "emphasize the complex historical and political context which have formed and deformed imaginative possibility in their country," whereas most of the Canadians "tend to interpret history within the personal and private terms of family." This is an astute observation, and I agree. Kulyk Keefer's attempts to justify the scope and aim of this double collection, however, are less convincing. Both groups of writers deserve to be represented in their own separate anthologies. Marta Tarnawsky University of Pennsylvania Reprinted by permission from World Literature Today (Autumn 1999). ААНЄНОО by Ihor Magun, M.D. Sinus congestion and irritation are common conditions. The impact they have on those who suffer from them can be tremendous. Most individuals just "live with it" and do little to help themselves. This may be a mistake because there are numerous com binations of old and new treatments that are helpful. One of the key factors in sinus congestion is to ascertain the exact cause of the problem. The most common diagnosis is allergic or seasonal nasal congestion. This is usually brought on by a high pollen count — a high quantity of allergy-producing particles in the air. The increase in nasal/upper respiratory secretions is actually an exaggerated response of the body to environmental factors. One typically experiences sneezing, itchy, watery eyes and increased nasal congestions. There is a familial predisposition to this condition. A specific treatment regimen depends on the predominant symptoms. Oral over the counter decon gestants such as antihistamines work well for multiple symptoms, but can cause drowsiness. Saline nasal sprays can be helpful if the discomfort is purely nasal. An over the counter topical spray - cromolyn sodium — can be used for long-term control of nasal reactivity. This spray is a good choice for children and can safely be used by pregnant women. The spray is not to be confused with the over the counter vasoconstrictive medications that are used for both the eyes and the nose whose use is limited to short treatment periods. A greater than five day use of these products actually produces more ocular/nasal congestion, resulting in a YOUR HEALTH condition known as rhinitis medicamentosa. Indivi duals wearing soft contact lenses should not use topical ocular products containing benzalkonium chloride preservatives. If there is a need for prescription medications there are several types that can be administered in various ways. The new second generation antihista mines such as Allegra, Claritin and Zyrtec work well and are relatively non-sedating. Corticosteroid nasal sprays are helpful and are sometimes preferred due to less systemic effects. Some of these sprays are not suitable for children because they contain steroids which may cause a disruption in growth. Caution should also be exercised by individuals with urinary retention and glaucoma as certain antihistamines effect these systems. Infectious nasal congestion should obviously be treated with antibiotics. The non-allergic causes of nasal congestion can be due to occupational irritants. The symptoms can actually manifest themselves several hours after exposure. Hormonal changes such as hypothyroidism and pregnancy can also cause congestion. Certain medications are also potential culprits. Nasal polyps and deviated septum (an uneven nasal partition) are other potential nasal problems. Their presence complicates colds or allergic nasal symptoms. One should pay close attention to possible unilateral symptoms and certainly have a nasal examination done by a physician to verify this possible problem. When treating a nasal problem, there should be good communication among the patient, the physician and the pharmacist. There are many medications and combinations of medications without significant systemic effects. They can be helpful without making the patient feel "drugged". Hopefully we can benefit from old and new treatments, get enough rest, and "take time to smell the roses". 14 НАШЕ ЖИТТЯ”, ЛИПЕНЬ-СЕРПЕНЬ 2000 Видання C оюзу Українок A мерики - перевидано в електронному форматі в 2012 році . A рхів C У A - Ню Йорк , Н . Й . C Ш A.
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