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tie Red Riding Hood, Cinderella, Hansel and Gretel. A book I grew up with and enjoyed and which is also a favorite of my children is THE ADVENTURES OF GNOMYK ROMTOTOMYK by Roman Zavadovych. Illustrated by the late Edward Kozak, the book follows the life of the miniature Gnomyk Romtotomyk. Children love hearing of his adventures with animals and insects and of the lessons he learns along the way. One last book I recommend for the pre schooler who is beginning the wonderful adventure of learning to read is THE MARCHING LETTERS. Put out by the Svitlychka in Philadelphia, it is de signed to teach children to write Ukrainian letters and numbers and experiment with different shapes and sizes As far as I know, it is available for purchase only from the Svitlychka at Philadelphia's Ukrainian Educational and Cultural Center. TAKE TWO ASPIRINS AND CALL ME IN THE MORNING by Ihor Magun, M.D. Aspirin (acetylsalicylic acid) has been used for over two hundred years. It is a compound derived from salicylic acid and was originally used for muscu lar inflammation and as a fever reducing agent. With recent advances in medicine, physicians have recog nized some new beneficial aspects of aspirin. The most common presenting sign of a heart attack is severe, crushing chest discomfort. When heart attacks occur, platelets in the blood stream, to gether with other clotting factors, compromise the blood supply, leading to the death of heart muscle. By preventing the platelets from aggregating together, the clot is compromised. The use of strong intravenous clot-busting medications still remains the standard of managing acute heart attacks, but the addition of aspi rin is an important component. The new uses of aspi rin lie in the anti-thrombotic (anti-clot forming) action of platelet inhibition. Current recommendations are to take 162-325 mg of aspirin at the first sign of a possi ble heart attack. Subsequent therapy is usually contin ued in doses of 81 to 162 mg. For secondary preven tion after a heart attack or chronic angina pectoris, doses range from 162 to 325 mg to be taken daily. Aspirin has also been shown to have anti oxidant effects. This decreases the inflammatory re sponse in individuals with diseased coronary arteries. Risk factors for heart attack include family history of heart disease, diabetes, hypertension, obe sity, smoking, and high cholesterol. Research has shown that aspirin does not decrease cardiovascular mortality, but it does decrease the risk of heart attack. This means that for preventive reasons, treatment with aspirin is beneficial for patients at risk for having a heart attack. In patients at low risk for development of heart attacks, prophylactic aspirin may not be war ranted. The risk factors for stroke are the same as those for heart attacks. The use of aspirin during an acute stroke (a neurological deficit that is actively oc curring) can reduce stroke effect. However, studies on the use of aspirin for prevention of strokes in high risk individuals are not encouraging and no recommenda tions can be made. Aspirin is a medication and must be treated as such. It has many positive effects, but it can lead to the development of ulcers. The standard adult dose strength is 325 mg. But even in low doses marketed as baby aspirin or low-dose 81 mg, aspirin can lead to bleeding. Caution should be exercised by individuals who take high doses of aspirin for arthritic conditions because it may interfere with certain blood pressure medications. Caution should also be exercised by in dividuals who have asthma as this may be accompa nied by some form of aspirin sensitivity. It is also wise to remember that aspirin is an acid and by no means should it be used topically for relief from pain. It should never be placed on the gums in the mouth for dissolving like candy. Aspirin is now readily available in enteric- coated forms. These have fewer gastrointestinal side effects, but can also cause gastrointestinal bleeding. Since the enteric-coated aspirin is not as readily ab sorbed from the stomach, the 81 mg dose may not be sufficient to prevent the desired effect of platelet inhi bition. Individuals taking aspirin for prevention of car diac problems should be aware of this and choose ei ther 81 mg of non-enteric coated aspirin or 325 of en teric coated-aspirin. 16 “НАШЕ ЖИТТЯ”, ТРАВЕНЬ 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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