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That is subject in turn to the SCN. Underlying all this is the clock gene system and the complex subcellular chemistry that it provokes and is in turn inhibited by. The discovery of fire and its reflected glow, and particularly the introduction of artificial lighting candles, gas, electricity, etc ; , has allowed man to defy the SCN with only imperfectly known consequences. Shift work, travel across time zones, space exploration, seasonal affective disorder, rare inherited genetic disorders e.g. Morgan's fibrillary chorea ; and the use of stimulants including modafinil ; by the military, are just some of the areas discussed in the book. The authors stress the periodicity of human physiology and disease. They also quote published research to suggest that drug therapy especially in oncology ; may be more effective and less toxic if timed to coincide with the biological clock. If one subtracts the enthusiasm natural to proponents of a particular viewpoint, this work is a must for readers of the say ; The Irish Times and for the science-minded professional. It is a good buy.

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A study of the cardiovascular disease risk factors and the health outcomes of people in Framingham, MA over the past 50 + years. Data from this study have been used to calculate the risks of smoking, diet, hypertension, hyperlipidemia, and other risk factors on the rates of heart attacks, strokes, diabetes, obesity, etc, for example, decadron withdrawl. They'll have missed out on the opportunity for at least a trial on a medication that could have significantly improved their symptoms and allowed for improved academic performance, self-esteem and social interaction. AK-CON SOL 0.001 OP AK-DILATE SOL 0.1 OP AK-DILATE SOL 0.025 OP AK-PENTOLATE SOL 0.01 OP AK-TOB SOL 0.003 OP AK-TROL SUS 0.001 OP ALBALON SOL LIQUIFLM ATROPIN-CARE SOL 0.01 OP ATROPINE SUL OIN 0.01 OP ATROPINE SUL SOL 0.01 OP BAC NEO POLY OIN OP BACITRACIN OIN OP BLEPH-10 SOL 0.1 OP DECADRON OIN 0.0005 OP DEXASPORIN SUS 0.001 OP ERYTHROMYCIN OIN OP FLUOROMETHOL SUS 0.001 OP FLUOR-OP SUS 0.001 OP GENOPTIC SOL 0.003 OP GENTACIDIN SOL 0.003 OP GENTAFAIR SOL 0.003 OP GENTAK SOL 0.003 OP GENTAMICIN SOL 0.003 OP MAXITROL OIN 0.001 OP METHADEX SUS 0.001 OP NAPHAZOLE SOL 0.001 OP NAPHAZOLINE SOL 0.001 OP NEO BAC POLY OIN OP NEO POLY DEX OIN 0.001 OP NEO POLY DEX SUS 0.001 OP PHENYLEPHRIN SOL 0.025 OP PILOCARPINE SOL 0.005 OP PILOCARPINE SOL 0.01 OP PILOCARPINE SOL 0.03 OP PILOPTIC-1 SOL 0.01 OP PILOPTIC-1 2 SOL 0.005 OP PRED SOD PHO SOL 0.01 PREDNISOL SOL 0.01 OP PURALUBE OIN OP REFRESH TEAR SOL 0.005 OP REFRESH-PM OIN OP SOD SULFACET SOL 0.1 OP SULFACET SOD OIN 0.1 OP SULFACET SOD SOL 0.1 OP TIMOLOL MAL SOL 0.0025 OP TIMOLOL MAL SOL 0.005 OP TOBRAMYCIN SOL 0.003 OP AK-POLY-BAC OIN OP BAC POLY NEO OIN HC OP1% CYCLOMYDRIL SOL OP DEXAMETH PHO SOL 0.001 OP DIPIVEFRIN SOL 0.001 OP ECONOPRED PL SUS 0.01 OP FLURBIPROFEN SOL 0.0003 OP FML FORTE SUS 0.0025 OP GENTAK OIN 0.003 OP GENTAMICIN OIN 0.003 OP HMS LIQUIFLM SUS 0.01 OP HOMATROPAIRE SOL 0.05 OP LEVOBUNOLOL SOL 0.0025 OP LEVOBUNOLOL SOL 0.005 OP MURO 128 SOL 0.05 OP MYDRIACYL SOL 0.01 OP NEO POLY BAC OIN HC OP1% PILOCAR SOL 0.01 OP PILOCAR SOL 0.02 OP PILOCAR SOL 0.04 OP PILOCAR SOL 0.06 OP PILOCARPINE SOL 0.02 OP PILOCARPINE SOL 0.04 OP PILOCARPINE SOL 0.06 OP PILOPTIC-2 SOL 0.02 OP POLYMYXIN B SOL TRIMETHP POLYTRIM SOL OP PRED FORTE SUS 0.01 OP PREDNISOLONE SUS 0.01 OP PROPINE SOL 0.001 OP SOD CHLORIDE SOL 0.05 OP TIMOPTIC SOL 0.005 OP TRIMETHOPRIM SOL POLYMYXN AZOPT SUS 0.01 OP BACIT POLYMY OIN OP BETAGAN SOL 0.005 OP BETIMOL SOL 0.0025 BRIMONIDINE SOL 0.002 OP CARTEOLOL SOL OPHTH 0.01 CILOXAN SOL 0.003 OP CIPROFLOXACN SOL 0.003 OP CROMOLYN SOD SOL 0.04 OP CYCLOGYL SOL 0.005 OP CYCLOGYL SOL 0.01 OP CYCLOPENTOL SOL 0.01 OP FLAREX SUS 0.001 OP FML LIQUIFLM SUS 0.001 OP FML S.O.P. OIN 0.001 OP FML-S SUS LIQUIFLM ISO CARBACHO SOL 0.015 OP ISO CARBACHO SOL 0.03 OP ISO HOMATROP SOL 0.02 OP ISO HOMATROP SOL 0.05 OP ISO HYOSCINE SOL 0.0025 OP ISOPTO CARP SOL 0.02 OP LOTEMAX SUS 0.005 MAXIDEX SUS 0.001 OP METIPRANOLOL SOL 0.003 METIPRANOLOL SOL 0.003 OPH MURO 128 OIN 0.05 OP NEO POLY GRA SOL OP OCUFLOX SOL 0.003 OP OCUTRICIN SOL OP OFLOXACIN SOL 0.003 OPTIPRANOLOL SOL 0.003 OP PRED MILD SUS 0.0012 OP PRED-G S.O.P OIN OP PRED-G SUS OP SULF PRED NA SOL OP TIMOLOL GEL SOL 0.0025 OP TIMOLOL GEL SOL 0.005 OP TIMOPTIC-XE SOL 0.0025 OP TIMOPTIC-XE SOL 0.005 OP VEXOL SUS 0.01 OP ACULAR LS SOL 0.004 ACULAR PF SOL 0.005 OP ACULAR SOL 0.005 OP ALAMAST DRO 0.001 ALOCRIL SOL 0.02 ALOMIDE SOL 0.001 OP ALPHAGAN P SOL 0.001 ALPHAGAN P SOL 0.0015 ALREX SUS 0.002 BETAXOLOL SOL 0.005 OP BETIMOL SOL 0.005 BETOPTIC-S SUS 0.0025 OP BLEPHAMIDE OIN S.O.P. BLEPHAMIDE SUS OP BOTOX INJ 100UNIT CILOXAN OIN 0.003 OP CORTISPORIN SUS OP 0.01 COSOPT SOL 2-0.5%OP ELESTAT DRO 0.0005 HEALON INJ 10MG ML IOPIDINE SOL 0.005 OP ISO ATROPINE SOL 0.01 OP ISTALOL SOL 0.005 OP KETOTIFEN SOL FUMARATE LACRISERT MIS 5MG OP LUMIGAN SOL 0.0003 NATACYN SUS 0.05 OP NEO POLY HC SUS OP NEVANAC SUS 0.001 OPTIVAR DRO 0.0005 PATANOL SOL 0.001 OP PHOSPHOLINE SOL 0.125%OP PILOPINE HS GEL 0.04 OP POLY-PRED SUS OP QUIXIN SOL 0.005 RESTASIS EMU 0.0005 TIMOPTIC OCU SOL 0.005 OP TOBRADEX OIN OP TOBRADEX SUS OP TOBREX OIN 0.003 OP TRAVATAN SOL 0.00004 TRIFLURIDINE SOL 0.01 OP TRUSOPT SOL VIGAMOX DRO 0.005 VIROPTIC SOL 0.01 OP VOLTAREN SOL 0.001 OP XALATAN SOL 0.00005 XIBROM SOL 0.0009 ZADITOR SOL 0.025%OP ZYLET SUS 0.5-0.3% ZYMAR DRO 0.003. Collect: One Gold. Transport: 0.25 mL serum at 2-8C. Min: 0.1 mL allergen ; Remarks: Separate serum from cells ASAP. Unacceptable Conditions: Hemolyzed, icteric or lipemic samples. CPT-4: 86003.

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Interim Modifications to October 1, 2001, Prioritized List of Health Services; Approved by the Health Services Commission July 17, 2002, Made Effective October 1, 2002. Cont'd ; GOUT AND CRYSTAL ARTHROPATHIES Treatment: MEDICAL THERAPY Line: 495 ADD 20605 DRAIN INJECT, JOINT BURSA OVARIAN DYSFUNCTION, GONADAL DYSGENISIS, MENOPAUSAL MANAGEMENT Treatment: OOPHORECTOMY, ORCHIECTOMY, HORMONAL REPLACEMENT FOR PURPOSES OTHER THAN INFERTILITY Line: 498 ADD 58660 LAPAROSCOPY, LYSIS FRACTURE OF JOINT, CLOSED EXCEPT HIP ; Treatment: OPEN OR CLOSED REDUCTION Line: 503 ADD 25259 MANIPULATE WRIST W ANESTHES ADD 25574 TREAT FRACTURE RADIUS & ULNA ADD 26645 TREAT THUMB FRACTURE ADD 26650 TREAT THUMB FRACTURE ADD 29075 APPLICATION OF FOREARM CAST ADD 29850 KNEE ARTHROSCOPY SURGERY ADD 29851 KNEE ARTHROSCOPY SURGERY CHRONIC OTITIS MEDIA See Guideline Note ; Treatment: PE TUBES ADENOIDECTOMY TYMPANOPLASTY, MEDICAL THERAPY Line: 504 ADD 69620 REPAIR OF EARDRUM DISRUPTIONS OF THE LIGAMENTS AND TENDONS OF THE ARMS AND LEGS, EXCLUDING THE KNEE, GRADE II AND III Treatment: REPAIR Line: 516 ADD 26418 REPAIR FINGER TENDON ADD 26497 FINGER TENDON TRANSFER MALUNION & NONUNION OF FRACTURE Treatment: SURGICAL TREATMENT Line: 519 ADD 25259 MANIPULATE WRIST W ANESTHES ADD 27217 TREAT PELVIC RING FRACTURE UTERINE PROLAPSE; CYSTOCELE See Guideline Note ; Treatment: SURGICAL REPAIR Line: 523 ADD 51840 ATTACH BLADDER URETHRA.
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In this prospective study of 174 thoracenteses, complications included nine pneumothoracenteses 5.2% ; and two hemothoracenteses 1.2% ; . Xrays after the procedure identified eight of the nine pneumothoracentesis. Pneumothorax was suspected in five of the eight cases, and four of these received a chest tube. Patients with unsuspected pneumothorax did not receive treatment even though a small pneumothorax was identified on the x-ray. The authors suggest that post-thoracentesis x-rays should be limited to patients who have symptoms, who are clinically unstable, and or who have had prior chest radiation. Additional risk factors include multiple passes of the needle and or aspiration of air via the needle and divalproex, for example, decadron withdrawal. Delivery of drugs by aerosol administration offers significant advantages over intravenous or oral drug delivery. By providing direct delivery of the medication to the lungs, the amount of drug needed may be lowered, thereby lowering the cost of treatment while also reducing the risk of systemic side-effects associated with intravenous or oral administration. For these reasons, aerosol medication delivery is now the preferred form of therapy for chronic airway diseases such as asthma and cystic fibrosis, and is being developed as an alternative route of administration for the systemic delivery of peptides such as insulin 1 ; and for local delivery of vaccines to protect against measles and rubella 2 ; . In addition, inhaled medications are being used with increasing frequency to treat premature infants with chronic lung disease. The greatest challenge to aerosol therapy in any age group, and in children and neonates in particular, is to deliver an adequate dose of drug to the appropriate lung targets. In studies that quantified the amount of aerosol deposited in the lung via gamma camera imaging 3, 4 ; the amount of drug that actually deposits in the lungs of neonates and children is a ; much less than what deposits in the lungs of adults, and b ; differs significantly between children. In this month's issue, we provide an overview of the patient drug device-related factors that can lower or improve the aerosol-delivered dose. Our purpose is to assist health professionals who care for neonates and children in choosing devices to optimize pulmonary drug deposition. Factors to be considered are age of the child, the drug to be delivered, and what the child can and is willing to do. REFERENCES: 1. Laube, B.L. Advances in treating diabetes with aerosolized insulin. DiabetesTechnology and Therapeutics 2002; 4: 515-518. Bennett JV, Fernandez de Castro J, Valdespino-Gomez JL, Garcia-Garcia Mde L, Islas-Romero R, Echaniz-Aviles G, Jimenez-Corona A, Sepulveda-Amor J. Aerosolized measles and measlesrubella vaccines induce better measles antibody booster responses than injected vaccines: randomized trials in Mexican schoolchildren. Bull. World Health Organ 2002; 80: 806-12.
Catherine A. Heyneman is the director of the Idaho Drug Information Service and an assistant professor of Pharmacy Practice at the Idaho State University College of Pharmacy, Pocatello, Idaho and tolterodine.
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Use of Dedadron to Block a Misguided Defense Attempt by the Immune System in Total Knee Replacement Surgery * Joaquin Castaneda, M.D. Akron, OH David Laverty, M.D. Akron, OH Robert Kepley, M.D. Akron, OH Phillip Lewandowski, M.D. Akron, OH Venkatesh Kirshnasamy, B.S. Akron, OH and gliclazide.
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Husband passed away in 2000. Wants to help patients and families. Lives in Canada. Speaks Cantonese, Dutch, French and German. Husband's seizures controlled with meds, took vitamins B12 and folic acid during treatment, does meditation and visualizations to relax, a support group helps him a lot. Surgery, 6 weeks external beam radiation, Gamma Knife; Medication: Dilantin, Decadron, Keppra Radiation, chemotherapy Surgery, whole brain radiation, gamma knife, chemo CCNU, VP-16 ; . Medication: Decadron, Dilantin, Procrit Stereotactic radiation and Chemotherapy, Medications: Temodar and dibenzyline. ` Figures 3.1 a 3.5 Figures 3.1 to 3.5 ` Tableaux 3.1 a 3.41 Tables 3.1 to 3.41, because steroids decadron. Allergies anti-depressants anti-infectives anti-psychotics anti-smoking antibiotics asthma cancer cardio & blood cholesterol diabetes epilepsy gastrointestinal hair loss herpes hiv hormonal men's health muscle relaxers other pain relief parkinson's rheumatic skin care weight loss women's health allegra atarax benadryl clarinex claritin clemastine periactin phenergan pheniramine zyrtec anafranil celexa cymbalta desyrel effexor elavil, endep luvox moclobemide pamelor paxil prozac reboxetine remeron sinequan tofranil wellbutrin zoloft albenza amantadine aralen flagyl grisactin isoniazid myambutol pyrazinamide sporanox tinidazole vermox abilify clozaril compazine flupenthixol geodon haldol lamictal lithobid loxitane mellaril risperdal seroquel nicotine zyban achromycin augmentin bactrim biaxin ceclor cefepime ceftin chloromycetin cipro, ciloxan cleocin duricef floxin, ocuflox gatifloxacin ilosone keftab levaquin minomycin noroxin omnicef omnipen-n oxytetracycline rifater rulide suprax tegopen trimox vantin vibramycin zithromax advair aerolate, theo-24 brethine, bricanyl ketotifen metaproterenol proventil, ventolin serevent singulair arimidex casodex decadron eulexin femara levothroid, synthroid nolvadex provera, cycrin ultram vepesid zofran acenocoumarol aceon adalat, procardia altace atenolol amlodipine avapro caduet calan, isoptin capoten captopril hctz cardizem cardura catapres cilexetil, atacand clonidine, hctz combipres cordarone coreg coumadin cozaar dibenzyline diovan fosinopril hydrochlorothiazide hytrin hyzaar inderal ismo, imdur isordil, sorbitrate lanoxin lasix lercanidipine lopressor lotensin lozol micardis minipress moduretic normadate norpace norvasc plavix plendil prinivil, zestril prinzide rythmol tenoretic tenormin trental valsartan hctz vaseretic vasodilan vasotec zebeta crestor lipitor lopid mevacor pravachol tricor zocor accupril actos alpha-lipoic acid amaryl avandia diamicron mr gliclazide metformin glucophage glucotrol glucotrol xl glucovance lyrica micronase orinase prandin precose starlix depakote dilantin lamictal neurontin sodium valproate tegretol topamax trileptal valparin aciphex asacol bentyl cinnarizine colospa compazine cromolyn sodium cytotec imodium motilium nexium nexium fast pepcid ac pepcid complete prevacid prilosec propulsid protonix reglan stugil zantac zelnorm zofran propecia, proscar famvir rebetol valtrex zovirax combivir duovir-n epivir pyrazinamide retrovir sustiva videx viramune zerit ziagen aldactone calciferol danocrine decadron prednisone provera, cycrin synthroid avodart flomax hytrin levitra propecia, proscar viagra lioresal soma tizanidine ibuprofen zanaflex accupril alpha-lipoic acid amantadine aralen arcalion aricept ascorbic acid benadryl bentyl betahistine calciferol carbimazole compazine cyklokapron ddavp, stimate detrol dihydroergotoxine ditropan dramamine exelon florinef imitrex imuran isoniazid lasix melatonin myambutol nimotop orap persantine piracetam pletal quinine rifampin rifater rocaltrol strattera ticlid tiotropium urecholine urispas urso vermox zyloprim acetylsalicylic acid advil, medipren celebrex flunarizine imitrex ketorolac maxalt ponstel tylenol ultram benadryl ditropan eldepryl requip sinemet trivastal advil, medipren arava colchicine decadron feldene indocin sr mobic naprelan naprosyn zyloprim betamethasone differin nizoral oxsoralen prograf retin-a xenical advil, medipren allyloestrenol clomid, serophene diflucan evista folic acid fosamax isoflavone nexium parlodel ponstel prevacid prilosec progesterone provera, cycrin rocaltrol tibolone generic micronase generic name: glibenclamide glyburide ; qty and phenoxybenzamine.
Who reported using ATODs. These results are presented for both lifetime and past-30-day prevalence of use periods. Lifetime prevalence of use whether the student has ever used the drug ; is a good measure of student experimentation. Past-30-day prevalence of use whether the student has used the drug within the last month ; is a good measure of current use. In addition to the standard lifetime and past-30-day prevalence rates for alcohol use, binge drinking behavior defined as a report of five or more drinks in a row within the past two weeks ; is also measured. Comparisons to the statewide results of the 2004 survey are presented in Tables 2 and 3 and Graphs 3 through 8. Trend comparisons to Miami-Dade County results from the 2000 and 2002 surveys are presented in Tables 4 and 5 and Graphs 3 through 6. Alcohol In most communities, alcohol is the drug used by the largest number of adolescents. As Graph 1 shows, this is indeed the case in Miami-Dade County. Prevalence of Use. Of the students surveyed in Miami-Dade County in 2004, 57.9% have used alcohol on at least one occasion in their lifetimes. This corresponds to a rate of 45.2% among middle, for example, decadron to prednisone. Governor Owens directed the Commission235 to analyze the safety protocols in effect at Columbine High School at the time of the crisis there, to assess their effectiveness and to recommend future improvements in them. The Commission has been considerably assisted in discharging those responsibilities by the approach to prevention of violence and school safety recommended by the Center for the Study and Prevention of Violence at the University of Colorado. The Center, directed by Professor Delbert Elliott, stresses the importance of viewing school safety in broad preventive terms: a safe school fosters a supportive school atmosphere, has strong links to the surrounding community, has in place both programs to prevent violence and mechanisms to allow students to confide to school administrators their concerns about violence and safety, has established a well-trained threat assessment team, and has adopted a strong crisis management plan for use in case of emergencies and phenytoin. 1. 2. 3. Binkley, S. Endocrinology. Edited by Davies, G. HarperCollins College Publishers: New York, New York. 1995 ; . Crile, G. The Thyroid Gland 2nd ed. ; . Edited by Rowland, A. W.B. Saunders Company: Philadelphia, Pennsylvania. 1922 ; . Ebberts, E., Fitzgerald R. and Silver, P. Surgical Diseases of the Thyroid Gland. Lea and Febiger: Philadelphia, Pennsylvania. 1929 ; . Harrison's Principles of Internal Medicine. 15th Ed ; Edited by Braunwald, E., Fauci, A., Kasper, D., Hauser, S., Longo, D. and Jameson, J. McGraw-Hill: New York, New York. 2001 ; . Marine, D. and Lenhart, C Observations and Experiments on the So-called Thyroid Carcinoma of Brook Trout Salvelinus Fontinalis ; and Its Relation to Ordinary Goitre. Journal of Experimental Medicine 12 ; 311-337 1910 ; . McCarrison, R. The Thyroid Gland in Health and in Disease. William and Wood Company: New York, New York. 1917 ; . Rayner, D. and Champion, B. Medical Intelligence: Unit Thyroid Autoimmunity. R. G. Landes Company: Austin, Texas. 1995 ; . : claniodine.tripod facts . Accessed March 1, 2002. Press Nagata, Y., Mikoshiba, K. & Tsukada, Y. 1973 ; Brain Res. 56, 259-269 Nishizuka, Y. 1984 ; Nature London ; 308, 693-698 Peters, S. & Kreulen, L. 1984 ; Fed. Proc. Fed. Am. Soc. Exp. Biol. 42, 96 Pickard, M. R., Hawthorne, J. N., Hayashi, E. & Yamada, S. 1977 ; Biochem. Pharmacol. 26, 448-450 Putney, J. W. 1981 ; Life Sci. 29, 1183-1194 Schlegel, W., Roduit, C. & Zalund, G. 1981 ; FEBS Lett. 134, 47-49 Schultzberg, M. 1983 ; Neuroscience 8, 363-374 Schultzberg, M., Hokfelt, T., Terenius, L., Elfvin, L.-G., Lundberg, J. M., Brandt, J., Elde, R. P. & Goldstein, M. 1979 ; Neuroscience 4, 249-270 Watson, S. P. & Downes, C. P. 1983 ; Eur. J. Pharmacol. 93, 245-253 and valsartan.

Corresponding author: Department of Histology and Embryology, Pomeranian Medical University, Al. Powstacw Wlkp 72, 70-111 Szczecin, Poland; e-mail: barbwisz sci.pam.szczecin.

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P3 SURGICAL OUTCOMES OF PATIENTS WITH IRIDOCORNEAL ENDOTHELIAL "ICE" SYNDROME AND GLAUCOMA Heidar Amini, Reza Zarei, Mohammad Reza Razeghi * Tehran University, * Shiraz University of Medical Science, Iran PURPOSES To evaluate the long-term outcomes of patients with ICE SYNDROME and glaucoma who underwent glaucoma surgery. METHODS Retrospective noncomparative case series, on eleven cases of "ICE" syndrome. RESULTS 8 cases of progressive iris atrophy, 2 cases of iris nevus syndrome and one case of chandler syndrome.with mean age of 39.4 11.2 years, that had glaucoma surgery at farabi eye hospital, between February 1991 and April 2003 were included. 5 eyes had one trabeculectomy with adjunctive Mitomycin-c, 2 eyes had two trabeculectomies with mitomycin-c.One eye had two trabeculectomies with mitomycin-c and two cyclodestructive procedures.One eye had trabeculectomy with mitomycin-c and penetrating keratoplasty. In the two remaining eyes after failure of two trabeculectomies with mitomycin-c, Molteno tubes were implanted. In the last two eyes even after bleb revision and cyclodestructive procedures vision was lost. preoperative intra ocular pressure reduced from a mean of 32.5 3.9 mmHg on 2.8 0.4 glaucoma medications to a mean of 18.810 mmHg on 1 1.48 glau.
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Which of the following statements about endotracheal drug administration is true? A. Endotracheal drug administration is the preferred route of drug administration during resuscitation because it results in predictable drug levels and drug effects B. Endotracheal doses of resuscitation drugs in children have been well established and are supported by evidence from clinical trials C. Intravenous drug doses for resuscitation drugs should be used whether you give the drugs by the IV, intraosseous IO ; , or the endotracheal route D. Endotracheal drug administration is the least desirable route of administration because this route results in unpredictable drug levels and effects For further information: see the PALS Provider Manual Chapter 7: Recognition and Management of Cardiac Arrest, Chapter 9: Pharmacology, and the PALS Course Guide Part 10: Pharmacology.

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Beaches are not the only outdoor areas in Southern California where tobacco use is being prohibited or curtailed. Amusement parks are climbing on the smoke-free bandwagon, too. One such amusement park is Six Flags Magic Mountain, which recently revised its smoking policies. The park, located in Valencia just north of Los Angeles, made the changes in response to action by young people from the Friday Night Live FNL ; Partnership in Orange County and other Southern California counties. The Orange County FNL Partnership, with chapters in 52 schools, is a youth leadership and advocacy program that is partially funded by the County of Orange Health Care Agency. The chapters are open to students in grades 4 through 12 and deal with issues that are important to youth around alcohol, tobacco, other drugs and violence prevention. To kick off the school year, the chapters have visited Magic Mountain every November since 1993. The October fires precluded a trip in 2003. ; Lately, however, the youth have noticed that smokers in many areas of the amusement park make it difficult to enjoy a smoke-free experience there. A Fall 2002 survey by teenagers from the San Luis Obispo County FNL Partnership confirmed the observations of the Orange County youth. According to the survey, more than 93 percent of the 129 respondents said they were bothered by secondhand smoke. A similar number said that secondhand smoke could be a problem in an outdoor setting. The San Luis Obispo FNL Partnership shared its information with the Orange County chapters, and the chapters took action. In September 2003, the Orange County FNL Partnership along with the San Luis Obispo FNL Partnership and the Los Angeles County FNL Partnership wrote letters to Magic Mountain's management asking it to "support the health of young people and recurring customers" by: designating smoking areas prohibiting youth under 18 from smoking prohibiting smoking in lines, main thoroughfares and eating areas providing enforcement personnel Further, the letters stated that the Partnerships would be willing to choose another venue for their annual trip if necessary. This trip brings approximately 500 youth from Orange County out of a total of more than 6, 000 Southern California teenagers ; to the park every fall. Magic Mountain responded to the letters by making the requested changes. The new smoking policies are detailed in the 2004 park brochures and on Magic Mountain's Website. To help with enforcement, the park now trains its staff about the policies. "They don't want underage youth smoking, " says Sheila Walsh, project consultant for the Orange County FNL Partnership. "They want it to be place that families can come with children." Walsh is particularly impressed that a company as large as Six Flags, which owns amusement parks nationwide, was able to take action on a local level. She is also pleased that the company changed its policies so quickly. Building on its success, the Orange County FNL Partnership plans to continue working on the issue of secondhand smoke at Magic Mountain. The ultimate goal is for the entire park to be smoke-free. To this end, the youth will likely conduct a survey during their trip to the park in the fall. They will also maintain communication with the management. "We are very pleased with how Magic Mountain has moved forward, " says Walsh. "We're not letting them off the hook.

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