The 1999 Helene Fuld Health Trust Fellowship. Promoting leadership development in undergraduate nursing students.

In 1999, based on the recommendation of The Conservation Company. The Helene Fuld Health Trust selected New York University's Robert F. Wagner Graduate School of Public Service, in partnership with the Division of Nursing in the School of Education, to restructure its fellowship program for undergraduate nursing students. Bringing together an interdisciplinary team with experience in leadership development, nursing and health policy, and health care administration, NYU designed and delivered an innovative and state-of-the-art leadership development program for the 1999 Fuld Fellowship program. The new program started in June 1999 with 21 nursing students from all over the country. This article describes the goals and methods of the program; it also discusses early observations of the program's success that could be relevant to nursing education.

Health management education partnerships: more than technology transfer.

This article presents the reflections of three faculty members from New York University based on more than two years of experience in a health management education (HME) partnership with institutions in the Republic of Albania. The most significant point to be shared with colleagues considering similar initiatives in other countries is that aiding other professionals in developing health management education programs involves much more than the transfer of technical information among professionals. Based on experience in Albania, we argue that the development of viable management and policy analysis programs will require assistance to counterparts in Central and Eastern Europe in: (1) building constituencies for these activities among influential leaders and sustaining this support through changes in government; (2) providing models of and motivations for using styles of pedagogy that vary significantly from those now common in this part of the world; and (3) reconciling conflicts between pressures for investments in the largely hospital-based activity of health management and the largely public-health-based needs of relatively poor countries.

School-based health education: what works?

Increasingly, health care reform efforts are focusing on interdisciplinary, comprehensive approaches to health care delivery. I argue that school health education is a vital part of improving the health of this nation's citizens and that effective school-based education must be comprehensive, continuous, and interdisciplinary and must offer information, motivation, and skills. The National Center for Health Education, the nation's leading private organization focusing solely on comprehensive health education, has developed Growing Healthy, a comprehensive school-based curriculum aimed at promoting healthy lifestyle choices for children in grades kindergarten through six, now in over 9,000 elementary schools in 42 states. Students participating in the Growing Healthy program showed greater benefits in their health knowledge, attitudes, and behaviors than participants in three targeted, one-shot (health education) programs. Further studies have shown that school-based health education programs that start early and continue through several grades provide significant and sustained effects on overall health knowledge, attitudes, and practices.

[General anesthesia and preoperative changes in plasma beta-endorphin]. / Anesthésie générale et variations peropératoires de la bêta endorphine plasmatique.

The variations of plasmatic beta-endorphin and cortisol levels are studied in 3 groups of patients. These subjects are submitted to abdominal surgery following 3 different anaesthetic schemes: neuroleptanalgesia (droperidol and fentanyl), pure analgesia (fentanyl), association halothane - small dose of fentanyl. The study covers the period from premedication through recovery. The results of this work demonstrates that the average level of beta-endorphin in neuroleptanalgesia and pure analgesia series is stable; there is an increase in the halothane series just after the incision until waking up. The average level of cortisol is stable for the 3 series until incision. It is strongly increased in the neuroleptanalgesia series and in the halothane series. This increase is delayed and reduced in the fentanyl series.

A GLC and GC/MS study of the reaction between benzylpenicillin and BF3-methanol.

A study of the reaction of BF3-methanol with benzylpenicillin showed that penicillin could be converted to a form suitable for gas-liquid chromatography. This study indicated possible use of the reaction in an analytical method for penicillin, by determining the methyl phenylacetate product. A reaction rate and yield study was conducted using gas-liquid chromatography employing an internal standard for improved measurement accuracy. The reaction gave a relatively constant yield of 70 +/- 2% and was complete in less than 1 minute. Investigations of the identity of side products were conducted using GC/MS, UV, and IR. A variety of products, including penicillenates, penillates, penilloates, and acrylic acid esters, were indicated at very mild reaction conditions.

Gas-liquid chromatographic determination of diethylstilbestrol in molasses-based liquid feed supplements.

A gas-liquid chromatographic (GLC) method is described for the determination of diethylstilbestrol (DES) in molasses-based liquid feed supplements, using dienestrol diacetate as the internal standard. A sample equivalent to 110 mug DES was diluted, acidified with dilute sulfuric acid, extracted with chloroform, and subjected to basic sodium acetate cleanup. The bis-(trimethylsilyl) acetamide derivative was prepared and determined by GLC. Interfering peaks and/or low recoveries were found to be related to emulsions and the procedure incorporates centrifugation to minimize these.