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The chapters were written by Caribbean scholars, legal practitioners and criminal justice professionals. We had gathered in Paramaribo, Suriname late in , after meeting in Santo Domingo in , and examined regional cooperation, research, and policy formation among and between the English-, French-, Spanish- and Dutch-speaking Caribbean countries. Crime is examined in country-specific terms and, in several cases, city-specific terms, with no attention paid to regional or international connections. This is a preview of subscription content, log in via an institution to check access. Institutional subscriptions. Unable to display preview. Download preview PDF. Google Scholar. Ivelaw L. Armonk: M. Sharpe, ;. Ivelaw Griffith ed. Westport: Praeger, Young and Phillips, writing in the s use the authoritarian state, Commies, and imperialists model. Bananas too are a security issue, because banana producing countries, particularly in the Eastern Caribbean, fear that the elimination of their banana preference to European Common Market through the Lome Convention would result in the collapse of banana cultivation, a dramatic drop in national revenues, massive unemployment, and a breakdown of internal security and order. Article Google Scholar. The government of Suriname denounces this reportage as overblown. Amsterdam: Spinhuis, on the Paramaribo-Amsterdam connection and his thoughts on international consumerism. Download references. You can also search for this author in PubMed Google Scholar. Brana-Shute, G. Narco-criminality in the Caribbean. In: Griffith, I. International Political Economy Series. Palgrave Macmillan, London. Publisher Name : Palgrave Macmillan, London. Print ISBN : Online ISBN : Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Policies and ethics. Skip to main content. The Political Economy of Drugs in the Caribbean. Access this chapter Log in via an institution. Chapter EUR Softcover Book EUR Hardcover Book EUR Tax calculation will be finalised at checkout Purchases are for personal use only. Preview Unable to display preview. Google Scholar Ivelaw L. Sharpe, ; Google Scholar Ivelaw Griffith ed. Google Scholar Bananas too are a security issue, because banana producing countries, particularly in the Eastern Caribbean, fear that the elimination of their banana preference to European Common Market through the Lome Convention would result in the collapse of banana cultivation, a dramatic drop in national revenues, massive unemployment, and a breakdown of internal security and order. Google Scholar Download references. Authors Gary Brana-Shute View author publications. About this chapter Cite this chapter Brana-Shute, G. Studies Collection Political Science and International Studies R0 Share this chapter Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard. Publish with us Policies and ethics. Search Search by keyword or author Search. Navigation Find a journal Publish with us Track your research.
The median blood cocaine concentration was mg/L (range –). Other drugs were present in %, most commonly alcohol (%) with.
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Background: Multiple sclerosis MS is an important problem both for people with the disease and for society. There is no cure, and alleviation of symptoms forms the cornerstone of care. Excessive fatigue that severely limits activity is experienced by at least two-thirds of the estimated 60, people with MS in the UK. Objectives: 1 To identify current treatments for fatigue in MS and their evidence-base. Methods: The review was carried out in two stages: a formal scoping review to assess the range of interventions used by people with MS , and a systematic review for treatments that had been identified as promising and that had been investigated in clinical trials as identified in the scoping review. A systematic review of research on costs and cost-effectiveness of those interventions identified as promising was also performed. Reference lists from publications were also searched, and experts were contacted for any additional information not already identified. Results: Interventions identified for the treatment of fatigue in MS 1 Behavioural advice. This is the main element of initial clinical management and no rigorous research of its effectiveness was identified. Only two drugs, amantadine and pemoline, met the criteria for full systematic review. All studies were open to bias. All studies showed a pattern in favour of amantadine compared with placebo, but there is considerable uncertainty about the validity and clinical significance of this finding. This pattern of benefit was considerably undermined when different assumptions were used in the sensitivity analysis. Both studies were open to bias. There was no overall tendency in favour of pemoline over placebo and an excess of reports of adverse effects with pemoline. No economic evaluations were identified in the systematic review, and available data were insufficient to allow modelling of cost-effectiveness in this rapid review. Conclusions: There is insufficient evidence to allow people with MS, clinicians or policy makers to make informed decisions on the appropriate use of the many treatments on offer. Only amantadine appears to have some proven ability to alleviate the fatigue in MS, though only a proportion of users will obtain benefit and then only some of these patients will benefit sufficiently to take the drug in the long term. People with MS, clinicians and policy makers should work together to ensure that the evidence required is collected as quickly as possible by encouraging involvement in rigorous research. Research should not be restricted to the two drugs reviewed in depth in this report. All interventions identified in the scoping review see above should be considered, as should basic scientific research into the underlying mechanism of fatigue in MS. Abstract Background: Multiple sclerosis MS is an important problem both for people with the disease and for society. Publication types Research Support, Non-U. Gov't Review Systematic Review.
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Michael Parris concludes his chapter on Guyana noting that 'The use of drugs is not a widespread feature of Guyanese society '. Crime is examined in country-.
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Agents were assigned a probability of using drugs based on NCS-R data (Kessler and Merikangas ), reflecting the use of cannabis, cocaine .
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