Proficiency testing (external quality assessment) of drug detection in oral fluid

Eighteen external quality assessment (proficiency testing) samples were prepared from client specimens collected with the Intercept^® oral fluid collection device and by spiking drug-free oral fluid. Samples were circulated in pairs at quarterly intervals to 13 UK and USA based laboratories for analysis by a panel of OraSure micro-plate Intercept^® enzyme immunoassay kits and hyphenated mass spectrophotometric techniques. During the survey, there was a single case of non-specificity in a false report for methadone. The major errors were of lack of sensitivity relative to the concentration thresholds specified for the immunoassays. The sensitivity for overall ‘present’/‘not found’ reports calculated as true positives/(true positives + false negatives) were for the amfetamine specific assay 50%, methyl-amfetamines 93%, barbiturates 64%, cannabinoids 73%, cocaine and metabolites 100%, benzodiazepines 69%, methadone 95%, opiates 79% (opiates excluding oxycodone 93%), phencyclidine 93% and human gamma-globulin 97%. A small number of the sensitivity errors were attributable to errors in chromatographic confirmation techniques.     

Development assistance: Ruined hopes and great expectations in Africa

This paper highlights the difficulties and complexities of development assistance projects through an analysis of 2 Urban Functions in Rural Development projects conducted by the US Agency for International Development (AID) in Upper Volta and northern Cameroon in 1977-82. The general objectives of the Upper Volta project were to carry out urban function studies, develop a plan for strengthening the contributions of urban centers to rural development, develop a list of investment priorities for facilities and services, and increase the capacities of the Ministry in planning processes and methods. The 2-year project was hindered by a 1-year delay in initiating assistance due to difficulties in locating a contractor. In addition, the contractor and other team members felt there was little justification for studies of spatial organization in a country with so much evident need; rather, they focused on a small rural works program and establishment of effective local government, producing an inconsistency between team activities and the original project agreement. A request by the team to extend the project 1 year beyond its official completion date to compensate for early delays was rejected by USAID. Nonetheless, there was agreement that the project had a small positive impact in Upper Volta. Key lessons from Upper Volta were transferred to the Cameroon project. Although this project was judged to have achieved its objective of preparing a regional plan and of identifying programs for facilities, services, and small-scale enterprises, it was beset by problems of inexperience and technical underqualification of team members, poor communication, inconsistency of USAID guidelines, and methodological confusion. It is suggested that a central challenge for such programs is to create a body of qualified Americans who can work with their local counterparts in meeting the challenges of development. A measure of the success or failure of these projects should be the degree to which learning contributes to improved performance.     

Book reviews

William C. Green and Theodore Karasik (Eds.), Gorbachev and his Generals: The Reform of Soviet Military Doctrine (Westview Press, 1990, 239pp. ISBN 0–8133–7898–2)

Daniel Patrick Moynihan, On the Law of Nations (Harvard University Press, 1990)

Peter J. Stavrakis, Moscow and Greek Communism, 1944–1949. Cornell University Press, Ithaca and London. 1989. ISBN 0–8014–2125–X.

Scalpino, R.A., The Politics of Development: Perspectives on Twentieth‐Century Asia (Harvard University Press, Cambridge, Mass., 1989, pp.131)

Sean M. Lynn‐Jones, Steven E. Miller and Stephen van Evera (Eds.), Soviet Military Policy (MIT Press, 1989. £26.95 [cloth]; £13.50 [paperback]).     

Reviews

Susan Gross Solomon (ed.), Beyond Sovietology: Essays in Politics and History. New York and London: M.E. Sharpe, 1993, 254 pp., £38.00.

Alice H. Amsden, Jacek Kochanowicz & Lance Taylor, The Market Meets Its Match. Restructuring the Economics of Eastern Europe. Cambridge, MA: Harvard University Press, 1994, 250 pp.

Robert E. Ebel, Energy Choices in Russia. Washington, DC: Center for Strategic and International Studies, 1994, xii + 152 pp., $16.95.

Michael Waller, The End of the Communist Power Monopoly. Manchester: Manchester University Press, 1993, viii + 287 pp., £35.00 h/b., £9.99 p/b.

Minxin Pei, From Reform to Revolution: The Demise of Communism in China and the Soviet Union. Cambridge, MA: Harvard University Press, 1994, 253 pp., £29.95.

William G. Rosenberg & Lewis H. Siegelbaum (eds), Social Dimensions of Soviet Industrialisation. Bloomington and Indianapolis, IN: Indiana University Press, 1993, xix + 296 pp., £12.99 p/b.

Taras Kuzio & Andrew Wilson, Ukraine: Perestroika to Independence. Basingstoke: Macmil‐lan Press, 1994, xiv + 260 pp., £40.00.

Russell F. Farnen (ed.), Nationalism, Ethnicity, and Identity. Cross National and Comparative Perspectives. New Brunswick, NJ, and London: Transaction, 1994, xiv + 538 pp., £49.95.

Edwin Thomas Bacon, The Gulag at War: Stalin's Forced Labour System in the Light of Archives. Basingstoke: Macmillan, 1994, xii + 190 pp.

Robert S. Ross, China, the United States and the Soviet Union: Tripolarity and Policy Making in the Cold War. Armonk, NY: M. E. Sharpe, 1993, x + 204 pp., £42.00.     

Book reviews

Robert Service, Lenin: A Political Life. Vol. 3: The Iron Ring. Basingstoke and London: Macmillan, 1995, xxi + 393 pp., £45.00.

Stephen Kotkin, Magnetic Mountain: Stalinism as a Civilization. London: University of California Press, 1995, xxv + 639 pp., £45.00.

Yilmaz Akyüz, Detlef Kotte, Andràs Köves & László Szamuely (eds), Privatization in the Transition Process. Recent Experiences in Eastern Europe. Geneva: United Nations, 1994, x + 418 pp.

Jerzy Hausner, Bob Jessop & Klaus Nielsen (eds), Strategic Choice and Path‐dependency in Post‐Socialism. Cheltenham, Edward Elgar, 1995, xiii + 330 pp. £49.95.

Wladimir Andreff (ed.), Le Secteur Public à I'Est. Restmcturation Industrielle et Financière. Paris: L'Harmattan, Collection ‘Pays de I'Est’, 1995, 238 pp.

Jonathan Klavens & Anthony Zamparutti, Foreign Direct Investments and Environment in Central and Eastern Europe: A Survey. Washington DC: The World Bank, 1995. x + 44 pp., $7.95.

Valdas Samonis, Foreign Investment in the East. New York: Nova Science Publishers, Inc., 1995, 77 pp., £22.50.

Taras Kuzio, Ukrainian Security Policy. Washington DC: Praeger, 1995, xiv + 168 pp., £13.50.

Anssi Paasi, Territories, Boundaries and Consciousness: The Changing Geographies of the Finnish‐Russian Border. Chichester: John Wiley, 1996. xxi + 353 pp., £45.00.

Tuomo Polvinen, Imperial Borderland, Bobrikov and the Attempted Russification of Finland, 1898–1904. London: Hurst, 1995, x + 342 pp. £32.50.

Hugh Poulton, Who are the Macedonians? London: Hurst, 1995, xvii + 218 pp., £12.50.

Jacob M. Landau, Pan‐Turkism. From Irredentism to Cooperation. London: Hurst, 1995, viii + 275 pp., £14.95.

Kenneth Lieberthal, Governing China: From Revolution through Reform. New York: W. W. Norton and Company Inc., 1995, xxii + 498 pp., £22.00.

Robert Benewick & Paul Wingrove (eds), China in the 1990s., Basingstoke: Macmillan, 1995, x + 272 pp., £11.99.

A. James Gregor, Marxism, China and Development. New Brunswick: Transaction Books, 1995, xi + 283 pp., £34.95.

David G. Marr, Vietnam 1945: The Quest for Power. Berkeley, Los Angeles, London: University of California Press, 1995, xxviii + 602 pp., $50.00.

Janet W. Salaff, Working Daughters of Hong Kong: Filial Piety or Power in the Family. New York: Columbia University Press, 1995, xxxvi + 317 pp., $17.50.

Irene Bloom (ed.), Knowledge Painfully Acquired. New York: Columbia University Press, 1996, ix + 226 pp., £14.95.

Walter Laqueur, The Dream that Failed: Reflections on the Soviet Union. Oxford: Oxford University Press, 1994, ix + 231 pp., £18.99.

David Iosifovich Ortenberg. Stalin, Shcherbakov, Mekhlis, i drugie. Moscow: MP ‘Kodeks’, Ob"edinennaya redaktsiya MVD Rossii, 1995, 208 pp.

Lewis H. Siegelbaum & Ronald Grigor Suny (eds), Making Workers Soviet: Power, Class and Identity. Ithaca: Cornell University Press, 1994, xiii + 399 pp., £41.50 h/b, £16.50 p/b.

Walter S. Dunn, Jr, The Soviet Economy and the Red Army, 1930–1945. Westport, CT: Praeger, 1995, ix + 256 pp., £53.95.

A. J. Heywood & I. D. C. Button, Russian Locomotive Types, The Union Legacy. Malmo: Frank Stenvalls Forlag, 1995, vi + 175 pp. Obtainable in UK from Luddenden Press, 19 Goitside, Booth, Halifax HX2 6SY, £14.45.

George Orwell, Animal Farm. London: Seeker and Warburg 1995, 180 pp.     

When Does Deliberation Begin? Internal Reflection versus Public Discussion in Deliberative Democracy

Political deliberation involves both internal reflection and public discussion. The former might be far more important than implied by deliberative democrats' heavy emphasis on the discursive component. Analysis of the deliberations of a citizen's jury on an Australian environmental issue shows jurors' attitudes changing more in response to the 'information' phase of the jury proceedings, involving a large degree of 'deliberation within', than during the formal 'discussion' phase. Various ways can be imagined for evoking internal reflection of that sort, even in mass-political settings.