A cocaine body packer with normal abdominal plain radiograms. Value of drug detection in urine and contrast study of the bowel

Drug packets are usually detected by ordinary abdominal radiographs, which is of major importance in the apprehension and prosecution of drug body packers, but false negatives may occur. We report the case of a cocaine body packer who had used the prograde route and in whom the initial abdominal plain films were normal. The diagnosis of cocaine body packing was assessed by seldom-described complementary methods of detection, including drug detection in the urine and contrast study of the bowel.     

Introduction: Structure or strategy? Essays on family,demography, and labor from the Dutch N.W. Posthumus Institute

The concept of ‘family strategies’ has yielded much valuable research when used in the classic ‘quantitative’ and ‘anthropological’ approaches to the history of family life. Its continued use as a research concept requires, however, that significantly more attention be paid to the relationships between families as social units and their individual members, to the great variety of families and households, and to the different motives that guided families in charging strategies. These questions are brought to the forefront when the history of the family is investigated cross-culturally and comparatively, as the articles of this Special Issue, written by researchers of the Dutch N. W. Posthumus Institute, seek to do.     

Introduction: Structure or strategy? Essays on family, demography, and labor from the Dutch N.W. Posthumus Institute

The concept of ‘family strategies’ has yielded much valuable research when used in the classic ‘quantitative’ and ‘anthropological’ approaches to the history of family life. Its continued use as a research concept requires, however, that significantly more attention be paid to the relationships between families as social units and their individual members, to the great variety of families and households, and to the different motives that guided families in charging strategies. These questions are brought to the forefront when the history of the family is investigated cross-culturally and comparatively, as the articles of this Special Issue, written by researchers of the Dutch N. W. Posthumus Institute, seek to do.     

Sugar and unfree labour: Reflections on labour control in the dominican republic, 1870–1935

This article takes issue with theories which suppose an essential contradiction between capitalist production and unfree labour relations. Using the history of sugar plantations in the Dominican Republic as a case study, it is argued that capitalist entrepreneurs tried very hard to restrict free wage labour relations. On the Dominican sugar plantations this goal was reached by a system of differential mechanisation which brought about a rigid separation between the mass of unskilled field workers and the restricted number of (semi‐) skilled workers. This labour division could be reproduced over a long period of time because the field workers were migrant labourers from Haiti liable to strong racial discrimination within Dominican society.     

The cocaine body-packer syndrome: evaluation of a method of contrast study of the bowel

The questionable reliability of the conventional procedures for detection of ingested drug packages triggered us to evaluate the accuracy of a method of contrast study of the bowel in 23 nonsurgically managed cocaine body-packers. A single dose (60 mL) of a water-soluble contrast compound (amidotrizoate + meglumine) was given orally after initial clinical examination and drug detection in urine. Thereafter, roentgenograms were performed daily after spontaneous passage until obtaining two packet-free stools and negative views. Roentgenograms showed packages when performed at least 3 h after the ingestion of the contrast compound. Sensitivity and specificity of the method with respect to the detection of residual packets in the body, assessed by subsequent examination of stools, was good and did not diminish as the number of packages decreased during the time spent in ward. No side-effects were observed. We conclude that oral administration of a water-soluble contrast compound is an easily performed, efficient, and safe method for the nonsurgical management of cocaine body-packers.