A survey of buprenorphine related deaths in Singapore.

Abstract:

:Buprenorphine is available in Singapore as substitution treatment for opioid dependence since 2002. This study surveys buprenorphine related deaths in Singapore between September 2003 and December 2004. The aims are to establish the autopsy prevalence of buprenorphine related deaths and the demographical and toxicological profile of the cases. Toxicological screening was performed for all unnatural deaths, deaths involving known drug addicts, as well as when autopsy revealed no obvious cause of death. Twenty-one cases had buprenorphine detected in post-mortem blood and/or urine samples. Eighteen were sudden deaths. There were two fatal falls from height and one death by hanging. All subjects were male. The age range was 24-48 years. Fourteen subjects were between 30 and 39 years of age. The mean age was 35 years. The majority (62%) were Chinese. Eleven (52%) were known drug abusers. For sudden deaths, two groups were identified. Six cases died from natural causes. Blood buprenorphine levels ranged from undetected (detected in urine) to 3.2 ng/mL (mean 1.4 ng/mL). Twelve cases were attributed directly and indirectly to mixed drug poisoning. Blood buprenorphine levels ranged from undetected (detected in urine) to 17 ng/mL (mean 3.2 ng/mL). Nineteen cases showed concurrent abuse of buprenorphine and benzodiazepine, diazepam being the most frequently detected, followed by nitrazepam and midazolam. The availability of buprenorphine as substitution therapy is associated with an increase in buprenorphine related deaths. The danger of co-abuse of buprenorphine and benzodiazepines is highlighted.

journal_name

Forensic Sci Int

authors

Lai SH,Yao YJ,Lo DS

doi

10.1016/j.forsciint.2006.03.037

subject

Has Abstract

pub_date

2006-10-16 00:00:00

pages

80-6

issue

1-3

eissn

0379-0738

issn

1872-6283

pii

S0379-0738(06)00390-2

journal_volume

162

pub_type

杂志文章
  • Doping control analysis of selected peptide hormones using LC-MS(/MS).

    abstract::With the constantly increasing sensitivity and robustness of liquid chromatography-mass spectrometry-based instruments combined with enhanced reproducibility as well as mass accuracy and resolution, LC-MS(/MS) has become an integral part of sports drug testing programs particularly concerning the detection of peptide ...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2011.06.015

    authors: Thevis M,Thomas A,Schänzer W

    更新日期:2011-12-10 00:00:00

  • Modeling microbial ethanol production by E. coli under aerobic/anaerobic conditions: applicability to real postmortem cases and to postmortem blood derived microbial cultures.

    abstract::The mathematical modeling of the microbial ethanol production under strict anaerobic experimental conditions for some bacterial species has been proposed by our research group as the first approximation to the quantification of the microbial ethanol production in cases where other alcohols were produced simultaneously...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2013.07.021

    authors: Boumba VA,Kourkoumelis N,Gousia P,Economou V,Papadopoulou C,Vougiouklakis T

    更新日期:2013-10-10 00:00:00

  • Generalized arterial calcification of infancy--Findings at post-mortem computed tomography and autopsy.

    abstract::Generalized arterial calcification in infancy is a rare genetic disorder characterized by abnormal calcification of large and medium sized arteries and marked myointimal proliferation resulting in arterial stenosis. The condition is often fatal secondary to complications of cardiac ischemia, hypertension and cardiac f...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2015.06.017

    authors: Bolster F,Ali Z,Southall P,Fowler D

    更新日期:2015-09-01 00:00:00

  • Molecular genetic basis of red cell markers and its forensic application.

    abstract::(1) The polymerase chain reaction (PCR) was used to amplify Rh-related cDNAs from erythroid cells cultured by the selective two-phase liquid culture system for human erythroid progenitors in peripheral blood. Two Rh polypeptide cDNAs have been isolated from the PCR products and tentatively designated RhPI cDNA and RhP...

    journal_title:Forensic science international

    pub_type: 杂志文章,评审

    doi:10.1016/0379-0738(96)01935-4

    authors: Ikemoto S,Iwamoto S,Tsuchida S,Goto K,Oyamada T,Kajii E

    更新日期:1996-06-28 00:00:00

  • Validation of an ELISA-based screening assay for the detection of amphetamine, MDMA and MDA in blood and oral fluid.

    abstract::The use of amphetamine and 'ecstasy' (MDMA) has increased exponentially in many European countries since the late nineties, leading to a rapid growth in the number of clinical and forensic analyses. Therefore, a rapid screening procedure for these substances in biological specimens has become an important part of rout...

    journal_title:Forensic science international

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.forsciint.2005.04.019

    authors: Laloup M,Tilman G,Maes V,De Boeck G,Wallemacq P,Ramaekers J,Samyn N

    更新日期:2005-10-04 00:00:00

  • Transition analysis applied to third molar development in a Danish population.

    abstract:INTRODUCTION:Age assessment based on dental development is often requested in order to assess whether an individual is older or younger than 18 years of age. There are several statistical approaches to estimate age based upon third molar development. The aim of this study was to apply the principles of transition analy...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2020.110145

    authors: Arge S,Wenzel A,Holmstrup P,Jensen ND,Lynnerup N,Boldsen JL

    更新日期:2020-03-01 00:00:00

  • Ring positional differentiation of isomeric N-alkylated fluorocathinones by gas chromatography/tandem mass spectrometry.

    abstract::In analogy to our previously published procedure for the differentiation of regioisomeric fluoroamphetamines a method was developed, to differentiate ring positional isomeric fluorocathinones by product ion spectrometry of ions generated by chemical ionization (CI) under GC-MS conditions using methane as reagent gas. ...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2012.08.011

    authors: Westphal F,Junge T

    更新日期:2012-11-30 00:00:00

  • Soil examination for a forensic trace evidence laboratory - Part 2: Elemental analysis.

    abstract::Laser-induced breakdown spectroscopy (LIBS), X-ray fluorescence spectroscopy (XRF) and scanning electron microscopy/energy dispersive X-ray spectroscopy (SEM/EDX) are compared in terms of their discrimination power when applied to Australian soil specimens. SEM/EDX and XRF are frequently used in forensic laboratories ...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2014.10.018

    authors: Woods B,Paul Kirkbride K,Lennard C,Robertson J

    更新日期:2014-12-01 00:00:00

  • Age at death determinations for autopsied remains based on aspartic acid racemization in tooth dentin: importance of postmortem conditions.

    abstract::The extent of aspartic acid racemization in human dentin can be used to assess chronological age of the individual. This novel chemical method of aging human remains has potential applications in forensic sciences. Six autopsy cases have been analyzed for D/L aspartic acid contents, and their ages at death calculated....

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/0379-0738(86)90080-0

    authors: Masters PM

    更新日期:1986-11-01 00:00:00

  • Tearing of knicker fabrics.

    abstract::In Dunedin (South Island, New Zealand), a sexual assault is reported to police approximately once every two to three weeks, with some reports fictitious. Identifying a fictitious claim is difficult, and damage to apparel, especially knickers, may be the only form of evidence. In this paper, the tear behaviour of three...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2011.10.029

    authors: Dann TJ,Carr DJ,Laing RM,Niven BE,Kieser J

    更新日期:2012-04-10 00:00:00

  • Improved measurement of ethyl glucuronide concentrations in hair using UPLCMS/MS for the evaluation of chronic ethanol consumption.

    abstract::The presence of Ethyl glucuronide (EtG) in hair provides a strong indication of ethanol consumption and its investigation is of interest in both clinical and forensic contexts because of the wide window of detection. However, due to the possibility of false negative results in cases of small ethanol intake or excessiv...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2019.110071

    authors: Bastiani MF,Lizot LLF,Da Silva ACC,Hahn RZ,Dries SS,Perassolo MS,Antunes MV,Linden R

    更新日期:2020-01-01 00:00:00

  • Occupant accelerations and injury potential during an ambulance-to-curb impact.

    abstract::This paper presents real world acceleration data for an ambulance driving up and over a curb. A full scale reenactment was performed for a litigated case in which a patient on a gurney in an ambulance claimed a variety of bodily injuries after the ambulance struck a curb. A height and weight matched surrogate rode on ...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2014.01.023

    authors: Lee EL,Hayes WC

    更新日期:2014-04-01 00:00:00

  • Instability of calcium channel antagonists during sample preparation for LC-MS-MS analysis of serum samples.

    abstract::1,4-Dihydropyridines calcium channel antagonists (1,4-DHP CCAs) are photolabile and the products of their photodecomposition have no pharmaceutical activity. In our previous work we have presented a screening procedure for eleven 1,4-DHPs in plasma by LC-MS-MS using multiple reaction motoring. The laboratory process i...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2004.11.014

    authors: Baranda AB,Alonso RM,Jiménez RM,Weinmann W

    更新日期:2006-01-06 00:00:00

  • Tandem mass spectrometry: a helpful tool in hair analysis for the forensic expert.

    abstract::The Bavarian State Bureau of Investigation in Munich has the exclusive responsibility for investigation of criminal acts. One considerable expertise is that of hair analysis. According to the legal system in Germany, there is a special interest when some clients' hair tested positive for illicit drugs. An accused with...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/s0379-0738(99)00161-9

    authors: Uhl M

    更新日期:2000-01-10 00:00:00

  • Methamphetamine-related fatalities in forensic autopsy during 5 years in the southern half of Osaka city and surrounding areas.

    abstract::To outline the recent features of methamphetamine-related fatalities from the medico-legal point of view, a retrospective investigation of forensic autopsy cases involving methamphetamine during a 5-year period (1994-1998) in the southern half of Osaka city and surrounding areas (about 1.57 million population) was und...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/s0379-0738(00)00281-4

    authors: Zhu BL,Oritani S,Shimotouge K,Ishida K,Quan L,Fujita MQ,Ogawa M,Maeda H

    更新日期:2000-09-11 00:00:00

  • Myxoid heart disease: a review with special emphasis on sudden cardiac death.

    abstract::Myxoid heart disease (MHD), more commonly known as mitral valve prolapse, is a very common cardiac abnormality affecting 5-10% of the general population. This article reviews the history, symptoms, physical findings, pathology, associated conditions and complications of this entity. Special emphasis is given to sudden...

    journal_title:Forensic science international

    pub_type: 杂志文章,评审

    doi:10.1016/0379-0738(89)90177-1

    authors: Scheurman EH

    更新日期:1989-03-01 00:00:00

  • Determination of cocaine and its metabolites in brain tissue using high-flow solid-phase extraction columns and high-performance liquid chromatography.

    abstract::A new solid-phase extraction procedure for the determination of cocaine and some of its metabolites in brain tissue, using high-flow co-polymeric sorbents is reported as a substantial improvement on our recently reported procedure. The recovery of cocaine, norcocaine and cocaethylene was excellent as was the reproduci...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/0379-0738(92)90197-5

    authors: Moore C,Browne S,Tebbett I,Negrusz A

    更新日期:1992-03-01 00:00:00

  • An experimental model of death from anaphylactic shock with compound 48/80 and postmortem changes in levels of histamine in blood.

    abstract::The present study was made on an experimental animal model of a death from anaphylaxis, in which postmortem changes in levels of histamine and 1-methylhistamine, in whole blood were measured. Instead of the usual immunological method administering compound 48/80, a degranulating agent of mast cell and the effect close...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/0379-0738(90)90233-o

    authors: Hieda Y,Kageura M,Hara K,Takamoto M,Fukuma Y,Kashimura S

    更新日期:1990-03-01 00:00:00

  • Tasks of research in forensic medicine - different study types in clinical research and forensic medicine.

    abstract::In the last years the research output of forensic medicine has sometimes been regarded as insufficient and as of poor quality, especially when parameters as impact factors and external funding were taken into account. However, forensic medicine has different tasks compared to clinical medicine. The main difference bet...

    journal_title:Forensic science international

    pub_type: 杂志文章,评审

    doi:10.1016/j.forsciint.2006.05.009

    authors: Madea B,Saukko P,Musshoff F

    更新日期:2007-01-17 00:00:00

  • Alcoholic ketoacidosis as a cause of death in forensic cases.

    abstract::Forensic pathologists are familiar with alcohol abusers, who are found dead and in whom the cause of death cannot be ascertained. In order to examine the possible role of ketoacidosis for the cause of death in this group of alcohol abusers, the concentrations of ketone bodies (acetone, acetoacetate, D-beta-hydroxybuty...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/0379-0738(95)01783-6

    authors: Thomsen JL,Felby S,Theilade P,Nielsen E

    更新日期:1995-10-30 00:00:00

  • Bone histomorphometry of the clavicle in a forensic sample from Albania.

    abstract::Forensic assessment of skeletal material includes age estimation of unknown individuals. When dealing with extremely fragmented human remains that lack macro-features used in age estimation, histological assessment of the skeletal elements can be employed. Historically, microscopic methods for age assessment used by f...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2020.110335

    authors: Kranioti EF,Michopoulou E,Tsiminikaki K,Bonicelli A,Kalochristianakis M,Xhemali B,Paine RR,García-Donas JG

    更新日期:2020-08-01 00:00:00

  • Surveys of vehicle colour frequency and the transfer of vehicle paints to stationary objects in Sydney, Australia.

    abstract::The interpretation of vehicle paint traces in forensic casework hinges on a number of factors including the type of paint, colour, number of layers, and background information. Vehicle colour surveys are an important source of information for the forensic paint examiner when interpreting the level of significance of a...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2014.12.010

    authors: Jackson F,Bunford J,Maynard P,Roux C

    更新日期:2015-03-01 00:00:00

  • Ethnicity, age and disease-associated variation in body fluid-specific CpG sites in a diverse South African cohort.

    abstract::Tissue-specific differential DNA methylation has been an attractive target for the development of markers for discrimination of body fluids found at crime scenes. Though mostly stable, DNA methylation patterns have been shown to vary between different ethnic groups, in different age groups as well as between healthy a...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2020.110372

    authors: Kader F,Ghai M,Zhou M

    更新日期:2020-09-01 00:00:00

  • An anatomical and photographic technique for forensic facial identification.

    abstract::The increase in the use of photographs on individual identification credentials such as driving licences, credit cards, security passes and passports has led, for the purpose of criminal activities, to the falsification of genuine documents bearing photographs of the perpetrating criminal. These photographs may be use...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/s0379-0738(00)00290-5

    authors: Porter G,Doran G

    更新日期:2000-11-13 00:00:00

  • Forgotten in time: The state of legislation, recovery, identification, and repatriation of World War I and II soldiers in Slovakia.

    abstract::Recovery, identification, and burial of casualties from World War I and II is still a topic of interest in many countries. In Slovakia, recent discoveries of such remains are usually accidental. Unfortunately, in many cases the remains are disrupted and without any material culture present, rendering the identificatio...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2020.110673

    authors: Putško M,Bordáč M,Beljak J,Krajčovič J

    更新日期:2021-02-01 00:00:00

  • Validation of a 21-locus autosomal SNP multiplex for forensic identification purposes.

    abstract::A single nucleotide polymorphism (SNP) multiplex has been developed to analyse highly degraded and low copy number (LCN) DNA template, i.e. <100 pg, for scenarios including mass disaster identification. The multiplex consists of 20 autosomal non-coding loci plus Amelogenin for sex determination, amplified in a single ...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2004.12.011

    authors: Dixon LA,Murray CM,Archer EJ,Dobbins AE,Koumi P,Gill P

    更新日期:2005-11-10 00:00:00

  • Molecular pathology of pulmonary edema in forensic autopsy cases with special regard to fatal hyperthermia and hypothermia.

    abstract::Fatalities due to an extreme ambient temperature might present with poor or nonspecific pathologies; thus, the diagnosis of the cause of death in such cases is one of the most difficult tasks in forensic pathology. The present study investigated the molecular pathology of alveolar damage involving pulmonary edema with...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2013.03.007

    authors: Wang Q,Ishikawa T,Michiue T,Zhu BL,Guan DW,Maeda H

    更新日期:2013-05-10 00:00:00

  • Potential effects of ionizing radiation on the evidentiary value of DNA, latent fingerprints, hair, and fibers: A comprehensive review and new results.

    abstract::An extensive literature review and new post-irradiation experimental results are presented of genotyping blood stains and hair, and physical examinations of latent fingerprints, hairs, and fibers. Results indicate that successful development of nuclear short tandem repeat (STR) and mitochondrial DNA sequence profiles ...

    journal_title:Forensic science international

    pub_type: 杂志文章,评审

    doi:10.1016/j.forsciint.2018.01.012

    authors: Monson KL,Ali S,Brandhagen MD,Duff MC,Fisher CL,Lowe KK,Meyer CE,Roberts MA,Tom KR,Washington AL 2nd

    更新日期:2018-03-01 00:00:00

  • Postmortem distribution of guaifenesin concentrations reveals a lack of potential for redistribution.

    abstract::Therapeutic (or non-toxic) postmortem guaifenesin blood and liver concentrations have not been previously described. Peripheral blood guaifenesin concentrations were compared to central blood and liver concentrations in eight medical examiner cases. Specimens were initially screened for alcohol and simple volatiles, d...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/j.forsciint.2014.10.029

    authors: McIntyre IM,Navarrete A,Mena O

    更新日期:2014-12-01 00:00:00

  • Use of laser microdissection greatly improves the recovery of DNA from sperm on microscope slides.

    abstract::Traditionally, sperms are isolated from vaginal cell mixtures by preferential extraction methods. Although these methods work well when there is a reasonable amount of DNA present, they are problematic when there are limited amounts (ca. 250 pg). In particular, the analysis of sperm from microscope slides has proven d...

    journal_title:Forensic science international

    pub_type: 杂志文章

    doi:10.1016/s0379-0738(03)00267-6

    authors: Elliott K,Hill DS,Lambert C,Burroughes TR,Gill P

    更新日期:2003-10-14 00:00:00