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FORENSIC TOXICOLOGY - Bio Medical Forensics

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Eurachem method. Validation results established that routine<br />

quantitative amitriptyline and qualitative morphine determination can be<br />

achieved in liver and larvae matrices. Also at this study; a formula was<br />

suggested for a back-calculation from the results that were obtained from<br />

the decomposed liver matrix and larvae collected at the end of the<br />

117(±0.5) hours period, to the 0 th hour liver concentration.<br />

Entomotoxicology, Tricyclic Antidepressants, Opiates<br />

K17 An Application of Speciated Isotope<br />

Dilution Mass Spectrometry (SIDMS) for<br />

Simultaneous Drug Quantitation of<br />

Gamma-Hydroxybutyric Acid (GHB) and<br />

Gamma-Butyrolactone (GBL) in Urine and<br />

Blood Matrices<br />

Joshua Z. Seither, BS*, 3645 Spring Valley Road, Akron, OH 44333; and<br />

H.M. Kingston, PhD, and Timothy Fahrenholz, BS, Duquesne University,<br />

700 Forbes Avenue, Pittsburgh, PA 15219<br />

After attending this presentation, attendees will learn how Speciated<br />

Isotope Dilution Mass Spectrometry (SIDMS) can be applied to the<br />

forensic community. This presentation will provide an example of GHB<br />

and GBL to show how this method can be applied.<br />

This presentation will impact the forensic science community by<br />

showing the community a quicker and more accurate way to quantitate<br />

drugs with the example of GHB and GBL.<br />

There are currently two major problems in the forensic science<br />

community: scrutiny of analytical methods and a rapidly growing<br />

backlog of samples. An accurate, rapid and simultaneous measurement<br />

of GHB and GBL in urine and blood was developed to combat these<br />

issues. This legally defensible method for analyzing both gammahydroxybutyric<br />

acid (GHB) and gamma-butyrolactone (GBL)<br />

simultaneously uses speciated isotope dilution mass spectrometry<br />

(SIDMS). Current methods use gas chromatography mass spectrometry<br />

(GC/MS) and are not able to quantitate both GHB and GBL<br />

simultaneously; therefore, multiple extractions are required in order to<br />

quantitatively analyze GHB and GBL. To perform SIDMS, deuterium<br />

labeled GHB and carbon labeled GBL were utilized to spike the samples<br />

for quantitation. Once the naturally occurring analyte is spiked with the<br />

isotopically enriched analyte, SIDMS can account for any interconversion<br />

that occurs between GHB and GBL during sample<br />

preparation or analysis. After spiking the samples, a mixed-mode<br />

(phenyl and propyl sulfonic acid) solid phase extraction column was<br />

used for the filtration extraction of GHB and GBL from urine and blood<br />

samples. Mass spectrometry studies were done using electrospray<br />

ionization. Method validation was completed with triplicate sample<br />

preparation and analyses (n =9) with a known concentration of GHB and<br />

GBL in standardized urine and blood. Significant values of GHB and<br />

GBL were chosen based on previous studies completed in the literature.<br />

Concentration values of 5 ppm, 10 ppm, 200 ppm, and 400 ppm were<br />

used. Endogenous levels of GHB average below 10 ppm. Some studies<br />

have reported endogenous cutoff levels of GHB should be 6 ppm in urine<br />

to avoid false negatives. GHB overdoses were reported at an average of<br />

200 ppm and have been seen as high as 400 ppm. The experimental<br />

values and the standard values were in agreement with the 95%<br />

confidence interval. By using SIDMS, inter-conversions between GHB<br />

and GBL can be accounted for and the correct quantification of both<br />

analytes can be made. Temperature and pH levels were varied to<br />

stimulate conversion between the two analytes, GHB and GBL. The<br />

inter-conversion was accounted for in the SIDMS calculation, which<br />

demonstrates the benefit for the use of this method in the forensic science<br />

community. Calculations were made to account for the inter-conversion,<br />

which demonstrate the use of the SIDMS method for drug quantitation.<br />

* Presenting Author<br />

This method can help forensic scientists by providing a procedure that is<br />

legally defensible and quicker than other traditional methods of<br />

analyzing GHB and GBL. This method can be beneficial to the forensic<br />

science community.<br />

Quantitation, SIDMS, GHB<br />

K18 Validating Immunoassay ELISA Kits<br />

to Detect Eighteen Benzodiazepines at<br />

Low Levels<br />

Danielle C. Mata, MS*, 320 North Flower Street, Santa Ana, CA 92703<br />

After attending the presentation, attendees will understand the<br />

process of validating an immunoassay benzodiazepine ELISA kit for low<br />

concentration of drugs.<br />

This presentation will impact the forensic science community by<br />

demonstrating how changing the experimental parameters for an ELISA<br />

kit will allow you to detect more drugs at needed concentrations.<br />

Reports have shown that 30-40% of drivers take benzodiazepines<br />

and that the use of these drugs could have impairing effects. The Orange<br />

County Crime Lab (OCCL) recently validated an immunoassay<br />

benzodiazepine ELISA screen to detect the 22 benzodiazepines<br />

confirmed by an LC/MS/MS method at similar detection levels. The<br />

main benzodiazepines prevalent in casework are alprazolam, diazepam,<br />

lorazepam, and clonazepam and detection limits of 2, 10, 4, and<br />

3 ng/mL, respectively are required. The validation process addressed<br />

limits of detection, blanks, sample volumes, possible interferences, and<br />

saturation curves for all detected benzodiazepines. The validation<br />

determined that Temazepam at 3 ng/mL is the best benzodiazepine to use<br />

for the limit of detection, and allows the OCCL to detect 18 of the 22<br />

benzodiazepines seen via LC/MS/MS. Only four benzodiazepine<br />

metabolites yield false negative results when no other benzodiazepines<br />

are present.<br />

ELISA Validation, Benzodiazepines, Low Concentrations<br />

K19 Detection of Acute Diazinon Exposure in<br />

Postmortem Bone Samples<br />

Nebile Daglioglu, PhD*, Cukurova University, School of Medicine,<br />

Department of Forenisc Medicine, Adana, 01330, TURKEY; Ramazan<br />

Akcan, MD, Dicle University, School of Medicine, Department of Forensic<br />

Medicine, Merkez Ilce 21280, Diyarbakir, 21280, TURKEY; Mete K.<br />

Gulmen, PhD, Cukurova University, School of Medicine, Department of<br />

Forensic Medicine, Adana, 01330, TURKEY; and Fadile Yener, MS, and<br />

Pinar Efeoglu, MS, Cukurova University, School of Medicine, Department<br />

of Forensic Medicine, Balcali, Adana, 01330, TURKEY<br />

After attending this presentation, attendees will understand the<br />

techniques of analyzing the acute diazinon exposure in postmortem bone<br />

samples in explaining the mechanism and cause of death.<br />

This presentation will impact the forensic science community by<br />

the mechanism of diazinon exposure in understanding the cause of death<br />

and the importance of detecting it with the forensic toxicology<br />

lab techniques.<br />

Forensic toxicological analyses have traditionally focused on the<br />

use of blood, body fluids, and certain organs in examinations of deaths<br />

due to intoxication. However, in some situations, putrefaction and<br />

contamination make proper sampling from tissues and blood impossible,<br />

such as in exceedingly degraded exhumation cases. In these cases, bone<br />

might be useful as an alternative specimen since it is a potential depot for<br />

pesticides and other chemical agents.<br />

This third study is focused on the use of alternative specimens<br />

where putrefaction and contamination make proper sampling from<br />

10

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