SOFT 2004 Meeting Abstracts - Society of Forensic Toxicologists
SOFT 2004 Meeting Abstracts - Society of Forensic Toxicologists
SOFT 2004 Meeting Abstracts - Society of Forensic Toxicologists
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HUMAN PERFORMANCE FORENSIC TOXICOLOGY IN TURKEY<br />
S. A. Akgur*l, P. Ozturk l , S. Cengiz 2 , A. Yemiscigil l <br />
lEge University Faculty <strong>of</strong> Medicine, Department <strong>of</strong> <strong>Forensic</strong> Medicine, Bornova, Izmir, Turkey. <br />
2Institute <strong>of</strong> Legal Medicine and <strong>Forensic</strong> Science, Istanbul, Turkey. <br />
Human performance toxicology, also referred to as behavioral toxicology, is a branch <strong>of</strong> forensic<br />
toxicology concerned with the relationship between the presence <strong>of</strong> a drug and associated behavioral<br />
changes. <strong>Forensic</strong> toxicologists have become interested in human performance toxicology because it is a<br />
natural extension <strong>of</strong> their interest in the medicolegal implications <strong>of</strong> drug use, misuse, and abuse. This<br />
branch needs new educational and analytical approaches and developments in our country. The aim <strong>of</strong> this<br />
study is to describe the present status, progress and applications <strong>of</strong> human performance toxicology in<br />
Turkey.<br />
<strong>Forensic</strong> Toxicology in Turkey is carried out in the <strong>Forensic</strong> Medicine Council <strong>of</strong> the Ministry <strong>of</strong> Justice<br />
and <strong>Forensic</strong> Medicine Departments and <strong>Forensic</strong> Medicine Institutes <strong>of</strong> Universities. <strong>Forensic</strong> Toxicology<br />
is practiced almost exclusively as a result <strong>of</strong> investigation <strong>of</strong> fatalities. As a result, postmortem forensic<br />
toxicology is the main topic in the <strong>Forensic</strong> Medicine Council.<br />
In most countries <strong>Forensic</strong> Toxicology has progressed with the advances in analytical chemistry but the<br />
same progress has not been achieved yet in forensic chemistry in countrywide <strong>of</strong> Turkey except Istanbul<br />
Ankara and izmir. <strong>Forensic</strong> Medicine Departments that provide education in forensic medicine are also<br />
attempting to develop the fields <strong>of</strong> forensic sciences. There are several forensic toxicology education<br />
programs in universities and institutes, including Ege University.<br />
Ege University, in cooperation with the Police Department, is applying on-site (saliva) drug tests in traffic<br />
cases. The positive results will be· confirmed by Enzyme Multiplied Immunoassay (EMIT) and Gas<br />
Chromatography! Mass Spectrometry (GCIMS). Most countries have legislation covering driving under<br />
the influence <strong>of</strong> drugs (DUID). Most have an impairment approach but not an analytical approach. Several<br />
European Union (EU) member states have recently introduced or are preparing 'per se' laws on DUID.<br />
Driving under the influence <strong>of</strong> drugs is prohibited by traffic legislation in our country also, but<br />
unfortunately the analytical procedure is not yet effectively used. The Police Criminology Laboratories do<br />
not analyze biological specimens for drugs. In routine applications, the impairment approach is only related<br />
with driving under the influence <strong>of</strong> alcohol.<br />
At present, the breath alcohol tests performed by police are routinely applied to motor vehicle operators<br />
driving under the influence <strong>of</strong> alcohol. The allowed ethanol limit for driving under the Turkish Road<br />
Traffic Act is O.5gfL. In alcohol testing, the first suspicion <strong>of</strong> the police <strong>of</strong>ficer is followed by an on-site<br />
breath analyzer test and under certain conditions it is followed by the blood test for alcohol in Council <strong>of</strong><br />
<strong>Forensic</strong> Medicine cases. Blood Alcohol Determination is performed by Conway- micro diffusion,<br />
immunoassay techniques and gas chromatography. Recently, the <strong>Forensic</strong> Medicine Chemical Analysis<br />
Specialty Office has made an effort for analytical toxicological research projects to include GC, GCIMS,<br />
High Performance Liquid Chromatography (HPLC) and Head Space Gas Chromatography (HS-GC).<br />
More collaborative projects on educational and laboratory practices will help us to achieve improvements<br />
in <strong>Forensic</strong> Toxicology in Turkey.<br />
Keywords: Human, Performance Toxicology, Turkey<br />
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