MEDICO-LEGAL ASPECTS IN MORTALITY GENERATED BY COMBINED DRUG USE: A DATABASE ANALYSIS ON 71 CASES
G. Güner, T. Cosmin, G. Gabriel
Abstract: The purpose of this analysis is to showcase the most common associations between narcotics and their rate of occurrence as found in cases at the Bucharest National Institute of Forensic Medicine “Mina Minovici” (INML), thus allowing for a more objective evaluation of the risks involved in such behaviors, detailing the negative effects of the previously mentioned associative patterns on target organs, through their synergistic and potentiating actions (both from a pharmacological perspective and an aggressive, multidirectional one, through administration, impurities found in doses and lifestyle), as these behaviors have been found to pose a serious health risk amongst narcotics users. Results. During the years 2018 and 2019, 130 deaths associated with narcotics have been reported at the INML, 69 of which have been directly corelated with the use of narcotics and 61 have been indirectly corelated. Out of the aforementioned deaths, 106 are men (81.54%) and 24 women (18.46%), the majority belonging to the 28-38 age group. The toxicological report has shown associations between two or more substances in 71 cases, out of which 39 included alcohol. Out of the aforementioned, 68 presented with at least one direct or indirect pathology associated or generated by drug use, and chronic drug abuse signs have been identified in 66 cases. An adequate parsing of this data will lead to more efficient reporting of toxicomania and thus it is an important step in supporting public health policies in the management of drug abusers, as well as the fight against addiction and criminal activities derived from the associated lifestyle. Keywords: medico-legal, forensic, toxicology, abuse, drug associations
, thus allowing for a more objective evaluation of the risks involved in such behaviors, detailing the negative effects of the previously mentioned associative patterns on target organs, through their synergistic and potentiating actions (both from a pharmacological perspective and an aggressive, multidirectional one, through administration, impurities found in doses and lifestyle), as these behaviors have been found to pose a serious health risk amongst narcotics users.<br />Results. During the years 2018 and 2019, 130 deaths associated with narcotics have been reported at the INML, 69 of which have been directly corelated with the use of narcotics and 61 have been indirectly corelated. Out of the aforementioned deaths, 106 are men (81.54%) and 24 women (18.46%), the majority belonging to the 28-38 age group. The toxicological report has shown associations between two or more substances in 71 cases, out of which 39 included alcohol. Out of the aforementioned, 68 presented with at least one direct or indirect pathology associated or generated by drug use, and chronic drug abuse signs have been identified in 66 cases.<br />An adequate parsing of this data will lead to more efficient reporting of toxicomania and thus it is an important step in supporting public health policies in the management of drug abusers, as well as the fight against addiction and criminal activities derived from the associated lifestyle.&redirect_uri=http://rjlm.ro/index.php/arhiv/865)