You are on page 1of 28

IDA BAGUS PUTU ALIT

DEFINITIONS

WHO definitions
A drug is any substance other than
those required for the maintenance of
normal health, that when taken into
living organism may modify one or more
of its functions

SUBSTANCES MISUSE  ADICTION: PHYSICAL . PSYCHOLOGICAL. behavioural compulsion to take on continous basis in order psychic effects and disconfort of it absence  TOLERANCES FORENSIK FK UNUD . LIFE STYLE  DRUG MISUSE (Royal College of Psychiatrists) Harm and threatens physical and mental or social well-being  DEPENDENCE Psychic and physical sate.

SUBSTANCES MISUSE     Experimental use Social use Situational use Abuse Pathologic Social and occupational impairment  Dependence Tolerance Withdrawal .

INTOXICATION ○ ○ 2. IDIOSYNCRATIC INTOXICATION ○ ○ ○ 3. EXCESSIVE ALTERED PSYCHOLOGICAL FUNCTIONING MANIA A POITU DELIRIUM AUTONOMIC CHANGES WTHDRAWAL EFFECT ○ STOPPING THE SUBSTANCE .SUBSTANCE INDUCED ORGANIC DISORDER -1 (FAULK) 1.

LSD) b) An effect of sudden withdrawal a) ○ c) Chronic effects of drugs ○ d) Paranoid psychosis Alcoholic dementia Precipitating relaps in patient with Schizophrenia ○ canabis .SUBSTANCE INDUCED ORGANIC DISORDER -2 4. MENTAL ILNESS (FAULK) Direct (Amphetamine. Cocaine.

4. 3. 7. 2. 5. 22 TH 1997) OPIAT CANNABIS COCAINE ADDITIVE SUBSTANCES : 1. 6. 3.  UU PSIKOTROPIKA (UU No. 8. ALCOHOL AMPHETAMINE HALUSINOGEN SEDATIVE-HIPNOTIC SOLVEN PCP NICOTINE CAFEINE FORENSIK FK UNUD .YURIDICAL ASPECTS  REGULATION :    NARCOTICS : 1. 2.5 TH 1997) UU NARKOTIKA ( UU No.

NARCOTICS CNS DEPRESSANT ○ OPIATE CNS STIMULANT ○ COCAINE MIND EXPANDING PSYCHODELICT ○ CANNABIS. MARIHUANA FORENSIK FK UNUD .

PSYCHOGENIC OF DEPENDENCE-1 LONG AND CONTINUOS STIMULATION ABSENT .

PROTRACTED WITHDRAWAL SYNDROMES        Craving Exitation Pain Piloerection Disforia Insomnia Anxieta etc .

PSYCHOGENIC OF DEPENDENCE-2 OPIAT SENSATION • LC (LOCUS SERELEUS) • NAC (NUCLEUS ACUMBENS) • NECLEUS CAUDATUS • PUTAMEN • AMIGDALA .

CRIME ○ impunity  PARTICIPATED-VICTIM CRIME CRIMINALS CONTRIBUTION “HOT SHOT” SWALLOWER ○ BODY PACKER SYNDROME ○ MULLES .MEDICO LEGAL ASPECT    CRIME WITHOUT VICTIM VICTIMLESS CRIME ORGANIZED.

MORFINE AND HEROINE  Heroine 6 Mono Acetyl Morfine (MAM) Exitation phase  euphoria Narcose phase :  Somnolens  Coma  Pin head size .

Mechanism of death  Direct mechanism Depression of respiration center Swelling of the lungs (Narcotics Lung) Anaphylactic Shock (COLLOIDOCLASTIC CRISIS)  Indirect mechanism of death Unsteril FORENSIK FK UNUD .

Forensic medicine examination        Needle Mark Intravenous Mainline Tracks Granuloma. Abses (Skin-Popper) Nasal Perforation Enlargement of lymph node Skin Blister Achute pulmonal oedema FORENSIK FK UNUD .

Cannabis (marihuana)  Psychosa marihuana Instability of emosion Delusion Panic Anorexia Weakness Loss of libido  Precipitate mental disorder .

COCCAINE-1    The most potent of the CNS stimulants Potent addictive compound Increasing of Catecholamine Stimulate the release of NE Blocking reuptake of NE  Mechanism of death 1)Cardiac arrhytmia - Direct action on myocardium 2)Cardiopulmonary arrest - Central action on CNS .

COCCAINE-2 A CHEMICAL PARANOID PSYCHOSIS EXTREMELY VIOLENT AND ASSAULTIVE AGGRESIVE PARANOID The three curse of mankind : Alcohol Morphine coccaine .

METHAMPHETAMINE AND AMPHETAMINE-1  EFFECT : Increasing release of DOPAMINE and blocking reuptake of DOPAMINE ○  hyperstimulation of receptor neurons Increasing release of NE and blocking reuptake of NE  THE EUPHORIC EFFECTS TEN TIME THAN OF COCCAINE  ENTACTOGENIC EFFECTS .

METHAMPHETAMINE AND AMPHETAMINE-2  Over dosis : ○ Restlessness ○ Confulsion ○ Hallucination ○ Coma. convulsion ○ Cardiac arrhytmia  Chronics use ○  a chemical paranoid psychoses  Death generally not dose related .

ALCOHOL (ETHYLALCOHOL)   The most misuse Related to accident. suicide and assault (physical or sexual) Burning. drowning Both as victim or perpetrator Banay reaserch at Sing Sing jail “ HOW MANY ALCOHOLICS ARE CRIMINALS AND HOW MANY CRIMINALS ARE ALCOHOLICS”  . homicide.

Absorbtion-MethabolismExretion  Absorpsi : Oral  absorpsi at gut (small gut 80%)  blood  CNS depression  Methabolism : Hepar (enz ADH & NAD)  acetaldehyda (enz ALDH)  acetic acid  CO2 & H20  Exretion: Urine(90%). expiration. saliva FORENSIK FK UNUD . sweat.

Metabolisme FORENSIK FK UNUD .

Gejala-Gejala  Kadar dalam darah : • < 30 mg/100cc: mudah terangsang / tulisan • 30 – 50 mg: kontrol diri. sensitivitas individual(ALDH 1). sinergisme dengan obat2an lain.pendengaran. kecepatan reaksi.kons • 80 – 100 mg: keracunan pusat vital • 300 mg: fase narkose  delirium halusinasi • 400 mg: depresi SSP. kelumpuhan kardiorespirasi  • Dosis toksis  kebiasaan minum alc.penglihatan • 60 – 80 mg: penglihatan 3 dimensi. penyakit FORENSIK FK UNUD .

DELIRIUMTREMENS ( VIOLENT INSANITY)  Narcoses phase : over than 300 mg Delirium Halusinasi Neuro-muscular control disturbance hypothermia .

neuroglia and microglia ALCOHOLIC DEMENTIA .Deformity on chronic alcoholism  Encefalitishemoragic superior (Wernicke) Necroses of hypothalamus. corpus mammilaria. cortex athrophy  Marchiava Bignami Syndrome Thinning of corpus callosum anterior  Korsakoff’s syndrome Accumulation of lipochrome at cortex.

CONCLUSION    Substances induce psychoorganic by intoxication. idiosyncratic. withdrawal and mental ilness Three curse of mankind : alcohol. morphine and coccaine Substances of misuse give contribution in criminals .

THANK’S YOU Taceant colloquia Effugiat risus. Hic Locus est ubi mors gaudet succurrere vitae 28 .