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1. The identification of synthetic cannabinoids in English prisons.

Author

Abbott, Mia Jane, Dunnett, Jodie, Wheeler, John, and Davidson, Alison

Subjects
*CANNABINOIDS, *PRISONS, *PRISONERS, *LAW enforcement, *GAS chromatography/Mass spectrometry (GC-MS)
Abstract

Synthetic cannabinoids (SC) are extremely prevalent within the prison system and cause problems for prisoners, law enforcement and health services. SC are often soaked into paper then posted into prisons therefore one of the aims of this research is to collaborate with Rapiscan Systems Ltd. and local prisons in England to measure the effectiveness of trace detection methods for the indication of SC in prison post using the Itemiser 3E®. To ensure compounds did not go undetected, samples with Ion Trap Mobility Spectrometry™ peaks indicative of synthetic cannabinoids on the Itemiser 3E® were analysed using Gas Chromatography-Mass Spectrometry, Liquid Chromatography-Quadrupole Time-of-Flight Mass Spectrometry and Nuclear Magnetic Resonance Spectroscopy to identify chemical characteristics which allowed comparison to reference spectra. Sample data spanning three years from one prison's Itemiser 3E® were collated to identify trends in drug prevalence and the influence of library updates. To date, the method has identified four compounds: 5F‐MDMB‐PICA, MMB-4en-PICA, 4F‐MDMB‐BUTINACA and MDMB-4en-PINACA on prison post which were not already included on, or needed confirmatory analysis to update, the Itemiser 3E® library. As a result, the libraries on prison Itemiser 3E®s have been updated to ensure future detection of such compounds. Trends and influences from the processed Itemiser 3E® data were also reported back to the West Midlands Prison Group. This research directly benefitted both the West Midlands Prison Group and Rapiscan Systems Ltd. and it is anticipated that the continuation of this research could be expanded to a national scale. • Prisons submitted samples for confirmatory analysis after screening by Itemiser 3E®. • GC-MS, LC-MS and NMR identified synthetic cannabinoids in eight of the 47 samples. • 5F‐MDMB‐PICA, MMB-4en-PICA, 4F‐MDMB‐BUTINACA and MDMB-4en-PINACA were identified. • Confirmatory analysis aided the generation of Itemiser 3E® library definitions. • This demonstrates the importance of the screening, confirmation and feedback cycle. [ABSTRACT FROM AUTHOR]

Published
2023
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2. Foreign Body Ingestion in Prisoners – The Belfast Experience

Author

Bisharat, May, O'Donnell, Mark E, Gibson, Niall, Mitchell, Michael, Refsum, Sigi R, Carey, P Declan, Spence, Roy AJ, and Lee, Jack

Subjects
Paper, Adult, Male, Radiography, Abdominal, Gastrointestinal, Ingestion, Incidence, Prisoners, Prison, Northern Ireland, Middle Aged, Foreign Bodies, Prognosis, Endoscopy, Gastrointestinal, Foreign Body, Diagnosis, Differential, Gastrointestinal Tract, Humans, Female, Retrospective Studies
Abstract

Deliberate ingestion of foreign bodies is common amongst prison inmates. The motives behind the ingestion are variable. As the only designated hospital in Northern Ireland treating acute surgical pathologies in the prison population, we reviewed our experience of foreign body ingestion between March 1998 and June 2007. Types of foreign objects, symptomatology, haematological analyses, radiological findings, operative intervention and complications were retrieved from case notes. A literature search was performed using Medline to correlate this clinical data with published evidence to produce therapeutic guidelines to assist the surgical multi-disciplinary team. Eleven prisoners presented with foreign body ingestion over the study period (M=8 and F=3, mean age: 28.1 years, range 21-48). Mean follow-up was 597 days (range 335-3325 days). Although the literature states that most foreign bodies usually pass spontaneously without the need for intervention, this study demonstrates a higher intervention rate of 36% within the Northern Irish prison population in comparison with other prisoners.

Published
2008