CLINICAL PARTICULARITIES OF MECHANICAL TRAUMA PATHOLOGY PRODUCED BY INTERPERSONAL AGGRESSION
Abstract:
This research is circumscribed to the field of interpersonal violence which became “a social disease” of our contemporary society, a significant burden because of the costs of the health and social consequences, one of the leading causes of disability in the active population groups and the main cause of anxiety and insecurity in the community and society. Purpose: The research aims at highlighting the clinical particularities of mechanical trauma pathology produced by hetero-aggression. Methodology: The study was conducted through a longitudinal survey with the full research of the study material. The study material is represented by the forensic documents for the trauma victims (aggressions, road accidents, genital examination, work capacity, insurance and psychiatric expertises). Data were collected from forensic documentation of the Forensic Service Department of Sibiu County. Data collection period: 01.01.2004-31.03.2013. Conclusions: In Sibiu County, the dynamic assessment of forensic work for the persons living in the period 2003-2012 shows a share of aggression around 70 %, which is almost 10 percent higher than the national average communicated by the annual institutional reports. For the entire study period, the number of examinations in males was double, confirming that male gender is a “demographic risk factor”. Patients residing in urban areas have a slightly higher addressability to medical services (56 %) than rural residents. Two thirds of the traumatic mechanical casuistry post-aggression belongs to the age group between 20-49 years old, which underlines the serious social impact of interpersonal violence in the active social groups. A quarter of the examinations of the living people were victims of aggression within the family. In the case of minors, most traumatic injuries were produced in the context of domestic violence, emphasizing the role of the physician in identifying the facts of abuse. Most traumatic injuries were produced by striking with a blunt object (70 %), followed by hitting to a blunt surface or falls (15%). Traumatic injuries were primarily located at head level (24%), face (28 %) and limbs (26%).
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