Abstract
Introduction: Voluntary assault and injuries are acts that damage the physical and psychological integrity of a human being. WHO in its global report on violence and health estimates that in 2000, 1.6 million people worldwide died as a result of self-harm, interpersonal or collective violence, resulting in an overall rate adjusted by age of 28.8 per 100,000 population. Because of the seriousness of this phenomenon and the heavy socio-economic and health consequences that they generate, it seemed important to us to undertake this study, which aimed to study the deliberate injuries in the emergency unite of the Gabriel Touré Teaching Hospital in Bamako. Material and methods: This was a descriptive and cross-sectional study with a prospective study from September 1st, 2016 to August 31st, 12 months, covering 295 patients, including any patient received for voluntary injury consultation with a workable medical record and/or a full investigation record with or without requisition. Our data were collected on individual survey cards and subsequently analyzed with Word, Excel, IBM SPSS Statistics 22 software. Results: The majority of victims of assault and bodily injury were male with 83.1%; with a sex ratio of 4.9, the 18 to 28 age group was the most concerned with 163 cases of the 295 cases in our study, 55.2%. The extremes were 6 and 100 years old with an ectype at 11.08. The most affected ethnic group was Bambara with 38.6% (n = 114) followed by Fulani with 15.6% (n = 46). Students were the most affected at 24.7% (n = 73), followed by traders at 10%. The victims coming from outside Bamako are the most predominant with 22.4% (n = 66) followed by those of commune IV of Bamako 15.6% (n = 46). In 92.2% of the cases the mechanism was direct with n = 272. Of the lesions recorded in our study, wounds came first with 53.2% of cases. Radiography was the most used imaging at 44.7% (n = 89) followed by computed tomography at 34.7% (n = 69). The hemoperitoneum objectified by abdominal ultrasound represented 29.3% (n = 12). Fractures embarrure associated with bruising-hemorrhagic bruises were the most predominant with 13.4% (n = 10) objectified by brain scan. Conclusion: We note that the phenomenon of violence has reached worrying proportions, especially among young adults, particularly among students and is observed in all so-cio-professional layers. The polymorphism of these injuries caused by the predominant use of knives must draw the attention of our authorities to take measures to reduce these aggressions.
Highlights
Voluntary assault and injuries are acts that damage the physical and psychological integrity of a human being
An Australienne study carried out by Rebecca J Mitchell [8] bearing on the intentional wounds inflicted to the children of less than 16 years shows a high proportion of hospitalization of female sex for the age bracket of 11 - 16 years
According to Bège T et al [12] in France, the wounds by bayonets represent the most frequent cause of penetrating wounds and occur mainly with the waning of an aggression, superposable with the observations made by MonsefBl et al [13] with the CHU fold back in Morocco on 245 cas aggressions recruited over one period of 3 mois during which the bayonets were used at the time of the aggressions by delinquents or during brawls
Summary
Voluntary assault and injuries are acts that damage the physical and psychological integrity of a human being. The voluntary aggravated assault aims at the acts which undermine the physical and psychological integrity of a human being They are known as volunteers when their author had the will to make a violent act, responsible for all the traumatic consequences, including those which it did not wish CEs traumatisms represent a real problem of public health in the countries little secured by Africa where they are associated many factors such as poverty, unsuited town planning, the lack of the qualified and justified labour [1]. WHO in its Global Report on Violence and Health estimates that in 2000, 1.6 million people worldwide died from self-harm interpersonal or collective, giving an overall age-adjusted rate of 28.8 per 100,000 population [4].
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