Firearm injury among urban youth during the last decade: an escalation in violence.

Abstract:

PURPOSE:To better characterize firearm violence in urban youth, the authors investigated the circumstances and outcome of shootings among youths under 17 years of age. METHODS:A retrospective case review was undertaken of all patients under 17 years of age treated for a gunshot wound at two adjoining level I Trauma Centers (adult and pediatric) administering to a predominantly lower socioeconomic population from January 1986 to December 1995. Demographics, injury severity, circumstances, and outcome of injury were analyzed. RESULTS:323 youths were wounded by firearms. The mean age was 12.8 years, and 82.3% were boys. There was a 110% increase in frequency of wounding noted during the second half of study (219 v 104), predominantly in the adolescent subset (160% increase for age greater than 12 years v 30% increase for age 12 years and under). The mean injury severity score and trauma score were 9.3 and 14.4, respectively. Violent circumstances (assault, crossfire, drive-by shooting, suicide) accounted for 60.4% of injuries and more than doubled over the study period (26.7% of total in the first 2 years [n = 4], 68.8% in the last 2 years [n = 55]). Unintentional injuries (self nonsuicide, family, friend) accounted for 26.3% of the injuries and declined in relative frequency over the study period (46.7% of total in the first 2 years [n = 7], 20.0% in the last 2 years [n = 16]). Black boys had the highest wounding incidence (9.2/1,000 population), were most commonly injured by assault (29.0%), and had a higher mean number of wounds (1.8). White boys had a lower wounding incidence (3.1/1,000 population), were more often injured unintentionally by a friend (41.2%), and had a lower mean number of wounds (1.3), none as a result of violence. Girls had a wounding incidence of less than 2/1,000 and were most commonly injured in crossfire (40.7%). Ten percent of shootings were fatal. The assailant was known to the victim in 52.8% of children less than 6 years of age, but only 24.7% of children over 12 years of age. CONCLUSIONS:The incidence of gunshot wounds in the youth of this urban population has increased substantially over the past decade. Adolescent black boys were the most frequent victims of these shootings. There has been a disproportionate growth in violent circumstances surrounding the shootings.

journal_name

J Pediatr Surg

authors

Nance ML,Stafford PW,Schwab CW

doi

10.1016/s0022-3468(97)90375-4

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

949-52

issue

7

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(97)90375-4

journal_volume

32

pub_type

杂志文章,多中心研究
  • The effect of bladder diverticula on bladder function: An experimental study in rabbits.

    abstract:OBJECTIVE:This study aims to evaluate the effect of bladder diverticula (BD) on bladder function using a rabbit model, based on urodynamic findings. METHODS:A total of 32 New Zealand white rabbits were randomly assigned to four groups: (1) sham surgery; (2) a single, 1-cm-diameter BD; (3) a single, large, 3-cm-diamete...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2016.02.087

    authors: Celebi S,Kuzdan Ö,Özaydın S,Başdaş C,Özaydın İ,Yazıcı M,Sander S

    更新日期:2016-09-01 00:00:00

  • Pretreatment with edaravone reduces lung mitochondrial damage in an infant rabbit ischemia-reperfusion model.

    abstract:PURPOSE:Free radical scavenger edaravone has been approved as a new drug for treatment of stroke patients. The purpose of this study was to examine whether pretreatment with edaravone could attenuate ischemia-reperfusion (IR)-induced lung damage in infant rabbits. METHODS:New Zealand White rabbits (Experimental Animal...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2008.05.019

    authors: Qiu W,Gu H,Zheng L,Zhou J,Chen D,Chen Y

    更新日期:2008-11-01 00:00:00

  • The efficacy of laparoscopic examination of the internal inguinal ring in children.

    abstract::The ability of physicians to identify a patent processus vaginalis by laparoscopic examination of the internal ring is now well established, but the efficacy on patient outcome is not. The authors reviewed their experience to determine the effect of diagnostic laparoscopy of the internal ring on the management of chil...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(95)90562-6

    authors: Grossmann PA,Wolf SA,Hopkins JW,Paradise NF

    更新日期:1995-02-01 00:00:00

  • Nipple discharge and breast lump related to Montgomery's tubercles in adolescent females.

    abstract::Four adolescent girls, aged 12 to 14 years, were seen for evaluation of spontaneous nipple discharge, two of whom had associated breast lumps in the ipsilateral breast. Clinical examination showed the discharge to be arising from one or several of Montgomery's areolar tubercles, with the breast lumps localized to the ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(88)80409-3

    authors: Watkins F,Giacomantonio M,Salisbury S

    更新日期:1988-08-01 00:00:00

  • Rectal gastric heterotopia in infancy.

    abstract::Heterotopic gastric mucosa is rare in children with most cases presenting in association with Meckel's diverticulum. The authors present a 2-year-old boy with gastric heterotopia of the anorectum, who presented with painless, intermittent rectal bleeding. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/jpsu.2002.35420

    authors: Wiersma R,Hadley GP,Govender D,Grant HW

    更新日期:2002-10-01 00:00:00

  • Perioperative antimicrobial prophylaxis in pediatric patients in Greece: Compliance with guidelines and impact of an educational intervention.

    abstract:BACKGROUND/PURPOSE:Appropriate antimicrobial prophylaxis (PAP) prevents surgical site infections (SSI). The aim of this study was to evaluate the effectiveness of an educational intervention to improve adherence to PAP guidelines in pediatric patients. METHODS:A three-phase prospective study with a pre-post design was...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2015.11.017

    authors: Dimopoulou A,Kourlaba G,Psarris A,Coffin S,Spoulou V,Zaoutis T

    更新日期:2016-08-01 00:00:00

  • Surgical management of proboscoid herniae.

    abstract::The management of a large proboscoid umbilical hernia presents challenging problems to the surgeon. As children and parents are concerned with the appearance of the actual hernia they are also intensely interested in the postsurgical result. Presented is a simple one-stage umbilicoplasty that allows repair of the fasc...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(87)80587-0

    authors: Reyna TM,Hollis HW Jr,Smith SB

    更新日期:1987-10-01 00:00:00

  • Conference proceeding from the annual meeting of the Canadian Association of Pediatric Surgeons: "Caring for indigenous children: A CAPS perspective".

    abstract::In 2015, the Truth and Reconciliation Commission called for health care institutions to address structural barriers that affect Indigenous families seeking health care in Canada. Pediatric care centers in Canada have failed to adequately address these, resulting in continued negative and life-threatening impacts on In...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jpedsurg.2020.01.029

    authors: Morris MI,Sioui R,Sioui M

    更新日期:2020-05-01 00:00:00

  • Fetal extraperitoneal rectal perforation: a rare neonatal emergency.

    abstract:PURPOSE:Intraperitoneal bowel perforation may occur in utero as a result of a variety of abnormalities and typically results in sterile meconium ascites, pseudocysts, and/or calcification in the fetus. On the other hand, extraperitoneal bowel perforation in intrauterine life is extremely rare. The object of this report...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jpedsurg.2008.07.009

    authors: Pitcher GJ,Davies MR,Bowley DM,Numanoglu A,Rode H

    更新日期:2009-07-01 00:00:00

  • Liver transplantation for deterioration in native liver function after portoenterostomy for biliary atresia in Japan: Short- versus long-term survivors.

    abstract:PURPOSE:We reviewed our post-Kasai portoenterostomy biliary atresia (BA) patients who required liver transplantation (LTx) for deterioration in native liver (NL) function to investigate mortality in relation to age at LTx. METHODS:BA patients indicated for LTx when less than 18years old (U18; n=17) and when 18 or olde...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2017.11.016

    authors: Ochi T,Nakamura H,Wada M,Tamura T,Koga H,Okazaki T,Urao M,Ishizaki Y,Kawasaki S,Kasahara M,Mizuta K,Lane GJ,Yamataka A

    更新日期:2018-02-01 00:00:00

  • Placental insufficiency in early gestation is associated with hypospadias.

    abstract:BACKGROUND AND PURPOSE:The association of growth retardation and hypospadias is well established. Fetal testosterone secretion is under the influence of placental human chorionic gonadotropin during first 14 weeks of gestation. We hypothesized that placental insufficiency may disrupt the supply of nutrients and human c...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2007.10.046

    authors: Fujimoto T,Suwa T,Kabe K,Adachi T,Nakabayashi M,Amamiya T

    更新日期:2008-02-01 00:00:00

  • Demonstration of both primary and secondary reninism in renal tumors in children.

    abstract::Two infants with renal tumors and associated hypertension are presented. By using an antibody to purified human renal renin, the sites of renin production were localized immunohistochemically in each tumor. The first case was a 9-month-old girl with Beckwith-Wiedemann syndrome. She presented with bilateral renal masse...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(88)80435-4

    authors: Yokomori K,Hori T,Takemura T,Tsuchida Y

    更新日期:1988-05-01 00:00:00

  • A new approach to the surgical correction of buried penis.

    abstract::Buried penis has been variously attributed to obesity with excessive suprapubic fat, severe phimosis with trapping of the penis within the prepubic tissues, and inadequate fixation of the penile shaft skin at the base resulting in tenting. Previous attempts at surgical correction, by excising suprapubic fat, fixing pe...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(95)90702-5

    authors: Joseph VT

    更新日期:1995-05-01 00:00:00

  • Preoperative embolization as an adjunct to the operative management of mediastinal Castleman disease.

    abstract::Castleman disease usually presents in children as a localized mass with prominent feeding vessels. The mainstay of treatment of Castleman disease is surgical resection; historically, resection is associated with excessive blood loss. These tumors are well known to have large feeding vessels and, thus, are amenable to ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(03)00421-4

    authors: Safford SD,Lagoo AS,Mahaffey SA

    更新日期:2003-09-01 00:00:00

  • Is routine pathological evaluation of pediatric hernia sacs justified?

    abstract:BACKGROUND/PURPOSE:Herniorrhaphy is the most common general surgical procedure performed on children, and hernia sac material is one of the most common tissue specimens microscopically examined in the authors' surgical pathology laboratory. The risk of accidental vas deferens ligation has prompted the recommendation th...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(98)90537-1

    authors: Partrick DA,Bensard DD,Karrer FM,Ruyle SZ

    更新日期:1998-07-01 00:00:00

  • The significance of first rib fractures in children.

    abstract:PURPOSE:The purpose of the study was to determine if first rib fractures are associated with an increased incidence of thoracic vascular injury in pediatric patients. METHODS:The medical records of all children diagnosed with a first rib fracture or a central vascular injury after blunt trauma treated at a state-desig...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2010.09.080

    authors: Hamilton NA,Bucher BT,Keller MS

    更新日期:2011-01-01 00:00:00

  • Management of bladder dysfunction in Wolfram syndrome with Mitrofanoff appendicovesicostomy: long-term follow-up.

    abstract:PURPOSE:To present the long-term outcomes of appendicovesicostomy using the Mitrofanoff principle for end-stage Wolfram bladder dysfunction as an alternative to clean intermittent self-catheterization (CIC) per urethra mainly following blindness. METHODS:Twelve Wolfram patients presenting with bilateral hydroureterone...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2014.09.058

    authors: Mozafarpour S,Kajbafzadeh AM,Mojtahed A,Mojtahed M,Mahboubi H,Shalileh K

    更新日期:2015-07-01 00:00:00

  • Polyorchidism: a case report and classification.

    abstract::Polyorchidism is an uncommon congenital anomaly, defined as the presence of more than 2-histologically proven-testes. Approximately 90 cases are reported in the literature. It is found predominantly on the left side. We report a right-sided polyorchidism found during orchidopexy in a 6-year-old boy. The supernumerary ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2007.07.031

    authors: Bergholz R,Koch B,Spieker T,Lohse K

    更新日期:2007-11-01 00:00:00

  • Changing patterns of treatment for blunt splenic injuries: an 11-year experience in a rural state.

    abstract:PURPOSE:The aim of this study was to perform a population-based study evaluating the trend in management of pediatric blunt splenic injuries in a rural state and assess differences in the management of those injuries at a level I pediatric trauma center (PTC) and regional hospitals (RH) from 1985 through 1995. METHODS...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/jpsu.2000.6948

    authors: Frumiento C,Vane DW

    更新日期:2000-06-01 00:00:00

  • Neonatal chylothorax: a report and discussion of nine consecutive cases.

    abstract::We here report the clinical findings and management of 9 consecutive cases of chylothorax, 5 of which occurred spontaneously. One cases followed cardiac surgery. Three cases occurred in low-birth-weight, premature infants concurrently with other symptoms of the superior vena cava syndrome secondary to central intraven...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(80)80133-3

    authors: Vain NE,Swarner OW,Cha CC

    更新日期:1980-06-01 00:00:00

  • Use of tissue adhesives in the repair of lacerations in children.

    abstract::During the last 5 years, over 1,500 minor lacerations in children were treated in the emergency room of Nahariya Regional Hospital, by the adhesive "Hystoacryl Blue," with gratifying results. The method, its advantages, and special precautions are described. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(88)80195-7

    authors: Mizrahi S,Bickel A,Ben-Layish E

    更新日期:1988-04-01 00:00:00

  • Ruptured rectal duplication cyst with classical bladder exstrophy.

    abstract::A newborn boy was brought to us, 2 hours after birth, with a mucosal-lined left hemiperineal lesion associated with classical bladder exstrophy and an anterolaterally displaced anus. Perineal anatomy was restored by excising the mucosa lined lesion. The bladder closure for classical bladder exstrophy was done at the s...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2010.03.012

    authors: Gupta RK,Oak S,Parelkar SV,Sanghvi B,Kaltari DK,Prakash A,Patil R,Bachani M

    更新日期:2010-07-01 00:00:00

  • Laparoscopic Nissen fundoplication without division of short gastric vessels in children.

    abstract:PURPOSE:It has been suggested that routine division of short gastric vessels (SGVs) results in a more "floppy" Nissen fundoplication leading to improved outcomes, that is, less dysphagia and lower incidences of recurrent gastroesophageal reflux disease (GERD). The aim of this retrospective study was to assess whether l...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2005.10.016

    authors: Liu DC,Lin T,Statter MB,Glynn L,Melis M,Chen Y,Zhan J,Zimmermann BT,Loe WA,B Hill C

    更新日期:2006-01-01 00:00:00

  • Laparoscopic cholecystecomy in a 16-day-old infant with chronic cholelithiasis.

    abstract::A 16-day-old girl with demonstrated evidence of cholelithiasis was treated initially conservatively on the assumption that the gallstone would resolve spontaneously. However, when repeat ultrasound scan showed a large gallstone and intrahepatic ductal dilatation indicative of antenatal common duct obstruction, the inf...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jpedsurg.2003.09.034

    authors: Gertner M,Farmer DL

    更新日期:2004-01-01 00:00:00

  • Outcomes of laparoscopic and open surgical treatment of intestinal malrotation in children.

    abstract:BACKGROUND:The safety of the laparoscopic treatment of intestinal malrotation remains controversial. This study compared the outcomes of laparoscopic and open surgical treatment of intestinal malrotation. METHODS:A multicentric retrospective study included pediatric cases of intestinal malrotation operated on between ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2020.08.014

    authors: Scalabre A,Duquesne I,Deheppe J,Rossignol G,Irtan S,Arnaud A,Ballouhey Q,Abbo O,Rabattu PY,Binet A,Varlet F

    更新日期:2020-12-01 00:00:00

  • HIV-positive African children with rectal fistulae.

    abstract:BACKGROUND/PURPOSE:Human immunodeficiency virus (HIV) disease is an increasingly common infection in children in sub-Sahara Africa. Rectal fistulation is one such condition with which these patients present to the paediatric surgeon. This appeared to be an exclusively female condition until 2 male patients were treated...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/jpsu.2003.50011

    authors: Wiersma R

    更新日期:2003-01-01 00:00:00

  • Surgical treatment of pulmonary hydatid disease in children: report of 122 cases.

    abstract:BACKGROUND/PURPOSE:The aim of this study was to review the authors' surgical experience in pediatric pulmonary hydatid disease focusing on clinical presentation, parenchyma saving operations, and long-term results. METHODS:One hundred twenty-two children with pulmonary hydatid cyst were treated surgically over the las...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/jpsu.2000.19219

    authors: Celik M,Senol C,Keles M,Halezeroglu S,Urek S,Haciibrahimoglu G,Ersev AA,Arman B

    更新日期:2000-12-01 00:00:00

  • Gastrostomy with antireflux properties.

    abstract::The need for feeding gastrostomy seems to be increasing in children with neurological impairment and swallowing incoordination. Because gastrostomy can cause or increase gastroesophageal reflux, an antireflux procedure has been advocated at the time of gastrostomy placement in neurologically impaired children. A gastr...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(90)90209-r

    authors: Stringel G

    更新日期:1990-10-01 00:00:00

  • Cornelia de Lange syndrome and congenital diaphragmatic hernia.

    abstract:PURPOSE:There is a known association between Cornelia de Lange syndrome (CdLS) and congenital diaphragmatic hernia (CDH), with CDH being the cause of death in 5%-20% of CdLS cases. We aimed to identify and describe patients with CDLS and CDH. We hypothesized that CdLS would be associated with high-risk CDH and poor out...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2020.06.003

    authors: Gupta VS,Khan AM,Ebanks AH,Lally PA,Lally KP,Harting MT,Congenital Diaphragmatic Hernia Study Group.

    更新日期:2020-06-11 00:00:00

  • The Cambridge experience with buried bumpers.

    abstract:AIM:Buried Bumper (BB) is a complication of percutaneous endoscopic gastrostomy (PEG) that leads to tube dysfunction and major morbidity. Although many techniques have been described to manage BB, none are universally adopted, and laparotomy remains the mainstay. We introduce a novel endoscopic technique in paediatric ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2018.10.084

    authors: Goneidy A,Malakounides G,Aslam A

    更新日期:2019-02-01 00:00:00