{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T08:14:35Z","timestamp":1788250475821,"version":"build-2803163510"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"unspecified","delay-in-days":33,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789325102711_sec1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>On September 17, 2024, a coordinated detonation of approximately 5,000 pager devices in Lebanon produced a large mass-casualty incident. Devices contained pentaerythritol tetranitrate (PETN). We report 5 pediatric patients transferred to a tertiary referral center for management of complex multisystem injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102711_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a brief report of 5 children (&lt;12 years) referred to Baqiyatallah Hospital, Tehran. Demographics, injury pattern, surgical interventions, and short-term outcomes (up to 3 months) were abstracted from medical records. All patients received multidisciplinary care (ophthalmology, plastic surgery, orthopedics, otolaryngology, pediatrics, infectious disease).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102711_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean age was 9.2 years (range 5\u201311). All 5 children sustained ocular, facial, and hand injuries. Three eyes were auto-eviscerated, and 4 children underwent partial hand amputations. Multiple operative procedures were required per patient (ocular surgery, facial reconstruction, orthopedic fixation). Early outcomes were poor for vision and hand function in the majority; reconstructive planning and prosthetic rehabilitation were anticipated for longer-term care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102711_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Close-range exposure to small PETN-containing devices produced a distinctive pediatric injury pattern dominated by severe ocular and upper-extremity trauma. These findings emphasize the need for pediatric-focused acute care algorithms and sustained rehabilitation resources after blast incidents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2025.10271","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T06:43:39Z","timestamp":1770101019000},"source":"Crossref","is-referenced-by-count":2,"title":["Pediatric Injury Patterns Following the Pager Explosion Trauma in Lebanon: A Brief Report"],"prefix":"10.1017","volume":"20","author":[{"given":"Seyed Rahim","family":"Hassanpour","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ysgtb61","id-type":"ROR","asserted-by":"publisher"}],"name":"Baqiyatallah University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valiallah","family":"Hosseinpour","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ysgtb61","id-type":"ROR","asserted-by":"publisher"}],"name":"Baqiyatallah University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alireza","family":"Shakerisefat","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ysgtb61","id-type":"ROR","asserted-by":"publisher"}],"name":"Baqiyatallah University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahdi","family":"Moteshaker Arani","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ysgtb61","id-type":"ROR","asserted-by":"publisher"}],"name":"Baqiyatallah University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed-Hashem","family":"Daryabari","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ysgtb61","id-type":"ROR","asserted-by":"publisher"}],"name":"Baqiyatallah University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaban","family":"Mehrvarz","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ysgtb61","id-type":"ROR","asserted-by":"publisher"}],"name":"Baqiyatallah University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Abolghasemi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ysgtb61","id-type":"ROR","asserted-by":"publisher"}],"name":"Baqiyatallah University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"S1935789325102711_r7","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/1360805"},{"key":"S1935789325102711_r5","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-025-00587-6"},{"key":"S1935789325102711_r6","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2025.112273"},{"key":"S1935789325102711_r9","first-page":"1","article-title":"Rapid assessment of injuries among survivors of the terrorist attack on the World Trade Center\u2013New York City, September 2001","volume":"51","author":"Koplan","year":"2002","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"S1935789325102711_r10","doi-asserted-by":"publisher","DOI":"10.1054\/ijom.2001.0199"},{"key":"S1935789325102711_r11","doi-asserted-by":"publisher","DOI":"10.1136\/emj.14.2.76"},{"key":"S1935789325102711_r1","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2025.10163"},{"key":"S1935789325102711_r4","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-025-03684-7"},{"key":"S1935789325102711_r3","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2024.281"},{"key":"S1935789325102711_r2","unstructured":"2. Gebeily, M , Pearson, J , Gauthier-Villars, D. How Israel\u2019s bulky pager fooled Hezbollah. September 26, 2024. Accessed May 12, 2025. https:\/\/www.reuters.com\/graphics\/ISRAEL-PALESTINIANS\/HEZBOLLAH-PAGERS\/mopawkkwjpa\/"},{"key":"S1935789325102711_r8","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S253438"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789325102711","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T06:43:39Z","timestamp":1770101019000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325102711\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":11,"alternative-id":["S1935789325102711"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.10271","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e26"}}