Transit Facilities Research Articles

Hyperthermic Intraperitoneal Chemotherapy (HIPEC) and Cytoreductive Surgery (CRS): Age-Related Outcomes and a Look into the Future

Introduction: Peritoneal carcinomatosis presents significant treatment challenges. Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) offers a promising therapeutic approach. Patient selection remains critical, and the role of age as an exclusion criterion requires further investigation. This study evaluates whether age influences postoperative outcomes in CRS-HIPEC patients. Methods: A retrospective review of a prospective comprehensive database of 271 CRS-HIPEC procedures performed between 2018 and 2023 was conducted. Logistic regression assessed the relationship between age and postoperative outcomes. Age groups (18–44, 45–69, ≥70 years) were compared based on demographic data, primary tumor site, Peritoneal Cancer Index scores, and key outcome measures. Results: Across the different age groups, there were no significant differences in PCI scores, recurrence, disease-free survival, 30-day morbidity, or mortality. Length of stay was longer in older patients (p = 0.009). Patients aged ≥70 had higher readmission rates (p = 0.041) and were more often discharged to transitional care facilities (p = 0.001). Older patients were also more likely to experience Clavien–Dindo grade III or higher complications (p = 0.008). Logistic regression confirmed these findings. Continuous age analysis yielded similar results and revealed significant differences in race and primary organ involvement. Conclusions: Age is not a significant predictor of 30-day morbidity, mortality, or survival outcomes in patients undergoing CRS-HIPEC. However, older patients require closer attention to discharge planning and readmission risk management. This study highlights the importance of comprehensive patient assessment beyond age and underscores the need for further research to better understand factors influencing outcomes in this population.

여성정신질환자의 지역사회전환시설 재활경험

Objectives The purpose of this study is to explore in-depth the rehabilitation experiences of female with mental illness admitted to community mental health transition facility and to understand the phenomena. Based on the rehabilitation experiences of female with mental illness, mental rehabilitation education and self-reliance training programs for female with mental illness are developed, and they are used as basic data for the development of ed ucational materials for workers to understand residents. Methods For female with mental illness discharged from community mental health transition facility, data were collected through in-depth interviews with 11 people from November 4, 2022 to February 24, 2023, using the snowball sampling method until data saturation. Through in-depth interviews one-on-one with female with men tal illness for 60-120 minutes, the meaning of the experience of psychiatric rehabilitation through the admission experience was analyzed in the stages of theme collection and categorization according to the Colaizzi phenom enological method. Results The rehabilitation experience of female with mental ill in community mental health transition facility was derived into 5 categories and 11 thematic collections. The five categories were ‘maintaining regular daily life’, ‘at tempting relationships with people’, ‘recognizing the importance of health management’, ‘the boundary between restrictions and choices’, and ‘the first step in independent life’. Participants experienced rehabilitation in com munity transition facility as an intermediate stage between psychiatric ward centered on safety and treatment and group homes for people with mental ill that emphasizes the right to self-determination. Conclusions Based on the rehabilitation experience of female with mental illness in community mental health transition facility, it can be used as basic data for developing rehabilitation programs and educational materials for residents of community mental health transition facility and educational materials for workers.

Enhancing Commuter Accessibility in Tacloban’s University Belt, Philippines

Public transportation is critical in supporting urban mobility, providing economic benefits, and reducing environmental impacts. However, Tacloban City, particularly its University Belt Area, faces significant transportation challenges, including traffic congestion, inadequate infrastructure, and accessibility disparities among transit stops. While many studies broadly explore urban transportation systems, this research distinguishes itself by addressing accessibility within a localized context, combining commuter perceptions with traditional metrics. By focusing on Tacloban City’s University Belt Area, this study fills a gap in understanding transit accessibility in densely populated, commuter-reliant urban areas. This research evaluates six transit stops—TS-1 (LNU), TS-2 (LNHS), TS-3 (EVSU), TS-4 (Card Bank), TS-5 (LBC), and TS-6 (LVD)—through data collection from 599 respondents and 10 days of traffic volume counts. Using Geographic Information System (GIS) heatmaps and statistical tools like Spearman's Correlation, ANOVA-Kruskal Wallis, and Dunn's Test, the study identifies patterns and variations in accessibility during peak and off-peak hours. Findings reveal that 83% of commuters experience waiting times of 10–20 minutes during peak hours at underperforming stops like TS-5, compared to 5–10 minutes at high-performing stops like TS-2 and TS-3. Additionally, 60% of TS-5 users report travel times exceeding 5 minutes, unlike other stops where travel times are predominantly within 0–5 minutes. Recommendations include increasing public transport availability, optimizing schedules, and enhancing pedestrian pathways and transit facilities. The findings provide actionable insights for policymakers to prioritize investments and design equitable urban transportation solutions, contributing to a more sustainable and accessible transportation system for Tacloban City and serving as a framework for addressing similar challenges in other urban areas.

Safety evaluation of Dar Es Salaam Bus Rapid Transit facilities in accommodating non-motorists: A behavior study

Safety evaluation of Dar Es Salaam Bus Rapid Transit facilities in accommodating non-motorists: A behavior study

Activity Performance Priorities for Adults Experiencing Homelessness: Insights from Management and Staff at a Transitional Housing Facility.

For people experiencing homelessness (PEH), the provision of affordable housing has been recognized as the most crucial intervention for improving housing stability and facilitating substance abuse treatment. However, evidence indicates that providing housing does not significantly improve substance abuse, mental health, or physical health outcomes. Optimal participation in essential daily activities has been shown to improve health outcomes and support independent living, but there is limited research that identifies activity performance priorities among PEH living in transitional housing. The present study investigates activity performance priorities using the focus group methodology. Management and staff from a transitional housing facility participated in a focus group discussion (90 min) and a follow-up (member checking) session (75 min), to deliberate on this topic. Emerging priorities for activity performance include activities of daily living [personal hygiene]; instrumental activities of daily living [house maintenance, meal preparation, and transportation]; health management [mental health, physical health, medical appointments]; social participation [building healthy relationships]; work [seeking and/or maintaining]; sleep; and leisure [recreational] activities. Community members and other stakeholders can support PEH in transitional housing by facilitating participation in these activities, and researchers should evaluate the effects of specific activity-focused interventions on health.

Assessing the Association Between Urban Amenities and Urban Green Space Transformation in Guangzhou

This study explores the intricate relationship between urban amenities and the transformation of urban green spaces (UGS) in Guangzhou, China, over the decade from 2013 to 2022. Amid rapid urbanization, maintaining and expanding green spaces has become increasingly challenging, especially in densely populated urban centers. This research utilizes remote sensing data and Point of Interest (POI) data to assess how different types of urban amenities influence UGS dynamics based on geospatial analytics. The study focuses on the central districts of Guangzhou, a city facing significant urban development pressures, to provide a nuanced understanding of these interactions. Employing both Ordinary Least Squares (OLS) regression and Random Forest (RF) models, the analysis examines the impact of 23 categories of POIs on the spatial and temporal changes in UGS. Key findings reveal that amenities such as auto repair shops, shopping services, and transit facilities are negatively correlated with UGS, indicating that their presence may contribute to the reduction in green space. Conversely, amenities like scenic spots and life services show a positive correlation, suggesting they might support the preservation or expansion of green spaces. The results underscore the dual role of urban amenities in both supporting and constraining green space development, highlighting the need for carefully balanced urban planning strategies. This study provides valuable insights for policymakers and urban planners aiming to promote sustainable urban growth while preserving essential green spaces, ensuring that urban environments remain livable and ecologically resilient.

Transitional Care for Spinal Cord Injuries in Hong Kong SAR, China: A Narrative Review of the Local Experience.

Background: Spinal cord injuries (SCI) are devastating conditions which often cause multiple permanent physical impairments and psychosocial complications. Discharge from hospital is often delayed and precious health resources are consumed. In Hong Kong SAR, China, the government welfare system and the public hospital system have worked together to address these problems through partnership with non-governmental organizations. An SCI transitional care facility (the Jockey Club New Page Inn, JCNPI) run by a non-governmental organization (SAHK), was inaugurated in 2008. Objectives: Review the local experience of the implementation of SCI transitional care in Hong Kong SAR, China. Methods: A narrative review of the service model, facilitators and barriers, and future development. Service output and outcomes were evaluated with quantitative and qualitative means. Results: The SCI transitional care in Hong Kong provides person-centred transitional care and support, including a time-limited residential rehabilitation, a post-discharge community day rehabilitation programme, and a residential respite care. The current intervention strategy is based on the WHO's International Classification of Functioning, Disability, and Health (ICF). In the past 16 years, a total of 226 clients were discharged from the residential rehabilitation service. A total of 223 (98.6%) clients have successfully returned to community living. Positive feedback was received from the service users. Conclusions: The SCI transitional care has transformed care for SCI patients from the previous biomedical-oriented, hospital-based rehabilitation into a journey with an empowering and participatory approach addressing their biopsychosocial needs. The model has proven to be a key player in the continuum of care and sustainable community reintegration of individuals with SCI.

Maintenance Costs Optimization Of Light Rail Transit (LRT) Facilities And Infrastructure Based On Life Cycle Cost Analysis (Case Study: South Sumatra LRT)

The construction of the South Sumatra Light Rail Transit (LRT) requires a huge development cost, besides that it has quite a large annual operational and maintenance cost. In order for South Sumatra LRT maintenance costs to run efficiently and effectively, it is necessary to optimize maintenance costs for South Sumatra LRT facilities and infrastructure based on Life Cycle Cost Analysis. Life Cycle Cost is an economic analysis method that refers to all costs associated with development, operating and maintaining a construction project over a certain period of time (Heralova, 2017). The research objectives were to analyze the physical condition of Facilities and Infrastructure South Sumatra LRT, evaluate South Sumatra LRT maintenance strategies and develop maintenance cost scenarios based on Life Cycle Cost. Based on data processing using the combined condition index method, the total value of the South Sumatra LRT infrastructure components reached 5,718. The physical condition of the South Sumatra LRT infrastructure reviewed is on a good scale with minor damage so that the option of preventive or time-based maintenance activities can be used. For the Life Cycle Cost of South Sumatra LRT infrastructure, the value obtained is IDR 2,080,482,508,541,480.

Regulating and Unraveling Electrochemical Behavior of Hierarchically‐Densifying Mesoporous Apocynum Carbon for High performance Supercapacitor

AbstractThe commercial carbon‐based supercapacitor with high power ability (~5 kW kg−1) is still unable to fulfill the superhigh power requirement of specific power‐type equipments (>20 kW kg−1), such as rail transit facilities, electromagnetic and laser equipment. To unravel the structure‐activity relationship and electrochemical behavior of power‐type densifying carbon is a key to overcome the contradiction of the suitable mesoporous ratio and highly‐densifying features toward the superhigh power requirement. Here, we built the hierarchically‐densifying mesoporous apocynum carbon (HDMC) with optimized mesoporous ratio by hierarchical activation method. More importantly, both the isothermal desorption/adsorption and high‐pressure mercury intrusion porosimetry methods were employed to synergistically uncover the microscopic surface carbon network stacking mechanism and the macroscopic carbon skeleton densification assembly mechanism. The highly‐densifying skeleton features and high mesoporous ratio properties were proved to be co‐existed in HDMC, which is in favour of rapidly ion/electron transferring toward electrochemically‐improving power behavior of HDMC. A combination of high tap density (0.387 g cm−3) and ideal microporous‐mesoporous system (23.1 % proportion of mesoporous) have taken this HDMC to provide a super‐high power density (33.5 kW kg−1) and a high volume power density (9.37 kW L−1) for HDMC‐based supercapacitor, more than those of commercial YP‐50F (14.9 kW kg−1 @ 4.63 kW L−1). Therefore, this work provides a synergistic strategy to incorporate the properties of mesoporous and densifying, and reveals its electrochemical behavior toward the further application of power‐type supercapacitors.

Single versus dual fixation of distal femur fractures: A retrospective cohort study at a level one trauma centre in New Zealand

Background The study compares single versus combination fixation of distal femur fractures. Method We retrospectively reviewed patients over 60 between January 2016 and December 2022. Union rate, ambulatory status and complication rate were primary outcomes. Secondary outcomes included quality of reduction, operative time and rate of blood transfusion. Results A total of 92 patients received single fixation, and 22 patients received combination fixation. There was no difference in rate or time of fracture union. Patients with dual fixation were allowed to weight bear on discharge significantly more than single fixation patients (50% vs. 18.9%, p = 0.003). Intramedullary nail fixation, as a single method or combined with lateral plating, was associated with earlier weight bearing. Immediate post-operative weight bearing significantly increased the likelihood of discharging to home or rehabilitation versus discharging to a transitional care facility ( p < 0.00001). There was no difference in the rate of blood transfusion, complication or mortality. Medial translation of the distal articular block was significantly lower with dual fixation (1.2% vs. 3.4%, p = 0.021). Operation time was longer with combination fixation (183 min vs. 134 min p < 0.001). Conclusion Combination fixation allows earlier weight bearing, at the cost of longer operation time.

Managing transit-oriented development: A comparative analysis of expert groups and multi-criteria decision making methods

A key challenge for transport managers and planners in sustainable development is evaluating transit facilities' performance. While Multi-Criteria Decision-Making (MCDM) tools are often used, they can be influenced by experts' subjective biases. This study applies MCDM to assess Mass Rapid Transit (MRT) stations in Jakarta, Indonesia, focusing on Transit-Oriented Development (TOD). The primary goal is to compare stakeholder perspectives and MCDM methods, complemented by a sensitivity analysis and validation with real-world smart card data. The findings reveal significant differences in criteria weighting between Indonesian and non-Indonesian experts, and between academic and non-academic experts, especially in transit connectivity and land use diversity. The study also shows variations in station rankings across different MCDM methods. Sensitivity analysis identifies transit connectivity as the most critical criterion. Simple Additive Weighting (SAW) with linear normalisation aligns well with actual usage data and shows robustness in sensitivity analysis, making it the most reliable method for TOD evaluation. The study highlights the need for continuous TOD performance monitoring and the regular collection of real-world data on ridership and TOD indicators.

Exploring the factors hindering the intention to adopt sustainable transportation options in Addis Ababa, Ethiopia: using structural equation modeling

With poor transportation infrastructure and increased reliance on motorization, fast-growing cities in the Global South that are experiencing rapid urbanization have received less attention in terms of sustainable transportation research. In this regard, it is imperative to support active mobility and public transit that help to reduce vehicle emissions, traffic congestion, road fatalities, and energy depletion while supporting public health, robust economies, and social equity. However, in the emerging cities context, the adoption of sustainable transportation options are constrained by various factors. This study aims to explore the key factors hindering the adoption of sustainable transportation options in Addis Ababa, Ethiopia. To do so, travel survey data were gathered from 720 households using stratified sampling and analyzed using factor analysis. The results from factor analysis indicated five groups of factors hindering residents’ intention to adopt sustainable transportation options, including (1) infrastructure condition, (2) modal characteristics, (3) land use pattern, (4) policy framework, and (5) technology-related factors. The confirmatory factor analysis also depicts the five latent factors and the contributions of observed variables that are statistically significant (p < 0.01). More specifically, observed variables such as (i) inadequate pedestrian facilities, (ii) lack of bike facilities, (iii) poor public transit facilities, (iv) limited availability of reliable public transport, (v) long wait times, (vi) high public transport fare, (vii) discomfort, (viii) safety and security issues are the most significant factors. Another set of factors includes (ix) walking distance, (x) dispersed land use pattern, (xi) poor land use mix, (xii) inadequate policy support, and (xiii) lack of real-time information. Furthermore, the intention to adopt sustainable modes of transportation is influenced by socio-demographic characteristics such as gender, age, educational status, income, family size, and car ownership. The result contributes to the existing literature by providing insight into adopting sustainable transportation modes in emerging cities like Addis Ababa, which are characterized by several urban transportation challenges.

Driving Towards Sustainable Transportation Systems: A bottom-up Traffic Modal Choices Analysis Using Responsible Management for Future Development Planning

The transportation sector wields substantial influence on society, encompassing economic, social and environmental dimensions of sustainability. Recognising environmentally conscious actions initiated by individuals, particularly at grassroots levels, fosters the development of a pro-environmental social identity. The article aims to analyse the transportation systems from a bottom-up perspective within a municipality. Consequently, three objectives are proposed for this research paper: investigate citizen behaviour regarding transportation, assess the strengths and weaknesses of communities based on citizen perspectives and generate ideas for improving transit through responsible management principles using a bottom-up approach. It has been determined that private car is the most commonly used mode of transportation. The number of cars is the only variable that influences the choice of transportation. A significant positive relationship has been identified between the number of cars and car travels, while a negative relationship has been observed between the number of cars and travels by transit, pedestrian or bicycle. In addition to this, other significant relationships were determined. Regarding the second objective, the majority of the interviewees perceive that the commune lacks any significant strengths. In terms of enhancement opportunities, respondents express a desire for improvements in pedestrian and cyclist infrastructure, transit facilities and the addition of more lanes and roads.

The Spatiotemporal Matching Relationship between Metro Networks and Urban Population from an Evolutionary Perspective: Passive Adaptation or Active Guidance?

With the operation of the first route in Xi’an City, the matching relationship between the metro networks and the urban population is a root factor affecting the utilization of rail transit facilities. The mismatch between the metro networks and the urban population has led to an imbalance between the supply and demand for rail transport, resulting in wasted urban infrastructure. Based on this issue, the research objective is to focus on the spatiotemporal variations of the matching relationship. Firstly, the topological network model abstractly extracted metro spatial distribution features, and the spatial autocorrelation model was adopted to identify the evolution characteristics of the metro networks and urban population. Secondly, this paper adopted a time-lagged regression model to demonstrate the action relationship from 2011 to 2021. Then, the compositive coordination index was utilized to assess the variation of the global matching relationship. Finally, the paper explored spatial heterogeneity through the coupling coherence degree attached to grid cells. The research results indicate that the Moran’s I value of metro elements decreased from 0.782 to 0.510 with the further complexity of topological networks, while the population was consistently high in spatial dependence with a Moran’s I value of around 0.75 during the decade. Based on the regression coefficients and significance, this paper verified the hypothesis that the metro networks and urban population had a positive time-lagged feedback effect in urban development. From 2011 to 2021, the compositive coordination index symbolizing the global matching relationship increased from 0.29 to 0.90, but the coupling coherence degree shows significant spatial heterogeneity in different grid units. Differentiated spatial planning strategies were proposed for varied areas to efficiently utilize rail transit, which may provide a reference for other cities with the same reality problem.

Preparedness of Local Government Units on Full Devolution with the Implementation of the Mandanasgarcia Ruling

This study assessed the preparedness of cities and municipalities in Region III for the full devolution of basic services in alignment with the Mandanas-Garcia Ruling by the Year 2022, following the enactment of RA 7160 (1991 Local Government Code). Utilizing descriptive and comparative research methods, the investigation revealed that a considerable proportion of LGU departments consist of small teams, indicative of prevalent smaller organizational units. LGUs demonstrated a moderate level of preparedness, with employees perceiving higher readiness in transition planning compared to local executives and department heads. Notably, local executives consistently felt more prepared in financial planning, human resources, and facilities management. Significant differences in preparedness levels were identified across LGUs concerning transition planning, coordination, financial management, human resources, and facilities and equipment, with p-values below the 0.05 significance threshold. Challenges in full devolution, including funding, manpower, coordination, revenue generation, and procurement, were highlighted, exacerbated by pandemic-related issues and urban development discrepancies. Proposed solutions encompass strategies to enhance local revenue, improve personnel recruitment, invest in capacitybuilding, foster collaboration, and advocate for standardized policies. This study contributes valuable insights into the nuanced landscape of LGU preparedness for devolution, paving the way for targeted interventions and policy recommendations.

ANALYSIS OF THE IMPLEMENTATION OF ISAK 16 - SERVICE CONCESSION AGREEMENTS AND ITS IMPLICATIONS FOR THE COMPANY'S FINANCIAL STATEMENTS

This research is qualitative research with data collection techniques through literature studies and field studies. Literature studies were obtained from scientific journals, accounting standards, government regulations, agreements and business studies related to the implementation of light rail/Light Rail Transit, while field studies were carried out through interviews with informants who understand the implementation of light rail/LRT. The company that is the object of research is PT Jakarta Propertindo (Perseroda) which is a company assigned by the DKI Jakarta Provincial Government to provide infrastructure and facilities for Light Rail Transit Corridor 1 Phase 1 (Kelapa Gading Velodrome). The aim of the research is to analyze appropriate accounting policies for companies related to the Light Rail Transit Infrastructure and Facilities Agreement for Corridor 1 Phase 1 (Kelapa Gading Velodrome) which is the scope of ISAK -16 Services Concession Agreement, implementation of ISAK 16 and implications of implementing ISAK 16 to the financial statements. The results of the research conclude that accounting policies related to the Implementation of Light Rail Transit Infrastructure are within the scope of ISAK 16: Service Concession Agreements so that the implications for financial statements are that companies must record LRT Infrastructure Assets as Intangible Assets, while for the Operation of Light Rail Transit Facilities Rail Transit is within the scope of PSAK 16: Fixed Assets so companies must record LRT Facilities Assets as Fixed Assets.

The Establishment Of Shelters as A New Paradigm Towards Struggling With Violence Against Women: A Literature Review.

Shelters are an important part of a full response to survivors, as stated in many international conventions, such as the 1995 Beijing Declaration and Platform for Action (BDPfA). This study aims to provide a comprehensive perspective on the establishment of shelters for women survivors of violence. This narrative review was conducted based on the Scale for the Assessment of Narrative Review Articles (SANRA). The MEDLINE, SCOPUS, Web of Science, Embase, Ovid, and EBSCO databases in English and Magiran and Scientific Information Database (SID) in Persian were searched for related documents. Also, WHO, the Joint United Nations Programme on HIV and AIDS (UNAIDS), the Centers for Disease Control and Prevention (CDC), and the United Nations Population Fund's (UNFPA) guidelines and instructions for shelter services for women and girls who have been subjected were searched up to July 31, 2023. A qualitative synthesis was carried out on the 28 eligible articles and instructions out of the 420 retrieved documents. "A "shelter" describes emergency and temporary "safe accommodation for women and children who have been subjected to or are at risk of (typically male) domestic abuse. Types of shelters include emergency shelters or safe homes, second-stage or transitional housing facilities, third-stage housing, and alternative accommodation during (and occasionally after) the period of residence. The shelter delivers a wide range of services, including health services, socio-economic services, and legal services. These principles consisted of a comprehensive perspective, quality of service, organization, funding, and the right issues. Women who are survivors need holistic, interdisciplinary, and specialist care that focuses on safety and needs. The adoption of regulations with robust enforcement guarantees and the facilitation of approvals for the construction of non-governmental shelters and safe houses should be on the agenda setting.

A Comparative Study of TESS Light-curve Extraction Methods Applied to Blazars

Blazars are characterized by largely aperiodic variability on timescales ranging from minutes to decades across the electromagnetic spectrum. The Transiting Exoplanet Survey Satellite (TESS) mission provides continuous sampling of blazar variability on timescales ranging from tens of minutes to 27 days for a single sector observation. Proper removal of the background, thermal ramping, and onboard systematic effects are crucial to the extraction of a reliable blazar light curve. Multiple publicly available procedures have been created to correct for these effects. Using ground-based observations from the Zwicky Transit Facility (ZTF) and the Asteroid Terrestrial-impact Last Alert System (ATLAS) as “ground truth” observations, we compare six different methods (regression, cotrending basis vectors, pixel-level decorrelation, eleanor, quaver, and simple differential photometry) to each other, and to our “ground truth” observations, to identify which methods properly correct light curves of a sample of 11 bright blazars, including the suspected neutrino source TXS 0506+056. In addition to comparing the resulting light curves, we compare the slopes of the power spectral densities, perform least-square fitting to simultaneous ZTF data, and quantify other statistical qualities generated from the light curves of each method. We find that only three of the six methods compared (simple differential photometry, eleanor, and quaver) produce TESS light curves consistent with the ground-based ZTF and ATLAS observations.

Pemanfaatan fasilitas bus rapit transit (BRT) Semarang bagi penyandang disabilitas

Utilization of Bus Rapid Transit (BRT) facilities for people with disabilities is an important aspect in efforts to create public transportation that is inclusive and friendly to diverse communities. This research aims to analyze the extent to which BRT facilities can be utilized by people with disabilities and identify the challenges and opportunities faced in the utilization process. This research method involves field surveys, interviews, and qualitative data analysis. The research results show that although several BRT facilities have been designed taking into account the needs of people with disabilities, there are still obstacles in their use. Some of these obstacles include stop accessibility, bus stop designs that are not fully disability-friendly, as well as a lack of understanding and awareness on the part of BRT managers and general users regarding the needs of people with disabilities. On the other hand, this research also identified several opportunities to increase the use of BRT facilities by people with disabilities, including through the development of information and communication technology, active involvement of people with disabilities in the planning and evaluation process of facilities, as well as increasing training for BRT operators and officers in serving passengers. with special needs. It is hoped that this research can contribute to the development of more inclusive public transportation policies and planning, ensuring that BRT facilities not only meet technical standards but are truly accessible and utilized by all levels of society, including people with disabilities.

A regional learning health system of congregate care facilities for COVID-19 response.

The COVID-19 pandemic disproportionately affected congregate care (CC) facilities due to communal living, presence of vulnerable populations, inadequate preventive resources, and limited ability to respond to the pandemic's rapidly evolving phases. Most facilities function independently and are not organized for collaborative learning and operations. We formed a learning health system of CC facilities in our 14-county metropolitan region, coordinated with public health and health care sectors, to address challenges driven by COVID-19. A CC steering committee (SC) was formed that represented diverse institutions and viewpoints, including skilled nursing facilities, transitional care facilities, residential facilities, prisons, and shelters. The SC met regularly and was guided by situational awareness and systems thinking. A regional CC COVID-19 dashboard was developed based on publicly available data and weekly data submitted by participating facilities. Those experiencing outbreaks or supply shortages were quickly identified. As the pandemic progressed, the role of the SC shifted to address new and forecasted needs. Over 60 facilities participated in data sharing. The SC shared new guidelines, regulations, educational material, and best practices with the participating facilities. Information about testing sites, supplies, vaccination rollout, and facilities that had the capacity to accept COVID-19 patients was regularly disseminated. The SC was able to direct resources to those facilities experiencing outbreaks or supply shortages. A novel learning health system of regional CC facilities enabled preparedness, situational awareness, collaboration, and rapid dissemination of best practices across pandemic phases. Such collaborative efforts can play an important role in addressing other public and preventive health challenges.