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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>Volume 19 Issue 1 2026</text>
                </elementText>
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              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
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                  <text>PERI IRAWAN</text>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="138129">
                <text>Evaluation of road infrastructure in Yerevan,&#13;
Armenia through the lens of pedestrian&#13;
and child safety: a school-based analysis</text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138130">
                <text>Traffic injury, Pedestrian safety, Child safety, Safety infrastructure, QGIS, Global injury</text>
              </elementText>
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            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="138131">
                <text>Abstract&#13;
Introduction Traffic-related injury is a leading cause of morbidity and mortality globally, especially among children.&#13;
In Armenia, traffic-related mortality rates are the second highest among European Union and former Soviet countries.&#13;
Currently, there are no published studies on pedestrian safety in Armenia and no notable examinations of pedestrian&#13;
safety infrastructure. This manuscript describes an audit of Armenia’s infrastructure using a modified Inventory for&#13;
Pedestrian Safety Infrastructure (IPSI) in the Yerevan city center, focusing on areas surrounding schools.&#13;
Methods Intersections (n=379) and roadways (n=623) shared by pedestrians and drivers in Yerevan’s center&#13;
were audited using a 36-item modified ISPI and paired with cloud-based smartphone application QField between&#13;
October 2023 and February 2024. Visual analysis of data was conducted using the open-source software QGIS with&#13;
statistical analysis in R. Inter-rater reliability of the audit was calculated using Cohen’s Kappa and intra-class correlation&#13;
coefficients. Incidence of each feature surrounding schools was compared to incidence overall using a one-sample&#13;
z-test for continuous variables and a two-sample test of proportions for binary variables.&#13;
Results Many of the features audited were not observed consistently across the audited area and were not more&#13;
prevalent near schools. Lower inter-rater reliability was found with roadway and midblock data, resulting in analysis&#13;
of primarily intersection features. Speed limits surrounding schools varied from 20 to 60 km/hr (12.5–37 mph). When&#13;
compared to the overall audited area, crosswalks near schools demonstrated similar occurrence for traffic lights with&#13;
crosswalk markings (23.3%, 95% CI: 0.157–0.309), speed bumps (11.9%, 95% CI: -0.139- 0.0338), and pedestrian signals&#13;
(12.9%, 95% CI: 0.0709–0.194). Of the analyzed items, only bus stops were observed significantly more often near&#13;
schools (19%, 95% CI: 0.00930-0.220).&#13;
Conclusions The audit revealed an inconsistent presence of safety infrastructure, with infrastructure near schools&#13;
largely reflecting the overall audited area. However, analysis was limited by low inter-rater reliability for many roadway&#13;
and midblock features audited. Based on these results, infrastructure changes targeting lower speed limits and&#13;
increased traffic calming measures are recommended to improve safety in school zones. Given a paucity of studies in&#13;
LMICs, further work must be done to identify which high-yield features should be targeted in LMICs to prevent injury.&#13;
Keywords Traffic injury, Pedestrian safety, Child safety, Safety infrastructure, QGIS, Global injury</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138132">
                <text>Emily N. Terian1*, Haig J. Minasian2&#13;
&#13;
, Jefrin Johny3&#13;
&#13;
, Araksya Gevorgyan4&#13;
&#13;
and Sharon A. Chekijian5</text>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="138133">
                <text>https://doi.org/10.1186/s12245-025-01070-4</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138134">
                <text>2026</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138135">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138136">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138137">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
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                <text>text</text>
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      <tag tagId="15773">
        <name>Traffic injury, Pedestrian safety, Child safety, Safety infrastructure, QGIS, Global injury</name>
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  <item itemId="12940" public="1" featured="1">
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          <name>Dublin Core</name>
          <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="138073">
                  <text>Volume 19 Issue 1 2026</text>
                </elementText>
              </elementTextContainer>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="138074">
                  <text>PERI IRAWAN</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138119">
                <text>Comparison of two electronic medical record-&#13;
based frailty assessment tools and their&#13;
&#13;
association with adverse outcomes in older&#13;
hospitalized patients with urgent admissions</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138120">
                <text>Canadian Institute for Health Information-Hospital Frailty Risk Measure, United Kingdom-Hospital Frailty&#13;
Risk Score, Urgent admission, Older, Adverse outcome</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138121">
                <text>Frailty assessment is crucial for predicting outcomes in acute care settings; however, its application&#13;
remains challenging. Therefore, this study aims to evaluate and compare two electronic medical record-based tools—&#13;
the Canadian Institute for Health Information Hospital Frailty Risk Measure (CIHI-HFRM) and the United Kingdom&#13;
Hospital Frailty Risk Score (UK-HFRS)—in older patients requiring urgent admission.&#13;
Methods In this retrospective cohort study, we analyzed 35,564 patients aged 65 or older from the MIMIC-IV 2.0&#13;
&#13;
database. Frailty was assessed using CIHI-HFRM and UK-HFRS. Primary outcomes included in-hospital mortality, one-&#13;
year post-discharge mortality, post-discharge care needs, timely hospital discharge, and one-year readmission rates.&#13;
&#13;
Logistic regression, Cox regression, and competing risk models were used for analysis.&#13;
Results The CIHI-HFRM and UK-HFRS were significantly associated with in-hospital mortality [odds ratio (OR) per&#13;
&#13;
point: CIHI-HFRM 1.10 (95% confidence interval (CI) 1.07–1.13); UK-HFRS 1.06 (95% CI 1.05–1.07)] and one-year post-&#13;
discharge mortality [hazard ratio (HR) per point: CIHI-HFRM 1.08 (95% CI 1.06–1.09); UK-HFRS 1.05 (95% CI 1.04–1.05)].&#13;
&#13;
Both measures were associated with prolonged hospital stays and post-discharge care needs, while only CIHI-HFRM&#13;
was linked to one-year readmission risk.&#13;
Conclusion The CIHI-HFRM and UK-HFRS effectively stratify adverse outcomes risk in older patients requiring urgent&#13;
admission. They may be considered alongside traditional measures as part of a pragmatic multimodal pathway, which&#13;
represents a potential direction for clinical application.&#13;
Keywords Canadian Institute for Health Information-Hospital Frailty Risk Measure, United Kingdom-Hospital Frailty&#13;
Risk Score, Urgent admission, Older, Adverse outcome</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138122">
                <text>Benchuan Hao1†, Yifei Xu2†, Huimin Yang3†, Liangchen Li4&#13;
&#13;
, Zhong Zhang1&#13;
&#13;
, Huihui Xia1&#13;
&#13;
, Dapeng Song1&#13;
,&#13;
&#13;
Chaosheng Du1&#13;
&#13;
, Zhenzhen Yang1&#13;
&#13;
and Bei Zhao1*</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="138123">
                <text>&#13;
https://doi.org/10.1186/s12245-025-01061-5</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138124">
                <text>2026</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138125">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="138126">
                <text>pdf</text>
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          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138127">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
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                <text>text</text>
              </elementText>
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          </element>
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    </elementSetContainer>
    <tagContainer>
      <tag tagId="15772">
        <name>Canadian Institute for Health Information-Hospital Frailty Risk Measure,</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="12939" public="1" featured="1">
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          <name>Dublin Core</name>
          <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="138073">
                  <text>Volume 19 Issue 1 2026</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="138074">
                  <text>PERI IRAWAN</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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      </elementSetContainer>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138109">
                <text>Haemorrhagic stroke in the Democratic&#13;
Republic of the Congo: a neglected&#13;
neurosurgical emergency care in a health&#13;
system with critical gaps: a mini review</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138110">
                <text>Democratic Republic of the Congo, Haemorrhagic stroke, Global neurosurgery&#13;
    </text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138111">
                <text>Abstract&#13;
Haemorrhagic stroke, caused by bleeding in the brain, is one of the most dangerous types of stroke. It kills many&#13;
people and leaves others with lifelong disabilities. In the Democratic Republic of the Congo (DRC), this problem is&#13;
serious but often ignored. While most strokes in wealthy countries are caused by blocked blood vessels, in Africa, a&#13;
much larger number are caused by bleeding.&#13;
In the DRC, the problem is that stroke patients often arrive late at hospitals, and most hospitals do not have brain&#13;
imaging or enough specialised stroke staff to treat them promptly. The country has fewer than 20 neurosurgeons&#13;
for more than 100 million people, and most of them work in major cities. People living in rural areas usually cannot&#13;
access proper care. Even when patients arrive at a hospital, surgery and intensive care are often unavailable. Stroke&#13;
is usually managed as part of general health programmes, but the surgical aspect of haemorrhagic stroke is rarely&#13;
included. This results in many deaths that could be prevented.&#13;
This paper examines haemorrhagic stroke in the DRC from a neurosurgical perspective. We highlight how&#13;
the lack of specialists, equipment, and clear treatment protocols worsens the situation. Simultaneously, there&#13;
are opportunities for improvement: training general doctors and nurses in basic neurosurgical care, utilising&#13;
telemedicine for advice, and developing national policies that include surgery. Collecting better data and&#13;
establishing global partnerships will also be beneficial. Increasing focus on haemorrhagic stroke can save lives and&#13;
reduce disabilities in the DRC.&#13;
Keywords Democratic Republic of the Congo, Haemorrhagic stroke, Global neurosurgery</text>
              </elementText>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138112">
                <text>Franck Katembo Sikakulya1*, Larrey Kasereka Kamabu1,2, Kantenga Dieu Merci Kabulo3&#13;
&#13;
, Jeff Ntalaja4&#13;
and&#13;
&#13;
Hervé Monka Lekuya2,5</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="138113">
                <text>https://doi.org/10.1186/s12245-025-01016-w</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138114">
                <text>2026</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138115">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
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            <name>Format</name>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="138117">
                <text>english</text>
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