Objective: The aim of this study is to evaluate, through a systematic review of hospital-based studies, the proportion of road traffic injuries and fatalities in sub-Saharan Africa (SSA).
Methods: In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analysis of Observational Studies in Epidemiology guidelines, we searched the following electronic databases: PubMed, Embase, Africa-Wide Information, Global Health, and Web of Science. Articles were eligible if they measured proportion of road traffic injuries (RTIs) in SSA by using hospital-based studies. In addition, a reference and citation analysis was conducted as well as a data quality assessment.
Results: Up to 2015, there were a total of 83 hospital-based epidemiologic studies, including 310,660 trauma patients and 99,751 RTI cases, in 13 SSA countries. The median proportion of RTIs among trauma patients was 32% (4 to 91%), of which the median proportion of death for the included articles was 5% (0.3 to 41%).
Conclusion: The number of studies evaluating RTI proportions and fatalities in SSA countries is increasing but without the exponential rise expected from World Health Organization calls for research during the Decade of Action for Road Traffic Injuries. Further research infrastructure including standardization of taxonomy, definitions, and data reporting measures, as well as funding, would allow for improved cross-country comparisons. 相似文献
为分析和掌握南水北调中线干渠生态系统结构与功能的特征参数,根据2015~2019年中线干渠鱼类资源调查数据及实测的鱼类生物学参数数据,应用Ecopath with Ecosim 6.6软件构建了Ecopath食物网模型.模型由18个功能组组成,包括了初级生产者、初级消费者、主要鱼类和有机碎屑等.结果显示:中线干渠生态系统规模总流量、总生产量和总消耗量分别为19186.330,8947.857和1106.002(t/(km2·a)),食物网主要由4个整合营养级(1.00~3.71)构成,最高营养级为大型肉食性鱼类鱤(3.71).食物网能量传递主要有两条途径,分别为牧食食物链和碎屑食物链,两者传递的能量相当,但牧食食物链传递效率是碎屑食物链的近两倍.交互营养分析结果表明,捕食者对其饵料生物的影响一般为抑制作用,碎屑生物量的增加对大部分功能组的影响为正效应,小型上层鱼类对浮游动物生物量起抑制作用.从各功能组之间的生态位重叠来看,各功能组间捕食者生态位重叠现象不普遍,重叠指数适中,部分肉食性鱼类的捕食者生态位重叠指数达到1.对生态系统总体特征分析发现,中线干渠生态系统的总初级生产量与总呼吸量的比值(P/R)、总初级生产量与总生物量的比值(P/B)、Finn's循环指数(FCI)和Finn's平均路径长度(FML)都表明该生态系统处于发展的幼态期,抵抗外界干扰的能力差.此外,中线干渠生态系统对初级生产力的利用率很低,导致过多的营养物质未进入更高营养级的食物链中进行循环,造成系统能量流动的滞缓.因此,根据生物操纵理论,可通过优化和完善鱼类群落结构,增强对系统初级生产力的利用效率,促进物质循环和能量流动,维持生态系统稳定. 相似文献