Systematic review and meta-analysis of the global prevalence of sexually transmitted infections in people living with HIV and associated risk factors.

People living with HIV (PLWH) constitute a vulnerable population for acquiring additional sexually transmitted infections (STIs). This study was conducted to provide a summary of the evidence on the global prevalence of STIs in PLWH with an emphasis on infectious agents, diagnostic methods, and related risk factors. PubMed, Scopus, and Web of Science were systematically searched to include records published from January 01, 1990, to January 31, 2022, and the Google Scholar search engine was used to check the search strategy. In total, 132 eligible studies reporting STIs in PLWH were included, enrolling subjects from 35 countries across five continents. The pooled proportion of STIs was estimated to be 30.23% (95% CI, 26.1-34.45%) in PLWH and 20.01% (95% CI, 17.17-23.01%) in HIV-negative patients. Our meta-analysis indicated that in PLWH, the pooled OR of STIs compared to HIV-negatives was 1.77 (95% CI: 1.58-1.98) (p < 0.0001). The pooled OR of STIs by viral infectious agents was highest in PLWH (52.19% [95% CI: 43.88-60.43]) compared with fungal (22.19% [95% CI: 15.64-29.53]), bacterial (19.07% [95% CI: 13.59-26.63]), and parasitic (14.05% [95% CI: 11.88-16.38]) infections. Our findings show that there is a rather significant frequency of STIs among PLWH. This study highlights the need for new programs for the detection, treatment, and prevention of STIs in this at-risk population.

Characterization of contaminant leaching from asphalt pavements: A critical review of measurement methods, reclaimed asphalt pavement, porous asphalt, and waste-modified asphalt mixtures.

In recent years, the pavement industry has been seeking sustainable development through recycling reclaimed asphalt pavement and reusing other waste materials as replacements for asphalt mixture constituents. Incorporating waste material into asphalt mixture and the presence of pollutants such as exhaust fumes and gasoline due to vehicle traffic may lead to contaminants leaching from asphalt pavements to underlying soil layers and groundwater aquifers, posing serious risks to ecosystems and the environment. To cast light on contaminant leaching from asphalt pavements, this article presents a comprehensive review of the literature that is divided into four research areas: evaluation of leaching measurement methods, leaching from recycled asphalt materials, leaching characteristics of porous asphalt pavements, and waste-modified asphalt mixtures. Moreover, a critical discussion of bibliometric data, literature content and knowledge gaps in this domain is provided to help highway agencies and environmental scientists address contaminant leaching from asphalt pavements. Finally, some potential research directions are suggested for future research works.