The outbreak of Human Immunodeficiency Virus (HIV) is one of the largest public health challenges in history. South Africa disproportionately bears the burden of HIV infections with an estimated 7.7-million people living with HIV. Although a comprehensive treatment and prevention program has been enacted in the country, the health gains achieved by these interventions have fallen short of targets set by the United Nations Programme on HIV/AIDS. Significant proportions of the population are unaware they have contracted HIV and knowledge about HIV transmission is generally lacking. For patients accessing HIV treatment services, adherence to prescribed regimens is a principal barrier to positive health outcomes. These challenges are further compounded by the development of resistance to HIV treatments. Between 2017-2022, South Africa will implement the four-generation ‘National Strategic Plan on HIV, Tuberculosis, and Sexually Transmitted Infections.’ This framework outlines interventions that will address the biomedical, behavioral, and structural barriers that have sustained HIV transmission while accelerating health advances for people living with HIV. As a result of this integrated approach and the targeted intervention population, South Africa operates the largest HIV treatment program in the world. Evaluation of South Africa’s HIV treatment and prevention activities are needed to ensure the enacted programs continually meet the needs of the population as they change over time. Additionally, program evaluation ensures limited resources are allocated in a judicious manner. Collectively, these evaluations can result in program alterations that deliver the maximum health benefit for all South African citizens. Upon analysis of the South Africa’s National Strategic Plan, several flaws in current program delivery, funding allocations, and accountability actions are immediately evident. The four generation Plan does not include specific steps outlining the exact actions that should be followed by local health officials. The Plan architects failed to incorporate key recommendations from previous investigations there were specific to the South African HIV care delivery model. If these shortcomings persist, South Africa is unlikely to meet proposed HIV reduction targets set by global health organizations. From this analysis, several amendments are recommended to the current plan, including the application of artificial intelligence behavioral mapping for at risk populations and the reallocation of funding to condom distribution, medical-male circumcisions, and social behavior change activities. These amendments represent actionable items that can spur health advancements for the HIV treatment and prevention program in South Africa. / 2022-06-08T00:00:00Z

Anthropogenic processes have led to high levels of reactive nitrogen entering freshwater ecosystems. This increase in reactive nitrogen levels has caused several adverse environmental and health effects and has resulted in higher deposition rates of nitrates to freshwater ecosystems. The costs and benefits associated with nitrate deposition have been analysed by the European Nitrogen Assessment (ENA) for European countries. However, no studies similar to this have been done for the South African context. The aim of the study was to present a cost analysis of nitrate deposition originating from power station NOx emissions. The objectives were: to examine the changes in nitrate deposition for the years 1980, 2005, 2006 and 2014; to determine the costs associated with nitrate deposition to freshwater ecosystems for the South African context; to calculate the costs of power station emissions to the Vaal River; to consider how European costs differ from South African costs; to consider the impact of the NEMAQA of 2004 and finally, to evaluate the likelihood of these costs being incurred. The years that were selected for this study were chosen due to availability of data, which were supplied by EScience Associates. Three scenarios were considered for each of these years: Scenario 1 was a case in which Eskom operated as usual without any retrofits of power stations, Scenario 2 considered the implementation of the Eskom air quality management strategy and Scenario 3 considered full compliance with the minimum emissions standards set out in the NEMAQA of 2004. The costing method followed the ENA approach, whilst considering the South African context by consulting the relevant literature. The monetized annual costs for the South African context were: mitigation options for improving water quality; increased coal consumption due to power station interventions; agricultural costs; water purification and waste treatment; health impacts and loss of biodiversity as a result of acidification and eutrophication. Power station interventions were found to be the only capital expenditure. The nitrate deposition per unit of electricity generated was expected to decrease, due to changes within the electricity mix of Eskom during this period. Furthermore, the least costly option was expected to be a scenario in which no intervention was made by Eskom to reduce emissions, due to the high capital cost associated with retrofitting low NOx burners in the older power stations. The final expected outcome was that the National Environment Management: Air Quality Act (NEMAQA) of 2004 would have led to a significant decrease in the emissions and, therefore, nitrate deposition to the Vaal River. The costs that were calculated for the South African context differed greatly from the costs in the ENA, indicating that the European costs could not be used directly for the South African context. Furthermore, the results showed that the costs of nitrate deposition increased between 1980 and 2005, decreased between 2005 and 2006 and increased again between 2006 and 2014. Between 1980, 2005 and 2006, a clear link is seen between electricity generated and nitrate deposition. Even though electricity generation increased from 2006 to 2014, the 2014 emissions data show that emissions decreased over the same period. The cost of a fine for non-compliance to emission limits is R10 million. The lowest cost calculated for each year and scenario was found to be Scenario 1 for 1980, and was approximately R 70 million of costs arising from nitrate deposition from power station emissions. The R 70 million, therefore, does not include mitigation options for water quality, increased coal consumption and power station interventions. Therefore, the fines associated with non-compliance, which occur in Scenario 1 and Scenario 2, should be increased to force compliance. The total cost associated with Eskom’s air quality strategy, calculated as part of scenario two, was the lowest cost option for 1980, 2006 and 2014. In 2005, the lowest cost option was scenario 1, where no retrofits were done by Eskom. This indicated that there was a trade-off between capital expenditure for low NOx burners and the annual costs, listed previously. This study concluded that when air quality policies, such as the NEMAQA of 2004 are implemented without stringent enforcement, the desired result is not achieved. The findings in this study show that no significant decrease in nitrate deposition occurred between 2005, when the NEMAQA of 2004 was released, and 2014, which was almost 10 years after the policy was implemented. This study makes a valuable contribution to informing policy makers on the impact of reactive nitrogen addition to the environment. Future research should be done on the cost of agricultural nitrate deposition to the Vaal River, considering that these inputs to the Vaal River are several times larger than those of deposition from power station emissions and could, therefore, have costs of a larger scale associated with them.

As the global population rises, so does the demand for food, feed, fiber, and fuel. Meeting this demand has become increasingly difficult due to the decline in farm labor and challenges associated with the economic viability of agricultural systems. Autonomous agricultural machinery has the potential to mitigate some of major challenges that crop production systems will face. Widespread adoption of autonomous machinery is dependent on two key factors, the cost and environmental impact. The development and adoption of autonomous vehicles will only occur if it is profitable for equipment manufacturers and farmers. As distillate fuel use for crop production increases, fuel efficient operations that minimize greenhouse gas emissions will mitigate the environmental impact of farming.<br><div><br></div><div>The objective of this research was to develop a model to quantify the cost, energy use, and emissions associated with the use of agricultural machinery used for row crop farming. The model calculates the cost of different sized machinery fleets for planting and harvest. Autonomy facilitates swarm farming, and the model can quantify and compare these to human-operated machinery systems.<br></div><div><br></div><div>For an 800-hectare case study farm in the Midwest, with the acreage split evenly between corn and soybeans, the most cost-effective planting machinery fleet was comprised of two autonomous, 56-kW JD 5075E tractors pulling 4-row planters ($40/ha/yr). The most cost-effective fleet used the most fuel (4,327 liters) and produced the most emissions (219,735 grams). For a similar conventional system to complete planting during the same working window, it would require 4 tractors and cost $75/ha/yr. The $35/ha/yr difference between the similar fleets was the value added by autonomy. Current row crop farming trends have shifted towards fewer operators with larger machines and implements. The most cost-effective, single operator machinery set from the database (Case Magnum 200 with a 16-row planter) costs $43/ha/yr more than overall most cost-effective fleet. Total fuel used to complete the planting operation was minimized by using a single John Deere 8320R pulling a 36-row planter. To plant all 800-hectares, the 8320R used 2,528 liters of diesel fuel and produced a combined 44,002 grams of emissions. The JD 5075E was able to minimize cost, but it used the most fuel and produced the most greenhouse gas.<br></div><div><b><br></b></div>

The diploma thesis deals with the project solution of the selection and implementation of a new information system of the company META-GAS, spol. s r.o. It specifies the basic theoretical knowledge of project management, that are further used in all parts of the work. Based on the results of analyzes of the external, internal and competitive environment a project plan and the benefits of the solution design are prepared.

ABSTRACT Santa Barbara Tea Fire Multi-Hazard Mitigation Benefit Cost Analysis David S Flamm This study examines the benefits and costs associated with the outright purchase of properties for hazard mitigation (“property acquisition mitigation”) in Santa Barbara, California which reduced four properties’ exposure to multiple hazards. The results indicate that the estimated overall benefit-cost ratio for property acquisition mitigation projects is 1.75:1 when the exposed properties meet a threshold of eminent threat for total loss. This study further suggests that when property acquisitions are performed in an area threatened by multiple hazards the mitigation becomes two to three times more beneficial than in an area threatened by a single hazard. Possible implications and future benefits associated with this mitigation and mitigations like this are also explored. Multi-hazard mitigation is an action taken to reduce or eliminate long-term risks from natural or human-caused hazards. A hazard is any condition or event with the potential to cause fatalities, injuries, property damage, infrastructure damage, economic interruptions, environmental damage, or other loss. The study area for the Tea Fire BCA (Benefit Cost Analysis) is subject to multiple hazards, primarily landslides, wildfires, and earthquakes. In an attempt to reduce the exposure to landslides a mitigation project was completed in 1998. This project included purchase of four properties by the City of Santa Barbara using federal and local funds. The undeveloped properties were left empty as open space to eliminate the exposure to risk. The project, originally intended to mitigate landslide risk, mitigated risk exposure to multiple hazards. The mitigation was put to the test during the Santa Barbara Tea Fire, a wildfire which burned approximately 2,000 acres of Santa Barbara County land in November, 2008. The following steps were followed to determine the overall loss avoidance: 1. Obtain building values before mitigation 2. Obtain current comparable building values 3. Determine burn recurrence in study area 4. Obtain fire damage estimates from FEMA BCA tool based on “before mitigation” building and contents values 5. Calculate “loss avoidance” and adjust for inflation using FEMA BCA tool 6. Add additional avoided losses not considered in BCA (e.g., emergency management costs) 7. Subtract new losses resulting from the project 8. Determine multi-hazard recurrence in study area Keywords: Hazard Mitigation, Benefit Cost Analysis, Loss Avoidance.

Master´s thesis focuses on the utilisation of project management methodology within the design of a project in a selected company. It specifies theoretical sources which are the key for the project plan proposal. It applies the theory to the project of introducing electronic commerce in the field of building material sale. The thesis containts the plan proposal and optimisation of the project in terms of time, costs and use of available resources, together with the analysis of a company environment.

The aim if the thesis is to define the repairs and maintenance of a building structure - shooting range in Brno, its technical assessment and assessment in terms of safety, hygiene environment, fire safety and ecology. The thesis also defines comprehensive list of activities necessary to be done within the repairs and maintenance for this building construction and includes analysis of costs on these repairs and maintenance activities.

Intersections often experience severe rutting in the asphalt concrete layers due to slow moving, high loads, acceleration, deceleration and turning. This thesis aims to investigate the effectiveness of grouted macadam, open graded asphalt with its voids filled with cement grout, as a pavement material at intersections. This was done by investigating the properties of grouted macadam through a literature review and performing a life-cycle cost analysis comparing grouted macadam and asphalt concrete as pavement materials at an intersection. Grouted macadam is found to be similar to asphalt concrete concerning the relation between stiffness and temperature and frequency as well as fatigue behaviour. The main differences are that grouted macadam is stiffer, stronger and not prone to rutting. Thus it would be suitable to address rutting problems. The main drawbacks are that construction demands extra time and precision and that it is expensive compared to asphalt concrete. The life-cycle cost analysis showed that assuming that the grouted macadam has a service life of twenty years and rehabilitation of the asphalt concrete in the form of mill and refill takes place every fourth year the life-cycle costs are approximately the same. A sensitivity analysis was performed that showed that local variations can have large impact on the life-cycle costs. The main conclusion is that grouted macadam can be effective as a pavement material at intersections that experiences severe rutting and frequently reoccurring rehabilitations.

No description available.

In the aviation industry, purchasing departments spend approximately 80% of revenues on procurement. Additionally, 62% of companies experience unforeseen expenses or hidden costs in the procurement process. Grounded in a conceptual framework of activity-based costing, the purpose of this case study was to explore strategies used by 5 upper-level supply chain management leaders at a maintenance repair and overhaul company in the aviation industry in the Southeastern United States to accurately forecast procurement costs. Data collection included 5 semistructured interviews, company documents, and annual reports. Through thematic analysis, the major themes that emerged from the data analysis were accuracy, competitive advantage, improved corporate performance, and improved total cost analysis. The findings may contribute to social change in the Southeastern region of the United States. The aviation industry is experiencing competition from low-cost countries and the economy of the region and hundreds of families and educational institutions depend on the success of the companies in the region for sustainability.