Humanising the Energy Transition:Towards a National Policy on Energy Poverty in the Netherlands

Energy poverty is emerging as a national agenda in the Netherlands. Local authority leadership and action on this agenda, and European Union reporting requirements around the energy transition have aligned to create an opportunity to establish a national agenda on this issue. Early action on energy poverty by local authorities stemmed from their recognition of the value of addressing environmental, health, social welfare and poverty goals through measures to address the problem. In contrast, the experiences of vulnerable energy consumers have limited recognition in national policy. Meanwhile EU requirements for climate reporting include a specification for measuring and monitoring energy poverty. This growing momentum has resulted in an emerging interest in energy poverty as a means to achieve a just transition at a national level, as reflected in the Dutch National Climate and Energy Plan. In this paper, we profile the case of the Netherlands, and outline the opportunity we see for the development of an energy poverty agenda in national energy transition policy, as part of a multi-level energy governance effort. We report on a national stakeholder workshop that we led, linking the lived experience of energy poverty in the Netherlands with policy solutions. Following the clear call for a national policy in this workshop, we also outline a strategy for engagement with energy poverty in the Netherlands, published recently in a white paper on this topic.</p

An Expert Elicitation of Public Acceptance of Renewable Energy in Kenya

This article reports evidence for substantial public support for the large-scale deployment of three renewable energy options in Kenya: wind, solar PV, and geothermal energy. With these renewable technologies, the government of Kenya could make a large contribution to reaching its national commitment under the Paris Agreement. Prices, infrastructural needs, and land-use requirements importantly contribute to shaping public opinion about these renewable energy alternatives, in different ways and directions for wind, PV, and geothermal energy. While overall the evaluation of these technologies is positive, public authorities should be wary of the possible inconveniences and drawbacks associated with them. Anticipating and, where possible, mitigating these shortcomings in national climate and energy development plans could preclude some of them becoming possible hindrances for broad-scale adoption of wind, PV, and geothermal energy. Furthering quantitative public acceptance studies, like the one presented here based on (semi-)expert elicitation and information-choice questionnaires, can assist in Kenya fully reaching its national climate and energy ambitions. More generally, we argue that the establishment of affordable, clean, and secure energy systems, as well as the mitigation of global climate change, can benefit from stakeholder engagement and public survey analysis like the one performed in our study – in developing countries as much as in the developed part of the world

Diagnostic yield and accuracy of CT angiography, MR angiography, and digital subtraction angiography for detection of macrovascular causes of intracerebral haemorrhage: Prospective, multicentre cohort study

Study question What are the diagnostic yield and accuracy of early computed tomography (CT) angiography followed by magnetic resonance imaging/angiography (MRI/MRA) and digital subtraction angiography (DSA) in patients with non-traumatic intracerebral haemorrhage? Methods This prospective diagnostic study enrolled 298 adults (18-70 years) treated in 22 hospitals in the Netherlands over six years. CT angiography was performed within seven days of haemorrhage. If the result was negative, MRI/MRA was performed four to eight weeks later. DSA was performed when the CT angiography or MRI/MRA results were inconclusive or negative. The main outcome was a macrovascular cause, including arteriovenous malformation, aneurysm, dural arteriovenous fistula, and cavernoma. Three blinded neuroradiologists independently evaluated the images for macrovascular causes of haemorrhage. The reference standard was the best available evidence from all findings during one year's follow-up. Study answer and limitations A macrovascular cause was identified in 69 patients (23%). 291 patients (98%) underwent CT angiography; 214 with a negative result underwent additional MRI/MRA and 97 with a negative result for both CT angiography and MRI/MRA underwent DSA. Early CT angiography detected 51 macrovascular causes (yield 17%, 95% confidence interval 13% to 22%). CT angiography with MRI/MRA identified two additional macrovascular causes (18%, 14% to 23%) and these modalities combined with DSA another 15 (23%, 18% to 28%). This last extensive strategy failed to detect a cavernoma, which was identified on MRI during follow-up (reference strategy). The positive predictive value of CT angiography was 72% (60% to 82%), of additional MRI/MRA was 35% (14% to 62%), and of additional DSA was 100% (75% to 100%). None of the patients experienced complications with CT angiography or MRI/MRA; 0.6% of patients who underwent DSA experienced p

How to engage end-users in smart energy behaviour?

End users will play a crucial role in up-coming smart grids that aim to link end-users and energy providers in a better balanced and more efficient electricity system. Within this context, this paper aims to deliver a coherent view on current good practice in end-user engagement in smart grid projects. It draws from a recent review of theoretical insights from sustainable consumption behaviour, social marketing and innovation systems and empirical insights from recent smart grid projects to create an inventory of common motivators, enablers and barriers of behavioural change, and the end-user engagement principles that can be derived from that. We conclude with identifying current research challenges as input for a research agenda on end-user engagement in smart grids