Short-term Measurements Research Articles

Inter- and intra-examiner reliability of short-term measurement of heart rate variability on rest in patients hospitalized with COVID-19

Measures reflecting cardiac sympathovagal activity, particularly those associated with heart rate variability (HRV), are widely recognized and utilized in both scientific and clinical contexts. This study aimed to assess the inter- and intra-examiner reliability of short-term HRV parameters in patients hospitalized with coronavirus disease 2019 (COVID-19). A total of 103 patients (both sexes) diagnosed with COVID-19 were included in the study. HRV was analyzed using both linear and nonlinear methods. Reliability was evaluated through intraclass correlation coefficient (ICC2.1), minimum detectable change (MDC), standard error of measurement (SEM), and coefficient of variation (CV). According to Fleiss’ criteria, excellent reliability was demonstrated, with ICC values ranging from 0.970 to 0.999 for Examiner 1, and from 0.956 to 0.999, for Examiner 2. In the inter-examiner analysis, the ICCs of HRV parameters ranged from 0.972 to 0.999. SEM values for intra-examiner reliability for Examiner 1 ranged from 0.02 to 5.64, with MDC values from 0.05 to 15.64, and CV (%) from 0.28 to 8.04. For Examiner 2, SEM values ranged from 0.02 to 8.18, MDC values from 0.05 to 22.68, and CV (%) from 0.24 to 8.14. For inter-examiner reliability, SEM values ranged from 0.02 to 6.17, MDC from 0.06 to 17.11, and CV (%) from 0.34 to 9.81. Across all analyses, CVs for HRV parameters remained below 10%. Considering different time points and different examiners, short-term resting HRV measurements in patients hospitalized with COVID-19, as evaluated using a portable heart rate device, exhibit high reliability.

Protecting nutrition in a food crisis.

Food insecurity and malnutrition are rising worldwide due to disruptions in food systems related to interconnected health-, climate- and conflict-related crises. Although governments globally are committed to addressing nutritional challenges, policy responses have increasingly focused on food security and, particularly, on food affordability. However, these short-term measures often overlook the necessity of integrating nutritious foods into the food system to ensure improved long-term nutrition. By drawing on the United Nations Committee on World Food Security's Voluntary guidelines on food systems and nutrition, this article outlines opportunities for policy-makers to integrate nutrition into key elements of the crisis response. Key policy areas where nutrition could be further integrated include social protection, agricultural investment, trade policy and urban planning. Strengthening the focus of nutrition in these measures will be essential to establish long-term incentives that support food systems transformation for improved nutrition. Drawing on theories of the policy process, I propose that stronger governance and cross-sectoral dialogue will be critical to achieve sustained nutritional outcomes. Health policy-makers can play a leadership role in supporting cross-sectoral policy change by carefully framing the policy issues, advocating for institutional structures that promote collaboration across sectors to prioritize nutrition, and strengthening the management of conflicts of interest in food system policy-making.

A Novel Spectral Correction Method for Predicting the Annual Solar Photovoltaic Performance Ratio Using Short-Term Measurements

A Novel Spectral Correction Method for Predicting the Annual Solar Photovoltaic Performance Ratio Using Short-Term Measurements

Proposals on Effective Implementation of the Carbon Intensity Indication of Ships

The Carbon Intensity Indicator (CII) regulation is a short-term measure of IMO for reducing GHG emissions from ships. In addition, the 2023 IMO GHG Strategy describes that the CII regulation is anticipated to create a potential synergy effect with other measures. Accordingly, the CII regulation, which took effect in 2023, is forecast to increasingly impact international shipping and the commercial vessel market. However, efforts to improve energy efficiency and implement slow steaming for ships are insufficient to meet the CII regulation that is increasingly stringent over time. Therefore, there is a growing need for fundamental improvements in future response strategies. In this study, major causes of low CII ratings for ships were investigated from a recent consulting project that was conducted to support shipping companies in satisfying the regulation from operational and technical perspectives. Lastly, proposals to implement the CII regulation effectively and to reduce GHG emissions from ships fundamentally were made, taking into account the major causes derived from the consulting.

Effects of the vehicle fleet on air quality in an urban university environment of Ecuador

Introduction: Air quality in university environments is critical for the health and well-being of students and staff. This study aims to identify the permissible pollutants emitted in the parking lots of the State Technical University of Quevedo (UTEQ) in the canton of Quevedo, province of Los Ríos, Ecuador. Methods: An abductive (inductive-deductive) approach was employed, utilizing statistical methods to analyze primary emission data. In-situ measurements of pollutants, specifically carbon monoxide (CO) and particulate matter (PM2.5 and PM10), were conducted monthly across three parking lots at the university. Each parking lot contained three strategically established monitoring points, where measurements were taken during peak entry and exit hours and on days of highest traffic, using the Temtop M2000C-2º sensor. Results: The findings revealed significant statistical differences in pollutant concentrations among the parking lots. CO levels were notably higher in the main parking lot during midday, while PM2.5 and PM10 exhibited greater dispersion in the rear parking lot. The maximum measured values were 456.71 ppm (CO) in the main parking lot, 22.29 µg/m³ (PM2.5) in the Produteq lot, and 32.54 µg/m³ (PM10) in the rear parking lot, all of which remain within the permissible limits established by Ecuadorian legislation. Conclusion: Although air pollution levels at UTEQ are classified as moderate, the results underscore the necessity for implementing short-term mitigation measures to enhance air quality. It is recommended that university authorities develop projects and actions aimed at reducing vehicular emissions and improving overall environmental conditions on campus.

Small particle drug-eluting beads-transarterial chemoembolization combined with targeted therapy in the clinical treatment of unresectable liver cancer.

Liver cancer is a highly malignant tumor with significant clinical impact. Chemotherapy alone often yields suboptimal outcomes in both the short and long term, characterized by high rates of local recurrence and distant metastasis, leading to a poor long-term prognosis. To evaluate the clinical efficacy of small particle drug-eluting beads-transarterial chemoembolization (DEB-TACE) combined with targeted therapy for the treatment of unresectable liver cancer. We analyzed clinical data from 74 patients with unresectable liver cancer admitted between January 2019 and December 2020. Based on the different treatment regimens administered, patients were divided into the control (36 patients receiving sorafenib alone) and joint (38 patients receiving small particle DEB-TACE combined with sorafenib) groups. We compared liver function indicators [alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TBIL), albumin (ALB)] and serum tumor markers [alpha fetoprotein (AFP)] before and after treatment in both groups. Short-term efficacy measures [complete response (CR), partial response, progression disease, stable disease, objective response rate (ORR), and disease control rate (DCR)] were assessed post-treatment. Long-term follow-up evaluated median overall survival (OS), progression-free survival (PFS), and adverse reaction rates between the two groups. One month post-treatment, the joint group demonstrated significantly higher rates of CR, ORR, and DCR compared to the control group (P < 0.05). Three days after treatment, the joint group showed elevated levels of ALT, AST, and TBIL but reduced levels of ALB and AFP compared to the control group (P < 0.05). The median OS was 18 months for the control group and 25 months for the joint group, while the median PFS was 15 months for the control group and 22 months for the joint group, with significant differences observed (log-rank: χ 2 = 7.824, 6.861, respectively; P = 0.005, 0.009, respectively). The incidence of adverse reactions was not significantly different between the groups (P > 0.05). The combination of small particle DEB-TACE and sorafenib significantly improves both short- and long-term outcomes in the treatment of unresectable liver cancer while preserving liver function.

Measuring psychological immersion through cardiovascular response measures in subtitled films

Abstract This paper presents a conceptual replication of Kruger et al.’s (2017a) study, investigating the utility of heart rate (HR) and heart rate variability (HRV) indicators as objective measurements of psychological immersion in subtitled audiovisual products. The study employed a quasi-experimental design in ten participants viewing video clips with and without subtitles, while their physiological responses were monitored. Results suggest lower arousal levels in both conditions compared to baseline, with statistically significant differences observed in mean HR, mean RR, and RMSSD for the subtitles condition. While most inferential tests did not yield significant outcomes, descriptive trends indicate decreased arousal relative to the baseline. They also show increased arousal throughout the clip for most indicators and opposing trends for Mean HR, RMSSD and LF/HF between the two conditions. Methodological suggestions include using multiple data points for HR and HRV analysis, exploring ultra short-term measurements, selecting self-contained clips for viewing, and considering post-task baselines for a more accurate resting state representation. Despite limitations due to the small sample size, this study underscores the potential of HR and HRV as measures of immersion in translated audiovisual products, emphasising the need for larger sample sizes in future research to enhance statistical power and generalizability.

Thermal performance assessment of traditional Japanese wooden houses with short-term measurements: Machine learning approaches

Traditional Japanese wooden houses are sustainable and vernacular in nature; however, energy consumption owing to poor insulation is inevitable in the winter. These wooden houses in Japan are an integral part of historical landscapes and are protected from the potential risks of retrofitting. To continue using these houses without bearing additional energy burdens, it is necessary to better understand their actual thermal performance. Therefore, this study proposes a combined approach to assess the thermal performance of traditional Japanese-style rooms using in-situ thermal measurements and machine learning predictive methods. The in-situ thermal measurements evaluated the actual thermal environment of traditional Japanese-style rooms with and without air conditioners (AC) during winter. Similarly, two machine learning models, support vector regression (SVR) and random forest regression (RFR) were developed to predict the indoor temperature based on the external factors and their adjacent rooms temperature. The result revealed strong thermal interaction between adjacent rooms, likely driven by heat transfer dynamic. To further investigate these interactions, thermal images of each room were analyzed after the AC was in use. The result revealed the presence of hot and cold spot within the gap of sliding fusuma (thick paper made door) and ranma (transom or indoor ventilation), indicating significant heat transfer between the AC and non-AC rooms. Consequently, the prediction model for the AC room temperature was notably influenced by the thermal conditions of adjacent non-AC room. Thus, this study proposes a simple yet reliable approach that enables resident to prioritize thermal improvements for efficient and cost-effective renovations.

Assessment of internal disaster and emergency preparedness in hospitals using the Hospital Safety Index tool

BackgroundWhile being vital infrastructure in circumstances of crisis, health and treatment facilities' equipment is at risk of destruction, and harm to healthcare structures may prevent medical services from being delivered. Enhancements could promote resilience, and assessing current facilities for internal disaster preparedness is crucial. An evaluation of three hospitals' internal emergency and disaster preparedness is presented in this paper. MethodsHospital safety and preparedness were assessed using the World Health Organization's (WHO) Second Edition of Hospital Safety Index (HSI) tool. The safety indices were determined by three modules: emergency and disaster management, non-structural, and structural. A safety rating, represented as a probability with a maximum value of one and a minimum value of zero, is determined by adding up the weighted results. Over three days, a multi-disciplinary team performed three hospital assessments through staff interviews and visual inspections. ResultsThe study hospitals' safety indices were 0.90, 0.60, and 0.73; two were classified as Classification A, meaning they will probably be able to function in emergencies and disasters, and one was classified as Classification B, meaning that short-term intervention measures would be required to ensure the hospital's proper operation in the event of an internal disaster. This study has identified areas that must be prepared for internal disasters to increase resilience. These areas include (a) infrastructure, which has weaker protection, access, and physical security due to relatively old buildings; (b) critical systems, which have emergency response committees established by hospitals and can be improved by hospital staff receiving emergency response training; and (c) non-structural issues, which include the need to improve fuel storage, cupboard safety, shelf contents, and fitting protection. ConclusionClassification A applies to hospitals 1 and 3, whereas Classification B applies to Hospital 2. The HSI tool is a user-friendly, all-inclusive instrument offered by a reputable organisation that should be frequently used to evaluate the internal preparation of different hospitals for disasters.

Evaluating Short-Term Patient-Reported Outcome Measures Following Total Hip and Knee Replacement: A Comprehensive Review.

Total hip replacement (THR) and total knee replacement (TKR) are widely performed surgical procedures to alleviate pain and improve function in patients with joint-related diseases. Short-term patient-reported outcome measures (PROMs) have become a key metric in assessing the success of these surgeries from the patient's perspective, focusing on early recovery, pain management, mobility, and quality of life. This comprehensive review evaluates the significance of short-term PROMs following THR and TKR, highlighting commonly used tools such as the Oxford Hip Score (OHS), Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and short-form health survey (SF-36). The analysis explores the impact of various factors, such as age, preoperative health status, and surgical technique, on short-term outcomes. Findings from recent studies indicate that while patients generally report improvements in physical function and pain relief within the first six months post-surgery, individual outcomes can vary significantly. Factors like early rehabilitation, mental health, and the presence of postoperative complications can influence the trajectory of recovery and satisfaction levels. Moreover, the review addresses the limitations of current PROMs, including variability in reporting and sensitivity to different patient populations. This review emphasizes the need for more personalized and standardized approaches to PROM assessment to better capture patient experiences and optimize postoperative care. Future research should focus on integrating PROMs with long-term follow-up data and digital health tools to track real-time patient progress, thus enhancing the overall quality of care for THR and TKR patients. Short-term PROMs play a vital role in understanding patient outcomes and guiding clinical practice for joint replacement surgeries.

Age-Friendly Urban Design for Older Pedestrian Road Safety: A Street Segment Level Analysis in Madrid

Walking benefits older pedestrians but exposes them to traffic crashes. With an aging population, designing age-friendly cities is crucial, yet research on older pedestrian safety at a micro-level is limited. This study aims to reduce older pedestrian–vehicle collisions and create more livable environments through infrastructure policies derived from statistical data analysis. Special attention is focused on collecting a holistic set of infrastructure variables to reflect most of the street built environment elements, which helps policymakers implement short-term safety measures. Using Bayesian Poisson regression, this study analyzes factors contributing to the occurrence of crashes involving older and non-older pedestrians on road segments in Madrid, Spain. The results indicate that different factors affect the occurrence of crashes for all pedestrians versus older pedestrians specifically. Traffic crashes involving all pedestrians are affected by leisure points of interest, bus stops, and crosswalk density. Older pedestrian traffic crashes are influenced by population density, the presence of trees and trash containers, and contour complexity. Proposed measures include relocating trees and trash containers, modifying bus stops, and adding crosswalks and traffic lights. This paper also shows that these countermeasures, aimed at creating age-friendly streets for older pedestrians, are not expected to worsen the road safety of other pedestrians.

The need for a broad perspective when assessing value-for-money for out-of-hours primary care.

Out-of-hours primary care (OOH-PC) has emerged as a promising solution to improve efficiency, accessibility, and quality of care and to reduce the strain on emergency departments. As this modality gains traction in diverse healthcare settings, it is increasingly important to fully assess its societal value-for-money and conduct thorough process evaluations. However, current economic evaluations mostly emphasise direct- and short-term effect measures, thus lacking a broader societal perspective. This study offers a comprehensive overview of current effect measures in OOH-PC evaluations and proposes additional measures from the evaluation of integrated care programmes. First, we systematically identified the effect measures from published cost-effectiveness studies and classified them as process, outcome, and resource use measures. Second, we elaborate on the incorporation of 'productivity gains', 'health promotion and early intervention', and 'continuity of care' as additional effects into economic evaluations of OOH-PC. Seeking care affects personal and employee time, potentially resulting in decreased productivity. Challenges in taking time off work and limited access to convenient care are often cited as barriers to accessing primary care. As such, OOH-PC can potentially reduce opportunity costs for patients. Furthermore, improving access to healthcare is important in determining whether people receive promotional and preventive services. Health promotion involves empowering people to take control of their health and its determinants. Given the unscheduled nature and the fragmented or rotational care in OOH-PC, the degree to which interventions and modalities provide continuity should be monitored, assessed, and included in economic evaluations. Continuity of care in primary care improves patient satisfaction, promotes adherence to medical advice, reduces reliance on hospitals, and reduces mortality. Although it is essential to also address local settings and needs, the integration of broader scope measures into OOH-PC economic evaluations improves the comprehensive evaluation that aligns with welfare gains.

Comparison of Laparoendoscopic Single-Site Adrenalectomy with the Aid of Intracavitary Retractors and Multiport Laparoendoscopic Adrenalectomy.

Objective: To evaluate the operative outcome of the use of intracavitary retractors in transumbilical laparoendoscopic single-site (LESS) adrenalectomy in comparison with the conventional multiport laparoendoscopic procedure. Methods: Between July 2021 and December 2023, 34 patients underwent transumbilical LESS adrenalectomy with intracavitary retractors, while 47 patients underwent conventional multiport laparoscopic adrenalectomy. Comprehensive data were compared, including demographics, intraoperative outcomes, perioperative complications, postoperative visual analog pain scale score, analgesic requirement, and short-term measures of convalescence. Results: Baseline characteristics were similar between the groups. All procedures were successfully completed without additional access or open conversion. The mean operative time and estimated blood loss for LESS adrenalectomy were comparable with multiport adrenalectomy. The LESS group had significantly shorter incision length (3.07 cm versus 5.16 cm, P < .01), lower postoperative pain scores (3.29 versus 4.91, P < .01), less analgesic drug use (29% versus 53%, P = .03), and better cosmetic scores (9.29 versus 7.28, P < .01). No significant differences were observed in time to resume oral intake, time to ambulation, or postoperative hospital stay. Complication rates were similar between the groups. Conclusion: The utilization of intracavitary retractors in transumbilical LESS adrenalectomy has demonstrated feasibility, effectiveness, and the potential to reduce technical complexities with satisfactory cosmetic effects. This technique enhances visualization of the surgical field without the need for extra ports.

Enhancing Urban Climate Resistance Through the Application of Selected Strategies and Technologies

Adapting cities for climate resilience is crucial as climate change increases the frequency and severity of extreme weather events. This study outlines a comprehensive set of resilience strategies aimed at enhancing urban resilience across four key domains: water, food, shelter, and energy. These strategies, applicable to both new and existing neighborhoods, range from simple, short-term measures to complex, long-term initiatives. A three-pronged evaluation framework, consisting of three platforms, is introduced to assess these strategies where criteria are initially selected based on their impact on strategy adoption and implementation. This framework employs hypothetical scores and weights that can be adjusted for specific urban contexts through detailed studies. Key outcomes of the evaluation conducted in the first platform include a systematic method to rank strategies based on six criteria: cost, infrastructure impact, scalability, regulatory and zoning challenges, community acceptance, and maintenance needs. For example, community gardens and rainwater harvesting systems are highly scalable and accepted, whereas green roofs require more investment and maintenance. The second and third platform of the framework facilitate the identification of strategies that enhance resilience across each of the resilience domains, as well as across several domains. The results highlight the top-performing strategies under different weighted scenarios. Strategies like green roofs strategy scores high in domains like water management, due to its capacity to absorb and manage stormwater, and energy, by providing natural insulation that reduces heating and cooling demands. Additionally, green roofs contribute to food production when utilized for urban agriculture and enhance shelter by improving building durability and increasing biodiversity This data-driven framework supports the strategic prioritization of resilience strategies, enhancing urban planning and investment decisions globally. Its modularity ensures adaptability to diverse urban settings and climatic issues.

The politics of knowledge in black carbon mitigation: Policy entrepreneurship of Finnish actors and the Climate and Clean Air Coalition

Mitigation of black carbon (BC) is a potent short-term measure for climate and environmental policy due to the short lifetime of BC particles in the atmosphere. Fewer BC emissions would decelerate warming especially in the Arctic and bring significant co-benefits particularly in populous countries owing to BC’s negative public health, food security and socio-economic effects. However, scientific knowledge on BC remains uncertain regarding the measurement, monitoring and precise effects of BC while the respective global policy framework is fragmented. To address this situation, we scrutinize the science/policy nexus in BC mitigation on the regional level where some promising openings exist. For this end, our new analytical framework focuses on policy entrepreneurs, their interests and cognitive frames, and the structural environment. Utilising content analysis of expert interviews and document data, three cases are covered with significant policy entrepreneurship on BC. First, we examine Finland ‘s high-profile BC initiative, finding it to frame BC pollution as an Arctic climate threat. Second, Finland’s research, development and innovation cluster, which has substantial expertise on air pollution, frames BC as a public health hazard, and scopes prospects for policy frameworks helping to open markets for mitigation technologies and solutions. Third, the Climate and Clean Air Coalition approaches BC with a wide multipollutant frame, driven by broad socio-economic and developmental interests. The Finnish initiative’s potential is found to suffer from insufficient coordination with the RDI cluster. Both Finland’s BC specific and the CCAC’s wider multipollutant frame can in different ways contribute to abatement.

Intra- and Inter-Rater Reliability of Linear and Nonlinear Measures of Short-Term Heart Rate Variability Following Combat-Related Traumatic Injury.

Heart rate variability (HRV) is a marker of autonomic function. However, the reliability of short-term HRV measurement in individuals with combat-related traumatic injury (CRTI) remains undetermined. An intra- and inter-rater reliability study was conducted using a subsample (n = 35) of British servicemen with CRTI enrolled in the ongoing ADVANCE study. A five-minute epoch of single-lead electrocardiogram data collected during spontaneous breathing was used to measure HRV. HRV analyses were independently performed by two examiners using Kubios. Intraclass correlation coefficient (ICC), standard error of measurement (SEM), minimum detectable change (MDC), and coefficient of variance were calculated for linear [root mean square of successive difference (RMSSD), standard deviation of NN interval, low-frequency, high-frequency, total power] and nonlinear (SD1-2, acceleration and deceleration capacities, sample entropy) measures. Bland-Altman %plots were used to assess bias in intra- and inter-rater HRV data. The mean age of participants was 39.3 ± 6.3 years. An excellent ICC score of 0.9998 (95% CI 0.9997, 0.9999) was observed for intra-rater analyses of RMSSD, and similar excellent ICC scores were seen for all other HRV measures. The inter-rater reliability analyses produced an excellent ICC score (range 0.97-1.00). Comparatively, frequency-domain measures produced higher MDC% and SEM% scores than time-domain and nonlinear measures in both inter- and intra-rater analyses. The Bland-Altman plots revealed relatively higher bias for frequency-domain and nonlinear measures than time-domain measures. ECG-related short-term HRV measures were reliable in injured servicemen under spontaneous breathing. However, the reliability appeared better with the time-domain measure than frequency-domain and nonlinear measures in this sample.

Carrot or stick? Environmental and welfare implications of sustainable aviation fuel policies

Sustainable aviation fuel (SAF) serves as a critical short-term measure for reducing aviation's carbon footprint. Two main policy tools, subsidy and quota, have been developed to support its usage. We build an economic model to compare the environmental and welfare impacts of these two policies. First, we find that if an airline uses the same portion of SAF under both policies, the subsidy approach results in reduced SAF costs, augmented airline output, and heightened emissions. Second, the subsidy policy is better than the quota policy in terms of consumer surplus, airline profits, SAF blender profit, and social welfare, if the traditional aviation fuel is sufficiently inexpensive and the emission regulation under the subsidy policy is adequately stringent. Finally, to demonstrate the empirical relevance of our theoretical framework, we have employed empirically-validated parameters for model calibration. Sensitivity analysis indicates that SAF production costs and market potential are pivotal factors influencing governmental policy formulation. With the reduction in SAF production expenses and the growth of the aviation sector, the government is positioned to adopt a more aggressive policy stance, characterized by higher SAF quotas and increased subsidies, to stimulate the uptake of SAF by airlines.

ECONOMIC CONSEQUENCES OF WAR IN UKRAINE: A COMPREHENSIVE ANALYSIS

The armed conflict that erupted in Ukraine has had profound economic ramifications, not only for the country itself but also for the wider region. This paper aims to provide a comprehensive analysis of the economic consequences of the war in Ukraine, exploring its impact on various sectors and long-term development prospects. Drawing upon a range of primary and secondary data sources, the study presents a multifaceted assessment of the economic effects, considering both immediate and long-term implications. The paper examines the direct costs of the conflict, including the destruction of infrastructure, loss of human capital, and disruption of production and trade. It investigates the impact on key sectors such as agriculture, manufacturing, energy, and finance, highlighting the challenges faced by businesses and the labor market. It examines the role of external financial assistance and the effectiveness of economic policies implemented during the crisis. Finally, the study concludes by synthesizing the key findings on the economic consequences of the war in Ukraine. These recommendations encompass both short-term measures to address immediate challenges and long-term strategies to foster sustainable economic development and reconciliation. This comprehensive analysis of the economic consequences of the war in Ukraine contributes to the existing literature by providing a nuanced understanding of the multifaceted impacts of the conflict. It offers valuable insights for policymakers, international organizations, and researchers seeking to comprehend and address the economic challenges arising from war-affected regions.

Strategy and Metrological Support for Indoor Radon Measurements Using Popular Low-Cost Active Monitors with High and Low Sensitivity.

Traditionally, for indoor radon testing, predominantly passive measurements have been used, typically applying the solid-state alpha track-etch method for long-term and the charcoal method for short-term measurements. However, increasingly, affordable consumer-grade active monitors have become available in the last few years, which can generate a concentration time series of an almost arbitrary duration. Firstly, we argue that consumer-grade monitors can well be used for quality-assured indoor radon assessment and consequent reliable decisions. Secondly, we discuss the requirements of quality assurance, which actually allow for reliable decision-making. In particular, as part of a rational strategy, we discuss how to interpret measurement results from low-cost active monitors with high and low sensitivity with respect to deciding on conformity with reference levels that are the annual average concentration of indoor radon. Rigorous analysis shows that temporal variations in radon are a major component of the uncertainty in decision-making, the reliability of which is practically independent of monitor sensitivity. Manufacturers of low-cost radon monitors already provide sufficient reliability and quality of calibration for their devices, which can be used by both professional inspectors and the general public. Therefore, within the suggested measurement strategy and metrologically assured criteria, we only propose to clarify the set and values of the key metrological characteristics of radon monitors as well as to upgrade user-friendly online tools. By implementing clear metrological requirements as well as the rational measurement strategy for the reliable conformity assessment of a room (building) with radon safety requirements, we anticipate significant reductions in testing costs, increased accessibility, and enhanced quality assurance and control (QA/QC) in indoor radon measurements.

REPowerEU as a Crisis Response: Immediate Diversification and Green Transition

The EU has been facing an energy crisis on behalf of Russia’s invasion of Ukraine in February 2022. To substitute Russian fossil fuels, the EU has built its response on the European Green Deal (EGD), the REPowerEU plan. The plan has three main pillars: diversification of energy supplies, green energy investments, and promoting energy saving. The article focuses on the performance of the REPowerEU Plan by analyzing it both internally and externally. The article provides a background for how the REPowerEU Plan is built upon the EGD by examining the links between these two strategies. Then, the article focuses on these three pillars. First, the article provides an insight into the diversification policy by referencing LNG and pipeline agreements and critical raw material agreements for renewables. Second, the article provides an overview of the EU’s green energy investments since the initiation of the REPowerEU Plan. Third, energy saving is analyzed through the internal practices of the EU. The article emphasizes that the REPowerEU plan entails a combination of short-term and long-term measures in the energy crisis response. Though the plan has contributed to the EGD’s overarching goals in a broader context, its primary focus seems to secure the EU’s energy demand. In this sense, the article draws a conclusion that underlines the imbalance between the green transition and the immediate needs.