What potential does the EU Single-Use Plastics Directive have for reducing plastic pollution at coastlines and riversides? An evaluation based on citizen science data.

To address environmental pollution by plastic litter, the European Union adopted EU Directive 2019/904, the so called "Single-Use Plastics Directive" (SUPD), which bans several single-use plastic products and addresses additional items with measures such as extended producer responsibility and obligatory requirements for product redesign. This study assessed the potential of the SUPD to reduce litter pollution in the environment with three scenarios. The "best case" scenario assumed that all measures of the SUPD completely prevent targeted items from getting into the environment. Another scenario assumed that no measures besides bans were effective. An intermediate scenario assumed partial effectiveness of measures. Data of almost 5,000 sampling events from citizen science protocols (Plastic Pirates, International Coastal Cleanup, Marine Litter Watch) and the OSPAR protocol were used to analyse litter at riversides and coastlines in Germany and the European Union. 44 to 68% of litter items in citizen science protocols consisted of single-use plastics (cigarette butts were the most prominent items). At coastlines sampled by the OSPAR protocol, fishing gear and undefined plastics prevailed. The scenario analysis revealed that substantial litter reductions could be achieved in the "best case" scenario (upwards of 40%), while the intermediate scenario resulted in litter reductions of 13 to 25%. The marginal effect of the "only bans" scenario achieved a reduction of 2-6% in Germany and the European Union, respectively. Thus, depending on implementation and enforcement, the current SUPD can be an important first step, yet further legislative actions are needed to effectively prevent plastic waste pollution.

Gastric Cancers Missed at Upper Endoscopy in Central Norway 2007 to 2016-A Population-Based Study.

BACKGROUND: The rates of missed gastric cancers (MGC) at upper endoscopy (UE) has been reported at 5-10% in Western countries. We aimed to calculate the rate of MGC and identify factors associated with MGC. METHODS: Retrospective population-based cohort study including 730 patients diagnosed with gastric adenocarcinoma in Central Norway 2007-2016. MGCs were incident gastric adenocarcinomas diagnosed 6-36 months after a previous UE. Factors associated with MGC were examined. Definitely missed (UE 6-12 months prior) and potentially missed (UE 12-36 months prior) MGCs were compared. RESULTS: Sixty-seven (9.2%) of 730 gastric cancers were MGC. MGC were associated with localization (p = 0.009) and more frequent in the corpus, Lauren's histological type (p = 0.028) and diffuse type more prevalent, and previous Billroth 2-operation (14.9% vs. 4.7%, p = 0.001). MGCs were diagnosed at earlier stages (p = 0.037). An ulceration was more common in patients with definitely missed than potentially MGC (40.9% vs. 17.8%, p = 0.041). CONCLUSIONS: MGC accounted for 9.2% of gastric cancers in Central Norway. MGC were associated with localization in the corpus, Lauren´s diffuse type and previous Billroth-2-operation. Intensified follow-up and adequate biopsy sampling of patients with gastric ulcerations could reduce the rate of missed gastric cancers.

The Importance of Developmental Assets to Mental Health in Norwegian Youth.

In the present study, we examined the importance of developmental assets to prolonged sadness (i.e., being sad most of the time or all the time for no reason in the last month) and suicide attempt. Cross-sectional data on items measuring developmental assets as well as prolonged sadness and suicide attempt were collected from high school students in Norway (N = 591, 55% girls). The findings from independent t-tests indicated that youth with poor mental health reported less developmental assets relative to their peers who did not report such problems. In logistic regression, asset categories, such as Positive identity and Personal assets, were significantly associated with poor mental health (especially prolonged sadness) after adjusting for other asset categories and demographic factors, such as age, sex, and parents' educational background. The influence of Empowerment and Family assets, which was significant when only the assets were assessed, was no longer significant when demographic variables were also considered. While more research on factors that can promote youth mental health is needed, our findings suggest that policies and programmes that ensure that youth have access to the necessary developmental resources and opportunities may also be empowering youth, enhancing their mental health, and consequently, facilitating their active involvement in their community.