European clothing consumption has increased dramatically in recent decades, leading to a current average of 26 kg of textiles annually purchased per capita (EEA, 2019). While garments (and most of clothing’s environmental impacts) are produced in other parts of the world, European municipalities face a problem of increasing volumes of textile waste. Moreover, the revised waste directive of 2018 specifies that European Union countries will be obliged to collect textiles separately by 2025. This study investigates how these phenomena are affecting city-level policy and strategy, including but not limited to textile waste management. It builds on a comparative analysis of official documents informed by interviews with policy makers and waste management authorities in five European cities. The research points out that, in these cities, clothing environmental policy and other public initiatives are at varied levels of development. The paper identifies three kinds of measures, namely (a) improving separate collection, (b) waste prevention, and (c) consumption reduction. Reducing the share of textiles disposed of in general household waste (and therefore increasing separate collection) has been a central aim in cities where textiles fall under local waste regulation. The waste directive mentioned above makes separate collection of all textiles compulsory for EU members, leading to revisions in some cities’ collection systems. Some municipalities have gone one step further in preventing these textiles from reaching waste streams by supporting local initiatives for repair and reuse. The most advanced and recent approach is aiming at reductions in new clothing demand through citizen campaigns and monitoring the effect of repair and reuse actions in consumption levels. The comparative analysis leads to recommendations for future policy and strategy including developing the three approaches mentioned above simultaneously, further exploring measures for consumption reduction, and the integration of more concrete targets and monitoring plans, so that the most effective paths in social and environmental terms can be identified.
Purpose The purpose of this research was to explore women’s experiences after breast surgery with scar characteristics and symptoms, and its impact on their health-related quality of life (HRQOL). Material andmethods A qualitative study using semi-structured face-to-face interviewswas conducted among women following prophylactic, oncologic, or reconstructive breast surgery in the Netherlands. A directed content analysis was performed using guiding themes. Themes were “physical and sensory symptoms,” “impact of scar symptoms,” “personal factors,” “impact of scar interventions,” and “change over time.” Results The study population consisted of 26 women after breast surgery. Women experienced a wide range of symptoms like adherence, stiffness, pain, and uncomfortable sensations. Scar characteristics as visibility, location, texture, and size, influenced satisfaction with their appearance. The impact of scar symptoms is reflected in physical, social, emotional, and cognitive functioning, thereby affecting HRQOL. The experienced impact on HRQOL depended on several factors, like personal factors as the degree of acceptance and environmental factors like social support. Conclusion Women can experience a diversity of scar characteristics and symptoms, which play a central role in the perceived impact on HRQOL. Since scarring can have a considerable impact on HRQOL, scarring after prophylactic, oncologic and reconstructive breast surgery should be given more attention in clinical practice and research. Implications for Cancer Survivors Considering scarring as a common late effect after breast surgery and understanding the variety of experiences, which could impact HRQOL of women, can be beneficial in sufficient information provision, expectation management, and informed decision making.
Abstract: BACKGROUND: Physical inactivity is a growing public health concern. Use of mobile applications (apps) may be a powerful tool to encourage physical activity and a healthy lifestyle. For instance, apps may be used in the preparation of a running event. However, there is little evidence for the relationship between app use and change in physical activity and health in recreational runners. The aim of this study was to determine the relationship between the use of apps and changes in physical activity, health and lifestyle behaviour, and self-image of short and long distance runners.
