"…You are not particularly helpful as a helper when you are helpless” A qualitative study of Public Health Nurses and their professional competence related to suicidal adolescents

The aim of this study was to develop knowledge about the significance of the Applied Suicide Intervention Skills Training workshop (equal to "Vivat – Førstehjelp ved selvmordsfare”) to Public Health Nurses’ practice with suicidal adolescents. Data was gathered through three focus groups, which were interviewed twice. The empirical material was processed using qualitatively content analysis. The main findings and interpretations were that the Public Health Nurses reports that the workshop has increased their professional mastery, their proficiency in actions and their dialogue competency. This has expanded their professional repertoire and probably improved the quality of their care

Contaminants in coastal waters of Norway 2016

Revised version of 7200-2017 / M-856This programme examines the levels, trends and effects of contaminants in biota along the coast of Norway. The 2016- investigation included analyses of 104 different contaminants or biological effect parameters in five types of samples (blue mussel, dog whelk, common periwinkle and cod). The contaminants include metals (Hg, Cd, Pb, Cu, Zn, Ag, As, Ni, Cr and Co), tributyltin (TBT), organochlorines (e.g. PCBs, DDT), PAHs, polybrominated diphenyl ethers (PBDEs), perfluorinated alkylated substances (PFAS) as well as contaminants that have recently received much attention such as hexabromocyclododecane (HBCDs), chlorinated paraffins (SCCP, MCCP), phosphorus flame retardants (PFRs), bisphenol A (BPA), tetrabrombisphenol A (TBBPA) and alkyphenols. Biological effects parameters included VDSI, OH-pyrene metabolites, ALA-D and EROD. In the report, 30 representative substances or parameters were chosen for analyses of 800 time series (last 10 years). Of these there were statistically significant trends in 135 cases: 107 were downwards and 28 upwards. The dominance of downward trends indicated that contamination is decreasing for the measured substances. The downwards trends for TBT-concentrations and effect parameter (VDSI) confirmed that the legislation banning the use of TBT has been effective. Of the 2016-medians for all 800 time series, there were 403 cases that could be classified against EQS, of which 254 (63 %) were below the EQS and 149 (37 %) were above the EQS. All of the 2016-medians from the 800 time series could be classified using a new concept denoted provisional high reference concentrations (PROREF). Of these 594 were below PROREF and 206 exceeded PROREF: 124 by a factor of less than two, 59 by a factor between two and five, 11 by a factor between five and 10, six by a factor between 10 and 20, and six by a factor greater than 20. Some cases warrant special concern, such as high concentrations of several organic pollutants in cod liver from the Inner Oslofjord. High concentrations of DDE in mussels from the Sørfjord were related to earlier use of DDT as pesticide in orchards along the fjord. The influence of fish length on contaminant concentration was examined. Results of analyses of stable isotopes of carbon and nitrogen are presented to investigate the role of food origin and trophic levels for observed contaminant concentrations.Norwegian Environment AgencypublishedVersio

Is perceived intolerance to milk and wheat associated with the corresponding IgG and IgA food antibodies? A cross sectional study in subjects with morbid obesity and gastrointestinal symptoms

Background: Serum IgG and IgA food antibodies have been used for dietary advice to subjects with gastrointestinal symptoms and perceived food intolerance, but the role of these antibodies in mediating intolerance is controversial. The present study investigated associations between perceived gastrointestinal intolerance to milk-or wheat and the corresponding s-IgG and s-IgA food antibodies in subjects with morbid obesity. Methods: Subjects with morbid obesity (BMI ≥ 40 kg/m2 or ≥35 kg/m2 with obesity-related complications) were included. Irritable Bowel Syndrome (IBS) was diagnosed based on the Rome III criteria. Severity of specific gastrointestinal symptoms were measured with the Gastrointestinal Symptom Rating Scale (GSRS)-IBS. S-IgG against cow's milk, cheese, wheat and gluten, and s-IgA against casein and gliadin were measured. Results: Ninety-seven subjects (80 females) with mean age 45 (SD 8.4) years were included, 70 had gastrointestinal complaints, 25 had IBS, and 22 and 20 reported milk- and wheat- intolerance respectively. There were no significant differences in serum concentrations or proportions of subjects above defined cut-off values for the antibodies between subjects with and without gastrointestinal complaints. In the group with gastrointestinal complaints, no significant differences were found between subjects with and without perceived food intolerance. Except for a significant correlation between IgG against cheese and GSRS-diarrhea (Rho: -0.25, P = 0.04), no significant correlations were found between the antibodies and type or degree of gastrointestinal symptoms, including IBS. Conclusions: The study showed no associations between perceived milk or wheat intolerance and the corresponding s-IgG and s-IgA food antibodies in subjects with morbid obesity.The study has received funding from Innlandet Hospital Trust, Brumunddal, Norway, and Lab1 AS, Sandvika, NorwaypublishedVersio

Levels and trends of tributyltin (TBT) and imposex in dogwhelk (Nucella lapillus) along the Norwegian coastline from 1991 to 2017

Embargo until 16 Nov 2020The banning of organotin biocides, such as tributyltin (TBT), from use in marine antifouling paints is now leading to reproductive health recovery in marine gastropod populations all over the world. TBT induces socalled imposex (superimposition of male sexual characters onto females) in certain marine gastropods, such as the common dogwhelk Nucella lapillus. In this publication, the results of the Norwegian TBT and imposex monitoring in N. lapillus from the period 1991-2017 are presented. Significantly higher levels of TBT and imposex were measured in coastal areas close to shipping lanes along most of the coast prior to 2008 than afterwards. Levels started declining after restrictions were imposed on the use of TBT in all antifouling paint applications, with a total ban in 2008. In 2017, no sign of imposex was found in N. lapillus in any of the monitoring stations along the Norwegian coastline. Based on monitoring data shown herein, the importance of long-term biomonitoring and international chemical regulations, as well as the TBT and imposex story in general, are discussed.acceptedVersio

Miljøgifter i norske kystområder 2013

This programme examines the levels, trends and effects of contaminants in biota along the coast of Norway. The 2013-investigation included analyses of 120 different contaminants or biological effect parameters in five types of samples (blue mussel, dog whelk, common periwinkle, cod and passive samplers). The contaminants include metals, organochlorines (e.g. PCB, DDT), PAH, polybrominated diphenyl ethers (PBDE), perfluroinated alkylated substances (PFAS) as well as contaminants that have recently received more attention such as hexabromcyclododecane (HBCD), chlorinated paraffins (SCCP, MCCP), phosphorus flame retardants (PFR), bisphenol A (BPA), tetrabrombisphenol A (TBBPA), phthalates and akylphenols. In the report, thirty representative substances or parameters were chosen for analyses of 750 time series (last 10 years). Of these there were statistically significant trends in 90 cases: 66 (9 %) were downwards and 24 (3 %) upwards. The dominance of downward trends indicated that contamination is decreasing for the measured substances. The downwards trends for TBT-concentrations and effect parameter (VDSI) confirmed that the legislation banning the use of TBT has been effective. Of the same 750 cases, 399 could be classified by the environmental classification system used by the Norwegian Environment Agency, 360 (90 %) were classified as insignificantly polluted, 27 (7 %) as moderately polluted, 10 (3 %) as markedly polluted, 1 (<1 %) as severely polluted and 1 (<1 %) as extremely polluted. Some cases warrant special concern, such as upward trend for mercury in cod fillet and high concentrations of several organic pollutants in cod liver from the Inner Oslofjord. Very high concentrations of DDE in mussels from the Sørfjord were related to earlier use of DDT as pesticide in orchards along the fjord.Miljødirektorate

Miljøgifter i norske kystområder 2014

This programme examines the levels, trends and effects of contaminants in biota along the coast of Norway. The 2014-investigation included analyses of 136 different contaminants or biological effect parameters in five types of samples (blue mussel, dog whelk, common periwinkle, cod and passive samplers). The contaminants include metals (Hg, Cd, Pb, Cu, Zn, Ag, As, Ni, Cr and Co), organochlorines (e.g. PCBs, DDT), PAHs, polybrominated diphenyl ethers (PBDEs), perfluorinated alkylated substances (PFAS) as well as contaminants that have recently received more attention such as hexabromcyclododecane (HBCDs), chlorinated paraffins (SCCP, MCCP), phosphorus flame retardants (PFRs),bisphenol A (BPA), tetrabrombisphenol A (TBBPA), alkyphenols, phthalates, triclosan, Diuron and Irgarol. Biological effects parameters included VDSI, OH-pyrene metabolites, ALA-D and EROD. In the report, thirty representative substances or parameters were chosen for analyses of 759 time series (last 10 years). Of these there were statistically significant trends in 104 cases: 86 were downwards and 18 upwards. The dominance of downward trends indicated that contamination is decreasing for the measured substances. The downwards trends for TBT-concentrations and effect parameter (VDSI) confirmed that the legislation banning the use of TBT has been effective. Of the same 759 cases, 403 could be classified by the environmental classification system used by the Norwegian Environment Agency, 374 were classified as insignificantly polluted, 26 as moderately polluted, two as markedly polluted and one as extremely polluted. Some cases warrant special concern, such as upward trend for mercury in cod fillet and high concentrations of several organic pollutants in cod liver from the Inner Oslofjord. Very high concentrations of DDE in mussels from the Sørfjord were related to earlier use of DDT as pesticide in orchards along the fjord. The relation of fish length on mercury concentration and affect of different sizes of pooled samples were examined. Alternatives to using cod liver as a target tissue was discussed.Denne undersøkelsen omhandler nivåer, trender og effekter av miljøgifter langs norskekysten. I tillegg til en mer langsiktig overvåking er det også gjort analyser av enkelte nyere miljøgifter som har fått større oppmerksomhet de senere årene. Undersøkelsen gir grunnlag for vurdering av miljøstatus for miljøgifter langs kysten. Resultatene viser at det hovedsakelig var nedadgående trender for forekomst av de undersøkte miljøgiftene.Miljødirektorate

Contaminants in coastal waters of Norway 2014

This programme examines the levels, trends and effects of contaminants in biota along the coast of Norway. The 2014-investigation included analyses of 136 different contaminants or biological effect parameters in five types of samples (blue mussel, dog whelk, common periwinkle, cod and passive samplers). The contaminants include metals (Hg, Cd, Pb, Cu, Zn, Ag, As, Ni, Cr and Co), organochlorines (e.g. PCBs, DDT), PAHs, polybrominated diphenyl ethers (PBDEs), perfluorinated alkylated substances (PFAS) as well as contaminants that have recently received more attention such as hexabromcyclododecane (HBCDs), chlorinated paraffins (SCCP, MCCP), phosphorus flame retardants (PFRs),bisphenol A (BPA), tetrabrombisphenol A (TBBPA), alkyphenols, phthalates, triclosan, Diuron and Irgarol. Biological effects parameters included VDSI, OH-pyrene metabolites, ALA-D and EROD. In the report, thirty representative substances or parameters were chosen for analyses of 759 time series (last 10 years). Of these there were statistically significant trends in 104 cases: 86 were downwards and 18 upwards. The dominance of downward trends indicated that contamination is decreasing for the measured substances. The downwards trends for TBT-concentrations and effect parameter (VDSI) confirmed that the legislation banning the use of TBT has been effective. Of the same 759 cases, 403 could be classified by the environmental classification system used by the Norwegian Environment Agency, 374 were classified as insignificantly polluted, 26 as moderately polluted, two as markedly polluted and one as extremely polluted. Some cases warrant special concern, such as upward trend for mercury in cod fillet and high concentrations of several organic pollutants in cod liver from the Inner Oslofjord. Very high concentrations of DDE in mussels from the Sørfjord were related to earlier use of DDT as pesticide in orchards along the fjord. The relation of fish length on mercury concentration and affect of different sizes of pooled samples were examined. Alternatives to using cod liver as a target tissue was discussed

Miljøgifter i norske kystområder 2017 - MILKYS

Revised version of 7302-2018 / M-1120This programme examines the levels, trends and effects of contaminants in biota along the coast of Norway. The 2017-investigation included analyses of 93 different contaminants or biological effect parameters in five species (blue mussel, dogwhelk, common periwinkle, cod and the common eider). The contaminants include metals (Hg, Cd, Pb, Cu, Zn, Ag, As, Ni, Cr and Co), tributyltin (TBT), organochlorines (e.g. PCBs, DDT), PAHs, polybrominated diphenyl ethers (PBDEs), perfluorinated alkylated substances (PFAS) as well as contaminants that have recently received much attention such as hexabromocyclododecane (HBCDs), chlorinated paraffins (SCCP, MCCP), bisphenol A (BPA), tetrabrombisphenol A (TBBPA), alkyphenols and siloxanes. Biological effects parameters included VDSI, OH-pyrene metabolites, ALA-D and EROD. In the report, 30 representative substances or parameters were chosen for analyses of 809 time series (last 10 years). Of these there were statistically significant trends in 193 cases: 83 were downwards and 35 upwards. The dominance of downward trends indicated that contamination is decreasing for the measured substances. The downwards trends for TBT-concentrations and effect parameter (VDSI) confirmed that the legislation banning the use of TBT has been effective. Of the 2017-medians (last year) for all 809 time series, there were 262 cases that could be classified against EQS, of which 157 (59.9 %) were below the EQS and 105 (40.1 %) were above the EQS. All of the 2017-medians from the 809 time series could be classified using a provisional high reference concentrations (PROREF). Of these 578 were below PROREF and 231 exceeded PROREF: 148 by a factor of less than two, 61 by a factor between two and five, 13 by a factor between five and 10, seven by a factor between 10 and 20, and two by a factor greater than 20. Some cases warrant special concern, such as high concentrations of several organic contaminants in cod liver from the Inner Oslofjord. High concentrations of DDE in mussels from the Sørfjord were related to earlier use of DDT as pesticide in orchards along the fjord. The influence of fish length on contaminant concentration was examined. Results of analyses of stable isotopes of carbon and nitrogen are presented to investigate the role of food origin and trophic levels for observed contaminant concentrations. In addition microplastics were investigated in blue mussel collected in 2016 and 2017.Norwegian Environment Agency / MiljødirektoratetpublishedVersio