The impact of collection portfolio expansion on key performance indicators of the Dutch recycling system for Post-Consumer Plastic Packaging Waste, a comparison between 2014 and 2017.

The recycling network of post-consumer plastic packaging waste (PCPPW) was studied for the Netherlands in 2017 with material flow analysis (MFA) and data reconciliation techniques. In comparison to the previous MFA of the PCPPW recycling network in 2014, the predominant change is the expansion of the collection portfolio from only plastic packages to plastic packages, beverage cartons and metal objects. The analysis shows that the amounts of recycled plastics products (as main washed milled goods) increased from 75 to 103 Gg net and the average polymeric purity of the recycled products remained nearly constant. Furthermore, the rise in the amounts of recycled products was accompanied with a rise in the total amount of rejected materials at cross docking facilities and sorting residues at the sorting facilities. This total amount grew from 19 Gg in 2014 to 70 Gg gross in 2017 and is over-proportional to the rise in recycled products. Hence, there is a clear trade-off between the growth in recycled plastics produced and the growth in rejects and residues. Additionally, since the polymeric purity of the recycled plastics did not significantly improve during the last years, most of the recycled plastics from PCPPW are still only suited for open-loop recycling. Although this recycling system for PCPPW is relatively advanced in Europe, it cannot be considered circular, since the net recycling yield is only 26 ±â€¯2% and the average polymeric purity of the recycled plastics is 90 ±â€¯7%.

Outcomes of operative and nonoperative treatment of 3- and 4-part proximal humeral fractures in elderly: a 10-year retrospective cohort study.

PURPOSE: Despite a rising incidence in proximal humeral fractures, there is still no evidence for the best treatment option, especially for elderly patients. The aim of this retrospective cohort study was to evaluate health-related quality of life (HRQoL), functional outcome, pain and social participation in elderly patients, after operative and nonoperative treatment of displaced 3- and 4-part proximal humeral fractures. METHODS: 150 patients aged ≥ 65, treated for a displaced 3- or 4-part proximal humeral fracture between 2004 and 2014, were invited to participate. Eventually 91 patients (61%) participated, of which 32 non-operatively treated patients were matched to 32 of the 59 operatively treated patients by propensity score matching. The EQ-5D, DASH, VAS for pain and WHODAS 2.0 Participation in Society domain were administered. Complications and reinterventions were registered. RESULTS: No significant difference was found between the two treatment groups in HRQoL (p = 0.43), function (p = 0.78) and pain (p = 0.19). A trend toward better social participation in the operative group (p = 0.09) was found. More complications and reinterventions occurred in the operative group than the nonoperative group, with 9 versus 5 complications (p = 0.37) and 8 versus 2 reinterventions (p = 0.08). CONCLUSIONS: In this study, we found no evidence of a difference in HRQoL, functional outcome or pain 1-10 years after operative or nonoperative treatment in patients of 65 and older with a displaced 3- or 4-part humeral fracture. Operatively treated patients showed a trend toward better social participation but also higher reintervention rates.

Predictive model for the Dutch post-consumer plastic packaging recycling system and implications for the circular economy.

The Dutch post-consumer plastic packaging recycling network has been described in detail (both on the level of packaging types and of materials) from the household potential to the polymeric composition of the recycled milled goods. The compositional analyses of 173 different samples of post-consumer plastic packaging from different locations in the network were combined to indicatively describe the complete network with material flow analysis, data reconciliation techniques and process technological parameters. The derived potential of post-consumer plastic packages in the Netherlands in 2014 amounted to 341 Gg net (or 20.2 kg net.cap-1.a-1). The complete recycling network produced 75.2 Gg milled goods, 28.1 Gg side products and 16.7 Gg process waste. Hence the net recycling chain yield for post-consumer plastic packages equalled 30%. The end-of-life fates for 35 different plastic packaging types were resolved. Additionally, the polymeric compositions of the milled goods and the recovered masses were derived with this model. These compositions were compared with experimentally determined polymeric compositions of recycled milled goods, which confirmed that the model predicts these compositions reasonably well. Also the modelled recovered masses corresponded reasonably well with those measured experimentally. The model clarified the origin of polymeric contaminants in recycled plastics, either sorting faults or packaging components, which gives directions for future improvement measures.