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Most of the surveillance studies (e.g., NYTS, MTF, YRBS) are repeated cross-sectional surveys, which survey a different random sample of youth every year instead of following the same ones over time

Additionally, oxidative stress markers such as ROS and nitric oxide show increased expression under microplastic exposure [51,54,55,56,57], while key antioxidant defenses such as glutathione and glutathione reductase activity decline, exacerbating cellular vulnerability [58,59,60]

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--- (n.d.) Take a Closer Look: America Goes to War. National World War II Museum

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