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[245] As of January 2019 Oxford English Dictionary did not include the terms plastic soup , neuston plastic or neustonic plastic , but it defined the term microplastic (or micro-plastic) as "Extremely small pieces of plastic, manufactured as such (in the form of nurdles or microbeads) or resulting from the disposal and breakdown of plastic products and waste" and its illustrative quotations all relate to marine pollution, the earliest being a 1990 reference in the South African Journal of Science : "The mean frequency of micro-plastic particles increased from 491 m1 of beach in 1984 to 678 m1 in 1989"

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Over time, repeated exposure to these substances can cause mutations in the cells lining the lungs, leading to the development of cancer

Unique to this study, participants in both groups were also given the choice to choose their treatment, after the 18-week period