Nova Scotia Research Articles

Peripheral Arterial Disease in Nova Scotia: Increased Prevalence, Low Public Awareness, and Poor Edinburgh Claudication Questionnaire Sensitivity

BackgroundThis study had the following 3 goals: (i) to assess the prevalence of peripheral arterial disease (PAD) in a Nova Scotian population; (ii) to evaluate the validity of the Edinburgh Claudication Questionnaire (ECQ) in a Nova Scotian context; and (iii) to evaluate Nova Scotian public knowledge about PAD. MethodsParticipants were recruited from 8 sites across Nova Scotia. In 2022, they were recruited at Heartland Tour (HLT) sites—a provincial health-promotion campaign. In 2023, they were recruited in communities coinciding with HLT sites (public [PUB]). Participants completed a demographics questionnaire, ECQ, and had an ankle–brachial index (ABI) measurement. An ABI of < 0.9 was considered positive for presence of PAD. ResultsA total of 417 participants were recruited, 263 from HLT, and 154 from PUB. A total of 398 participants had ABI scores resulting in a PAD prevalence of 2.81% (249 participants) in the HLT group, and 5.37% (149 participants) in the PUB group. A total of 394 participants had both ABI and ECQ scores, with a found sensitivity of 6.67% (confidence interval 0.17%-31.95%) and specificity of 97.63% (confidence interval 95.54%-98.91%). A total of 75% of participants (311 of 417) did not have prior knowledge of PAD. ConclusionsThe PAD prevalences in both cohorts were higher than anticipated, with the PUB cohort being more than double the national average. This finding raises the following question: should specific PAD primary and/or secondary prevention strategies be targeted within the province? Our study demonstrated that a public-awareness campaign would be highly impactful, owing to a low level of awareness of PAD within both cohorts, and that the ECQ was not an effective screening tool when used on the Nova Scotian population.

The levelized cost of carbon abatement (LCCA) in substituting conventional ammonia production with power-to-ammonia for fertilizer, hydrogen and export

The production of ammonia using the conventional Haber-Bosch technique produces significant CO2 emissions, largely owed to the fossil fuel-based hydrogen production. To reduce these emissions, low-carbon ammonia production with hydrogen from water electrolysis (i.e., power-to-ammonia, P2A) is being developed. This study compares P2A with the methane-fed Haber-Bosch process by performing a time-based levelized cost of carbon abatement (LCCA) analysis, considering technology development and adoption, and the mismatch between production capacity and ammonia demand over time. The LCCA results quantify the cost and potential carbon reduction simultaneously and provide the cost to reduce one unit of CO2-eq emissions using P2A. Various scenarios in multiple sectors are considered in different regions in Canada from 2027 to 2050, such as low-carbon fertilizer, ammonia as a hydrogen carrier for domestic use and energy export, and their dynamics over-time were studied and compared. Results show that under the base case with conservative assumptions, the LCCA is higher than the proposed carbon price in Canada, except when low-carbon ammonia demand is low, e.g., domestic hydrogen use. Yet sensitivity analyses suggest that the LCCA can approach the carbon price with technical improvements and increased adoption over time. The electricity generation mix also has great impacts on the LCCA. Regions with abundant low-carbon electricity sources, e.g., Quebec, Prince Edward Island, Nova Scotia, Manitoba, and British Columbia can benefit from P2A on both environmental and economic perspectives. Some of these regions are connected to the coast, so there is also great potential for ammonia-shipping corridors in both the Atlantic and Pacific Oceans.

Trends of ocean temperature influencing snow crab catch along the Scotian Shelf

The snow crab (Chionoecetes opilio) fishery has great economic importance for Nova Scotia, contributing $263 million to fisheries and more than one-fifth of Canadian snow crab revenues in 2021. Being a stenothermic species, snow crabs can only live within a narrow range of temperatures between −1 to 6 °C. The Scotian Shelf holds the southernmost populations of snow crab in the Atlantic and snow crab catch-per-unit-area (CPUA) in the Scotian Shelf. Trawl survey data from Ocean, because these cold-temperature requirements are a limiting factor for its distribution. This study investigates the relationship between bottom ocean temperature Fisheries and Oceans Canada from 2012 to 2021 were used. Through nonlinear modelling, CPUA (mt/km2) was regressed with respect to bottom ocean temperature along Northwest Atlantic Fisheries Organization divisions N-ENS, CFA 23, CFA 24, and CFA. The temperature-vs-CPUA relationship was unimodal for all studied years. The best-fit models explained a limited amount of variation, but CPUA consistently decreased to zero towards the highest recorded temperatures. Due to the ongoing global warming, bottom ocean temperatures across the Scotian Shelf will likely continue to increase, which thus might harm the Scotian Shelf snow crab fishery. In conclusion, this study underscores the potential impact of global warming on the economically significant snow crab fishery in the Scotian Shelf. The findings serve as a critical alert to the possible consequences of rising ocean temperatures, thereby contributing to our understanding and preparation for the future of marine ecosystems and industries.

Modelling water temperature dynamics for eelgrass (Zostera marina) areas in the nearshore Scotian Shelf

Water temperature is an important environmental factor for many ecological processes in coastal ecosystems. Here, we study water temperature dynamics at a set of study sites on the Atlantic coast of Nova Scotia where eelgrass beds are found. The central emphasis is to predict temperature on scales relevant to coastal ecosystem processes using a high-resolution nearshore oceanographic model based on the Finite Volume Community Ocean Model (FVCOM). The model predictions were evaluated against observed temperature time series at six sites for three years from 2017-2019; the evaluation indicates that the model was able to replicate the temperature variation on time scales from hours to seasonal. We also used various biologically tailored temperature metrics relevant to eelgrass condition, including mean seasonal values and variability, daily ranges, growing degree day (GDD), and warm events, to validate the model against time series observations to better understand the temperature regime at the study sites. Frequency resolved Willmott skill scores were &amp;gt;0.7, and the temperature metrics were well predicted with the exception of a bias in GDD at some of the shallow sites. The eelgrass sites have a wide range of temperature conditions. Mean water temperature in the summer differed by more than 7°C between the shallowest and the deepest sites, and the rate of heat accumulation was fastest at shallow sites which had ≥ 12 extreme warm events per year. While the amplitude of the temperature variations within the high frequency band (&amp;lt;48 hr) was greater in shallower sites, temperature changes on meteorological time scales (48 hr to 60 days) were coherent at all sites, suggesting the importance of coast-wide processes. The results of this study demonstrated that our high resolution numerical model captured biologically relevant temperature dynamics at different time scales and over a large spatial region, and yet still accurately predicted detailed temperature dynamics at specific nearshore sites. Thus, the model can provide important insights into coastal temperature dynamics that are potentially useful for conservation planning and understanding the implications of future change.

Pathogen Surveillance in Swallows (family Hirundinidae): Investigation into Role as Avian Influenza Vector in Eastern Canada Agricultural Landscapes.

First detected in Atlantic Canada in December 2021, highly pathogenic avian influenza virus (HPAIV) subtype H5N1 clade 2.3.4.4b, A/Goose/Guangdong/1/96 lineage, has caused massive mortality in wild birds and domestic poultry in North America. Swallows (Hirundinidae), abundant in North American agricultural ecosystems, have been proposed as possible (bridge) species for HPAIV transmission between wild and domestic birds. We aimed to seek evidence of the potential role of swallows in bridging AIV infection between wild bird reservoirs and poultry flocks in eastern Canada. During a wide-scale outbreak of HPAIV in wild birds and poultry farms across eastern Canada, 200 samples were collected from swallow breeding sites in the Canadian provinces of New Brunswick, Nova Scotia, Ontario, and Quebec, June-August 2022. Samples came from Barn Swallow (Hirundo rustica; n=142), Tree Swallow (Tachycineta bicolor; n=56), and Cliff Swallow (Petrochelidon pyrrhonota; n=2) nests. All samples tested negative for AIV, suggesting that HPAIV and low pathogenic AIV (LPAIV) strains were probably not circulating widely in swallows during the 2022 breeding season in eastern Canada; thus swallows may present a low risk of transmitting AIV. Within a management context, these findings suggest that removing nests of Barn Swallows, a species at risk in Canada, from the exterior of biosecure domestic poultry facilities may not significantly reduce risks of HPAI transmission to poultry.

Changes in the composition of invertebrate assemblages from wave-exposed intertidal mussel stands along the Nova Scotia coast, Canada.

Rocky intertidal habitats occur worldwide and are mainly characterized by primary space holders such as seaweeds and sessile invertebrates. Some of these organisms are foundation species, as they can form structurally complex stands that host many small invertebrates. The abundance of primary space holders is known to vary along coastlines driven directly or indirectly by environmental variation. However, it is less clear if the invertebrate assemblages associated to a foundation species may remain relatively unchanged along coastlines, as similar stands of a foundation species can generate similar microclimates. We examined this question using abundance data for invertebrate species found in mussel stands of a similar structure in wave-exposed rocky habitats at mid-intertidal elevations along the Atlantic coast of Nova Scotia (Canada). While the most abundant invertebrate species were found at three locations spanning 315 km of coastline, species composition (a combined measure of species identity and their relative abundance) differed significantly among the locations. One of the species explaining the highest amount of variation among locations (a barnacle) exhibited potential signs of bottom-up regulation involving pelagic food supply, suggesting benthic-pelagic coupling. The abundance of the species that explained the highest amount of variation (an oligochaete) was positively related to the abundance of their predators (mites), further suggesting bottom-up forcing in these communities. Overall, we conclude that species assemblages associated to structurally similar stands of a foundation species can show clear changes in species composition at a regional scale.

Devonian plutons in the eastern Meguma terrane, Nova Scotia, Canada: zircon U–Pb, Lu–Hf, and O isotopic compositions, age, and petrogenetic implications

Abundant granitic plutons intruded the eastern Meguma terrane of Nova Scotia in the middle- to late Devonian. Less voluminous diorite–tonalite and gabbro intrusions are associated with the granitic plutons along the northern margin of the terrane adjacent to the Cobequid–Chedabucto fault zone. All plutons contain metasedimentary xenoliths, and the mafic plutons show magma mingling textures with their adjacent granitic plutons. New U–Pb zircon data from autocrystic zircon in 13 samples indicate coeval emplacement of mafic and granitic plutons between ca. 382 and 368 Ma. However, the zircon grains contain numerous inherited domains that range in age from Palaeoproterozoic to Devonian. These inherited ages correspond to detrital zircon U–Pb dates from the Cambrian to Ordovician metasedimentary host rocks. Zircon oxygen isotopic data (δ18O) are between +7.4 ± 0.2‰ and +9.3 ± 0.3‰ indicating significant involvement of the crust as the magma source or contaminant. If the high δ18Ozrn values are a result of contamination, the contaminant was likely the metasedimentary rocks of the Meguma terrane. Hafnium isotopic data from autocrystic zircon have εHf( t) between −6.0 ± 1.5 and +2.1 ± 2.5. The new zircon U–Pb, O, and Hf isotopic data from plutons in the eastern Meguma terrane are indistinguishable from published data from the South Mountain Batholith. The data suggest that Devonian magmatism in the Meguma terrane post-dated the main orogenic event that caused folding and regional metamorphism and involved the same magma source and/or contaminants throughout the terrane.

Late Devonian felsic magmatism in southern New Brunswick and its association with a large igneous province that may have contributed to the Frasnian-Famennian extinction

Felsic rocks of the Piskahegan Group and coeval plutons form a major part of a Late Paleozoic epicontinental caldera in southwestern New Brunswick, Canada. The caldera forms an elliptical structure with a length of ∼34 km and a width of ∼13 km. It hosts a significant polymetallic deposit of tin, molybdenum, indium and bismuth associated with mid-sequence granitic intrusions. The caldera formed in the aftermath of the late Early to Middle Devonian Acadian Orogeny during the opening of the late Paleozoic Maritimes Basin in the Northern Appalachian Belt. Its surrounding successions are largely composed of bimodal igneous rocks that were derived from two distinct sources: upper mantle-derived mafic magma and lower crust-derived felsic magma. The rocks that marked the beginning of volcanic activity in the caldera are no younger than 374.2 ± 2 Ma, whereas the uppermost dated volcanic unit in the complex yielded an age of 364.6 ± 0.7 Ma. The latter is conformably overlain by a succession of red beds and undated basalts that also overlie penecontemporaneous felsic volcanic rocks adjacent to the caldera. The post-orogenic felsic rocks are fractionated, peraluminous A-2 type rocks with silica contents ranging from ∼70 to ∼79 wt% along with high K2O contents and ɛNd(t) ranging from −0.10 to +1.05. They were generated by the melting of lower crustal basement rocks linked to a lithospheric plate that was metasomatized during the Neoproterozoic. Based on available geochemical, geophysical and structural data on Late Paleozoic rocks of southeastern Canada, the melting may have been triggered by the injection of profuse mafic magma that eventually formed a thick underplating at the base of the crust in association with heat derived from an underlying mantle plume and conveyed by transtensional structures. Basal rocks of the Piskahegan Group (the Intracaldera Sequence) and penecontemporaneous volcanic rocks in Nova Scotia are interpreted as small erosional remnants of a Large Igneous Province (LIP) based on the extensive exposure of large coeval plutons throughout southeastern Canada. The new geochronological data suggests that profuse late Frasnian magmatism in this LIP could have contributed to the environmental deterioration that led to a significant extinction at the Frasnian-Famennian boundary (the Kellwasser Event).

Habitat and movement selection processes of American lobster/jakej within a restricted bay in the Bras d’Or Lake/Pitu’paq, Nova Scotia, Canada

American lobster inhabit the unique, brackish Bras d’Or Lake system, although densities are low compared to areas with similar habitats in the Atlantic Ocean. Nevertheless, lobsters are an important part of local First Nation (Mi’kmaq) food and culture. We used acoustic telemetry and habitat mapping, combined with local Mi’kmaw knowledge, to document the movements and habitat use of adult lobsters within a section of the Lake. Movement patterns of acoustically tagged individual lobsters were analyzed with both resource selection functions and integrated step selection functions using data obtained from a high-resolution VEMCO Positioning System within a restricted bay in the Bras d’Or Lake. The resource selection function suggested stronger selections of substrates that contained a combination of soft and hard sediments. While the integrated step selection functions found substantial individual variability in habitat selections, there was a trend for lobsters to exhibit more resident behaviour on the combined soft/hard substrates despite the fact these sediments provided little in the way of obvious shelters for the animals. Adult lobsters at this site have very little risk of predation, which presumably allows them to freely exhibit exploratory behaviours and reduce their association with substrates that provide shelters.

It takes a village

Several stakeholders, such as community groups, government officials, parents, guardians, and educators have shown concern about the achievement gap between Nova Scotia learners of African descent and their predominantly White peers. Using the African proverb ‘It takes a village’ as a framework, this study involved parents, extended family members and caregivers of children aged 4 to 6 years to explore the scaffolding strategies employed as well as the experiences of participants when supporting children’s emergent writing skills during COVID-19 pandemic. Survey and focus group sessions demonstrated how participants frequently scaffolded emergent writing using highly effective strategies including Africentric approaches. The importance of ‘It takes a village’ proverb in enhancing literacy developmenthas also been established.

Provision of Inpatient Rehabilitation to Individuals with Lower-Limb Amputation in Canada: An Epidemiological Analysis

ABSTRACT Objective The aim of this study was to determine the proportion of individuals with major lower-limb amputation (LLA) who received inpatient rehabilitation in Canadian provinces, their rehabilitation length, and their functional independence level at admission and discharge. Methods Major LLA records from April 1, 2006, to March 31, 2012, were obtained from the Canadian Institute for Health Information and linked to National Rehabilitation Reporting System data (Quebec data were unavailable). The proportions of individuals who received inpatient rehabilitation, mean length of stay, and Functional Independence Measure (FIM) scores (admission and discharge) were calculated. Results A total of 16,114 new individuals had major LLAs in nine Canadian provinces over the study period; 18% received inpatient rehabilitation. The mean (SD) length of stay was 37.3 (25.2) days. Nova Scotia and Ontario had the highest provision of inpatient rehabilitation (n = 235, 28.6% and n = 1779, 23.4%, respectively). Newfoundland and Labrador had the longest mean (SD) inpatient rehabilitation stay, 62.6 (36.6) days. Prince Edward Island had the highest FIM scores at admission and discharge (mean = 105.3, SD = 12.8; mean = 111.3, SD = 12.9 days, respectively). Conclusions We found that 18% of individuals with major LLA received inpatient rehabilitation across nine Canadian provinces. Costs and resource demands may prevent inpatient rehabilitation provision. Novel, cost-effective strategies may facilitate the provision of rehabilitation services. Clinical Relevance Despite the benefits of rehabilitation for individuals with major LLA, especially those whose amputations resulted from a traumatic incident, only 18% of patients with major LLA received inpatient rehabilitation across nine provinces between 2006 and 2012. Provinces with longer durations of inpatient rehabilitation reported higher levels of functional independence when patients with LLA were discharged.

Imageable Radioembolization Microspheres for Treatment of Unresectable Hepatocellular Carcinoma: Interim Results from a First-in-Human Trial

PurposeTo determine 6-month interim safety, effectiveness, and multimodal imageability of imageable glass microsphere yttrium-90 (90Y) radioembolization for unresectable hepatocellular carcinoma (HCC) in a first-in-human trial. Materials and MethodsImageable microspheres (Eye90 Microspheres; ABK Biomedical, Halifax, Nova Scotia, Canada), a U.S. Food and Drug Administration (FDA) Breakthrough-Designated Device consisting of glass radiopaque 90Y microspheres visible on computed tomography (CT) and single photon emission CT (SPECT), were used to treat 6 subjects with unresectable HCC. Patients underwent selective (≤2 segments) treatment in a prospective open-label pilot trial. Key inclusion criteria included liver-only HCC, performance status ≤1, total lesion diameter ≤9 cm, and Child-Pugh A status. Prospective partition dosimetry was utilized. Safety (measured by Common Terminology Criteria for Adverse Events [CTCAE] v5), multimodal imageability on CT and SPECT, and 3- and 6-month imaging response by modified Response Evaluation Criteria in Solid Tumors on magnetic resonance (MR) imaging were evaluated. ResultsSeven tumors in 6 subjects were treated and followed to 180 days. Administration success was 100%. Microsphere distribution measured by radiopacity on CT correlated with SPECT. Ninety-day target lesion complete response (CR) was observed in 3 of 6 subjects (50%) and partial response (PR) in 2 (33.3%). At 180 days, target lesion CR was maintained in 3 subjects (50%) and PR in 1 (16.7%). Two subjects could not be reassessed, having undergone intervening chemoembolization. All subjects reported adverse events (AEs), and 5 reported AEs related to treatment. There were no treatment-related Grade ≥3 AEs. ConclusionsRadioembolization using imageable microspheres was safe and effective in 6 subjects with unresectable HCC at 6-month interim analysis. Microsphere distribution by radiopacity on CT correlated with radioactivity distribution by SPECT, providing previously unavailable CT-based tumor targeting information.

Epidemiology of clinically unsuspected venous thromboembolism in children with cancer: A population-based study from Maritimes, Canada.

Inconsistencies in the definition of clinically unsuspected venous thromboembolism (VTE) in pediatric patients recently led to the recommendation of standardizing this terminology. Clinically unsuspected VTE (cuVTE) is defined as the presence of VTE on diagnostic imaging performed for indications unrelated to VTE in a patient without symptoms or clinical history of VTE. The prevalence of cuVTE in pediatric cancer patients is unclear. Therefore, the main objective of our study was to determine the prevalence of cuVTE in pediatric cancer patients. All patients 0-18years old, treated at the IWK in Halifax, Nova Scotia, from August 2005 through December 2019 with a known cancer diagnosis and at least one imaging study were eligible (n=743). All radiology reports available for these patients were reviewed (n=18,120). The VTE event was labeled a priori as cuVTE event for radiology reports that included descriptive texts indicating a diagnosis of thrombosis including thrombus, central venous catheter-related, thrombosed aneurysm, tumor thrombosis, non-occlusive thrombus, intraluminal filling defect, or small fragment clot for patients without documentation of clinical history and or signs of VTE. A total of 18,120 radiology reports were included in the review. The prevalence of cuVTE was 5.5% (41/743). Echocardiography and computed tomography had the highest rate of cuVTE detection, and the most common terminologies used to diagnose cuVTE were thrombus and non-occlusive thrombus. The diagnosis of cuVTE was not associated with age, sex, and type of cancer. Future efforts should focus on streamlining radiology reports to characterize thrombi. The clinical significance of these cuVTE findings and their application to management, post-thrombotic syndrome, and survival compared to cases with symptomatic VTE and patients without VTE should be further studied.

The climate change adaptation readiness of co‐operative housing in Nova Scotia, Canada

AbstractClimate adaptation policy in Canada is emerging in the context of another major challenge: the diminishing availability of affordable housing. Housing is a well‐known driver of social vulnerability to environmental risks, so as governments respond to these challenges, it will be essential to understand how housing is being situated within adaptation, particularly with respect to differences in housing tenure and how decisions around equity and social vulnerability are factored into planning and policy processes. This research examines how adaptation plans and policies in Nova Scotia are addressing the needs of the non‐profit co‐operative housing sector and assesses the adaptation readiness of housing co‐operatives in the province. Two methods are employed: a systematic content analysis of municipal and provincial climate policy documents, and interviews with key informants across the co‐operative housing sector and government agencies. Using a modified adaptation readiness framework, we consider the potential for co‐operative adaptation and complimentary public policy to address vulnerability at the intersection of housing and climate change. Findings indicate that non‐market forms of tenure have been largely neglected by adaptation planners and state policymakers. Several barriers which contribute to a low level of adaptation readiness for co‐ops are highlighted, notably a lack of usable science and funding to facilitate adaptation. Characteristics such as affordability and a propensity for collective action position housing co‐ops to be agents of equitable and systemic adaptation, but this potential will only be realized in Canada if key barriers are overcome through targeted governmental rt for non‐profit housing organizations.

Alcohol is a risk factor for helmet non-use and fatalities in off-road vehicle and motorcycle crashes.

Off-road vehicle (ORV) and motorcycle use is common in Canada; however, risk of serious injury is heightened when these vehicles are operated without helmets and under the influence of alcohol. This study evaluated the impact of alcohol intoxication on helmet non-use and mortality among ORV and motorcycle crashes. Using data collected from the Nova Scotia Trauma Registry, a retrospective analysis (2002-2017) of ORV and motorcycle crashes resulting in major traumatic brain injury was performed. Patients were grouped by blood alcohol concentration (BAC) as negative (< 2 mmol/L), legally intoxicated (2-17.3 mmol/L) or criminally intoxicated (> 17.3 mmol/L). Logistic regression models were constructed to test for helmet non-use and mortality. A total of 424 trauma patients were included in the analysis (220 ORV, 204 motorcycle). Less than half (45%) of patients involved in ORV crashes were wearing helmets and 65% were criminally intoxicated. Most patients involved in motorcycle crashes were helmeted at time of injury (88.7%) and 18% were criminally intoxicated. Those with criminal levels of intoxication had 3.7 times the odds of being unhelmeted and were 3 times more likely to die prehospital compared to BAC negative patients. There were significantly increased odds of in-hospital mortality among those with both legal (OR = 5.63), and criminal intoxication levels (OR = 4.97) compared to patients who were BAC negative. Alcohol intoxication is more frequently observed in ORV versus motorcycle crashes. Criminal intoxication is associated with helmet non-use. Any level of intoxication is a predictor of increased in-hospital mortality.

Development of a peripheral blood morphology proficiency assessment program using the CellaVision® Proficiency Software

Abstract Objectives Proficiency programs allow hospital laboratories to evaluate and improve diagnostic performance. A cloud-based proficiency program was launched in 2017 to standardize peripheral blood morphology assessments in hospital laboratories across the province of Nova Scotia. Methods The CellaVision® Proficiency Software was used to evaluate peripheral blood morphology assessments. A different blood film featuring a specific red or white cell finding or normal morphology was evaluated each month. Each hospital’s proficiency slide completion and pass rates were monitored, which helped inform remediation efforts. Results In 2017, 213 medical laboratory technologists from 14 hospital laboratories enrolled in the proficiency program. The average completion rate for monthly proficiency assessments between 2017 and 2022 was 90 %. During that time, the pass rate increased from 59 to 95 % and 73 to 89 % for red and white blood cell assessments, respectively. By 2022, four hospital laboratories and 83 medical laboratory technologists stopped performing peripheral blood assessments. Conclusions The CellaVision® Proficiency Software facilitated a centralized peripheral blood morphology proficiency assessment program for geographically distributed hospital sites. The use of this software increased the quality of peripheral blood morphology assessments in Nova Scotia by simplifying the evaluation of and education on peripheral blood morphology skills.

Post‐tropical cyclone Fiona and Atlantic Canada: Media framing of hazard risk in the Anthropocene

AbstractPost‐tropical cyclone Fiona made landfall in Nova Scotia, Canada, in September 2022 with the force of a Category 2 hurricane. Using ‘risk society’ as an analytical framework, and Thomas A. Birkland's ‘focusing event’ concept, this paper seeks to understand how publics construct risk in the context of climate change and how institutions engage with those narratives. A qualitative content analysis of 439 newspaper articles from across Canada reveals that most media provide a superficial description of hazard impacts. When media are critical, they connect Fiona to climate change, other extreme events, social vulnerability, and systemic inequality. In response to Fiona and industry trends, insurance representatives indicate a withdraw from covering low‐probability, high‐consequence events owing to ambiguity in risk analysis and financial interests, complicating hazard relief. Political actors' rhetoric is strong—delivering relief in unprecedented ways and offering new adaptive policy. However, a history of unfulfilled political promises to act on climate change elicits scepticism from media sources.

A Postpartum Perineal Clinic in Nova Scotia: Characteristics Associated With Attendance and Its Association With Recurrent Obstetrical Anal Sphincter Tears

ObjectivesThe Healthy Recovery after Childbirth Clinic (HRCC) in Nova Scotia provides postpartum care to patients who experience obstetric anal sphincter injuries (OASIS). The purpose of this study was to describe characteristics associated with HRCC attendance, characteristics associated with a trial of labour in a subsequent delivery, and OASIS recurrence by HRCC attendance status. MethodsA retrospective cohort study using the Atlee Perinatal Database and clinical record review included primiparous individuals who sustained an OASIS at IWK Health in Halifax between 2013 and 2020. The χ2 and Fisher exact tests were performed to compare groups. ResultsOf the 1041 individuals included, 67% attended HRCC. Attendance increased from 58% in 2013–2015 to 77% in 2019–2020. Younger age (<25 years) and smoking were associated with lower HRCC attendance (P = 0.07 and <0.01, respectively). Other characteristics, including area-level income and driving distance to HRCC, were not associated with attendance (P > 0.05). Of the 439 individuals who had a subsequent delivery, 92% had a trial of labour. Individuals with fourth-degree injury were less likely to attempt a trial of labour than those with third-degree injury (73% vs. 94%, P < 0.01). Of those who delivered vaginally, OASIS recurrence was similar in those who did and did not attend the HRCC (7.5% vs. 6.5%, P = 0.84). ConclusionsHRCC attendance was high, but the disparity by age and smoking status suggests some barriers to access that should be explored. Although we found no difference in OASIS recurrence by HRCC attendance, more research with larger samples with adjustment for confounders is needed.

Assessing the eco-environmental aspects of fossil fuels-based units substitution of Point Aconi thermal power plant by green-based energies: a case study of Canada

AbstractCanada possesses significant potential in harnessing renewable energy from its vast and diverse geography, which can generate clean electricity. This paper presents a model that replaces fossil fuels used in a proposed thermal power plant in Point Aconi, Nova Scotia, with photovoltaic and wind turbine units based on the region’s climate conditions. The research results are based on evaluating multiple thermal power plants worldwide and examining various wind turbines and PV panels from different companies to ensure accuracy. The chosen units that best suit the location’s geographical and biological conditions, transmission, and operation costs demonstrate that the power plant currently consumes approximately 47 tons of coal and petroleum coke per hour. Replacing these materials with the proposed green units makes it possible to reduce environmental pollution by eliminating almost 165 tons of CO2 and other pollutants per hour while increasing the plant’s efficiency and independence from fossil fuel price variations. The presented structure’s ROI is approximately 20 years, which is reasonable compared to the economic and environmental benefits of utilizing such a structure and converting the thermal power plant to green units.

Challenges and opportunities for Mi’kmaq Aboriginal and treaty rights to fish in Nova Scotia, Canada

Despite the recognition of the Aboriginal and treaty right to fish in Canada, there has been little movement towards enhancing governance that respects the authority of either the Mi’kmaq, the Indigenous peoples in Nova Scotia, or the federal Department of Fisheries and Oceans. Using a Two-Eyed Seeing research framework, three perspectives were derived from interviews exploring governance challenges and opportunities with key governmental and Indigenous actors. Based on the similarities and nuances among perspectives, key considerations to resolving challenges and incorporating identified opportunities from the research include: i) address injustice and lack of solidarity among First Nations arising from the Indian Act, ii) enhance the legitimacy of current governance by integrating Mi’kmaw and western Knowledge Systems iii) improve governance to address conflict and organization of Mi’kmaw fishers, and iv) build on the shared value of improved relationship where all governing authorities, including Mi’kmaq rights holders and the Mi’kmaq Grand Council, are recognized.