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Report Of The Nova Scotia Independent Panel On Hydraulic Fracturing, Frank Atherton, Michael Bradfield, Kevin Christmas, Shawn Dalton, Maurice Dusseault, Graham Gagnon, Brad Hayes, Constance Macintosh, Ian Mauro, Ray Ritcey

Reports & Public Policy Documents

On August 28, 2013, the Province of Nova Scotia and the Nova Scotia Department of Energy signed an agreement with the Verschuren Centre for Sustainability in Energy and the Environment at Cape Breton University to conduct an external review on the environmental, socio-economic, and health impacts of hydraulic fracturing. Simultaneously, Dr. David Wheeler, President and Vice Chancellor of Cape Breton University, was asked to convene and Chair the review and expert panel on a voluntary and unpaid basis.1 The mandate for the review was to: create a panel of technical experts based on input from the public and hire technical …

American Military Strategy In The Vietnam War, 1965– 1973, Gregory A. Daddis

History Faculty Books and Book Chapters

For nearly a decade, American combat soldiers fought in South Vietnam to help sustain an independent, noncommunist nation in Southeast Asia. After U.S. troops departed in 1973, the collapse of South Vietnam in 1975 prompted a lasting search to explain the United States’ first lost war. Historians of the conflict and participants alike have since critiqued the ways in which civilian policymakers and uniformed leaders applied—some argued misapplied—military power that led to such an undesirable political outcome. While some claimed U.S. politicians failed to commit their nation’s full military might to a limited war, others contended that most officers fundamentally …

Effective Learning Strategies For College Students With Asperger's Syndrome, Jamie Susanne Gilbert

All Master's Theses

More and more students with Asperger’s Syndrome (AS) are being accepted into college without having the proper foundation in place to successfully graduate with a Bachelor’s degree. Students with AS need support systems in place to properly prepare them to face the challenges of college. The purpose of this study is to discuss the current research in regards to effective learning strategies that lead to academic success for college students with AS and to further discuss how to implement the learning strategies in higher education institutions. A single-subject study, using both qualitative and quantitative analysis, was performed. It involved one …

Revamping The Vampire Heroine: Reshaping The Character Of Bella Swan Through Twilight Fan Fiction, Kaitlyn D. Boisvert

Pell Scholars and Senior Theses

Due to her bland personality and submissive nature, Stephenie Meyer's Twilight heroine Bella Swan is often ridiculed by critics and readers alike. Yet some fans have taken to writing fan fiction as a way to defend Bella or explore her troublesome characteristics. Building on Henry Jenkins' scholarly approach to fan-generated writings, I analyze fan fiction writings based on Bella Swan in New Moon. I consider what sort of new perspective or interpretation the authors bring into their original works. My findings indicate that while not all fan fiction works deviate from Meyer's original character model, many do manage to flesh …

Parkinson's Diagnosis From The Caregiver's Perspective, Helen Maree Bradley

Theses : Honours

Parkinson’s disease (Parkinson’s) is a progressive neurodegenerative disorder. The irreversible and accumulating disability experienced means that people with Parkinson’s progressively lose their autonomy, eventually requiring complete care. Consequently, Parkinson’s significantly impacts sufferers and the people who care for them. Informal care, predominantly provided by female spouses becomes exceptionally demanding over time, and caregivers experience significant morbidity. Stress manifests across all stages of the caregiving trajectory, with diagnosis reported as a particularly stressful period for caregivers; however, few attempts have been made to understand what makes it stressful. The current study explored female spousal caregivers’ subjective experience of the Parkinson’s diagnosis, …

Assessing Visual Perception Using Letters And Numbers, Janet Richmond

ECU Posters

To create a new visual perceptual test using letters and numbers in isolation and in context. Producing a linear scale to measure the ability of primary school children to visually discriminate upper and lower case letters in readiness for learning to read and perform mathematical calculations.

The Hidden Daubert Factor: How Judges Use Error Rates In Assessing Scientific Evidence, John B. Meixner Jr., Shari Seidman Diamond

Scholarly Works

In Daubert v. Merrell Dow Pharmaceuticals, the United States Supreme Court provided a framework under which trial judges must assess the evidentiary reliability of scientific evidence whose admissibility is challenged. One factor of the Daubert test, the “known or potential rate of error” of the expert’s method, has received considerably less scholarly attention than the other factors, and past empirical study has indicated that judges have a difficult time understanding the factor and use it less frequently in their analyses as compared to other factors. In this paper, we examine one possible interpretation of the “known or potential rate of …

Household Food Insecurity And Obesity Risk In An Urban Slum In Brazil, Krysta Peterson

Public Health Theses

Background: The prevalence of obesity is growing among the poor. Household food insecurity (HFI) may partly explain this trend as individuals experiencing it may cope by consuming low-cost high calorie meals with little nutritive value. This study aimed to estimate the prevalence of HFI, identify its risk factors, and assess the relationship with obesity among adults in an urban slum community in Salvador, Brazil.

Design: This cross-sectional study interviewed participants at home to assess socioeconomic status, demographics, HFI (measured by the Brazilian Food Insecurity Scale (EBIA)), and health. Anthropometric measurements (height, weight, waist circumference) of each respondent were taken to …

The Association Between Perceived Stress And Worse Adherence To Medical Discharge Instructions After Acute Myocardial Infarction, Qiaochu Qi

Public Health Theses

Objectives: This study prospectively followed a cohort of 349 individuals recovering from an acute myocardial infarction (AMI) to investigate the relationship between their perceived stress and their adherence to medical discharge instructions.

Background: Experiencing a heart attack is stressful, and stress post-MI leads to poor outcomes. Worse adherence to discharge instructions can be a pathway, but no prior research has investigated the impact of perceived stress on AMI patients' ability to comply with discharge instructions.

Methods: We assessed adherence to hospital discharge instructions over 12 months among 349 individuals who were hospitalized with AMIs. Linear mixed-effects regression model was used …

Exploring Social Networking Technologies As Tools For Hiv Prevention For Men Who Have Sex With Men In Connecticut, Jorge Augusto Ramallo

Public Health Theses

This study examined the use of social networking technologies (SNTs) and their potential utilization in HIV prevention interventions among HIV positive and HIV negative men who have sex with men (MSM). We conducted 5 focus groups and 1 individual interview of HIV positive and HIV negative individuals (total 34). All participants were recruited with the help of a local non–profit organization and through a Facebook event advertised in neighboring LGBT establishments.

MSM tend to compartmentalize and separate their gay social networks. SNTs are the main way in which MSM meet new sexual partners. Young MSM are high users and early …

Prenatal Depressive Symptoms And Sexual Risk Among Young Urban Pregnant Women Of Color, Abigail Taylor

Public Health Theses

Objective: To determine whether prenatal depressive symptoms are related to sexual risk outcomes 12 months postpartum.

Methods: Participants included 757 pregnant women aged 14-21 years, mainly Latina (54.4%) and Black, non-Latina (37.0%). Women completed structured interviews during the second and third trimester of pregnancy and one-year postpartum. Depressive symptoms were measured using the affect-only items of the Center for Epidemiologic Studies-Depression Scale (CES-D). Outcomes included sexual risk behavior (percent condom use, number of partners) and sexually transmitted diseases (STDs) measured via laboratory testing.

Results: Prenatal depressive symptoms significantly predict a decrease in condom use one-year postpartum, even when controlling for …

Executive Function In Survivors Of Childhood Acute Lymphoblastic Leukemia, Adrienne Suzanne Viola

Public Health Theses

BACKGROUND Childhood acute lymphoblastic leukemia (ALL) survivors are at risk for impaired executive function, but it is unclear how to best screen for such impairment. We sought to determine 1) the reliability of neurocognitive assessment by performance-based testing versus parent report, and 2) how the measures relate to everyday function.

METHODS 256 survivors of standard risk childhood B-ALL (mean age 13.9 years at evaluation) were evaluated for executive function with three performance-based measures (Weschler Intelligence Scale for Children-IV (WISC-IV), Controlled Oral Word Association Test, and Conners' Continuous Performance Test-II) and one parent-report measure (Behavior Rating Inventory of Executive Function (BRIEF)). …

Factors Influencing Hiv Testing In A Small Public Hospital In Manglaralto Ecuador, Magdalena Marie Wilson

Public Health Theses

Increasing rates of HIV testing is critical to reducing the spread of the HIV epidemic in Ecuador. HIV testing serves a number of purposes; it can be a gateway for people to enter the HIV care continuum, it may reduce risk behaviors among those tested, and it can influence social norms around HIV. This study investigated individual, interpersonal, institutional, and community level factors influencing HIV testing. A cross sectional survey was administered to a convenience sample of patients at a small, rural, public hospital in coastal Ecuador. Educational attainment, HIV knowledge, and perception of confidentiality of test results were significantly …

Stress, Discrimination And Repeat Pregnancy In Adolescent Parents, Meghan Angley

Public Health Theses

Objective

Adolescent mothers are at high risk of repeat pregnancy and repeat birth with short birth intervals. Perceived stress is known to affect young women's use of contraception, and therefore risk of unintended pregnancy. The primary aim of the study was to examine how stress, stressful life events, discrimination and economic hardship affect adolescent mothers' risk for repeat pregnancy. Secondary aims included examining if the association between stress and repeat pregnancy was mediated by contraception use, if the stress experienced by the mother's partner was associated with risk of pregnancy and if the association between stress and repeat pregnancy was …

Conflict And Vaccine-Preventable Disease In Children Under Five In The Eastern Mediterranean Region: A Systematic Review, Alexandra Marion Adams

Public Health Theses

Background: Conflict is one of the main reasons for our failure to reach worldwide immunization targets. An objective of 90% immunization coverage is included in the fourth Millennium Development Goal to reduce under-five mortality by two thirds, which is still far from achieved in the conflict-ridden Eastern Mediterranean Region (EMR). Despite global progress, vaccine-preventable deaths still account for 20% of childhood mortality under five years of age in the EMR, and communicable disease a third of all mortality. Conflict remains a critical root cause of low vaccination coverage in the EMR, resulting in high levels of vaccine-preventable disease, disability, and …

Hpv Vaccine Effectiveness In New Haven County, Connecticut Women Age 18-39, 2008-2012, Jennifer Lynn Berry

Public Health Theses

Background: HPV vaccines have demonstrated high efficacy in clinical trials against cervical lesions and infections by HPV vaccine types 16 and 18. Together these two types are responsible for approximately 70% of cervical cancer. Data on HPV vaccine effectiveness in general populations is limited.

Methods: Surveillance data monitoring high-grade cervical lesions in Connecticut was used. Medical records were reviewed and patients were interviewed to ascertain HPV vaccine history. Patients' biopsy specimens were typed to determine the presence of vaccine or non-vaccine type HPV. Odds ratios were determined using logistic regression, adjusting for age at diagnosis, grade of cervical lesion, race/ethnicity, …

Risk Factors For Q Fever Seroconversion In A Cohort Of Veterinary Students: A Comparative Analysis, Jessica Bonthius

Public Health Theses

Introduction: Coxiella burnetii (C. burnetii) is an extremely infectious, environmentally persistent intracellular bacterium and the causative agent of the zoonosis Q fever. An unprecedented epidemic in the Netherlands between 2007 and 2010 revealed its public health importance. Recent investigations have focused on C. burnetii seroprevalence among livestock workers. The burden of disease in veterinary students, a group with arguably similar exposures, has been insufficiently characterized.

Methods: Students beginning veterinary study at Utrecht University's Veterinary Medical School in 2006 were invited to participate. Questionnaires and serum samples for the detection of IgM and IgG antibodies against C. burnetii were collected at …

Lifetime Prevalence Of Male-Male Ipv Perpetration In A Community Health Clinic-Based Sample: Implications For Self-Reported Sti And Condom Use, Benjamin Richard Clopper

Public Health Theses

Men who engage in sexual behaviors with other men are at high risk for developing a sexually transmitted infection (STI). They also have reduced access to health care services and poorer health outcomes after developing an STI than their white or higher-income counterparts. Intimate partner violence (IPV) is an established risk factor for STI contraction and non-condom use in male-female dyads. Such research on IPV in male-male couples is lacking. The objectives of this study are to document the lifetime prevalence of male-male IPV among an urban, minority community health center-based sample, examine associations between male-male perpetrated IPV and self-reported …

Positional Plagiocephaly Among Tribal Societies And Contemporary Western Societies: A Comparison Of Treatments, Results, And Effects, Jacinda Rose Ruggles

Honors Program Theses

This study explores the two causes of positional plagiocephaly, or abnormal head shape in infants as well as effects and treatments. To do so, two groups were chosen for comparison: contemporary western societies and tribal Native American societies. In the first group, the medical condition known as positional plagiocephaly is considered before, during and after the Safe to Sleep campaign of the 1990’s. In the second group infant head flattening is discussed as a result of cradling practices and carrying techniques. The importance of this study is to contribute new insight into positional plagiocephaly and its treatments. The study combines …

Choosing Number And Scheduling Priority Of Warm-Hand Offs: A Des Model, Evelyn Cumberbatch

Public Health Theses

Background: The integration of behavioral health care into primary care is being promoted as a means to treat more people with behavioral health problems where they are most likely to be seen. Clinics with traditional behavioral health services may open slots among scheduled appointments to see these "warm-hand off" (WHO) patients identified by primary care providers (PCPs). The effects of giving priority for behavioral health appointments to either scheduled or WHO patients and of the number of appointments left open for WHO patients are investigated in this project.

Methods: A discrete event simulation model was built of a moderately integrated …

Trauma-Informed Services And Trauma Awareness Among Staff On The College Campus, Tricia Wisniewski

Honors Program Theses

For college students to work through the effects of trauma and be able to live a more normalized life, the availability of effective trauma-informed services on campus environments is crucial. Therefore, I chose to investigate the availability of trauma-informed services to all students on the college campus. The purpose of this study is to examine the relatively unexplored area of trauma informed services in the context of college campus through survey methods at the University of Northern Iowa (UNI). In particular, this study focuses on trauma-informed services and employees’ trauma awareness in four service units on the UNI campus: the …

Gender Differences In Pay Expectations At Three Career Stages, Elijah Rogeay Seay

Honors Program Theses

Major and Konar (1984) found a difference between genders in pay expectations, but no difference in the perceived fairness of expected pay. In my study, I evaluated pay expectation differences in gender at three career stages. In previous studies, researchers have only looked at what individuals earn at the beginning and peak of their careers. I specifically examined both men and women and asked them to indicate their expected pay at the beginning, middle and end of their careers. In this study the main effect for gender was significant such that males had higher pay expectations than females. In addition, …

Minority Stress And Daily Affect Among Gay And Bisexual Men, Adam Ismail Eldahan

Public Health Theses

Objectives: The primary objective of this study was to examine the possible time-variant relationship between daily minority stress and same-day affect among gay and bisexual men. Additionally, this study sought to determine whether a lagged association exists between daily minority stress and next-day affect. Lastly, this study examined trajectories of minority stress and affect during the course of the study period. Methods: 371 gay and bisexual men in New York City completed a 30-day daily diary, recording daily experiences of minority stress and daily measures of positive affect (PA), negative affect (NA), and anxious arousal (AA) (n = 8,415 diary …

Association Between Parenting Processes And Child Behavior Outcomes: The Moderating And Mediating Role Of Child Characteristics, Taylor Elizabeth Ann Goetzinger

Honors Program Theses

Past research demonstrates the importance parents have in determining the outcomes in their children’s lives. Of these outcomes, child academic achievement is extremely important. In investigating past research on parenting practices and styles, factors such as parental monitoring and involvement as well as styles of authoritative, authoritarian and permissive parenting were examined to determine an association with academic achievement in middle school children. Learning disabilities, mental disorders, child personality characteristics and child academic characteristics were other measures explored as buffers in the parenting to academic achievement relationship. Mediating effects were also examined. The current study sampled 179 middle school students …

The Influence Of Perceived Control On Breast Cancer Screening In Hispanic/Latino Women, Lianne Epstein

Public Health Theses

Background: Breast cancer is the leading cause of cancer mortality for Hispanic/Latino (H/L) women in the United States. Although incidence rates are lower among H/L women than among white women and other minorities, H/L women are more likely to be diagnosed with late-stage breast cancer and to have lower 5-year relative survival compared with non-Hispanic white women. H/L women are less likely than white and African American women to receive screening mammography according to recommended guidelines. This study examines the relationship between perceived control over three health outcome domains: 1.) remaining healthy, 2.) being diagnosed with cancer, and 3.) the …

The Association Of Masculinity Themes In Social Network Images And Sexual Risk Behavior, Elizabeth Nicole Genter

Public Health Theses

In spite of the high prevalence of active users on social networking sites (SNSs), research examining the ways in which online social network interactions are associated with health have been limited (Morgan, et al., 2010). The primary aim of this study was to understand the context in which emerging adult men post masculine themed images and videos on their SNS's and its relationship to sexual risk behavior (e.g. number of sexual partners, concurrency, and condom use) and offline communication about sex with friends (e.g. talking about sex, HIV/STDs, and relationships), by examining the relationship between 902 images and videos posted …

Emotional Intelligence & Conflict Resolution In Middle School Aged Children: The Early Effects Of An Emotional Literacy Intervention (Ruler), Monique Haynes

Public Health Theses

Emotional literacy interventions have been successful in increasing classroom organization and emotional climate. However, little has been reported on the effects of these interventions on conflict resolution and their implications for youth violence and aggression. The aim of this thesis is to determine the early effects of an emotional literacy intervention (RULER) on conflict resolution skills in middle school aged children by examining the link between RULER and conflict resolution, including emotion regulation as a mediator. This was done using a multi-method, multi-level approach. Data from 57 sixth-grade classrooms (N=754) were analyzed and included conflict resolution scores and emotion regulation …

Household Food Insecurity And Sleep Patterns Among Mexican Adults: Results From Ensanut-2012, Monica Jordan

Public Health Theses

Objective: To examine the independent association of household food insecurity (HFI) with sleep duration and quality in a nationally representative cross-sectional survey of adults in Mexico.

Methods: We analyzed data from ENSANUT-2012. We assessed the association between HFI and self-reported sleep duration and quality among 11,356 adults using weighted multinomial and binomial logistic regression. The Latin American and Caribbean Food Security Scale (ELCSA) was used to categorize food security level as secure (25.5%), mild HFI (43.7%), moderate HFI (19.0%), or severe HFI (11.8%).

Results: Overall, 20.8% of individuals reported getting less than the recommended 7-8 hours of sleep/night, 20.4% reported …

Adverse Childhood Experiences (Aces) And Their Influence On Social Connectedness, Tammie Kwong

Public Health Theses

Emerging evidence suggests that Adverse Childhood Experiences (ACEs) are prevalent within the population and are linked to various negative long-term health and social consequences. The effect childhood maltreatment has on an individual's ability to maintain social connectedness may be a potential pathway as to how early adversity increases the likelihood of future negative health consequences. Using the 2011/12 National Survey of Children's Health, this thesis will explore the influence ACEs has on three areas of social connectedness: bonding, bridging, and linking. Results from the multivariate logistic regression model show that there was a significant association between ACEs and bonding as …

Detecting Knowledge Of Incidentally Acquired, Real-World Memories Using A P300-Based Concealed-Information Test, John B. Meixner Jr., J. Peter Rosenfeld

Scholarly Works

Autobiographical memory for events experienced during normal daily life has been studied at the group level, but no studies have yet examined the ability to detect recognition of incidentally acquired memories among individual subjects. We present the first such study here, which employed a concealed-information test in which subjects were shown words associated with activities they had experienced the previous day. Subjects wore a video-recording device for 4 hr on Day 1 and then returned to the laboratory on Day 2, where they were shown words relating to events recorded with the camera (probe items) and words of the same …