[Sexual Violence Against Women and Their Help-Seeking in Taiwan].

BACKGROUND: Sexual violence is a global health and human rights issue that impacts the physical and mental health of victims and increases healthcare costs. PURPOSE: This research was developed to investigate the prevalence of sexual violence against women in Taiwan and the help-seeking behavior of these women. Based on the findings, suggestions are provided for both government policymakers and frontline medical staffs. METHODS: Data for this study were collected using a face-to-face interview survey conducted with women aged 18 to 74 years nationwide. RESULTS: Of the 1,504 women surveyed, 87 (5.76%) reported having suffered from sexual violence. The one-year prevalence was 1.41%, while the lifetime prevalence was 5.76%. Although sexual violence is known to impact physical and mental health, most victims are reluctant to seek help from formal support systems. CONCLUSIONS: Victims of sexual violence often delay seeking help from medical settings. Although the victims identified in this study endured chronic symptoms and psychological trauma, few had made formal disclosures of intimate partner sexual violence (IPSV) incidents. Frontline medical staffs have the opportunity to play an important role in sexual-violence response if they are made aware of incidents of IPSV / non-IPSV. Thus, to facilitate disclosure, screening for IPSV and non-IPSV should be made standard practice in high-risk medical settings.

Reliability and Validity of Transversus Abdominis Measurement at the Posterior Muscle-Fascia Junction with Ultrasonography in Asymptomatic Participants.

OBJECTIVE: The purposes of this study were (1) to establish the intrarater sliding and change in thickness of the transversus abdominis (TrA) measurement at the posterior muscle-fascia junction and (2) to examine the relationship between the muscle thickness and sliding of the TrA at the anterior and posterior sites. METHODS: Asymptomatic participants (n = 20) were placed into the hook-lying position to perform the abdominal drawing-in maneuver viewed in B-mode with a 5- to 12-MHz linear ultrasound transducer. The outcome variables included the resting thickness, the thickness during contraction, the change of thickness, and the change of sliding length. Both intraclass correlation coefficient and Pearson correlation were used for analysis. RESULTS: Measuring the thickness and sliding of the TrA at the posterior muscle-fascia junction showed good reliability (intraclass correlation coefficient (3,3), 0.89-0.98). The correlations between the sliding measurements of the TrA at the anterior and posterior sites were moderate to good (r = 0.41-0.74). CONCLUSION: This study found that measuring the musculofascial corset from the posterior site using ultrasonography is reliable, allowing for ultrasound measurements at both the anterior and posterior sites of the TrA to provide a comprehensive evaluation of the TrA fascia.

Reliability of thickness measurements of the dorsal muscles of the upper cervical spine: an ultrasonographic study.

STUDY DESIGN: Clinical measurement, reliability. OBJECTIVES: To examine the intraday intrarater reliability of measuring thickness of the upper dorsal neck muscles at rest, as well as at 50% of maximum voluntary isometric contraction (MVIC), for upper cervical extension. BACKGROUND: Methodology for measuring the thickness of the lower dorsal neck muscles, including semispinalis capitis and multifidus muscles, during contraction using ultrasonography has been established. Thickness measurements for the upper dorsal neck muscles have not been documented. METHODS: Ten subjects (21 to 30 years of age) without neck pain and headache were recruited. Their upper dorsal neck muscles were measured both at rest and during 50% MVIC for upper cervical extension in sitting position using rehabilitative ultrasound imaging (RUSI). Muscles measured included the rectus capitis posterior major, oblique capitis superior, semispinalis capitis, and splenius capitis. All measurements were repeated after 10 minutes of rest, on the same day, by the same rater. Descriptive statistics were supplemented by calculations of intraclass correlation coefficient (ICC3,1), standard error of measurement (SEM), within-subject coefficient of variation (CVw), and minimal detectable change (MDC). RESULTS: ICC3,1 results ranged from 0.87 to 0.99 for thickness measurements made at rest and from 0.90 to 0.98 for thickness measurements made with a 50% MVIC. The SEMs for thickness measurements at rest and at 50% MVIC ranged from 0.11 to 0.46 mm and 0.23 to 0.52 mm, while the CVws ranged from 3.5% to 6.1% and 3.7% to 6.4%, and MDC95 ranged from 0.35 to 1.46 mm and 0.73 to 1.65 mm, respectively. The thickness of all upper dorsal neck muscles measured during a 50% MVIC was greater than when measured at rest (P<.029). CONCLUSION: Thickness measurements of the upper dorsal neck muscles using RUSI were reliable both at rest and during a 50% effort isometric contraction.