To evaluate the links between gastrointestinal disorders and sexual abuse, we asked 344 patients consulting in a specialized tertiary care university hospital or a gastroenterologist in private practice, if they had been sexually abused. Forty per cent of patients suffering from lower functional digestive disorder gave a history of having been victims of sexual abuse in contrast to only 10% of patients with organic diseases (P < 0.0003). The prevalence was similar in private practice and in the university hospital. Abused patients were more likely to complain of constipation (P < 0.03) and diarrhoea (P < 0.04). Anismus was more frequent in patients who had been sexually abused (P < 0.02). The prevalence of abuse was four times greater in patients with lower than with upper functional motor disorders of the gastrointestinal tract (P < 0.002). This study confirms the large prevalence of a past history of sexual abuse among patients consulting for gastrointestinal tract functional disorder, and this whatever the kind of recruitment may be. It shows the association to be much stronger in patients who have a lower rather than an upper gastrointestinal dysfunction, the major complaint of abused patients being constipation and diarrhoea.

The accurate estimation of fragility functions requires the proper selection of ground motion records at different intensity levels. However, most of the available fragility assessments of concrete dams use the same records at all intensity levels and often selects them with an inadequate target spectrum. In order to improve the fragility assessment of such structures, this paper proposes the use of records selected with the Conditional Spectrum (CS) method within a multiple stripes analysis. The approach is applied to a dam in Eastern Canada, and a comparison with the methodology used by other studies is done. It is shown that the approach proposed herein allows for the reduction of the seismic response and fragility of the dam. Moreover, the uncertainty related to material properties becomes less significant when using the CS method, and the fragility curves could be reasonably estimated by considering the ground motions as the only source of uncertainty.

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In recent years, probabilistic methods, such as fragility analysis, have emerged as reliable tools for the seismic assessment of dam-type structures. These methods require the selection of a representative suite of ground motion records, resulting in the need for a ground motion selection method that includes all the relevant ground motion parameters in the fragility analysis of this type of structure. This article presents the development of up-to-date fragility curves for the sliding limit states of gravity dams in Eastern Canada using a record selection method based on the generalized conditional intensity measure approach. These fragility functions are then combined with the recently developed regional hazard data to evaluate the annual risk, which is measured in terms of the unconditional probability of limit state exceedance. The proposed methodology is applied to a case study dam in northeastern Canada, whose fragility is assessed through comparison with previous studies and current safety guidelines. It is observed that the more accurate procedure proposed herein produces less conservative fragility estimates for the case study dam.