Background: Several factors affect sexual function, including cancer development and treatment. This study summarized the risk of women with cancer of developing sexual dysfunctions. Methods: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched the EMBASE, PubMed, LILACS, SciELO, CINAHL, Scopus, and Web of Science databases using the descriptors cancer, neoplasms, sexual dysfunction, sexual function, and women. The Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies assessed the quality of studies. Results: Sixteen studies were included in this review. Women with cancer presented sexual dysfunctions in 14 out of 16 included studies. The incidence of sexual dysfunctions ranged from 30% to 80%, while the risk of developing sexual dysfunction increased 2.7- and 3.5-fold in women with cervical and breast cancer, respectively. Conclusion: Different cancer treatments increase the risk of developing sexual dysfunction in women, especially desire, arousal, and orgasm, leading to biopsychosocial changes in the health of this population.

The COVID-19 pandemic has had a negative impact on socioeconomic and public health conditions of the population. To measure the temporal evolution of COVID-19 cases in cities near the countryside outside metropolitan areas of northeastern Brazil and the impact of the primary care organization in its containment. This is a time-series study, based on the first three months of COVID-19 incidence in northeastern Brazil. Secondary data were used, the outcome was number of COVID-19 cases. Independent variables were time, coverage and quality score of basic health services, and demographic, socioeconomic and social isolation variables. Generalizable Linear Models with first order autoregression were applied. COVID-19 spreads heterogeneously in cities near the countryside of Northeastern Brazilian cities, showing associations with the city size, socioeconomic and organizational indicators of services. The Family Health Strategy seems to mitigate the speed of progression and burden of the disease, in addition to measures such as social isolation and closure of commercial activities. The spread of COVID-19 reveals multiple related factors, which require coordinated intersectoral actions in order to mitigate its problems, especially in biologically and socially vulnerable populations.

No Brasil, o câncer é a segunda causa de morte ficando atrás apenas das doenças cardiovasculares. O principal câncer encontrado nas mulheres é o de mama, entretanto em casos raros esse pode acometer pessoas do sexo masculino, levando ao óbito de forma mais rápida. Objetivo: identificar a taxa de mortalidade por câncer de mama masculino no Brasil, com ênfase nos estados da região Nordeste. Métodos: Trata-se de um estudo ecológico e temporal com abordagem quantitativa. Foram selecionados as 5 regiões brasileiras e os 9 estados da região Nordeste nos anos de 2001 a 2015. Os dados foram coletados através do site do atlas online de mortalidade do Instituto Nacional do Câncer. Resultados: 1839 homens foram a óbito em razão do câncer de mama no período citado, a partir dos 30 a 39 anos houve um aumento nas notificações, em relação ao Nordeste os estados do Ceará, Rio Grande do Norte e Sergipe apresentam as três maiores taxas. Conclusão: evidenciou-se que o Sudeste foi a região que apresentou maior número de óbitos e maior taxa. No Nordeste os estados do Ceará, Rio Grande do Norte e Sergipe permaneceram acima da média e o Maranhão teve a menor taxa de mortalidade.

Objetivo: Avaliar o nível de sonolência diurna excessiva (SDE), a síndrome de apneia obstrutiva do sono (SAOS) e as condições de saúde em idosos.Métodos: Trata-se de um estudo transversal e quantitativo, realizado com idosos cadastrados nas Estratégias de Saúde da Família de um município do Rio Grande do Norte, Brasil, de setembro de 2015 a janeiro de 2016. Utilizou-se um questionário sociodemográfico (com perguntas relativas ao: sexo, estado civil, tipo de moradia, endereço, renda, escolaridade e profissão) e de condições de saúde (com perguntas relativas à presença de doenças, a sequelas presentes e ao uso de medicamentos). A sonolência diurna excessiva (SDE) foi medida pela escala de Epworth e a síndrome de apneia obstrutiva do sono (SAOS), pelo questionário clínico de Berlin. Resultados: Participaram do estudo 61 idosos, com idade média de 68,5 anos, sendo 46 do sexo feminino (75,4%). Dentre eles, 56 (91,8%) relataram ter algum tipo de doença, sendo a hipertensão arterial sistêmica (HAS) a mais frequente (57,4%; n=35), seguida pela diabetes mellitus (DM) (24,6%; n=15) e artrite ou artrose (34,4%; n=21). Observou-se correlação positiva entre HAS e SAOS (p=0,001), DM e SAOS (p=0,018) e entre SDE e doenças respiratórias (p=0,010). Conclusão: As doenças mais prevalentes entre os idosos avaliados foram hipertensão arterial sistêmica e diabetes mellitus. A maioria não apresentou sonolência diurna excessiva e, quando observada, foi principalmente em grau leve. Apesar disso, observou-se associação positiva entre doenças crônicas, síndrome de apneia obstrutiva do sono e sonolência diurna excessiva.

In elderly individuals, it is more common to observe a decline in their functionality, resulting in difficulties in performing daily activities and participating in the community. To mitigate this decline, longitudinal monitoring of the elderly individual is necessary, along with the use of instruments such as the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), which evaluates functionality across various aspects. The scope is to analyze the use of WHODAS 2.0 as an instrument for assessing functionality in community-dwelling elderly individuals. A scoping review was conducted on WHODAS 2.0 as an instrument for assessing functionality in community-dwelling elderly individuals. The descriptors “Disability Assessment Schedule II”; “WHODAS 2.0”; “WHODAS”; “Aged”; “Elderly”; “Aging”; “Primary Health Care”; “Primary Care”; “Primary Healthcare” were used in the following databases: Medline, Embase, CINAHL, Scopus, Web Of Science, Embase, Science Direct, and Google Scholar. The initial collection resulted in a total of 425 studies addressing the topic. After readings using inclusion and exclusion criteria, 14 studies were included for analysis. The majority of studies were conducted in primary healthcare, with a greater number of women in various countries. The domains that most impacted functionality were mobility, activities of daily living, and social participation. Conversely, interpersonal relationships and self-care were the least affected domains. It is notable that WHODAS 2.0 is an instrument that can be used in community-dwelling elderly individuals. The domains that most negatively influenced functionality were mobility, activities of daily living, and social participation.