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.

BACKGROUND: Intestinal constipation is characterized by problems related to evacuation, and presents high prevalence in the female gender. This condition has demonstrated negative effects on the development of daily activities, causing damage to the physical and emotional well-being of individuals who are diagnosed with it. Studies that investigate what health impairments intestinal constipation can cause are scarce in the literature. OBJECTIVE: This study aimed to verify the prevalence and factors associated with intestinal constipation in premenopausal women living in Northeastern Brazil. METHODS: It is a cross-sectional study. This was carried out in the northeast of Brazil. Participated 195 women, adult and middle age. Social conditions, habits and lifestyle, clinical aspects and obstetric history were investigated. Constipation was diagnosed using the Rome III Criteria. Multivariate analysis was conducted using Poisson Regression with robust variance to analyze the relationship between intestinal constipation and independent variables. A statistical significance level of P<0.05 was considered. RESULTS: Most of the women were between 25 and 39 years old (49.2%) and had an income of up to one minimum wage (79.5%). The intestinal constipation prevalence was 35.4%. In the final multivariate regression model, hemorrhoid clinical aspects (P=0.01), pain (P=0.001) and a burning sensation (P=0.01) on bowel movement, and sexual dysfunction (P=0.03) remained associated with constipation. CONCLUSION: The present study found a significant prevalence of constipation among premenopausal women and clinical factors such as hemorrhoids, pain and a burning sensation, and sexual dysfunction were associated with intestinal constipation.

Objective: The aim of this study is to analyze the relationship between intestinal constipation and functioning in adult women living in a municipality in the interior of northeast Brazil. Materials and Methods: This is a cross-sectional study conducted with 195 adult women in the city of Santa Cruz-RN. Constipation was diagnosed using the Rome III criteria. Functioning was measured through WHODAS 2.0. Social conditions, habits and lifestyle were also investigated. Inferential analysis was performed using the chi-squared test and the Mann–Whitney U-test, and the effect size was determined by eta squared (η²). Multivariate analysis was performed using multiple linear regression to analyze the relationship between the WHODAS total score and constipation, being adjusted by covariates with p≤ 0.20 in the bivariate. A statistical significance level of p< 0.05 was considered. Results: Most of the participants in this study were aged 19 to 39 years (69.7%) and had an income of up to 1 minimum monthly salary (79.5%). WHODAS scores showed that women with constipation had more disability in the cognitive (p < 0.001), mobility (p < 0.002), self-care (p < 0.001), and participation (p < 0.001) domains, as well as the total score (p < 0.001). After multiple linear regression analysis, the total WHODAS score remained associated with constipation (p < 0.001), in which this condition increases the score by nine points. Conclusion: The results of this study show that there is a reduction in functioning associated with the presence of constipation in adult women, mainly affecting the cognition, mobility, self-care and participation domains, in addition to the total score.

Resumo Analisar o padrão de distribuição espacial do diagnóstico em estádio avançado e da mortalidade por câncer colorretal (CCR) no Brasil e sua relação com indicadores populacionais socioeconômicos e de oferta de serviços de saúde. Estudo ecológico, realizado com casos de CCR, em indivíduos de ambos os sexos a partir das 133 Regiões Intermediárias de Articulação Urbana do território brasileiro no período de 2015 a 2019. Os dados de estadiamento, mortalidade, socioeconômico e oferta de serviços de saúde foram coletados em sistemas de informação. Foi realizada uma análise espacial utilizando o índice de Moran Global e Indicador Local de Associação Espacial. Na análise multivariada foram usados modelos com efeitos espaciais globais, o Spatial Error. A proporção de diagnóstico em estádio avançado de CCR para o sexo feminino foi de 64,7% e o masculino 65,9%. A taxa ajustada de mortalidade por CCR para o sexo feminino foi 11,25 e a masculina 14,29 por 100.00 habitantes. As taxas ajustadas de mortalidade por CCR foi associada ao índice de vulnerabilidade social, densidade de clínico geral, de coloproctologista e de serviços especializados em oncologia. As iniquidades sociais e na oferta dos serviços de saúde são preditores do padrão espacial para mortalidade por CCR.

A horta escolar constitui espaço de ensino de educação nutricional e ambiental, aproximando a sala de aula aos processos da natureza. Então, programou-se uma horta orgânica (agroecológica) com o objetivo de contextualizar o ensino interdisciplinar durante a percepção sobre a origem dos alimentos. A pesquisa foi realizada por meio de observação participante em escola pública do município de São Bernardo do Campo, com alunos do 6º ano do ensino fundamental. A horta desempenhou um papel de suporte no processo de aprendizagem nas disciplinas de Geografia, História, Matemática e Ciências. O principal desafio encontrado foi implementar o projeto da horta ao currículo e incorporá-lo à rotina escolar.