Introduction: congenital syphilis is a systemic infectious disease of chronic evolution caused by the Treponema pallidum bacterium dissemination to the fetus through the placenta of infected pregnant women untreated or treated improperly, occurring at any stage of pregnancy or clinical stage of the disease. Objective: epidemiological analysis of congenital syphilis in the State of Ceará from 2007 to 2010. Methods: documentary study conducted in March, 2013, through the database available at the Center for Information and Analysis in Health which keep the information about the National System of Notifiable Diseases records. There were 1,577 notifications of congenital syphilis cases. Results: the following results were observed: 71.78% (n = 1,132) of women who had their children diagnosed with congenital syphilis attented to prenatal consultation; 46.16% (n = 728) had a diagnosis of syphilis identified only during delivery/curettage; about 69.5% (n = 1,096) of pregnant women partners did not undergo any treatment for congenital syphilis. It was noted that over 90% of children were diagnosed with congenital syphilis until the sixth day of birth, and the most prevalent final classification was recent syphilis with 83.83% (n = 1,322) of cases. The most common clinical evolution for children had a favorable outcome, as more than 75% of them underwent treatment and remained alive during the studied period. Conclusion: the thorough analysis of congenital syphilis cases and the factors involved in the process are of fundamental importance to support the actions to prevent and control the disease.

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Introduction and Hypothesis: The Pelvic Floor Dysfunction (PFD) is a common gynecological condition that causes significant morbidity in the affected population, increasing clinical and financial challenge for the Public Health Services. Methods: This study aimed to review the available evidence and interventions to promote the health of women with PFD. We used the following databases to select papers for this review: Scopus, PubMed, CINAHL, LILACS and Cochrane. The sample consists of seven articles, with evidence levels 1 and 2. Results: The results of the articles point out to a greater number of activities related to the management of Urinary Incontinence (UI) behavioral support to the patient and physical therapy of the pelvic floor muscles. They were both beneficial to UI prevention and treatment. Conclusions: The physical therapy approach, when associated with cognitive and behavioral strategies, leverages UI outcomes in patients.

Objective: The aim of this study was to conduct an integrative literature review on the impact of breast cancer (CA) on female sexuality. Methods:The search was performed online in November 2014 using the following databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL), Scopus, PubMed, Latin American and Caribbean Health Sciences (LILACS) and the Cochrane Library. The search results consisted of 13 articles. Synthesis:Most studies have shown that women have less lubrication and a decrease in desire, which directly affect their quality of life. Moreover, 70% of the articles described limitations of the studies, the most cited of which were as follows: small sample size because of the feeling that participants considered the theme to be embarrassing, the altered emotional state decreased willingness to participate in the study, and the non-participation of husbands in the study reduced the impact on marital intimacy. Conclusion:It can be concluded that breast cancer has a negative impact on the sexual function of women who are affected by this disease.