Objective To analyze published scientific evidence about the most common orofacial disorders in children with microcephaly associated with ZIKV infection. Methods Through a scoping review, we respond to the search question was formulated: "What are the orofacial alterations in children with microcephaly associated with ZIKV?" It was performed a search in PubMed, EMBASE, Scopus, and Health Virtual Library. It was selected papers wrote in English, Portuguese, or Spanish. An evidence quality analysis was performed using the Agency for Healthcare Research and Quality classification. Results It was included 11 studies performed in the Brazilian Northeast region. The studies were carried out between 2018 and 2020. The main related alterations were delay in the tooth‐eruption and deformation in the oral structures. Conclusion The results observed in our work show moderate scientific evidence regarding the association of ZIKV with orofacial alterations in children with microcephaly due to the classifications of the quality of evidence of each one of the included studies. The main changes reported were in the chronology of tooth eruption, alteration in teeth, and oral structures.

Objective to investigate the impact of the severity of microcephaly caused by the Zika virus (MCZ) on tooth eruption and orofacial structures of children. Design This case series study developed the research at the Mens Sana Rehabilitation Center, Arcoverde, Brazil. The study included 27 children diagnosed with MCZ. We performed the data collection in June 2018 through a questionnaire answered by the legal guardians, followed by a clinical examination of the children. The data were analyzed by the Mann–Whitney and Fisher's exact tests (p = 0.05). Results The final sample was composed of 20 children. Of these, 13 (35.0%) had severe microcephaly, 5 (30.0%) had altered sequence of tooth eruption, 10 (50.0%) had delayed eruption, and the mean number of decayed teeth was 2.3. The most identified orofacial changes were teeth grinding habit (65.0%), difficult chewing (50.0%), and non‐nutritive sucking (50.0%). The Mann–Whitney test showed that the severity of microcephaly did not affect tooth eruption (p = 0.581). The Fisher's exact test showed that the severity of microcephaly was not associated with orofacial changes (p > 0.05). Conclusions The severity of MCZ does not seem to influence changes in deciduous tooth eruption and the presence of orofacial anomalies.

As Práticas Integrativas e Complementares (PICS) são técnicas que visam o retorno do equilíbrio do corpo e do bem-estar, quando aplicada em gestantes trona-se uma terapia que visa diminuir os efeitos emocionais, físicos e psicológicos gerados pela gestação. Dessa maneira, o objetivo da pesquisa é analisar os benefícios das Práticas Integrativas e Complementares durante a gestação. Trata-se de uma revisão integrativa, descritiva e qualitativa, a pesquisa utilizou como plataformas de busca a Biblioteca Virtual em Saúde (BVS), PUBMED e Scielo. O recorte temporal inclui os anos de 2015 a 2020 e as palavras-chave foram combinadas nas línguas inglesa e portuguesa. Realizou-se um fluxograma com seleção dos artigos e estes foram organizados em um quadro. Os autores relatam que a eletroacupuntura pode reduzir as dores ou que o uso de fitoterápicos pode auxiliar no reforço do leite materno. Por outro lado, a preocupação era a redução das dores lombares que pode ser melhorada com a auriculoterapia. Além disso, demonstrou-se o efeito destas técnicas sofre a ansiedade e depressão desenvolvidas durante a gravidez. Ressalta-se que não foram relatados efeitos adversos significativos. Por fim, as PICS podem atuar como terapia alternativa para gestantes e que é de suma importância a aplicação destas pelos sistemas de saúde e que seja de conhecimento tanto do profissional de saúde quanto da paciente. De fato, houve melhora da insônia e da disposição pelas mulheres que utilizaram as técnicas.

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O objetivo desse estudo foi identificar o conhecimento sobre fitoterapia na população pernambucana, bem como os fatores associados. Realizou-se estudo transversal de abordagem quantitativa teve sua coleta de dados remota a partir de um questionário online; e buscou extrair informações sobre o perfil dos participantes, utilização e conhecimento sobre fitoterapia. Os dados foram submetidos a testes estatísticos para verificar associações significantes (p=0.05). A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade de Pernambuco. Dentre 372 indivíduos, 80,6% relataram conhecer o tema. Os fatores associados ao conhecimento sobre a fitoterapia foram idade superior a 25 anos, residência na capital pernambucana, ensino superior completo, remuneração maior que três salários mínimos, raça/cor branca, residência com até, no máximo, duas pessoas e uso da fitoterapia (p < 0.05). Há desigualdade no acesso à informação, tornando necessárias estratégias de educação em saúde para populações mais vulneráveis e regiões menos desenvolvidas.

Despite the well-known influence of social determinants on access to health services, it is still being determined whether there are differences in the user profile regarding access to guidelines and prescriptions for medicinal plants and herbal medicines in Brazil. Given this context, the present study aimed to investigate the prevalence of professional guidelines and prescriptions on phytotherapy and associated factors among Brazilian practice users. The research is cross-sectional, analytical, and with a quantitative approach. In total, 1,396 individuals were questioned about access to guidance on phytotherapy, and of these, 664 (47.6%) received such guidance. Likewise, 1,421 participants were asked about the prescription for this use, among which 510 (35.9%) received a prescription for medicinal plants and/or herbal medicines. Phytotherapy guidelines and prescriptions in Brazil proved to be infrequent. There must be professional training, investments in continuing education, and readjustment of public policies among health professionals to encourage the use of herbal medicines.

Objective: To verify whether access to information about oral hygiene influenced the practices of caregivers of children with microcephaly caused by Zika virus (ZIKV).Methods: A case series study was developed at the Mens Sana Rehabilitation Center, in the municipality of Arcoverde, Pernambuco, Brazil. The study universe included the mothers of 32 children with microcephaly caused by Zika virus. Data collection took place in June 2018 and was carried out through a structured questionnaire.The variables studied comprised socioeconomic issues, habits, diet, and knowledge about oral hygiene. Fisher's Exact and Pearson's Chi-square tests were used with a significance level of 5%.Results: Out of 32 individuals eligible to participate in the study, only 27 were selected.Most mothers reported receiving information about oral hygiene from their infants (63.0%). Fisher's Exact and Pearson's Chi-square tests showed that access to oral hygiene information was associated with mother's education, family income, regular visits to the dentist, frequency of tooth brushing, age at which the infant started brushing, and brushing time (p < 0.05). Conclusion:Access to information about oral hygiene positively influenced the oral health care of mothers with their children with microcephaly caused by ZIKV.

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