The three approaches are superior to CAF alone for root coverage. EMD provides highest levels of CRC; however, the addition of CM increases gingival thickness. The combination approach does not seem justified.
Root coverage procedures improve patient OHRQoL by impacting on a wide range of dimensions, perceived after reduction of CDH and esthetic dissatisfaction of patients with GRs treated with CAF + CM, CAF + EMD, and CAF + CM + EMD.
Objective: To perform cross-cultural adaptation of the Dental Environment Stress (DES), to test its construct validity and reliability, and to identify the sources of stress among Brazilian dental students. Material and Methods: The DES was transculturally adapted to Portuguese using translation/back-translation, review by an expert bilingual committee and consensus building. The first version was tested in a sample of 42 dental students to check the understanding level of the alternatives. The final version was applied to all the students enrolled in a Brazilian Public Dental School. Construct validity was assessed through factor analysis, performed by principal components analysis and Varimax rotation and reliability by internal Cronbach's alpha coefficient (95% CI). Wilcoxon rank sum was conducted to test for gender and Kruskall-Wallis for year comparison. Multivariate analysis relied on ordinal logistic regression modeling. Results: Factor analysis revealed five factors that possessed eigenvalues greater than 1.5 and together explained 46.88% of the total variance. Internal consistency of each factor was adequate, with Cronbach's alpha ranging from 0.65 to 0.84. 'Examinations and grades' (82.80%) was the highest scored item. Females presented higher rates, as well as second's and fifth's years students. The entering students were generally concerned with factors related to "Academic Performance", whereas clinical year students with "Insecurity Concerning their Professional Future". Conclusion: The Portuguese version of the DES presented good results, thus it could be a valid instrument to assess the factors of perceived stress in Lusophone countries, subsidizing the development of strategies to minimize the stress and optimize school performance.
A construção do conhecimento em saúde ocorre quando o indivíduo toma consciência da aplicação prática do conceito. Práticas de ensino unidirecionais muitas vezes não permitem isso, não motivando a busca de informações que possibilitarão a resolução de problemas. O estudante, atualmente, possui um perfil diferenciado, são jovens pertencentes à geração Y,que cresceram em uma sociedade em transformação pela tecnologia e, agora se encontram nas universidades. Esses jovens não respondem significativamente aos modelos educativos tradicionais, sendo necessárias estratégias de ensino diferenciadas, que buscam a motivação para o desenvolvimento do aprendizado, com uma prática mais participativa e dinâmica. Nesse sentido, o Pró-saúde, concebido para dar suporte à reorientação da formação profissional em saúde, permite abordagens coerentes com essa geração, estabelecendo ações que estimulam a assimilação de conhecimentos críticos no processo de formação profissional. Frente a esses conceitos, elaborou-se um questionário temático sobre a Gripe A, epidêmica em 2009, para motivação no aprendizado de fatores etiológicos e práticas necessárias para a proteção e enfrentamento individual e da sociedade, em uma situação emergencial na saúde. Logo após a aplicaçãodos questionários foram entregues gabaritos comentadosvisando o imediato esclarecimento. Observouse então, o interesse dos estudantes em relacionar as suas dúvidas e dificuldades com as respostas corretas, realizando a proposta de motivação no ensino. Dessa forma, verificou-se que essa estratégia, baseada em um instrumento de autoavaliação, permitiu ao aluno progredir em seus conhecimentos baseando-se em seus erros.
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