Diagnóstico da comercialização de produtos da medicina popular em feiras livres do semiárido do Rio Grande do Norte: avaliações socioeconômicas e sanitárias, com proposta de legislação específica

Historically, man has empirically acquired knowledge about the therapeutic applications of extracted elements of the natural environment in which belonged. Such knowledge over time culminated in the formation of traditional health systems. Among its features, the use of bioactive plant species - medicinal plants - stands out for its efficiency and high popular acceptance. Despite its importance for public health, the population still has in the open-air fairs the main source for the acquisition of the species used. In these spaces, the trade generally occurs informally, under unfavorable conditions to the quality of the products and to the financial sustainability of the business. In this context, this study aimed to characterize the socioeconomic, cultural and sanitary aspects related to the trade of medicinal plants in municipalities of a semiarid region of Rio Grande do Norte, and additionally, proposing a specific legislation to the activity. Socioeconomic data were collected through on-site interviews, guided by structured form. The observations about the hygienic and sanitary adequacy of physical facilities and practices employed at the point of sale /environment were conducted and recorded with the use of assessment tool developed for use in open markets. The adequacy of medicinal plants to consumption was determined by microbiological analysis. The activity was carried out by individuals who are aged between 21 and 81 years of age, low educational level and low-income, predominantly males. The data showed a tendency to extinction of the activity in all the districts studied. It was observed in all the fairs studied hygiene and sanitation inadequacies that characterized very high health risk, representing in this way, the high probability of Food Transmitted Diseases outbreaks Such conditions were reflected in the high percentage of inadequacy to the consumption of the analyzed medicinal plants samples, illustrating the potential health risk to consumers. To contribute to the correction of hygiene and sanitation inadequacies observed in the studied open-air fairs, educational interventions were made to the training of traders in Good Practices. As a complement, was drafted a specific legislation for the marketing of folk medicine's products in open-air fairs. Such actions, products and its developments will contribute significantly to improving the quality of products available to the population and the preservation of activity, potentially reducing the risks to public health.

Otimização de parâmetros mecânicos e microestruturais dos moldes em areia de sílica ligados quimicamente pelo processo de cura a frio em fundição de aço

Surface defects on steel parts borne costs of smelting industries due to the need of rework. Sand molds are frequently used in foundry industries and largely responsible for providing surface defects. This study aims to optimize the levels of the molding process variables to minimize the occurrence of surface defects in steel castings in silica sand molds chemically linked by cold cure process. The methodology used the experimental design with split plot, being considered in the study the resin percentage factors in the mold formulation, addition of iron oxide, type of paint, the paint application method, amount of ink layers, use of hot air along the lines and waiting time of the mold before casting. They were analyzed as response variables erosion defects, sand inclusion, penetration, porosity and surface finish. Tensile strength tests were performed to evaluate the influence of factors on mechanical parameters and the microstructural parameters were carried out the analysis of X-ray diffraction, scanning electron microscopy (SEM) and thermal analysis (TG / DSC / dilatometry). The results elucidate that for the faulty erosion, the only significant factor with a 95% confidence level was the type of ink and the ink alumina-based superior results obtained. For the sand inclusion of defect, there were three significant factors, with best results obtained with alumina-based paint and spray applied using hot air in the mold before casting the metal. For the defect penetration, there were four significant factors, the best results being achieved with 0.8% of resin and addition of iron oxide in the molding formulation, the paint being applied by brush and standby time of 24 hours before leak. For the defect porosity with a 95% confidence level, no significant factors. For the defect surface finish, the best results were achieved with the 0.8% formulation of the resin in the mold and application of the paint brush. To obtain the levels of the factors that optimize all defects simultaneously, we performed a weighted average of the results of each type of fault, concluding that the best levels of the factors were: 0.8% resin and addition of iron oxide in the formulation of the template, application of two coats of paint applied with a brush or spray, using hot air in the mold before casting and 24 hours of waiting ready the mold before casting. These levels of the optimized factors were used in an experiment to confirm that ratified the results, helping to reduce rework and consequently reducing costs of cast steel parts.

Seawater carbonate chemistry and biological processes during experiments with four species of marine diatoms

The effect of pCO2 on carbon acquisition and intracellular assimilation was investigated in the three bloom-forming diatom species, Eucampia zodiacus (Ehrenberg), Skeletonema costatum (Greville) Cleve, Thalassionema nitzschioides (Grunow) Mereschkowsky and the non-bloom-forming Thalassiosira pseudonana (Hust.) Hasle and Heimdal. In vivo activities of carbonic anhydrase (CA), photosynthetic O2 evolution, CO2 and HCO3? uptake rates were measured by membrane-inlet mass spectrometry (MIMS) in cells acclimated to pCO2 levels of 370 and 800 ?atm. To investigate whether the cells operate a C4-like pathway, activities of ribulose-1,5-bisphosphate carboxylase (RubisCO) and phosphoenolpyruvate carboxylase (PEPC) were measured at the mentioned pCO2 levels and a lower pCO2 level of 50 ?atm. In the bloom-forming species, extracellular CA activities strongly increased with decreasing CO2 supply while constantly low activities were obtained for T. pseudonana. Half-saturation concentrations (K1/2) for photosynthetic O2 evolution decreased with decreasing CO2 supply in the two bloom-forming species S. costatum and T. nitzschioides, but not in T. pseudonana and E. zodiacus. With the exception of S. costatum, maximum rates (Vmax) of photosynthesis remained constant in all investigated diatom species. Independent of the pCO2 level, PEPC activities were significantly lower than those for RubisCO, averaging generally less than 3%. All examined diatom species operate highly efficient CCMs under ambient and high pCO2, but differ strongly in the degree of regulation of individual components of the CCM such as Ci uptake kinetics and extracellular CA activities. The present data do not suggest C4 metabolism in the investigated species.

Avaliação das condições de precipitação do azul da Prússia sobre pó de grafite visando o desenvolvimento de eletrodos de pasta de carbono para a quantificação de nitrito

An amperometric FIA method for nitrite quantification based on nitrite electroreduction and employing a carbon paste electrode (CPE) chemically modified with iron hexacyanoferrate (HCF) as an amperometric detector was developed. The influence of experimental conditions on the preparation of the electrode materials was evaluated and the materials obtained in each study were used for the development of modified electrodes. The electrochemical sensors were prepared by a fast, simple, and inexpensive procedure, and the long-term performance of the electrodes were quite satisfactory as the stability was maintained over one year. HCF was an effective redox mediator for nitrite electroreduction in acidic media, allowing nitrite detection at +0.2 V vs. Ag/AgClsat, which is a potential free of possible interfering species that are normally present in food and water samples. The electrochemical cell used in the FIA system was similar to a batch injection analysis cell, enabling recirculation of the carrier solution. This is an attractive feature because it allows the use of a high flow rate (6 mL min-1) leading to high sensitivity and analysis speed, while keeping reagent consumption low. The proposed method had a detection limit of 9 μmol L-1 and was successfully employed for nitrite quantification in spiked water and sausage samples. The obtained results were in good agreement with those provided by the spectrophotometric official method. At a 95 % confidence level it was not observed statistical differences neither in nitrite content nor in the precision provided by both methods. The experimental conditions for the synthesis of HCF were optimized and the best electrode material was prepared by mixing FeCl3, K4[Fe(CN)6] and carbon powder subjected to an acid and thermal treatment (400 ºC), followed by ultrasonic agitation at 4 °C. This material was used to construct an electrode with improved analytical performance to reduce nitrite, which presented greater stability compared to HCF film electrodeposited on the EPC, showing that the preparation procedure of the electrode material is an effective strategy for the development of HCF modified electrodes.

Relação entre a cárie precoce da infância com o índice de Apgar e outros fatores de risco

The aim of this cross-sectional study was to investigate the association of early childhood caries (ECC) with the Apgar score (AS) and other variables related to the child (conditions at birth and medical history) and related to the child and parents and / or guardians and family (demographic, socioeconomic and behavioral). One hundred and twenty healthy children aged between 3-5 years-old treated by Pediatric Dentistry Area of Dentistry College of the Federal University of Uberlandia during 2015 were selected. To obtain qualitative and quantitative variables a questionnaire was applied as an interview to the parents and/or guardians. The 5-minute AS (interest exposure) was obtained through the record in the Child Health Handbook. To assess the prevalence of caries (clinical dependent variable), a single calibrated researcher conducted the clinical examination, according to the criteria of the World Health Organization. Caries experience was measured using the indexes dmft and dmfs. The children were classified into three groups, according to age and dmfs index: no caries (NC), with ECC and with severe early childhood caries (S-ECC). Data were tabulated and submitted to statistical analysis using the SPSS software (IBM, Inc, Chicago, Illinois, USA) 17th version. Three logistics models were carried out having the following classifications: NC and ECC, NC and S-ECC, ECC and S-ECC (p<0.05). The overall ECC prevalence, considering children with ECC and S-ECC, was 55,8% (n= 67). The AS was not a statistically significant variable. The child’s age, weaning age and recent hospitalization were variables associated with the ECC prevalence. The age of brush start and the educational level of the mother were variables associated with the S-ECC prevalence. Considering the ECC and the S-ECC groups, the child's age and the beginning of the use of fluoride toothpaste, recent hospitalization, the educational level of the mother and the father's income were associated with the S-ECC prevalence. Considering the methodology employed and the analysis of results, it was concluded that there was no association between the ECC with the AS in healthy children. However, an association was found of ECC and S-ECC with some variables related to birth and to medical history of the child (recent hospitalization), demographic (child’s age), socioeconomic (educational level of the mother and father's income) and behavioral (age of brush start, weaning age and use of fluoride toothpaste) related to children and to the parents and/or guardians.

Verification of the indoor gps system by comparison with points calibrated using a network of laser tracker measurements

This paper details a method of determining the uncertainty of dimensional measurement for a three dimensional coordinate measurement machine. An experimental procedure was developed to compare three dimensional coordinate measurements with calibrated reference points. The reference standard used to calibrate these reference points was a fringe counting interferometer with the multilateration technique employed to establish three dimensional coordinates. This is an extension of the established technique of comparing measured lengths with calibrated lengths. Specifically a distributed coordinate measurement device was tested which consisted of a network of Rotary-Laser Automatic Theodolites (R-LATs), this system is known commercially as indoor GPS (iGPS). The method was found to be practical and able to establish that the expanded uncertainty of the basic iGPS system was approximately 1 mm at a 95% confidence level. © Springer-Verlag Berlin Heidelberg 2010.

Magnetic field-induced ferroelectric switching in multiferroic aurivillius phase thin films at room temperature

Single-phase multiferroic materials are of considerable interest for future memory and sensing applications. Thin films of Aurivillius phase Bi 7Ti3Fe3O21 and Bi6Ti 2.8Fe1.52Mn0.68O18 (possessing six and five perovskite units per half-cell, respectively) have been prepared by chemical solution deposition on c-plane sapphire. Superconducting quantum interference device magnetometry reveal Bi7Ti3Fe 3O21 to be antiferromagnetic (TN = 190 K) and weakly ferromagnetic below 35 K, however, Bi6Ti2.8Fe 1.52Mn0.68O18 gives a distinct room-temperature in-plane ferromagnetic signature (Ms = 0.74 emu/g, μ0Hc =7 mT). Microstructural analysis, coupled with the use of a statistical analysis of the data, allows us to conclude that ferromagnetism does not originate from second phase inclusions, with a confidence level of 99.5%. Piezoresponse force microscopy (PFM) demonstrates room-temperature ferroelectricity in both films, whereas PFM observations on Bi6Ti2.8Fe1.52Mn0.68O18 show Aurivillius grains undergo ferroelectric domain polarization switching induced by an applied magnetic field. Here, we show for the first time that Bi6Ti2.8Fe1.52Mn0.68O18 thin films are both ferroelectric and ferromagnetic and, demonstrate magnetic field-induced switching of ferroelectric polarization in individual Aurivillius phase grains at room temperature.

Beam Angle Optimization for Automated Coplanar IMRT Lung Plans

Purpose: To investigate the effect of incorporating a beam spreading parameter in a beam angle optimization algorithm and to evaluate its efficacy for creating coplanar IMRT lung plans in conjunction with machine learning generated dose objectives.

Methods: Fifteen anonymized patient cases were each re-planned with ten values over the range of the beam spreading parameter, k, and analyzed with a Wilcoxon signed-rank test to determine whether any particular value resulted in significant improvement over the initially treated plan created by a trained dosimetrist. Dose constraints were generated by a machine learning algorithm and kept constant for each case across all k values. Parameters investigated for potential improvement included mean lung dose, V20 lung, V40 heart, 80% conformity index, and 90% conformity index.

Results: With a confidence level of 5%, treatment plans created with this method resulted in significantly better conformity indices. Dose coverage to the PTV was improved by an average of 12% over the initial plans. At the same time, these treatment plans showed no significant difference in mean lung dose, V20 lung, or V40 heart when compared to the initial plans; however, it should be noted that these results could be influenced by the small sample size of patient cases.

Conclusions: The beam angle optimization algorithm, with the inclusion of the beam spreading parameter k, increases the dose conformity of the automatically generated treatment plans over that of the initial plans without adversely affecting the dose to organs at risk. This parameter can be varied according to physician preference in order to control the tradeoff between dose conformity and OAR sparing without compromising the integrity of the plan.

Health Survey Northern Ireland First Results 2014/15

Statistics and research for the Department of Health, Social Services and Public Safety is provided by Information Analysis Directorate (IAD). This report presents results from the 2014/15 Health Survey Northern Ireland. It includes information on general health, mental health and wellbeing, diet and nutrition, breastfeeding, oral health, medicines, obesity, smoking, and sexual health. Only differences that are statistically significant at the 95% confidence level are reported. The fieldwork for this survey was conducted between April 2014 and March 2015. Results are based on responses from 4,144 individuals, with a response rate of 64% achieved.

Vergonha e Solidão na Doença Mental Crónica: contributo de um estudo exploratório

Este estudo pretende explorar a natureza da vergonha, enquanto vivência emocional, e a sua relação com a solidão nos doentes mentais crónicos. Foi avaliada a vergonha interna e externa, a solidão, e estados emocionais negativos, nomeadamente a depressão, ansiedade e stress. Nesta investigação participaram 41 utentes com diagnóstico de perturbação mental. Para avaliar as variáveis psicológicas pretendidas foi utilizada a Escala de Vergonha Interna (ISS), a Escala de Vergonha Externa (OAS), A Escala de Solidão UCLA e a Escala de Depressão, Ansiedade e Stress (DASS-21). Os resultados indicaram que os doentes mentais da nossa amostra apresentam maiores níveis de vergonha comparativamente à população geral. São as mulheres que apresentam valores mais elevados de vergonha interna, enquanto os divorciados apresentam maiores índices de vergonha externa e de solidão. Os doentes que têm uma actividade laboral manifestam menores níveis de solidão e de depressão. Quanto mais elevadas as habilitações literárias dos participantes, menor é o nível de ansiedade. No estudo de comparação entre doentes institucionalizados e não-institucionalizados, verificou-se que os primeiros apresentam níveis significativamente mais elevados de ansiedade, não se distinguindo relativamente à percepção de solidão e de vergonha (interna e externa). A análise da relação entre as variáveis evidenciou que os valores de vergonha interna e de solidão estavam associados de forma positiva e elevada à depressão e de forma moderada à ansiedade e stress. Não obstante as limitações reconhecidas, o presente estudo contribuiu para um melhor conhecimento dos estados emocionais negativos nos doentes mentais. / This study aims to explore the nature of shame, while emotional experience and its relationship with loneliness in the chronic mentally ill. We evaluated the internal and external shame, loneliness, and negative emotional states, including depression, anxiety and stress. 41 users participated in this investigation with a diagnosis of mental disorder. To assess the psychological variables was intended to use Internal Shame Scale (ISS), the Foreign Shame Scale (OAS), the UCLA Loneliness Scale and the Scale for Depression, Anxiety and Stress (DASS-21). The results indicated that the mentally ill in our sample have higher levels of shame compared to the general population. They are women who have higher levels of internal shame, while the divorced have higher rates of external shame and loneliness. Patients who have a work activity demonstrate lower levels of loneliness and depression. The higher the educational level of participants, the lower the level of anxiety. In the comparative study of institutionalized patients and non-institutionalized, it was found that the former have significantly higher levels of anxiety, not distinguishing relation to the perception of loneliness and shame (internal and external). The analysis of the relationship between the variables showed that the values of internal shame and loneliness were positively associated with depression and high and moderately to anxiety and stress. Despite the recognized limitations, this study contributes to a better understanding of negative emotional states in the mentally ill.

A Motivação do Envolvimento dos Bombeiros em Atividades de Voluntariado: um estudo de caso.

Este estudo teve como principal objetivo a análise dos fatores determinantes que levaram os bombeiros voluntários de uma corporação para a prática de voluntariado. Nesta investigação, começamos por fazer um enquadramento teórico sobre as perspetivas e tipos de motivação do voluntariado, focando-nos depois em alguns aspetos da sua prática em Portugal. A componente empírica deste estudo apoiou-se numa análise quantitativa a 92 questionários realizados a bombeiros voluntários, adaptados de um estudo realizado por Ward e Mckillop (2011) com uma escala do tipo Likert de 1 a 7 pontos. A análise da distribuição por sexo apontou uma proporção de homens superior à das mulheres (63 = 68,5% vs. 29 = 31,5%), com idades compreendidas entre os 17 e os 71 anos, sendo a média das mesmas de 37,77 anos (dp = ± 12,1). No que concerne ao estado civil, dos inquiridos (35 = 38%) são casados. Quanto à escolaridade, a moda estatística situou-se no secundário (52 = 56,5%). Os itens que compuseram a escala de motivação para o voluntariado apresentaram pontuações superiores a 4 pontos numa escala do tipo Likert de 7 pontos. A escala constituída por 17 itens relaciona os diferentes tipos de motivação, designadamente, social, interesse, prazer, material-egoísta, egoísta, altruísta, necessidade e dever moral. Estes itens foram avaliados nas seguintes variáveis: sexo, classe etária, escolaridade e antiguidade. As conclusões retiradas deste estudo revelaram, dominantemente, motivações do tipo altruísta e social, para a prática do voluntariado. Estes resultados basearam-se nos valores das significâncias estatísticas (p). Quanto à motivação dos elementos do sexo masculino e do sexo feminino, verificaram-se em ambas maiores percentagens no tipo de motivação altruísta. Na análise realizada consoante a classe etária, as respostas que obtiveram maior percentagem foram relativamente ao item altruísta. No que concerne à escolaridade, os inquiridos com ensino básico e secundário apresentaram um maior número de respostas nos itens altruísta e social. Nos licenciados o item com maior percentagem foi o dever moral. Na análise feita relativamente à interseção entre a motivação e os anos de voluntariado, obtiveram-se índices de motivação muito diferenciados, entre os quais interesse, prazer, social, egoísta, material-egoísta e necessidade. / This study aimed to the analysis of the determining factors that led the volunteer firefighters of a corporation to practice voluntary. In this investigation, we begin by making a theoretical framework on the perspectives and types of volunteer motivation, focusing us then in some aspects of their practice in Portugal. The empirical component of the study was supported on a quantitative analysis of 92 questionnaires by volunteer firefighters, adapted from a study by Ward & McKillop (2011) with a Likert scale from 1 to 7 points. The gender distribution, of the analysis indicated a ratio of greater than men to women (63 = 68.5% vs. 29 = 31.5%), aged between 17 and 71 years, and the average of 37 to 77 years (SD = ± 12.1). With regard to marital status (35 = 38%) are married. As for education, the statistical mode stood in the secondary on (52 = 56.5%). The items comprising the motivation scale for volunteering had scores greater than 4 points on a Likert scale of 7 points. The scale consists of 17 items lists the different types of motivation, namely social, interest, pleasure, material-selfish, selfish, selfless, necessity and moral duty. These items were evaluated in the following variables: gender, age group, education level and years of service. Conclusions from this study revealed mainly motivations of altruistic and social type for volunteering. These results were based on the values of statistical significance (p). Both male and female elements replied with the highest percentage for the type of altruistic motivation. In the analysis carried out according to age group, the answers with the greatest percentage were relative to the altruistic item. With regard to education respondents with elementary and high school education had a higher number of responses in altruistic and social items. At University graduate level the item with the highest percentage was the moral duty. In the analysis regarding the intersection between motivation and years of volunteering very different motivation indices were obtained including interest, pleasure, social, selfish, material-selfish and need.

Equilíbrios Difíceis: stress laboral, equilíbrio trabalho/família e diferenças de género entre os colaboradores de uma empresa de tecnologias da informação

O stress é não apenas inerente para o ser humano, como indispensável para a sua sobrevivência. À medida que as sociedades humanas evoluíram, assim também se alteraram as principais fontes de stress. Actualmente o stress organizacional é uma das principais áreas de investigação, bem como as suas relações com a família e a vida pessoal. Em foco estão ainda as variáveis individuais que servem como moderadoras da experiência de stress, como o coping e o suporte social. Neste trabalho procurou-se conhecer os níveis de stress experienciados pelos colaboradores da Cisco Systems Lda, identificando diferenças de género e entre os tipos de trabalho. Pretendeu-se ainda relacionar o stress no trabalho com o equilíbrio trabalho/família, equlíbrio vida pessoal/trabalho, suporte social e coping. Através de um estudo não experimental transversal, descritivo/descritivo correlacional, com 42 sujeitos, utilizando o PMI – Pressure Management Indicator, foi possível identificar quatro factores, com α a partir de 0,531 para as variáveis moderadoras ate 0,904 para as variáveis stressoras. Os trabalhadores da amostra trabalham em média 49,7 horas por semana, apontando como principal razão “para que o trabalho seja feito”; 31,7% consideram estar a sofrer de pressão negativa iniciada há mais de 3 meses. Estão muito satisfeitos com a organização, mas sentem pressão devido ao volume de trabalho, ao relacionamento interpessoal e às dificuldades em desligar do trabalho quando em casa, fazendo uso de estratégias focadas no problema e de suporte social. Existem diferenças estatisticamente significativas entre homens e mulheres nas subescalas “Estado de espírito” e “Nível de confiança”, indicando níveis mais altos de segurança e satisfação com o seu estado mental para o grupo dos homens. No que respeita aos tipos de trabalho, foi possível identificar diferenças entre as categorias Sénior gerência/profissional e Manual/hábil nas subescalas “Nível de energia”, “Volume de trabalho” e “Equilíbrio vida/trabalho”. Existe correlação positiva entre as variáveis stressoras e a subescala “Equilíbrio trabalho/família” (r=0,890; p<0,000) e entre as variáveis stressoras e a escala de Coping (r=0,748; p<0,000), sugerindo que níveis de stress elevados interferem com a vida familiar e conduzem a maior utilização das estratégias de coping. Apesar das políticas de recursos humanos da empresa no sentido de promover a conciliação entre trabalho e vida pessoal e familiar, há ainda margem para intervir e melhorar. / Stress is not only inherent to the human being, it’s essential to survival. As the humans societies evolved, so did the major sources of stress. These days, organizational stress is one of the main areas of research, as it is it’s relation with family and personal life. Under the spotlight are also individual variables that moderate the stress experience, such as coping and social support. With this paper, we intended to know the levels of stress experienced by the workers of Cisco Systems Lda, identifying gender and work type differences. We were also intending to relate work stress with home/work balance, life/work balance, social support and coping. Using a cross sectional correlational study, with n=42, using the PMI, we were able to identify four factors, with α starting on 0,531 for moderator variables to 0,904 for stressor variables. The workers on this sample work an average of 49,7 hours per week, naming “to get the job done” as the main reason for it. 31,7% consider to be suffering from negative pressure that started more than 3 months ago. They are very satisfied with the organization, but feel pressure due to workload, interpersonal relationship and the difficulties in switching off from work when at home. They use mostly Problem focus strategies and social support.There are statically significative differences between men and women in the subscales “State of mind” and “Confidence level”, which indicate higher levels of security and satisfaction with their state of mind for men. Regarding work types, we were able to identify differences between senior Management and Manual categories on subscales “Energy level”, “Workload” and “Life/work balance”. There is a positive correlation between stressor variables and the subscales “Home/work balance” (r=0,890; p<0,000) and between stressor variables and Coping scale (r=0,748; p<0,000), suggesting that high levels of stress interfere with family life and lead to higher use of coping mechanisms. Despite the company’s human resources policies to promote the balance between work and personal and family life, there is still place to intervene and improve.

Aferição das dificuldades/competências na área da Endodontia percepcionadas pelos alunos do 4º e 5º anos da FCS-UFP

Introdução: Com uma consciencialização cada vez maior das populações para a preservação dos dentes naturais, a Endodontia tem assumido uma importância crescente, tendo por objectivo principal a manutenção de dentes funcionais, sem prejudicar a saúde dos pacientes. Estes devem beneficiar de um tratamento segundo o “standard of care”, proporcionado por profissionais competentes. Vários estudos demonstram que a Endodontia é considerada uma área difícil e stressante para os estudantes, exibindo um sentimento de menor confiança na prática clínica, sobretudo no que diz respeito a procedimentos mais complexos, nomeadamente, no tratamento de dentes posteriores. Em 2010, na tentativa de homogeneizar as competências adquiridas pelos Médicos Dentistas (MD), a Associação para a Educação Dentária Europeia (AEDE) definiu critérios para a sua formação pré-graduada, indicando que o MD recém-graduado deve ter adquirido competências e capacidades técnicas que lhe permita começar a sua prática clínica de forma independente. Objectivos: Analisar os conhecimentos adquiridos e as dificuldades sentidas na área da Endodontia pelos alunos do 4º e 5º anos do Mestrado Integrado em Medicina Dentária da Faculdade de Ciências de Saúde (FCS) da Universidade Fernando Pessoa (UFP), fazendo, igualmente, uma abordagem ao ensino ministrado na área da Endodontia face aos resultados obtidos. Materiais e Métodos: Este trabalho está dividido em duas partes: revisão bibliográfica e investigação científica. A revisão bibliográfica do tema engloba o ensino graduado em Medicina Dentária, o uso de isolamento absoluto (IA) na prática clínica de Endodontia, a instrumentação manual versus rotatória, a influência no sucesso do tratamento endodôntico (TE) da sua execução por estudantes do 4º e 5º ano, as Guidelines para o TE e o ensino de Endodontia na UFP. A pesquisa bibliográfica foi efectuada através da base de dados PubMed, tendo sido utilizadas, em diferentes combinações, as seguintes palavras-chave: ”Endodontics”, “teaching”; “pre-clinical”; “undergraduate”; “Clinical”; “treatment” e “Europe”. O trabalho de investigação consistiu na elaboração, aprovação pela Comissão de Ética da UFP e posterior aplicação de um questionário destinado aos alunos do 4º e 5º ano do Mestrado Integrado em Medicina Dentária da FCS-UFP. A população estimada de alunos do 4º ano foi de 190 alunos e a de 5º ano de 150 alunos, o que perfaz um total de 340 alunos. Dos inquéritos respondidos, apenas foram considerados 338, uma vez que dois foram anulados pois continham respostas inválidas. Resultados: A “condição socioeconómica do paciente” foi considerada a causa menos relevante para avaliar um caso endodôntico, tendo sido apontada por 34,3% dos alunos. Assinala-se que 92% dos alunos de 4º ano e 93,3% dos alunos de 5º ano consideram que os molares superiores são os dentes mais difíceis de tratar, sendo a visibilidade uma das principais razões para esta opinião. O grau de dificuldade para a colocação do IA é definido como “Elevado” para a maioria dos alunos de 4º ano. A maior parte dos alunos de 5º ano considera que o grau de dificuldade para a “Determinação do tipo de reconstrução/prótese fixa mais indicada” é “Elevado”. O passo do TE onde os alunos do 4º ano se sentem mais confiantes é no “Diagnóstico de cárie”, sendo que os alunos do 5º ano se sentem mais confiantes ao realizar o “TE em dentes com 1 ou 2 canais”. O “Conteúdo leccionado nas aulas teóricas” foi considerado o principal aspecto positivo do ensino endodôntico. Por outro lado, o “Número de actos clínicos realizados” foi considerado o principal aspecto negativo, tanto para alunos de 4º como de 5º ano. Em ambos os anos, os principais pontos que os alunos acham que devem ser melhorados são o “Número de pacientes nas aulas clínicas” e a “Aprendizagem da técnica de instrumentação mecanizada/obturação termoplástica”. As principais preocupações referidas, tanto por alunos de 4º como de 5º anos, foram a “Insegurança na prática clínica” e a “Dificuldade em encontrar ofertas profissionais”. Relativamente à qualidade dos seus TE existe um número significativo de alunos do 5º ano que já se auto-avaliam como “Bons” (33,6%), por comparação com os do 4º ano (21,2%), sendo a auto-avaliação de “Razoável” dominante em ambos os anos de formação. Conclusões: Conclui-se que na disciplina de Endodontia na FCS-UFP, são seguidas as Guidelines da European Society of Endodontology (ESE), sendo que estas indicam o protocolo mais correcto a seguir durante o Tratamento Endodôntico Não-Cirúrgico (TENC). Contudo, o reduzido número de actos clínicos e a consequente falta de prática faz com que os alunos se sintam pouco confiantes ao iniciar a sua actividade profissional.