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Feasibility and Acc...
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Jacome, CristinaUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.
(author)
Feasibility and Acceptability of an Asthma App to Monitor Medication Adherence : Mixed Methods Study
- Article/chapterEnglish2021
Publisher, publication year, extent ...
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2021-05-25
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JMIR Publications,2021
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electronicrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-451567
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-451567URI
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https://doi.org/10.2196/26442DOI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Background: Poor medication adherence is a major challenge in asthma, and objective assessment of inhaler adherence is needed. The InspirerMundi app aims to monitor adherence while providing a positive experience through gamification and social support. Objective: This study aimed to evaluate the feasibility and acceptability of the InspirerMundi app to monitor medication adherence in adolescents and adults with persistent asthma (treated with daily inhaled medication). Methods: A 1-month mixed method multicenter observational study was conducted in 26 secondary care centers from Portugal and Spain. During an initial face-to-face visit, physicians reported patients' asthma therapeutic plan in a structured questionnaire. During the visits, patients were invited to use the app daily to register their asthma medication intakes. A scheduled intake was considered taken when patients registered the intake (inhaler, blister, or other drug formulation) by using the image-based medication detection tool. At 1 month, patients were interviewed by phone, and app satisfaction was assessed on a 1 (low) to 5 (high) scale. Patients were also asked to point out the most and least preferred app features and make suggestions for future app improvements. Results: A total of 107 patients (median 27 [P25-P75 14-40] years) were invited, 92.5% (99/107) installed the app, and 73.8% (79/107) completed the 1-month interview. Patients interacted with the app a median of 9 (P25-P75 1-24) days. At least one medication was registered in the app by 78% (77/99) of patients. A total of 53% (52/99) of participants registered all prescribed inhalers, and 34% (34/99) registered the complete asthma therapeutic plan. Median medication adherence was 75% (P25-P75 25%-90%) for inhalers and 82% (P25-P75 50%-94%) for other drug formulations. Patients were globally satisfied with the app, with 75% (59/79) scoring >= 4,; adherence monitoring, symptom monitoring, and gamification features being the most highly scored components; and the medication detection tool among the lowest scored. A total of 53% (42/79) of the patients stated that the app had motivated them to improve adherence to inhaled medication and 77% (61/79) would recommend the app to other patients. Patient feedback was reflected in 4 major themes: medication-related features (67/79, 85%), gamification and social network (33/79, 42%), symptom monitoring and physician communication (21/79, 27%), and other aspects (16/79, 20%). Conclusions: The InspirerMundi app was feasible and acceptable to monitor medication adherence in patients with asthma. Based on patient feedback and to increase the registering of medications, the therapeutic plan registration and medication detection tool were redesigned. Our results highlight the importance of patient participation to produce a patient-centered and engaging mHealth asthma app.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Almeida, RuteUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.
(author)
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Pereira, Ana MargaridaUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
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Amaral, RitaUppsala universitet,Pediatrisk inflammations- och metabolismforskning samt barnhälsa,Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.;Porto Hlth Sch, Dept Cardiovasc & Resp Sci, Porto, Portugal(Swepub:uu)ritam997
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Mendes, SandraUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.
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Alves-Correia, MagnaInst & Hosp CUF, Allergy Unit, Porto, Portugal.
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Vidal, CarmenComplejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostela, Spain.
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Lopez Freire, SaraComplejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostela, Spain.
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Mendez Brea, PaulaComplejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostela, Spain.
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Araujo, LuisInst & Hosp CUF, Allergy Unit, Porto, Portugal.
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Couto, MarianaInst & Hosp CUF, Allergy Unit, Porto, Portugal.
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Antolin-Amerigo, DarioHosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.
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de la Hoz Caballer, BelenHosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.
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Barra Castro, AliciaHosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.
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Gonzalez-De-Olano, DavidHosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.
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Bom, Ana TodoCtr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal.
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Azevedo, JoaoCtr Hosp Leiria, Imunoalergol, Leiria, Portugal.
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Pinto, Paula LeiriaCtr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
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Pinto, NicoleCtr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
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Neves, Ana CastroCtr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
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Palhinha, AnaCtr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
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Bom, Filipa TodoHosp Beatriz Angelo, Serv Pneumol, Loures, Portugal.
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Costa, AlbertoHosp Senhora Oliveira, Serv Pediat, Guimaraes, Portugal.
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Loureiro, Claudia ChavesCtr Hosp & Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
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Santos, Lilia MaiaHosp Dist Figueira Foz, Serv Pneumol, Figueira Da Foz, Portugal.
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Arrobas, AnaCtr Hosp & Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
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Valerio, MargaridaCtr Hosp & Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
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Cardoso, JoaoCtr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.
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Emiliano, MadalenaCtr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.
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Gerardo, RitaCtr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.
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Rodrigues, Jose Carlos CidraisHosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
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Oliveira, GeorgetaHosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
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Carvalho, JoanaHosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
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Mendes, AnaCtr Hosp Univ Lisboa Norte, Hosp Santa Maria, Serv Imunoalergol, Lisbon, Portugal.
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Lozoya, CarlosHosp Amato Lusitano, Serv Imunoalergol, Unidade Local Saude Castelo Branco, Castelo Branco, Portugal.
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Santos, NatachaCtr Hosp Univ Algarve, Serv Imunoalergol, Portimao, Portugal.
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Menezes, FernandoHosp Garcia Orta, Serv Pneumol, Almada, Portugal.
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Gomes, RicardoHosp Garcia Orta, Serv Pneumol, Almada, Portugal.
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Camara, RitaServ Saude Regiao Autonoma Madeira, Serv Imunoalergol, Funchal, Portugal.
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Alves, Rodrigo RodriguesHosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal.
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Moreira, Ana SofiaHosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal.
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Bordalo, DianaUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Ctr Hosp Medio Ave, Serv Pediat, Unidade Hosp Famalicao, Vila Nova De Famalicao, Portugal.
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Alves, CarlosHosp Nossa Senhora Rosario, Ctr Hosp Barreiro Montijo, Serv Pneumol, Barreiro, Portugal.
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Ferreira, Jose AlbertoCtr Hosp Vila Nova de Gaia Espinho, Serv Imunoalergol, Unidade Imunoalergol, Vila Nova De Gaia, Portugal.
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Lopes, CristinaHosp Pedro Hispano, Unidade Local Saude Matosinhos, Unidade Imunoalergol, Matosinhos, Portugal.;Univ Porto, Fac Med, Imunol Bas & Clin, Porto, Portugal.
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Silva, DianaCtr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.
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Vasconcelos, Maria JoaoCtr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.
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Teixeira, Maria FernandaCtr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.
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Ferreira-Magalhaes, ManuelUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.;Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.
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Taborda-Barata, LuisCova Beira Univ, Dept Allergy & Clin Immunol, Hosp Ctr, Covilha, Portugal.;Univ Beira Interior, Fac Hlth Sci, Hlth Sci Res Ctr, Environm & Hlth Study Grp, Covilha, Portugal.
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Calix, Maria JoseHosp Sao Teotonio, Ctr Hosp TondelaViseu, Serv Pediat, Viseu, Portugal.
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Alves, AdelaideCtr Hosp Vila Nova de Gaia Espinho, Serv Pneumol, Vila Nova Gaia, Unidade 1, Vila Nova De Gaia, Portugal.
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Fonseca, Joao AlmeidaUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.;Med Educ Invest Desenvolvimento & Avaliacao, Porto, Portugal.
(author)
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Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
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In:JMIR mhealth and uhealth: JMIR Publications9:52291-5222
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Jacome, Cristina
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Almeida, Rute
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Pereira, Ana Mar ...
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Amaral, Rita
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Mendes, Sandra
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Alves-Correia, M ...
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show more...
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Vidal, Carmen
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Lopez Freire, Sa ...
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Mendez Brea, Pau ...
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Araujo, Luis
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Couto, Mariana
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Antolin-Amerigo, ...
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de la Hoz Caball ...
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Barra Castro, Al ...
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Gonzalez-De-Olan ...
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Bom, Ana Todo
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Azevedo, Joao
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Pinto, Paula Lei ...
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Pinto, Nicole
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Neves, Ana Castr ...
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Palhinha, Ana
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Bom, Filipa Todo
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Costa, Alberto
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Loureiro, Claudi ...
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Santos, Lilia Ma ...
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Arrobas, Ana
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Valerio, Margari ...
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Cardoso, Joao
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Emiliano, Madale ...
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Gerardo, Rita
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Rodrigues, Jose ...
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Oliveira, George ...
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Carvalho, Joana
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Mendes, Ana
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Lozoya, Carlos
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Santos, Natacha
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Menezes, Fernand ...
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Gomes, Ricardo
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Camara, Rita
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Alves, Rodrigo R ...
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Moreira, Ana Sof ...
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Bordalo, Diana
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Alves, Carlos
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Ferreira, Jose A ...
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Lopes, Cristina
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Silva, Diana
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Vasconcelos, Mar ...
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Teixeira, Maria ...
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Ferreira-Magalha ...
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Taborda-Barata, ...
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Calix, Maria Jos ...
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Alves, Adelaide
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Fonseca, Joao Al ...
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