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Monitoring Adherenc...
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Jacome, CristinaUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.
(författare)
Monitoring Adherence to Asthma Inhalers Using the InspirerMundi App : Analysis of Real-World, Medium-Term Feasibility Studies
- Artikel/kapitelEngelska2021
Förlag, utgivningsår, omfång ...
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2021-07-15
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Frontiers Media S.A.2021
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-512876
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-512876URI
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https://doi.org/10.3389/fmedt.2021.649506DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Background: Poor medication adherence is a major challenge in asthma and objective assessment of inhaler adherence is needed. InspirerMundi app aims to monitor inhaler adherence while turning it into a positive experience through gamification and social support.Objective: We assessed the medium-term feasibility of the InspirerMundi app to monitor inhaler adherence in real-world patients with persistent asthma (treated with daily inhaled medication). In addition, we attempted to identify the characteristics of the patients related to higher app use.Methods: Two real-world multicenter observational studies, with one initial face-to-face visit and a 4-month telephone interview, were conducted in 29 secondary care centers from Portugal. During an initial face-to-face visit, patients were invited to use the app daily to register their asthma medication intakes. A scheduled intake was considered taken when patients took a photo of the medication (inhaler, blister, or others) using the image-based medication detection tool. Medication adherence was calculated as the number of doses taken as a percentage of the number scheduled. Interacting with the app =30 days was used as the cut-off for higher app use.Results: A total of 114 patients {median 20 [percentile 25 to percentile 75 (P25-P75) 16-36] years, 62% adults} were invited, 107 (94%) installed the app and 83 (73%) completed the 4-month interview. Patients interacted with the app for a median of 18 [3-45] days, translated on a median use rate of 15 [3-38]%. Median inhaler adherence assessed through the app was 34 [4-73]% when considering all scheduled inhalations for the study period. Inhaler adherence assessed was not significantly correlated with self-reported estimates. Median adherence for oral and other medication was 41 [6-83]% and 43 [3-73]%, respectively. Patients with higher app use were slightly older (p = 0.012), more frequently taking medication for other health conditions (p = 0.040), and more frequently prescribed long-acting muscarinic antagonists (LAMA, p = 0.024). After 4 months, Control of Allergic Rhinitis and Asthma Test (CARAT) scores improved (p < 0.001), but no differences between patients interacting with the app for 30 days or less were seen.Conclusions: The InspirerMundi app was feasible to monitor inhaler adherence in patients with persistent asthma. The persistent use of this mHealth technology varies widely. A better understanding of characteristics related to higher app use is still needed before effectiveness studies are undertaken.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Almeida, RuteUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.
(författare)
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Pereira, Ana MargaridaUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
(författare)
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Amaral, RitaUppsala universitet,Pediatrisk inflammations- och metabolismforskning samt barnhälsa,Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.;Polytech Inst Porto, Porto Hlth Sch, Dept Cardiovasc & Resp Sci, Porto, Portugal.(Swepub:uu)ritam997
(författare)
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Vieira-Marques, PedroUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.
(författare)
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Mendes, SandraUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.
(författare)
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Alves-Correia, MagnaInst & Hosp CUF, Allergy Unit, Porto, Portugal.
(författare)
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Ferreira, Jose AlbertoCtr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.
(författare)
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Lopes, InesCtr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.
(författare)
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Gomes, JoanaCtr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.
(författare)
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Araujo, LuisInst & Hosp CUF, Allergy Unit, Porto, Portugal.
(författare)
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Couto, MarianaInst & Hosp CUF, Allergy Unit, Porto, Portugal.
(författare)
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Chaves Loureiro, ClaudiaHosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
(författare)
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Santos, Lilia MaiaHosp Dist Figueira Da Foz, Serv Pneumol, Figueira Da Foz, Portugal.
(författare)
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Arrobas, AnaHosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
(författare)
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Valerio, MargaridaHosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
(författare)
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Todo Bom, AnaCtr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal.
(författare)
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Azevedo, JoaoCtr Hosp Leiria, Imunoalergol, Leiria, Portugal.
(författare)
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Teixeira, Maria FernandaCtr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.
(författare)
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Ferreira-Magalhaes, ManuelUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.;Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.
(författare)
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Pinto, Paula LeiriaCtr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
(författare)
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Pinto, NicoleCtr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
(författare)
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Neves, Ana CastroCtr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
(författare)
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Morete, AnaCtr Hosp Baixo Vouga, Hosp Infante D Pedro, Serv Imunoalergol, Aveiro, Portugal.
(författare)
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Bom, Filipa TodoHosp Beatriz Angelo, Serv Pneumol, Loures, Portugal.
(författare)
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Costa, AlbertoHosp Senhora Oliveira, Serv Pediat, Guimaraes, Portugal.
(författare)
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Silva, DianaCtr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.
(författare)
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Vasconcelos, Maria JoaoCtr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.
(författare)
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Falcao, HelenaCtr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal.
(författare)
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Marques, Maria LuisCtr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal.
(författare)
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Mendes, AnaCtr Hosp Univ Lisboa Norte, Hosp Santa Maria, Serv Imunoalergol, Lisbon, Portugal.
(författare)
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Cardoso, JoaoCtr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.
(författare)
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Cidrais Rodrigues, Jose CarlosHosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
(författare)
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Oliveira, GeorgetaHosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
(författare)
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Carvalho, JoanaHosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
(författare)
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Lozoya, CarlosHosp Amato Lusitano, Serv Imunoalergol, Unidade Local Saude Castelo Branco, Castelo Branco, Portugal.
(författare)
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Santos, NatachaCtr Hosp Univ Algarve, Serv Imunoalergol, Portimao, Portugal.
(författare)
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Menezes, FernandoHosp Garcia Orta, Serv Pneumol, Almada, Portugal.
(författare)
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Gomes, RicardoHosp Garcia Orta, Serv Pneumol, Almada, Portugal.
(författare)
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Camara, RitaServ Saude Reg Autonoma Madeira, Serv Imunoalergol, Funchal, Portugal.
(författare)
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Alves, Rodrigo RodriguesHosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal.
(författare)
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Moreira, Ana SofiaHosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal.
(författare)
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Abreu, CarmoHosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal.
(författare)
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Silva, RuiHosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal.
(författare)
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Bordalo, DianaUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Unidade Hosp Famalicao, Serv Pediat, Ctr Hosp Medio Ave, Vila Nova De Famalicao, Portugal.;Hosp Nossa Senhora Rosario, Ctr Hosp Barreiro Montijo, Serv Pneumol, Barreiro, Portugal.
(författare)
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Alves, Carlos
(författare)
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Lopes, CristinaHosp Pedro Hispano, Unidade Imunoalergol, Unidade Local Saude Matosinhos, Matosinhos, Portugal.;Univ Porto, Fac Med, Imunol Bas & Clin, Porto, Portugal.
(författare)
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Taborda-Barata, LuisCova Beira Univ Hosp Ctr, Dept Allergy & Clin Immunol, Covilha, Portugal.;Univ Beira Interior, CICS Hlth Sci Res Ctr, Covilha, Portugal.;NuESA Environm & Hlth Study Grp, Fac Hlth Sci, Covilha, Portugal.
(författare)
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Fernandes, Ricardo M. M.Ctr Hosp Lisboa Norte, Hosp Santa Maria, Dept Pediat, Lisbon, Portugal.
(författare)
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Ferreira, RosarioCtr Hosp Lisboa Norte, Hosp Santa Maria, Dept Pediat, Lisbon, Portugal.
(författare)
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Chaves-Loureiro, CarlaCtr Hosp & Univ Coimbra, Serv Pediat Ambulatoria, Coimbra, Portugal.
(författare)
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Calix, Maria JoseHosp Sao Teotonio, Ctr Hosp Tondela Viseu, Serv Pediat, Viseu, Portugal.
(författare)
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Alves, AdelaideCtr Hosp Vila Nova De Gaia Espinho, Serv Pneumol, Unidade 1, Vila Nova De Gaia, Portugal.
(författare)
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Fonseca, Joao AlmeidaUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.;MEDIDA Med Educ Invest Desenvolvimento & Avaliaca, Porto, Portugal.
(författare)
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Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
(creator_code:org_t)
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Ingår i:Frontiers in Medical Technology: Frontiers Media S.A.32673-3129
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- Av författaren/redakt...
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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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Vieira-Marques, ...
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Mendes, Sandra
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visa fler...
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Alves-Correia, M ...
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Ferreira, Jose A ...
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Lopes, Ines
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Gomes, Joana
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Araujo, Luis
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Couto, Mariana
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Chaves Loureiro, ...
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Santos, Lilia Ma ...
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Arrobas, Ana
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Valerio, Margari ...
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Todo Bom, Ana
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Azevedo, Joao
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Teixeira, Maria ...
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Ferreira-Magalha ...
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Pinto, Paula Lei ...
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Pinto, Nicole
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Neves, Ana Castr ...
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Morete, Ana
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Bom, Filipa Todo
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Costa, Alberto
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Silva, Diana
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Vasconcelos, Mar ...
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Falcao, Helena
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Marques, Maria L ...
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Mendes, Ana
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Cardoso, Joao
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Cidrais Rodrigue ...
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Oliveira, George ...
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Carvalho, Joana
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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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Abreu, Carmo
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Silva, Rui
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Bordalo, Diana
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Alves, Carlos
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Lopes, Cristina
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Taborda-Barata, ...
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Fernandes, Ricar ...
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Ferreira, Rosari ...
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Chaves-Loureiro, ...
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Calix, Maria Jos ...
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Alves, Adelaide
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Fonseca, Joao Al ...
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