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Monitoring Adherenc...
Monitoring Adherence to Asthma Inhalers Using the InspirerMundi App : Analysis of Real-World, Medium-Term Feasibility Studies
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- Jacome, Cristina (författare)
- 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.
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- Almeida, Rute (författare)
- 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.
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- Pereira, Ana Margarida (författare)
- 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.
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- Amaral, Rita (författare)
- Uppsala 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.
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- Vieira-Marques, Pedro (författare)
- Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.
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- Mendes, Sandra (författare)
- Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.
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- Alves-Correia, Magna (författare)
- Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
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- Ferreira, Jose Alberto (författare)
- Ctr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.
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- Lopes, Ines (författare)
- Ctr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.
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- Gomes, Joana (författare)
- Ctr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.
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- Araujo, Luis (författare)
- Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
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- Couto, Mariana (författare)
- Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
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- Chaves Loureiro, Claudia (författare)
- Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
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- Santos, Lilia Maia (författare)
- Hosp Dist Figueira Da Foz, Serv Pneumol, Figueira Da Foz, Portugal.
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- Arrobas, Ana (författare)
- Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
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- Valerio, Margarida (författare)
- Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
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- Todo Bom, Ana (författare)
- Ctr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal.
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- Azevedo, Joao (författare)
- Ctr Hosp Leiria, Imunoalergol, Leiria, Portugal.
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- Teixeira, Maria Fernanda (författare)
- Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.
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- Ferreira-Magalhaes, Manuel (författare)
- 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.;Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.
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- Pinto, Paula Leiria (författare)
- Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
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- Pinto, Nicole (författare)
- Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
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- Neves, Ana Castro (författare)
- Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
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- Morete, Ana (författare)
- Ctr Hosp Baixo Vouga, Hosp Infante D Pedro, Serv Imunoalergol, Aveiro, Portugal.
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- Bom, Filipa Todo (författare)
- Hosp Beatriz Angelo, Serv Pneumol, Loures, Portugal.
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- Costa, Alberto (författare)
- Hosp Senhora Oliveira, Serv Pediat, Guimaraes, Portugal.
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- Silva, Diana (författare)
- Ctr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.
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- Vasconcelos, Maria Joao (författare)
- Ctr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.
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- Falcao, Helena (författare)
- Ctr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal.
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- Marques, Maria Luis (författare)
- Ctr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal.
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- Mendes, Ana (författare)
- Ctr Hosp Univ Lisboa Norte, Hosp Santa Maria, Serv Imunoalergol, Lisbon, Portugal.
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- Cardoso, Joao (författare)
- Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.
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- Cidrais Rodrigues, Jose Carlos (författare)
- Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
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- Oliveira, Georgeta (författare)
- Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
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- Carvalho, Joana (författare)
- Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
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- Lozoya, Carlos (författare)
- Hosp Amato Lusitano, Serv Imunoalergol, Unidade Local Saude Castelo Branco, Castelo Branco, Portugal.
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- Santos, Natacha (författare)
- Ctr Hosp Univ Algarve, Serv Imunoalergol, Portimao, Portugal.
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- Menezes, Fernando (författare)
- Hosp Garcia Orta, Serv Pneumol, Almada, Portugal.
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- Gomes, Ricardo (författare)
- Hosp Garcia Orta, Serv Pneumol, Almada, Portugal.
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- Camara, Rita (författare)
- Serv Saude Reg Autonoma Madeira, Serv Imunoalergol, Funchal, Portugal.
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- Alves, Rodrigo Rodrigues (författare)
- Hosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal.
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- Moreira, Ana Sofia (författare)
- Hosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal.
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- Abreu, Carmo (författare)
- Hosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal.
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- Silva, Rui (författare)
- Hosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal.
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- Bordalo, Diana (författare)
- Univ 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.
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Alves, Carlos (författare)
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- Lopes, Cristina (författare)
- Hosp Pedro Hispano, Unidade Imunoalergol, Unidade Local Saude Matosinhos, Matosinhos, Portugal.;Univ Porto, Fac Med, Imunol Bas & Clin, Porto, Portugal.
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- Taborda-Barata, Luis (författare)
- Cova 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.
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- Fernandes, Ricardo M. M. (författare)
- Ctr Hosp Lisboa Norte, Hosp Santa Maria, Dept Pediat, Lisbon, Portugal.
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- Ferreira, Rosario (författare)
- Ctr Hosp Lisboa Norte, Hosp Santa Maria, Dept Pediat, Lisbon, Portugal.
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- Chaves-Loureiro, Carla (författare)
- Ctr Hosp & Univ Coimbra, Serv Pediat Ambulatoria, Coimbra, Portugal.
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- Calix, Maria Jose (författare)
- Hosp Sao Teotonio, Ctr Hosp Tondela Viseu, Serv Pediat, Viseu, Portugal.
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- Alves, Adelaide (författare)
- Ctr Hosp Vila Nova De Gaia Espinho, Serv Pneumol, Unidade 1, Vila Nova De Gaia, Portugal.
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- Fonseca, Joao Almeida (författare)
- 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.;MEDIDA Med Educ Invest Desenvolvimento & Avaliaca, Porto, Portugal.
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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)
- 2021-07-15
- 2021
- Engelska.
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Ingår i: Frontiers in Medical Technology. - : Frontiers Media S.A.. - 2673-3129. ; 3
- Relaterad länk:
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https://doi.org/10.3...
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https://uu.diva-port... (primary) (Raw object)
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https://www.frontier...
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https://urn.kb.se/re...
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https://doi.org/10.3...
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Abstract
Ämnesord
Stäng
- 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
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
Nyckelord
- mHealth
- smartphone
- technology assessment
- medication adherence
- self-management
- patient participation
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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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