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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Proceedings of the 3rd IPLeiria’s International Health Congress</title>
<author><name sortKey="Tomas, Catarina Cardoso" sort="Tomas, Catarina Cardoso" uniqKey="Tomas C" first="Catarina Cardoso" last="Tomás">Catarina Cardoso Tomás</name>
<affiliation><nlm:aff id="Aff1">Health Sciences Research Unit: Nursing, Collegue of College of Health Technology of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Emanuel" sort="Oliveira, Emanuel" uniqKey="Oliveira E" first="Emanuel" last="Oliveira">Emanuel Oliveira</name>
<affiliation><nlm:aff id="Aff2">Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa Isabel, Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff3">Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, D" sort="Sousa, D" uniqKey="Sousa D" first="D." last="Sousa">D. Sousa</name>
<affiliation><nlm:aff id="Aff2">Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa Isabel, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Uba Chupel, M" sort="Uba Chupel, M" uniqKey="Uba Chupel M" first="M." last="Uba-Chupel">M. Uba-Chupel</name>
<affiliation><nlm:aff id="Aff3">Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Furtado, G" sort="Furtado, G" uniqKey="Furtado G" first="G." last="Furtado">G. Furtado</name>
<affiliation><nlm:aff id="Aff3">Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, C" sort="Rocha, C" uniqKey="Rocha C" first="C." last="Rocha">C. Rocha</name>
<affiliation><nlm:aff id="Aff4">Complementary Sciences- INESCC, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixeira, A" sort="Teixeira, A" uniqKey="Teixeira A" first="A." last="Teixeira">A. Teixeira</name>
<affiliation><nlm:aff id="Aff3">Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, P" sort="Ferreira, P" uniqKey="Ferreira P" first="P." last="Ferreira">P. Ferreira</name>
<affiliation><nlm:aff id="Aff3">Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Celeste" sort="Alves, Celeste" uniqKey="Alves C" first="Celeste" last="Alves">Celeste Alves</name>
<affiliation><nlm:aff id="Aff5">CUF Hospitals, Lisbon, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff6">Breast Unit, Champalimaud Clinical Center, Lisbon, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gisin, Stefan" sort="Gisin, Stefan" uniqKey="Gisin S" first="Stefan" last="Gisin">Stefan Gisin</name>
<affiliation><nlm:aff id="Aff7">Swiss Centre for Medical Simulation & Swiss Association of Simulation in Healthcare, 4031 Basel, Switzerland</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff8">Basel University Hospital, 4056 Basel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catarino, Elisabete" sort="Catarino, Elisabete" uniqKey="Catarino E" first="Elisabete" last="Catarino">Elisabete Catarino</name>
<affiliation><nlm:aff id="Aff9">HELPO Association, 2750-318 Cascais, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Nelma" sort="Carvalho, Nelma" uniqKey="Carvalho N" first="Nelma" last="Carvalho">Nelma Carvalho</name>
<affiliation><nlm:aff id="Aff9">HELPO Association, 2750-318 Cascais, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coucelo, Tiago" sort="Coucelo, Tiago" uniqKey="Coucelo T" first="Tiago" last="Coucelo">Tiago Coucelo</name>
<affiliation><nlm:aff id="Aff9">HELPO Association, 2750-318 Cascais, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bonfim, Luis" sort="Bonfim, Luis" uniqKey="Bonfim L" first="Luís" last="Bonfim">Luís Bonfim</name>
<affiliation><nlm:aff id="Aff9">HELPO Association, 2750-318 Cascais, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Carina" sort="Silva, Carina" uniqKey="Silva C" first="Carina" last="Silva">Carina Silva</name>
<affiliation><nlm:aff id="Aff9">HELPO Association, 2750-318 Cascais, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Franco, Debora" sort="Franco, Debora" uniqKey="Franco D" first="Débora" last="Franco">Débora Franco</name>
<affiliation><nlm:aff id="Aff10">Centro de Linguística, Universidade de Lisboa, Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gonzalez, Jesus Alcoba" sort="Gonzalez, Jesus Alcoba" uniqKey="Gonzalez J" first="Jesús Alcoba" last="González">Jesús Alcoba González</name>
<affiliation><nlm:aff id="Aff11">Centro Superior de Estudios Universitarios La Salle, Madrid, Spain</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jardim, Helena G" sort="Jardim, Helena G" uniqKey="Jardim H" first="Helena G." last="Jardim">Helena G. Jardim</name>
<affiliation><nlm:aff id="Aff12">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Rita" sort="Silva, Rita" uniqKey="Silva R" first="Rita" last="Silva">Rita Silva</name>
<affiliation><nlm:aff id="Aff13">Serviço de Saúde da Região Autónoma da Madeira, E.P.E., 9004-514 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baixinho, Cristina L" sort="Baixinho, Cristina L" uniqKey="Baixinho C" first="Cristina L." last="Baixinho">Cristina L. Baixinho</name>
<affiliation><nlm:aff id="Aff14">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Presado, M Helena" sort="Presado, M Helena" uniqKey="Presado M" first="M Helena" last="Presado">M Helena Presado</name>
<affiliation><nlm:aff id="Aff14">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, M Fatima" sort="Marques, M Fatima" uniqKey="Marques M" first="M Fátima" last="Marques">M Fátima Marques</name>
<affiliation><nlm:aff id="Aff14">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Mario E" sort="Cardoso, Mario E" uniqKey="Cardoso M" first="Mário E." last="Cardoso">Mário E. Cardoso</name>
<affiliation><nlm:aff id="Aff14">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff15">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Joana" sort="Mendes, Joana" uniqKey="Mendes J" first="Joana" last="Mendes">Joana Mendes</name>
<affiliation><nlm:aff id="Aff15">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Xavier, Ana" sort="Xavier, Ana" uniqKey="Xavier A" first="Ana" last="Xavier">Ana Xavier</name>
<affiliation><nlm:aff id="Aff16">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, Coimbra, 3001-802 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galhardo, Ana" sort="Galhardo, Ana" uniqKey="Galhardo A" first="Ana" last="Galhardo">Ana Galhardo</name>
<affiliation><nlm:aff id="Aff15">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Couto, Margarida" sort="Couto, Margarida" uniqKey="Couto M" first="Margarida" last="Couto">Margarida Couto</name>
<affiliation><nlm:aff id="Aff15">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Frade, Joao G" sort="Frade, Joao G" uniqKey="Frade J" first="João G." last="Frade">João G. Frade</name>
<affiliation><nlm:aff id="Aff17">Escola Superior de Saúde de Leiria & Unidade de Investigação em Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Carla" sort="Nunes, Carla" uniqKey="Nunes C" first="Carla" last="Nunes">Carla Nunes</name>
<affiliation><nlm:aff id="Aff18">National School of Public Health & Centro de Investigação em Saúde Pública, Universidade Nova de Lisboa, 1600-560 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mesquita, Joao R" sort="Mesquita, Joao R" uniqKey="Mesquita J" first="João R." last="Mesquita">João R. Mesquita</name>
<affiliation><nlm:aff id="Aff19">Agrarian Superior School, Polytechnic Institute of Viseu, 3500-606 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nascimento, Maria S" sort="Nascimento, Maria S" uniqKey="Nascimento M" first="Maria S." last="Nascimento">Maria S. Nascimento</name>
<affiliation><nlm:aff id="Aff20">Laboratory of Microbiology, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Guilherme" sort="Goncalves, Guilherme" uniqKey="Goncalves G" first="Guilherme" last="Gonçalves">Guilherme Gonçalves</name>
<affiliation><nlm:aff id="Aff21">Unit for Multidisciplinary Biomedical Research, Institute of Biomedical Sciences Abel Salazar, University of Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castro, Conceicao" sort="Castro, Conceicao" uniqKey="Castro C" first="Conceição" last="Castro">Conceição Castro</name>
<affiliation><nlm:aff id="Aff22">Agrupamento de Centros de Saúde (ACES) Baixo Mondego, 3080-199 Figueira da Foz, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martires, Alice" sort="Martires, Alice" uniqKey="Martires A" first="Alice" last="Mártires">Alice Mártires</name>
<affiliation><nlm:aff id="Aff23">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, M Joao" sort="Monteiro, M Joao" uniqKey="Monteiro M" first="M João" last="Monteiro">M João Monteiro</name>
<affiliation><nlm:aff id="Aff23">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rainho, Conceicao" sort="Rainho, Conceicao" uniqKey="Rainho C" first="Conceição" last="Rainho">Conceição Rainho</name>
<affiliation><nlm:aff id="Aff23">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caballero, Francisco P" sort="Caballero, Francisco P" uniqKey="Caballero F" first="Francisco P." last="Caballero">Francisco P. Caballero</name>
<affiliation><nlm:aff id="Aff24">Centro de Salud La Paz, Badajoz, 06011 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monago, Fatima M" sort="Monago, Fatima M" uniqKey="Monago F" first="Fatima M." last="Monago">Fatima M. Monago</name>
<affiliation><nlm:aff id="Aff25">Centro de Salud San Fernando, Badajoz, 06006 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerrero, Jose T" sort="Guerrero, Jose T" uniqKey="Guerrero J" first="Jose T." last="Guerrero">Jose T. Guerrero</name>
<affiliation><nlm:aff id="Aff26">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monago, Rocio M" sort="Monago, Rocio M" uniqKey="Monago R" first="Rocio M." last="Monago">Rocio M. Monago</name>
<affiliation><nlm:aff id="Aff27">Hospital Don Benito-Villanueva, Don Benito, 06400 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Trigo, Africa P" sort="Trigo, Africa P" uniqKey="Trigo A" first="Africa P." last="Trigo">Africa P. Trigo</name>
<affiliation><nlm:aff id="Aff27">Hospital Don Benito-Villanueva, Don Benito, 06400 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gutierrez, Milagros L" sort="Gutierrez, Milagros L" uniqKey="Gutierrez M" first="Milagros L." last="Gutierrez">Milagros L. Gutierrez</name>
<affiliation><nlm:aff id="Aff26">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Milanes, Gemma M" sort="Milanes, Gemma M" uniqKey="Milanes G" first="Gemma M." last="Milanés">Gemma M. Milanés</name>
<affiliation><nlm:aff id="Aff26">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reina, Mercedes G" sort="Reina, Mercedes G" uniqKey="Reina M" first="Mercedes G." last="Reina">Mercedes G. Reina</name>
<affiliation><nlm:aff id="Aff24">Centro de Salud La Paz, Badajoz, 06011 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Villanueva, Ana G" sort="Villanueva, Ana G" uniqKey="Villanueva A" first="Ana G." last="Villanueva">Ana G. Villanueva</name>
<affiliation><nlm:aff id="Aff28">Centro de Salud Villanueva Norte, Villanueva de la Serena, 06700 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pi Ero, Ana S" sort="Pi Ero, Ana S" uniqKey="Pi Ero A" first="Ana S." last="Pi Ero">Ana S. Pi Ero</name>
<affiliation><nlm:aff id="Aff29">Centro de Salud Gevora, 06180 Gévora, Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aliseda, Isabel R" sort="Aliseda, Isabel R" uniqKey="Aliseda I" first="Isabel R." last="Aliseda">Isabel R. Aliseda</name>
<affiliation><nlm:aff id="Aff26">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramirez, Francisco B" sort="Ramirez, Francisco B" uniqKey="Ramirez F" first="Francisco B." last="Ramirez">Francisco B. Ramirez</name>
<affiliation><nlm:aff id="Aff24">Centro de Salud La Paz, Badajoz, 06011 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Andrea" sort="Ribeiro, Andrea" uniqKey="Ribeiro A" first="Andrea" last="Ribeiro">Andrea Ribeiro</name>
<affiliation><nlm:aff id="Aff30">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Quelhas, Ana" sort="Quelhas, Ana" uniqKey="Quelhas A" first="Ana" last="Quelhas">Ana Quelhas</name>
<affiliation><nlm:aff id="Aff30">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Manso, Conceicao" sort="Manso, Conceicao" uniqKey="Manso C" first="Conceição" last="Manso">Conceição Manso</name>
<affiliation><nlm:aff id="Aff30">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caballero, Francisco P" sort="Caballero, Francisco P" uniqKey="Caballero F" first="Francisco P." last="Caballero">Francisco P. Caballero</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerrero, Jose T" sort="Guerrero, Jose T" uniqKey="Guerrero J" first="Jose T." last="Guerrero">Jose T. Guerrero</name>
<affiliation><nlm:aff id="Aff32">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monago, Fatima M" sort="Monago, Fatima M" uniqKey="Monago F" first="Fatima M." last="Monago">Fatima M. Monago</name>
<affiliation><nlm:aff id="Aff33">Centro de Salud San Fernando, Badajoz, 06006 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Rafael B" sort="Santos, Rafael B" uniqKey="Santos R" first="Rafael B." last="Santos">Rafael B. Santos</name>
<affiliation><nlm:aff id="Aff34">Universidad de Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez, Nuria R" sort="Jimenez, Nuria R" uniqKey="Jimenez N" first="Nuria R." last="Jimenez">Nuria R. Jimenez</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nu Ez, Cristina G" sort="Nu Ez, Cristina G" uniqKey="Nu Ez C" first="Cristina G." last="Nu Ez">Cristina G. Nu Ez</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomez, Inmaculada R" sort="Gomez, Inmaculada R" uniqKey="Gomez I" first="Inmaculada R." last="Gomez">Inmaculada R. Gomez</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandez, M Jose L" sort="Fernandez, M Jose L" uniqKey="Fernandez M" first="M Jose L." last="Fernandez">M Jose L. Fernandez</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marquez, Laura A" sort="Marquez, Laura A" uniqKey="Marquez L" first="Laura A." last="Marquez">Laura A. Marquez</name>
<affiliation><nlm:aff id="Aff33">Centro de Salud San Fernando, Badajoz, 06006 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreno, Ana L" sort="Moreno, Ana L" uniqKey="Moreno A" first="Ana L." last="Moreno">Ana L. Moreno</name>
<affiliation><nlm:aff id="Aff32">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Huertas, M Jesus Tena" sort="Huertas, M Jesus Tena" uniqKey="Huertas M" first="M Jesus Tena" last="Huertas">M Jesus Tena Huertas</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramirez, Francisco B" sort="Ramirez, Francisco B" uniqKey="Ramirez F" first="Francisco B." last="Ramirez">Francisco B. Ramirez</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seabra, Daniel" sort="Seabra, Daniel" uniqKey="Seabra D" first="Daniel" last="Seabra">Daniel Seabra</name>
<affiliation><nlm:aff id="Aff35">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salvador, M Ceu" sort="Salvador, M Ceu" uniqKey="Salvador M" first="M Céu" last="Salvador">M Céu Salvador</name>
<affiliation><nlm:aff id="Aff35">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Braga, Luciene" sort="Braga, Luciene" uniqKey="Braga L" first="Luciene" last="Braga">Luciene Braga</name>
<affiliation><nlm:aff id="Aff36">Universidade Federal de Viçosa, Viçosa, Minas Gerais 36570-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff37">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro Oliveira, Anabela" sort="Salgueiro Oliveira, Anabela" uniqKey="Salgueiro Oliveira A" first="Anabela" last="Salgueiro-Oliveira">Anabela Salgueiro-Oliveira</name>
<affiliation><nlm:aff id="Aff37">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Arreguy Sena, Cristina" sort="Arreguy Sena, Cristina" uniqKey="Arreguy Sena C" first="Cristina" last="Arreguy-Sena">Cristina Arreguy-Sena</name>
<affiliation><nlm:aff id="Aff38">Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais 36036-330 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Bibiana F" sort="Oliveira, Bibiana F" uniqKey="Oliveira B" first="Bibiana F." last="Oliveira">Bibiana F. Oliveira</name>
<affiliation><nlm:aff id="Aff39">Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Henriques, M Adriana" sort="Henriques, M Adriana" uniqKey="Henriques M" first="M Adriana" last="Henriques">M Adriana Henriques</name>
<affiliation><nlm:aff id="Aff40">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Joana" sort="Santos, Joana" uniqKey="Santos J" first="Joana" last="Santos">Joana Santos</name>
<affiliation><nlm:aff id="Aff41">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lebre, Sara" sort="Lebre, Sara" uniqKey="Lebre S" first="Sara" last="Lebre">Sara Lebre</name>
<affiliation><nlm:aff id="Aff41">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff41">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Festas, Clarinda" sort="Festas, Clarinda" uniqKey="Festas C" first="Clarinda" last="Festas">Clarinda Festas</name>
<affiliation><nlm:aff id="Aff42">Universidade Fernando Pessoa, 4249-004 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Sandra" sort="Rodrigues, Sandra" uniqKey="Rodrigues S" first="Sandra" last="Rodrigues">Sandra Rodrigues</name>
<affiliation><nlm:aff id="Aff42">Universidade Fernando Pessoa, 4249-004 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Andrea" sort="Ribeiro, Andrea" uniqKey="Ribeiro A" first="Andrea" last="Ribeiro">Andrea Ribeiro</name>
<affiliation><nlm:aff id="Aff42">Universidade Fernando Pessoa, 4249-004 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lumini, Jose" sort="Lumini, Jose" uniqKey="Lumini J" first="José" last="Lumini">José Lumini</name>
<affiliation><nlm:aff id="Aff42">Universidade Fernando Pessoa, 4249-004 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Ana G" sort="Figueiredo, Ana G" uniqKey="Figueiredo A" first="Ana G." last="Figueiredo">Ana G. Figueiredo</name>
<affiliation><nlm:aff id="Aff43">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hernandez Martinez, Francisco J" sort="Hernandez Martinez, Francisco J" uniqKey="Hernandez Martinez F" first="Francisco J." last="Hernandez-Martinez">Francisco J. Hernandez-Martinez</name>
<affiliation><nlm:aff id="Aff44">Cabildo de Lanzarote, 35500 Arrecife, Lanzarote, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campi, Liliana" sort="Campi, Liliana" uniqKey="Campi L" first="Liliana" last="Campi">Liliana Campi</name>
<affiliation><nlm:aff id="Aff45">Servicio Canario de la Salud, 35500 Arrecife, Lanzarote, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Quintana Montesdeoca, M Pino" sort="Quintana Montesdeoca, M Pino" uniqKey="Quintana Montesdeoca M" first="M Pino" last="Quintana-Montesdeoca">M Pino Quintana-Montesdeoca</name>
<affiliation><nlm:aff id="Aff46">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Diaz, Juan F" sort="Jimenez Diaz, Juan F" uniqKey="Jimenez Diaz J" first="Juan F." last="Jimenez-Diaz">Juan F. Jimenez-Diaz</name>
<affiliation><nlm:aff id="Aff46">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez De Vera, Bienvenida C" sort="Rodriguez De Vera, Bienvenida C" uniqKey="Rodriguez De Vera B" first="Bienvenida C." last="Rodriguez-De-Vera">Bienvenida C. Rodriguez-De-Vera</name>
<affiliation><nlm:aff id="Aff46">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parente, Alexandra" sort="Parente, Alexandra" uniqKey="Parente A" first="Alexandra" last="Parente">Alexandra Parente</name>
<affiliation><nlm:aff id="Aff47">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mata, M Augusta" sort="Mata, M Augusta" uniqKey="Mata M" first="M Augusta" last="Mata">M Augusta Mata</name>
<affiliation><nlm:aff id="Aff47">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana M" sort="Pereira, Ana M" uniqKey="Pereira A" first="Ana M" last="Pereira">Ana M Pereira</name>
<affiliation><nlm:aff id="Aff47">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Adilia" sort="Fernandes, Adilia" uniqKey="Fernandes A" first="Adília" last="Fernandes">Adília Fernandes</name>
<affiliation><nlm:aff id="Aff47">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bras, Manuel" sort="Bras, Manuel" uniqKey="Bras M" first="Manuel" last="Brás">Manuel Brás</name>
<affiliation><nlm:aff id="Aff47">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, M Rosario" sort="Pinto, M Rosario" uniqKey="Pinto M" first="M Rosário" last="Pinto">M Rosário Pinto</name>
<affiliation><nlm:aff id="Aff48">Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff49">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Basto, Marta L" sort="Basto, Marta L" uniqKey="Basto M" first="Marta L." last="Basto">Marta L. Basto</name>
<affiliation><nlm:aff id="Aff50">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rei, Ana C" sort="Rei, Ana C" uniqKey="Rei A" first="Ana C." last="Rei">Ana C. Rei</name>
<affiliation><nlm:aff id="Aff51">Hospital Distrital de Santarém, EPE, Santarém, 2005-177 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff52">Universidade de Coimbra, 3004-504 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Gilberta" sort="Sousa, Gilberta" uniqKey="Sousa G" first="Gilberta" last="Sousa">Gilberta Sousa</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morna, Clementina" sort="Morna, Clementina" uniqKey="Morna C" first="Clementina" last="Morna">Clementina Morna</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Otilia" sort="Freitas, Otilia" uniqKey="Freitas O" first="Otília" last="Freitas">Otília Freitas</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Greg Rio" sort="Freitas, Greg Rio" uniqKey="Freitas G" first="Greg Rio" last="Freitas">Greg Rio Freitas</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jardim, Ana" sort="Jardim, Ana" uniqKey="Jardim A" first="Ana" last="Jardim">Ana Jardim</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vasconcelos, Rita" sort="Vasconcelos, Rita" uniqKey="Vasconcelos R" first="Rita" last="Vasconcelos">Rita Vasconcelos</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Horta, Lina G" sort="Horta, Lina G" uniqKey="Horta L" first="Lina G." last="Horta">Lina G. Horta</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Roger S" sort="Rosa, Roger S" uniqKey="Rosa R" first="Roger S." last="Rosa">Roger S. Rosa</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kranz, Luis F" sort="Kranz, Luis F" uniqKey="Kranz L" first="Luís F." last="Kranz">Luís F. Kranz</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nugem, Rita C" sort="Nugem, Rita C" uniqKey="Nugem R" first="Rita C." last="Nugem">Rita C. Nugem</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Siqueira, Mariana S" sort="Siqueira, Mariana S" uniqKey="Siqueira M" first="Mariana S." last="Siqueira">Mariana S. Siqueira</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bordin, Ronaldo" sort="Bordin, Ronaldo" uniqKey="Bordin R" first="Ronaldo" last="Bordin">Ronaldo Bordin</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kniess, Rosiane" sort="Kniess, Rosiane" uniqKey="Kniess R" first="Rosiane" last="Kniess">Rosiane Kniess</name>
<affiliation><nlm:aff id="Aff55">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lacerda, Josimari T" sort="Lacerda, Josimari T" uniqKey="Lacerda J" first="Josimari T." last="Lacerda">Josimari T. Lacerda</name>
<affiliation><nlm:aff id="Aff55">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guedes, Joana" sort="Guedes, Joana" uniqKey="Guedes J" first="Joana" last="Guedes">Joana Guedes</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, Idalina" sort="Machado, Idalina" uniqKey="Machado I" first="Idalina" last="Machado">Idalina Machado</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Sidalina" sort="Almeida, Sidalina" uniqKey="Almeida S" first="Sidalina" last="Almeida">Sidalina Almeida</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Zilhao, Adriano" sort="Zilhao, Adriano" uniqKey="Zilhao A" first="Adriano" last="Zilhão">Adriano Zilhão</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Helder" sort="Alves, Helder" uniqKey="Alves H" first="Helder" last="Alves">Helder Alves</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Scar" sort="Ribeiro, Scar" uniqKey="Ribeiro " first=" Scar" last="Ribeiro"> Scar Ribeiro</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Ana P" sort="Amaral, Ana P" uniqKey="Amaral A" first="Ana P." last="Amaral">Ana P. Amaral</name>
<affiliation><nlm:aff id="Aff57">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Ana" sort="Santos, Ana" uniqKey="Santos A" first="Ana" last="Santos">Ana Santos</name>
<affiliation><nlm:aff id="Aff57">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Joana" sort="Monteiro, Joana" uniqKey="Monteiro J" first="Joana" last="Monteiro">Joana Monteiro</name>
<affiliation><nlm:aff id="Aff57">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, M Clara" sort="Rocha, M Clara" uniqKey="Rocha M" first="M Clara" last="Rocha">M Clara Rocha</name>
<affiliation><nlm:aff id="Aff57">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Rui" sort="Cruz, Rui" uniqKey="Cruz R" first="Rui" last="Cruz">Rui Cruz</name>
<affiliation><nlm:aff id="Aff57">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Ana P" sort="Amaral, Ana P" uniqKey="Amaral A" first="Ana P." last="Amaral">Ana P. Amaral</name>
<affiliation><nlm:aff id="Aff58">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lourenco, Marina" sort="Lourenco, Marina" uniqKey="Lourenco M" first="Marina" last="Lourenço">Marina Lourenço</name>
<affiliation><nlm:aff id="Aff58">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, M Clara" sort="Rocha, M Clara" uniqKey="Rocha M" first="M Clara" last="Rocha">M Clara Rocha</name>
<affiliation><nlm:aff id="Aff58">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Rui" sort="Cruz, Rui" uniqKey="Cruz R" first="Rui" last="Cruz">Rui Cruz</name>
<affiliation><nlm:aff id="Aff58">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Sandra" sort="Antunes, Sandra" uniqKey="Antunes S" first="Sandra" last="Antunes">Sandra Antunes</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Ver Nica" sort="Mendonca, Ver Nica" uniqKey="Mendonca V" first="Ver Nica" last="Mendonça">Ver Nica Mendonça</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Os Rio, Nadia" sort="Os Rio, Nadia" uniqKey="Os Rio N" first="Nádia" last="Os Rio">Nádia Os Rio</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valado, Ana" sort="Valado, Ana" uniqKey="Valado A" first="Ana" last="Valado">Ana Valado</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caseiro, Armando" sort="Caseiro, Armando" uniqKey="Caseiro A" first="Armando" last="Caseiro">Armando Caseiro</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Ant Nio" sort="Gabriel, Ant Nio" uniqKey="Gabriel A" first="Ant Nio" last="Gabriel">Ant Nio Gabriel</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Lidia" sort="Cabral, Lidia" uniqKey="Cabral L" first="Lídia" last="Cabral">Lídia Cabral</name>
<affiliation><nlm:aff id="Aff60">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Manuela" sort="Ferreira, Manuela" uniqKey="Ferreira M" first="Manuela" last="Ferreira">Manuela Ferreira</name>
<affiliation><nlm:aff id="Aff60">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Amadeu" sort="Goncalves, Amadeu" uniqKey="Goncalves A" first="Amadeu" last="Gonçalves">Amadeu Gonçalves</name>
<affiliation><nlm:aff id="Aff60">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luz, Tatiana D" sort="Luz, Tatiana D" uniqKey="Luz T" first="Tatiana D." last="Luz">Tatiana D. Luz</name>
<affiliation><nlm:aff id="Aff61">Universidade Federal de Alagoas, Maceió, Alagoas, 57072-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luz, Leonardo" sort="Luz, Leonardo" uniqKey="Luz L" first="Leonardo" last="Luz">Leonardo Luz</name>
<affiliation><nlm:aff id="Aff61">Universidade Federal de Alagoas, Maceió, Alagoas, 57072-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Raul" sort="Martins, Raul" uniqKey="Martins R" first="Raul" last="Martins">Raul Martins</name>
<affiliation><nlm:aff id="Aff62">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morgado, Alice" sort="Morgado, Alice" uniqKey="Morgado A" first="Alice" last="Morgado">Alice Morgado</name>
<affiliation><nlm:aff id="Aff63">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vale Dias, Maria L" sort="Vale Dias, Maria L" uniqKey="Vale Dias M" first="Maria L." last="Vale-Dias">Maria L. Vale-Dias</name>
<affiliation><nlm:aff id="Aff63">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Porta Nova, Rui" sort="Porta Nova, Rui" uniqKey="Porta Nova R" first="Rui" last="Porta-Nova">Rui Porta-Nova</name>
<affiliation><nlm:aff id="Aff64">Escola Superior da Saúde da Cruz Vermelha Portuguesa, Lisboa, 1300-125 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fleig, Tania C" sort="Fleig, Tania C" uniqKey="Fleig T" first="Tânia C." last="Fleig">Tânia C. Fleig</name>
<affiliation><nlm:aff id="Aff65">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reuter, Eboni M" sort="Reuter, Eboni M" uniqKey="Reuter E" first="Éboni M." last="Reuter">Éboni M. Reuter</name>
<affiliation><nlm:aff id="Aff65">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Froemming, Miriam B" sort="Froemming, Miriam B" uniqKey="Froemming M" first="Miriam B." last="Froemming">Miriam B. Froemming</name>
<affiliation><nlm:aff id="Aff65">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerreiro, Sabrina L" sort="Guerreiro, Sabrina L" uniqKey="Guerreiro S" first="Sabrina L." last="Guerreiro">Sabrina L. Guerreiro</name>
<affiliation><nlm:aff id="Aff65">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Lisiane L" sort="Carvalho, Lisiane L" uniqKey="Carvalho L" first="Lisiane L." last="Carvalho">Lisiane L. Carvalho</name>
<affiliation><nlm:aff id="Aff65">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guedelha, Daniel" sort="Guedelha, Daniel" uniqKey="Guedelha D" first="Daniel" last="Guedelha">Daniel Guedelha</name>
<affiliation><nlm:aff id="Aff66">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, P" sort="Coelho, P" uniqKey="Coelho P" first="P." last="Coelho">P. Coelho</name>
<affiliation><nlm:aff id="Aff66">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, A" sort="Pereira, A" uniqKey="Pereira A" first="A." last="Pereira">A. Pereira</name>
<affiliation><nlm:aff id="Aff66">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Calha, Ant Nio" sort="Calha, Ant Nio" uniqKey="Calha A" first="Ant Nio" last="Calha">Ant Nio Calha</name>
<affiliation><nlm:aff id="Aff67">Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Raul" sort="Cordeiro, Raul" uniqKey="Cordeiro R" first="Raul" last="Cordeiro">Raul Cordeiro</name>
<affiliation><nlm:aff id="Aff67">Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Ana" sort="Goncalves, Ana" uniqKey="Goncalves A" first="Ana" last="Gonçalves">Ana Gonçalves</name>
<affiliation><nlm:aff id="Aff68">Instituto Politécnico de Bragança, Bragança, 5300-121 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Certo, Ana" sort="Certo, Ana" uniqKey="Certo A" first="Ana" last="Certo">Ana Certo</name>
<affiliation><nlm:aff id="Aff68">Instituto Politécnico de Bragança, Bragança, 5300-121 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galvao, Ana" sort="Galvao, Ana" uniqKey="Galvao A" first="Ana" last="Galvão">Ana Galvão</name>
<affiliation><nlm:aff id="Aff68">Instituto Politécnico de Bragança, Bragança, 5300-121 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mata, M Augusta" sort="Mata, M Augusta" uniqKey="Mata M" first="M Augusta" last="Mata">M Augusta Mata</name>
<affiliation><nlm:aff id="Aff68">Instituto Politécnico de Bragança, Bragança, 5300-121 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Welter, Aline" sort="Welter, Aline" uniqKey="Welter A" first="Aline" last="Welter">Aline Welter</name>
<affiliation><nlm:aff id="Aff69">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Elayne" sort="Pereira, Elayne" uniqKey="Pereira E" first="Elayne" last="Pereira">Elayne Pereira</name>
<affiliation><nlm:aff id="Aff69">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Sandra" sort="Ribeiro, Sandra" uniqKey="Ribeiro S" first="Sandra" last="Ribeiro">Sandra Ribeiro</name>
<affiliation><nlm:aff id="Aff70">Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina 88132-149 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff69">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Diaz, Juan Fernando" sort="Jimenez Diaz, Juan Fernando" uniqKey="Jimenez Diaz J" first="Juan-Fernando" last="Jiménez-Díaz">Juan-Fernando Jiménez-Díaz</name>
<affiliation><nlm:aff id="Aff71">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Rodriguez, Carla" sort="Jimenez Rodriguez, Carla" uniqKey="Jimenez Rodriguez C" first="Carla" last="Jiménez-Rodríguez">Carla Jiménez-Rodríguez</name>
<affiliation><nlm:aff id="Aff71">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hernandez Martinez, Francisco Jose" sort="Hernandez Martinez, Francisco Jose" uniqKey="Hernandez Martinez F" first="Francisco-José" last="Hernández-Martínez">Francisco-José Hernández-Martínez</name>
<affiliation><nlm:aff id="Aff72">Cabildo de Lanzarote, 35500 Lanzarote, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez De Vera, Bienvenida Del Carmen" sort="Rodriguez De Vera, Bienvenida Del Carmen" uniqKey="Rodriguez De Vera B" first="Bienvenida-Del-Carmen" last="Rodríguez-De-Vera">Bienvenida-Del-Carmen Rodríguez-De-Vera</name>
<affiliation><nlm:aff id="Aff71">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques Rodrigues, Alexandre" sort="Marques Rodrigues, Alexandre" uniqKey="Marques Rodrigues A" first="Alexandre" last="Marques-Rodrigues">Alexandre Marques-Rodrigues</name>
<affiliation><nlm:aff id="Aff73">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Patricia" sort="Coelho, Patricia" uniqKey="Coelho P" first="Patrícia" last="Coelho">Patrícia Coelho</name>
<affiliation><nlm:aff id="Aff74">Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bernardes, Tiago" sort="Bernardes, Tiago" uniqKey="Bernardes T" first="Tiago" last="Bernardes">Tiago Bernardes</name>
<affiliation><nlm:aff id="Aff74">Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Alexandre" sort="Pereira, Alexandre" uniqKey="Pereira A" first="Alexandre" last="Pereira">Alexandre Pereira</name>
<affiliation><nlm:aff id="Aff74">Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff75">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Filho, Joao G" sort="Filho, Joao G" uniqKey="Filho J" first="João G." last="Filho">João G. Filho</name>
<affiliation><nlm:aff id="Aff75">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nazario, Nazare" sort="Nazario, Nazare" uniqKey="Nazario N" first="Nazare" last="Nazario">Nazare Nazario</name>
<affiliation><nlm:aff id="Aff75">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff75">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Odete" sort="Amaral, Odete" uniqKey="Amaral O" first="Odete" last="Amaral">Odete Amaral</name>
<affiliation><nlm:aff id="Aff76">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garrido, Ant Nio" sort="Garrido, Ant Nio" uniqKey="Garrido A" first="Ant Nio" last="Garrido">Ant Nio Garrido</name>
<affiliation><nlm:aff id="Aff77">Casa de Saúde de São Mateus, Viseu, 3500-106 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veiga, Nelio" sort="Veiga, Nelio" uniqKey="Veiga N" first="Nélio" last="Veiga">Nélio Veiga</name>
<affiliation><nlm:aff id="Aff78">Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Carla" sort="Nunes, Carla" uniqKey="Nunes C" first="Carla" last="Nunes">Carla Nunes</name>
<affiliation><nlm:aff id="Aff79">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedro, Ana R" sort="Pedro, Ana R" uniqKey="Pedro A" first="Ana R." last="Pedro">Ana R. Pedro</name>
<affiliation><nlm:aff id="Aff79">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Carlos" sort="Pereira, Carlos" uniqKey="Pereira C" first="Carlos" last="Pereira">Carlos Pereira</name>
<affiliation><nlm:aff id="Aff76">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeia, Ant Nio" sort="Almeia, Ant Nio" uniqKey="Almeia A" first="Ant Nio" last="Almeia">Ant Nio Almeia</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Helder M" sort="Fernandes, Helder M" uniqKey="Fernandes H" first="Helder M." last="Fernandes">Helder M. Fernandes</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vasconcelos, Carlos" sort="Vasconcelos, Carlos" uniqKey="Vasconcelos C" first="Carlos" last="Vasconcelos">Carlos Vasconcelos</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff81">Polytechnic Institute of Viseu, Viseu, 3504-510 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Nelson" sort="Sousa, Nelson" uniqKey="Sousa N" first="Nelson" last="Sousa">Nelson Sousa</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Victor M" sort="Reis, Victor M" uniqKey="Reis V" first="Victor M." last="Reis">Victor M. Reis</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, M Joao" sort="Monteiro, M Joao" uniqKey="Monteiro M" first="M. João" last="Monteiro">M. João Monteiro</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Romeu" sort="Mendes, Romeu" uniqKey="Mendes R" first="Romeu" last="Mendes">Romeu Mendes</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff82">Unidade de Saúde Pública do ACES Douro I—Marão e Douro Norte, Administração Regional de Saúde do Norte, IP, 5000-524 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Isabel C" sort="Pinto, Isabel C" uniqKey="Pinto I" first="Isabel C." last="Pinto">Isabel C. Pinto</name>
<affiliation><nlm:aff id="Aff83">Núcleo de Investigação e Intervenção no Idoso, Departamento de Tecnologias de Diagnóstico e Terapêutica, Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pires, Tania" sort="Pires, Tania" uniqKey="Pires T" first="Tânia" last="Pires">Tânia Pires</name>
<affiliation><nlm:aff id="Aff84">Centro de Investigação de Montanha, Escola Superior Agrária, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gama, Joao" sort="Gama, Joao" uniqKey="Gama J" first="João" last="Gama">João Gama</name>
<affiliation><nlm:aff id="Aff85">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Preto, Vera" sort="Preto, Vera" uniqKey="Preto V" first="Vera" last="Preto">Vera Preto</name>
<affiliation><nlm:aff id="Aff86">Programa de Prevenção e Controlo de Infeções e de Resistência aos Antimicrobianos, Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Norberto" sort="Silva, Norberto" uniqKey="Silva N" first="Norberto" last="Silva">Norberto Silva</name>
<affiliation><nlm:aff id="Aff87">Departamento de Urgência e Emergência Unidade, Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magalhaes, Carlos" sort="Magalhaes, Carlos" uniqKey="Magalhaes C" first="Carlos" last="Magalhães">Carlos Magalhães</name>
<affiliation><nlm:aff id="Aff88">Departamento de Enfermagem, Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Matilde" sort="Martins, Matilde" uniqKey="Martins M" first="Matilde" last="Martins">Matilde Martins</name>
<affiliation><nlm:aff id="Aff89">Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano, Departamento de Enfermagem, Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Mafalda" sort="Duarte, Mafalda" uniqKey="Duarte M" first="Mafalda" last="Duarte">Mafalda Duarte</name>
<affiliation><nlm:aff id="Aff90">Health Superior School of Alto Ave, 4830-345 Póvoa de Lanhoso, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paul, Constanca" sort="Paul, Constanca" uniqKey="Paul C" first="Constança" last="Paúl">Constança Paúl</name>
<affiliation><nlm:aff id="Aff91">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff92">Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martin, Ignacio" sort="Martin, Ignacio" uniqKey="Martin I" first="Ignácio" last="Martín">Ignácio Martín</name>
<affiliation><nlm:aff id="Aff93">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinheiro, Arminda A" sort="Pinheiro, Arminda A" uniqKey="Pinheiro A" first="Arminda A." last="Pinheiro">Arminda A. Pinheiro</name>
<affiliation><nlm:aff id="Aff94">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Xavier, Sandra" sort="Xavier, Sandra" uniqKey="Xavier S" first="Sandra" last="Xavier">Sandra Xavier</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, Julieta" sort="Azevedo, Julieta" uniqKey="Azevedo J" first="Julieta" last="Azevedo">Julieta Azevedo</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bento, Elisabete" sort="Bento, Elisabete" uniqKey="Bento E" first="Elisabete" last="Bento">Elisabete Bento</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Cristiana" sort="Marques, Cristiana" uniqKey="Marques C" first="Cristiana" last="Marques">Cristiana Marques</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Mariana" sort="Marques, Mariana" uniqKey="Marques M" first="Mariana" last="Marques">Mariana Marques</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff96">Centro de responsabilidade integrado, Serviço Psiquiatria, Centro Hospitalar e Universitário de Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Macedo, Ant Nio" sort="Macedo, Ant Nio" uniqKey="Macedo A" first="Ant Nio" last="Macedo">Ant Nio Macedo</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff96">Centro de responsabilidade integrado, Serviço Psiquiatria, Centro Hospitalar e Universitário de Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana T" sort="Pereira, Ana T" uniqKey="Pereira A" first="Ana T." last="Pereira">Ana T. Pereira</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Jose P" sort="Almeida, Jose P" uniqKey="Almeida J" first="José P." last="Almeida">José P. Almeida</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Ant Nio" sort="Almeida, Ant Nio" uniqKey="Almeida A" first="Ant Nio" last="Almeida">Ant Nio Almeida</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff98">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Josiane" sort="Alves, Josiane" uniqKey="Alves J" first="Josiane" last="Alves">Josiane Alves</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Nelson" sort="Sousa, Nelson" uniqKey="Sousa N" first="Nelson" last="Sousa">Nelson Sousa</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff98">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Saavedra, Francisco" sort="Saavedra, Francisco" uniqKey="Saavedra F" first="Francisco" last="Saavedra">Francisco Saavedra</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff98">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Romeu" sort="Mendes, Romeu" uniqKey="Mendes R" first="Romeu" last="Mendes">Romeu Mendes</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff98">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff99">Unidade de Saúde Pública, ACES Douro I, Marão e Douro Norte, Administração Regional de Saúde do Norte, 5000-524 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Ana S" sort="Maia, Ana S" uniqKey="Maia A" first="Ana S." last="Maia">Ana S. Maia</name>
<affiliation><nlm:aff id="Aff100">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Michelle T" sort="Oliveira, Michelle T" uniqKey="Oliveira M" first="Michelle T." last="Oliveira">Michelle T. Oliveira</name>
<affiliation><nlm:aff id="Aff100">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Anderson R" sort="Sousa, Anderson R" uniqKey="Sousa A" first="Anderson R." last="Sousa">Anderson R. Sousa</name>
<affiliation><nlm:aff id="Aff100">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Paulo P" sort="Ferreira, Paulo P" uniqKey="Ferreira P" first="Paulo P." last="Ferreira">Paulo P. Ferreira</name>
<affiliation><nlm:aff id="Aff101">Secretaria de Saúde do Estado da Bahia, Salvador, Bahia 41745-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Luci S" sort="Lopes, Luci S" uniqKey="Lopes L" first="Luci S." last="Lopes">Luci S. Lopes</name>
<affiliation><nlm:aff id="Aff100">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santiago, Eujcely C" sort="Santiago, Eujcely C" uniqKey="Santiago E" first="Eujcely C." last="Santiago">Eujcely C. Santiago</name>
<affiliation><nlm:aff id="Aff102">Hospital Estadual da Criança, Vila Valqueire, Rio de Janeiro Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Silvia" sort="Monteiro, Silvia" uniqKey="Monteiro S" first="Sílvia" last="Monteiro">Sílvia Monteiro</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Angelo" sort="Jesus, Angelo" uniqKey="Jesus A" first="Ângelo" last="Jesus">Ângelo Jesus</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Colaco, Armanda" sort="Colaco, Armanda" uniqKey="Colaco A" first="Armanda" last="Colaço">Armanda Colaço</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff104">Centro Hospitalar de São João, EPE, Porto, 4200-319 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Ant Nio" sort="Carvalho, Ant Nio" uniqKey="Carvalho A" first="Ant Nio" last="Carvalho">Ant Nio Carvalho</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff104">Centro Hospitalar de São João, EPE, Porto, 4200-319 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Rita P" sort="Silva, Rita P" uniqKey="Silva R" first="Rita P." last="Silva">Rita P. Silva</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff105">Unidade Local de Saúde de Matosinhos, EPE, 4454 509 Senhora da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ana" sort="Ferreira, Ana" uniqKey="Ferreira A" first="Ana" last="Ferreira">Ana Ferreira</name>
<affiliation><nlm:aff id="Aff106">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Catarina" sort="Marques, Catarina" uniqKey="Marques C" first="Catarina" last="Marques">Catarina Marques</name>
<affiliation><nlm:aff id="Aff106">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Joao P" sort="Figueiredo, Joao P" uniqKey="Figueiredo J" first="João P." last="Figueiredo">João P. Figueiredo</name>
<affiliation><nlm:aff id="Aff106">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paixao, Susana" sort="Paixao, Susana" uniqKey="Paixao S" first="Susana" last="Paixão">Susana Paixão</name>
<affiliation><nlm:aff id="Aff106">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ana" sort="Ferreira, Ana" uniqKey="Ferreira A" first="Ana" last="Ferreira">Ana Ferreira</name>
<affiliation><nlm:aff id="Aff107">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Carla" sort="Lopes, Carla" uniqKey="Lopes C" first="Carla" last="Lopes">Carla Lopes</name>
<affiliation><nlm:aff id="Aff107">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff107">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Joao P" sort="Figueiredo, Joao P" uniqKey="Figueiredo J" first="João P." last="Figueiredo">João P. Figueiredo</name>
<affiliation><nlm:aff id="Aff107">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ana" sort="Ferreira, Ana" uniqKey="Ferreira A" first="Ana" last="Ferreira">Ana Ferreira</name>
<affiliation><nlm:aff id="Aff108">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Diana" sort="Ribeiro, Diana" uniqKey="Ribeiro D" first="Diana" last="Ribeiro">Diana Ribeiro</name>
<affiliation><nlm:aff id="Aff108">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff108">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Joao P" sort="Figueiredo, Joao P" uniqKey="Figueiredo J" first="João P." last="Figueiredo">João P. Figueiredo</name>
<affiliation><nlm:aff id="Aff108">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paixao, Susana" sort="Paixao, Susana" uniqKey="Paixao S" first="Susana" last="Paixão">Susana Paixão</name>
<affiliation><nlm:aff id="Aff108">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Telma" sort="Fernandes, Telma" uniqKey="Fernandes T" first="Telma" last="Fernandes">Telma Fernandes</name>
<affiliation><nlm:aff id="Aff109">Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amado, Diogo" sort="Amado, Diogo" uniqKey="Amado D" first="Diogo" last="Amado">Diogo Amado</name>
<affiliation><nlm:aff id="Aff109">Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leal, Jessica" sort="Leal, Jessica" uniqKey="Leal J" first="Jéssica" last="Leal">Jéssica Leal</name>
<affiliation><nlm:aff id="Aff109">Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, Marcelo" sort="Azevedo, Marcelo" uniqKey="Azevedo M" first="Marcelo" last="Azevedo">Marcelo Azevedo</name>
<affiliation><nlm:aff id="Aff109">Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, S Nia" sort="Ramalho, S Nia" uniqKey="Ramalho S" first="S Nia" last="Ramalho">S Nia Ramalho</name>
<affiliation><nlm:aff id="Aff109">Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff110">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mangas, Catarina" sort="Mangas, Catarina" uniqKey="Mangas C" first="Catarina" last="Mangas">Catarina Mangas</name>
<affiliation><nlm:aff id="Aff111">Unidade de Investigação Inclusão e Acessibilidade em Acção “iACT” e Escola Superior Educação e Ciências Sociais, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Jaime" sort="Ribeiro, Jaime" uniqKey="Ribeiro J" first="Jaime" last="Ribeiro">Jaime Ribeiro</name>
<affiliation><nlm:aff id="Aff112">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Rita" sort="Goncalves, Rita" uniqKey="Goncalves R" first="Rita" last="Gonçalves">Rita Gonçalves</name>
<affiliation><nlm:aff id="Aff113">Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Amelia F" sort="Nunes, Amelia F" uniqKey="Nunes A" first="Amélia F" last="Nunes">Amélia F. Nunes</name>
<affiliation><nlm:aff id="Aff114">Universidade da Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tuna, Ana R" sort="Tuna, Ana R" uniqKey="Tuna A" first="Ana R." last="Tuna">Ana R. Tuna</name>
<affiliation><nlm:aff id="Aff114">Universidade da Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Carlos R" sort="Martins, Carlos R" uniqKey="Martins C" first="Carlos R." last="Martins">Carlos R. Martins</name>
<affiliation><nlm:aff id="Aff115">Unidade de Saúde Pública, Agrupamento de Centros de Saúde Cova da Beira, 6200-251 Covilhã, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Forte, Henriqueta D" sort="Forte, Henriqueta D" uniqKey="Forte H" first="Henriqueta D." last="Forte">Henriqueta D. Forte</name>
<affiliation><nlm:aff id="Aff115">Unidade de Saúde Pública, Agrupamento de Centros de Saúde Cova da Beira, 6200-251 Covilhã, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Claudia" sort="Costa, Claudia" uniqKey="Costa C" first="Cláudia" last="Costa">Cláudia Costa</name>
<affiliation><nlm:aff id="Aff116">Centre of Studies on Geography and Spatial Planning, University of Coimbra, 3000-043 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tened Rio, Jose A" sort="Tened Rio, Jose A" uniqKey="Tened Rio J" first="José A." last="Tened Rio">José A. Tened Rio</name>
<affiliation><nlm:aff id="Aff117">Research Centre for Geography and Regional Planning, Universidade Nova de Lisboa, 1069-061 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santana, Paula" sort="Santana, Paula" uniqKey="Santana P" first="Paula" last="Santana">Paula Santana</name>
<affiliation><nlm:aff id="Aff116">Centre of Studies on Geography and Spatial Planning, University of Coimbra, 3000-043 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, J A" sort="Andrade, J A" uniqKey="Andrade J" first="J. A." last="Andrade">J. A. Andrade</name>
<affiliation><nlm:aff id="Aff118">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, J L" sort="Pinto, J L" uniqKey="Pinto J" first="J. L." last="Pinto">J. L. Pinto</name>
<affiliation><nlm:aff id="Aff119">Pharmacy Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campofiorito, C" sort="Campofiorito, C" uniqKey="Campofiorito C" first="C." last="Campofiorito">C. Campofiorito</name>
<affiliation><nlm:aff id="Aff118">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, S" sort="Nunes, S" uniqKey="Nunes S" first="S." last="Nunes">S. Nunes</name>
<affiliation><nlm:aff id="Aff118">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carmo, A" sort="Carmo, A" uniqKey="Carmo A" first="A." last="Carmo">A. Carmo</name>
<affiliation><nlm:aff id="Aff119">Pharmacy Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kaliniczenco, A" sort="Kaliniczenco, A" uniqKey="Kaliniczenco A" first="A." last="Kaliniczenco">A. Kaliniczenco</name>
<affiliation><nlm:aff id="Aff118">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, B" sort="Alves, B" uniqKey="Alves B" first="B." last="Alves">B. Alves</name>
<affiliation><nlm:aff id="Aff120">Molecular Laboratory of Diagnosis, ABC Medical School, Santo André, São Paulo 09080-650 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, F" sort="Mendes, F" uniqKey="Mendes F" first="F." last="Mendes">F. Mendes</name>
<affiliation><nlm:aff id="Aff121">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, C" sort="Jesus, C" uniqKey="Jesus C" first="C." last="Jesus">C. Jesus</name>
<affiliation><nlm:aff id="Aff121">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca, F" sort="Fonseca, F" uniqKey="Fonseca F" first="F." last="Fonseca">F. Fonseca</name>
<affiliation><nlm:aff id="Aff120">Molecular Laboratory of Diagnosis, ABC Medical School, Santo André, São Paulo 09080-650 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gehrke, F" sort="Gehrke, F" uniqKey="Gehrke F" first="F." last="Gehrke">F. Gehrke</name>
<affiliation><nlm:aff id="Aff118">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Albuquerque, Carlos" sort="Albuquerque, Carlos" uniqKey="Albuquerque C" first="Carlos" last="Albuquerque">Carlos Albuquerque</name>
<affiliation><nlm:aff id="Aff122">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Batista, Rita" sort="Batista, Rita" uniqKey="Batista R" first="Rita" last="Batista">Rita Batista</name>
<affiliation><nlm:aff id="Aff123">Hospital Sousa Martins, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Madalena" sort="Cunha, Madalena" uniqKey="Cunha M" first="Madalena" last="Cunha">Madalena Cunha</name>
<affiliation><nlm:aff id="Aff122">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Madureira, Ant Nio" sort="Madureira, Ant Nio" uniqKey="Madureira A" first="Ant Nio" last="Madureira">Ant Nio Madureira</name>
<affiliation><nlm:aff id="Aff122">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Oliverio" sort="Ribeiro, Oliverio" uniqKey="Ribeiro O" first="Olivério" last="Ribeiro">Olivério Ribeiro</name>
<affiliation><nlm:aff id="Aff122">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Rosa" sort="Martins, Rosa" uniqKey="Martins R" first="Rosa" last="Martins">Rosa Martins</name>
<affiliation><nlm:aff id="Aff122">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Madeira, Teresa" sort="Madeira, Teresa" uniqKey="Madeira T" first="Teresa" last="Madeira">Teresa Madeira</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Peixoto Placido, Catarina" sort="Peixoto Placido, Catarina" uniqKey="Peixoto Placido C" first="Catarina" last="Peixoto-Plácido">Catarina Peixoto-Plácido</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Nuno" sort="Santos, Nuno" uniqKey="Santos N" first="Nuno" last="Santos">Nuno Santos</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Osvaldo" sort="Santos, Osvaldo" uniqKey="Santos O" first="Osvaldo" last="Santos">Osvaldo Santos</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bergland, Astrid" sort="Bergland, Astrid" uniqKey="Bergland A" first="Astrid" last="Bergland">Astrid Bergland</name>
<affiliation><nlm:aff id="Aff127">Oslo and Akershus University College of Applied Sciences, 0167 Oslo, Norway</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bye, Asta" sort="Bye, Asta" uniqKey="Bye A" first="Asta" last="Bye">Asta Bye</name>
<affiliation><nlm:aff id="Aff127">Oslo and Akershus University College of Applied Sciences, 0167 Oslo, Norway</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Carla" sort="Lopes, Carla" uniqKey="Lopes C" first="Carla" last="Lopes">Carla Lopes</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alarcao, Violeta" sort="Alarcao, Violeta" uniqKey="Alarcao V" first="Violeta" last="Alarcão">Violeta Alarcão</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goulao, Beatriz" sort="Goulao, Beatriz" uniqKey="Goulao B" first="Beatriz" last="Goulão">Beatriz Goulão</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Nuno" sort="Mendonca, Nuno" uniqKey="Mendonca N" first="Nuno" last="Mendonça">Nuno Mendonça</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff128">Newcastle University Institute for Ageing, Newcastle upon Tyne, NE4 5PL United Kingdom</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nicola, Paulo" sort="Nicola, Paulo" uniqKey="Nicola P" first="Paulo" last="Nicola">Paulo Nicola</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Clara, Joao G" sort="Clara, Joao G" uniqKey="Clara J" first="João G." last="Clara">João G. Clara</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Joao" sort="Gomes, Joao" uniqKey="Gomes J" first="João" last="Gomes">João Gomes</name>
<affiliation><nlm:aff id="Aff129">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff130">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff130">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff130">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Daniel" sort="Carvalho, Daniel" uniqKey="Carvalho D" first="Daniel" last="Carvalho">Daniel Carvalho</name>
<affiliation><nlm:aff id="Aff129">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff130">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff130">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Marlene C" sort="Rosa, Marlene C" uniqKey="Rosa M" first="Marlene C." last="Rosa">Marlene C. Rosa</name>
<affiliation><nlm:aff id="Aff131">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff132">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brandao, Daniela" sort="Brandao, Daniela" uniqKey="Brandao D" first="Daniela" last="Brandão">Daniela Brandão</name>
<affiliation><nlm:aff id="Aff133">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff134">Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Scar" sort="Ribeiro, Scar" uniqKey="Ribeiro " first=" Scar" last="Ribeiro"> Scar Ribeiro</name>
<affiliation><nlm:aff id="Aff133">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff135">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff136">Instituto Superior De Serviço Social Do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Lia" sort="Araujo, Lia" uniqKey="Araujo L" first="Lia" last="Araújo">Lia Araújo</name>
<affiliation><nlm:aff id="Aff133">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff137">Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paul, Constanca" sort="Paul, Constanca" uniqKey="Paul C" first="Constança" last="Paúl">Constança Paúl</name>
<affiliation><nlm:aff id="Aff133">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff138">Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Minghelli, Beatriz" sort="Minghelli, Beatriz" uniqKey="Minghelli B" first="Beatriz" last="Minghelli">Beatriz Minghelli</name>
<affiliation><nlm:aff id="Aff139">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff140">Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Richaud, Sylvina" sort="Richaud, Sylvina" uniqKey="Richaud S" first="Sylvina" last="Richaud">Sylvina Richaud</name>
<affiliation><nlm:aff id="Aff140">Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana L" sort="Mendes, Ana L" uniqKey="Mendes A" first="Ana L." last="Mendes">Ana L. Mendes</name>
<affiliation><nlm:aff id="Aff141">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marta Sim Es, Joana" sort="Marta Sim Es, Joana" uniqKey="Marta Sim Es J" first="Joana" last="Marta-Sim Es">Joana Marta-Sim Es</name>
<affiliation><nlm:aff id="Aff141">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Trindade, Ines A" sort="Trindade, Ines A" uniqKey="Trindade I" first="Inês A." last="Trindade">Inês A. Trindade</name>
<affiliation><nlm:aff id="Aff141">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Claudia" sort="Ferreira, Claudia" uniqKey="Ferreira C" first="Cláudia" last="Ferreira">Cláudia Ferreira</name>
<affiliation><nlm:aff id="Aff141">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Teresa" sort="Carvalho, Teresa" uniqKey="Carvalho T" first="Teresa" last="Carvalho">Teresa Carvalho</name>
<affiliation><nlm:aff id="Aff142">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff143">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff142">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff143">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff142">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Morgana C" sort="Fernandes, Morgana C" uniqKey="Fernandes M" first="Morgana C." last="Fernandes">Morgana C. Fernandes</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Roger S" sort="Rosa, Roger S" uniqKey="Rosa R" first="Roger S." last="Rosa">Roger S. Rosa</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nugem, Rita C" sort="Nugem, Rita C" uniqKey="Nugem R" first="Rita C." last="Nugem">Rita C. Nugem</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kranz, Luis F" sort="Kranz, Luis F" uniqKey="Kranz L" first="Luís F." last="Kranz">Luís F. Kranz</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Siqueira, Mariana S" sort="Siqueira, Mariana S" uniqKey="Siqueira M" first="Mariana S." last="Siqueira">Mariana S. Siqueira</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bordin, Ronaldo" sort="Bordin, Ronaldo" uniqKey="Bordin R" first="Ronaldo" last="Bordin">Ronaldo Bordin</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff145">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Medeiros, Anabela" sort="Medeiros, Anabela" uniqKey="Medeiros A" first="Anabela" last="Medeiros">Anabela Medeiros</name>
<affiliation><nlm:aff id="Aff146">Municipality of Nordeste, 9630 Nordeste, Azores Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pimentel, Rafaela" sort="Pimentel, Rafaela" uniqKey="Pimentel R" first="Rafaela" last="Pimentel">Rafaela Pimentel</name>
<affiliation><nlm:aff id="Aff146">Municipality of Nordeste, 9630 Nordeste, Azores Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Andreia" sort="Fernandes, Andreia" uniqKey="Fernandes A" first="Andreia" last="Fernandes">Andreia Fernandes</name>
<affiliation><nlm:aff id="Aff146">Municipality of Nordeste, 9630 Nordeste, Azores Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Carlos" sort="Mendonca, Carlos" uniqKey="Mendonca C" first="Carlos" last="Mendonça">Carlos Mendonça</name>
<affiliation><nlm:aff id="Aff146">Municipality of Nordeste, 9630 Nordeste, Azores Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff145">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Susana" sort="Andrade, Susana" uniqKey="Andrade S" first="Susana" last="Andrade">Susana Andrade</name>
<affiliation><nlm:aff id="Aff145">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Menezes, Ruth L" sort="Menezes, Ruth L" uniqKey="Menezes R" first="Ruth L." last="Menezes">Ruth L. Menezes</name>
<affiliation><nlm:aff id="Aff147">University of Brasilia, Brasília, Distrito Federal 70910-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bravo, Rafael" sort="Bravo, Rafael" uniqKey="Bravo R" first="Rafael" last="Bravo">Rafael Bravo</name>
<affiliation><nlm:aff id="Aff148">Universidad de Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Miranda, Marta" sort="Miranda, Marta" uniqKey="Miranda M" first="Marta" last="Miranda">Marta Miranda</name>
<affiliation><nlm:aff id="Aff149">Chrononutrition Laboratory, Department of Physiology, Faculty of Science, University of Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ugartemendia, Lierni" sort="Ugartemendia, Lierni" uniqKey="Ugartemendia L" first="Lierni" last="Ugartemendia">Lierni Ugartemendia</name>
<affiliation><nlm:aff id="Aff149">Chrononutrition Laboratory, Department of Physiology, Faculty of Science, University of Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tena, Jose M" sort="Tena, Jose M" uniqKey="Tena J" first="José M" last="Tena">José M Tena</name>
<affiliation><nlm:aff id="Aff150">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Perez Caballero, Francisco L" sort="Perez Caballero, Francisco L" uniqKey="Perez Caballero F" first="Francisco L." last="Pérez-Caballero">Francisco L. Pérez-Caballero</name>
<affiliation><nlm:aff id="Aff151">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fuentes Broto, Lorena" sort="Fuentes Broto, Lorena" uniqKey="Fuentes Broto L" first="Lorena" last="Fuentes-Broto">Lorena Fuentes-Broto</name>
<affiliation><nlm:aff id="Aff152">Aragon Institute for Health Research, Zaragoza, 50009 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez, Ana B" sort="Rodriguez, Ana B" uniqKey="Rodriguez A" first="Ana B." last="Rodríguez">Ana B. Rodríguez</name>
<affiliation><nlm:aff id="Aff149">Chrononutrition Laboratory, Department of Physiology, Faculty of Science, University of Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carmen, Barriga" sort="Carmen, Barriga" uniqKey="Carmen B" first="Barriga" last="Carmen">Barriga Carmen</name>
<affiliation><nlm:aff id="Aff149">Chrononutrition Laboratory, Department of Physiology, Faculty of Science, University of Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carneiro, M A" sort="Carneiro, M A" uniqKey="Carneiro M" first="M. A." last="Carneiro">M. A. Carneiro</name>
<affiliation><nlm:aff id="Aff153">ABC Medical School, Santo André, São Paulo 09210-180 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Domingues, J N" sort="Domingues, J N" uniqKey="Domingues J" first="J. N." last="Domingues">J. N. Domingues</name>
<affiliation><nlm:aff id="Aff154">Department of Complementary Sciences, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paixao, S" sort="Paixao, S" uniqKey="Paixao S" first="S." last="Paixão">S. Paixão</name>
<affiliation><nlm:aff id="Aff154">Department of Complementary Sciences, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, J" sort="Figueiredo, J" uniqKey="Figueiredo J" first="J." last="Figueiredo">J. Figueiredo</name>
<affiliation><nlm:aff id="Aff154">Department of Complementary Sciences, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nascimento, V B" sort="Nascimento, V B" uniqKey="Nascimento V" first="V. B." last="Nascimento">V. B. Nascimento</name>
<affiliation><nlm:aff id="Aff153">ABC Medical School, Santo André, São Paulo 09210-180 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, C" sort="Jesus, C" uniqKey="Jesus C" first="C." last="Jesus">C. Jesus</name>
<affiliation><nlm:aff id="Aff155">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, F" sort="Mendes, F" uniqKey="Mendes F" first="F" last="Mendes">F. Mendes</name>
<affiliation><nlm:aff id="Aff155">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gehrke, F" sort="Gehrke, F" uniqKey="Gehrke F" first="F." last="Gehrke">F. Gehrke</name>
<affiliation><nlm:aff id="Aff156">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, B" sort="Alves, B" uniqKey="Alves B" first="B." last="Alves">B. Alves</name>
<affiliation><nlm:aff id="Aff153">ABC Medical School, Santo André, São Paulo 09210-180 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azzalis, L" sort="Azzalis, L" uniqKey="Azzalis L" first="L." last="Azzalis">L. Azzalis</name>
<affiliation><nlm:aff id="Aff157">Federal University of São Paulo, Diadema campus, Diadema, São Paulo 09913-030 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca, F" sort="Fonseca, F" uniqKey="Fonseca F" first="F." last="Fonseca">F. Fonseca</name>
<affiliation><nlm:aff id="Aff153">ABC Medical School, Santo André, São Paulo 09210-180 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Ana R" sort="Martins, Ana R" uniqKey="Martins A" first="Ana R." last="Martins">Ana R. Martins</name>
<affiliation><nlm:aff id="Aff158">Universidade da Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Amelia" sort="Nunes, Amelia" uniqKey="Nunes A" first="Amélia" last="Nunes">Amélia Nunes</name>
<affiliation><nlm:aff id="Aff158">Universidade da Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jorge, Arminda" sort="Jorge, Arminda" uniqKey="Jorge A" first="Arminda" last="Jorge">Arminda Jorge</name>
<affiliation><nlm:aff id="Aff159">Centro Hospitalar Cova da Beira, Covilhã, 6200-251 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veiga, Nelio" sort="Veiga, Nelio" uniqKey="Veiga N" first="Nélio" last="Veiga">Nélio Veiga</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff161">Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amorim, Ana" sort="Amorim, Ana" uniqKey="Amorim A" first="Ana" last="Amorim">Ana Amorim</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Andre" sort="Silva, Andre" uniqKey="Silva A" first="André" last="Silva">André Silva</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martinho, Liliana" sort="Martinho, Liliana" uniqKey="Martinho L" first="Liliana" last="Martinho">Liliana Martinho</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Luis" sort="Monteiro, Luis" uniqKey="Monteiro L" first="Luís" last="Monteiro">Luís Monteiro</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Rafael" sort="Silva, Rafael" uniqKey="Silva R" first="Rafael" last="Silva">Rafael Silva</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Carina" sort="Coelho, Carina" uniqKey="Coelho C" first="Carina" last="Coelho">Carina Coelho</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Odete" sort="Amaral, Odete" uniqKey="Amaral O" first="Odete" last="Amaral">Odete Amaral</name>
<affiliation><nlm:aff id="Aff162">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff164">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Ines" sort="Coelho, Ines" uniqKey="Coelho I" first="Inês" last="Coelho">Inês Coelho</name>
<affiliation><nlm:aff id="Aff163">Unidade de Saúde Familiar Grão Vasco, Viseu, 3500-177 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Carlos" sort="Pereira, Carlos" uniqKey="Pereira C" first="Carlos" last="Pereira">Carlos Pereira</name>
<affiliation><nlm:aff id="Aff162">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff164">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Correia, Andre" sort="Correia, Andre" uniqKey="Correia A" first="André" last="Correia">André Correia</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff161">Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Diana" sort="Rodrigues, Diana" uniqKey="Rodrigues D" first="Diana" last="Rodrigues">Diana Rodrigues</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marante, Nidia" sort="Marante, Nidia" uniqKey="Marante N" first="Nídia" last="Marante">Nídia Marante</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Pedro" sort="Silva, Pedro" uniqKey="Silva P" first="Pedro" last="Silva">Pedro Silva</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Sara" sort="Carvalho, Sara" uniqKey="Carvalho S" first="Sara" last="Carvalho">Sara Carvalho</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Andre Rts" sort="Araujo, Andre Rts" uniqKey="Araujo A" first="André Rts" last="Araujo">André Rts Araujo</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff166">Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Maximiano" sort="Ribeiro, Maximiano" uniqKey="Ribeiro M" first="Maximiano" last="Ribeiro">Maximiano Ribeiro</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff166">Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coutinho, Paula" sort="Coutinho, Paula" uniqKey="Coutinho P" first="Paula" last="Coutinho">Paula Coutinho</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff166">Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ventura, Sandra" sort="Ventura, Sandra" uniqKey="Ventura S" first="Sandra" last="Ventura">Sandra Ventura</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff166">Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Roque, Fatima" sort="Roque, Fatima" uniqKey="Roque F" first="Fátima" last="Roque">Fátima Roque</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff166">Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Calvo, Cristina" sort="Calvo, Cristina" uniqKey="Calvo C" first="Cristina" last="Calvo">Cristina Calvo</name>
<affiliation><nlm:aff id="Aff167">Centro de Ciências da Saúde, Departamento de Saúde Pública, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reses, Manoela" sort="Reses, Manoela" uniqKey="Reses M" first="Manoela" last="Reses">Manoela Reses</name>
<affiliation><nlm:aff id="Aff167">Centro de Ciências da Saúde, Departamento de Saúde Pública, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Conde, Jorge" sort="Conde, Jorge" uniqKey="Conde J" first="Jorge" last="Conde">Jorge Conde</name>
<affiliation><nlm:aff id="Aff168">College of Health Technology, Polytechnic Institute of Coimbra, 340-162 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ana" sort="Ferreira, Ana" uniqKey="Ferreira A" first="Ana" last="Ferreira">Ana Ferreira</name>
<affiliation><nlm:aff id="Aff168">College of Health Technology, Polytechnic Institute of Coimbra, 340-162 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Joao" sort="Figueiredo, Joao" uniqKey="Figueiredo J" first="João" last="Figueiredo">João Figueiredo</name>
<affiliation><nlm:aff id="Aff168">College of Health Technology, Polytechnic Institute of Coimbra, 340-162 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, David" sort="Silva, David" uniqKey="Silva D" first="David" last="Silva">David Silva</name>
<affiliation><nlm:aff id="Aff169">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seica, Luis" sort="Seica, Luis" uniqKey="Seica L" first="Luís" last="Seiça">Luís Seiça</name>
<affiliation><nlm:aff id="Aff169">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Raquel" sort="Soares, Raquel" uniqKey="Soares R" first="Raquel" last="Soares">Raquel Soares</name>
<affiliation><nlm:aff id="Aff169">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mourao, Ricardo" sort="Mourao, Ricardo" uniqKey="Mourao R" first="Ricardo" last="Mourão">Ricardo Mourão</name>
<affiliation><nlm:aff id="Aff169">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kraus, Teresa" sort="Kraus, Teresa" uniqKey="Kraus T" first="Teresa" last="Kraus">Teresa Kraus</name>
<affiliation><nlm:aff id="Aff169">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abreu, Ana C" sort="Abreu, Ana C" uniqKey="Abreu A" first="Ana C." last="Abreu">Ana C. Abreu</name>
<affiliation><nlm:aff id="Aff170">Oporto Portuguese Institute of Oncology FG, EPE, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Padilha, Jose M" sort="Padilha, Jose M" uniqKey="Padilha J" first="José M." last="Padilha">José M. Padilha</name>
<affiliation><nlm:aff id="Aff171">Porto Nursing School, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Julia M" sort="Alves, Julia M" uniqKey="Alves J" first="Júlia M." last="Alves">Júlia M. Alves</name>
<affiliation><nlm:aff id="Aff172">Oporto Central Hospital, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Paulino" sort="Sousa, Paulino" uniqKey="Sousa P" first="Paulino" last="Sousa">Paulino Sousa</name>
<affiliation><nlm:aff id="Aff173">Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff174">Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Manuel" sort="Oliveira, Manuel" uniqKey="Oliveira M" first="Manuel" last="Oliveira">Manuel Oliveira</name>
<affiliation><nlm:aff id="Aff173">Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Joana" sort="Sousa, Joana" uniqKey="Sousa J" first="Joana" last="Sousa">Joana Sousa</name>
<affiliation><nlm:aff id="Aff175">Centro Hospitalar do Porto, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Novais, S Nia" sort="Novais, S Nia" uniqKey="Novais S" first="S Nia" last="Novais">S Nia Novais</name>
<affiliation><nlm:aff id="Aff176">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, 1649-023 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Felismina" sort="Mendes, Felismina" uniqKey="Mendes F" first="Felismina" last="Mendes">Felismina Mendes</name>
<affiliation><nlm:aff id="Aff177">Escola Superior de Enfermagem de S. João de Deus, Universidade de Évora, 7004-516 Évora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Joana" sort="Pinto, Joana" uniqKey="Pinto J" first="Joana" last="Pinto">Joana Pinto</name>
<affiliation><nlm:aff id="Aff178">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Joana" sort="Cruz, Joana" uniqKey="Cruz J" first="Joana" last="Cruz">Joana Cruz</name>
<affiliation><nlm:aff id="Aff178">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff178">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Hugo" sort="Duarte, Hugo" uniqKey="Duarte H" first="Hugo" last="Duarte">Hugo Duarte</name>
<affiliation><nlm:aff id="Aff179">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Maria Dos Anjos" sort="Dixe, Maria Dos Anjos" uniqKey="Dixe M" first="Maria Dos Anjos" last="Dixe">Maria Dos Anjos Dixe</name>
<affiliation><nlm:aff id="Aff179">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Pedro" sort="Sousa, Pedro" uniqKey="Sousa P" first="Pedro" last="Sousa">Pedro Sousa</name>
<affiliation><nlm:aff id="Aff179">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Ines" sort="Cruz, Ines" uniqKey="Cruz I" first="Inês" last="Cruz">Inês Cruz</name>
<affiliation><nlm:aff id="Aff180">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bastos, Fernanda" sort="Bastos, Fernanda" uniqKey="Bastos F" first="Fernanda" last="Bastos">Fernanda Bastos</name>
<affiliation><nlm:aff id="Aff180">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Filipe" sort="Pereira, Filipe" uniqKey="Pereira F" first="Filipe" last="Pereira">Filipe Pereira</name>
<affiliation><nlm:aff id="Aff180">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Francisco L" sort="Carvalho, Francisco L" uniqKey="Carvalho F" first="Francisco L." last="Carvalho">Francisco L. Carvalho</name>
<affiliation><nlm:aff id="Aff181">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Teresa T" sort="Oliveira, Teresa T" uniqKey="Oliveira T" first="Teresa T." last="Oliveira">Teresa T. Oliveira</name>
<affiliation><nlm:aff id="Aff181">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Raposo, Vitor R" sort="Raposo, Vitor R" uniqKey="Raposo V" first="Vítor R." last="Raposo">Vítor R. Raposo</name>
<affiliation><nlm:aff id="Aff181">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rainho, Conceicao" sort="Rainho, Conceicao" uniqKey="Rainho C" first="Conceição" last="Rainho">Conceição Rainho</name>
<affiliation><nlm:aff id="Aff182">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Jose C" sort="Ribeiro, Jose C" uniqKey="Ribeiro J" first="José C." last="Ribeiro">José C. Ribeiro</name>
<affiliation><nlm:aff id="Aff183">Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barroso, Isabel" sort="Barroso, Isabel" uniqKey="Barroso I" first="Isabel" last="Barroso">Isabel Barroso</name>
<affiliation><nlm:aff id="Aff182">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Vitor" sort="Rodrigues, Vitor" uniqKey="Rodrigues V" first="Vítor" last="Rodrigues">Vítor Rodrigues</name>
<affiliation><nlm:aff id="Aff182">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Carmo" sort="Neves, Carmo" uniqKey="Neves C" first="Carmo" last="Neves">Carmo Neves</name>
<affiliation><nlm:aff id="Aff184">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Teresa C" sort="Oliveira, Teresa C" uniqKey="Oliveira T" first="Teresa C." last="Oliveira">Teresa C. Oliveira</name>
<affiliation><nlm:aff id="Aff184">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Barbara" sort="Oliveira, Barbara" uniqKey="Oliveira B" first="Bárbara" last="Oliveira">Bárbara Oliveira</name>
<affiliation><nlm:aff id="Aff185">Centro Hospitalar do Porto, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, M Carminda" sort="Morais, M Carminda" uniqKey="Morais M" first="M Carminda" last="Morais">M Carminda Morais</name>
<affiliation><nlm:aff id="Aff186">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff187">Centro de Estudos e Investigação em Saúde, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baylina, Pilar" sort="Baylina, Pilar" uniqKey="Baylina P" first="Pilar" last="Baylina">Pilar Baylina</name>
<affiliation><nlm:aff id="Aff188">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Rogerio" sort="Rodrigues, Rogerio" uniqKey="Rodrigues R" first="Rogério" last="Rodrigues">Rogério Rodrigues</name>
<affiliation><nlm:aff id="Aff189">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azeredo, Zaida" sort="Azeredo, Zaida" uniqKey="Azeredo Z" first="Zaida" last="Azeredo">Zaida Azeredo</name>
<affiliation><nlm:aff id="Aff190">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vicente, Coralia" sort="Vicente, Coralia" uniqKey="Vicente C" first="Corália" last="Vicente">Corália Vicente</name>
<affiliation><nlm:aff id="Aff191">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Helia" sort="Dias, Helia" uniqKey="Dias H" first="Hélia" last="Dias">Hélia Dias</name>
<affiliation><nlm:aff id="Aff192">Escola Superior de Saúde, Instituto Politécnico de Santarém, Santarém, 2005-075 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Sim, Margarida" sort="Sim Sim, Margarida" uniqKey="Sim Sim M" first="Margarida" last="Sim-Sim">Margarida Sim-Sim</name>
<affiliation><nlm:aff id="Aff193">Escola Superior de Enfermagem S. João de Deus, Universidade de Évora, 7000-811 Évora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro Oliveira, Anabela" sort="Salgueiro Oliveira, Anabela" uniqKey="Salgueiro Oliveira A" first="Anabela" last="Salgueiro-Oliveira">Anabela Salgueiro-Oliveira</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castilho, Amelia" sort="Castilho, Amelia" uniqKey="Castilho A" first="Amélia" last="Castilho">Amélia Castilho</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Rosa" sort="Melo, Rosa" uniqKey="Melo R" first="Rosa" last="Melo">Rosa Melo</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graveto, Joao" sort="Graveto, Joao" uniqKey="Graveto J" first="João" last="Graveto">João Graveto</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Jose" sort="Gomes, Jose" uniqKey="Gomes J" first="José" last="Gomes">José Gomes</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaquinhas, Marina" sort="Vaquinhas, Marina" uniqKey="Vaquinhas M" first="Marina" last="Vaquinhas">Marina Vaquinhas</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff195">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete" sort="M Nico, Lisete" uniqKey="M Nico L" first="Lisete" last="M Nico">Lisete M Nico</name>
<affiliation><nlm:aff id="Aff195">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brito, Nuno" sort="Brito, Nuno" uniqKey="Brito N" first="Nuno" last="Brito">Nuno Brito</name>
<affiliation><nlm:aff id="Aff196">Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sarroeira, Cassilda" sort="Sarroeira, Cassilda" uniqKey="Sarroeira C" first="Cassilda" last="Sarroeira">Cassilda Sarroeira</name>
<affiliation><nlm:aff id="Aff197">Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff198">Unidade de Investigação do Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff199">Unidade de Monitorização de Indicadores em Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amendoeira, Jose" sort="Amendoeira, Jose" uniqKey="Amendoeira J" first="José" last="Amendoeira">José Amendoeira</name>
<affiliation><nlm:aff id="Aff197">Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff198">Unidade de Investigação do Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff199">Unidade de Monitorização de Indicadores em Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff200">Life Quality Research Centre, Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Fatima" sort="Cunha, Fatima" uniqKey="Cunha F" first="Fátima" last="Cunha">Fátima Cunha</name>
<affiliation><nlm:aff id="Aff197">Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff198">Unidade de Investigação do Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff199">Unidade de Monitorização de Indicadores em Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Candido, Anabela" sort="Candido, Anabela" uniqKey="Candido A" first="Anabela" last="Cândido">Anabela Cândido</name>
<affiliation><nlm:aff id="Aff197">Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff198">Unidade de Investigação do Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff199">Unidade de Monitorização de Indicadores em Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Patricia" sort="Fernandes, Patricia" uniqKey="Fernandes P" first="Patrícia" last="Fernandes">Patrícia Fernandes</name>
<affiliation><nlm:aff id="Aff201">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Helena R" sort="Silva, Helena R" uniqKey="Silva H" first="Helena R." last="Silva">Helena R. Silva</name>
<affiliation><nlm:aff id="Aff201">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Elsa" sort="Silva, Elsa" uniqKey="Silva E" first="Elsa" last="Silva">Elsa Silva</name>
<affiliation><nlm:aff id="Aff201">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barroso, Isabel" sort="Barroso, Isabel" uniqKey="Barroso I" first="Isabel" last="Barroso">Isabel Barroso</name>
<affiliation><nlm:aff id="Aff202">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lapa, Leila" sort="Lapa, Leila" uniqKey="Lapa L" first="Leila" last="Lapa">Leila Lapa</name>
<affiliation><nlm:aff id="Aff202">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Cristina" sort="Antunes, Cristina" uniqKey="Antunes C" first="Cristina" last="Antunes">Cristina Antunes</name>
<affiliation><nlm:aff id="Aff202">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Ana" sort="Goncalves, Ana" uniqKey="Goncalves A" first="Ana" last="Gonçalves">Ana Gonçalves</name>
<affiliation><nlm:aff id="Aff203">Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galvao, Ana" sort="Galvao, Ana" uniqKey="Galvao A" first="Ana" last="Galvão">Ana Galvão</name>
<affiliation><nlm:aff id="Aff203">Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, M Jose" sort="Gomes, M Jose" uniqKey="Gomes M" first="M José" last="Gomes">M José Gomes</name>
<affiliation><nlm:aff id="Aff203">Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Escanciano, Susana R" sort="Escanciano, Susana R" uniqKey="Escanciano S" first="Susana R." last="Escanciano">Susana R. Escanciano</name>
<affiliation><nlm:aff id="Aff204">Universidad de León, 24004 León, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Maria" sort="Freitas, Maria" uniqKey="Freitas M" first="Maria" last="Freitas">Maria Freitas</name>
<affiliation><nlm:aff id="Aff205">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff206">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maroco, Joao" sort="Maroco, Joao" uniqKey="Maroco J" first="João" last="Marôco">João Marôco</name>
<affiliation><nlm:aff id="Aff207">Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, 1149-041 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Ana R" sort="Fernandes, Ana R" uniqKey="Fernandes A" first="Ana R." last="Fernandes">Ana R. Fernandes</name>
<affiliation><nlm:aff id="Aff208">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Cremilde" sort="Cabral, Cremilde" uniqKey="Cabral C" first="Cremilde" last="Cabral">Cremilde Cabral</name>
<affiliation><nlm:aff id="Aff208">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Samuel" sort="Alves, Samuel" uniqKey="Alves S" first="Samuel" last="Alves">Samuel Alves</name>
<affiliation><nlm:aff id="Aff208">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Pedro" sort="Sousa, Pedro" uniqKey="Sousa P" first="Pedro" last="Sousa">Pedro Sousa</name>
<affiliation><nlm:aff id="Aff208">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ant Nio" sort="Ferreira, Ant Nio" uniqKey="Ferreira A" first="Ant Nio" last="Ferreira">Ant Nio Ferreira</name>
<affiliation><nlm:aff id="Aff209">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis,, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Principe, Fernanda" sort="Principe, Fernanda" uniqKey="Principe F" first="Fernanda" last="Príncipe">Fernanda Príncipe</name>
<affiliation><nlm:aff id="Aff209">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis,, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sepp Nen, Ulla Maija" sort="Sepp Nen, Ulla Maija" uniqKey="Sepp Nen U" first="Ulla-Maija" last="Sepp Nen">Ulla-Maija Sepp Nen</name>
<affiliation><nlm:aff id="Aff210">Oulu University of Applied Sciences, 90250 Oulu, Finlândia</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Margarida" sort="Ferreira, Margarida" uniqKey="Ferreira M" first="Margarida" last="Ferreira">Margarida Ferreira</name>
<affiliation><nlm:aff id="Aff209">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis,, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalhais, Maribel" sort="Carvalhais, Maribel" uniqKey="Carvalhais M" first="Maribel" last="Carvalhais">Maribel Carvalhais</name>
<affiliation><nlm:aff id="Aff209">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis,, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Marilene" sort="Silva, Marilene" uniqKey="Silva M" first="Marilene" last="Silva">Marilene Silva</name>
<affiliation><nlm:aff id="Aff211">Unidade de Saúde Familiar - Espaço Saúde, Porto, 4100-503 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Manuela" sort="Ferreira, Manuela" uniqKey="Ferreira M" first="Manuela" last="Ferreira">Manuela Ferreira</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Joana" sort="Silva, Joana" uniqKey="Silva J" first="Joana" last="Silva">Joana Silva</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Jessica" sort="Neves, Jessica" uniqKey="Neves J" first="Jéssica" last="Neves">Jéssica Neves</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Diana" sort="Costa, Diana" uniqKey="Costa D" first="Diana" last="Costa">Diana Costa</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Bruno" sort="Santos, Bruno" uniqKey="Santos B" first="Bruno" last="Santos">Bruno Santos</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Soraia" sort="Duarte, Soraia" uniqKey="Duarte S" first="Soraia" last="Duarte">Soraia Duarte</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Silvia" sort="Marques, Silvia" uniqKey="Marques S" first="Sílvia" last="Marques">Sílvia Marques</name>
<affiliation><nlm:aff id="Aff213">Administração Regional de Saúde de Lisboa e Vale do Tejo, 1749-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, S Nia" sort="Ramalho, S Nia" uniqKey="Ramalho S" first="S Nia" last="Ramalho">S Nia Ramalho</name>
<affiliation><nlm:aff id="Aff214">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Isabel" sort="Mendes, Isabel" uniqKey="Mendes I" first="Isabel" last="Mendes">Isabel Mendes</name>
<affiliation><nlm:aff id="Aff215">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Louro, Clarisse" sort="Louro, Clarisse" uniqKey="Louro C" first="Clarisse" last="Louro">Clarisse Louro</name>
<affiliation><nlm:aff id="Aff216">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Menino, Eva" sort="Menino, Eva" uniqKey="Menino E" first="Eva" last="Menino">Eva Menino</name>
<affiliation><nlm:aff id="Aff216">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Maria" sort="Dixe, Maria" uniqKey="Dixe M" first="Maria" last="Dixe">Maria Dixe</name>
<affiliation><nlm:aff id="Aff216">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Sara S" sort="Dias, Sara S" uniqKey="Dias S" first="Sara S." last="Dias">Sara S. Dias</name>
<affiliation><nlm:aff id="Aff216">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff217">Departamento de Saúde Pública & Centro de Estudos de Doenças Crónicas, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff218">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff218">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff218">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Daniel" sort="Carvalho, Daniel" uniqKey="Carvalho D" first="Daniel" last="Carvalho">Daniel Carvalho</name>
<affiliation><nlm:aff id="Aff218">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff219">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Joao" sort="Gomes, Joao" uniqKey="Gomes J" first="João" last="Gomes">João Gomes</name>
<affiliation><nlm:aff id="Aff218">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff219">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valim, Frederico C" sort="Valim, Frederico C" uniqKey="Valim F" first="Frederico C." last="Valim">Frederico C. Valim</name>
<affiliation><nlm:aff id="Aff220">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Joyce O" sort="Costa, Joyce O" uniqKey="Costa J" first="Joyce O." last="Costa">Joyce O. Costa</name>
<affiliation><nlm:aff id="Aff220">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bernardes, Lucia G" sort="Bernardes, Lucia G" uniqKey="Bernardes L" first="Lúcia G." last="Bernardes">Lúcia G. Bernardes</name>
<affiliation><nlm:aff id="Aff220">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Prebianchi, Helena" sort="Prebianchi, Helena" uniqKey="Prebianchi H" first="Helena" last="Prebianchi">Helena Prebianchi</name>
<affiliation><nlm:aff id="Aff221">Pontifícia Universidade Católica de Campinas, Campinas, São Paulo 13086-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Marlene Cristina" sort="Rosa, Marlene Cristina" uniqKey="Rosa M" first="Marlene Cristina" last="Rosa">Marlene Cristina Rosa</name>
<affiliation><nlm:aff id="Aff222">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Narcisa" sort="Goncalves, Narcisa" uniqKey="Goncalves N" first="Narcisa" last="Gonçalves">Narcisa Gonçalves</name>
<affiliation><nlm:aff id="Aff223">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff224">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Maria M" sort="Martins, Maria M" uniqKey="Martins M" first="Maria M." last="Martins">Maria M. Martins</name>
<affiliation><nlm:aff id="Aff223">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff224">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kurcgant, Paulina" sort="Kurcgant, Paulina" uniqKey="Kurcgant P" first="Paulina" last="Kurcgant">Paulina Kurcgant</name>
<affiliation><nlm:aff id="Aff225">Universidade de São Paulo, 05403-000 São Paulo, Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vieira, Andre" sort="Vieira, Andre" uniqKey="Vieira A" first="André" last="Vieira">André Vieira</name>
<affiliation><nlm:aff id="Aff226">Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bento, Sandrina" sort="Bento, Sandrina" uniqKey="Bento S" first="Sandrina" last="Bento">Sandrina Bento</name>
<affiliation><nlm:aff id="Aff227">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Deodato, Sergio" sort="Deodato, Sergio" uniqKey="Deodato S" first="Sérgio" last="Deodato">Sérgio Deodato</name>
<affiliation><nlm:aff id="Aff227">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rabiais, Isabel" sort="Rabiais, Isabel" uniqKey="Rabiais I" first="Isabel" last="Rabiais">Isabel Rabiais</name>
<affiliation><nlm:aff id="Aff227">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Laura" sort="Reis, Laura" uniqKey="Reis L" first="Laura" last="Reis">Laura Reis</name>
<affiliation><nlm:aff id="Aff228">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Torres, Ana" sort="Torres, Ana" uniqKey="Torres A" first="Ana" last="Torres">Ana Torres</name>
<affiliation><nlm:aff id="Aff229">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Sergio" sort="Soares, Sergio" uniqKey="Soares S" first="Sérgio" last="Soares">Sérgio Soares</name>
<affiliation><nlm:aff id="Aff229">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Margarida" sort="Ferreira, Margarida" uniqKey="Ferreira M" first="Margarida" last="Ferreira">Margarida Ferreira</name>
<affiliation><nlm:aff id="Aff229">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graca, Pedro" sort="Graca, Pedro" uniqKey="Graca P" first="Pedro" last="Graça">Pedro Graça</name>
<affiliation><nlm:aff id="Aff230">Academia de Teatro, 4465-095 S. Mamede de Infesta, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leitao, Ceu" sort="Leitao, Ceu" uniqKey="Leitao C" first="Céu" last="Leitão">Céu Leitão</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abreu, Renato" sort="Abreu, Renato" uniqKey="Abreu R" first="Renato" last="Abreu">Renato Abreu</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bellem, Fernando" sort="Bellem, Fernando" uniqKey="Bellem F" first="Fernando" last="Bellém">Fernando Bellém</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Ana" sort="Almeida, Ana" uniqKey="Almeida A" first="Ana" last="Almeida">Ana Almeida</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro Varandas, Edna" sort="Ribeiro Varandas, Edna" uniqKey="Ribeiro Varandas E" first="Edna" last="Ribeiro-Varandas">Edna Ribeiro-Varandas</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Ana" sort="Tavares, Ana" uniqKey="Tavares A" first="Ana" last="Tavares">Ana Tavares</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Frade, Joao G" sort="Frade, Joao G" uniqKey="Frade J" first="João G." last="Frade">João G. Frade</name>
<affiliation><nlm:aff id="Aff232">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Henriques, Carolina" sort="Henriques, Carolina" uniqKey="Henriques C" first="Carolina" last="Henriques">Carolina Henriques</name>
<affiliation><nlm:aff id="Aff232">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Menino, Eva" sort="Menino, Eva" uniqKey="Menino E" first="Eva" last="Menino">Eva Menino</name>
<affiliation><nlm:aff id="Aff232">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Louro, Clarisse" sort="Louro, Clarisse" uniqKey="Louro C" first="Clarisse" last="Louro">Clarisse Louro</name>
<affiliation><nlm:aff id="Aff232">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jordao, Celia" sort="Jordao, Celia" uniqKey="Jordao C" first="Célia" last="Jordão">Célia Jordão</name>
<affiliation><nlm:aff id="Aff232">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neco, Sofia" sort="Neco, Sofia" uniqKey="Neco S" first="Sofia" last="Neco">Sofia Neco</name>
<affiliation><nlm:aff id="Aff233">Hospital Santa Maria Maior de Barcelos, 4754-909 Barcelos, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, Carminda" sort="Morais, Carminda" uniqKey="Morais C" first="Carminda" last="Morais">Carminda Morais</name>
<affiliation><nlm:aff id="Aff234">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff234">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Carla R" sort="Silva, Carla R" uniqKey="Silva C" first="Carla R." last="Silva">Carla R. Silva</name>
<affiliation><nlm:aff id="Aff235">Universidade Católica Portuguesa/Porto, 4202-401 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff236">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brito, Alice" sort="Brito, Alice" uniqKey="Brito A" first="Alice" last="Brito">Alice Brito</name>
<affiliation><nlm:aff id="Aff236">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Ant Nia" sort="Silva, Ant Nia" uniqKey="Silva A" first="Ant Nia" last="Silva">Ant Nia Silva</name>
<affiliation><nlm:aff id="Aff236">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Hugo" sort="Duarte, Hugo" uniqKey="Duarte H" first="Hugo" last="Duarte">Hugo Duarte</name>
<affiliation><nlm:aff id="Aff237">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Maria Dos Anjos" sort="Dixe, Maria Dos Anjos" uniqKey="Dixe M" first="Maria Dos Anjos" last="Dixe">Maria Dos Anjos Dixe</name>
<affiliation><nlm:aff id="Aff237">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Pedro" sort="Sousa, Pedro" uniqKey="Sousa P" first="Pedro" last="Sousa">Pedro Sousa</name>
<affiliation><nlm:aff id="Aff237">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Postolache, Gabriela" sort="Postolache, Gabriela" uniqKey="Postolache G" first="Gabriela" last="Postolache">Gabriela Postolache</name>
<affiliation><nlm:aff id="Aff238">Instituto de Medicina Molecular, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Raul" sort="Oliveira, Raul" uniqKey="Oliveira R" first="Raul" last="Oliveira">Raul Oliveira</name>
<affiliation><nlm:aff id="Aff239">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Isabel" sort="Moreira, Isabel" uniqKey="Moreira I" first="Isabel" last="Moreira">Isabel Moreira</name>
<affiliation><nlm:aff id="Aff240">Faculdade de Medicina, Universidade de Porto, 4200-319 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedro, Luisa" sort="Pedro, Luisa" uniqKey="Pedro L" first="Luísa" last="Pedro">Luísa Pedro</name>
<affiliation><nlm:aff id="Aff241">Escola Superior de Tecnologias de Saúde, Instituto Politécnico de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vicente, S Nia" sort="Vicente, S Nia" uniqKey="Vicente S" first="S Nia" last="Vicente">S Nia Vicente</name>
<affiliation><nlm:aff id="Aff242">Escola Superior de Saúde, Universidade Atlântica, 2745-615 Barcarena, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Domingos, Samuel" sort="Domingos, Samuel" uniqKey="Domingos S" first="Samuel" last="Domingos">Samuel Domingos</name>
<affiliation><nlm:aff id="Aff243">Instituto de Telecomunicações, Lisboa, 1049-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Postolache, Octavian" sort="Postolache, Octavian" uniqKey="Postolache O" first="Octavian" last="Postolache">Octavian Postolache</name>
<affiliation><nlm:aff id="Aff243">Instituto de Telecomunicações, Lisboa, 1049-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Darlen" sort="Silva, Darlen" uniqKey="Silva D" first="Darlen" last="Silva">Darlen Silva</name>
<affiliation><nlm:aff id="Aff244">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Filho, Joao G" sort="Filho, Joao G" uniqKey="Filho J" first="João G." last="Filho">João G. Filho</name>
<affiliation><nlm:aff id="Aff244">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nazario, Nazare" sort="Nazario, Nazare" uniqKey="Nazario N" first="Nazare" last="Nazario">Nazare Nazario</name>
<affiliation><nlm:aff id="Aff244">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff244">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schneider, Dulcineia" sort="Schneider, Dulcineia" uniqKey="Schneider D" first="Dulcineia" last="Schneider">Dulcineia Schneider</name>
<affiliation><nlm:aff id="Aff245">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Fatima M" sort="Marques, Fatima M" uniqKey="Marques F" first="Fátima M." last="Marques">Fátima M. Marques</name>
<affiliation><nlm:aff id="Aff246">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff247">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff248">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff248">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Carlos" sort="Pinto, Carlos" uniqKey="Pinto C" first="Carlos" last="Pinto">Carlos Pinto</name>
<affiliation><nlm:aff id="Aff248">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vicente, Sara" sort="Vicente, Sara" uniqKey="Vicente S" first="Sara" last="Vicente">Sara Vicente</name>
<affiliation><nlm:aff id="Aff247">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Breda, Sao Joao" sort="Breda, Sao Joao" uniqKey="Breda S" first="São João" last="Breda">São João Breda</name>
<affiliation><nlm:aff id="Aff248">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Jose H" sort="Gomes, Jose H" uniqKey="Gomes J" first="José H." last="Gomes">José H. Gomes</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Rosa" sort="Melo, Rosa" uniqKey="Melo R" first="Rosa" last="Melo">Rosa Melo</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro, Anabela" sort="Salgueiro, Anabela" uniqKey="Salgueiro A" first="Anabela" last="Salgueiro">Anabela Salgueiro</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graveto, Joao" sort="Graveto, Joao" uniqKey="Graveto J" first="João" last="Graveto">João Graveto</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaquinhas, Marina" sort="Vaquinhas, Marina" uniqKey="Vaquinhas M" first="Marina" last="Vaquinhas">Marina Vaquinhas</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castilho, Amelia" sort="Castilho, Amelia" uniqKey="Castilho A" first="Amélia" last="Castilho">Amélia Castilho</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Angelo" sort="Jesus, Angelo" uniqKey="Jesus A" first="Ângelo" last="Jesus">Ângelo Jesus</name>
<affiliation><nlm:aff id="Aff250">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Nuno" sort="Duarte, Nuno" uniqKey="Duarte N" first="Nuno" last="Duarte">Nuno Duarte</name>
<affiliation><nlm:aff id="Aff250">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff251">Farmácia Outeiro do Linho, 4440-762 Valongo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Jose C" sort="Lopes, Jose C" uniqKey="Lopes J" first="José C." last="Lopes">José C. Lopes</name>
<affiliation><nlm:aff id="Aff250">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff252">Hospital Militar Regional n.°1, Porto, 4150-113 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Helder" sort="Nunes, Helder" uniqKey="Nunes H" first="Hélder" last="Nunes">Hélder Nunes</name>
<affiliation><nlm:aff id="Aff250">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff253">Centro Hospitalar do Porto, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff250">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro Oliveira, Anabela" sort="Salgueiro Oliveira, Anabela" uniqKey="Salgueiro Oliveira A" first="Anabela" last="Salgueiro-Oliveira">Anabela Salgueiro-Oliveira</name>
<affiliation><nlm:aff id="Aff254">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff254">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Basto, Marta L" sort="Basto, Marta L" uniqKey="Basto M" first="Marta L." last="Basto">Marta L. Basto</name>
<affiliation><nlm:aff id="Aff254">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Braga, Luciene M" sort="Braga, Luciene M" uniqKey="Braga L" first="Luciene M." last="Braga">Luciene M. Braga</name>
<affiliation><nlm:aff id="Aff255">Universidade Federal de Viçosa, Viçosa, Minas Gerais 36570-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ant Nio" sort="Ferreira, Ant Nio" uniqKey="Ferreira A" first="Ant Nio" last="Ferreira">Ant Nio Ferreira</name>
<affiliation><nlm:aff id="Aff256">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Beatriz" sort="Araujo, Beatriz" uniqKey="Araujo B" first="Beatriz" last="Araújo">Beatriz Araújo</name>
<affiliation><nlm:aff id="Aff257">Universidade Católica Portuguesa, Porto, 4202-401 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Jose M" sort="Alves, Jose M" uniqKey="Alves J" first="José M." last="Alves">José M. Alves</name>
<affiliation><nlm:aff id="Aff257">Universidade Católica Portuguesa, Porto, 4202-401 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Margarida" sort="Ferreira, Margarida" uniqKey="Ferreira M" first="Margarida" last="Ferreira">Margarida Ferreira</name>
<affiliation><nlm:aff id="Aff256">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalhais, Maribel" sort="Carvalhais, Maribel" uniqKey="Carvalhais M" first="Maribel" last="Carvalhais">Maribel Carvalhais</name>
<affiliation><nlm:aff id="Aff256">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Marilene" sort="Silva, Marilene" uniqKey="Silva M" first="Marilene" last="Silva">Marilene Silva</name>
<affiliation><nlm:aff id="Aff258">Unidade de Saúde Familiar - Espaço Saúde, Porto, 4100-503 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Novais, S Nia" sort="Novais, S Nia" uniqKey="Novais S" first="S Nia" last="Novais">S Nia Novais</name>
<affiliation><nlm:aff id="Aff259">Administração Regional de Saúde do Norte, Porto, 4000-447 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Ana S" sort="Sousa, Ana S" uniqKey="Sousa A" first="Ana S." last="Sousa">Ana S. Sousa</name>
<affiliation><nlm:aff id="Aff260">Universidade Católica Portuguesa, Porto, 4202-401 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff261">Centro Hospitalar De São João, E.P.E., Porto, 4200-319 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferrito, Candida" sort="Ferrito, Candida" uniqKey="Ferrito C" first="Cândida" last="Ferrito">Cândida Ferrito</name>
<affiliation><nlm:aff id="Aff262">Escola Superior de Saúde, Instituto Politécnico de Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro L" sort="Ferreira, Pedro L" uniqKey="Ferreira P" first="Pedro L." last="Ferreira">Pedro L. Ferreira</name>
<affiliation><nlm:aff id="Aff263">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Alexandre" sort="Rodrigues, Alexandre" uniqKey="Rodrigues A" first="Alexandre" last="Rodrigues">Alexandre Rodrigues</name>
<affiliation><nlm:aff id="Aff264">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Margarida" sort="Ferreira, Margarida" uniqKey="Ferreira M" first="Margarida" last="Ferreira">Margarida Ferreira</name>
<affiliation><nlm:aff id="Aff265">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Isabel" sort="Oliveira, Isabel" uniqKey="Oliveira I" first="Isabel" last="Oliveira">Isabel Oliveira</name>
<affiliation><nlm:aff id="Aff266">Ordem dos Enfermeiros da zona Centro, Coimbra, 3000-076 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Manuela" sort="Ferreira, Manuela" uniqKey="Ferreira M" first="Manuela" last="Ferreira">Manuela Ferreira</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Jessica" sort="Neves, Jessica" uniqKey="Neves J" first="Jéssica" last="Neves">Jéssica Neves</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Diana" sort="Costa, Diana" uniqKey="Costa D" first="Diana" last="Costa">Diana Costa</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Soraia" sort="Duarte, Soraia" uniqKey="Duarte S" first="Soraia" last="Duarte">Soraia Duarte</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Joana" sort="Silva, Joana" uniqKey="Silva J" first="Joana" last="Silva">Joana Silva</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Bruno" sort="Santos, Bruno" uniqKey="Santos B" first="Bruno" last="Santos">Bruno Santos</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Cristina" sort="Martins, Cristina" uniqKey="Martins C" first="Cristina" last="Martins">Cristina Martins</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Macedo, Ana P" sort="Macedo, Ana P" uniqKey="Macedo A" first="Ana P." last="Macedo">Ana P. Macedo</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Odete" sort="Araujo, Odete" uniqKey="Araujo O" first="Odete" last="Araújo">Odete Araújo</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Augusto, Claudia" sort="Augusto, Claudia" uniqKey="Augusto C" first="Cláudia" last="Augusto">Cláudia Augusto</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Braga, Fatima" sort="Braga, Fatima" uniqKey="Braga F" first="Fátima" last="Braga">Fátima Braga</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Lisa" sort="Gomes, Lisa" uniqKey="Gomes L" first="Lisa" last="Gomes">Lisa Gomes</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Maria A" sort="Silva, Maria A" uniqKey="Silva M" first="Maria A." last="Silva">Maria A. Silva</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosario, Rafaela" sort="Rosario, Rafaela" uniqKey="Rosario R" first="Rafaela" last="Rosário">Rafaela Rosário</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pimenta, Luis" sort="Pimenta, Luis" uniqKey="Pimenta L" first="Luís" last="Pimenta">Luís Pimenta</name>
<affiliation><nlm:aff id="Aff269">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carreira, Diana" sort="Carreira, Diana" uniqKey="Carreira D" first="Diana" last="Carreira">Diana Carreira</name>
<affiliation><nlm:aff id="Aff269">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teles, Patricia" sort="Teles, Patricia" uniqKey="Teles P" first="Patrícia" last="Teles">Patrícia Teles</name>
<affiliation><nlm:aff id="Aff269">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barros, Teresa" sort="Barros, Teresa" uniqKey="Barros T" first="Teresa" last="Barros">Teresa Barros</name>
<affiliation><nlm:aff id="Aff269">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff270">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff270">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Daniel" sort="Carvalho, Daniel" uniqKey="Carvalho D" first="Daniel" last="Carvalho">Daniel Carvalho</name>
<affiliation><nlm:aff id="Aff270">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff271">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Joao" sort="Gomes, Joao" uniqKey="Gomes J" first="João" last="Gomes">João Gomes</name>
<affiliation><nlm:aff id="Aff270">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff271">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff270">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Daniel" sort="Carvalho, Daniel" uniqKey="Carvalho D" first="Daniel" last="Carvalho">Daniel Carvalho</name>
<affiliation><nlm:aff id="Aff272">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff273">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff273">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff273">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Joao" sort="Gomes, Joao" uniqKey="Gomes J" first="João" last="Gomes">João Gomes</name>
<affiliation><nlm:aff id="Aff272">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff273">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff273">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jacome, Cristina" sort="Jacome, Cristina" uniqKey="Jacome C" first="Cristina" last="Jácome">Cristina Jácome</name>
<affiliation><nlm:aff id="Aff274">Research Centre in Physical Activity, Health and Leisure, Faculty of Sports, University of Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff275">Lab 3R – Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Capelas, Sylvie" sort="Capelas, Sylvie" uniqKey="Capelas S" first="Sylvie" last="Capelas">Sylvie Capelas</name>
<affiliation><nlm:aff id="Aff276">Unidade de Surdos, Escola de Referência para a Educação Bilingue, 3830-195 Ílhavo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hall, Andreia" sort="Hall, Andreia" uniqKey="Hall A" first="Andreia" last="Hall">Andreia Hall</name>
<affiliation><nlm:aff id="Aff277">Center for Research and Development in Mathematics and Applications, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff278">Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Dina" sort="Alves, Dina" uniqKey="Alves D" first="Dina" last="Alves">Dina Alves</name>
<affiliation><nlm:aff id="Aff279">School of Health Care, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff280">Centro de Linguística da Universidade de Lisboa, Faculdade de Letras, Universidade de Lisboa, 1600-214 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lousada, Marisa" sort="Lousada, Marisa" uniqKey="Lousada M" first="Marisa" last="Lousada">Marisa Lousada</name>
<affiliation><nlm:aff id="Aff281">Center for Health Technology and Services Research, School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Loureiro, M Helena" sort="Loureiro, M Helena" uniqKey="Loureiro M" first="M Helena" last="Loureiro">M Helena Loureiro</name>
<affiliation><nlm:aff id="Aff282">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Camarneiro, Ana" sort="Camarneiro, Ana" uniqKey="Camarneiro A" first="Ana" last="Camarneiro">Ana Camarneiro</name>
<affiliation><nlm:aff id="Aff282">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Margarida" sort="Silva, Margarida" uniqKey="Silva M" first="Margarida" last="Silva">Margarida Silva</name>
<affiliation><nlm:aff id="Aff282">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Aida" sort="Mendes, Aida" uniqKey="Mendes A" first="Aida" last="Mendes">Aida Mendes</name>
<affiliation><nlm:aff id="Aff282">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedreiro, Ana" sort="Pedreiro, Ana" uniqKey="Pedreiro A" first="Ana" last="Pedreiro">Ana Pedreiro</name>
<affiliation><nlm:aff id="Aff283">Unidade de Investigação em Ciências da Saúde: Enfermagem, Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="G Silva, Anne" sort="G Silva, Anne" uniqKey="G Silva A" first="Anne" last="G. Silva">Anne G. Silva</name>
<affiliation><nlm:aff id="Aff284">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Elza S" sort="Coelho, Elza S" uniqKey="Coelho E" first="Elza S." last="Coelho">Elza S. Coelho</name>
<affiliation><nlm:aff id="Aff284">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Flavio" sort="Melo, Flavio" uniqKey="Melo F" first="Flávio" last="Melo">Flávio Melo</name>
<affiliation><nlm:aff id="Aff285">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff286">Peroneo Centro Terapêutico Lda, Amieiro, Montemor-o-velho, 3140-021 Arazede Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Fernando" sort="Ribeiro, Fernando" uniqKey="Ribeiro F" first="Fernando" last="Ribeiro">Fernando Ribeiro</name>
<affiliation><nlm:aff id="Aff285">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff287">Institute for Research in Biomedicine, University of Aveiro, Aveiro, 3810-292 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Torres, Rui" sort="Torres, Rui" uniqKey="Torres R" first="Rui" last="Torres">Rui Torres</name>
<affiliation><nlm:aff id="Aff288">Department of Physiotherapy, North Polytechnic Institute of Health, Gandra, 4585-116 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Rui" sort="Costa, Rui" uniqKey="Costa R" first="Rui" last="Costa">Rui Costa</name>
<affiliation><nlm:aff id="Aff285">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff289">Center for Health Technology and Services Research, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Tania" sort="Pinho, Tania" uniqKey="Pinho T" first="Tânia" last="Pinho">Tânia Pinho</name>
<affiliation><nlm:aff id="Aff290">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jacome, Cristina" sort="Jacome, Cristina" uniqKey="Jacome C" first="Cristina" last="Jácome">Cristina Jácome</name>
<affiliation><nlm:aff id="Aff291">Research Centre in Physical Activity, Health and Leisure, Faculty of Sports, University of Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff290">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Barbara" sort="Cruz, Barbara" uniqKey="Cruz B" first="Bárbara" last="Cruz">Bárbara Cruz</name>
<affiliation><nlm:aff id="Aff292">Irmandade da Misericórdia de Albergaria-a-Velha, 3850-069 Albergaria-a-Velha, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seabra, Daniel" sort="Seabra, Daniel" uniqKey="Seabra D" first="Daniel" last="Seabra">Daniel Seabra</name>
<affiliation><nlm:aff id="Aff293">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carreiras, Diogo" sort="Carreiras, Diogo" uniqKey="Carreiras D" first="Diogo" last="Carreiras">Diogo Carreiras</name>
<affiliation><nlm:aff id="Aff294">Gabinete de Apoio Psicológico, Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ventura, Maria" sort="Ventura, Maria" uniqKey="Ventura M" first="Maria" last="Ventura">Maria Ventura</name>
<affiliation><nlm:aff id="Aff292">Irmandade da Misericórdia de Albergaria-a-Velha, 3850-069 Albergaria-a-Velha, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, X" sort="Cruz, X" uniqKey="Cruz X" first="X" last="Cruz">X. Cruz</name>
<affiliation><nlm:aff id="Aff295">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brooks, Dina" sort="Brooks, Dina" uniqKey="Brooks D" first="Dina" last="Brooks">Dina Brooks</name>
<affiliation><nlm:aff id="Aff296">Rehabilitation Science Institute and Department of Physical Therapy, University of Toronto, Toronto, Ontario M5S 1A1 Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff295">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, M Rosario" sort="Pinto, M Rosario" uniqKey="Pinto M" first="M Rosário" last="Pinto">M Rosário Pinto</name>
<affiliation><nlm:aff id="Aff297">Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff298">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lima Basto, Marta" sort="Lima Basto, Marta" uniqKey="Lima Basto M" first="Marta" last="Lima-Basto">Marta Lima-Basto</name>
<affiliation><nlm:aff id="Aff299">Unidade de Investigação & Desenvolvimento em Enfermagem, Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Miguel" sort="Neves, Miguel" uniqKey="Neves M" first="Miguel" last="Neves">Miguel Neves</name>
<affiliation><nlm:aff id="Aff300">Hospital Distrital de Santarém, EPE, Santarém, 2005-177 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff301">Universidade de Coimbra, 3004-504 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bizarro, Carla" sort="Bizarro, Carla" uniqKey="Bizarro C" first="Carla" last="Bizarro">Carla Bizarro</name>
<affiliation><nlm:aff id="Aff302">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff302">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galhardo, Ana" sort="Galhardo, Ana" uniqKey="Galhardo A" first="Ana" last="Galhardo">Ana Galhardo</name>
<affiliation><nlm:aff id="Aff302">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Margarida, Couto" sort="Margarida, Couto" uniqKey="Margarida C" first="Couto" last="Margarida">Couto Margarida</name>
<affiliation><nlm:aff id="Aff302">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amorim, Ana P" sort="Amorim, Ana P" uniqKey="Amorim A" first="Ana P." last="Amorim">Ana P. Amorim</name>
<affiliation><nlm:aff id="Aff302">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Eduardo" sort="Silva, Eduardo" uniqKey="Silva E" first="Eduardo" last="Silva">Eduardo Silva</name>
<affiliation><nlm:aff id="Aff303">Centro de Tratamento Internacional VillaRamadas, 2460-355 Cela, Alcobaça, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Susana" sort="Cruz, Susana" uniqKey="Cruz S" first="Susana" last="Cruz">Susana Cruz</name>
<affiliation><nlm:aff id="Aff304">Administração Regional de Saúde do Norte, Porto, 4000-447 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Padilha, Jose M" sort="Padilha, Jose M" uniqKey="Padilha J" first="José M." last="Padilha">José M. Padilha</name>
<affiliation><nlm:aff id="Aff305">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valente, Jorge" sort="Valente, Jorge" uniqKey="Valente J" first="Jorge" last="Valente">Jorge Valente</name>
<affiliation><nlm:aff id="Aff306">Faculdade de Economia, Universidade do Porto, 4200-464 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerrero, Jose T" sort="Guerrero, Jose T" uniqKey="Guerrero J" first="José T." last="Guerrero">José T. Guerrero</name>
<affiliation><nlm:aff id="Aff307">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caballero, Francisco P" sort="Caballero, Francisco P" uniqKey="Caballero F" first="Francisco P." last="Caballero">Francisco P. Caballero</name>
<affiliation><nlm:aff id="Aff308">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Rafael B" sort="Santos, Rafael B" uniqKey="Santos R" first="Rafael B." last="Santos">Rafael B. Santos</name>
<affiliation><nlm:aff id="Aff309">Universidad de Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gonzalez, Estefania P" sort="Gonzalez, Estefania P" uniqKey="Gonzalez E" first="Estefania P." last="Gonzalez">Estefania P. Gonzalez</name>
<affiliation><nlm:aff id="Aff307">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monago, Fatima M" sort="Monago, Fatima M" uniqKey="Monago F" first="Fátima M." last="Monago">Fátima M. Monago</name>
<affiliation><nlm:aff id="Aff310">Centro de Salud San Fernando, Badajoz, 06006 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ugalde, Lierni U" sort="Ugalde, Lierni U" uniqKey="Ugalde L" first="Lierni U." last="Ugalde">Lierni U. Ugalde</name>
<affiliation><nlm:aff id="Aff309">Universidad de Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Velez, Marta M" sort="Velez, Marta M" uniqKey="Velez M" first="Marta M." last="Vélez">Marta M. Vélez</name>
<affiliation><nlm:aff id="Aff307">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tena, Maria J" sort="Tena, Maria J" uniqKey="Tena M" first="Maria J." last="Tena">Maria J. Tena</name>
<affiliation><nlm:aff id="Aff308">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerrero, Jose T" sort="Guerrero, Jose T" uniqKey="Guerrero J" first="José T." last="Guerrero">José T. Guerrero</name>
<affiliation><nlm:aff id="Aff311">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bravo, Rafael" sort="Bravo, Rafael" uniqKey="Bravo R" first="Rafael" last="Bravo">Rafael Bravo</name>
<affiliation><nlm:aff id="Aff312">Universidad de Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Perez Caballero, Francisco L" sort="Perez Caballero, Francisco L" uniqKey="Perez Caballero F" first="Francisco L." last="Pérez-Caballero">Francisco L. Pérez-Caballero</name>
<affiliation><nlm:aff id="Aff313">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Becerra, Isabel A" sort="Becerra, Isabel A" uniqKey="Becerra I" first="Isabel A." last="Becerra">Isabel A. Becerra</name>
<affiliation><nlm:aff id="Aff311">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Agudelo, M Elizabeth" sort="Agudelo, M Elizabeth" uniqKey="Agudelo M" first="M Elizabeth" last="Agudelo">M Elizabeth Agudelo</name>
<affiliation><nlm:aff id="Aff311">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Acedo, Guadalupe" sort="Acedo, Guadalupe" uniqKey="Acedo G" first="Guadalupe" last="Acedo">Guadalupe Acedo</name>
<affiliation><nlm:aff id="Aff311">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bajo, Roberto" sort="Bajo, Roberto" uniqKey="Bajo R" first="Roberto" last="Bajo">Roberto Bajo</name>
<affiliation><nlm:aff id="Aff311">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Malheiro, Isabel" sort="Malheiro, Isabel" uniqKey="Malheiro I" first="Isabel" last="Malheiro">Isabel Malheiro</name>
<affiliation><nlm:aff id="Aff314">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gaspar, Filomena" sort="Gaspar, Filomena" uniqKey="Gaspar F" first="Filomena" last="Gaspar">Filomena Gaspar</name>
<affiliation><nlm:aff id="Aff314">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barros, Luisa" sort="Barros, Luisa" uniqKey="Barros L" first="Luísa" last="Barros">Luísa Barros</name>
<affiliation><nlm:aff id="Aff315">Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Furtado, Guilherme" sort="Furtado, Guilherme" uniqKey="Furtado G" first="Guilherme" last="Furtado">Guilherme Furtado</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff317">Fundação Capes, Ministério da Educação, 70.040-020 Brasília, Distrito Federal Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Uba Chupel, Mateus" sort="Uba Chupel, Mateus" uniqKey="Uba Chupel M" first="Mateus" last="Uba-Chupel">Mateus Uba-Chupel</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff317">Fundação Capes, Ministério da Educação, 70.040-020 Brasília, Distrito Federal Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Mariana" sort="Marques, Mariana" uniqKey="Marques M" first="Mariana" last="Marques">Mariana Marques</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rama, Luis" sort="Rama, Luis" uniqKey="Rama L" first="Luís" last="Rama">Luís Rama</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Braga, Margarida" sort="Braga, Margarida" uniqKey="Braga M" first="Margarida" last="Braga">Margarida Braga</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff318">Faculty of Medicine, University of Porto, Porto, 4200-450 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Jose P" sort="Ferreira, Jose P" uniqKey="Ferreira J" first="José P." last="Ferreira">José P. Ferreira</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixeira, Ana M" sort="Teixeira, Ana M" uniqKey="Teixeira A" first="Ana M" last="Teixeira">Ana M Teixeira</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Joao" sort="Cruz, Joao" uniqKey="Cruz J" first="João" last="Cruz">João Cruz</name>
<affiliation><nlm:aff id="Aff319">School of Education and Social Sciences, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff320">Life Quality Research Centre – IPLeiria Branch, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barbosa, Tiago" sort="Barbosa, Tiago" uniqKey="Barbosa T" first="Tiago" last="Barbosa">Tiago Barbosa</name>
<affiliation><nlm:aff id="Aff319">School of Education and Social Sciences, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, Angela" sort="Sim Es, Angela" uniqKey="Sim Es A" first="Ângela" last="Sim Es">Ângela Sim Es</name>
<affiliation><nlm:aff id="Aff319">School of Education and Social Sciences, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Luis" sort="Coelho, Luis" uniqKey="Coelho L" first="Luís" last="Coelho">Luís Coelho</name>
<affiliation><nlm:aff id="Aff319">School of Education and Social Sciences, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff320">Life Quality Research Centre – IPLeiria Branch, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Alexandre" sort="Rodrigues, Alexandre" uniqKey="Rodrigues A" first="Alexandre" last="Rodrigues">Alexandre Rodrigues</name>
<affiliation><nlm:aff id="Aff321">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Diaz, Juan Fernando" sort="Jimenez Diaz, Juan Fernando" uniqKey="Jimenez Diaz J" first="Juan-Fernando" last="Jiménez-Díaz">Juan-Fernando Jiménez-Díaz</name>
<affiliation><nlm:aff id="Aff322">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martinez Hernandez, Francisco" sort="Martinez Hernandez, Francisco" uniqKey="Martinez Hernandez F" first="Francisco" last="Martinez-Hernandez">Francisco Martinez-Hernandez</name>
<affiliation><nlm:aff id="Aff322">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez De Vera, Bienvenida" sort="Rodriguez De Vera, Bienvenida" uniqKey="Rodriguez De Vera B" first="Bienvenida" last="Rodriguez-De-Vera">Bienvenida Rodriguez-De-Vera</name>
<affiliation><nlm:aff id="Aff322">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff323">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Alexandrina" sort="Rodrigues, Alexandrina" uniqKey="Rodrigues A" first="Alexandrina" last="Rodrigues">Alexandrina Rodrigues</name>
<affiliation><nlm:aff id="Aff324">Unidade de Cuidados na Comunidade da Ponte da Barca, 4980-620 Ponte da Barca, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, Andre" sort="Ramalho, Andre" uniqKey="Ramalho A" first="André" last="Ramalho">André Ramalho</name>
<affiliation><nlm:aff id="Aff325">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Petrica, Joao" sort="Petrica, Joao" uniqKey="Petrica J" first="João" last="Petrica">João Petrica</name>
<affiliation><nlm:aff id="Aff325">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff326">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff325">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serrano, Joao" sort="Serrano, Joao" uniqKey="Serrano J" first="João" last="Serrano">João Serrano</name>
<affiliation><nlm:aff id="Aff325">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff326">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santo, Ines" sort="Santo, Ines" uniqKey="Santo I" first="Inês" last="Santo">Inês Santo</name>
<affiliation><nlm:aff id="Aff327">Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosado, Ant Nio" sort="Rosado, Ant Nio" uniqKey="Rosado A" first="Ant Nio" last="Rosado">Ant Nio Rosado</name>
<affiliation><nlm:aff id="Aff328">Faculty of Human Kinetics, University of Lisbon, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Paula" sort="Mendonca, Paula" uniqKey="Mendonca P" first="Paula" last="Mendonça">Paula Mendonça</name>
<affiliation><nlm:aff id="Aff329">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Katia" sort="Freitas, Katia" uniqKey="Freitas K" first="Kátia" last="Freitas">Kátia Freitas</name>
<affiliation><nlm:aff id="Aff329">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Dora" sort="Ferreira, Dora" uniqKey="Ferreira D" first="Dora" last="Ferreira">Dora Ferreira</name>
<affiliation><nlm:aff id="Aff330">Escola Superior Desporto De Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brito, Ant Nio" sort="Brito, Ant Nio" uniqKey="Brito A" first="Ant Nio" last="Brito">Ant Nio Brito</name>
<affiliation><nlm:aff id="Aff330">Escola Superior Desporto De Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Renato" sort="Fernandes, Renato" uniqKey="Fernandes R" first="Renato" last="Fernandes">Renato Fernandes</name>
<affiliation><nlm:aff id="Aff330">Escola Superior Desporto De Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Sofia" sort="Gomes, Sofia" uniqKey="Gomes S" first="Sofia" last="Gomes">Sofia Gomes</name>
<affiliation><nlm:aff id="Aff331">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff331">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff332">Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff333">Portugal & Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Claudia" sort="Pinho, Claudia" uniqKey="Pinho C" first="Cláudia" last="Pinho">Cláudia Pinho</name>
<affiliation><nlm:aff id="Aff331">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff334">Núcleo de Investigação e Intervenção em Farmácia, Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Rita" sort="Oliveira, Rita" uniqKey="Oliveira R" first="Rita" last="Oliveira">Rita Oliveira</name>
<affiliation><nlm:aff id="Aff331">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff334">Núcleo de Investigação e Intervenção em Farmácia, Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff335">Secção Autónoma de Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana I" sort="Oliveira, Ana I" uniqKey="Oliveira A" first="Ana I." last="Oliveira">Ana I. Oliveira</name>
<affiliation><nlm:aff id="Aff331">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff334">Núcleo de Investigação e Intervenção em Farmácia, Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Paula" sort="Mendonca, Paula" uniqKey="Mendonca P" first="Paula" last="Mendonça">Paula Mendonça</name>
<affiliation><nlm:aff id="Aff336">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Casimiro, Ana P" sort="Casimiro, Ana P" uniqKey="Casimiro A" first="Ana P." last="Casimiro">Ana P. Casimiro</name>
<affiliation><nlm:aff id="Aff337">Hospital SAMS – Serviços de Assistência Médico-social do Sindicato dos Bancários, 1849-017 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Patricia" sort="Martins, Patricia" uniqKey="Martins P" first="Patrícia" last="Martins">Patrícia Martins</name>
<affiliation><nlm:aff id="Aff336">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Iryna" sort="Silva, Iryna" uniqKey="Silva I" first="Iryna" last="Silva">Iryna Silva</name>
<affiliation><nlm:aff id="Aff336">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Evangelista, Diana" sort="Evangelista, Diana" uniqKey="Evangelista D" first="Diana" last="Evangelista">Diana Evangelista</name>
<affiliation><nlm:aff id="Aff338">North Tyneside General Hospital, Tyne and Wear, NE29 8NH Newcastle UK</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leitao, Catarina" sort="Leitao, Catarina" uniqKey="Leitao C" first="Catarina" last="Leitão">Catarina Leitão</name>
<affiliation><nlm:aff id="Aff339">Life Quality Research Centre, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Velosa, Fabia" sort="Velosa, Fabia" uniqKey="Velosa F" first="Fábia" last="Velosa">Fábia Velosa</name>
<affiliation><nlm:aff id="Aff340">School of Education and Social Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carecho, Nelio" sort="Carecho, Nelio" uniqKey="Carecho N" first="Nélio" last="Carecho">Nélio Carecho</name>
<affiliation><nlm:aff id="Aff341">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Luis" sort="Coelho, Luis" uniqKey="Coelho L" first="Luís" last="Coelho">Luís Coelho</name>
<affiliation><nlm:aff id="Aff339">Life Quality Research Centre, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff340">School of Education and Social Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Menino, Eva" sort="Menino, Eva" uniqKey="Menino E" first="Eva" last="Menino">Eva Menino</name>
<affiliation><nlm:aff id="Aff342">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Anjos" sort="Dixe, Anjos" uniqKey="Dixe A" first="Anjos" last="Dixe">Anjos Dixe</name>
<affiliation><nlm:aff id="Aff342">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catarino, Helena" sort="Catarino, Helena" uniqKey="Catarino H" first="Helena" last="Catarino">Helena Catarino</name>
<affiliation><nlm:aff id="Aff342">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Fatima" sort="Soares, Fatima" uniqKey="Soares F" first="Fátima" last="Soares">Fátima Soares</name>
<affiliation><nlm:aff id="Aff343">Unidade de Saúde Pública, ACES Pinhal Litoral, ARS Centro, 3100-462 Pombal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gama, Ester" sort="Gama, Ester" uniqKey="Gama E" first="Ester" last="Gama">Ester Gama</name>
<affiliation><nlm:aff id="Aff344">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gordo, Clementina" sort="Gordo, Clementina" uniqKey="Gordo C" first="Clementina" last="Gordo">Clementina Gordo</name>
<affiliation><nlm:aff id="Aff342">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Eliana" sort="Moreira, Eliana" uniqKey="Moreira E" first="Eliana" last="Moreira">Eliana Moreira</name>
<affiliation><nlm:aff id="Aff345">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mid Es, Cristiana" sort="Mid Es, Cristiana" uniqKey="Mid Es C" first="Cristiana" last="Mid Es">Cristiana Mid Es</name>
<affiliation><nlm:aff id="Aff345">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Marlene" sort="Santos, Marlene" uniqKey="Santos M" first="Marlene" last="Santos">Marlene Santos</name>
<affiliation><nlm:aff id="Aff345">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, Sara" sort="Machado, Sara" uniqKey="Machado S" first="Sara" last="Machado">Sara Machado</name>
<affiliation><nlm:aff id="Aff346">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Vania P" sort="Oliveira, Vania P" uniqKey="Oliveira V" first="Vânia P." last="Oliveira">Vânia P. Oliveira</name>
<affiliation><nlm:aff id="Aff346">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Marlene" sort="Santos, Marlene" uniqKey="Santos M" first="Marlene" last="Santos">Marlene Santos</name>
<affiliation><nlm:aff id="Aff346">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff347">Health Research Unit, School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Anjos" sort="Dixe, Anjos" uniqKey="Dixe A" first="Anjos" last="Dixe">Anjos Dixe</name>
<affiliation><nlm:aff id="Aff347">Health Research Unit, School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff347">Health Research Unit, School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff348">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Charepe, Zaida" sort="Charepe, Zaida" uniqKey="Charepe Z" first="Zaida" last="Charepe">Zaida Charepe</name>
<affiliation><nlm:aff id="Aff349">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Ana" sort="Antunes, Ana" uniqKey="Antunes A" first="Ana" last="Antunes">Ana Antunes</name>
<affiliation><nlm:aff id="Aff350">Associação Portuguesa de Pais e Amigos do Cidadão Deficiente Mental, 6200-050 Covilhã, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Sofia" sort="Santos, Sofia" uniqKey="Santos S" first="Sofia" last="Santos">Sofia Santos</name>
<affiliation><nlm:aff id="Aff351">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Marlene C" sort="Rosa, Marlene C" uniqKey="Rosa M" first="Marlene C." last="Rosa">Marlene C. Rosa</name>
<affiliation><nlm:aff id="Aff352">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Marlene C" sort="Rosa, Marlene C" uniqKey="Rosa M" first="Marlene C." last="Rosa">Marlene C. Rosa</name>
<affiliation><nlm:aff id="Aff353">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Silvana F" sort="Marques, Silvana F" uniqKey="Marques S" first="Silvana F." last="Marques">Silvana F. Marques</name>
<affiliation><nlm:aff id="Aff354">Unidade de Cuidados na Comunidade, Centro de Saúde de Anadia, 3780-780 Anadia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Minghelli, Beatriz" sort="Minghelli, Beatriz" uniqKey="Minghelli B" first="Beatriz" last="Minghelli">Beatriz Minghelli</name>
<affiliation><nlm:aff id="Aff355">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carominghelli, Eulalia" sort="Carominghelli, Eulalia" uniqKey="Carominghelli E" first="Eulália" last="Carominghelli">Eulália Carominghelli</name>
<affiliation><nlm:aff id="Aff355">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff356">Fisiatris - Recuperação Física, Lda, Sacavém, 2685-010 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luis, M Jose" sort="Luis, M Jose" uniqKey="Luis M" first="M José" last="Luís">M José Luís</name>
<affiliation><nlm:aff id="Aff357">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brandao, Teresa" sort="Brandao, Teresa" uniqKey="Brandao T" first="Teresa" last="Brandão">Teresa Brandão</name>
<affiliation><nlm:aff id="Aff357">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff358">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marinho, Daniel" sort="Marinho, Daniel" uniqKey="Marinho D" first="Daniel" last="Marinho">Daniel Marinho</name>
<affiliation><nlm:aff id="Aff359">Research Centre of Sports Sciences, Health Sciences and Human Development, Universidade da Beira Interior, Covilhã, 6201-001 Covilhã Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Petrica, Joao" sort="Petrica, Joao" uniqKey="Petrica J" first="João" last="Petrica">João Petrica</name>
<affiliation><nlm:aff id="Aff358">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff360">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Diogo" sort="Monteiro, Diogo" uniqKey="Monteiro D" first="Diogo" last="Monteiro">Diogo Monteiro</name>
<affiliation><nlm:aff id="Aff361">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff358">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff362">Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serrano, Joao" sort="Serrano, Joao" uniqKey="Serrano J" first="João" last="Serrano">João Serrano</name>
<affiliation><nlm:aff id="Aff358">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff360">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santo, Ines" sort="Santo, Ines" uniqKey="Santo I" first="Inês" last="Santo">Inês Santo</name>
<affiliation><nlm:aff id="Aff363">Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Lina" sort="Monteiro, Lina" uniqKey="Monteiro L" first="Lina" last="Monteiro">Lina Monteiro</name>
<affiliation><nlm:aff id="Aff364">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, Fatima" sort="Ramalho, Fatima" uniqKey="Ramalho F" first="Fátima" last="Ramalho">Fátima Ramalho</name>
<affiliation><nlm:aff id="Aff364">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff365">Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade Nova de Lisboa, 1499-002 Cruz Quebrada, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos Rocha, Rita" sort="Santos Rocha, Rita" uniqKey="Santos Rocha R" first="Rita" last="Santos-Rocha">Rita Santos-Rocha</name>
<affiliation><nlm:aff id="Aff364">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff365">Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade Nova de Lisboa, 1499-002 Cruz Quebrada, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morgado, S Nia" sort="Morgado, S Nia" uniqKey="Morgado S" first="S Nia" last="Morgado">S Nia Morgado</name>
<affiliation><nlm:aff id="Aff364">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff366">Centro de Investigação e Qualidade de Vida, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bento, Teresa" sort="Bento, Teresa" uniqKey="Bento T" first="Teresa" last="Bento">Teresa Bento</name>
<affiliation><nlm:aff id="Aff364">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff367">Research Centre in Sports Sciences, Health and Human Development, University of Trás-os-Montes and Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Gilberta" sort="Sousa, Gilberta" uniqKey="Sousa G" first="Gilberta" last="Sousa">Gilberta Sousa</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Otilia" sort="Freitas, Otilia" uniqKey="Freitas O" first="Otília" last="Freitas">Otília Freitas</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Isabel" sort="Silva, Isabel" uniqKey="Silva I" first="Isabel" last="Silva">Isabel Silva</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Greg Rio" sort="Freitas, Greg Rio" uniqKey="Freitas G" first="Greg Rio" last="Freitas">Greg Rio Freitas</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morna, Clementina" sort="Morna, Clementina" uniqKey="Morna C" first="Clementina" last="Morna">Clementina Morna</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vasconcelos, Rita" sort="Vasconcelos, Rita" uniqKey="Vasconcelos R" first="Rita" last="Vasconcelos">Rita Vasconcelos</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, Tatiana" sort="Azevedo, Tatiana" uniqKey="Azevedo T" first="Tatiana" last="Azevedo">Tatiana Azevedo</name>
<affiliation><nlm:aff id="Aff369">Lar Cantinho dos Avós - Santa Casa da Misericórdia de Melgaço, 4960-570 Melgaço, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Salete" sort="Soares, Salete" uniqKey="Soares S" first="Salete" last="Soares">Salete Soares</name>
<affiliation><nlm:aff id="Aff370">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pisco, Jacinta" sort="Pisco, Jacinta" uniqKey="Pisco J" first="Jacinta" last="Pisco">Jacinta Pisco</name>
<affiliation><nlm:aff id="Aff371">Unidade Local de Saúde do Alto Minho, EPE, 4904-858 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Paulo P" sort="Ferreira, Paulo P" uniqKey="Ferreira P" first="Paulo P." last="Ferreira">Paulo P. Ferreira</name>
<affiliation><nlm:aff id="Aff372">Secretaria de Saúde do Estado da Bahia, Salvador, Bahia 41745-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Olszewer, Efrain O" sort="Olszewer, Efrain O" uniqKey="Olszewer E" first="Efrain O." last="Olszewer">Efrain O. Olszewer</name>
<affiliation><nlm:aff id="Aff373">Fundação de amparo à pesquisa e inovação do Espírito Santo, Vitória, Esprito Santo 29066-380 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Michelle T" sort="Oliveira, Michelle T" uniqKey="Oliveira M" first="Michelle T." last="Oliveira">Michelle T. Oliveira</name>
<affiliation><nlm:aff id="Aff374">Universidade Estadual de Feira de Santana, Feira de Santana, Bahia 44036-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Anderson R" sort="Sousa, Anderson R" uniqKey="Sousa A" first="Anderson R." last="Sousa">Anderson R. Sousa</name>
<affiliation><nlm:aff id="Aff375">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Ana S" sort="Maia, Ana S" uniqKey="Maia A" first="Ana S." last="Maia">Ana S. Maia</name>
<affiliation><nlm:aff id="Aff375">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Sebastiao T" sort="Oliveira, Sebastiao T" uniqKey="Oliveira S" first="Sebastião T." last="Oliveira">Sebastião T. Oliveira</name>
<affiliation><nlm:aff id="Aff375">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Erica" sort="Santos, Erica" uniqKey="Santos E" first="Erica" last="Santos">Erica Santos</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana I" sort="Oliveira, Ana I" uniqKey="Oliveira A" first="Ana I." last="Oliveira">Ana I. Oliveira</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff377">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Carla" sort="Maia, Carla" uniqKey="Maia C" first="Carla" last="Maia">Carla Maia</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff378">Hospital de Santo Antonio, Centro Hospitalar do Porto, EPE, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff379">Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff380">Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Joana" sort="Santos, Joana" uniqKey="Santos J" first="Joana" last="Santos">Joana Santos</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff381">Centro Hospitalar de São João, EPE, Porto, 4200-319 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Maria F" sort="Mendes, Maria F" uniqKey="Mendes M" first="Maria F." last="Mendes">Maria F. Mendes</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff378">Hospital de Santo Antonio, Centro Hospitalar do Porto, EPE, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Rita F" sort="Oliveira, Rita F" uniqKey="Oliveira R" first="Rita F." last="Oliveira">Rita F. Oliveira</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff378">Hospital de Santo Antonio, Centro Hospitalar do Porto, EPE, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Claudia" sort="Pinho, Claudia" uniqKey="Pinho C" first="Cláudia" last="Pinho">Cláudia Pinho</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff378">Hospital de Santo Antonio, Centro Hospitalar do Porto, EPE, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barreira, Eduarda" sort="Barreira, Eduarda" uniqKey="Barreira E" first="Eduarda" last="Barreira">Eduarda Barreira</name>
<affiliation><nlm:aff id="Aff382">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana" sort="Pereira, Ana" uniqKey="Pereira A" first="Ana" last="Pereira">Ana Pereira</name>
<affiliation><nlm:aff id="Aff382">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaz, Josiana A" sort="Vaz, Josiana A" uniqKey="Vaz J" first="Josiana A." last="Vaz">Josiana A. Vaz</name>
<affiliation><nlm:aff id="Aff382">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Novo, Andre" sort="Novo, Andre" uniqKey="Novo A" first="André" last="Novo">André Novo</name>
<affiliation><nlm:aff id="Aff382">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Luis D" sort="Silva, Luis D" uniqKey="Silva L" first="Luís D." last="Silva">Luís D. Silva</name>
<affiliation><nlm:aff id="Aff383">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff384">Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Bruno" sort="Maia, Bruno" uniqKey="Maia B" first="Bruno" last="Maia">Bruno Maia</name>
<affiliation><nlm:aff id="Aff383">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Eduardo" sort="Ferreira, Eduardo" uniqKey="Ferreira E" first="Eduardo" last="Ferreira">Eduardo Ferreira</name>
<affiliation><nlm:aff id="Aff383">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pires, Filipa" sort="Pires, Filipa" uniqKey="Pires F" first="Filipa" last="Pires">Filipa Pires</name>
<affiliation><nlm:aff id="Aff383">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Renato" sort="Andrade, Renato" uniqKey="Andrade R" first="Renato" last="Andrade">Renato Andrade</name>
<affiliation><nlm:aff id="Aff384">Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff385">Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Camarinha, Luis" sort="Camarinha, Luis" uniqKey="Camarinha L" first="Luís" last="Camarinha">Luís Camarinha</name>
<affiliation><nlm:aff id="Aff383">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Luis D" sort="Silva, Luis D" uniqKey="Silva L" first="Luís D." last="Silva">Luís D. Silva</name>
<affiliation><nlm:aff id="Aff386">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff387">Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Bruno" sort="Maia, Bruno" uniqKey="Maia B" first="Bruno" last="Maia">Bruno Maia</name>
<affiliation><nlm:aff id="Aff386">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Eduardo" sort="Ferreira, Eduardo" uniqKey="Ferreira E" first="Eduardo" last="Ferreira">Eduardo Ferreira</name>
<affiliation><nlm:aff id="Aff386">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pires, Filipa" sort="Pires, Filipa" uniqKey="Pires F" first="Filipa" last="Pires">Filipa Pires</name>
<affiliation><nlm:aff id="Aff386">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Renato" sort="Andrade, Renato" uniqKey="Andrade R" first="Renato" last="Andrade">Renato Andrade</name>
<affiliation><nlm:aff id="Aff387">Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff388">Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Camarinha, Luis" sort="Camarinha, Luis" uniqKey="Camarinha L" first="Luís" last="Camarinha">Luís Camarinha</name>
<affiliation><nlm:aff id="Aff386">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cesar, Ana F" sort="Cesar, Ana F" uniqKey="Cesar A" first="Ana F." last="César">Ana F. César</name>
<affiliation><nlm:aff id="Aff389">Centro de Ação Social do Concelho de Ílhavo, 3830-201 Ílhavo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Poco, Mariana" sort="Poco, Mariana" uniqKey="Poco M" first="Mariana" last="Poço">Mariana Poço</name>
<affiliation><nlm:aff id="Aff390">Zelar, Serviços de Apoio Domiciliário, 3810-232 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ventura, David" sort="Ventura, David" uniqKey="Ventura D" first="David" last="Ventura">David Ventura</name>
<affiliation><nlm:aff id="Aff391">Walk’In Clinics, Esgueira, 3800-042 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Loura, Raquel" sort="Loura, Raquel" uniqKey="Loura R" first="Raquel" last="Loura">Raquel Loura</name>
<affiliation><nlm:aff id="Aff392">São João de Deus Clinic, 1749-098 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Pedro" sort="Gomes, Pedro" uniqKey="Gomes P" first="Pedro" last="Gomes">Pedro Gomes</name>
<affiliation><nlm:aff id="Aff393">Arrabida Hospital, 4400-346 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Catarina" sort="Gomes, Catarina" uniqKey="Gomes C" first="Catarina" last="Gomes">Catarina Gomes</name>
<affiliation><nlm:aff id="Aff394">Yasmin Residence, 2500-064 Caldas da Rainha, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Claudia" sort="Silva, Claudia" uniqKey="Silva C" first="Cláudia" last="Silva">Cláudia Silva</name>
<affiliation><nlm:aff id="Aff395">Faro unit, Algarve Hospital, 8000-386 Faro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Elsa" sort="Melo, Elsa" uniqKey="Melo E" first="Elsa" last="Melo">Elsa Melo</name>
<affiliation><nlm:aff id="Aff396">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lindo, Joao" sort="Lindo, Joao" uniqKey="Lindo J" first="João" last="Lindo">João Lindo</name>
<affiliation><nlm:aff id="Aff396">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Domingos, Joana" sort="Domingos, Joana" uniqKey="Domingos J" first="Joana" last="Domingos">Joana Domingos</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Zaida" sort="Mendes, Zaida" uniqKey="Mendes Z" first="Zaida" last="Mendes">Zaida Mendes</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Poeta, Susana" sort="Poeta, Susana" uniqKey="Poeta S" first="Susana" last="Poeta">Susana Poeta</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Tiago" sort="Carvalho, Tiago" uniqKey="Carvalho T" first="Tiago" last="Carvalho">Tiago Carvalho</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff398">Health Research Unit, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catarino, Helena" sort="Catarino, Helena" uniqKey="Catarino H" first="Helena" last="Catarino">Helena Catarino</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff398">Health Research Unit, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff398">Health Research Unit, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, Andre" sort="Ramalho, Andre" uniqKey="Ramalho A" first="André" last="Ramalho">André Ramalho</name>
<affiliation><nlm:aff id="Aff399">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosado, Ant Nio" sort="Rosado, Ant Nio" uniqKey="Rosado A" first="Ant Nio" last="Rosado">Ant Nio Rosado</name>
<affiliation><nlm:aff id="Aff400">Faculty of Human Kinetics, University of Lisbon, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff399">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff399">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff401">Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garcia, Ines" sort="Garcia, Ines" uniqKey="Garcia I" first="Inês" last="Garcia">Inês Garcia</name>
<affiliation><nlm:aff id="Aff402">Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Petrica, Joao" sort="Petrica, Joao" uniqKey="Petrica J" first="João" last="Petrica">João Petrica</name>
<affiliation><nlm:aff id="Aff399">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff403">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Sandra" sort="Rodrigues, Sandra" uniqKey="Rodrigues S" first="Sandra" last="Rodrigues">Sandra Rodrigues</name>
<affiliation><nlm:aff id="Aff404">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meneses, Rui" sort="Meneses, Rui" uniqKey="Meneses R" first="Rui" last="Meneses">Rui Meneses</name>
<affiliation><nlm:aff id="Aff404">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Afonso, Carlos" sort="Afonso, Carlos" uniqKey="Afonso C" first="Carlos" last="Afonso">Carlos Afonso</name>
<affiliation><nlm:aff id="Aff404">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faria, Luis" sort="Faria, Luis" uniqKey="Faria L" first="Luís" last="Faria">Luís Faria</name>
<affiliation><nlm:aff id="Aff404">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seixas, Aderito" sort="Seixas, Aderito" uniqKey="Seixas A" first="Adérito" last="Seixas">Adérito Seixas</name>
<affiliation><nlm:aff id="Aff404">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff405">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Granjo, Paulo" sort="Granjo, Paulo" uniqKey="Granjo P" first="Paulo" last="Granjo">Paulo Granjo</name>
<affiliation><nlm:aff id="Aff406">Instituto de Ciências Sociais da Universidade de Lisboa, Universidade de Lisboa, 1600-189 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Jose C" sort="Gomes, Jose C" uniqKey="Gomes J" first="José C." last="Gomes">José C. Gomes</name>
<affiliation><nlm:aff id="Aff405">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Souza, Nelba R" sort="Souza, Nelba R" uniqKey="Souza N" first="Nelba R." last="Souza">Nelba R. Souza</name>
<affiliation><nlm:aff id="Aff407">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Furtado, Guilherme E" sort="Furtado, Guilherme E" uniqKey="Furtado G" first="Guilherme E." last="Furtado">Guilherme E. Furtado</name>
<affiliation><nlm:aff id="Aff407">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, Saulo V" sort="Rocha, Saulo V" uniqKey="Rocha S" first="Saulo V." last="Rocha">Saulo V. Rocha</name>
<affiliation><nlm:aff id="Aff408">Núcleo de Estudos em Saúde da População, Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia 45700-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Paula" sort="Silva, Paula" uniqKey="Silva P" first="Paula" last="Silva">Paula Silva</name>
<affiliation><nlm:aff id="Aff409">Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Joana" sort="Carvalho, Joana" uniqKey="Carvalho J" first="Joana" last="Carvalho">Joana Carvalho</name>
<affiliation><nlm:aff id="Aff409">Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, Marina Ana" sort="Morais, Marina Ana" uniqKey="Morais M" first="Marina Ana" last="Morais">Marina Ana Morais</name>
<affiliation><nlm:aff id="Aff410">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Sofia" sort="Santos, Sofia" uniqKey="Santos S" first="Sofia" last="Santos">Sofia Santos</name>
<affiliation><nlm:aff id="Aff410">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lebre, Paula" sort="Lebre, Paula" uniqKey="Lebre P" first="Paula" last="Lebre">Paula Lebre</name>
<affiliation><nlm:aff id="Aff410">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Ana" sort="Antunes, Ana" uniqKey="Antunes A" first="Ana" last="Antunes">Ana Antunes</name>
<affiliation><nlm:aff id="Aff411">Casa de Saúde da Idanha, Instituto das Irmãs Hospitaleiras, 2605-077 Belas, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Calha, Ant Nio" sort="Calha, Ant Nio" uniqKey="Calha A" first="Ant Nio" last="Calha">Ant Nio Calha</name>
<affiliation><nlm:aff id="Aff412">Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Xavier, Ana" sort="Xavier, Ana" uniqKey="Xavier A" first="Ana" last="Xavier">Ana Xavier</name>
<affiliation><nlm:aff id="Aff413">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff414">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff413">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alencar, Liana" sort="Alencar, Liana" uniqKey="Alencar L" first="Liana" last="Alencar">Liana Alencar</name>
<affiliation><nlm:aff id="Aff415">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff416">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Madalena" sort="Cunha, Madalena" uniqKey="Cunha M" first="Madalena" last="Cunha">Madalena Cunha</name>
<affiliation><nlm:aff id="Aff415">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff416">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Madureira, Ant Nio" sort="Madureira, Ant Nio" uniqKey="Madureira A" first="Ant Nio" last="Madureira">Ant Nio Madureira</name>
<affiliation><nlm:aff id="Aff416">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Ilda" sort="Cardoso, Ilda" uniqKey="Cardoso I" first="Ilda" last="Cardoso">Ilda Cardoso</name>
<affiliation><nlm:aff id="Aff417">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff418">Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galhardo, Ana" sort="Galhardo, Ana" uniqKey="Galhardo A" first="Ana" last="Galhardo">Ana Galhardo</name>
<affiliation><nlm:aff id="Aff417">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff419">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Daniel, Fernanda" sort="Daniel, Fernanda" uniqKey="Daniel F" first="Fernanda" last="Daniel">Fernanda Daniel</name>
<affiliation><nlm:aff id="Aff417">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff420">Centre for Health Studies and Research, University of Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Vitor" sort="Rodrigues, Vitor" uniqKey="Rodrigues V" first="Vítor" last="Rodrigues">Vítor Rodrigues</name>
<affiliation><nlm:aff id="Aff417">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff418">Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luz, Leonardo" sort="Luz, Leonardo" uniqKey="Luz L" first="Leonardo" last="Luz">Leonardo Luz</name>
<affiliation><nlm:aff id="Aff421">Universidade Federal de Alagoas, Maceió, 57072-900 Alagoas Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luz, Tatiana" sort="Luz, Tatiana" uniqKey="Luz T" first="Tatiana" last="Luz">Tatiana Luz</name>
<affiliation><nlm:aff id="Aff421">Universidade Federal de Alagoas, Maceió, 57072-900 Alagoas Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramos, Mauricio R" sort="Ramos, Mauricio R" uniqKey="Ramos M" first="Maurício R." last="Ramos">Maurício R. Ramos</name>
<affiliation><nlm:aff id="Aff422">Instituto Federal de Alagoas, Maceió, 57035-660 Alagoas Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Medeiros, Dayse C" sort="Medeiros, Dayse C" uniqKey="Medeiros D" first="Dayse C." last="Medeiros">Dayse C. Medeiros</name>
<affiliation><nlm:aff id="Aff423">Centro Universitário Cesmac, Maceió, 57051-160 Alagoas Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carmo, Bruno M" sort="Carmo, Bruno M" uniqKey="Carmo B" first="Bruno M." last="Carmo">Bruno M. Carmo</name>
<affiliation><nlm:aff id="Aff421">Universidade Federal de Alagoas, Maceió, 57072-900 Alagoas Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seabra, Andre" sort="Seabra, Andre" uniqKey="Seabra A" first="André" last="Seabra">André Seabra</name>
<affiliation><nlm:aff id="Aff424">Universidade do Porto, Porto, 4099-002 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Padez, Cristina" sort="Padez, Cristina" uniqKey="Padez C" first="Cristina" last="Padez">Cristina Padez</name>
<affiliation><nlm:aff id="Aff425">Universidade de Coimbra, Coimbra, 3004-504 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Manuel C" sort="Silva, Manuel C" uniqKey="Silva M" first="Manuel C." last="Silva">Manuel C. Silva</name>
<affiliation><nlm:aff id="Aff425">Universidade de Coimbra, Coimbra, 3004-504 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Ant Nio" sort="Rodrigues, Ant Nio" uniqKey="Rodrigues A" first="Ant Nio" last="Rodrigues">Ant Nio Rodrigues</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff427">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Patricia" sort="Coelho, Patricia" uniqKey="Coelho P" first="Patrícia" last="Coelho">Patrícia Coelho</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Alexandre" sort="Coelho, Alexandre" uniqKey="Coelho A" first="Alexandre" last="Coelho">Alexandre Coelho</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caminha, Madson" sort="Caminha, Madson" uniqKey="Caminha M" first="Madson" last="Caminha">Madson Caminha</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Matheus, Filipe" sort="Matheus, Filipe" uniqKey="Matheus F" first="Filipe" last="Matheus">Filipe Matheus</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Elenice" sort="Mendes, Elenice" uniqKey="Mendes E" first="Elenice" last="Mendes">Elenice Mendes</name>
<affiliation><nlm:aff id="Aff428">Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina 88132-149 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Correia, Jony" sort="Correia, Jony" uniqKey="Correia J" first="Jony" last="Correia">Jony Correia</name>
<affiliation><nlm:aff id="Aff428">Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina 88132-149 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hernandez Martinez, Francisco J" sort="Hernandez Martinez, Francisco J" uniqKey="Hernandez Martinez F" first="Francisco J." last="Hernandez-Martinez">Francisco J. Hernandez-Martinez</name>
<affiliation><nlm:aff id="Aff429">Cabildo de Lanzarote, 35500 Arrecife, Lanzarote, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Diaz, Juan F" sort="Jimenez Diaz, Juan F" uniqKey="Jimenez Diaz J" first="Juan F." last="Jimenez-Diaz">Juan F. Jimenez-Diaz</name>
<affiliation><nlm:aff id="Aff430">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez De Vera, Bienvendida C" sort="Rodriguez De Vera, Bienvendida C" uniqKey="Rodriguez De Vera B" first="Bienvendida C." last="Rodriguez-De-Vera">Bienvendida C. Rodriguez-De-Vera</name>
<affiliation><nlm:aff id="Aff430">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Rodriguez, Carla" sort="Jimenez Rodriguez, Carla" uniqKey="Jimenez Rodriguez C" first="Carla" last="Jimenez-Rodriguez">Carla Jimenez-Rodriguez</name>
<affiliation><nlm:aff id="Aff430">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Armas Gonzalez, Yadira" sort="Armas Gonzalez, Yadira" uniqKey="Armas Gonzalez Y" first="Yadira" last="Armas-Gonzalez">Yadira Armas-Gonzalez</name>
<affiliation><nlm:aff id="Aff431">Servicio Canario de la Salud, 35500 Arrecife, Lanzarote, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Catia" sort="Rodrigues, Catia" uniqKey="Rodrigues C" first="Cátia" last="Rodrigues">Cátia Rodrigues</name>
<affiliation><nlm:aff id="Aff432">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedroso, Rosa" sort="Pedroso, Rosa" uniqKey="Pedroso R" first="Rosa" last="Pedroso">Rosa Pedroso</name>
<affiliation><nlm:aff id="Aff432">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Apolinario Hagen, Jennifer" sort="Apolinario Hagen, Jennifer" uniqKey="Apolinario Hagen J" first="Jennifer" last="Apolinário-Hagen">Jennifer Apolinário-Hagen</name>
<affiliation><nlm:aff id="Aff433">Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vehreschild, Viktor" sort="Vehreschild, Viktor" uniqKey="Vehreschild V" first="Viktor" last="Vehreschild">Viktor Vehreschild</name>
<affiliation><nlm:aff id="Aff433">Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veloso, Milene" sort="Veloso, Milene" uniqKey="Veloso M" first="Milene" last="Veloso">Milene Veloso</name>
<affiliation><nlm:aff id="Aff434">Universidade Federal do Pará, Belém, Pará 66075-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magalhaes, Celina" sort="Magalhaes, Celina" uniqKey="Magalhaes C" first="Celina" last="Magalhães">Celina Magalhães</name>
<affiliation><nlm:aff id="Aff434">Universidade Federal do Pará, Belém, Pará 66075-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Isabel" sort="Cabral, Isabel" uniqKey="Cabral I" first="Isabel" last="Cabral">Isabel Cabral</name>
<affiliation><nlm:aff id="Aff434">Universidade Federal do Pará, Belém, Pará 66075-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferraz, Maira" sort="Ferraz, Maira" uniqKey="Ferraz M" first="Maira" last="Ferraz">Maira Ferraz</name>
<affiliation><nlm:aff id="Aff434">Universidade Federal do Pará, Belém, Pará 66075-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nave, Filipe" sort="Nave, Filipe" uniqKey="Nave F" first="Filipe" last="Nave">Filipe Nave</name>
<affiliation><nlm:aff id="Aff435">Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Emilia" sort="Costa, Emilia" uniqKey="Costa E" first="Emília" last="Costa">Emília Costa</name>
<affiliation><nlm:aff id="Aff435">Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Matos, Filomena" sort="Matos, Filomena" uniqKey="Matos F" first="Filomena" last="Matos">Filomena Matos</name>
<affiliation><nlm:aff id="Aff435">Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pacheco, Jose" sort="Pacheco, Jose" uniqKey="Pacheco J" first="José" last="Pacheco">José Pacheco</name>
<affiliation><nlm:aff id="Aff435">Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Ant Nio" sort="Dias, Ant Nio" uniqKey="Dias A" first="Ant Nio" last="Dias">Ant Nio Dias</name>
<affiliation><nlm:aff id="Aff436">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Carlos" sort="Pereira, Carlos" uniqKey="Pereira C" first="Carlos" last="Pereira">Carlos Pereira</name>
<affiliation><nlm:aff id="Aff436">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Joao" sort="Duarte, Joao" uniqKey="Duarte J" first="João" last="Duarte">João Duarte</name>
<affiliation><nlm:aff id="Aff436">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Madalena" sort="Cunha, Madalena" uniqKey="Cunha M" first="Madalena" last="Cunha">Madalena Cunha</name>
<affiliation><nlm:aff id="Aff436">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Daniel" sort="Silva, Daniel" uniqKey="Silva D" first="Daniel" last="Silva">Daniel Silva</name>
<affiliation><nlm:aff id="Aff436">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff437">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alferes, Valentim R" sort="Alferes, Valentim R" uniqKey="Alferes V" first="Valentim R." last="Alferes">Valentim R. Alferes</name>
<affiliation><nlm:aff id="Aff437">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Breda, M Sao Joao" sort="Breda, M Sao Joao" uniqKey="Breda M" first="M São João" last="Brêda">M São João Brêda</name>
<affiliation><nlm:aff id="Aff437">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff437">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro M" sort="Parreira, Pedro M" uniqKey="Parreira P" first="Pedro M." last="Parreira">Pedro M. Parreira</name>
<affiliation><nlm:aff id="Aff438">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, M Carminda" sort="Morais, M Carminda" uniqKey="Morais M" first="M Carminda" last="Morais">M Carminda Morais</name>
<affiliation><nlm:aff id="Aff439">Centro de Estudos e Investigação em Saúde, Faculdade de Economia,, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff440">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff439">Centro de Estudos e Investigação em Saúde, Faculdade de Economia,, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pimenta, Rui" sort="Pimenta, Rui" uniqKey="Pimenta R" first="Rui" last="Pimenta">Rui Pimenta</name>
<affiliation><nlm:aff id="Aff439">Centro de Estudos e Investigação em Saúde, Faculdade de Economia,, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Boavida, Jose" sort="Boavida, Jose" uniqKey="Boavida J" first="José" last="Boavida">José Boavida</name>
<affiliation><nlm:aff id="Aff441">Direção geral de Saúde (DGS), 1049-005 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Isabel C" sort="Pinto, Isabel C" uniqKey="Pinto I" first="Isabel C." last="Pinto">Isabel C. Pinto</name>
<affiliation><nlm:aff id="Aff442">Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pires, Tania" sort="Pires, Tania" uniqKey="Pires T" first="Tânia" last="Pires">Tânia Pires</name>
<affiliation><nlm:aff id="Aff442">Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff443">Centro de Investigação de Montanha, Escola Superior Agrária, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Catarina" sort="Silva, Catarina" uniqKey="Silva C" first="Catarina" last="Silva">Catarina Silva</name>
<affiliation><nlm:aff id="Aff442">Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Maria" sort="Ribeiro, Maria" uniqKey="Ribeiro M" first="Maria" last="Ribeiro">Maria Ribeiro</name>
<affiliation><nlm:aff id="Aff444">Escola Superior Agrária, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff445">Centro de Estudos Transdisciplinares para o Desenvolvimento, Universidade de Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Viega Branco, Maria" sort="Viega Branco, Maria" uniqKey="Viega Branco M" first="Maria" last="Viega-Branco">Maria Viega-Branco</name>
<affiliation><nlm:aff id="Aff446">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Filomena" sort="Pereira, Filomena" uniqKey="Pereira F" first="Filomena" last="Pereira">Filomena Pereira</name>
<affiliation><nlm:aff id="Aff447">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana M" sort="Pereira, Ana M" uniqKey="Pereira A" first="Ana M" last="Pereira">Ana M Pereira</name>
<affiliation><nlm:aff id="Aff446">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Fabricia M" sort="Almeida, Fabricia M" uniqKey="Almeida F" first="Fabrícia M." last="Almeida">Fabrícia M. Almeida</name>
<affiliation><nlm:aff id="Aff448">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Estevez, Gustavo L" sort="Estevez, Gustavo L" uniqKey="Estevez G" first="Gustavo L." last="Estevez">Gustavo L. Estevez</name>
<affiliation><nlm:aff id="Aff448">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Sandra" sort="Ribeiro, Sandra" uniqKey="Ribeiro S" first="Sandra" last="Ribeiro">Sandra Ribeiro</name>
<affiliation><nlm:aff id="Aff448">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia R" sort="Kretzer, Marcia R" uniqKey="Kretzer M" first="Marcia R." last="Kretzer">Marcia R. Kretzer</name>
<affiliation><nlm:aff id="Aff448">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Joao, Paulo V" sort="Joao, Paulo V" uniqKey="Joao P" first="Paulo V." last="João">Paulo V. João</name>
<affiliation><nlm:aff id="Aff449">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nogueira, Paulo" sort="Nogueira, Paulo" uniqKey="Nogueira P" first="Paulo" last="Nogueira">Paulo Nogueira</name>
<affiliation><nlm:aff id="Aff450">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Novais, Sandra" sort="Novais, Sandra" uniqKey="Novais S" first="Sandra" last="Novais">Sandra Novais</name>
<affiliation><nlm:aff id="Aff450">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana" sort="Pereira, Ana" uniqKey="Pereira A" first="Ana" last="Pereira">Ana Pereira</name>
<affiliation><nlm:aff id="Aff449">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff451">Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carneiro, Lara" sort="Carneiro, Lara" uniqKey="Carneiro L" first="Lara" last="Carneiro">Lara Carneiro</name>
<affiliation><nlm:aff id="Aff450">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mota, Maria" sort="Mota, Maria" uniqKey="Mota M" first="Maria" last="Mota">Maria Mota</name>
<affiliation><nlm:aff id="Aff449">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Rui" sort="Cruz, Rui" uniqKey="Cruz R" first="Rui" last="Cruz">Rui Cruz</name>
<affiliation><nlm:aff id="Aff452">College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santiago, Luiz" sort="Santiago, Luiz" uniqKey="Santiago L" first="Luiz" last="Santiago">Luiz Santiago</name>
<affiliation><nlm:aff id="Aff453">Universidade da Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fontes Ribeiro, Carlos" sort="Fontes Ribeiro, Carlos" uniqKey="Fontes Ribeiro C" first="Carlos" last="Fontes-Ribeiro">Carlos Fontes-Ribeiro</name>
<affiliation><nlm:aff id="Aff454">Departamento de Farmacologia e Terapêutica, Faculdade de Medicina, Universidade de Coimbra, Coimbra, 3000-548 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Furtado, Guilherme" sort="Furtado, Guilherme" uniqKey="Furtado G" first="Guilherme" last="Furtado">Guilherme Furtado</name>
<affiliation><nlm:aff id="Aff455">Fundação Capes, Ministério da Educação, 70.040-020 Brasília, Distrito Federal Brasil</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff456">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, Saulo V" sort="Rocha, Saulo V" uniqKey="Rocha S" first="Saulo V." last="Rocha">Saulo V. Rocha</name>
<affiliation><nlm:aff id="Aff457">Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia 45700-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coutinho, Andre P" sort="Coutinho, Andre P" uniqKey="Coutinho A" first="André P." last="Coutinho">André P. Coutinho</name>
<affiliation><nlm:aff id="Aff458">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neto, Joao S" sort="Neto, Joao S" uniqKey="Neto J" first="João S." last="Neto">João S. Neto</name>
<affiliation><nlm:aff id="Aff458">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vasconcelos, Lelia R" sort="Vasconcelos, Lelia R" uniqKey="Vasconcelos L" first="Lélia R." last="Vasconcelos">Lélia R. Vasconcelos</name>
<affiliation><nlm:aff id="Aff457">Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia 45700-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Souza, Nelba R" sort="Souza, Nelba R" uniqKey="Souza N" first="Nelba R." last="Souza">Nelba R. Souza</name>
<affiliation><nlm:aff id="Aff456">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dantas, Estelio" sort="Dantas, Estelio" uniqKey="Dantas E" first="Estélio" last="Dantas">Estélio Dantas</name>
<affiliation><nlm:aff id="Aff459">Universidade Tiradentes, Aracaju, Sergipe & Laboratório de Biociências da Motricidade Humana, 49030-620 Aracaju, Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dinis, Alexandra" sort="Dinis, Alexandra" uniqKey="Dinis A" first="Alexandra" last="Dinis">Alexandra Dinis</name>
<affiliation><nlm:aff id="Aff460">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Sergio" sort="Carvalho, Sergio" uniqKey="Carvalho S" first="Sérgio" last="Carvalho">Sérgio Carvalho</name>
<affiliation><nlm:aff id="Aff460">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castilho, Paula" sort="Castilho, Paula" uniqKey="Castilho P" first="Paula" last="Castilho">Paula Castilho</name>
<affiliation><nlm:aff id="Aff460">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff460">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sarreira Santos, Alexandra" sort="Sarreira Santos, Alexandra" uniqKey="Sarreira Santos A" first="Alexandra" last="Sarreira-Santos">Alexandra Sarreira-Santos</name>
<affiliation><nlm:aff id="Aff461">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff462">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Amelia" sort="Figueiredo, Amelia" uniqKey="Figueiredo A" first="Amélia" last="Figueiredo">Amélia Figueiredo</name>
<affiliation><nlm:aff id="Aff461">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff462">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Medeiros Garcia, Lurdes" sort="Medeiros Garcia, Lurdes" uniqKey="Medeiros Garcia L" first="Lurdes" last="Medeiros-Garcia">Lurdes Medeiros-Garcia</name>
<affiliation><nlm:aff id="Aff461">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff462">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seabra, Paulo" sort="Seabra, Paulo" uniqKey="Seabra P" first="Paulo" last="Seabra">Paulo Seabra</name>
<affiliation><nlm:aff id="Aff461">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff462">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Rosa" sort="Rodrigues, Rosa" uniqKey="Rodrigues R" first="Rosa" last="Rodrigues">Rosa Rodrigues</name>
<affiliation><nlm:aff id="Aff463">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, M Carminda" sort="Morais, M Carminda" uniqKey="Morais M" first="M Carminda" last="Morais">M Carminda Morais</name>
<affiliation><nlm:aff id="Aff463">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Paula O" sort="Fernandes, Paula O" uniqKey="Fernandes P" first="Paula O." last="Fernandes">Paula O. Fernandes</name>
<affiliation><nlm:aff id="Aff464">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santiago, Conceicao" sort="Santiago, Conceicao" uniqKey="Santiago C" first="Conceição" last="Santiago">Conceição Santiago</name>
<affiliation><nlm:aff id="Aff465">Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, M Henriqueta" sort="Figueiredo, M Henriqueta" uniqKey="Figueiredo M" first="M Henriqueta" last="Figueiredo">M Henriqueta Figueiredo</name>
<affiliation><nlm:aff id="Aff466">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Basto, Marta L" sort="Basto, Marta L" uniqKey="Basto M" first="Marta L." last="Basto">Marta L. Basto</name>
<affiliation><nlm:aff id="Aff467">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guimaraes, Teresa" sort="Guimaraes, Teresa" uniqKey="Guimaraes T" first="Teresa" last="Guimarães">Teresa Guimarães</name>
<affiliation><nlm:aff id="Aff468">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Andre" sort="Coelho, Andre" uniqKey="Coelho A" first="André" last="Coelho">André Coelho</name>
<affiliation><nlm:aff id="Aff468">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graca, Anabela" sort="Graca, Anabela" uniqKey="Graca A" first="Anabela" last="Graça">Anabela Graça</name>
<affiliation><nlm:aff id="Aff468">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Ana M" sort="Silva, Ana M" uniqKey="Silva A" first="Ana M." last="Silva">Ana M. Silva</name>
<affiliation><nlm:aff id="Aff468">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca, Ana R" sort="Fonseca, Ana R" uniqKey="Fonseca A" first="Ana R." last="Fonseca">Ana R. Fonseca</name>
<affiliation><nlm:aff id="Aff468">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vale Dias, Luz" sort="Vale Dias, Luz" uniqKey="Vale Dias L" first="Luz" last="Vale-Dias">Luz Vale-Dias</name>
<affiliation><nlm:aff id="Aff469">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Minas, Barbara" sort="Minas, Barbara" uniqKey="Minas B" first="Bárbara" last="Minas">Bárbara Minas</name>
<affiliation><nlm:aff id="Aff469">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Franco Borges, Graciete" sort="Franco Borges, Graciete" uniqKey="Franco Borges G" first="Graciete" last="Franco-Borges">Graciete Franco-Borges</name>
<affiliation><nlm:aff id="Aff469">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, Cristina" sort="Sim Es, Cristina" uniqKey="Sim Es C" first="Cristina" last="Sim Es">Cristina Sim Es</name>
<affiliation><nlm:aff id="Aff470">Universidade de Lisboa, 1649-003 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Sofia" sort="Santos, Sofia" uniqKey="Santos S" first="Sofia" last="Santos">Sofia Santos</name>
<affiliation><nlm:aff id="Aff470">Universidade de Lisboa, 1649-003 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serra, Ana" sort="Serra, Ana" uniqKey="Serra A" first="Ana" last="Serra">Ana Serra</name>
<affiliation><nlm:aff id="Aff471">Universidade de Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Matos, Maria" sort="Matos, Maria" uniqKey="Matos M" first="Maria" last="Matos">Maria Matos</name>
<affiliation><nlm:aff id="Aff471">Universidade de Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Luis" sort="Jesus, Luis" uniqKey="Jesus L" first="Luís" last="Jesus">Luís Jesus</name>
<affiliation><nlm:aff id="Aff471">Universidade de Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Ana S" sort="Tavares, Ana S" uniqKey="Tavares A" first="Ana S." last="Tavares">Ana S. Tavares</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Ana" sort="Almeida, Ana" uniqKey="Almeida A" first="Ana" last="Almeida">Ana Almeida</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leitao, Ceu" sort="Leitao, Ceu" uniqKey="Leitao C" first="Céu" last="Leitão">Céu Leitão</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Varandas, Edna" sort="Varandas, Edna" uniqKey="Varandas E" first="Edna" last="Varandas">Edna Varandas</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abreu, Renato" sort="Abreu, Renato" uniqKey="Abreu R" first="Renato" last="Abreu">Renato Abreu</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bellem, Fernando" sort="Bellem, Fernando" uniqKey="Bellem F" first="Fernando" last="Bellém">Fernando Bellém</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Trindade, Ines A" sort="Trindade, Ines A" uniqKey="Trindade I" first="Inês A." last="Trindade">Inês A. Trindade</name>
<affiliation><nlm:aff id="Aff473">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Claudia" sort="Ferreira, Claudia" uniqKey="Ferreira C" first="Cláudia" last="Ferreira">Cláudia Ferreira</name>
<affiliation><nlm:aff id="Aff473">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff473">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marta Sim Es, Joana" sort="Marta Sim Es, Joana" uniqKey="Marta Sim Es J" first="Joana" last="Marta-Sim Es">Joana Marta-Sim Es</name>
<affiliation><nlm:aff id="Aff473">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Odete" sort="Amaral, Odete" uniqKey="Amaral O" first="Odete" last="Amaral">Odete Amaral</name>
<affiliation><nlm:aff id="Aff474">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Miranda, Cristiana" sort="Miranda, Cristiana" uniqKey="Miranda C" first="Cristiana" last="Miranda">Cristiana Miranda</name>
<affiliation><nlm:aff id="Aff474">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guimaraes, Pedro" sort="Guimaraes, Pedro" uniqKey="Guimaraes P" first="Pedro" last="Guimarães">Pedro Guimarães</name>
<affiliation><nlm:aff id="Aff474">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Rodrigo" sort="Goncalves, Rodrigo" uniqKey="Goncalves R" first="Rodrigo" last="Gonçalves">Rodrigo Gonçalves</name>
<affiliation><nlm:aff id="Aff474">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veiga, Nelio" sort="Veiga, Nelio" uniqKey="Veiga N" first="Nélio" last="Veiga">Nélio Veiga</name>
<affiliation><nlm:aff id="Aff475">Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Carlos" sort="Pereira, Carlos" uniqKey="Pereira C" first="Carlos" last="Pereira">Carlos Pereira</name>
<affiliation><nlm:aff id="Aff474">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fleig, Tania C" sort="Fleig, Tania C" uniqKey="Fleig T" first="Tânia C." last="Fleig">Tânia C. Fleig</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="San Martin, Elisabete A" sort="San Martin, Elisabete A" uniqKey="San Martin E" first="Elisabete A." last="San-Martin">Elisabete A. San-Martin</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goulart, Cassia L" sort="Goulart, Cassia L" uniqKey="Goulart C" first="Cássia L." last="Goulart">Cássia L. Goulart</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schneiders, Paloma B" sort="Schneiders, Paloma B" uniqKey="Schneiders P" first="Paloma B." last="Schneiders">Paloma B. Schneiders</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Miranda, Natacha F" sort="Miranda, Natacha F" uniqKey="Miranda N" first="Natacha F." last="Miranda">Natacha F. Miranda</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Lisiane L" sort="Carvalho, Lisiane L" uniqKey="Carvalho L" first="Lisiane L." last="Carvalho">Lisiane L. Carvalho</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Andrea G" sort="Silva, Andrea G" uniqKey="Silva A" first="Andrea G." last="Silva">Andrea G. Silva</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Topa, Joana" sort="Topa, Joana" uniqKey="Topa J" first="Joana" last="Topa">Joana Topa</name>
<affiliation><nlm:aff id="Aff477">Instituto Superior da Maia, 4475-690 Avioso São Pedro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff478">Centro Interdisciplinar de Estudos de Género, Instituto Superior de Ciências Sociais e Políticas, 1300-663 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nogueira, Conceicao" sort="Nogueira, Conceicao" uniqKey="Nogueira C" first="Conceição" last="Nogueira">Conceição Nogueira</name>
<affiliation><nlm:aff id="Aff479">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Sofia" sort="Neves, Sofia" uniqKey="Neves S" first="Sofia" last="Neves">Sofia Neves</name>
<affiliation><nlm:aff id="Aff477">Instituto Superior da Maia, 4475-690 Avioso São Pedro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff478">Centro Interdisciplinar de Estudos de Género, Instituto Superior de Ciências Sociais e Políticas, 1300-663 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ventura, Rita" sort="Ventura, Rita" uniqKey="Ventura R" first="Rita" last="Ventura">Rita Ventura</name>
<affiliation><nlm:aff id="Aff480">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nazare, Cristina" sort="Nazare, Cristina" uniqKey="Nazare C" first="Cristina" last="Nazaré">Cristina Nazaré</name>
<affiliation><nlm:aff id="Aff480">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brandao, Daniela" sort="Brandao, Daniela" uniqKey="Brandao D" first="Daniela" last="Brandão">Daniela Brandão</name>
<affiliation><nlm:aff id="Aff481">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff482">Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Alberto" sort="Freitas, Alberto" uniqKey="Freitas A" first="Alberto" last="Freitas">Alberto Freitas</name>
<affiliation><nlm:aff id="Aff482">Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff483">Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Scar" sort="Ribeiro, Scar" uniqKey="Ribeiro " first=" Scar" last="Ribeiro"> Scar Ribeiro</name>
<affiliation><nlm:aff id="Aff481">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff484">Universidade de Aveiro, 3810–193 Aveiro, Portugal e Instituto Superior De Serviço Social Do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paul, Constanca" sort="Paul, Constanca" uniqKey="Paul C" first="Constança" last="Paúl">Constança Paúl</name>
<affiliation><nlm:aff id="Aff483">Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Merce, Cristiana" sort="Merce, Cristiana" uniqKey="Merce C" first="Cristiana" last="Mercê">Cristiana Mercê</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Branco, Marco" sort="Branco, Marco" uniqKey="Branco M" first="Marco" last="Branco">Marco Branco</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Pedro" sort="Almeida, Pedro" uniqKey="Almeida P" first="Pedro" last="Almeida">Pedro Almeida</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nascimento, Daniela" sort="Nascimento, Daniela" uniqKey="Nascimento D" first="Daniela" last="Nascimento">Daniela Nascimento</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Juliana" sort="Pereira, Juliana" uniqKey="Pereira J" first="Juliana" last="Pereira">Juliana Pereira</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catela, David" sort="Catela, David" uniqKey="Catela D" first="David" last="Catela">David Catela</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rafael, Helga" sort="Rafael, Helga" uniqKey="Rafael H" first="Helga" last="Rafael">Helga Rafael</name>
<affiliation><nlm:aff id="Aff486">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Alcinda C" sort="Reis, Alcinda C" uniqKey="Reis A" first="Alcinda C." last="Reis">Alcinda C. Reis</name>
<affiliation><nlm:aff id="Aff487">Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana" sort="Mendes, Ana" uniqKey="Mendes A" first="Ana" last="Mendes">Ana Mendes</name>
<affiliation><nlm:aff id="Aff488">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff489">Institute of Electronics and Informatics Engineering of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valente, Ana R" sort="Valente, Ana R" uniqKey="Valente A" first="Ana R." last="Valente">Ana R. Valente</name>
<affiliation><nlm:aff id="Aff489">Institute of Electronics and Informatics Engineering of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff490">Department of Education, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lousada, Marisa" sort="Lousada, Marisa" uniqKey="Lousada M" first="Marisa" last="Lousada">Marisa Lousada</name>
<affiliation><nlm:aff id="Aff491">Center for Health Technology and Services Research & School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Diana" sort="Sousa, Diana" uniqKey="Sousa D" first="Diana" last="Sousa">Diana Sousa</name>
<affiliation><nlm:aff id="Aff492">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baltazar, Ana L" sort="Baltazar, Ana L" uniqKey="Baltazar A" first="Ana L." last="Baltazar">Ana L. Baltazar</name>
<affiliation><nlm:aff id="Aff492">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Loureiro, M Helena" sort="Loureiro, M Helena" uniqKey="Loureiro M" first="M Helena" last="Loureiro">M Helena Loureiro</name>
<affiliation><nlm:aff id="Aff492">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana" sort="Oliveira, Ana" uniqKey="Oliveira A" first="Ana" last="Oliveira">Ana Oliveira</name>
<affiliation><nlm:aff id="Aff493">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aparicio, Jose" sort="Aparicio, Jose" uniqKey="Aparicio J" first="José" last="Aparício">José Aparício</name>
<affiliation><nlm:aff id="Aff495">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff494">Pediatrics Emergency Department, Hospital Lusíadas, Porto, 4050 113 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff495">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana" sort="Oliveira, Ana" uniqKey="Oliveira A" first="Ana" last="Oliveira">Ana Oliveira</name>
<affiliation><nlm:aff id="Aff495">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Joana" sort="Neves, Joana" uniqKey="Neves J" first="Joana" last="Neves">Joana Neves</name>
<affiliation><nlm:aff id="Aff496">Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ayoub, Rodrigo" sort="Ayoub, Rodrigo" uniqKey="Ayoub R" first="Rodrigo" last="Ayoub">Rodrigo Ayoub</name>
<affiliation><nlm:aff id="Aff496">Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Luis" sort="Sousa, Luis" uniqKey="Sousa L" first="Luís" last="Sousa">Luís Sousa</name>
<affiliation><nlm:aff id="Aff497">Hospital Curry Cabral, Centro Hospitalar Lisboa Central, 1069-166 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques Vieira, Cristina" sort="Marques Vieira, Cristina" uniqKey="Marques Vieira C" first="Cristina" last="Marques-Vieira">Cristina Marques-Vieira</name>
<affiliation><nlm:aff id="Aff498">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Severino, Sandy" sort="Severino, Sandy" uniqKey="Severino S" first="Sandy" last="Severino">Sandy Severino</name>
<affiliation><nlm:aff id="Aff497">Hospital Curry Cabral, Centro Hospitalar Lisboa Central, 1069-166 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jose, Helena" sort="Jose, Helena" uniqKey="Jose H" first="Helena" last="José">Helena José</name>
<affiliation><nlm:aff id="Aff499">Centro de Formação Multiperfil, Luanda, PR - 56Q Angola</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cadorio, Ines" sort="Cadorio, Ines" uniqKey="Cadorio I" first="Inês" last="Cadorio">Inês Cadorio</name>
<affiliation><nlm:aff id="Aff500">Center for Health Technology and Services Research, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lousada, Marisa" sort="Lousada, Marisa" uniqKey="Lousada M" first="Marisa" last="Lousada">Marisa Lousada</name>
<affiliation><nlm:aff id="Aff500">Center for Health Technology and Services Research, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff501">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Diogo" sort="Andrade, Diogo" uniqKey="Andrade D" first="Diogo" last="Andrade">Diogo Andrade</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galhardo, Ana" sort="Galhardo, Ana" uniqKey="Galhardo A" first="Ana" last="Galhardo">Ana Galhardo</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Couto, Margarida" sort="Couto, Margarida" uniqKey="Couto M" first="Margarida" last="Couto">Margarida Couto</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Domingues, Catia" sort="Domingues, Catia" uniqKey="Domingues C" first="Cátia" last="Domingues">Cátia Domingues</name>
<affiliation><nlm:aff id="Aff503">Centre of Investigation in Environment, Genetics and Oncobiology, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schukg, Susann" sort="Schukg, Susann" uniqKey="Schukg S" first="Susann" last="Schukg">Susann Schukg</name>
<affiliation><nlm:aff id="Aff504">Biomedical Laboratory Sciences Department, University of Gothenburg, S-405 30 Gothenburg, Sweden</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abrantes, Ana M" sort="Abrantes, Ana M" uniqKey="Abrantes A" first="Ana M." last="Abrantes">Ana M. Abrantes</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Ana C" sort="Goncalves, Ana C" uniqKey="Goncalves A" first="Ana C." last="Gonçalves">Ana C. Gonçalves</name>
<affiliation><nlm:aff id="Aff506">Oncobiology and Haematology Laboratory of Applied Molecular Biology & Clinical University of Hematology, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sales, Tiago" sort="Sales, Tiago" uniqKey="Sales T" first="Tiago" last="Sales">Tiago Sales</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixo, Ricardo" sort="Teixo, Ricardo" uniqKey="Teixo R" first="Ricardo" last="Teixo">Ricardo Teixo</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Rita" sort="Silva, Rita" uniqKey="Silva R" first="Rita" last="Silva">Rita Silva</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Estrela, Jessica" sort="Estrela, Jessica" uniqKey="Estrela J" first="Jéssica" last="Estrela">Jéssica Estrela</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Laranjo, Mafalda" sort="Laranjo, Mafalda" uniqKey="Laranjo M" first="Mafalda" last="Laranjo">Mafalda Laranjo</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Casalta Lopes, Joao" sort="Casalta Lopes, Joao" uniqKey="Casalta Lopes J" first="João" last="Casalta-Lopes">João Casalta-Lopes</name>
<affiliation><nlm:aff id="Aff507">Radiation Oncology Department, Coimbra Hospital and Universitary Centre, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, Clara" sort="Rocha, Clara" uniqKey="Rocha C" first="Clara" last="Rocha">Clara Rocha</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, Paulo C" sort="Sim Es, Paulo C" uniqKey="Sim Es P" first="Paulo C." last="Sim Es">Paulo C. Sim Es</name>
<affiliation><nlm:aff id="Aff507">Radiation Oncology Department, Coimbra Hospital and Universitary Centre, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sarmento Ribeiro, Ana B" sort="Sarmento Ribeiro, Ana B" uniqKey="Sarmento Ribeiro A" first="Ana B." last="Sarmento-Ribeiro">Ana B. Sarmento-Ribeiro</name>
<affiliation><nlm:aff id="Aff508">Clinical University of Hematology, Coimbra Hospital and Universitary Centre, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Botelho, M Filomena" sort="Botelho, M Filomena" uniqKey="Botelho M" first="M Filomena" last="Botelho">M Filomena Botelho</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Manuel S" sort="Rosa, Manuel S" uniqKey="Rosa M" first="Manuel S." last="Rosa">Manuel S. Rosa</name>
<affiliation><nlm:aff id="Aff509">Imunology Institute, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca, Virginia" sort="Fonseca, Virginia" uniqKey="Fonseca V" first="Virgínia" last="Fonseca">Virgínia Fonseca</name>
<affiliation><nlm:aff id="Aff510">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisboa, 1549-020 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Colaco, Diogo" sort="Colaco, Diogo" uniqKey="Colaco D" first="Diogo" last="Colaço">Diogo Colaço</name>
<affiliation><nlm:aff id="Aff510">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisboa, 1549-020 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Vanessa" sort="Neves, Vanessa" uniqKey="Neves V" first="Vanessa" last="Neves">Vanessa Neves</name>
<affiliation><nlm:aff id="Aff510">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisboa, 1549-020 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Carlos" sort="Jesus, Carlos" uniqKey="Jesus C" first="Carlos" last="Jesus">Carlos Jesus</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hesse, Camilla" sort="Hesse, Camilla" uniqKey="Hesse C" first="Camilla" last="Hesse">Camilla Hesse</name>
<affiliation><nlm:aff id="Aff512">Department of Clinical Chemistry and Transfusion Medicine, Sahlgrenska University Hospital, Göteborg, 413 45 Göteborg Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, Clara" sort="Rocha, Clara" uniqKey="Rocha C" first="Clara" last="Rocha">Clara Rocha</name>
<affiliation><nlm:aff id="Aff513">Complementary Sciences Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Os Rio, Nadia" sort="Os Rio, Nadia" uniqKey="Os Rio N" first="Nádia" last="Os Rio">Nádia Os Rio</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valado, Ana" sort="Valado, Ana" uniqKey="Valado A" first="Ana" last="Valado">Ana Valado</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caseiro, Armando" sort="Caseiro, Armando" uniqKey="Caseiro A" first="Armando" last="Caseiro">Armando Caseiro</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Ant Nio" sort="Gabriel, Ant Nio" uniqKey="Gabriel A" first="Ant Nio" last="Gabriel">Ant Nio Gabriel</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Svensson, Lola" sort="Svensson, Lola" uniqKey="Svensson L" first="Lola" last="Svensson">Lola Svensson</name>
<affiliation><nlm:aff id="Aff512">Department of Clinical Chemistry and Transfusion Medicine, Sahlgrenska University Hospital, Göteborg, 413 45 Göteborg Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Siba, Wafa A" sort="Siba, Wafa A" uniqKey="Siba W" first="Wafa A." last="Siba">Wafa A. Siba</name>
<affiliation><nlm:aff id="Aff514">Medical Laboratory Sciences Department, Al-Quds University, Abu Dis, P.O Box 89, Abu Dis, Palestinian National Authority</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Cristina" sort="Pereira, Cristina" uniqKey="Pereira C" first="Cristina" last="Pereira">Cristina Pereira</name>
<affiliation><nlm:aff id="Aff515">Blood Bank Service, Coimbra Hospital and Universitary Center, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomaz, Jorge" sort="Tomaz, Jorge" uniqKey="Tomaz J" first="Jorge" last="Tomaz">Jorge Tomaz</name>
<affiliation><nlm:aff id="Aff515">Blood Bank Service, Coimbra Hospital and Universitary Center, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Teresa" sort="Carvalho, Teresa" uniqKey="Carvalho T" first="Teresa" last="Carvalho">Teresa Carvalho</name>
<affiliation><nlm:aff id="Aff516">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff517">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff516">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff516">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff517">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Diana" sort="Duarte, Diana" uniqKey="Duarte D" first="Diana" last="Duarte">Diana Duarte</name>
<affiliation><nlm:aff id="Aff518">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Nuno V" sort="Lopes, Nuno V" uniqKey="Lopes N" first="Nuno V." last="Lopes">Nuno V. Lopes</name>
<affiliation><nlm:aff id="Aff518">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff519">Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca Pinto, Rui" sort="Fonseca Pinto, Rui" uniqKey="Fonseca Pinto R" first="Rui" last="Fonseca-Pinto">Rui Fonseca-Pinto</name>
<affiliation><nlm:aff id="Aff518">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff520">Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Diana" sort="Duarte, Diana" uniqKey="Duarte D" first="Diana" last="Duarte">Diana Duarte</name>
<affiliation><nlm:aff id="Aff521">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Nuno V" sort="Lopes, Nuno V" uniqKey="Lopes N" first="Nuno V." last="Lopes">Nuno V. Lopes</name>
<affiliation><nlm:aff id="Aff521">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff522">Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca Pinto, Rui" sort="Fonseca Pinto, Rui" uniqKey="Fonseca Pinto R" first="Rui" last="Fonseca-Pinto">Rui Fonseca-Pinto</name>
<affiliation><nlm:aff id="Aff521">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff523">Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff524">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brandao, Piedade" sort="Brandao, Piedade" uniqKey="Brandao P" first="Piedade" last="Brandão">Piedade Brandão</name>
<affiliation><nlm:aff id="Aff525">Escola Superior de Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff526">Center for Health Technology and Services Research, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Laura" sort="Martins, Laura" uniqKey="Martins L" first="Laura" last="Martins">Laura Martins</name>
<affiliation><nlm:aff id="Aff525">Escola Superior de Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Margarida" sort="Cardoso, Margarida" uniqKey="Cardoso M" first="Margarida" last="Cardoso">Margarida Cardoso</name>
<affiliation><nlm:aff id="Aff527">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, 4050-313 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff528">Interdisciplinary Centre of Marine and Environmental Research, Universidade do Porto, 4050-123 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, Nuno" sort="Morais, Nuno" uniqKey="Morais N" first="Nuno" last="Morais">Nuno Morais</name>
<affiliation><nlm:aff id="Aff529">School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Joana" sort="Cruz, Joana" uniqKey="Cruz J" first="Joana" last="Cruz">Joana Cruz</name>
<affiliation><nlm:aff id="Aff530">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Nuno" sort="Alves, Nuno" uniqKey="Alves N" first="Nuno" last="Alves">Nuno Alves</name>
<affiliation><nlm:aff id="Aff531">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faria, Paula" sort="Faria, Paula" uniqKey="Faria P" first="Paula" last="Faria">Paula Faria</name>
<affiliation><nlm:aff id="Aff531">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mateus, Artur" sort="Mateus, Artur" uniqKey="Mateus A" first="Artur" last="Mateus">Artur Mateus</name>
<affiliation><nlm:aff id="Aff531">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morouco, Pedro" sort="Morouco, Pedro" uniqKey="Morouco P" first="Pedro" last="Morouço">Pedro Morouço</name>
<affiliation><nlm:aff id="Aff531">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Nuno" sort="Alves, Nuno" uniqKey="Alves N" first="Nuno" last="Alves">Nuno Alves</name>
<affiliation><nlm:aff id="Aff532">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Nelson" sort="Ferreira, Nelson" uniqKey="Ferreira N" first="Nelson" last="Ferreira">Nelson Ferreira</name>
<affiliation><nlm:aff id="Aff532">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mateus, Artur" sort="Mateus, Artur" uniqKey="Mateus A" first="Artur" last="Mateus">Artur Mateus</name>
<affiliation><nlm:aff id="Aff532">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faria, Paula" sort="Faria, Paula" uniqKey="Faria P" first="Paula" last="Faria">Paula Faria</name>
<affiliation><nlm:aff id="Aff532">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morouco, Pedro" sort="Morouco, Pedro" uniqKey="Morouco P" first="Pedro" last="Morouço">Pedro Morouço</name>
<affiliation><nlm:aff id="Aff532">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Malheiro, Isabel" sort="Malheiro, Isabel" uniqKey="Malheiro I" first="Isabel" last="Malheiro">Isabel Malheiro</name>
<affiliation><nlm:aff id="Aff533">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gaspar, Filomena" sort="Gaspar, Filomena" uniqKey="Gaspar F" first="Filomena" last="Gaspar">Filomena Gaspar</name>
<affiliation><nlm:aff id="Aff533">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barros, Luisa" sort="Barros, Luisa" uniqKey="Barros L" first="Luísa" last="Barros">Luísa Barros</name>
<affiliation><nlm:aff id="Aff534">Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff535">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Andreia" sort="Cardoso, Andreia" uniqKey="Cardoso A" first="Andreia" last="Cardoso">Andreia Cardoso</name>
<affiliation><nlm:aff id="Aff536">Birmingham Hospitals, Birmingham, B15 2GW United Kingdom</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete" sort="M Nico, Lisete" uniqKey="M Nico L" first="Lisete" last="M Nico">Lisete M Nico</name>
<affiliation><nlm:aff id="Aff537">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff537">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Albino" sort="Lopes, Albino" uniqKey="Lopes A" first="Albino" last="Lopes">Albino Lopes</name>
<affiliation><nlm:aff id="Aff538">Instituto Superior de Ciências Sociais e Políticas, 1300-663 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro Oliveira, Anabela" sort="Salgueiro Oliveira, Anabela" uniqKey="Salgueiro Oliveira A" first="Anabela" last="Salgueiro-Oliveira">Anabela Salgueiro-Oliveira</name>
<affiliation><nlm:aff id="Aff535">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seixas, Aderito" sort="Seixas, Aderito" uniqKey="Seixas A" first="Adérito" last="Seixas">Adérito Seixas</name>
<affiliation><nlm:aff id="Aff539">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Valter" sort="Soares, Valter" uniqKey="Soares V" first="Valter" last="Soares">Valter Soares</name>
<affiliation><nlm:aff id="Aff539">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Tiago" sort="Dias, Tiago" uniqKey="Dias T" first="Tiago" last="Dias">Tiago Dias</name>
<affiliation><nlm:aff id="Aff539">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vardasca, Ricardo" sort="Vardasca, Ricardo" uniqKey="Vardasca R" first="Ricardo" last="Vardasca">Ricardo Vardasca</name>
<affiliation><nlm:aff id="Aff540">Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Joaquim" sort="Gabriel, Joaquim" uniqKey="Gabriel J" first="Joaquim" last="Gabriel">Joaquim Gabriel</name>
<affiliation><nlm:aff id="Aff540">Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Sandra" sort="Rodrigues, Sandra" uniqKey="Rodrigues S" first="Sandra" last="Rodrigues">Sandra Rodrigues</name>
<affiliation><nlm:aff id="Aff539">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paredes, Hugo" sort="Paredes, Hugo" uniqKey="Paredes H" first="Hugo" last="Paredes">Hugo Paredes</name>
<affiliation><nlm:aff id="Aff541">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff542">Instituto de Engenharia de Sistemas e Computadores, Tecnologia e Ciência, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Arsenio" sort="Reis, Arsenio" uniqKey="Reis A" first="Arsénio" last="Reis">Arsénio Reis</name>
<affiliation><nlm:aff id="Aff541">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marinho, Sara" sort="Marinho, Sara" uniqKey="Marinho S" first="Sara" last="Marinho">Sara Marinho</name>
<affiliation><nlm:aff id="Aff541">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Filipe, Vitor" sort="Filipe, Vitor" uniqKey="Filipe V" first="Vítor" last="Filipe">Vítor Filipe</name>
<affiliation><nlm:aff id="Aff541">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lains, Jorge" sort="Lains, Jorge" uniqKey="Lains J" first="Jorge" last="Lains">Jorge Lains</name>
<affiliation><nlm:aff id="Aff1000">Centro de Medicina de Reabilitação da Região Centro - Rovisco Pais, 3064-908 Tocha, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barroso, Joao" sort="Barroso, Joao" uniqKey="Barroso J" first="João" last="Barroso">João Barroso</name>
<affiliation><nlm:aff id="Aff541">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Da Motta, Carolina" sort="Da Motta, Carolina" uniqKey="Da Motta C" first="Carolina" last="Da Motta">Carolina Da Motta</name>
<affiliation><nlm:aff id="Aff543">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff544">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Celia B" sort="Carvalho, Celia B" uniqKey="Carvalho C" first="Célia B." last="Carvalho">Célia B. Carvalho</name>
<affiliation><nlm:aff id="Aff543">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff544">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff543">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Peixoto, Ermelindo" sort="Peixoto, Ermelindo" uniqKey="Peixoto E" first="Ermelindo" last="Peixoto">Ermelindo Peixoto</name>
<affiliation><nlm:aff id="Aff544">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Ana A" sort="Gomes, Ana A" uniqKey="Gomes A" first="Ana A." last="Gomes">Ana A. Gomes</name>
<affiliation><nlm:aff id="Aff545">Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff546">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Vanessa" sort="Costa, Vanessa" uniqKey="Costa V" first="Vanessa" last="Costa">Vanessa Costa</name>
<affiliation><nlm:aff id="Aff547">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff548">Centro de investigação em educação e ciências do comportamento, Universidade de Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Couto, Diana" sort="Couto, Diana" uniqKey="Couto D" first="Diana" last="Couto">Diana Couto</name>
<affiliation><nlm:aff id="Aff545">Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff548">Centro de investigação em educação e ciências do comportamento, Universidade de Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Daniel R" sort="Marques, Daniel R" uniqKey="Marques D" first="Daniel R." last="Marques">Daniel R. Marques</name>
<affiliation><nlm:aff id="Aff545">Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff549">Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, Coimbra, 3000-548 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leitao, Jose A" sort="Leitao, Jose A" uniqKey="Leitao J" first="José A." last="Leitão">José A. Leitão</name>
<affiliation><nlm:aff id="Aff547">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff550">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Jose" sort="Tavares, Jose" uniqKey="Tavares J" first="José" last="Tavares">José Tavares</name>
<affiliation><nlm:aff id="Aff545">Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, Maria H" sort="Azevedo, Maria H" uniqKey="Azevedo M" first="Maria H." last="Azevedo">Maria H. Azevedo</name>
<affiliation><nlm:aff id="Aff549">Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, Coimbra, 3000-548 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Carlos F" sort="Silva, Carlos F" uniqKey="Silva C" first="Carlos F." last="Silva">Carlos F. Silva</name>
<affiliation><nlm:aff id="Aff545">Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff546">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Joao" sort="Freitas, Joao" uniqKey="Freitas J" first="João" last="Freitas">João Freitas</name>
<affiliation><nlm:aff id="Aff551">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff552">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maroco, Joao" sort="Maroco, Joao" uniqKey="Maroco J" first="João" last="Marôco">João Marôco</name>
<affiliation><nlm:aff id="Aff553">Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, 1149-041 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garcia Gordillo, Miguel A" sort="Garcia Gordillo, Miguel A" uniqKey="Garcia Gordillo M" first="Miguel A." last="Garcia-Gordillo">Miguel A. Garcia-Gordillo</name>
<affiliation><nlm:aff id="Aff554">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Collado Mateo, Daniel" sort="Collado Mateo, Daniel" uniqKey="Collado Mateo D" first="Daniel" last="Collado-Mateo">Daniel Collado-Mateo</name>
<affiliation><nlm:aff id="Aff554">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chen, Gang" sort="Chen, Gang" uniqKey="Chen G" first="Gang" last="Chen">Gang Chen</name>
<affiliation><nlm:aff id="Aff555">Flinders Health Economics Group, Flinders University, Adelaide, 5001 Australia</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Iezzi, Angelo" sort="Iezzi, Angelo" uniqKey="Iezzi A" first="Angelo" last="Iezzi">Angelo Iezzi</name>
<affiliation><nlm:aff id="Aff556">Centre for Health Economics, Monash University, Victoria, 3800 Australia</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sala, Jose A" sort="Sala, Jose A" uniqKey="Sala J" first="José A." last="Sala">José A. Sala</name>
<affiliation><nlm:aff id="Aff554">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parraca, Jose A" sort="Parraca, Jose A" uniqKey="Parraca J" first="José A." last="Parraça">José A. Parraça</name>
<affiliation><nlm:aff id="Aff557">Universidade de Évora, 7004-516 Évora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gusi, Narcis" sort="Gusi, Narcis" uniqKey="Gusi N" first="Narcis" last="Gusi">Narcis Gusi</name>
<affiliation><nlm:aff id="Aff554">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Jani" sort="Sousa, Jani" uniqKey="Sousa J" first="Jani" last="Sousa">Jani Sousa</name>
<affiliation><nlm:aff id="Aff558">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Mariana" sort="Marques, Mariana" uniqKey="Marques M" first="Mariana" last="Marques">Mariana Marques</name>
<affiliation><nlm:aff id="Aff558">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff559">Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jardim, Jacinto" sort="Jardim, Jacinto" uniqKey="Jardim J" first="Jacinto" last="Jardim">Jacinto Jardim</name>
<affiliation><nlm:aff id="Aff560">Centro de Literaturas e Culturas Lusófonas e Europeias, Universidade de Lisboa, 1600-214 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Anabela" sort="Pereira, Anabela" uniqKey="Pereira A" first="Anabela" last="Pereira">Anabela Pereira</name>
<affiliation><nlm:aff id="Aff561">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, S Nia" sort="Sim Es, S Nia" uniqKey="Sim Es S" first="S Nia" last="Sim Es">S Nia Sim Es</name>
<affiliation><nlm:aff id="Aff558">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff558">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sardo, Pedro" sort="Sardo, Pedro" uniqKey="Sardo P" first="Pedro" last="Sardo">Pedro Sardo</name>
<affiliation><nlm:aff id="Aff562">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guedes, Jenifer" sort="Guedes, Jenifer" uniqKey="Guedes J" first="Jenifer" last="Guedes">Jenifer Guedes</name>
<affiliation><nlm:aff id="Aff563">Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lindo, Joao" sort="Lindo, Joao" uniqKey="Lindo J" first="João" last="Lindo">João Lindo</name>
<affiliation><nlm:aff id="Aff562">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, Paulo" sort="Machado, Paulo" uniqKey="Machado P" first="Paulo" last="Machado">Paulo Machado</name>
<affiliation><nlm:aff id="Aff564">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Elsa" sort="Melo, Elsa" uniqKey="Melo E" first="Elsa" last="Melo">Elsa Melo</name>
<affiliation><nlm:aff id="Aff562">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Celia B" sort="Carvalho, Celia B" uniqKey="Carvalho C" first="Célia B." last="Carvalho">Célia B. Carvalho</name>
<affiliation><nlm:aff id="Aff565">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff566">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Benevides, Joana" sort="Benevides, Joana" uniqKey="Benevides J" first="Joana" last="Benevides">Joana Benevides</name>
<affiliation><nlm:aff id="Aff565">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Marina" sort="Sousa, Marina" uniqKey="Sousa M" first="Marina" last="Sousa">Marina Sousa</name>
<affiliation><nlm:aff id="Aff565">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Joana" sort="Cabral, Joana" uniqKey="Cabral J" first="Joana" last="Cabral">Joana Cabral</name>
<affiliation><nlm:aff id="Aff565">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Da Motta, Carolina" sort="Da Motta, Carolina" uniqKey="Da Motta C" first="Carolina" last="Da Motta">Carolina Da Motta</name>
<affiliation><nlm:aff id="Aff565">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff566">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana T" sort="Pereira, Ana T" uniqKey="Pereira A" first="Ana T." last="Pereira">Ana T. Pereira</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Xavier, Sandra" sort="Xavier, Sandra" uniqKey="Xavier S" first="Sandra" last="Xavier">Sandra Xavier</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, Julieta" sort="Azevedo, Julieta" uniqKey="Azevedo J" first="Julieta" last="Azevedo">Julieta Azevedo</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bento, Elisabete" sort="Bento, Elisabete" uniqKey="Bento E" first="Elisabete" last="Bento">Elisabete Bento</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Cristiana" sort="Marques, Cristiana" uniqKey="Marques C" first="Cristiana" last="Marques">Cristiana Marques</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Rosa" sort="Carvalho, Rosa" uniqKey="Carvalho R" first="Rosa" last="Carvalho">Rosa Carvalho</name>
<affiliation><nlm:aff id="Aff568">Unidade de Saúde Familiar – Topázio, Eiras, 3020-171 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Mariana" sort="Marques, Mariana" uniqKey="Marques M" first="Mariana" last="Marques">Mariana Marques</name>
<affiliation><nlm:aff id="Aff569">Instituto Superior Miguel Torga, Coimbra, 3000 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Macedo, Ant Nio" sort="Macedo, Ant Nio" uniqKey="Macedo A" first="Ant Nio" last="Macedo">Ant Nio Macedo</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Ana M" sort="Silva, Ana M" uniqKey="Silva A" first="Ana M." last="Silva">Ana M. Silva</name>
<affiliation><nlm:aff id="Aff570">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Juliana" sort="Alves, Juliana" uniqKey="Alves J" first="Juliana" last="Alves">Juliana Alves</name>
<affiliation><nlm:aff id="Aff570">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Ana A" sort="Gomes, Ana A" uniqKey="Gomes A" first="Ana A." last="Gomes">Ana A. Gomes</name>
<affiliation><nlm:aff id="Aff570">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff571">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Daniel R" sort="Marques, Daniel R" uniqKey="Marques D" first="Daniel R." last="Marques">Daniel R. Marques</name>
<affiliation><nlm:aff id="Aff570">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff572">Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, 3000-548 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, M Helena" sort="Azevedo, M Helena" uniqKey="Azevedo M" first="M Helena" last="Azevedo">M Helena Azevedo</name>
<affiliation><nlm:aff id="Aff572">Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, 3000-548 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Carlos" sort="Silva, Carlos" uniqKey="Silva C" first="Carlos" last="Silva">Carlos Silva</name>
<affiliation><nlm:aff id="Aff570">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff571">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana" sort="Mendes, Ana" uniqKey="Mendes A" first="Ana" last="Mendes">Ana Mendes</name>
<affiliation><nlm:aff id="Aff573">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lee, Huei D" sort="Lee, Huei D" uniqKey="Lee H" first="Huei D." last="Lee">Huei D. Lee</name>
<affiliation><nlm:aff id="Aff574">Laboratory of Bioinformatics, Graduate Program in Engineering and Computing, West Paraná State University, Cascavel, Paraná 85819-110 Brasil</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff575">Universidade Estadual de Campinas, Campinas, São Paulo 13083-970 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Spolaor, Newton" sort="Spolaor, Newton" uniqKey="Spolaor N" first="Newton" last="Spolaôr">Newton Spolaôr</name>
<affiliation><nlm:aff id="Aff574">Laboratory of Bioinformatics, Graduate Program in Engineering and Computing, West Paraná State University, Cascavel, Paraná 85819-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliva, Jefferson T" sort="Oliva, Jefferson T" uniqKey="Oliva J" first="Jefferson T." last="Oliva">Jefferson T. Oliva</name>
<affiliation><nlm:aff id="Aff574">Laboratory of Bioinformatics, Graduate Program in Engineering and Computing, West Paraná State University, Cascavel, Paraná 85819-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chung, Wu F" sort="Chung, Wu F" uniqKey="Chung W" first="Wu F." last="Chung">Wu F. Chung</name>
<affiliation><nlm:aff id="Aff574">Laboratory of Bioinformatics, Graduate Program in Engineering and Computing, West Paraná State University, Cascavel, Paraná 85819-110 Brasil</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff575">Universidade Estadual de Campinas, Campinas, São Paulo 13083-970 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca Pinto, Rui" sort="Fonseca Pinto, Rui" uniqKey="Fonseca Pinto R" first="Rui" last="Fonseca-Pinto">Rui Fonseca-Pinto</name>
<affiliation><nlm:aff id="Aff573">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff576">Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bairros, Keila" sort="Bairros, Keila" uniqKey="Bairros K" first="Keila" last="Bairros">Keila Bairros</name>
<affiliation><nlm:aff id="Aff577">Fundação Universidade Regional de Blumenau, Blumenau, Santa Catarina 89012-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Claudia D" sort="Silva, Claudia D" uniqKey="Silva C" first="Cláudia D." last="Silva">Cláudia D. Silva</name>
<affiliation><nlm:aff id="Aff577">Fundação Universidade Regional de Blumenau, Blumenau, Santa Catarina 89012-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Souza, Cl Vis A" sort="Souza, Cl Vis A" uniqKey="Souza C" first="Cl Vis A." last="Souza">Cl Vis A. Souza</name>
<affiliation><nlm:aff id="Aff577">Fundação Universidade Regional de Blumenau, Blumenau, Santa Catarina 89012-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schroeder, Silvana S" sort="Schroeder, Silvana S" uniqKey="Schroeder S" first="Silvana S." last="Schroeder">Silvana S. Schroeder</name>
<affiliation><nlm:aff id="Aff577">Fundação Universidade Regional de Blumenau, Blumenau, Santa Catarina 89012-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Elsa" sort="Araujo, Elsa" uniqKey="Araujo E" first="Elsa" last="Araújo">Elsa Araújo</name>
<affiliation><nlm:aff id="Aff578">Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Helena" sort="Monteiro, Helena" uniqKey="Monteiro H" first="Helena" last="Monteiro">Helena Monteiro</name>
<affiliation><nlm:aff id="Aff578">Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Ricardo" sort="Costa, Ricardo" uniqKey="Costa R" first="Ricardo" last="Costa">Ricardo Costa</name>
<affiliation><nlm:aff id="Aff578">Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Sara S" sort="Dias, Sara S" uniqKey="Dias S" first="Sara S." last="Dias">Sara S. Dias</name>
<affiliation><nlm:aff id="Aff578">Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff579">Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa, 1150-082 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff580">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Torgal, Jorge" sort="Torgal, Jorge" uniqKey="Torgal J" first="Jorge" last="Torgal">Jorge Torgal</name>
<affiliation><nlm:aff id="Aff578">Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Henriques, Carolina G" sort="Henriques, Carolina G" uniqKey="Henriques C" first="Carolina G." last="Henriques">Carolina G. Henriques</name>
<affiliation><nlm:aff id="Aff581">Health Research Unit, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff582">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Luisa" sort="Santos, Luisa" uniqKey="Santos L" first="Luísa" last="Santos">Luísa Santos</name>
<affiliation><nlm:aff id="Aff582">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caceiro, Elisa F" sort="Caceiro, Elisa F" uniqKey="Caceiro E" first="Elisa F." last="Caceiro">Elisa F. Caceiro</name>
<affiliation><nlm:aff id="Aff582">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, S Nia A" sort="Ramalho, S Nia A" uniqKey="Ramalho S" first="S Nia A." last="Ramalho">S Nia A. Ramalho</name>
<affiliation><nlm:aff id="Aff581">Health Research Unit, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff582">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Rita" sort="Oliveira, Rita" uniqKey="Oliveira R" first="Rita" last="Oliveira">Rita Oliveira</name>
<affiliation><nlm:aff id="Aff583">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff584">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Afreixo, Vera" sort="Afreixo, Vera" uniqKey="Afreixo V" first="Vera" last="Afreixo">Vera Afreixo</name>
<affiliation><nlm:aff id="Aff584">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Joao" sort="Santos, Joao" uniqKey="Santos J" first="João" last="Santos">João Santos</name>
<affiliation><nlm:aff id="Aff583">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mota, Priscilla" sort="Mota, Priscilla" uniqKey="Mota P" first="Priscilla" last="Mota">Priscilla Mota</name>
<affiliation><nlm:aff id="Aff583">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff583">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pimentel, Francisco" sort="Pimentel, Francisco" uniqKey="Pimentel F" first="Francisco" last="Pimentel">Francisco Pimentel</name>
<affiliation><nlm:aff id="Aff584">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff585">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff586">Health Research Unit & School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff586">Health Research Unit & School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff587">Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Benevides, Joana" sort="Benevides, Joana" uniqKey="Benevides J" first="Joana" last="Benevides">Joana Benevides</name>
<affiliation><nlm:aff id="Aff588">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Da Motta, Carolina" sort="Da Motta, Carolina" uniqKey="Da Motta C" first="Carolina" last="Da Motta">Carolina Da Motta</name>
<affiliation><nlm:aff id="Aff588">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff589">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Marina" sort="Sousa, Marina" uniqKey="Sousa M" first="Marina" last="Sousa">Marina Sousa</name>
<affiliation><nlm:aff id="Aff588">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caldeira, Suzana N" sort="Caldeira, Suzana N" uniqKey="Caldeira S" first="Suzana N." last="Caldeira">Suzana N. Caldeira</name>
<affiliation><nlm:aff id="Aff588">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff590">Centro Interdisciplinar de Ciências Sociais, Universidade dos Açores, São Miguel, 9501-855 Ponta Delgada, Região Autónoma dos Açores Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Celia B" sort="Carvalho, Celia B" uniqKey="Carvalho C" first="Célia B." last="Carvalho">Célia B. Carvalho</name>
<affiliation><nlm:aff id="Aff588">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff589">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff591">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff591">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Daniel" sort="Carvalho, Daniel" uniqKey="Carvalho D" first="Daniel" last="Carvalho">Daniel Carvalho</name>
<affiliation><nlm:aff id="Aff591">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff592">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Joao" sort="Gomes, Joao" uniqKey="Gomes J" first="João" last="Gomes">João Gomes</name>
<affiliation><nlm:aff id="Aff591">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff592">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff591">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Joyce O" sort="Costa, Joyce O" uniqKey="Costa J" first="Joyce O." last="Costa">Joyce O. Costa</name>
<affiliation><nlm:aff id="Aff593">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais, 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valim, Frederico C" sort="Valim, Frederico C" uniqKey="Valim F" first="Frederico C." last="Valim">Frederico C. Valim</name>
<affiliation><nlm:aff id="Aff593">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais, 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Ligia C" sort="Ribeiro, Ligia C" uniqKey="Ribeiro L" first="Lígia C." last="Ribeiro">Lígia C. Ribeiro</name>
<affiliation><nlm:aff id="Aff593">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais, 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Charepe, Zaida" sort="Charepe, Zaida" uniqKey="Charepe Z" first="Zaida" last="Charepe">Zaida Charepe</name>
<affiliation><nlm:aff id="Aff594">Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff595">Health Research Unit, School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, M Henriqueta" sort="Figueiredo, M Henriqueta" uniqKey="Figueiredo M" first="M Henriqueta" last="Figueiredo">M Henriqueta Figueiredo</name>
<affiliation><nlm:aff id="Aff596">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aquino, Priscila S" sort="Aquino, Priscila S" uniqKey="Aquino P" first="Priscila S." last="Aquino">Priscila S. Aquino</name>
<affiliation><nlm:aff id="Aff597">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Samila G" sort="Ribeiro, Samila G" uniqKey="Ribeiro S" first="Samila G." last="Ribeiro">Samila G. Ribeiro</name>
<affiliation><nlm:aff id="Aff598">Federal University of Piauí, Teresina, Piauí, 64049-550 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinheiro, Ana B" sort="Pinheiro, Ana B" uniqKey="Pinheiro A" first="Ana B." last="Pinheiro">Ana B. Pinheiro</name>
<affiliation><nlm:aff id="Aff597">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lessa, Paula A" sort="Lessa, Paula A" uniqKey="Lessa P" first="Paula A." last="Lessa">Paula A. Lessa</name>
<affiliation><nlm:aff id="Aff599">Federal Institute of Education, Science and Technology of Ceará, Fortaleza, Ceará, 60040-531 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Mirna F" sort="Oliveira, Mirna F" uniqKey="Oliveira M" first="Mirna F." last="Oliveira">Mirna F. Oliveira</name>
<affiliation><nlm:aff id="Aff600">Federal University of Cariri, Juazeiro do Norte, Ceará, 63048-080 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brito, Luisa S" sort="Brito, Luisa S" uniqKey="Brito L" first="Luísa S." last="Brito">Luísa S. Brito</name>
<affiliation><nlm:aff id="Aff598">Federal University of Piauí, Teresina, Piauí, 64049-550 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Italo N" sort="Pinto, Italo N" uniqKey="Pinto I" first="Ítalo N." last="Pinto">Ítalo N. Pinto</name>
<affiliation><nlm:aff id="Aff598">Federal University of Piauí, Teresina, Piauí, 64049-550 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Furtado, Alessandra S" sort="Furtado, Alessandra S" uniqKey="Furtado A" first="Alessandra S." last="Furtado">Alessandra S. Furtado</name>
<affiliation><nlm:aff id="Aff598">Federal University of Piauí, Teresina, Piauí, 64049-550 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castro, Regia B" sort="Castro, Regia B" uniqKey="Castro R" first="Régia B." last="Castro">Régia B. Castro</name>
<affiliation><nlm:aff id="Aff597">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aquino, Caroline Q" sort="Aquino, Caroline Q" uniqKey="Aquino C" first="Caroline Q." last="Aquino">Caroline Q. Aquino</name>
<affiliation><nlm:aff id="Aff597">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Eveliny S" sort="Martins, Eveliny S" uniqKey="Martins E" first="Eveliny S." last="Martins">Eveliny S. Martins</name>
<affiliation><nlm:aff id="Aff597">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinheiro, Ana B" sort="Pinheiro, Ana B" uniqKey="Pinheiro A" first="Ana B" last="Pinheiro">Ana B. Pinheiro</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aquino, Priscila S" sort="Aquino, Priscila S" uniqKey="Aquino P" first="Priscila S." last="Aquino">Priscila S. Aquino</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Lara L" sort="Oliveira, Lara L" uniqKey="Oliveira L" first="Lara L." last="Oliveira">Lara L. Oliveira</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinheiro, Patricia C" sort="Pinheiro, Patricia C" uniqKey="Pinheiro P" first="Patrícia C." last="Pinheiro">Patrícia C. Pinheiro</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Caroline R" sort="Sousa, Caroline R" uniqKey="Sousa C" first="Caroline R." last="Sousa">Caroline R. Sousa</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Vivien A" sort="Freitas, Vivien A" uniqKey="Freitas V" first="Vívien A." last="Freitas">Vívien A. Freitas</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Tatiane M" sort="Silva, Tatiane M" uniqKey="Silva T" first="Tatiane M." last="Silva">Tatiane M. Silva</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lima, Adman S" sort="Lima, Adman S" uniqKey="Lima A" first="Adman S." last="Lima">Adman S. Lima</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aquino, Caroline Q" sort="Aquino, Caroline Q" uniqKey="Aquino C" first="Caroline Q." last="Aquino">Caroline Q. Aquino</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Karizia V" sort="Andrade, Karizia V" uniqKey="Andrade K" first="Karizia V." last="Andrade">Karizia V. Andrade</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Camila A" sort="Oliveira, Camila A" uniqKey="Oliveira C" first="Camila A." last="Oliveira">Camila A. Oliveira</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vidal, Eglidia F" sort="Vidal, Eglidia F" uniqKey="Vidal E" first="Eglidia F." last="Vidal">Eglidia F. Vidal</name>
<affiliation><nlm:aff id="Aff602">Federal University of Cariri, Juazeiro do Norte, Ceará 63048-080 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ganho Vila, Ana" sort="Ganho Vila, Ana" uniqKey="Ganho Vila A" first="Ana" last="Ganho-Ávila">Ana Ganho-Ávila</name>
<affiliation><nlm:aff id="Aff603">Centro de Investigação em Psicologia, Escola de Psicologia, Universidade do Minho, 4710-057 Braga, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moura Ramos, Mariana" sort="Moura Ramos, Mariana" uniqKey="Moura Ramos M" first="Mariana" last="Moura-Ramos">Mariana Moura-Ramos</name>
<affiliation><nlm:aff id="Aff604">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Scar" sort="Goncalves, Scar" uniqKey="Goncalves " first=" Scar" last="Gonçalves"> Scar Gonçalves</name>
<affiliation><nlm:aff id="Aff603">Centro de Investigação em Psicologia, Escola de Psicologia, Universidade do Minho, 4710-057 Braga, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Jorge" sort="Almeida, Jorge" uniqKey="Almeida J" first="Jorge" last="Almeida">Jorge Almeida</name>
<affiliation><nlm:aff id="Aff604">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff605">PROACTION Laboratory, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Armando" sort="Silva, Armando" uniqKey="Silva A" first="Armando" last="Silva">Armando Silva</name>
<affiliation><nlm:aff id="Aff606">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brito, Irma" sort="Brito, Irma" uniqKey="Brito I" first="Irma" last="Brito">Irma Brito</name>
<affiliation><nlm:aff id="Aff606">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amado, Joao" sort="Amado, Joao" uniqKey="Amado J" first="João" last="Amado">João Amado</name>
<affiliation><nlm:aff id="Aff607">Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigo, Ant Nio" sort="Rodrigo, Ant Nio" uniqKey="Rodrigo A" first="Ant Nio" last="Rodrigo">Ant Nio Rodrigo</name>
<affiliation><nlm:aff id="Aff608">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Sofia" sort="Santos, Sofia" uniqKey="Santos S" first="Sofia" last="Santos">Sofia Santos</name>
<affiliation><nlm:aff id="Aff608">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Fernando" sort="Gomes, Fernando" uniqKey="Gomes F" first="Fernando" last="Gomes">Fernando Gomes</name>
<affiliation><nlm:aff id="Aff608">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Marlene C" sort="Rosa, Marlene C" uniqKey="Rosa M" first="Marlene C." last="Rosa">Marlene C. Rosa</name>
<affiliation><nlm:aff id="Aff609">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Silvana F" sort="Marques, Silvana F" uniqKey="Marques S" first="Silvana F." last="Marques">Silvana F. Marques</name>
<affiliation><nlm:aff id="Aff610">Unidade de Cuidados na Comunidade, Centro de Saúde de Anadia, 3780-780 Anadia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luis, Sara" sort="Luis, Sara" uniqKey="Luis S" first="Sara" last="Luís">Sara Luís</name>
<affiliation><nlm:aff id="Aff611">Cáritas Diocesana de Coimbra - Centro Rainha Santa Isabel, 3030-382 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff612">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cavalheiro, Luis" sort="Cavalheiro, Luis" uniqKey="Cavalheiro L" first="Luís" last="Cavalheiro">Luís Cavalheiro</name>
<affiliation><nlm:aff id="Aff612">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff614">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff613">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff614">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Rui" sort="Goncalves, Rui" uniqKey="Goncalves R" first="Rui" last="Gonçalves">Rui Gonçalves</name>
<affiliation><nlm:aff id="Aff612">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff614">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Rui S" sort="Lopes, Rui S" uniqKey="Lopes R" first="Rui S." last="Lopes">Rui S. Lopes</name>
<affiliation><nlm:aff id="Aff615">Cáritas Diocesana de Coimbra, Centro Rainha Santa Isabel, 3030-382 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff616">Fundação Mário da Cunha Brito, 3360-908 S. Pedro de Alva, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff617">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cavalheiro, Luis" sort="Cavalheiro, Luis" uniqKey="Cavalheiro L" first="Luís" last="Cavalheiro">Luís Cavalheiro</name>
<affiliation><nlm:aff id="Aff617">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff618">Centro de Estudos e Investigação em Saúde da Universidade Coimbra, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff618">Centro de Estudos e Investigação em Saúde da Universidade Coimbra, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Rui" sort="Goncalves, Rui" uniqKey="Goncalves R" first="Rui" last="Gonçalves">Rui Gonçalves</name>
<affiliation><nlm:aff id="Aff617">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff618">Centro de Estudos e Investigação em Saúde da Universidade Coimbra, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fiorin, Bruno H" sort="Fiorin, Bruno H" uniqKey="Fiorin B" first="Bruno H." last="Fiorin">Bruno H. Fiorin</name>
<affiliation><nlm:aff id="Aff619">Universidade Federal de São Paulo, São Paulo, 04021-001 Brasil</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff620">Escola superior de Ciências da Santa Casa de Misericórdia de Vitória, Vitória- Esprito Santo, 29045-402 Brasil</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff621">Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo, 29017-950 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Marina S" sort="Santos, Marina S" uniqKey="Santos M" first="Marina S." last="Santos">Marina S. Santos</name>
<affiliation><nlm:aff id="Aff621">Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo, 29017-950 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Edmar S" sort="Oliveira, Edmar S" uniqKey="Oliveira E" first="Edmar S." last="Oliveira">Edmar S. Oliveira</name>
<affiliation><nlm:aff id="Aff621">Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo, 29017-950 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Rita L" sort="Moreira, Rita L" uniqKey="Moreira R" first="Rita L." last="Moreira">Rita L. Moreira</name>
<affiliation><nlm:aff id="Aff619">Universidade Federal de São Paulo, São Paulo, 04021-001 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Elizabete A" sort="Oliveira, Elizabete A" uniqKey="Oliveira E" first="Elizabete A." last="Oliveira">Elizabete A. Oliveira</name>
<affiliation><nlm:aff id="Aff621">Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo, 29017-950 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Filho, Braulio L" sort="Filho, Braulio L" uniqKey="Filho B" first="Braulio L." last="Filho">Braulio L. Filho</name>
<affiliation><nlm:aff id="Aff619">Universidade Federal de São Paulo, São Paulo, 04021-001 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Palmeira, Lara" sort="Palmeira, Lara" uniqKey="Palmeira L" first="Lara" last="Palmeira">Lara Palmeira</name>
<affiliation><nlm:aff id="Aff622">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garcia, Teresa" sort="Garcia, Teresa" uniqKey="Garcia T" first="Teresa" last="Garcia">Teresa Garcia</name>
<affiliation><nlm:aff id="Aff622">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff622">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff623">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Sara" sort="Cardoso, Sara" uniqKey="Cardoso S" first="Sara" last="Cardoso">Sara Cardoso</name>
<affiliation><nlm:aff id="Aff624">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Palmeira, Lara" sort="Palmeira, Lara" uniqKey="Palmeira L" first="Lara" last="Palmeira">Lara Palmeira</name>
<affiliation><nlm:aff id="Aff624">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff625">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff624">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marta Sim Es, Joana" sort="Marta Sim Es, Joana" uniqKey="Marta Sim Es J" first="Joana" last="Marta-Sim Es">Joana Marta-Sim Es</name>
<affiliation><nlm:aff id="Aff626">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana L" sort="Mendes, Ana L" uniqKey="Mendes A" first="Ana L." last="Mendes">Ana L. Mendes</name>
<affiliation><nlm:aff id="Aff626">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Trindade, Ines A" sort="Trindade, Ines A" uniqKey="Trindade I" first="Inês A." last="Trindade">Inês A. Trindade</name>
<affiliation><nlm:aff id="Aff626">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Sara" sort="Oliveira, Sara" uniqKey="Oliveira S" first="Sara" last="Oliveira">Sara Oliveira</name>
<affiliation><nlm:aff id="Aff626">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Claudia" sort="Ferreira, Claudia" uniqKey="Ferreira C" first="Cláudia" last="Ferreira">Cláudia Ferreira</name>
<affiliation><nlm:aff id="Aff626">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana L" sort="Mendes, Ana L" uniqKey="Mendes A" first="Ana L." last="Mendes">Ana L. Mendes</name>
<affiliation><nlm:aff id="Aff627">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marta Sim Es, Joana" sort="Marta Sim Es, Joana" uniqKey="Marta Sim Es J" first="Joana" last="Marta-Sim Es">Joana Marta-Sim Es</name>
<affiliation><nlm:aff id="Aff627">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Trindade, Ines A" sort="Trindade, Ines A" uniqKey="Trindade I" first="Inês A." last="Trindade">Inês A. Trindade</name>
<affiliation><nlm:aff id="Aff627">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Claudia" sort="Ferreira, Claudia" uniqKey="Ferreira C" first="Cláudia" last="Ferreira">Cláudia Ferreira</name>
<affiliation><nlm:aff id="Aff627">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nave, Filipe" sort="Nave, Filipe" uniqKey="Nave F" first="Filipe" last="Nave">Filipe Nave</name>
<affiliation><nlm:aff id="Aff628">Centro de Estudos em Saúde, Escola Superior de Saúde, Universidade do Algarve, 8000-510 Faro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campos, Mariana" sort="Campos, Mariana" uniqKey="Campos M" first="Mariana" last="Campos">Mariana Campos</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gaudencio, Iris" sort="Gaudencio, Iris" uniqKey="Gaudencio I" first="Iris" last="Gaudêncio">Iris Gaudêncio</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Fernando" sort="Martins, Fernando" uniqKey="Martins F" first="Fernando" last="Martins">Fernando Martins</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Lino" sort="Ferreira, Lino" uniqKey="Ferreira L" first="Lino" last="Ferreira">Lino Ferreira</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff630">Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Nuno" sort="Lopes, Nuno" uniqKey="Lopes N" first="Nuno" last="Lopes">Nuno Lopes</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff631">Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca Pinto, Rui" sort="Fonseca Pinto, Rui" uniqKey="Fonseca Pinto R" first="Rui" last="Fonseca-Pinto">Rui Fonseca-Pinto</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff630">Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Rogerio" sort="Rodrigues, Rogerio" uniqKey="Rodrigues R" first="Rogério" last="Rodrigues">Rogério Rodrigues</name>
<affiliation><nlm:aff id="Aff632">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azeredo, Zaida" sort="Azeredo, Zaida" uniqKey="Azeredo Z" first="Zaida" last="Azeredo">Zaida Azeredo</name>
<affiliation><nlm:aff id="Aff633">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vicente, Coralia" sort="Vicente, Coralia" uniqKey="Vicente C" first="Corália" last="Vicente">Corália Vicente</name>
<affiliation><nlm:aff id="Aff634">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Joana" sort="Silva, Joana" uniqKey="Silva J" first="Joana" last="Silva">Joana Silva</name>
<affiliation><nlm:aff id="Aff635">Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff635">Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff635">Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff636">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Isabel" sort="Mendes, Isabel" uniqKey="Mendes I" first="Isabel" last="Mendes">Isabel Mendes</name>
<affiliation><nlm:aff id="Aff637">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Rogerio" sort="Rodrigues, Rogerio" uniqKey="Rodrigues R" first="Rogério" last="Rodrigues">Rogério Rodrigues</name>
<affiliation><nlm:aff id="Aff637">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azeredo, Zaida" sort="Azeredo, Zaida" uniqKey="Azeredo Z" first="Zaida" last="Azeredo">Zaida Azeredo</name>
<affiliation><nlm:aff id="Aff638">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vicente, Coralia" sort="Vicente, Coralia" uniqKey="Vicente C" first="Corália" last="Vicente">Corália Vicente</name>
<affiliation><nlm:aff id="Aff639">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, 4050-313 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vardasca, Ricardo" sort="Vardasca, Ricardo" uniqKey="Vardasca R" first="Ricardo" last="Vardasca">Ricardo Vardasca</name>
<affiliation><nlm:aff id="Aff640">Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Ana R" sort="Marques, Ana R" uniqKey="Marques A" first="Ana R." last="Marques">Ana R. Marques</name>
<affiliation><nlm:aff id="Aff640">Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seixas, Aderito" sort="Seixas, Aderito" uniqKey="Seixas A" first="Adérito" last="Seixas">Adérito Seixas</name>
<affiliation><nlm:aff id="Aff641">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Rui" sort="Carvalho, Rui" uniqKey="Carvalho R" first="Rui" last="Carvalho">Rui Carvalho</name>
<affiliation><nlm:aff id="Aff642">Centro Hospitalar do Porto, Porto, 4099-001 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Joaquim" sort="Gabriel, Joaquim" uniqKey="Gabriel J" first="Joaquim" last="Gabriel">Joaquim Gabriel</name>
<affiliation><nlm:aff id="Aff640">Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Paulo P" sort="Ferreira, Paulo P" uniqKey="Ferreira P" first="Paulo P." last="Ferreira">Paulo P. Ferreira</name>
<affiliation><nlm:aff id="Aff643">Secretaria de Saúde do Estado da Bahia, Salvador, Bahia 41745-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Michelle T" sort="Oliveira, Michelle T" uniqKey="Oliveira M" first="Michelle T." last="Oliveira">Michelle T. Oliveira</name>
<affiliation><nlm:aff id="Aff644">Universidade Estadual de Feira de Santana, Feira de Santana, Bahia 44036-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Anderson R" sort="Sousa, Anderson R" uniqKey="Sousa A" first="Anderson R." last="Sousa">Anderson R. Sousa</name>
<affiliation><nlm:aff id="Aff645">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Ana S" sort="Maia, Ana S" uniqKey="Maia A" first="Ana S." last="Maia">Ana S. Maia</name>
<affiliation><nlm:aff id="Aff645">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Sebastiao T" sort="Oliveira, Sebastiao T" uniqKey="Oliveira S" first="Sebastião T." last="Oliveira">Sebastião T. Oliveira</name>
<affiliation><nlm:aff id="Aff645">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Pablo O" sort="Costa, Pablo O" uniqKey="Costa P" first="Pablo O." last="Costa">Pablo O. Costa</name>
<affiliation><nlm:aff id="Aff645">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Maiza M" sort="Silva, Maiza M" uniqKey="Silva M" first="Maiza M." last="Silva">Maiza M. Silva</name>
<affiliation><nlm:aff id="Aff645">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Arreguy Sena, Cristina" sort="Arreguy Sena, Cristina" uniqKey="Arreguy Sena C" first="Cristina" last="Arreguy-Sena">Cristina Arreguy-Sena</name>
<affiliation><nlm:aff id="Aff646">Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais 36036-330 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alvarenga Martins, Nathalia" sort="Alvarenga Martins, Nathalia" uniqKey="Alvarenga Martins N" first="Nathália" last="Alvarenga-Martins">Nathália Alvarenga-Martins</name>
<affiliation><nlm:aff id="Aff646">Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais 36036-330 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Paulo F" sort="Pinto, Paulo F" uniqKey="Pinto P" first="Paulo F." last="Pinto">Paulo F. Pinto</name>
<affiliation><nlm:aff id="Aff646">Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais 36036-330 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Denize C" sort="Oliveira, Denize C" uniqKey="Oliveira D" first="Denize C." last="Oliveira">Denize C. Oliveira</name>
<affiliation><nlm:aff id="Aff647">Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 20550-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro D" sort="Parreira, Pedro D" uniqKey="Parreira P" first="Pedro D." last="Parreira">Pedro D. Parreira</name>
<affiliation><nlm:aff id="Aff648">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Antonio T" sort="Gomes, Antonio T" uniqKey="Gomes A" first="Antônio T." last="Gomes">Antônio T. Gomes</name>
<affiliation><nlm:aff id="Aff647">Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 20550-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Braga, Luciene M" sort="Braga, Luciene M" uniqKey="Braga L" first="Luciene M." last="Braga">Luciene M. Braga</name>
<affiliation><nlm:aff id="Aff649">Universidade Federal de Viçosa, Viçosa, Minas Gerais 36570-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Odete" sort="Araujo, Odete" uniqKey="Araujo O" first="Odete" last="Araújo">Odete Araújo</name>
<affiliation><nlm:aff id="Aff650">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lage, Isabel" sort="Lage, Isabel" uniqKey="Lage I" first="Isabel" last="Lage">Isabel Lage</name>
<affiliation><nlm:aff id="Aff650">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabrita, Jose" sort="Cabrita, Jose" uniqKey="Cabrita J" first="José" last="Cabrita">José Cabrita</name>
<affiliation><nlm:aff id="Aff651">Faculdade de Farmácia, Universidade de Lisboa, 1649-003 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixeira, Laetitia" sort="Teixeira, Laetitia" uniqKey="Teixeira L" first="Laetitia" last="Teixeira">Laetitia Teixeira</name>
<affiliation><nlm:aff id="Aff652">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff653">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff654">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff654">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff655">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Sara" sort="Silva, Sara" uniqKey="Silva S" first="Sara" last="Silva">Sara Silva</name>
<affiliation><nlm:aff id="Aff656">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Eugenio" sort="Cordeiro, Eugenio" uniqKey="Cordeiro E" first="Eugénio" last="Cordeiro">Eugénio Cordeiro</name>
<affiliation><nlm:aff id="Aff656">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pimentel, Joao" sort="Pimentel, Joao" uniqKey="Pimentel J" first="João" last="Pimentel">João Pimentel</name>
<affiliation><nlm:aff id="Aff656">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferro Lebres, Vera" sort="Ferro Lebres, Vera" uniqKey="Ferro Lebres V" first="Vera" last="Ferro-Lebres">Vera Ferro-Lebres</name>
<affiliation><nlm:aff id="Aff657">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Souza, Juliana A" sort="Souza, Juliana A" uniqKey="Souza J" first="Juliana A." last="Souza">Juliana A. Souza</name>
<affiliation><nlm:aff id="Aff657">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Mariline" sort="Tavares, Mariline" uniqKey="Tavares M" first="Mariline" last="Tavares">Mariline Tavares</name>
<affiliation><nlm:aff id="Aff657">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff658">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Pedro" sort="Sousa, Pedro" uniqKey="Sousa P" first="Pedro" last="Sousa">Pedro Sousa</name>
<affiliation><nlm:aff id="Aff658">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Passadouro, Rui" sort="Passadouro, Rui" uniqKey="Passadouro R" first="Rui" last="Passadouro">Rui Passadouro</name>
<affiliation><nlm:aff id="Aff659">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Peralta, Teresa" sort="Peralta, Teresa" uniqKey="Peralta T" first="Teresa" last="Peralta">Teresa Peralta</name>
<affiliation><nlm:aff id="Aff659">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Carlos" sort="Ferreira, Carlos" uniqKey="Ferreira C" first="Carlos" last="Ferreira">Carlos Ferreira</name>
<affiliation><nlm:aff id="Aff659">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lourenco, Georgina" sort="Lourenco, Georgina" uniqKey="Lourenco G" first="Georgina" last="Lourenço">Georgina Lourenço</name>
<affiliation><nlm:aff id="Aff659">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serrano, Joao" sort="Serrano, Joao" uniqKey="Serrano J" first="João" last="Serrano">João Serrano</name>
<affiliation><nlm:aff id="Aff660">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Petrica, Joao" sort="Petrica, Joao" uniqKey="Petrica J" first="João" last="Petrica">João Petrica</name>
<affiliation><nlm:aff id="Aff660">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff660">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hon Rio, Samuel" sort="Hon Rio, Samuel" uniqKey="Hon Rio S" first="Samuel" last="Hon Rio">Samuel Hon Rio</name>
<affiliation><nlm:aff id="Aff660">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff660">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, Alexandra" sort="Sim Es, Alexandra" uniqKey="Sim Es A" first="Alexandra" last="Sim Es">Alexandra Sim Es</name>
<affiliation><nlm:aff id="Aff661">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Lucinda" sort="Carvalho, Lucinda" uniqKey="Carvalho L" first="Lucinda" last="Carvalho">Lucinda Carvalho</name>
<affiliation><nlm:aff id="Aff661">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Alexandre" sort="Pereira, Alexandre" uniqKey="Pereira A" first="Alexandre" last="Pereira">Alexandre Pereira</name>
<affiliation><nlm:aff id="Aff661">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Sara" sort="Silva, Sara" uniqKey="Silva S" first="Sara" last="Silva">Sara Silva</name>
<affiliation><nlm:aff id="Aff662">Centro Hospitalar do Porto, Porto, 4099-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Paulino" sort="Sousa, Paulino" uniqKey="Sousa P" first="Paulino" last="Sousa">Paulino Sousa</name>
<affiliation><nlm:aff id="Aff663">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff664">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4099-002 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Padilha, Jose M" sort="Padilha, Jose M" uniqKey="Padilha J" first="José M." last="Padilha">José M. Padilha</name>
<affiliation><nlm:aff id="Aff663">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Daniela" sort="Figueiredo, Daniela" uniqKey="Figueiredo D" first="Daniela" last="Figueiredo">Daniela Figueiredo</name>
<affiliation><nlm:aff id="Aff665">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valente, Carolina" sort="Valente, Carolina" uniqKey="Valente C" first="Carolina" last="Valente">Carolina Valente</name>
<affiliation><nlm:aff id="Aff665">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff665">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribas, Patricia" sort="Ribas, Patricia" uniqKey="Ribas P" first="Patrícia" last="Ribas">Patrícia Ribas</name>
<affiliation><nlm:aff id="Aff666">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Joana" sort="Sousa, Joana" uniqKey="Sousa J" first="Joana" last="Sousa">Joana Sousa</name>
<affiliation><nlm:aff id="Aff666">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brandao, Frederico" sort="Brandao, Frederico" uniqKey="Brandao F" first="Frederico" last="Brandão">Frederico Brandão</name>
<affiliation><nlm:aff id="Aff667">Centro Hospitalar Tâmega e Sousa, Penafiel, 4564-007 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Cesar" sort="Sousa, Cesar" uniqKey="Sousa C" first="Cesar" last="Sousa">Cesar Sousa</name>
<affiliation><nlm:aff id="Aff667">Centro Hospitalar Tâmega e Sousa, Penafiel, 4564-007 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Matilde" sort="Martins, Matilde" uniqKey="Martins M" first="Matilde" last="Martins">Matilde Martins</name>
<affiliation><nlm:aff id="Aff666">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff668">Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano, Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff669">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff670">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Francisco" sort="Mendes, Francisco" uniqKey="Mendes F" first="Francisco" last="Mendes">Francisco Mendes</name>
<affiliation><nlm:aff id="Aff671">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Rosina" sort="Fernandes, Rosina" uniqKey="Fernandes R" first="Rosina" last="Fernandes">Rosina Fernandes</name>
<affiliation><nlm:aff id="Aff671">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Emilia" sort="Martins, Emilia" uniqKey="Martins E" first="Emília" last="Martins">Emília Martins</name>
<affiliation><nlm:aff id="Aff671">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magalhaes, Catia" sort="Magalhaes, Catia" uniqKey="Magalhaes C" first="Cátia" last="Magalhães">Cátia Magalhães</name>
<affiliation><nlm:aff id="Aff671">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Patricia" sort="Araujo, Patricia" uniqKey="Araujo P" first="Patrícia" last="Araújo">Patrícia Araújo</name>
<affiliation><nlm:aff id="Aff672">Universidade Católica Portuguesa – Porto, 4202-401 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Grande, Carla" sort="Grande, Carla" uniqKey="Grande C" first="Carla" last="Grande">Carla Grande</name>
<affiliation><nlm:aff id="Aff673">Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mata, M Augusta" sort="Mata, M Augusta" uniqKey="Mata M" first="M Augusta" last="Mata">M Augusta Mata</name>
<affiliation><nlm:aff id="Aff674">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vieitez, Juan G" sort="Vieitez, Juan G" uniqKey="Vieitez J" first="Juan G." last="Vieitez">Juan G. Vieitez</name>
<affiliation><nlm:aff id="Aff675">Universidad de León, 24004 León, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bianchini, Bruna" sort="Bianchini, Bruna" uniqKey="Bianchini B" first="Bruna" last="Bianchini">Bruna Bianchini</name>
<affiliation><nlm:aff id="Aff676">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nazario, Nazare" sort="Nazario, Nazare" uniqKey="Nazario N" first="Nazare" last="Nazario">Nazare Nazario</name>
<affiliation><nlm:aff id="Aff676">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Filho, Joao G" sort="Filho, Joao G" uniqKey="Filho J" first="João G." last="Filho">João G. Filho</name>
<affiliation><nlm:aff id="Aff676">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff676">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Tania" sort="Costa, Tania" uniqKey="Costa T" first="Tânia" last="Costa">Tânia Costa</name>
<affiliation><nlm:aff id="Aff677">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff678">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Armando" sort="Almeida, Armando" uniqKey="Almeida A" first="Armando" last="Almeida">Armando Almeida</name>
<affiliation><nlm:aff id="Aff677">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff678">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baffour, Gabriel" sort="Baffour, Gabriel" uniqKey="Baffour G" first="Gabriel" last="Baffour">Gabriel Baffour</name>
<affiliation><nlm:aff id="Aff677">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff678">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Armando" sort="Almeida, Armando" uniqKey="Almeida A" first="Armando" last="Almeida">Armando Almeida</name>
<affiliation><nlm:aff id="Aff679">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff680">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Tania" sort="Costa, Tania" uniqKey="Costa T" first="Tânia" last="Costa">Tânia Costa</name>
<affiliation><nlm:aff id="Aff679">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff680">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baffour, Gabriel" sort="Baffour, Gabriel" uniqKey="Baffour G" first="Gabriel" last="Baffour">Gabriel Baffour</name>
<affiliation><nlm:aff id="Aff679">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff680">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azeredo, Zaida" sort="Azeredo, Zaida" uniqKey="Azeredo Z" first="Zaida" last="Azeredo">Zaida Azeredo</name>
<affiliation><nlm:aff id="Aff681">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Laranjeira, Carlos" sort="Laranjeira, Carlos" uniqKey="Laranjeira C" first="Carlos" last="Laranjeira">Carlos Laranjeira</name>
<affiliation><nlm:aff id="Aff681">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerra, Magda" sort="Guerra, Magda" uniqKey="Guerra M" first="Magda" last="Guerra">Magda Guerra</name>
<affiliation><nlm:aff id="Aff681">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barbeiro, Ana P" sort="Barbeiro, Ana P" uniqKey="Barbeiro A" first="Ana P." last="Barbeiro">Ana P. Barbeiro</name>
<affiliation><nlm:aff id="Aff681">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Regina" sort="Ferreira, Regina" uniqKey="Ferreira R" first="Regina" last="Ferreira">Regina Ferreira</name>
<affiliation><nlm:aff id="Aff682">Escola Superior de Saúde, Instituto Politécnico de Santarém, Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Sara" sort="Lopes, Sara" uniqKey="Lopes S" first="Sara" last="Lopes">Sara Lopes</name>
<affiliation><nlm:aff id="Aff683">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Liliana" sort="Nunes, Liliana" uniqKey="Nunes L" first="Liliana" last="Nunes">Liliana Nunes</name>
<affiliation><nlm:aff id="Aff683">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana" sort="Mendes, Ana" uniqKey="Mendes A" first="Ana" last="Mendes">Ana Mendes</name>
<affiliation><nlm:aff id="Aff683">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Julian" sort="Martins, Julian" uniqKey="Martins J" first="Julian" last="Martins">Julian Martins</name>
<affiliation><nlm:aff id="Aff684">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schneider, Dulcineia" sort="Schneider, Dulcineia" uniqKey="Schneider D" first="Dulcineia" last="Schneider">Dulcineia Schneider</name>
<affiliation><nlm:aff id="Aff685">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff684">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magajewski, Flavio" sort="Magajewski, Flavio" uniqKey="Magajewski F" first="Flávio" last="Magajewski">Flávio Magajewski</name>
<affiliation><nlm:aff id="Aff684">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Celia" sort="Soares, Celia" uniqKey="Soares C" first="Célia" last="Soares">Célia Soares</name>
<affiliation><nlm:aff id="Aff686">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Ant Nio" sort="Marques, Ant Nio" uniqKey="Marques A" first="Ant Nio" last="Marques">Ant Nio Marques</name>
<affiliation><nlm:aff id="Aff686">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Batista, Marco" sort="Batista, Marco" uniqKey="Batista M" first="Marco" last="Batista">Marco Batista</name>
<affiliation><nlm:aff id="Aff687">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff688">Research in Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castuera, Ruth J" sort="Castuera, Ruth J" uniqKey="Castuera R" first="Ruth J." last="Castuera">Ruth J. Castuera</name>
<affiliation><nlm:aff id="Aff689">Universidad de Extremadura, 10003 Cáceres, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mesquita, Helena" sort="Mesquita, Helena" uniqKey="Mesquita H" first="Helena" last="Mesquita">Helena Mesquita</name>
<affiliation><nlm:aff id="Aff687">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faustino, Ant Nio" sort="Faustino, Ant Nio" uniqKey="Faustino A" first="Ant Nio" last="Faustino">Ant Nio Faustino</name>
<affiliation><nlm:aff id="Aff687">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Jorge" sort="Santos, Jorge" uniqKey="Santos J" first="Jorge" last="Santos">Jorge Santos</name>
<affiliation><nlm:aff id="Aff687">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hon Rio, Samuel" sort="Hon Rio, Samuel" uniqKey="Hon Rio S" first="Samuel" last="Hon Rio">Samuel Hon Rio</name>
<affiliation><nlm:aff id="Aff687">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff688">Research in Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vizzotto, Betina P" sort="Vizzotto, Betina P" uniqKey="Vizzotto B" first="Betina P." last="Vizzotto">Betina P. Vizzotto</name>
<affiliation><nlm:aff id="Aff690">Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul 97010-032 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Frigo, Leticia" sort="Frigo, Leticia" uniqKey="Frigo L" first="Leticia" last="Frigo">Leticia Frigo</name>
<affiliation><nlm:aff id="Aff690">Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul 97010-032 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pivetta, Hedioneia F" sort="Pivetta, Hedioneia F" uniqKey="Pivetta H" first="Hedioneia F." last="Pivetta">Hedioneia F. Pivetta</name>
<affiliation><nlm:aff id="Aff691">Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul 97105-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sardo, Dolores" sort="Sardo, Dolores" uniqKey="Sardo D" first="Dolores" last="Sardo">Dolores Sardo</name>
<affiliation><nlm:aff id="Aff692">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Cristina" sort="Martins, Cristina" uniqKey="Martins C" first="Cristina" last="Martins">Cristina Martins</name>
<affiliation><nlm:aff id="Aff693">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abreu, Wilson" sort="Abreu, Wilson" uniqKey="Abreu W" first="Wilson" last="Abreu">Wilson Abreu</name>
<affiliation><nlm:aff id="Aff694">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, M Ceu" sort="Figueiredo, M Ceu" uniqKey="Figueiredo M" first="M Céu" last="Figueiredo">M Céu Figueiredo</name>
<affiliation><nlm:aff id="Aff694">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Batista, Marco" sort="Batista, Marco" uniqKey="Batista M" first="Marco" last="Batista">Marco Batista</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Castuera, Ruth" sort="Jimenez Castuera, Ruth" uniqKey="Jimenez Castuera R" first="Ruth" last="Jimenez-Castuera">Ruth Jimenez-Castuera</name>
<affiliation><nlm:aff id="Aff696">Universidad de Extremadura, 10003 Cáceres, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Petrica, Joao" sort="Petrica, Joao" uniqKey="Petrica J" first="João" last="Petrica">João Petrica</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serrano, Joao" sort="Serrano, Joao" uniqKey="Serrano J" first="João" last="Serrano">João Serrano</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hon Rio, Samuel" sort="Hon Rio, Samuel" uniqKey="Hon Rio S" first="Samuel" last="Hon Rio">Samuel Hon Rio</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff697">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff698">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faustino, Ant Nio" sort="Faustino, Ant Nio" uniqKey="Faustino A" first="Ant Nio" last="Faustino">Ant Nio Faustino</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silveira, Paulo" sort="Silveira, Paulo" uniqKey="Silveira P" first="Paulo" last="Silveira">Paulo Silveira</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serrano, Joao" sort="Serrano, Joao" uniqKey="Serrano J" first="João" last="Serrano">João Serrano</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hon Rio, Samuel" sort="Hon Rio, Samuel" uniqKey="Hon Rio S" first="Samuel" last="Hon Rio">Samuel Hon Rio</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Catarina" sort="Oliveira, Catarina" uniqKey="Oliveira C" first="Catarina" last="Oliveira">Catarina Oliveira</name>
<affiliation><nlm:aff id="Aff700">Unidade de Transplante Hepático e Pancreático, Centro Hospitalar do Porto, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bastos, Fernanda" sort="Bastos, Fernanda" uniqKey="Bastos F" first="Fernanda" last="Bastos">Fernanda Bastos</name>
<affiliation><nlm:aff id="Aff701">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Ines" sort="Cruz, Ines" uniqKey="Cruz I" first="Inês" last="Cruz">Inês Cruz</name>
<affiliation><nlm:aff id="Aff701">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez, Claudia K" sort="Rodriguez, Claudia K" uniqKey="Rodriguez C" first="Cláudia K." last="Rodriguez">Cláudia K. Rodriguez</name>
<affiliation><nlm:aff id="Aff702">Universidade Estadual Paulista ‘Júlio de Mesquita Filho”, 01049-010 São Paulo, Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia R" sort="Kretzer, Marcia R" uniqKey="Kretzer M" first="Márcia R." last="Kretzer">Márcia R. Kretzer</name>
<affiliation><nlm:aff id="Aff703">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nazario, Nazare O" sort="Nazario, Nazare O" uniqKey="Nazario N" first="Nazaré O." last="Nazário">Nazaré O. Nazário</name>
<affiliation><nlm:aff id="Aff703">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Pedro" sort="Cruz, Pedro" uniqKey="Cruz P" first="Pedro" last="Cruz">Pedro Cruz</name>
<affiliation><nlm:aff id="Aff704">Coimbra Chemistry Centre, Chemistry Department, University of Coimbra, 3004-535 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaz, Daniela C" sort="Vaz, Daniela C" uniqKey="Vaz D" first="Daniela C." last="Vaz">Daniela C. Vaz</name>
<affiliation><nlm:aff id="Aff704">Coimbra Chemistry Centre, Chemistry Department, University of Coimbra, 3004-535 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff705">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ruben, Rui B" sort="Ruben, Rui B" uniqKey="Ruben R" first="Rui B." last="Ruben">Rui B. Ruben</name>
<affiliation><nlm:aff id="Aff706">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Avelelas, Francisco" sort="Avelelas, Francisco" uniqKey="Avelelas F" first="Francisco" last="Avelelas">Francisco Avelelas</name>
<affiliation><nlm:aff id="Aff707">MARE, Instituto Politécnico de Leiria, Peniche, 2520-641 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Susana" sort="Silva, Susana" uniqKey="Silva S" first="Susana" last="Silva">Susana Silva</name>
<affiliation><nlm:aff id="Aff707">MARE, Instituto Politécnico de Leiria, Peniche, 2520-641 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campos, M Jorge" sort="Campos, M Jorge" uniqKey="Campos M" first="M Jorge" last="Campos">M Jorge Campos</name>
<affiliation><nlm:aff id="Aff707">MARE, Instituto Politécnico de Leiria, Peniche, 2520-641 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Maria" sort="Almeida, Maria" uniqKey="Almeida M" first="Maria" last="Almeida">Maria Almeida</name>
<affiliation><nlm:aff id="Aff708">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Liliana" sort="Goncalves, Liliana" uniqKey="Goncalves L" first="Liliana" last="Gonçalves">Liliana Gonçalves</name>
<affiliation><nlm:aff id="Aff709">Hospital Arcebispo João Crisóstomo, Cantanhede, 3060 Cantanhede Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Ligia" sort="Antunes, Ligia" uniqKey="Antunes L" first="Lígia" last="Antunes">Lígia Antunes</name>
<affiliation><nlm:aff id="Aff710">Hospital José Luciano de Castro, Anadia, 3780-226 Anadia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sardo, Pedro" sort="Sardo, Pedro" uniqKey="Sardo P" first="Pedro" last="Sardo">Pedro Sardo</name>
<affiliation><nlm:aff id="Aff711">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guedes, Jenifer" sort="Guedes, Jenifer" uniqKey="Guedes J" first="Jenifer" last="Guedes">Jenifer Guedes</name>
<affiliation><nlm:aff id="Aff712">Hospital de Aveiro, Centro Hospitalar do Baixo Vouga E.P.E., Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, Joao" sort="Sim Es, Joao" uniqKey="Sim Es J" first="João" last="Sim Es">João Sim Es</name>
<affiliation><nlm:aff id="Aff711">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, Paulo" sort="Machado, Paulo" uniqKey="Machado P" first="Paulo" last="Machado">Paulo Machado</name>
<affiliation><nlm:aff id="Aff713">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Elsa" sort="Melo, Elsa" uniqKey="Melo E" first="Elsa" last="Melo">Elsa Melo</name>
<affiliation><nlm:aff id="Aff711">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Susana" sort="Cardoso, Susana" uniqKey="Cardoso S" first="Susana" last="Cardoso">Susana Cardoso</name>
<affiliation><nlm:aff id="Aff714">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Osvaldo" sort="Santos, Osvaldo" uniqKey="Santos O" first="Osvaldo" last="Santos">Osvaldo Santos</name>
<affiliation><nlm:aff id="Aff715">Instituto de Medicina Preventiva, Faculdade de Medicina de Lisboa, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Carla" sort="Nunes, Carla" uniqKey="Nunes C" first="Carla" last="Nunes">Carla Nunes</name>
<affiliation><nlm:aff id="Aff714">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Loureiro, Isabel" sort="Loureiro, Isabel" uniqKey="Loureiro I" first="Isabel" last="Loureiro">Isabel Loureiro</name>
<affiliation><nlm:aff id="Aff714">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Flavia" sort="Santos, Flavia" uniqKey="Santos F" first="Flávia" last="Santos">Flávia Santos</name>
<affiliation><nlm:aff id="Aff716">Faculty of Health Sciences, University of Beira Interior, Covilhã, 6200-506 Covilhã Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Gilberto" sort="Alves, Gilberto" uniqKey="Alves G" first="Gilberto" last="Alves">Gilberto Alves</name>
<affiliation><nlm:aff id="Aff716">Faculty of Health Sciences, University of Beira Interior, Covilhã, 6200-506 Covilhã Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff717">Health Sciences Research Centre, University of Beira Interior, Covilhã, 6200-506 Covilhã Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff718">Centre for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soar, Claudia" sort="Soar, Claudia" uniqKey="Soar C" first="Cláudia" last="Soar">Cláudia Soar</name>
<affiliation><nlm:aff id="Aff719">Universidade do Vale do Paraíba, São José dos Campos, São Paulo 12244-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marsi, Teresa O" sort="Marsi, Teresa O" uniqKey="Marsi T" first="Teresa O." last="Marsi">Teresa O. Marsi</name>
<affiliation><nlm:aff id="Aff719">Universidade do Vale do Paraíba, São José dos Campos, São Paulo 12244-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Ernestina" sort="Silva, Ernestina" uniqKey="Silva E" first="Ernestina" last="Silva">Ernestina Silva</name>
<affiliation><nlm:aff id="Aff720">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedrosa, Dora" sort="Pedrosa, Dora" uniqKey="Pedrosa D" first="Dora" last="Pedrosa">Dora Pedrosa</name>
<affiliation><nlm:aff id="Aff721">Maternidade Daniel de Matos, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leca, Andrea" sort="Leca, Andrea" uniqKey="Leca A" first="Andrea" last="Leça">Andrea Leça</name>
<affiliation><nlm:aff id="Aff722">Hospital Dr. Nélio Mendonça, Região Autónoma da Madeira, Funchal, 9004-514 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Daniel" sort="Silva, Daniel" uniqKey="Silva D" first="Daniel" last="Silva">Daniel Silva</name>
<affiliation><nlm:aff id="Aff720">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galvao, Ana" sort="Galvao, Ana" uniqKey="Galvao A" first="Ana" last="Galvão">Ana Galvão</name>
<affiliation><nlm:aff id="Aff723">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Maria" sort="Gomes, Maria" uniqKey="Gomes M" first="Maria" last="Gomes">Maria Gomes</name>
<affiliation><nlm:aff id="Aff723">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Paula" sort="Fernandes, Paula" uniqKey="Fernandes P" first="Paula" last="Fernandes">Paula Fernandes</name>
<affiliation><nlm:aff id="Aff724">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="None, Ana" sort="None, Ana" uniqKey="None A" first="Ana" last="Noné">Ana Noné</name>
<affiliation><nlm:aff id="Aff723">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Combadao, Jaime" sort="Combadao, Jaime" uniqKey="Combadao J" first="Jaime" last="Combadão">Jaime Combadão</name>
<affiliation><nlm:aff id="Aff725">Universidade New Atlântica, 2745-615 Barcarena, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalhete, Catia" sort="Ramalhete, Catia" uniqKey="Ramalhete C" first="Cátia" last="Ramalhete">Cátia Ramalhete</name>
<affiliation><nlm:aff id="Aff725">Universidade New Atlântica, 2745-615 Barcarena, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Paulo" sort="Figueiredo, Paulo" uniqKey="Figueiredo P" first="Paulo" last="Figueiredo">Paulo Figueiredo</name>
<affiliation><nlm:aff id="Aff725">Universidade New Atlântica, 2745-615 Barcarena, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caeiro, Patricia" sort="Caeiro, Patricia" uniqKey="Caeiro P" first="Patrícia" last="Caeiro">Patrícia Caeiro</name>
<affiliation><nlm:aff id="Aff725">Universidade New Atlântica, 2745-615 Barcarena, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fontana, Karine C" sort="Fontana, Karine C" uniqKey="Fontana K" first="Karine C." last="Fontana">Karine C. Fontana</name>
<affiliation><nlm:aff id="Aff726">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lacerda, Josimari T" sort="Lacerda, Josimari T" uniqKey="Lacerda J" first="Josimari T." last="Lacerda">Josimari T. Lacerda</name>
<affiliation><nlm:aff id="Aff726">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, Patricia O" sort="Machado, Patricia O" uniqKey="Machado P" first="Patrícia O." last="Machado">Patrícia O. Machado</name>
<affiliation><nlm:aff id="Aff726">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Borges, Raphaelle" sort="Borges, Raphaelle" uniqKey="Borges R" first="Raphaelle" last="Borges">Raphaelle Borges</name>
<affiliation><nlm:aff id="Aff727">Universidade Federal do Amapá, Macapá, Amapá 68903-419 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barbosa, Flavio" sort="Barbosa, Flavio" uniqKey="Barbosa F" first="Flávio" last="Barbosa">Flávio Barbosa</name>
<affiliation><nlm:aff id="Aff728">Universidade Federal do Sergipe, São Cristóvão, Sergipe 49100-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sa, Dayse" sort="Sa, Dayse" uniqKey="Sa D" first="Dayse" last="Sá">Dayse Sá</name>
<affiliation><nlm:aff id="Aff727">Universidade Federal do Amapá, Macapá, Amapá 68903-419 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brunhoso, Germana" sort="Brunhoso, Germana" uniqKey="Brunhoso G" first="Germana" last="Brunhoso">Germana Brunhoso</name>
<affiliation><nlm:aff id="Aff729">Centro Hospitalar de Trás –os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aparicio, Graca" sort="Aparicio, Graca" uniqKey="Aparicio G" first="Graça" last="Aparício">Graça Aparício</name>
<affiliation><nlm:aff id="Aff730">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Amancio" sort="Carvalho, Amancio" uniqKey="Carvalho A" first="Amâncio" last="Carvalho">Amâncio Carvalho</name>
<affiliation><nlm:aff id="Aff731">Escola Superior de Enfermagem de Vila Real, Universidade de Trás –os-Montes e Alto Douro, Vila Real, 5000-232 Lordelo Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garcia, Ana P" sort="Garcia, Ana P" uniqKey="Garcia A" first="Ana P." last="Garcia">Ana P. Garcia</name>
<affiliation><nlm:aff id="Aff732">Health Sciences Research Centre, Faculty of Health Sciences, University of Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Paula O" sort="Fernandes, Paula O" uniqKey="Fernandes P" first="Paula O." last="Fernandes">Paula O. Fernandes</name>
<affiliation><nlm:aff id="Aff733">Unidade de Investigação Aplicada em Gestão, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff734">Research Unit in Business Sciences, University of Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Adriana" sort="Santos, Adriana" uniqKey="Santos A" first="Adriana" last="Santos">Adriana Santos</name>
<affiliation><nlm:aff id="Aff732">Health Sciences Research Centre, Faculty of Health Sciences, University of Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veiga, Nelio" sort="Veiga, Nelio" uniqKey="Veiga N" first="Nélio" last="Veiga">Nélio Veiga</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff736">Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bras, Carina" sort="Bras, Carina" uniqKey="Bras C" first="Carina" last="Brás">Carina Brás</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Ines" sort="Carvalho, Ines" uniqKey="Carvalho I" first="Inês" last="Carvalho">Inês Carvalho</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Batalha, Joana" sort="Batalha, Joana" uniqKey="Batalha J" first="Joana" last="Batalha">Joana Batalha</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gl Ria, Margarida" sort="Gl Ria, Margarida" uniqKey="Gl Ria M" first="Margarida" last="Gl Ria">Margarida Gl Ria</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bexiga, Filipa" sort="Bexiga, Filipa" uniqKey="Bexiga F" first="Filipa" last="Bexiga">Filipa Bexiga</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff736">Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Ines" sort="Coelho, Ines" uniqKey="Coelho I" first="Inês" last="Coelho">Inês Coelho</name>
<affiliation><nlm:aff id="Aff737">Unidade de Saúde Familiar Grão Vasco, Viseu, 3500-177 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Odete" sort="Amaral, Odete" uniqKey="Amaral O" first="Odete" last="Amaral">Odete Amaral</name>
<affiliation><nlm:aff id="Aff738">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Carlos" sort="Pereira, Carlos" uniqKey="Pereira C" first="Carlos" last="Pereira">Carlos Pereira</name>
<affiliation><nlm:aff id="Aff738">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Claudia" sort="Pinho, Claudia" uniqKey="Pinho C" first="Cláudia" last="Pinho">Cláudia Pinho</name>
<affiliation><nlm:aff id="Aff739">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paraiso, Nilson" sort="Paraiso, Nilson" uniqKey="Paraiso N" first="Nilson" last="Paraíso">Nilson Paraíso</name>
<affiliation><nlm:aff id="Aff740">Universidade Federal da Bahia, Salvador da Bahia, 0170-115 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana I" sort="Oliveira, Ana I" uniqKey="Oliveira A" first="Ana I." last="Oliveira">Ana I. Oliveira</name>
<affiliation><nlm:aff id="Aff739">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lima, Crist Vao F" sort="Lima, Crist Vao F" uniqKey="Lima C" first="Crist Vão F." last="Lima">Crist Vão F. Lima</name>
<affiliation><nlm:aff id="Aff741">Centro de Investigação e de Tecnologias Agro-Ambientais e Biológicas, Universidade de Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal & Universidade do Minho, 4704-553 Braga, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Alberto P" sort="Dias, Alberto P" uniqKey="Dias A" first="Alberto P." last="Dias">Alberto P. Dias</name>
<affiliation><nlm:aff id="Aff741">Centro de Investigação e de Tecnologias Agro-Ambientais e Biológicas, Universidade de Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal & Universidade do Minho, 4704-553 Braga, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Pedro" sort="Silva, Pedro" uniqKey="Silva P" first="Pedro" last="Silva">Pedro Silva</name>
<affiliation><nlm:aff id="Aff742">Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff743">Associação de Melhoramentos Pró Outeiro, Oliveira de Azeméis, 3720-514 Santiago de Riba-Ul Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Espada, Mario" sort="Espada, Mario" uniqKey="Espada M" first="Mário" last="Espada">Mário Espada</name>
<affiliation><nlm:aff id="Aff744">School of Education, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff745">Centro Interdisciplinar da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Cruz Quebrada, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Mario" sort="Marques, Mario" uniqKey="Marques M" first="Mário" last="Marques">Mário Marques</name>
<affiliation><nlm:aff id="Aff742">Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff746">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana" sort="Pereira, Ana" uniqKey="Pereira A" first="Ana" last="Pereira">Ana Pereira</name>
<affiliation><nlm:aff id="Aff742">Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff746">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana M" sort="Pereira, Ana M" uniqKey="Pereira A" first="Ana M" last="Pereira">Ana M Pereira</name>
<affiliation><nlm:aff id="Aff747">Escola Superior de Saúde de Bragança, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veiga Branco, M" sort="Veiga Branco, M" uniqKey="Veiga Branco M" first="M" last="Veiga-Branco">M Veiga-Branco</name>
<affiliation><nlm:aff id="Aff747">Escola Superior de Saúde de Bragança, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Filomena" sort="Pereira, Filomena" uniqKey="Pereira F" first="Filomena" last="Pereira">Filomena Pereira</name>
<affiliation><nlm:aff id="Aff748">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Maria" sort="Ribeiro, Maria" uniqKey="Ribeiro M" first="Maria" last="Ribeiro">Maria Ribeiro</name>
<affiliation><nlm:aff id="Aff747">Escola Superior de Saúde de Bragança, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lima, Vera" sort="Lima, Vera" uniqKey="Lima V" first="Vera" last="Lima">Vera Lima</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana I" sort="Oliveira, Ana I" uniqKey="Oliveira A" first="Ana I." last="Oliveira">Ana I. Oliveira</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff750">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Claudia" sort="Pinho, Claudia" uniqKey="Pinho C" first="Cláudia" last="Pinho">Cláudia Pinho</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff750">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Graca" sort="Cruz, Graca" uniqKey="Cruz G" first="Graça" last="Cruz">Graça Cruz</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Rita F" sort="Oliveira, Rita F" uniqKey="Oliveira R" first="Rita F." last="Oliveira">Rita F. Oliveira</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff750">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff751">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barreiros, Luisa" sort="Barreiros, Luisa" uniqKey="Barreiros L" first="Luísa" last="Barreiros">Luísa Barreiros</name>
<affiliation><nlm:aff id="Aff752">UCBIO-REQUIMTE Rede de Química e Tecnologia, 4051-401 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff753">Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Porto, 4050-313 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff754">Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, Porto, 4200-319 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff755">Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Camarneiro, Ana" sort="Camarneiro, Ana" uniqKey="Camarneiro A" first="Ana" last="Camarneiro">Ana Camarneiro</name>
<affiliation><nlm:aff id="Aff756">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Loureiro, M Helena" sort="Loureiro, M Helena" uniqKey="Loureiro M" first="M Helena" last="Loureiro">M Helena Loureiro</name>
<affiliation><nlm:aff id="Aff757">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Margarida" sort="Silva, Margarida" uniqKey="Silva M" first="Margarida" last="Silva">Margarida Silva</name>
<affiliation><nlm:aff id="Aff756">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Catarina" sort="Duarte, Catarina" uniqKey="Duarte C" first="Catarina" last="Duarte">Catarina Duarte</name>
<affiliation><nlm:aff id="Aff758">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Angelo" sort="Jesus, Angelo" uniqKey="Jesus A" first="Ângelo" last="Jesus">Ângelo Jesus</name>
<affiliation><nlm:aff id="Aff758">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff758">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mota, Maria" sort="Mota, Maria" uniqKey="Mota M" first="Maria" last="Mota">Maria Mota</name>
<affiliation><nlm:aff id="Aff759">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Novais, Sandra" sort="Novais, Sandra" uniqKey="Novais S" first="Sandra" last="Novais">Sandra Novais</name>
<affiliation><nlm:aff id="Aff760">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nogueira, Paulo" sort="Nogueira, Paulo" uniqKey="Nogueira P" first="Paulo" last="Nogueira">Paulo Nogueira</name>
<affiliation><nlm:aff id="Aff760">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana" sort="Pereira, Ana" uniqKey="Pereira A" first="Ana" last="Pereira">Ana Pereira</name>
<affiliation><nlm:aff id="Aff759">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff761">Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carneiro, Lara" sort="Carneiro, Lara" uniqKey="Carneiro L" first="Lara" last="Carneiro">Lara Carneiro</name>
<affiliation><nlm:aff id="Aff760">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Joao, Paulo V" sort="Joao, Paulo V" uniqKey="Joao P" first="Paulo V." last="João">Paulo V. João</name>
<affiliation><nlm:aff id="Aff759">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lima, Teresa Maneca" sort="Lima, Teresa Maneca" uniqKey="Lima T" first="Teresa Maneca" last="Lima">Teresa Maneca Lima</name>
<affiliation><nlm:aff id="Aff762">Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro Oliveira, Anabela" sort="Salgueiro Oliveira, Anabela" uniqKey="Salgueiro Oliveira A" first="Anabela" last="Salgueiro-Oliveira">Anabela Salgueiro-Oliveira</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaquinhas, Marina" sort="Vaquinhas, Marina" uniqKey="Vaquinhas M" first="Marina" last="Vaquinhas">Marina Vaquinhas</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Rosa" sort="Melo, Rosa" uniqKey="Melo R" first="Rosa" last="Melo">Rosa Melo</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graveto, Joao" sort="Graveto, Joao" uniqKey="Graveto J" first="João" last="Graveto">João Graveto</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castilho, Amelia" sort="Castilho, Amelia" uniqKey="Castilho A" first="Amélia" last="Castilho">Amélia Castilho</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Jose H" sort="Gomes, Jose H" uniqKey="Gomes J" first="José H." last="Gomes">José H. Gomes</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Medina, Maria S" sort="Medina, Maria S" uniqKey="Medina M" first="María S." last="Medina">María S. Medina</name>
<affiliation><nlm:aff id="Aff764">GyM Prevención, Burgos, 09007 Burgos, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Blanco, Valeriana G" sort="Blanco, Valeriana G" uniqKey="Blanco V" first="Valeriana G." last="Blanco">Valeriana G. Blanco</name>
<affiliation><nlm:aff id="Aff765">Universidad de Burgos, 09001 Burgos, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Osvaldo" sort="Santos, Osvaldo" uniqKey="Santos O" first="Osvaldo" last="Santos">Osvaldo Santos</name>
<affiliation><nlm:aff id="Aff766">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff767">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Elisa" sort="Lopes, Elisa" uniqKey="Lopes E" first="Elisa" last="Lopes">Elisa Lopes</name>
<affiliation><nlm:aff id="Aff766">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff767">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Virgolino, Ana" sort="Virgolino, Ana" uniqKey="Virgolino A" first="Ana" last="Virgolino">Ana Virgolino</name>
<affiliation><nlm:aff id="Aff766">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff767">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dinis, Alexandra" sort="Dinis, Alexandra" uniqKey="Dinis A" first="Alexandra" last="Dinis">Alexandra Dinis</name>
<affiliation><nlm:aff id="Aff768">Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ambr Sio, Sara" sort="Ambr Sio, Sara" uniqKey="Ambr Sio S" first="Sara" last="Ambr Sio">Sara Ambr Sio</name>
<affiliation><nlm:aff id="Aff768">Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Ines" sort="Almeida, Ines" uniqKey="Almeida I" first="Inês" last="Almeida">Inês Almeida</name>
<affiliation><nlm:aff id="Aff768">Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Tatiana" sort="Marques, Tatiana" uniqKey="Marques T" first="Tatiana" last="Marques">Tatiana Marques</name>
<affiliation><nlm:aff id="Aff768">Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Heitor, M Joao" sort="Heitor, M Joao" uniqKey="Heitor M" first="M João" last="Heitor">M João Heitor</name>
<affiliation><nlm:aff id="Aff768">Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff769">Hospital Beatriz Ângelo, Loures, 2674-514 Loures Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garcia Gordillo, Miguel A" sort="Garcia Gordillo, Miguel A" uniqKey="Garcia Gordillo M" first="Miguel A." last="Garcia-Gordillo">Miguel A. Garcia-Gordillo</name>
<affiliation><nlm:aff id="Aff770">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Collado Mateo, Daniel" sort="Collado Mateo, Daniel" uniqKey="Collado Mateo D" first="Daniel" last="Collado-Mateo">Daniel Collado-Mateo</name>
<affiliation><nlm:aff id="Aff770">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Olivares, Pedro R" sort="Olivares, Pedro R" uniqKey="Olivares P" first="Pedro R." last="Olivares">Pedro R. Olivares</name>
<affiliation><nlm:aff id="Aff771">Universidad Autonoma de Chile, Talca, 1670 Talca Chile</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parraca, Jose A" sort="Parraca, Jose A" uniqKey="Parraca J" first="José A." last="Parraça">José A. Parraça</name>
<affiliation><nlm:aff id="Aff772">Universidade de Évora, 7004-516 Évora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sala, Jose A" sort="Sala, Jose A" uniqKey="Sala J" first="José A." last="Sala">José A. Sala</name>
<affiliation><nlm:aff id="Aff770">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castilho, Amelia" sort="Castilho, Amelia" uniqKey="Castilho A" first="Amélia" last="Castilho">Amélia Castilho</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graveto, Joao" sort="Graveto, Joao" uniqKey="Graveto J" first="João" last="Graveto">João Graveto</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Anabela" sort="Oliveira, Anabela" uniqKey="Oliveira A" first="Anabela" last="Oliveira">Anabela Oliveira</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Jose H" sort="Gomes, Jose H" uniqKey="Gomes J" first="José H." last="Gomes">José H. Gomes</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Rosa" sort="Melo, Rosa" uniqKey="Melo R" first="Rosa" last="Melo">Rosa Melo</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaquinhas, Marina" sort="Vaquinhas, Marina" uniqKey="Vaquinhas M" first="Marina" last="Vaquinhas">Marina Vaquinhas</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cheio, M Nica" sort="Cheio, M Nica" uniqKey="Cheio M" first="M Nica" last="Cheio">M Nica Cheio</name>
<affiliation><nlm:aff id="Aff774">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff774">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Olivia R" sort="Pereira, Olivia R" uniqKey="Pereira O" first="Olívia R." last="Pereira">Olívia R. Pereira</name>
<affiliation><nlm:aff id="Aff775">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Sara" sort="Pinto, Sara" uniqKey="Pinto S" first="Sara" last="Pinto">Sara Pinto</name>
<affiliation><nlm:aff id="Aff776">Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Adriana" sort="Oliveira, Adriana" uniqKey="Oliveira A" first="Adriana" last="Oliveira">Adriana Oliveira</name>
<affiliation><nlm:aff id="Aff776">Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Manso, M Conceicao" sort="Manso, M Conceicao" uniqKey="Manso M" first="M. Conceição" last="Manso">M. Conceição Manso</name>
<affiliation><nlm:aff id="Aff776">Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff777">REQUIMTE/LAQV, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Carla" sort="Sousa, Carla" uniqKey="Sousa C" first="Carla" last="Sousa">Carla Sousa</name>
<affiliation><nlm:aff id="Aff776">Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vinha, Ana F" sort="Vinha, Ana F" uniqKey="Vinha A" first="Ana F." last="Vinha">Ana F. Vinha</name>
<affiliation><nlm:aff id="Aff776">Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff777">REQUIMTE/LAQV, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, M Manuela" sort="Machado, M Manuela" uniqKey="Machado M" first="M Manuela" last="Machado">M Manuela Machado</name>
<affiliation><nlm:aff id="Aff778">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vieira, Margarida" sort="Vieira, Margarida" uniqKey="Vieira M" first="Margarida" last="Vieira">Margarida Vieira</name>
<affiliation><nlm:aff id="Aff779">Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Beatriz" sort="Fernandes, Beatriz" uniqKey="Fernandes B" first="Beatriz" last="Fernandes">Beatriz Fernandes</name>
<affiliation><nlm:aff id="Aff780">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Teresa" sort="Tomas, Teresa" uniqKey="Tomas T" first="Teresa" last="Tomás">Teresa Tomás</name>
<affiliation><nlm:aff id="Aff780">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Quirino, Diogo" sort="Quirino, Diogo" uniqKey="Quirino D" first="Diogo" last="Quirino">Diogo Quirino</name>
<affiliation><nlm:aff id="Aff780">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Desouzart, Gustavo" sort="Desouzart, Gustavo" uniqKey="Desouzart G" first="Gustavo" last="Desouzart">Gustavo Desouzart</name>
<affiliation><nlm:aff id="Aff781">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Matos, Rui" sort="Matos, Rui" uniqKey="Matos R" first="Rui" last="Matos">Rui Matos</name>
<affiliation><nlm:aff id="Aff782">Life Quality Research Centre, Polytechnic Institute of Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff783">Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bordini, Magali" sort="Bordini, Magali" uniqKey="Bordini M" first="Magali" last="Bordini">Magali Bordini</name>
<affiliation><nlm:aff id="Aff781">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mouroco, Pedro" sort="Mouroco, Pedro" uniqKey="Mouroco P" first="Pedro" last="Mouroço">Pedro Mouroço</name>
<affiliation><nlm:aff id="Aff784">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Matos, Ana R" sort="Matos, Ana R" uniqKey="Matos A" first="Ana R." last="Matos">Ana R. Matos</name>
<affiliation><nlm:aff id="Aff785">Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serapioni, Mauro" sort="Serapioni, Mauro" uniqKey="Serapioni M" first="Mauro" last="Serapioni">Mauro Serapioni</name>
<affiliation><nlm:aff id="Aff785">Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guimaraes, Teresa" sort="Guimaraes, Teresa" uniqKey="Guimaraes T" first="Teresa" last="Guimarães">Teresa Guimarães</name>
<affiliation><nlm:aff id="Aff786">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca, Virginia" sort="Fonseca, Virginia" uniqKey="Fonseca V" first="Virgínia" last="Fonseca">Virgínia Fonseca</name>
<affiliation><nlm:aff id="Aff786">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Andre" sort="Costa, Andre" uniqKey="Costa A" first="André" last="Costa">André Costa</name>
<affiliation><nlm:aff id="Aff786">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Joao" sort="Ribeiro, Joao" uniqKey="Ribeiro J" first="João" last="Ribeiro">João Ribeiro</name>
<affiliation><nlm:aff id="Aff786">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lobato, Joao" sort="Lobato, Joao" uniqKey="Lobato J" first="João" last="Lobato">João Lobato</name>
<affiliation><nlm:aff id="Aff786">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martin, Inmaculada Z" sort="Martin, Inmaculada Z" uniqKey="Martin I" first="Inmaculada Z." last="Martin">Inmaculada Z. Martin</name>
<affiliation><nlm:aff id="Aff787">Jönköping University Foundation, 551 11 Jönköping, Sweden</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bjorklund, Anita" sort="Bjorklund, Anita" uniqKey="Bjorklund A" first="Anita" last="Björklund">Anita Björklund</name>
<affiliation><nlm:aff id="Aff787">Jönköping University Foundation, 551 11 Jönköping, Sweden</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Aida I" sort="Tavares, Aida I" uniqKey="Tavares A" first="Aida I." last="Tavares">Aida I. Tavares</name>
<affiliation><nlm:aff id="Aff788">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff788">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff789">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Passadouro, Rui" sort="Passadouro, Rui" uniqKey="Passadouro R" first="Rui" last="Passadouro">Rui Passadouro</name>
<affiliation><nlm:aff id="Aff790">ACES Pinhal Litoral, ARS Centro, Coimbra, 3001-553 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morgado, S Nia" sort="Morgado, S Nia" uniqKey="Morgado S" first="S Nia" last="Morgado">S Nia Morgado</name>
<affiliation><nlm:aff id="Aff791">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff792">Instituto Superior de Ciências Policiais e Segurança Interna, 1349-040 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Nuno" sort="Tavares, Nuno" uniqKey="Tavares N" first="Nuno" last="Tavares">Nuno Tavares</name>
<affiliation><nlm:aff id="Aff793">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valente, Joao" sort="Valente, Joao" uniqKey="Valente J" first="João" last="Valente">João Valente</name>
<affiliation><nlm:aff id="Aff793">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff793">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Patricia" sort="Araujo, Patricia" uniqKey="Araujo P" first="Patrícia" last="Araújo">Patrícia Araújo</name>
<affiliation><nlm:aff id="Aff794">Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Rosina" sort="Fernandes, Rosina" uniqKey="Fernandes R" first="Rosina" last="Fernandes">Rosina Fernandes</name>
<affiliation><nlm:aff id="Aff795">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Francisco" sort="Mendes, Francisco" uniqKey="Mendes F" first="Francisco" last="Mendes">Francisco Mendes</name>
<affiliation><nlm:aff id="Aff795">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magalhaes, Catia" sort="Magalhaes, Catia" uniqKey="Magalhaes C" first="Cátia" last="Magalhães">Cátia Magalhães</name>
<affiliation><nlm:aff id="Aff795">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Emilia" sort="Martins, Emilia" uniqKey="Martins E" first="Emília" last="Martins">Emília Martins</name>
<affiliation><nlm:aff id="Aff795">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff797">Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faustino, Ant Nio" sort="Faustino, Ant Nio" uniqKey="Faustino A" first="Ant Nio" last="Faustino">Ant Nio Faustino</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mesquita, Helena" sort="Mesquita, Helena" uniqKey="Mesquita H" first="Helena" last="Mesquita">Helena Mesquita</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hon Rio, Samuel" sort="Hon Rio, Samuel" uniqKey="Hon Rio S" first="Samuel" last="Hon Rio">Samuel Hon Rio</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff797">Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Batista, Marco" sort="Batista, Marco" uniqKey="Batista M" first="Marco" last="Batista">Marco Batista</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff797">Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lacerda, Josimari T" sort="Lacerda, Josimari T" uniqKey="Lacerda J" first="Josimari T." last="Lacerda">Josimari T. Lacerda</name>
<affiliation><nlm:aff id="Aff798">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ortiga, Angela B" sort="Ortiga, Angela B" uniqKey="Ortiga A" first="Angela B." last="Ortiga">Angela B. Ortiga</name>
<affiliation><nlm:aff id="Aff799">Secretaria de estado da saúde de Santa Catarina, Florianópolis, Santa Catarina 88015-130 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Calvo, M Cristina" sort="Calvo, M Cristina" uniqKey="Calvo M" first="M Cristina" last="Calvo">M Cristina Calvo</name>
<affiliation><nlm:aff id="Aff798">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Natal, Sonia" sort="Natal, Sonia" uniqKey="Natal S" first="Sônia" last="Natal">Sônia Natal</name>
<affiliation><nlm:aff id="Aff798">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Marta" sort="Pereira, Marta" uniqKey="Pereira M" first="Marta" last="Pereira">Marta Pereira</name>
<affiliation><nlm:aff id="Aff800">Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Manuela" sort="Ferreira, Manuela" uniqKey="Ferreira M" first="Manuela" last="Ferreira">Manuela Ferreira</name>
<affiliation><nlm:aff id="Aff801">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Prata, Ana R" sort="Prata, Ana R" uniqKey="Prata A" first="Ana R." last="Prata">Ana R. Prata</name>
<affiliation><nlm:aff id="Aff802">Hospital Pêro da Covilhã, Centro Hospitalar Cova da Beira EPE, 6200-251 Covilhã, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nelas, Paula" sort="Nelas, Paula" uniqKey="Nelas P" first="Paula" last="Nelas">Paula Nelas</name>
<affiliation><nlm:aff id="Aff801">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Joao" sort="Duarte, Joao" uniqKey="Duarte J" first="João" last="Duarte">João Duarte</name>
<affiliation><nlm:aff id="Aff801">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carneiro, Juliana" sort="Carneiro, Juliana" uniqKey="Carneiro J" first="Juliana" last="Carneiro">Juliana Carneiro</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana I" sort="Oliveira, Ana I" uniqKey="Oliveira A" first="Ana I." last="Oliveira">Ana I. Oliveira</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff804">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Claudia" sort="Pinho, Claudia" uniqKey="Pinho C" first="Cláudia" last="Pinho">Cláudia Pinho</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff804">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Couto, Cristina" sort="Couto, Cristina" uniqKey="Couto C" first="Cristina" last="Couto">Cristina Couto</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff805">Serviços farmacêuticos, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, EPE, 4454 509 Senhora da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Rita F" sort="Oliveira, Rita F" uniqKey="Oliveira R" first="Rita F." last="Oliveira">Rita F. Oliveira</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff804">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff806">Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff807">Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Ana S" sort="Maia, Ana S" uniqKey="Maia A" first="Ana S." last="Maia">Ana S. Maia</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Michelle T" sort="Oliveira, Michelle T" uniqKey="Oliveira M" first="Michelle T." last="Oliveira">Michelle T. Oliveira</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Anderson R" sort="Sousa, Anderson R" uniqKey="Sousa A" first="Anderson R." last="Sousa">Anderson R. Sousa</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Paulo P" sort="Ferreira, Paulo P" uniqKey="Ferreira P" first="Paulo P." last="Ferreira">Paulo P. Ferreira</name>
<affiliation><nlm:aff id="Aff809">Secretaria de Saúde do Estado da Bahia, Salvador, Bahia, 41745-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Souza, Gessica M" sort="Souza, Gessica M" uniqKey="Souza G" first="Géssica M." last="Souza">Géssica M. Souza</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almada, Livia F" sort="Almada, Livia F" uniqKey="Almada L" first="Lívia F." last="Almada">Lívia F. Almada</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Conceicao, Milena A" sort="Conceicao, Milena A" uniqKey="Conceicao M" first="Milena A." last="Conceição">Milena A. Conceição</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santiago, Eujcely C" sort="Santiago, Eujcely C" uniqKey="Santiago E" first="Eujcely C." last="Santiago">Eujcely C. Santiago</name>
<affiliation><nlm:aff id="Aff810">Hospital Estadual da Criança, Vila Valqueire, Rio de Janeiro Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Sandra" sort="Rodrigues, Sandra" uniqKey="Rodrigues S" first="Sandra" last="Rodrigues">Sandra Rodrigues</name>
<affiliation><nlm:aff id="Aff811">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Domingues, Gabriela" sort="Domingues, Gabriela" uniqKey="Domingues G" first="Gabriela" last="Domingues">Gabriela Domingues</name>
<affiliation><nlm:aff id="Aff811">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Irina" sort="Ferreira, Irina" uniqKey="Ferreira I" first="Irina" last="Ferreira">Irina Ferreira</name>
<affiliation><nlm:aff id="Aff811">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faria, Luis" sort="Faria, Luis" uniqKey="Faria L" first="Luís" last="Faria">Luís Faria</name>
<affiliation><nlm:aff id="Aff811">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seixas, Aderito" sort="Seixas, Aderito" uniqKey="Seixas A" first="Adérito" last="Seixas">Adérito Seixas</name>
<affiliation><nlm:aff id="Aff811">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Ana R" sort="Costa, Ana R" uniqKey="Costa A" first="Ana R." last="Costa">Ana R. Costa</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Angelo" sort="Jesus, Angelo" uniqKey="Jesus A" first="Ângelo" last="Jesus">Ângelo Jesus</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Americo" sort="Cardoso, Americo" uniqKey="Cardoso A" first="Américo" last="Cardoso">Américo Cardoso</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff813">Instituto Português de Oncologia do Porto FG, EPE, Porto, 4200-072 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meireles, Alexandra" sort="Meireles, Alexandra" uniqKey="Meireles A" first="Alexandra" last="Meireles">Alexandra Meireles</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff814">Centro Hospitalar do Porto, Porto, 4099-001 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Colaco, Armanda" sort="Colaco, Armanda" uniqKey="Colaco A" first="Armanda" last="Colaço">Armanda Colaço</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff815">Centro Hospitalar São João, Porto, 4200-319 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vieira, Viviane L" sort="Vieira, Viviane L" uniqKey="Vieira V" first="Viviane L." last="Vieira">Viviane L. Vieira</name>
<affiliation><nlm:aff id="Aff816">Universidade de São Paulo, São Paulo, 05403-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vincha, Kellem R" sort="Vincha, Kellem R" uniqKey="Vincha K" first="Kellem R." last="Vincha">Kellem R. Vincha</name>
<affiliation><nlm:aff id="Aff816">Universidade de São Paulo, São Paulo, 05403-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cervato Mancuso, Ana M" sort="Cervato Mancuso, Ana M" uniqKey="Cervato Mancuso A" first="Ana M" last="Cervato-Mancuso">Ana M Cervato-Mancuso</name>
<affiliation><nlm:aff id="Aff816">Universidade de São Paulo, São Paulo, 05403-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faria, Melissa" sort="Faria, Melissa" uniqKey="Faria M" first="Melissa" last="Faria">Melissa Faria</name>
<affiliation><nlm:aff id="Aff817">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Claudia" sort="Reis, Claudia" uniqKey="Reis C" first="Cláudia" last="Reis">Cláudia Reis</name>
<affiliation><nlm:aff id="Aff817">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cova, Marco P" sort="Cova, Marco P" uniqKey="Cova M" first="Marco P." last="Cova">Marco P. Cova</name>
<affiliation><nlm:aff id="Aff818">VOID – Software Development, 2415-767 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ascenso, Rita T" sort="Ascenso, Rita T" uniqKey="Ascenso R" first="Rita T." last="Ascenso">Rita T. Ascenso</name>
<affiliation><nlm:aff id="Aff819">Centre for Research in Informatics and Communications, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff820">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Henrique A" sort="Almeida, Henrique A" uniqKey="Almeida H" first="Henrique A." last="Almeida">Henrique A. Almeida</name>
<affiliation><nlm:aff id="Aff820">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Eunice G" sort="Oliveira, Eunice G" uniqKey="Oliveira E" first="Eunice G." last="Oliveira">Eunice G. Oliveira</name>
<affiliation><nlm:aff id="Aff820">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff821">Instituto de Engenharia de Sistemas e Computadores de Coimbra, 3000-033 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santana, Miguel" sort="Santana, Miguel" uniqKey="Santana M" first="Miguel" last="Santana">Miguel Santana</name>
<affiliation><nlm:aff id="Aff822">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Rafael" sort="Pereira, Rafael" uniqKey="Pereira R" first="Rafael" last="Pereira">Rafael Pereira</name>
<affiliation><nlm:aff id="Aff822">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Eunice G" sort="Oliveira, Eunice G" uniqKey="Oliveira E" first="Eunice G." last="Oliveira">Eunice G. Oliveira</name>
<affiliation><nlm:aff id="Aff822">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff823">Instituto de Engenharia de Sistemas e Computadores de Coimbra, 3000-033 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Henrique A" sort="Almeida, Henrique A" uniqKey="Almeida H" first="Henrique A." last="Almeida">Henrique A. Almeida</name>
<affiliation><nlm:aff id="Aff822">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ascenso, Rita T" sort="Ascenso, Rita T" uniqKey="Ascenso R" first="Rita T." last="Ascenso">Rita T. Ascenso</name>
<affiliation><nlm:aff id="Aff822">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff824">Centre for Research in Informatics and Communications, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Rita" sort="Jesus, Rita" uniqKey="Jesus R" first="Rita" last="Jesus">Rita Jesus</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tapadas, Rodrigo" sort="Tapadas, Rodrigo" uniqKey="Tapadas R" first="Rodrigo" last="Tapadas">Rodrigo Tapadas</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tim Tim, Carolina" sort="Tim Tim, Carolina" uniqKey="Tim Tim C" first="Carolina" last="Tim-Tim">Carolina Tim-Tim</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cezanne, Catarina" sort="Cezanne, Catarina" uniqKey="Cezanne C" first="Catarina" last="Cezanne">Catarina Cezanne</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lagoa, Matilde" sort="Lagoa, Matilde" uniqKey="Lagoa M" first="Matilde" last="Lagoa">Matilde Lagoa</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Sara S" sort="Dias, Sara S" uniqKey="Dias S" first="Sara S." last="Dias">Sara S. Dias</name>
<affiliation><nlm:aff id="Aff826">Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa, 1150-082 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff827">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Torgal, Jorge" sort="Torgal, Jorge" uniqKey="Torgal J" first="Jorge" last="Torgal">Jorge Torgal</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Joao" sort="Lopes, Joao" uniqKey="Lopes J" first="João" last="Lopes">João Lopes</name>
<affiliation><nlm:aff id="Aff828">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Henrique" sort="Almeida, Henrique" uniqKey="Almeida H" first="Henrique" last="Almeida">Henrique Almeida</name>
<affiliation><nlm:aff id="Aff828">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amado, Sandra" sort="Amado, Sandra" uniqKey="Amado S" first="Sandra" last="Amado">Sandra Amado</name>
<affiliation><nlm:aff id="Aff829">School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carrao, Luis" sort="Carrao, Luis" uniqKey="Carrao L" first="Luís" last="Carrão">Luís Carrão</name>
<affiliation><nlm:aff id="Aff829">School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Madalena" sort="Cunha, Madalena" uniqKey="Cunha M" first="Madalena" last="Cunha">Madalena Cunha</name>
<affiliation><nlm:aff id="Aff830">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Saboga Nunes, Luis" sort="Saboga Nunes, Luis" uniqKey="Saboga Nunes L" first="Luís" last="Saboga-Nunes">Luís Saboga-Nunes</name>
<affiliation><nlm:aff id="Aff831">Escola Nacional de Saúde Publica, Lisboa, 1600-560 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Albuquerque, Carlos" sort="Albuquerque, Carlos" uniqKey="Albuquerque C" first="Carlos" last="Albuquerque">Carlos Albuquerque</name>
<affiliation><nlm:aff id="Aff830">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Oliverio" sort="Ribeiro, Oliverio" uniqKey="Ribeiro O" first="Olivério" last="Ribeiro">Olivério Ribeiro</name>
<affiliation><nlm:aff id="Aff832">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Suzete" sort="Oliveira, Suzete" uniqKey="Oliveira S" first="Suzete" last="Oliveira">Suzete Oliveira</name>
<affiliation><nlm:aff id="Aff833">Escola Superior de Tecnologia e Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, M Carminda" sort="Morais, M Carminda" uniqKey="Morais M" first="M Carminda" last="Morais">M Carminda Morais</name>
<affiliation><nlm:aff id="Aff834">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Emilia" sort="Martins, Emilia" uniqKey="Martins E" first="Emília" last="Martins">Emília Martins</name>
<affiliation><nlm:aff id="Aff835">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Francisco" sort="Mendes, Francisco" uniqKey="Mendes F" first="Francisco" last="Mendes">Francisco Mendes</name>
<affiliation><nlm:aff id="Aff835">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Rosina" sort="Fernandes, Rosina" uniqKey="Fernandes R" first="Rosina" last="Fernandes">Rosina Fernandes</name>
<affiliation><nlm:aff id="Aff835">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magalhaes, Catia" sort="Magalhaes, Catia" uniqKey="Magalhaes C" first="Cátia" last="Magalhães">Cátia Magalhães</name>
<affiliation><nlm:aff id="Aff835">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Patricia" sort="Araujo, Patricia" uniqKey="Araujo P" first="Patrícia" last="Araújo">Patrícia Araújo</name>
<affiliation><nlm:aff id="Aff836">Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedro, Ana R" sort="Pedro, Ana R" uniqKey="Pedro A" first="Ana R." last="Pedro">Ana R. Pedro</name>
<affiliation><nlm:aff id="Aff837">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Odete" sort="Amaral, Odete" uniqKey="Amaral O" first="Odete" last="Amaral">Odete Amaral</name>
<affiliation><nlm:aff id="Aff838">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Escoval, Ana" sort="Escoval, Ana" uniqKey="Escoval A" first="Ana" last="Escoval">Ana Escoval</name>
<affiliation><nlm:aff id="Aff837">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Assuncao, Victor" sort="Assuncao, Victor" uniqKey="Assuncao V" first="Victor" last="Assunção">Victor Assunção</name>
<affiliation><nlm:aff id="Aff839">Escola Superior de Saúde, Instituto Politécnico de Portalegre, Portalegre, 7301-901 Portalegre Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luis, Henrique" sort="Luis, Henrique" uniqKey="Luis H" first="Henrique" last="Luís">Henrique Luís</name>
<affiliation><nlm:aff id="Aff840">Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, 1649-003 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luis, Luis" sort="Luis, Luis" uniqKey="Luis L" first="Luís" last="Luís">Luís Luís</name>
<affiliation><nlm:aff id="Aff841">Escola Superior de Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Apolinario Hagen, Jennifer" sort="Apolinario Hagen, Jennifer" uniqKey="Apolinario Hagen J" first="Jennifer" last="Apolinário-Hagen">Jennifer Apolinário-Hagen</name>
<affiliation><nlm:aff id="Aff842">Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vehreschild, Viktor" sort="Vehreschild, Viktor" uniqKey="Vehreschild V" first="Viktor" last="Vehreschild">Viktor Vehreschild</name>
<affiliation><nlm:aff id="Aff842">Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fotschl, Ulrike" sort="Fotschl, Ulrike" uniqKey="Fotschl U" first="Ulrike" last="Fotschl">Ulrike Fotschl</name>
<affiliation><nlm:aff id="Aff843">Department of Biomedical Sciences, University of Applied Sciences Salzburg, A-5412 Puch, Salzburg Austria</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lirk, Gerald" sort="Lirk, Gerald" uniqKey="Lirk G" first="Gerald" last="Lirk">Gerald Lirk</name>
<affiliation><nlm:aff id="Aff844">Department of Medical and Bioinformatics, University of Applied Sciences Upper Austria, Hagenberg, A-4232 Hagenberg Austria</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff845">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff845">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff845">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Ver Nica" sort="Mendonca, Ver Nica" uniqKey="Mendonca V" first="Ver Nica" last="Mendonça">Ver Nica Mendonça</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Sandra" sort="Antunes, Sandra" uniqKey="Antunes S" first="Sandra" last="Antunes">Sandra Antunes</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Os Rio, Nadia" sort="Os Rio, Nadia" uniqKey="Os Rio N" first="Nádia" last="Os Rio">Nádia Os Rio</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valado, Ana" sort="Valado, Ana" uniqKey="Valado A" first="Ana" last="Valado">Ana Valado</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caseiro, Armando" sort="Caseiro, Armando" uniqKey="Caseiro A" first="Armando" last="Caseiro">Armando Caseiro</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Ant Nio" sort="Gabriel, Ant Nio" uniqKey="Gabriel A" first="Ant Nio" last="Gabriel">Ant Nio Gabriel</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Paula A" sort="Silva, Paula A" uniqKey="Silva P" first="Paula A." last="Silva">Paula A. Silva</name>
<affiliation><nlm:aff id="Aff847">Universidad de Extremadura, 10003 Cáceres, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff848">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro M" sort="Parreira, Pedro M" uniqKey="Parreira P" first="Pedro M." last="Parreira">Pedro M. Parreira</name>
<affiliation><nlm:aff id="Aff849">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff848">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff850">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro M" sort="Parreira, Pedro M" uniqKey="Parreira P" first="Pedro M." last="Parreira">Pedro M. Parreira</name>
<affiliation><nlm:aff id="Aff851">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff850">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ruivo, Joana" sort="Ruivo, Joana" uniqKey="Ruivo J" first="Joana" last="Ruivo">Joana Ruivo</name>
<affiliation><nlm:aff id="Aff850">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Vania" sort="Silva, Vania" uniqKey="Silva V" first="Vânia" last="Silva">Vânia Silva</name>
<affiliation><nlm:aff id="Aff852">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Paulino" sort="Sousa, Paulino" uniqKey="Sousa P" first="Paulino" last="Sousa">Paulino Sousa</name>
<affiliation><nlm:aff id="Aff852">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff853">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Padilha, Jose M" sort="Padilha, Jose M" uniqKey="Padilha J" first="José M." last="Padilha">José M. Padilha</name>
<affiliation><nlm:aff id="Aff852">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferraz, Vera" sort="Ferraz, Vera" uniqKey="Ferraz V" first="Vera" last="Ferraz">Vera Ferraz</name>
<affiliation><nlm:aff id="Aff854">Centro Hospitalar de Trás–os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aparicio, Graca" sort="Aparicio, Graca" uniqKey="Aparicio G" first="Graça" last="Aparício">Graça Aparício</name>
<affiliation><nlm:aff id="Aff855">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Joao" sort="Duarte, Joao" uniqKey="Duarte J" first="João" last="Duarte">João Duarte</name>
<affiliation><nlm:aff id="Aff855">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vasconcelos, Carlos" sort="Vasconcelos, Carlos" uniqKey="Vasconcelos C" first="Carlos" last="Vasconcelos">Carlos Vasconcelos</name>
<affiliation><nlm:aff id="Aff856">Polytechnic Institute of Viseu, Viseu, 3504-510 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Ant Nio" sort="Almeida, Ant Nio" uniqKey="Almeida A" first="Ant Nio" last="Almeida">Ant Nio Almeida</name>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff858">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Joel" sort="Neves, Joel" uniqKey="Neves J" first="Joel" last="Neves">Joel Neves</name>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Correia, Telma" sort="Correia, Telma" uniqKey="Correia T" first="Telma" last="Correia">Telma Correia</name>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amorim, Helena" sort="Amorim, Helena" uniqKey="Amorim H" first="Helena" last="Amorim">Helena Amorim</name>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Romeu" sort="Mendes, Romeu" uniqKey="Mendes R" first="Romeu" last="Mendes">Romeu Mendes</name>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff858">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff859">Unidade de Saúde Pública, ACES Douro I, Marão e Douro Norte, Administração Regional de Saúde do Norte, 5000-524 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Saboga Nunes, Luis" sort="Saboga Nunes, Luis" uniqKey="Saboga Nunes L" first="Luís" last="Saboga-Nunes">Luís Saboga-Nunes</name>
<affiliation><nlm:aff id="Aff860">Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Publica, 1600-560 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Madalena" sort="Cunha, Madalena" uniqKey="Cunha M" first="Madalena" last="Cunha">Madalena Cunha</name>
<affiliation><nlm:aff id="Aff861">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Albuquerque, Carlos" sort="Albuquerque, Carlos" uniqKey="Albuquerque C" first="Carlos" last="Albuquerque">Carlos Albuquerque</name>
<affiliation><nlm:aff id="Aff861">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Elsa S" sort="Pereira, Elsa S" uniqKey="Pereira E" first="Elsa S." last="Pereira">Elsa S. Pereira</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Leonino S" sort="Santos, Leonino S" uniqKey="Santos L" first="Leonino S." last="Santos">Leonino S. Santos</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Ana S" sort="Reis, Ana S" uniqKey="Reis A" first="Ana S." last="Reis">Ana S. Reis</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Helena R" sort="Silva, Helena R" uniqKey="Silva H" first="Helena R." last="Silva">Helena R. Silva</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rombo, Joao" sort="Rombo, Joao" uniqKey="Rombo J" first="João" last="Rombo">João Rombo</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Jorge C" sort="Fernandes, Jorge C" uniqKey="Fernandes J" first="Jorge C." last="Fernandes">Jorge C. Fernandes</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Patricia" sort="Fernandes, Patricia" uniqKey="Fernandes P" first="Patrícia" last="Fernandes">Patrícia Fernandes</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Jaime" sort="Ribeiro, Jaime" uniqKey="Ribeiro J" first="Jaime" last="Ribeiro">Jaime Ribeiro</name>
<affiliation><nlm:aff id="Aff863">Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mangas, Catarina" sort="Mangas, Catarina" uniqKey="Mangas C" first="Catarina" last="Mangas">Catarina Mangas</name>
<affiliation><nlm:aff id="Aff864">Unidade de Investigação Inclusão e Acessibilidade em Acção “iACT” e Escola Superior Educação e Ciências Sociais, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freire, Ana" sort="Freire, Ana" uniqKey="Freire A" first="Ana" last="Freire">Ana Freire</name>
<affiliation><nlm:aff id="Aff865">Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Sara" sort="Silva, Sara" uniqKey="Silva S" first="Sara" last="Silva">Sara Silva</name>
<affiliation><nlm:aff id="Aff866">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Francisco, Irene" sort="Francisco, Irene" uniqKey="Francisco I" first="Irene" last="Francisco">Irene Francisco</name>
<affiliation><nlm:aff id="Aff866">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana" sort="Oliveira, Ana" uniqKey="Oliveira A" first="Ana" last="Oliveira">Ana Oliveira</name>
<affiliation><nlm:aff id="Aff866">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catarino, Helena" sort="Catarino, Helena" uniqKey="Catarino H" first="Helena" last="Catarino">Helena Catarino</name>
<affiliation><nlm:aff id="Aff867">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff867">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Louro, M Clarisse" sort="Louro, M Clarisse" uniqKey="Louro M" first="M Clarisse" last="Louro">M Clarisse Louro</name>
<affiliation><nlm:aff id="Aff867">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Saudade" sort="Lopes, Saudade" uniqKey="Lopes S" first="Saudade" last="Lopes">Saudade Lopes</name>
<affiliation><nlm:aff id="Aff868">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Anjos" sort="Dixe, Anjos" uniqKey="Dixe A" first="Anjos" last="Dixe">Anjos Dixe</name>
<affiliation><nlm:aff id="Aff868">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff869">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Menino, Eva" sort="Menino, Eva" uniqKey="Menino E" first="Eva" last="Menino">Eva Menino</name>
<affiliation><nlm:aff id="Aff869">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catarino, Helena" sort="Catarino, Helena" uniqKey="Catarino H" first="Helena" last="Catarino">Helena Catarino</name>
<affiliation><nlm:aff id="Aff869">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Fatima" sort="Soares, Fatima" uniqKey="Soares F" first="Fátima" last="Soares">Fátima Soares</name>
<affiliation><nlm:aff id="Aff870">Unidade de Saúde Pública - ACES Pinhal Litoral, ARS Centro, 3100-462 Pombal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana P" sort="Oliveira, Ana P" uniqKey="Oliveira A" first="Ana P." last="Oliveira">Ana P. Oliveira</name>
<affiliation><nlm:aff id="Aff871">Consulta Externa de Pediatria, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gordo, Sara" sort="Gordo, Sara" uniqKey="Gordo S" first="Sara" last="Gordo">Sara Gordo</name>
<affiliation><nlm:aff id="Aff869">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kraus, Teresa" sort="Kraus, Teresa" uniqKey="Kraus T" first="Teresa" last="Kraus">Teresa Kraus</name>
<affiliation><nlm:aff id="Aff869">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff872">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Queir S, Paulo" sort="Queir S, Paulo" uniqKey="Queir S P" first="Paulo" last="Queir S">Paulo Queir S</name>
<affiliation><nlm:aff id="Aff873">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Teresa" sort="Rodrigues, Teresa" uniqKey="Rodrigues T" first="Teresa" last="Rodrigues">Teresa Rodrigues</name>
<affiliation><nlm:aff id="Aff874">Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Pedro" sort="Sousa, Pedro" uniqKey="Sousa P" first="Pedro" last="Sousa">Pedro Sousa</name>
<affiliation><nlm:aff id="Aff875">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Frade, Joao G" sort="Frade, Joao G" uniqKey="Frade J" first="João G." last="Frade">João G. Frade</name>
<affiliation><nlm:aff id="Aff875">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lobao, Catarina" sort="Lobao, Catarina" uniqKey="Lobao C" first="Catarina" last="Lobão">Catarina Lobão</name>
<affiliation><nlm:aff id="Aff875">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moura, Cynthia B" sort="Moura, Cynthia B" uniqKey="Moura C" first="Cynthia B." last="Moura">Cynthia B. Moura</name>
<affiliation><nlm:aff id="Aff876">Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná 85851-100 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dreyer, Laysa C" sort="Dreyer, Laysa C" uniqKey="Dreyer L" first="Laysa C." last="Dreyer">Laysa C. Dreyer</name>
<affiliation><nlm:aff id="Aff876">Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná 85851-100 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meneghetti, Vanize" sort="Meneghetti, Vanize" uniqKey="Meneghetti V" first="Vanize" last="Meneghetti">Vanize Meneghetti</name>
<affiliation><nlm:aff id="Aff876">Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná 85851-100 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Priscila P" sort="Cabral, Priscila P" uniqKey="Cabral P" first="Priscila P." last="Cabral">Priscila P. Cabral</name>
<affiliation><nlm:aff id="Aff876">Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná 85851-100 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Francisca" sort="Pinto, Francisca" uniqKey="Pinto F" first="Francisca" last="Pinto">Francisca Pinto</name>
<affiliation><nlm:aff id="Aff877">Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa/Porto, 4202-401 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff878">Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Cooperativa De Ensino Superior Politécnico Universitário, Instituto Politécnico de Saúde do Norte, 4585-116 Gandra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Paulino" sort="Sousa, Paulino" uniqKey="Sousa P" first="Paulino" last="Sousa">Paulino Sousa</name>
<affiliation><nlm:aff id="Aff879">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff880">Centre for Health Technology and Services Research, Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Esteves, M Raquel" sort="Esteves, M Raquel" uniqKey="Esteves M" first="M Raquel" last="Esteves">M Raquel Esteves</name>
<affiliation><nlm:aff id="Aff878">Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Cooperativa De Ensino Superior Politécnico Universitário, Instituto Politécnico de Saúde do Norte, 4585-116 Gandra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galvao, Sofia" sort="Galvao, Sofia" uniqKey="Galvao S" first="Sofia" last="Galvão">Sofia Galvão</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tytgat, Ite" sort="Tytgat, Ite" uniqKey="Tytgat I" first="Ite" last="Tytgat">Ite Tytgat</name>
<affiliation><nlm:aff id="Aff882">University Thomas More, B - 2800 Mechelen, Belgium</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Os Rio, Nadia" sort="Os Rio, Nadia" uniqKey="Os Rio N" first="Nádia" last="Os Rio">Nádia Os Rio</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valado, Ana" sort="Valado, Ana" uniqKey="Valado A" first="Ana" last="Valado">Ana Valado</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caseiro, Armando" sort="Caseiro, Armando" uniqKey="Caseiro A" first="Armando" last="Caseiro">Armando Caseiro</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Ant Nio" sort="Gabriel, Ant Nio" uniqKey="Gabriel A" first="Ant Nio" last="Gabriel">Ant Nio Gabriel</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Casas Novas, M Nica" sort="Casas Novas, M Nica" uniqKey="Casas Novas M" first="M Nica" last="Casas-Novas">M Nica Casas-Novas</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bernardo, Helena" sort="Bernardo, Helena" uniqKey="Bernardo H" first="Helena" last="Bernardo">Helena Bernardo</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Gracinda" sort="Sousa, Gracinda" uniqKey="Sousa G" first="Gracinda" last="Sousa">Gracinda Sousa</name>
<affiliation><nlm:aff id="Aff884">Instituto Português do Sangue e da Transplantação, Lisboa, 1000-208 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Ana P" sort="Sousa, Ana P" uniqKey="Sousa A" first="Ana P." last="Sousa">Ana P. Sousa</name>
<affiliation><nlm:aff id="Aff884">Instituto Português do Sangue e da Transplantação, Lisboa, 1000-208 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, Clara" sort="Rocha, Clara" uniqKey="Rocha C" first="Clara" last="Rocha">Clara Rocha</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Belo, Pedro" sort="Belo, Pedro" uniqKey="Belo P" first="Pedro" last="Belo">Pedro Belo</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Os Rio, Nadia" sort="Os Rio, Nadia" uniqKey="Os Rio N" first="Nádia" last="Os Rio">Nádia Os Rio</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valado, Ana" sort="Valado, Ana" uniqKey="Valado A" first="Ana" last="Valado">Ana Valado</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caseiro, Armando" sort="Caseiro, Armando" uniqKey="Caseiro A" first="Armando" last="Caseiro">Armando Caseiro</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Ant Nio" sort="Gabriel, Ant Nio" uniqKey="Gabriel A" first="Ant Nio" last="Gabriel">Ant Nio Gabriel</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Fatima" sort="Martins, Fatima" uniqKey="Martins F" first="Fátima" last="Martins">Fátima Martins</name>
<affiliation><nlm:aff id="Aff885">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pulido Fuentes, Montserrat" sort="Pulido Fuentes, Montserrat" uniqKey="Pulido Fuentes M" first="Montserrat" last="Pulido-Fuentes">Montserrat Pulido-Fuentes</name>
<affiliation><nlm:aff id="Aff886">Facultad de Terapia Ocupacional, Logopedia y Enfermería, Universidad de Castilla-La Mancha, 45600 Talavera de la Reina, Toledo España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barroso, Isabel" sort="Barroso, Isabel" uniqKey="Barroso I" first="Isabel" last="Barroso">Isabel Barroso</name>
<affiliation><nlm:aff id="Aff887">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Gil" sort="Cabral, Gil" uniqKey="Cabral G" first="Gil" last="Cabral">Gil Cabral</name>
<affiliation><nlm:aff id="Aff888">Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, M Joao" sort="Monteiro, M Joao" uniqKey="Monteiro M" first="M. João" last="Monteiro">M. João Monteiro</name>
<affiliation><nlm:aff id="Aff887">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rainho, Conceicao" sort="Rainho, Conceicao" uniqKey="Rainho C" first="Conceição" last="Rainho">Conceição Rainho</name>
<affiliation><nlm:aff id="Aff887">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Prado, Alessandro" sort="Prado, Alessandro" uniqKey="Prado A" first="Alessandro" last="Prado">Alessandro Prado</name>
<affiliation><nlm:aff id="Aff889">Universidade de São Paulo, São Paulo, 05403-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Yara M" sort="Carvalho, Yara M" uniqKey="Carvalho Y" first="Yara M." last="Carvalho">Yara M. Carvalho</name>
<affiliation><nlm:aff id="Aff889">Universidade de São Paulo, São Paulo, 05403-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campos, Maria" sort="Campos, Maria" uniqKey="Campos M" first="Maria" last="Campos">Maria Campos</name>
<affiliation><nlm:aff id="Aff890">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Liliana" sort="Moreira, Liliana" uniqKey="Moreira L" first="Liliana" last="Moreira">Liliana Moreira</name>
<affiliation><nlm:aff id="Aff890">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Jose" sort="Ferreira, Jose" uniqKey="Ferreira J" first="José" last="Ferreira">José Ferreira</name>
<affiliation><nlm:aff id="Aff890">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixeira, Ana" sort="Teixeira, Ana" uniqKey="Teixeira A" first="Ana" last="Teixeira">Ana Teixeira</name>
<affiliation><nlm:aff id="Aff890">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rama, Luis" sort="Rama, Luis" uniqKey="Rama L" first="Luís" last="Rama">Luís Rama</name>
<affiliation><nlm:aff id="Aff890">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campos, Maria" sort="Campos, Maria" uniqKey="Campos M" first="Maria" last="Campos">Maria Campos</name>
<affiliation><nlm:aff id="Aff891">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Liliana" sort="Moreira, Liliana" uniqKey="Moreira L" first="Liliana" last="Moreira">Liliana Moreira</name>
<affiliation><nlm:aff id="Aff891">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Jose" sort="Ferreira, Jose" uniqKey="Ferreira J" first="José" last="Ferreira">José Ferreira</name>
<affiliation><nlm:aff id="Aff891">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixeira, Ana" sort="Teixeira, Ana" uniqKey="Teixeira A" first="Ana" last="Teixeira">Ana Teixeira</name>
<affiliation><nlm:aff id="Aff891">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rama, Luis" sort="Rama, Luis" uniqKey="Rama L" first="Luís" last="Rama">Luís Rama</name>
<affiliation><nlm:aff id="Aff891">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">27409075</idno>
<idno type="pmc">4943498</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943498</idno>
<idno type="RBID">PMC:4943498</idno>
<idno type="doi">10.1186/s12913-016-1423-5</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">000120</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Proceedings of the 3rd IPLeiria’s International Health Congress</title>
<author><name sortKey="Tomas, Catarina Cardoso" sort="Tomas, Catarina Cardoso" uniqKey="Tomas C" first="Catarina Cardoso" last="Tomás">Catarina Cardoso Tomás</name>
<affiliation><nlm:aff id="Aff1">Health Sciences Research Unit: Nursing, Collegue of College of Health Technology of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Emanuel" sort="Oliveira, Emanuel" uniqKey="Oliveira E" first="Emanuel" last="Oliveira">Emanuel Oliveira</name>
<affiliation><nlm:aff id="Aff2">Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa Isabel, Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff3">Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, D" sort="Sousa, D" uniqKey="Sousa D" first="D." last="Sousa">D. Sousa</name>
<affiliation><nlm:aff id="Aff2">Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa Isabel, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Uba Chupel, M" sort="Uba Chupel, M" uniqKey="Uba Chupel M" first="M." last="Uba-Chupel">M. Uba-Chupel</name>
<affiliation><nlm:aff id="Aff3">Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Furtado, G" sort="Furtado, G" uniqKey="Furtado G" first="G." last="Furtado">G. Furtado</name>
<affiliation><nlm:aff id="Aff3">Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, C" sort="Rocha, C" uniqKey="Rocha C" first="C." last="Rocha">C. Rocha</name>
<affiliation><nlm:aff id="Aff4">Complementary Sciences- INESCC, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixeira, A" sort="Teixeira, A" uniqKey="Teixeira A" first="A." last="Teixeira">A. Teixeira</name>
<affiliation><nlm:aff id="Aff3">Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, P" sort="Ferreira, P" uniqKey="Ferreira P" first="P." last="Ferreira">P. Ferreira</name>
<affiliation><nlm:aff id="Aff3">Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Celeste" sort="Alves, Celeste" uniqKey="Alves C" first="Celeste" last="Alves">Celeste Alves</name>
<affiliation><nlm:aff id="Aff5">CUF Hospitals, Lisbon, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff6">Breast Unit, Champalimaud Clinical Center, Lisbon, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gisin, Stefan" sort="Gisin, Stefan" uniqKey="Gisin S" first="Stefan" last="Gisin">Stefan Gisin</name>
<affiliation><nlm:aff id="Aff7">Swiss Centre for Medical Simulation & Swiss Association of Simulation in Healthcare, 4031 Basel, Switzerland</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff8">Basel University Hospital, 4056 Basel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catarino, Elisabete" sort="Catarino, Elisabete" uniqKey="Catarino E" first="Elisabete" last="Catarino">Elisabete Catarino</name>
<affiliation><nlm:aff id="Aff9">HELPO Association, 2750-318 Cascais, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Nelma" sort="Carvalho, Nelma" uniqKey="Carvalho N" first="Nelma" last="Carvalho">Nelma Carvalho</name>
<affiliation><nlm:aff id="Aff9">HELPO Association, 2750-318 Cascais, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coucelo, Tiago" sort="Coucelo, Tiago" uniqKey="Coucelo T" first="Tiago" last="Coucelo">Tiago Coucelo</name>
<affiliation><nlm:aff id="Aff9">HELPO Association, 2750-318 Cascais, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bonfim, Luis" sort="Bonfim, Luis" uniqKey="Bonfim L" first="Luís" last="Bonfim">Luís Bonfim</name>
<affiliation><nlm:aff id="Aff9">HELPO Association, 2750-318 Cascais, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Carina" sort="Silva, Carina" uniqKey="Silva C" first="Carina" last="Silva">Carina Silva</name>
<affiliation><nlm:aff id="Aff9">HELPO Association, 2750-318 Cascais, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Franco, Debora" sort="Franco, Debora" uniqKey="Franco D" first="Débora" last="Franco">Débora Franco</name>
<affiliation><nlm:aff id="Aff10">Centro de Linguística, Universidade de Lisboa, Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gonzalez, Jesus Alcoba" sort="Gonzalez, Jesus Alcoba" uniqKey="Gonzalez J" first="Jesús Alcoba" last="González">Jesús Alcoba González</name>
<affiliation><nlm:aff id="Aff11">Centro Superior de Estudios Universitarios La Salle, Madrid, Spain</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jardim, Helena G" sort="Jardim, Helena G" uniqKey="Jardim H" first="Helena G." last="Jardim">Helena G. Jardim</name>
<affiliation><nlm:aff id="Aff12">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Rita" sort="Silva, Rita" uniqKey="Silva R" first="Rita" last="Silva">Rita Silva</name>
<affiliation><nlm:aff id="Aff13">Serviço de Saúde da Região Autónoma da Madeira, E.P.E., 9004-514 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baixinho, Cristina L" sort="Baixinho, Cristina L" uniqKey="Baixinho C" first="Cristina L." last="Baixinho">Cristina L. Baixinho</name>
<affiliation><nlm:aff id="Aff14">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Presado, M Helena" sort="Presado, M Helena" uniqKey="Presado M" first="M Helena" last="Presado">M Helena Presado</name>
<affiliation><nlm:aff id="Aff14">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, M Fatima" sort="Marques, M Fatima" uniqKey="Marques M" first="M Fátima" last="Marques">M Fátima Marques</name>
<affiliation><nlm:aff id="Aff14">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Mario E" sort="Cardoso, Mario E" uniqKey="Cardoso M" first="Mário E." last="Cardoso">Mário E. Cardoso</name>
<affiliation><nlm:aff id="Aff14">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff15">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Joana" sort="Mendes, Joana" uniqKey="Mendes J" first="Joana" last="Mendes">Joana Mendes</name>
<affiliation><nlm:aff id="Aff15">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Xavier, Ana" sort="Xavier, Ana" uniqKey="Xavier A" first="Ana" last="Xavier">Ana Xavier</name>
<affiliation><nlm:aff id="Aff16">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, Coimbra, 3001-802 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galhardo, Ana" sort="Galhardo, Ana" uniqKey="Galhardo A" first="Ana" last="Galhardo">Ana Galhardo</name>
<affiliation><nlm:aff id="Aff15">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Couto, Margarida" sort="Couto, Margarida" uniqKey="Couto M" first="Margarida" last="Couto">Margarida Couto</name>
<affiliation><nlm:aff id="Aff15">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Frade, Joao G" sort="Frade, Joao G" uniqKey="Frade J" first="João G." last="Frade">João G. Frade</name>
<affiliation><nlm:aff id="Aff17">Escola Superior de Saúde de Leiria & Unidade de Investigação em Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Carla" sort="Nunes, Carla" uniqKey="Nunes C" first="Carla" last="Nunes">Carla Nunes</name>
<affiliation><nlm:aff id="Aff18">National School of Public Health & Centro de Investigação em Saúde Pública, Universidade Nova de Lisboa, 1600-560 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mesquita, Joao R" sort="Mesquita, Joao R" uniqKey="Mesquita J" first="João R." last="Mesquita">João R. Mesquita</name>
<affiliation><nlm:aff id="Aff19">Agrarian Superior School, Polytechnic Institute of Viseu, 3500-606 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nascimento, Maria S" sort="Nascimento, Maria S" uniqKey="Nascimento M" first="Maria S." last="Nascimento">Maria S. Nascimento</name>
<affiliation><nlm:aff id="Aff20">Laboratory of Microbiology, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Guilherme" sort="Goncalves, Guilherme" uniqKey="Goncalves G" first="Guilherme" last="Gonçalves">Guilherme Gonçalves</name>
<affiliation><nlm:aff id="Aff21">Unit for Multidisciplinary Biomedical Research, Institute of Biomedical Sciences Abel Salazar, University of Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castro, Conceicao" sort="Castro, Conceicao" uniqKey="Castro C" first="Conceição" last="Castro">Conceição Castro</name>
<affiliation><nlm:aff id="Aff22">Agrupamento de Centros de Saúde (ACES) Baixo Mondego, 3080-199 Figueira da Foz, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martires, Alice" sort="Martires, Alice" uniqKey="Martires A" first="Alice" last="Mártires">Alice Mártires</name>
<affiliation><nlm:aff id="Aff23">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, M Joao" sort="Monteiro, M Joao" uniqKey="Monteiro M" first="M João" last="Monteiro">M João Monteiro</name>
<affiliation><nlm:aff id="Aff23">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rainho, Conceicao" sort="Rainho, Conceicao" uniqKey="Rainho C" first="Conceição" last="Rainho">Conceição Rainho</name>
<affiliation><nlm:aff id="Aff23">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caballero, Francisco P" sort="Caballero, Francisco P" uniqKey="Caballero F" first="Francisco P." last="Caballero">Francisco P. Caballero</name>
<affiliation><nlm:aff id="Aff24">Centro de Salud La Paz, Badajoz, 06011 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monago, Fatima M" sort="Monago, Fatima M" uniqKey="Monago F" first="Fatima M." last="Monago">Fatima M. Monago</name>
<affiliation><nlm:aff id="Aff25">Centro de Salud San Fernando, Badajoz, 06006 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerrero, Jose T" sort="Guerrero, Jose T" uniqKey="Guerrero J" first="Jose T." last="Guerrero">Jose T. Guerrero</name>
<affiliation><nlm:aff id="Aff26">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monago, Rocio M" sort="Monago, Rocio M" uniqKey="Monago R" first="Rocio M." last="Monago">Rocio M. Monago</name>
<affiliation><nlm:aff id="Aff27">Hospital Don Benito-Villanueva, Don Benito, 06400 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Trigo, Africa P" sort="Trigo, Africa P" uniqKey="Trigo A" first="Africa P." last="Trigo">Africa P. Trigo</name>
<affiliation><nlm:aff id="Aff27">Hospital Don Benito-Villanueva, Don Benito, 06400 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gutierrez, Milagros L" sort="Gutierrez, Milagros L" uniqKey="Gutierrez M" first="Milagros L." last="Gutierrez">Milagros L. Gutierrez</name>
<affiliation><nlm:aff id="Aff26">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Milanes, Gemma M" sort="Milanes, Gemma M" uniqKey="Milanes G" first="Gemma M." last="Milanés">Gemma M. Milanés</name>
<affiliation><nlm:aff id="Aff26">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reina, Mercedes G" sort="Reina, Mercedes G" uniqKey="Reina M" first="Mercedes G." last="Reina">Mercedes G. Reina</name>
<affiliation><nlm:aff id="Aff24">Centro de Salud La Paz, Badajoz, 06011 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Villanueva, Ana G" sort="Villanueva, Ana G" uniqKey="Villanueva A" first="Ana G." last="Villanueva">Ana G. Villanueva</name>
<affiliation><nlm:aff id="Aff28">Centro de Salud Villanueva Norte, Villanueva de la Serena, 06700 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pi Ero, Ana S" sort="Pi Ero, Ana S" uniqKey="Pi Ero A" first="Ana S." last="Pi Ero">Ana S. Pi Ero</name>
<affiliation><nlm:aff id="Aff29">Centro de Salud Gevora, 06180 Gévora, Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aliseda, Isabel R" sort="Aliseda, Isabel R" uniqKey="Aliseda I" first="Isabel R." last="Aliseda">Isabel R. Aliseda</name>
<affiliation><nlm:aff id="Aff26">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramirez, Francisco B" sort="Ramirez, Francisco B" uniqKey="Ramirez F" first="Francisco B." last="Ramirez">Francisco B. Ramirez</name>
<affiliation><nlm:aff id="Aff24">Centro de Salud La Paz, Badajoz, 06011 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Andrea" sort="Ribeiro, Andrea" uniqKey="Ribeiro A" first="Andrea" last="Ribeiro">Andrea Ribeiro</name>
<affiliation><nlm:aff id="Aff30">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Quelhas, Ana" sort="Quelhas, Ana" uniqKey="Quelhas A" first="Ana" last="Quelhas">Ana Quelhas</name>
<affiliation><nlm:aff id="Aff30">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Manso, Conceicao" sort="Manso, Conceicao" uniqKey="Manso C" first="Conceição" last="Manso">Conceição Manso</name>
<affiliation><nlm:aff id="Aff30">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caballero, Francisco P" sort="Caballero, Francisco P" uniqKey="Caballero F" first="Francisco P." last="Caballero">Francisco P. Caballero</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerrero, Jose T" sort="Guerrero, Jose T" uniqKey="Guerrero J" first="Jose T." last="Guerrero">Jose T. Guerrero</name>
<affiliation><nlm:aff id="Aff32">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monago, Fatima M" sort="Monago, Fatima M" uniqKey="Monago F" first="Fatima M." last="Monago">Fatima M. Monago</name>
<affiliation><nlm:aff id="Aff33">Centro de Salud San Fernando, Badajoz, 06006 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Rafael B" sort="Santos, Rafael B" uniqKey="Santos R" first="Rafael B." last="Santos">Rafael B. Santos</name>
<affiliation><nlm:aff id="Aff34">Universidad de Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez, Nuria R" sort="Jimenez, Nuria R" uniqKey="Jimenez N" first="Nuria R." last="Jimenez">Nuria R. Jimenez</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nu Ez, Cristina G" sort="Nu Ez, Cristina G" uniqKey="Nu Ez C" first="Cristina G." last="Nu Ez">Cristina G. Nu Ez</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomez, Inmaculada R" sort="Gomez, Inmaculada R" uniqKey="Gomez I" first="Inmaculada R." last="Gomez">Inmaculada R. Gomez</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandez, M Jose L" sort="Fernandez, M Jose L" uniqKey="Fernandez M" first="M Jose L." last="Fernandez">M Jose L. Fernandez</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marquez, Laura A" sort="Marquez, Laura A" uniqKey="Marquez L" first="Laura A." last="Marquez">Laura A. Marquez</name>
<affiliation><nlm:aff id="Aff33">Centro de Salud San Fernando, Badajoz, 06006 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreno, Ana L" sort="Moreno, Ana L" uniqKey="Moreno A" first="Ana L." last="Moreno">Ana L. Moreno</name>
<affiliation><nlm:aff id="Aff32">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Huertas, M Jesus Tena" sort="Huertas, M Jesus Tena" uniqKey="Huertas M" first="M Jesus Tena" last="Huertas">M Jesus Tena Huertas</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramirez, Francisco B" sort="Ramirez, Francisco B" uniqKey="Ramirez F" first="Francisco B." last="Ramirez">Francisco B. Ramirez</name>
<affiliation><nlm:aff id="Aff31">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seabra, Daniel" sort="Seabra, Daniel" uniqKey="Seabra D" first="Daniel" last="Seabra">Daniel Seabra</name>
<affiliation><nlm:aff id="Aff35">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salvador, M Ceu" sort="Salvador, M Ceu" uniqKey="Salvador M" first="M Céu" last="Salvador">M Céu Salvador</name>
<affiliation><nlm:aff id="Aff35">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Braga, Luciene" sort="Braga, Luciene" uniqKey="Braga L" first="Luciene" last="Braga">Luciene Braga</name>
<affiliation><nlm:aff id="Aff36">Universidade Federal de Viçosa, Viçosa, Minas Gerais 36570-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff37">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro Oliveira, Anabela" sort="Salgueiro Oliveira, Anabela" uniqKey="Salgueiro Oliveira A" first="Anabela" last="Salgueiro-Oliveira">Anabela Salgueiro-Oliveira</name>
<affiliation><nlm:aff id="Aff37">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Arreguy Sena, Cristina" sort="Arreguy Sena, Cristina" uniqKey="Arreguy Sena C" first="Cristina" last="Arreguy-Sena">Cristina Arreguy-Sena</name>
<affiliation><nlm:aff id="Aff38">Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais 36036-330 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Bibiana F" sort="Oliveira, Bibiana F" uniqKey="Oliveira B" first="Bibiana F." last="Oliveira">Bibiana F. Oliveira</name>
<affiliation><nlm:aff id="Aff39">Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Henriques, M Adriana" sort="Henriques, M Adriana" uniqKey="Henriques M" first="M Adriana" last="Henriques">M Adriana Henriques</name>
<affiliation><nlm:aff id="Aff40">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Joana" sort="Santos, Joana" uniqKey="Santos J" first="Joana" last="Santos">Joana Santos</name>
<affiliation><nlm:aff id="Aff41">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lebre, Sara" sort="Lebre, Sara" uniqKey="Lebre S" first="Sara" last="Lebre">Sara Lebre</name>
<affiliation><nlm:aff id="Aff41">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff41">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Festas, Clarinda" sort="Festas, Clarinda" uniqKey="Festas C" first="Clarinda" last="Festas">Clarinda Festas</name>
<affiliation><nlm:aff id="Aff42">Universidade Fernando Pessoa, 4249-004 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Sandra" sort="Rodrigues, Sandra" uniqKey="Rodrigues S" first="Sandra" last="Rodrigues">Sandra Rodrigues</name>
<affiliation><nlm:aff id="Aff42">Universidade Fernando Pessoa, 4249-004 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Andrea" sort="Ribeiro, Andrea" uniqKey="Ribeiro A" first="Andrea" last="Ribeiro">Andrea Ribeiro</name>
<affiliation><nlm:aff id="Aff42">Universidade Fernando Pessoa, 4249-004 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lumini, Jose" sort="Lumini, Jose" uniqKey="Lumini J" first="José" last="Lumini">José Lumini</name>
<affiliation><nlm:aff id="Aff42">Universidade Fernando Pessoa, 4249-004 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Ana G" sort="Figueiredo, Ana G" uniqKey="Figueiredo A" first="Ana G." last="Figueiredo">Ana G. Figueiredo</name>
<affiliation><nlm:aff id="Aff43">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hernandez Martinez, Francisco J" sort="Hernandez Martinez, Francisco J" uniqKey="Hernandez Martinez F" first="Francisco J." last="Hernandez-Martinez">Francisco J. Hernandez-Martinez</name>
<affiliation><nlm:aff id="Aff44">Cabildo de Lanzarote, 35500 Arrecife, Lanzarote, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campi, Liliana" sort="Campi, Liliana" uniqKey="Campi L" first="Liliana" last="Campi">Liliana Campi</name>
<affiliation><nlm:aff id="Aff45">Servicio Canario de la Salud, 35500 Arrecife, Lanzarote, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Quintana Montesdeoca, M Pino" sort="Quintana Montesdeoca, M Pino" uniqKey="Quintana Montesdeoca M" first="M Pino" last="Quintana-Montesdeoca">M Pino Quintana-Montesdeoca</name>
<affiliation><nlm:aff id="Aff46">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Diaz, Juan F" sort="Jimenez Diaz, Juan F" uniqKey="Jimenez Diaz J" first="Juan F." last="Jimenez-Diaz">Juan F. Jimenez-Diaz</name>
<affiliation><nlm:aff id="Aff46">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez De Vera, Bienvenida C" sort="Rodriguez De Vera, Bienvenida C" uniqKey="Rodriguez De Vera B" first="Bienvenida C." last="Rodriguez-De-Vera">Bienvenida C. Rodriguez-De-Vera</name>
<affiliation><nlm:aff id="Aff46">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parente, Alexandra" sort="Parente, Alexandra" uniqKey="Parente A" first="Alexandra" last="Parente">Alexandra Parente</name>
<affiliation><nlm:aff id="Aff47">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mata, M Augusta" sort="Mata, M Augusta" uniqKey="Mata M" first="M Augusta" last="Mata">M Augusta Mata</name>
<affiliation><nlm:aff id="Aff47">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana M" sort="Pereira, Ana M" uniqKey="Pereira A" first="Ana M" last="Pereira">Ana M Pereira</name>
<affiliation><nlm:aff id="Aff47">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Adilia" sort="Fernandes, Adilia" uniqKey="Fernandes A" first="Adília" last="Fernandes">Adília Fernandes</name>
<affiliation><nlm:aff id="Aff47">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bras, Manuel" sort="Bras, Manuel" uniqKey="Bras M" first="Manuel" last="Brás">Manuel Brás</name>
<affiliation><nlm:aff id="Aff47">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, M Rosario" sort="Pinto, M Rosario" uniqKey="Pinto M" first="M Rosário" last="Pinto">M Rosário Pinto</name>
<affiliation><nlm:aff id="Aff48">Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff49">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Basto, Marta L" sort="Basto, Marta L" uniqKey="Basto M" first="Marta L." last="Basto">Marta L. Basto</name>
<affiliation><nlm:aff id="Aff50">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rei, Ana C" sort="Rei, Ana C" uniqKey="Rei A" first="Ana C." last="Rei">Ana C. Rei</name>
<affiliation><nlm:aff id="Aff51">Hospital Distrital de Santarém, EPE, Santarém, 2005-177 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff52">Universidade de Coimbra, 3004-504 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Gilberta" sort="Sousa, Gilberta" uniqKey="Sousa G" first="Gilberta" last="Sousa">Gilberta Sousa</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morna, Clementina" sort="Morna, Clementina" uniqKey="Morna C" first="Clementina" last="Morna">Clementina Morna</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Otilia" sort="Freitas, Otilia" uniqKey="Freitas O" first="Otília" last="Freitas">Otília Freitas</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Greg Rio" sort="Freitas, Greg Rio" uniqKey="Freitas G" first="Greg Rio" last="Freitas">Greg Rio Freitas</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jardim, Ana" sort="Jardim, Ana" uniqKey="Jardim A" first="Ana" last="Jardim">Ana Jardim</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vasconcelos, Rita" sort="Vasconcelos, Rita" uniqKey="Vasconcelos R" first="Rita" last="Vasconcelos">Rita Vasconcelos</name>
<affiliation><nlm:aff id="Aff53">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Horta, Lina G" sort="Horta, Lina G" uniqKey="Horta L" first="Lina G." last="Horta">Lina G. Horta</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Roger S" sort="Rosa, Roger S" uniqKey="Rosa R" first="Roger S." last="Rosa">Roger S. Rosa</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kranz, Luis F" sort="Kranz, Luis F" uniqKey="Kranz L" first="Luís F." last="Kranz">Luís F. Kranz</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nugem, Rita C" sort="Nugem, Rita C" uniqKey="Nugem R" first="Rita C." last="Nugem">Rita C. Nugem</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Siqueira, Mariana S" sort="Siqueira, Mariana S" uniqKey="Siqueira M" first="Mariana S." last="Siqueira">Mariana S. Siqueira</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bordin, Ronaldo" sort="Bordin, Ronaldo" uniqKey="Bordin R" first="Ronaldo" last="Bordin">Ronaldo Bordin</name>
<affiliation><nlm:aff id="Aff54">Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kniess, Rosiane" sort="Kniess, Rosiane" uniqKey="Kniess R" first="Rosiane" last="Kniess">Rosiane Kniess</name>
<affiliation><nlm:aff id="Aff55">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lacerda, Josimari T" sort="Lacerda, Josimari T" uniqKey="Lacerda J" first="Josimari T." last="Lacerda">Josimari T. Lacerda</name>
<affiliation><nlm:aff id="Aff55">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guedes, Joana" sort="Guedes, Joana" uniqKey="Guedes J" first="Joana" last="Guedes">Joana Guedes</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, Idalina" sort="Machado, Idalina" uniqKey="Machado I" first="Idalina" last="Machado">Idalina Machado</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Sidalina" sort="Almeida, Sidalina" uniqKey="Almeida S" first="Sidalina" last="Almeida">Sidalina Almeida</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Zilhao, Adriano" sort="Zilhao, Adriano" uniqKey="Zilhao A" first="Adriano" last="Zilhão">Adriano Zilhão</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Helder" sort="Alves, Helder" uniqKey="Alves H" first="Helder" last="Alves">Helder Alves</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Scar" sort="Ribeiro, Scar" uniqKey="Ribeiro " first=" Scar" last="Ribeiro"> Scar Ribeiro</name>
<affiliation><nlm:aff id="Aff56">Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Ana P" sort="Amaral, Ana P" uniqKey="Amaral A" first="Ana P." last="Amaral">Ana P. Amaral</name>
<affiliation><nlm:aff id="Aff57">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Ana" sort="Santos, Ana" uniqKey="Santos A" first="Ana" last="Santos">Ana Santos</name>
<affiliation><nlm:aff id="Aff57">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Joana" sort="Monteiro, Joana" uniqKey="Monteiro J" first="Joana" last="Monteiro">Joana Monteiro</name>
<affiliation><nlm:aff id="Aff57">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, M Clara" sort="Rocha, M Clara" uniqKey="Rocha M" first="M Clara" last="Rocha">M Clara Rocha</name>
<affiliation><nlm:aff id="Aff57">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Rui" sort="Cruz, Rui" uniqKey="Cruz R" first="Rui" last="Cruz">Rui Cruz</name>
<affiliation><nlm:aff id="Aff57">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Ana P" sort="Amaral, Ana P" uniqKey="Amaral A" first="Ana P." last="Amaral">Ana P. Amaral</name>
<affiliation><nlm:aff id="Aff58">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lourenco, Marina" sort="Lourenco, Marina" uniqKey="Lourenco M" first="Marina" last="Lourenço">Marina Lourenço</name>
<affiliation><nlm:aff id="Aff58">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, M Clara" sort="Rocha, M Clara" uniqKey="Rocha M" first="M Clara" last="Rocha">M Clara Rocha</name>
<affiliation><nlm:aff id="Aff58">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Rui" sort="Cruz, Rui" uniqKey="Cruz R" first="Rui" last="Cruz">Rui Cruz</name>
<affiliation><nlm:aff id="Aff58">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Sandra" sort="Antunes, Sandra" uniqKey="Antunes S" first="Sandra" last="Antunes">Sandra Antunes</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Ver Nica" sort="Mendonca, Ver Nica" uniqKey="Mendonca V" first="Ver Nica" last="Mendonça">Ver Nica Mendonça</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Os Rio, Nadia" sort="Os Rio, Nadia" uniqKey="Os Rio N" first="Nádia" last="Os Rio">Nádia Os Rio</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valado, Ana" sort="Valado, Ana" uniqKey="Valado A" first="Ana" last="Valado">Ana Valado</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caseiro, Armando" sort="Caseiro, Armando" uniqKey="Caseiro A" first="Armando" last="Caseiro">Armando Caseiro</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Ant Nio" sort="Gabriel, Ant Nio" uniqKey="Gabriel A" first="Ant Nio" last="Gabriel">Ant Nio Gabriel</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff59">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Lidia" sort="Cabral, Lidia" uniqKey="Cabral L" first="Lídia" last="Cabral">Lídia Cabral</name>
<affiliation><nlm:aff id="Aff60">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Manuela" sort="Ferreira, Manuela" uniqKey="Ferreira M" first="Manuela" last="Ferreira">Manuela Ferreira</name>
<affiliation><nlm:aff id="Aff60">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Amadeu" sort="Goncalves, Amadeu" uniqKey="Goncalves A" first="Amadeu" last="Gonçalves">Amadeu Gonçalves</name>
<affiliation><nlm:aff id="Aff60">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luz, Tatiana D" sort="Luz, Tatiana D" uniqKey="Luz T" first="Tatiana D." last="Luz">Tatiana D. Luz</name>
<affiliation><nlm:aff id="Aff61">Universidade Federal de Alagoas, Maceió, Alagoas, 57072-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luz, Leonardo" sort="Luz, Leonardo" uniqKey="Luz L" first="Leonardo" last="Luz">Leonardo Luz</name>
<affiliation><nlm:aff id="Aff61">Universidade Federal de Alagoas, Maceió, Alagoas, 57072-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Raul" sort="Martins, Raul" uniqKey="Martins R" first="Raul" last="Martins">Raul Martins</name>
<affiliation><nlm:aff id="Aff62">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morgado, Alice" sort="Morgado, Alice" uniqKey="Morgado A" first="Alice" last="Morgado">Alice Morgado</name>
<affiliation><nlm:aff id="Aff63">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vale Dias, Maria L" sort="Vale Dias, Maria L" uniqKey="Vale Dias M" first="Maria L." last="Vale-Dias">Maria L. Vale-Dias</name>
<affiliation><nlm:aff id="Aff63">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Porta Nova, Rui" sort="Porta Nova, Rui" uniqKey="Porta Nova R" first="Rui" last="Porta-Nova">Rui Porta-Nova</name>
<affiliation><nlm:aff id="Aff64">Escola Superior da Saúde da Cruz Vermelha Portuguesa, Lisboa, 1300-125 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fleig, Tania C" sort="Fleig, Tania C" uniqKey="Fleig T" first="Tânia C." last="Fleig">Tânia C. Fleig</name>
<affiliation><nlm:aff id="Aff65">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reuter, Eboni M" sort="Reuter, Eboni M" uniqKey="Reuter E" first="Éboni M." last="Reuter">Éboni M. Reuter</name>
<affiliation><nlm:aff id="Aff65">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Froemming, Miriam B" sort="Froemming, Miriam B" uniqKey="Froemming M" first="Miriam B." last="Froemming">Miriam B. Froemming</name>
<affiliation><nlm:aff id="Aff65">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerreiro, Sabrina L" sort="Guerreiro, Sabrina L" uniqKey="Guerreiro S" first="Sabrina L." last="Guerreiro">Sabrina L. Guerreiro</name>
<affiliation><nlm:aff id="Aff65">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Lisiane L" sort="Carvalho, Lisiane L" uniqKey="Carvalho L" first="Lisiane L." last="Carvalho">Lisiane L. Carvalho</name>
<affiliation><nlm:aff id="Aff65">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guedelha, Daniel" sort="Guedelha, Daniel" uniqKey="Guedelha D" first="Daniel" last="Guedelha">Daniel Guedelha</name>
<affiliation><nlm:aff id="Aff66">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, P" sort="Coelho, P" uniqKey="Coelho P" first="P." last="Coelho">P. Coelho</name>
<affiliation><nlm:aff id="Aff66">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, A" sort="Pereira, A" uniqKey="Pereira A" first="A." last="Pereira">A. Pereira</name>
<affiliation><nlm:aff id="Aff66">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Calha, Ant Nio" sort="Calha, Ant Nio" uniqKey="Calha A" first="Ant Nio" last="Calha">Ant Nio Calha</name>
<affiliation><nlm:aff id="Aff67">Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Raul" sort="Cordeiro, Raul" uniqKey="Cordeiro R" first="Raul" last="Cordeiro">Raul Cordeiro</name>
<affiliation><nlm:aff id="Aff67">Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Ana" sort="Goncalves, Ana" uniqKey="Goncalves A" first="Ana" last="Gonçalves">Ana Gonçalves</name>
<affiliation><nlm:aff id="Aff68">Instituto Politécnico de Bragança, Bragança, 5300-121 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Certo, Ana" sort="Certo, Ana" uniqKey="Certo A" first="Ana" last="Certo">Ana Certo</name>
<affiliation><nlm:aff id="Aff68">Instituto Politécnico de Bragança, Bragança, 5300-121 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galvao, Ana" sort="Galvao, Ana" uniqKey="Galvao A" first="Ana" last="Galvão">Ana Galvão</name>
<affiliation><nlm:aff id="Aff68">Instituto Politécnico de Bragança, Bragança, 5300-121 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mata, M Augusta" sort="Mata, M Augusta" uniqKey="Mata M" first="M Augusta" last="Mata">M Augusta Mata</name>
<affiliation><nlm:aff id="Aff68">Instituto Politécnico de Bragança, Bragança, 5300-121 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Welter, Aline" sort="Welter, Aline" uniqKey="Welter A" first="Aline" last="Welter">Aline Welter</name>
<affiliation><nlm:aff id="Aff69">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Elayne" sort="Pereira, Elayne" uniqKey="Pereira E" first="Elayne" last="Pereira">Elayne Pereira</name>
<affiliation><nlm:aff id="Aff69">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Sandra" sort="Ribeiro, Sandra" uniqKey="Ribeiro S" first="Sandra" last="Ribeiro">Sandra Ribeiro</name>
<affiliation><nlm:aff id="Aff70">Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina 88132-149 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff69">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Diaz, Juan Fernando" sort="Jimenez Diaz, Juan Fernando" uniqKey="Jimenez Diaz J" first="Juan-Fernando" last="Jiménez-Díaz">Juan-Fernando Jiménez-Díaz</name>
<affiliation><nlm:aff id="Aff71">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Rodriguez, Carla" sort="Jimenez Rodriguez, Carla" uniqKey="Jimenez Rodriguez C" first="Carla" last="Jiménez-Rodríguez">Carla Jiménez-Rodríguez</name>
<affiliation><nlm:aff id="Aff71">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hernandez Martinez, Francisco Jose" sort="Hernandez Martinez, Francisco Jose" uniqKey="Hernandez Martinez F" first="Francisco-José" last="Hernández-Martínez">Francisco-José Hernández-Martínez</name>
<affiliation><nlm:aff id="Aff72">Cabildo de Lanzarote, 35500 Lanzarote, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez De Vera, Bienvenida Del Carmen" sort="Rodriguez De Vera, Bienvenida Del Carmen" uniqKey="Rodriguez De Vera B" first="Bienvenida-Del-Carmen" last="Rodríguez-De-Vera">Bienvenida-Del-Carmen Rodríguez-De-Vera</name>
<affiliation><nlm:aff id="Aff71">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques Rodrigues, Alexandre" sort="Marques Rodrigues, Alexandre" uniqKey="Marques Rodrigues A" first="Alexandre" last="Marques-Rodrigues">Alexandre Marques-Rodrigues</name>
<affiliation><nlm:aff id="Aff73">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Patricia" sort="Coelho, Patricia" uniqKey="Coelho P" first="Patrícia" last="Coelho">Patrícia Coelho</name>
<affiliation><nlm:aff id="Aff74">Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bernardes, Tiago" sort="Bernardes, Tiago" uniqKey="Bernardes T" first="Tiago" last="Bernardes">Tiago Bernardes</name>
<affiliation><nlm:aff id="Aff74">Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Alexandre" sort="Pereira, Alexandre" uniqKey="Pereira A" first="Alexandre" last="Pereira">Alexandre Pereira</name>
<affiliation><nlm:aff id="Aff74">Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff75">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Filho, Joao G" sort="Filho, Joao G" uniqKey="Filho J" first="João G." last="Filho">João G. Filho</name>
<affiliation><nlm:aff id="Aff75">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nazario, Nazare" sort="Nazario, Nazare" uniqKey="Nazario N" first="Nazare" last="Nazario">Nazare Nazario</name>
<affiliation><nlm:aff id="Aff75">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff75">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Odete" sort="Amaral, Odete" uniqKey="Amaral O" first="Odete" last="Amaral">Odete Amaral</name>
<affiliation><nlm:aff id="Aff76">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garrido, Ant Nio" sort="Garrido, Ant Nio" uniqKey="Garrido A" first="Ant Nio" last="Garrido">Ant Nio Garrido</name>
<affiliation><nlm:aff id="Aff77">Casa de Saúde de São Mateus, Viseu, 3500-106 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veiga, Nelio" sort="Veiga, Nelio" uniqKey="Veiga N" first="Nélio" last="Veiga">Nélio Veiga</name>
<affiliation><nlm:aff id="Aff78">Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Carla" sort="Nunes, Carla" uniqKey="Nunes C" first="Carla" last="Nunes">Carla Nunes</name>
<affiliation><nlm:aff id="Aff79">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedro, Ana R" sort="Pedro, Ana R" uniqKey="Pedro A" first="Ana R." last="Pedro">Ana R. Pedro</name>
<affiliation><nlm:aff id="Aff79">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Carlos" sort="Pereira, Carlos" uniqKey="Pereira C" first="Carlos" last="Pereira">Carlos Pereira</name>
<affiliation><nlm:aff id="Aff76">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeia, Ant Nio" sort="Almeia, Ant Nio" uniqKey="Almeia A" first="Ant Nio" last="Almeia">Ant Nio Almeia</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Helder M" sort="Fernandes, Helder M" uniqKey="Fernandes H" first="Helder M." last="Fernandes">Helder M. Fernandes</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vasconcelos, Carlos" sort="Vasconcelos, Carlos" uniqKey="Vasconcelos C" first="Carlos" last="Vasconcelos">Carlos Vasconcelos</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff81">Polytechnic Institute of Viseu, Viseu, 3504-510 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Nelson" sort="Sousa, Nelson" uniqKey="Sousa N" first="Nelson" last="Sousa">Nelson Sousa</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Victor M" sort="Reis, Victor M" uniqKey="Reis V" first="Victor M." last="Reis">Victor M. Reis</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, M Joao" sort="Monteiro, M Joao" uniqKey="Monteiro M" first="M. João" last="Monteiro">M. João Monteiro</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Romeu" sort="Mendes, Romeu" uniqKey="Mendes R" first="Romeu" last="Mendes">Romeu Mendes</name>
<affiliation><nlm:aff id="Aff80">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff82">Unidade de Saúde Pública do ACES Douro I—Marão e Douro Norte, Administração Regional de Saúde do Norte, IP, 5000-524 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Isabel C" sort="Pinto, Isabel C" uniqKey="Pinto I" first="Isabel C." last="Pinto">Isabel C. Pinto</name>
<affiliation><nlm:aff id="Aff83">Núcleo de Investigação e Intervenção no Idoso, Departamento de Tecnologias de Diagnóstico e Terapêutica, Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pires, Tania" sort="Pires, Tania" uniqKey="Pires T" first="Tânia" last="Pires">Tânia Pires</name>
<affiliation><nlm:aff id="Aff84">Centro de Investigação de Montanha, Escola Superior Agrária, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gama, Joao" sort="Gama, Joao" uniqKey="Gama J" first="João" last="Gama">João Gama</name>
<affiliation><nlm:aff id="Aff85">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Preto, Vera" sort="Preto, Vera" uniqKey="Preto V" first="Vera" last="Preto">Vera Preto</name>
<affiliation><nlm:aff id="Aff86">Programa de Prevenção e Controlo de Infeções e de Resistência aos Antimicrobianos, Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Norberto" sort="Silva, Norberto" uniqKey="Silva N" first="Norberto" last="Silva">Norberto Silva</name>
<affiliation><nlm:aff id="Aff87">Departamento de Urgência e Emergência Unidade, Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magalhaes, Carlos" sort="Magalhaes, Carlos" uniqKey="Magalhaes C" first="Carlos" last="Magalhães">Carlos Magalhães</name>
<affiliation><nlm:aff id="Aff88">Departamento de Enfermagem, Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Matilde" sort="Martins, Matilde" uniqKey="Martins M" first="Matilde" last="Martins">Matilde Martins</name>
<affiliation><nlm:aff id="Aff89">Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano, Departamento de Enfermagem, Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Mafalda" sort="Duarte, Mafalda" uniqKey="Duarte M" first="Mafalda" last="Duarte">Mafalda Duarte</name>
<affiliation><nlm:aff id="Aff90">Health Superior School of Alto Ave, 4830-345 Póvoa de Lanhoso, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paul, Constanca" sort="Paul, Constanca" uniqKey="Paul C" first="Constança" last="Paúl">Constança Paúl</name>
<affiliation><nlm:aff id="Aff91">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff92">Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martin, Ignacio" sort="Martin, Ignacio" uniqKey="Martin I" first="Ignácio" last="Martín">Ignácio Martín</name>
<affiliation><nlm:aff id="Aff93">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinheiro, Arminda A" sort="Pinheiro, Arminda A" uniqKey="Pinheiro A" first="Arminda A." last="Pinheiro">Arminda A. Pinheiro</name>
<affiliation><nlm:aff id="Aff94">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Xavier, Sandra" sort="Xavier, Sandra" uniqKey="Xavier S" first="Sandra" last="Xavier">Sandra Xavier</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, Julieta" sort="Azevedo, Julieta" uniqKey="Azevedo J" first="Julieta" last="Azevedo">Julieta Azevedo</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bento, Elisabete" sort="Bento, Elisabete" uniqKey="Bento E" first="Elisabete" last="Bento">Elisabete Bento</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Cristiana" sort="Marques, Cristiana" uniqKey="Marques C" first="Cristiana" last="Marques">Cristiana Marques</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Mariana" sort="Marques, Mariana" uniqKey="Marques M" first="Mariana" last="Marques">Mariana Marques</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff96">Centro de responsabilidade integrado, Serviço Psiquiatria, Centro Hospitalar e Universitário de Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Macedo, Ant Nio" sort="Macedo, Ant Nio" uniqKey="Macedo A" first="Ant Nio" last="Macedo">Ant Nio Macedo</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff96">Centro de responsabilidade integrado, Serviço Psiquiatria, Centro Hospitalar e Universitário de Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana T" sort="Pereira, Ana T" uniqKey="Pereira A" first="Ana T." last="Pereira">Ana T. Pereira</name>
<affiliation><nlm:aff id="Aff95">Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Jose P" sort="Almeida, Jose P" uniqKey="Almeida J" first="José P." last="Almeida">José P. Almeida</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Ant Nio" sort="Almeida, Ant Nio" uniqKey="Almeida A" first="Ant Nio" last="Almeida">Ant Nio Almeida</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff98">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Josiane" sort="Alves, Josiane" uniqKey="Alves J" first="Josiane" last="Alves">Josiane Alves</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Nelson" sort="Sousa, Nelson" uniqKey="Sousa N" first="Nelson" last="Sousa">Nelson Sousa</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff98">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Saavedra, Francisco" sort="Saavedra, Francisco" uniqKey="Saavedra F" first="Francisco" last="Saavedra">Francisco Saavedra</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff98">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Romeu" sort="Mendes, Romeu" uniqKey="Mendes R" first="Romeu" last="Mendes">Romeu Mendes</name>
<affiliation><nlm:aff id="Aff97">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff98">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff99">Unidade de Saúde Pública, ACES Douro I, Marão e Douro Norte, Administração Regional de Saúde do Norte, 5000-524 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Ana S" sort="Maia, Ana S" uniqKey="Maia A" first="Ana S." last="Maia">Ana S. Maia</name>
<affiliation><nlm:aff id="Aff100">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Michelle T" sort="Oliveira, Michelle T" uniqKey="Oliveira M" first="Michelle T." last="Oliveira">Michelle T. Oliveira</name>
<affiliation><nlm:aff id="Aff100">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Anderson R" sort="Sousa, Anderson R" uniqKey="Sousa A" first="Anderson R." last="Sousa">Anderson R. Sousa</name>
<affiliation><nlm:aff id="Aff100">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Paulo P" sort="Ferreira, Paulo P" uniqKey="Ferreira P" first="Paulo P." last="Ferreira">Paulo P. Ferreira</name>
<affiliation><nlm:aff id="Aff101">Secretaria de Saúde do Estado da Bahia, Salvador, Bahia 41745-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Luci S" sort="Lopes, Luci S" uniqKey="Lopes L" first="Luci S." last="Lopes">Luci S. Lopes</name>
<affiliation><nlm:aff id="Aff100">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santiago, Eujcely C" sort="Santiago, Eujcely C" uniqKey="Santiago E" first="Eujcely C." last="Santiago">Eujcely C. Santiago</name>
<affiliation><nlm:aff id="Aff102">Hospital Estadual da Criança, Vila Valqueire, Rio de Janeiro Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Silvia" sort="Monteiro, Silvia" uniqKey="Monteiro S" first="Sílvia" last="Monteiro">Sílvia Monteiro</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Angelo" sort="Jesus, Angelo" uniqKey="Jesus A" first="Ângelo" last="Jesus">Ângelo Jesus</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Colaco, Armanda" sort="Colaco, Armanda" uniqKey="Colaco A" first="Armanda" last="Colaço">Armanda Colaço</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff104">Centro Hospitalar de São João, EPE, Porto, 4200-319 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Ant Nio" sort="Carvalho, Ant Nio" uniqKey="Carvalho A" first="Ant Nio" last="Carvalho">Ant Nio Carvalho</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff104">Centro Hospitalar de São João, EPE, Porto, 4200-319 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Rita P" sort="Silva, Rita P" uniqKey="Silva R" first="Rita P." last="Silva">Rita P. Silva</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff105">Unidade Local de Saúde de Matosinhos, EPE, 4454 509 Senhora da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff103">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ana" sort="Ferreira, Ana" uniqKey="Ferreira A" first="Ana" last="Ferreira">Ana Ferreira</name>
<affiliation><nlm:aff id="Aff106">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Catarina" sort="Marques, Catarina" uniqKey="Marques C" first="Catarina" last="Marques">Catarina Marques</name>
<affiliation><nlm:aff id="Aff106">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Joao P" sort="Figueiredo, Joao P" uniqKey="Figueiredo J" first="João P." last="Figueiredo">João P. Figueiredo</name>
<affiliation><nlm:aff id="Aff106">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paixao, Susana" sort="Paixao, Susana" uniqKey="Paixao S" first="Susana" last="Paixão">Susana Paixão</name>
<affiliation><nlm:aff id="Aff106">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ana" sort="Ferreira, Ana" uniqKey="Ferreira A" first="Ana" last="Ferreira">Ana Ferreira</name>
<affiliation><nlm:aff id="Aff107">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Carla" sort="Lopes, Carla" uniqKey="Lopes C" first="Carla" last="Lopes">Carla Lopes</name>
<affiliation><nlm:aff id="Aff107">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff107">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Joao P" sort="Figueiredo, Joao P" uniqKey="Figueiredo J" first="João P." last="Figueiredo">João P. Figueiredo</name>
<affiliation><nlm:aff id="Aff107">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ana" sort="Ferreira, Ana" uniqKey="Ferreira A" first="Ana" last="Ferreira">Ana Ferreira</name>
<affiliation><nlm:aff id="Aff108">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Diana" sort="Ribeiro, Diana" uniqKey="Ribeiro D" first="Diana" last="Ribeiro">Diana Ribeiro</name>
<affiliation><nlm:aff id="Aff108">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff108">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Joao P" sort="Figueiredo, Joao P" uniqKey="Figueiredo J" first="João P." last="Figueiredo">João P. Figueiredo</name>
<affiliation><nlm:aff id="Aff108">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paixao, Susana" sort="Paixao, Susana" uniqKey="Paixao S" first="Susana" last="Paixão">Susana Paixão</name>
<affiliation><nlm:aff id="Aff108">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Telma" sort="Fernandes, Telma" uniqKey="Fernandes T" first="Telma" last="Fernandes">Telma Fernandes</name>
<affiliation><nlm:aff id="Aff109">Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amado, Diogo" sort="Amado, Diogo" uniqKey="Amado D" first="Diogo" last="Amado">Diogo Amado</name>
<affiliation><nlm:aff id="Aff109">Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leal, Jessica" sort="Leal, Jessica" uniqKey="Leal J" first="Jéssica" last="Leal">Jéssica Leal</name>
<affiliation><nlm:aff id="Aff109">Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, Marcelo" sort="Azevedo, Marcelo" uniqKey="Azevedo M" first="Marcelo" last="Azevedo">Marcelo Azevedo</name>
<affiliation><nlm:aff id="Aff109">Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, S Nia" sort="Ramalho, S Nia" uniqKey="Ramalho S" first="S Nia" last="Ramalho">S Nia Ramalho</name>
<affiliation><nlm:aff id="Aff109">Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff110">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mangas, Catarina" sort="Mangas, Catarina" uniqKey="Mangas C" first="Catarina" last="Mangas">Catarina Mangas</name>
<affiliation><nlm:aff id="Aff111">Unidade de Investigação Inclusão e Acessibilidade em Acção “iACT” e Escola Superior Educação e Ciências Sociais, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Jaime" sort="Ribeiro, Jaime" uniqKey="Ribeiro J" first="Jaime" last="Ribeiro">Jaime Ribeiro</name>
<affiliation><nlm:aff id="Aff112">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Rita" sort="Goncalves, Rita" uniqKey="Goncalves R" first="Rita" last="Gonçalves">Rita Gonçalves</name>
<affiliation><nlm:aff id="Aff113">Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Amelia F" sort="Nunes, Amelia F" uniqKey="Nunes A" first="Amélia F" last="Nunes">Amélia F. Nunes</name>
<affiliation><nlm:aff id="Aff114">Universidade da Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tuna, Ana R" sort="Tuna, Ana R" uniqKey="Tuna A" first="Ana R." last="Tuna">Ana R. Tuna</name>
<affiliation><nlm:aff id="Aff114">Universidade da Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Carlos R" sort="Martins, Carlos R" uniqKey="Martins C" first="Carlos R." last="Martins">Carlos R. Martins</name>
<affiliation><nlm:aff id="Aff115">Unidade de Saúde Pública, Agrupamento de Centros de Saúde Cova da Beira, 6200-251 Covilhã, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Forte, Henriqueta D" sort="Forte, Henriqueta D" uniqKey="Forte H" first="Henriqueta D." last="Forte">Henriqueta D. Forte</name>
<affiliation><nlm:aff id="Aff115">Unidade de Saúde Pública, Agrupamento de Centros de Saúde Cova da Beira, 6200-251 Covilhã, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Claudia" sort="Costa, Claudia" uniqKey="Costa C" first="Cláudia" last="Costa">Cláudia Costa</name>
<affiliation><nlm:aff id="Aff116">Centre of Studies on Geography and Spatial Planning, University of Coimbra, 3000-043 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tened Rio, Jose A" sort="Tened Rio, Jose A" uniqKey="Tened Rio J" first="José A." last="Tened Rio">José A. Tened Rio</name>
<affiliation><nlm:aff id="Aff117">Research Centre for Geography and Regional Planning, Universidade Nova de Lisboa, 1069-061 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santana, Paula" sort="Santana, Paula" uniqKey="Santana P" first="Paula" last="Santana">Paula Santana</name>
<affiliation><nlm:aff id="Aff116">Centre of Studies on Geography and Spatial Planning, University of Coimbra, 3000-043 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, J A" sort="Andrade, J A" uniqKey="Andrade J" first="J. A." last="Andrade">J. A. Andrade</name>
<affiliation><nlm:aff id="Aff118">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, J L" sort="Pinto, J L" uniqKey="Pinto J" first="J. L." last="Pinto">J. L. Pinto</name>
<affiliation><nlm:aff id="Aff119">Pharmacy Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campofiorito, C" sort="Campofiorito, C" uniqKey="Campofiorito C" first="C." last="Campofiorito">C. Campofiorito</name>
<affiliation><nlm:aff id="Aff118">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, S" sort="Nunes, S" uniqKey="Nunes S" first="S." last="Nunes">S. Nunes</name>
<affiliation><nlm:aff id="Aff118">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carmo, A" sort="Carmo, A" uniqKey="Carmo A" first="A." last="Carmo">A. Carmo</name>
<affiliation><nlm:aff id="Aff119">Pharmacy Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kaliniczenco, A" sort="Kaliniczenco, A" uniqKey="Kaliniczenco A" first="A." last="Kaliniczenco">A. Kaliniczenco</name>
<affiliation><nlm:aff id="Aff118">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, B" sort="Alves, B" uniqKey="Alves B" first="B." last="Alves">B. Alves</name>
<affiliation><nlm:aff id="Aff120">Molecular Laboratory of Diagnosis, ABC Medical School, Santo André, São Paulo 09080-650 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, F" sort="Mendes, F" uniqKey="Mendes F" first="F." last="Mendes">F. Mendes</name>
<affiliation><nlm:aff id="Aff121">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, C" sort="Jesus, C" uniqKey="Jesus C" first="C." last="Jesus">C. Jesus</name>
<affiliation><nlm:aff id="Aff121">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca, F" sort="Fonseca, F" uniqKey="Fonseca F" first="F." last="Fonseca">F. Fonseca</name>
<affiliation><nlm:aff id="Aff120">Molecular Laboratory of Diagnosis, ABC Medical School, Santo André, São Paulo 09080-650 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gehrke, F" sort="Gehrke, F" uniqKey="Gehrke F" first="F." last="Gehrke">F. Gehrke</name>
<affiliation><nlm:aff id="Aff118">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Albuquerque, Carlos" sort="Albuquerque, Carlos" uniqKey="Albuquerque C" first="Carlos" last="Albuquerque">Carlos Albuquerque</name>
<affiliation><nlm:aff id="Aff122">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Batista, Rita" sort="Batista, Rita" uniqKey="Batista R" first="Rita" last="Batista">Rita Batista</name>
<affiliation><nlm:aff id="Aff123">Hospital Sousa Martins, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Madalena" sort="Cunha, Madalena" uniqKey="Cunha M" first="Madalena" last="Cunha">Madalena Cunha</name>
<affiliation><nlm:aff id="Aff122">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Madureira, Ant Nio" sort="Madureira, Ant Nio" uniqKey="Madureira A" first="Ant Nio" last="Madureira">Ant Nio Madureira</name>
<affiliation><nlm:aff id="Aff122">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Oliverio" sort="Ribeiro, Oliverio" uniqKey="Ribeiro O" first="Olivério" last="Ribeiro">Olivério Ribeiro</name>
<affiliation><nlm:aff id="Aff122">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Rosa" sort="Martins, Rosa" uniqKey="Martins R" first="Rosa" last="Martins">Rosa Martins</name>
<affiliation><nlm:aff id="Aff122">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Madeira, Teresa" sort="Madeira, Teresa" uniqKey="Madeira T" first="Teresa" last="Madeira">Teresa Madeira</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Peixoto Placido, Catarina" sort="Peixoto Placido, Catarina" uniqKey="Peixoto Placido C" first="Catarina" last="Peixoto-Plácido">Catarina Peixoto-Plácido</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Nuno" sort="Santos, Nuno" uniqKey="Santos N" first="Nuno" last="Santos">Nuno Santos</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Osvaldo" sort="Santos, Osvaldo" uniqKey="Santos O" first="Osvaldo" last="Santos">Osvaldo Santos</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bergland, Astrid" sort="Bergland, Astrid" uniqKey="Bergland A" first="Astrid" last="Bergland">Astrid Bergland</name>
<affiliation><nlm:aff id="Aff127">Oslo and Akershus University College of Applied Sciences, 0167 Oslo, Norway</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bye, Asta" sort="Bye, Asta" uniqKey="Bye A" first="Asta" last="Bye">Asta Bye</name>
<affiliation><nlm:aff id="Aff127">Oslo and Akershus University College of Applied Sciences, 0167 Oslo, Norway</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Carla" sort="Lopes, Carla" uniqKey="Lopes C" first="Carla" last="Lopes">Carla Lopes</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alarcao, Violeta" sort="Alarcao, Violeta" uniqKey="Alarcao V" first="Violeta" last="Alarcão">Violeta Alarcão</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goulao, Beatriz" sort="Goulao, Beatriz" uniqKey="Goulao B" first="Beatriz" last="Goulão">Beatriz Goulão</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Nuno" sort="Mendonca, Nuno" uniqKey="Mendonca N" first="Nuno" last="Mendonça">Nuno Mendonça</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff128">Newcastle University Institute for Ageing, Newcastle upon Tyne, NE4 5PL United Kingdom</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nicola, Paulo" sort="Nicola, Paulo" uniqKey="Nicola P" first="Paulo" last="Nicola">Paulo Nicola</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Clara, Joao G" sort="Clara, Joao G" uniqKey="Clara J" first="João G." last="Clara">João G. Clara</name>
<affiliation><nlm:aff id="Aff124">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff125">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff126">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Joao" sort="Gomes, Joao" uniqKey="Gomes J" first="João" last="Gomes">João Gomes</name>
<affiliation><nlm:aff id="Aff129">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff130">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff130">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff130">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Daniel" sort="Carvalho, Daniel" uniqKey="Carvalho D" first="Daniel" last="Carvalho">Daniel Carvalho</name>
<affiliation><nlm:aff id="Aff129">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff130">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff130">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Marlene C" sort="Rosa, Marlene C" uniqKey="Rosa M" first="Marlene C." last="Rosa">Marlene C. Rosa</name>
<affiliation><nlm:aff id="Aff131">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff132">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brandao, Daniela" sort="Brandao, Daniela" uniqKey="Brandao D" first="Daniela" last="Brandão">Daniela Brandão</name>
<affiliation><nlm:aff id="Aff133">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff134">Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Scar" sort="Ribeiro, Scar" uniqKey="Ribeiro " first=" Scar" last="Ribeiro"> Scar Ribeiro</name>
<affiliation><nlm:aff id="Aff133">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff135">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff136">Instituto Superior De Serviço Social Do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Lia" sort="Araujo, Lia" uniqKey="Araujo L" first="Lia" last="Araújo">Lia Araújo</name>
<affiliation><nlm:aff id="Aff133">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff137">Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paul, Constanca" sort="Paul, Constanca" uniqKey="Paul C" first="Constança" last="Paúl">Constança Paúl</name>
<affiliation><nlm:aff id="Aff133">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff138">Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Minghelli, Beatriz" sort="Minghelli, Beatriz" uniqKey="Minghelli B" first="Beatriz" last="Minghelli">Beatriz Minghelli</name>
<affiliation><nlm:aff id="Aff139">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff140">Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Richaud, Sylvina" sort="Richaud, Sylvina" uniqKey="Richaud S" first="Sylvina" last="Richaud">Sylvina Richaud</name>
<affiliation><nlm:aff id="Aff140">Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana L" sort="Mendes, Ana L" uniqKey="Mendes A" first="Ana L." last="Mendes">Ana L. Mendes</name>
<affiliation><nlm:aff id="Aff141">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marta Sim Es, Joana" sort="Marta Sim Es, Joana" uniqKey="Marta Sim Es J" first="Joana" last="Marta-Sim Es">Joana Marta-Sim Es</name>
<affiliation><nlm:aff id="Aff141">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Trindade, Ines A" sort="Trindade, Ines A" uniqKey="Trindade I" first="Inês A." last="Trindade">Inês A. Trindade</name>
<affiliation><nlm:aff id="Aff141">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Claudia" sort="Ferreira, Claudia" uniqKey="Ferreira C" first="Cláudia" last="Ferreira">Cláudia Ferreira</name>
<affiliation><nlm:aff id="Aff141">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Teresa" sort="Carvalho, Teresa" uniqKey="Carvalho T" first="Teresa" last="Carvalho">Teresa Carvalho</name>
<affiliation><nlm:aff id="Aff142">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff143">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff142">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff143">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff142">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Morgana C" sort="Fernandes, Morgana C" uniqKey="Fernandes M" first="Morgana C." last="Fernandes">Morgana C. Fernandes</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Roger S" sort="Rosa, Roger S" uniqKey="Rosa R" first="Roger S." last="Rosa">Roger S. Rosa</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nugem, Rita C" sort="Nugem, Rita C" uniqKey="Nugem R" first="Rita C." last="Nugem">Rita C. Nugem</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kranz, Luis F" sort="Kranz, Luis F" uniqKey="Kranz L" first="Luís F." last="Kranz">Luís F. Kranz</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Siqueira, Mariana S" sort="Siqueira, Mariana S" uniqKey="Siqueira M" first="Mariana S." last="Siqueira">Mariana S. Siqueira</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bordin, Ronaldo" sort="Bordin, Ronaldo" uniqKey="Bordin R" first="Ronaldo" last="Bordin">Ronaldo Bordin</name>
<affiliation><nlm:aff id="Aff144">Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff145">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Medeiros, Anabela" sort="Medeiros, Anabela" uniqKey="Medeiros A" first="Anabela" last="Medeiros">Anabela Medeiros</name>
<affiliation><nlm:aff id="Aff146">Municipality of Nordeste, 9630 Nordeste, Azores Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pimentel, Rafaela" sort="Pimentel, Rafaela" uniqKey="Pimentel R" first="Rafaela" last="Pimentel">Rafaela Pimentel</name>
<affiliation><nlm:aff id="Aff146">Municipality of Nordeste, 9630 Nordeste, Azores Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Andreia" sort="Fernandes, Andreia" uniqKey="Fernandes A" first="Andreia" last="Fernandes">Andreia Fernandes</name>
<affiliation><nlm:aff id="Aff146">Municipality of Nordeste, 9630 Nordeste, Azores Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Carlos" sort="Mendonca, Carlos" uniqKey="Mendonca C" first="Carlos" last="Mendonça">Carlos Mendonça</name>
<affiliation><nlm:aff id="Aff146">Municipality of Nordeste, 9630 Nordeste, Azores Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff145">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Susana" sort="Andrade, Susana" uniqKey="Andrade S" first="Susana" last="Andrade">Susana Andrade</name>
<affiliation><nlm:aff id="Aff145">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Menezes, Ruth L" sort="Menezes, Ruth L" uniqKey="Menezes R" first="Ruth L." last="Menezes">Ruth L. Menezes</name>
<affiliation><nlm:aff id="Aff147">University of Brasilia, Brasília, Distrito Federal 70910-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bravo, Rafael" sort="Bravo, Rafael" uniqKey="Bravo R" first="Rafael" last="Bravo">Rafael Bravo</name>
<affiliation><nlm:aff id="Aff148">Universidad de Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Miranda, Marta" sort="Miranda, Marta" uniqKey="Miranda M" first="Marta" last="Miranda">Marta Miranda</name>
<affiliation><nlm:aff id="Aff149">Chrononutrition Laboratory, Department of Physiology, Faculty of Science, University of Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ugartemendia, Lierni" sort="Ugartemendia, Lierni" uniqKey="Ugartemendia L" first="Lierni" last="Ugartemendia">Lierni Ugartemendia</name>
<affiliation><nlm:aff id="Aff149">Chrononutrition Laboratory, Department of Physiology, Faculty of Science, University of Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tena, Jose M" sort="Tena, Jose M" uniqKey="Tena J" first="José M" last="Tena">José M Tena</name>
<affiliation><nlm:aff id="Aff150">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Perez Caballero, Francisco L" sort="Perez Caballero, Francisco L" uniqKey="Perez Caballero F" first="Francisco L." last="Pérez-Caballero">Francisco L. Pérez-Caballero</name>
<affiliation><nlm:aff id="Aff151">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fuentes Broto, Lorena" sort="Fuentes Broto, Lorena" uniqKey="Fuentes Broto L" first="Lorena" last="Fuentes-Broto">Lorena Fuentes-Broto</name>
<affiliation><nlm:aff id="Aff152">Aragon Institute for Health Research, Zaragoza, 50009 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez, Ana B" sort="Rodriguez, Ana B" uniqKey="Rodriguez A" first="Ana B." last="Rodríguez">Ana B. Rodríguez</name>
<affiliation><nlm:aff id="Aff149">Chrononutrition Laboratory, Department of Physiology, Faculty of Science, University of Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carmen, Barriga" sort="Carmen, Barriga" uniqKey="Carmen B" first="Barriga" last="Carmen">Barriga Carmen</name>
<affiliation><nlm:aff id="Aff149">Chrononutrition Laboratory, Department of Physiology, Faculty of Science, University of Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carneiro, M A" sort="Carneiro, M A" uniqKey="Carneiro M" first="M. A." last="Carneiro">M. A. Carneiro</name>
<affiliation><nlm:aff id="Aff153">ABC Medical School, Santo André, São Paulo 09210-180 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Domingues, J N" sort="Domingues, J N" uniqKey="Domingues J" first="J. N." last="Domingues">J. N. Domingues</name>
<affiliation><nlm:aff id="Aff154">Department of Complementary Sciences, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paixao, S" sort="Paixao, S" uniqKey="Paixao S" first="S." last="Paixão">S. Paixão</name>
<affiliation><nlm:aff id="Aff154">Department of Complementary Sciences, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, J" sort="Figueiredo, J" uniqKey="Figueiredo J" first="J." last="Figueiredo">J. Figueiredo</name>
<affiliation><nlm:aff id="Aff154">Department of Complementary Sciences, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nascimento, V B" sort="Nascimento, V B" uniqKey="Nascimento V" first="V. B." last="Nascimento">V. B. Nascimento</name>
<affiliation><nlm:aff id="Aff153">ABC Medical School, Santo André, São Paulo 09210-180 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, C" sort="Jesus, C" uniqKey="Jesus C" first="C." last="Jesus">C. Jesus</name>
<affiliation><nlm:aff id="Aff155">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, F" sort="Mendes, F" uniqKey="Mendes F" first="F" last="Mendes">F. Mendes</name>
<affiliation><nlm:aff id="Aff155">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gehrke, F" sort="Gehrke, F" uniqKey="Gehrke F" first="F." last="Gehrke">F. Gehrke</name>
<affiliation><nlm:aff id="Aff156">Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, B" sort="Alves, B" uniqKey="Alves B" first="B." last="Alves">B. Alves</name>
<affiliation><nlm:aff id="Aff153">ABC Medical School, Santo André, São Paulo 09210-180 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azzalis, L" sort="Azzalis, L" uniqKey="Azzalis L" first="L." last="Azzalis">L. Azzalis</name>
<affiliation><nlm:aff id="Aff157">Federal University of São Paulo, Diadema campus, Diadema, São Paulo 09913-030 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca, F" sort="Fonseca, F" uniqKey="Fonseca F" first="F." last="Fonseca">F. Fonseca</name>
<affiliation><nlm:aff id="Aff153">ABC Medical School, Santo André, São Paulo 09210-180 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Ana R" sort="Martins, Ana R" uniqKey="Martins A" first="Ana R." last="Martins">Ana R. Martins</name>
<affiliation><nlm:aff id="Aff158">Universidade da Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Amelia" sort="Nunes, Amelia" uniqKey="Nunes A" first="Amélia" last="Nunes">Amélia Nunes</name>
<affiliation><nlm:aff id="Aff158">Universidade da Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jorge, Arminda" sort="Jorge, Arminda" uniqKey="Jorge A" first="Arminda" last="Jorge">Arminda Jorge</name>
<affiliation><nlm:aff id="Aff159">Centro Hospitalar Cova da Beira, Covilhã, 6200-251 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veiga, Nelio" sort="Veiga, Nelio" uniqKey="Veiga N" first="Nélio" last="Veiga">Nélio Veiga</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff161">Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amorim, Ana" sort="Amorim, Ana" uniqKey="Amorim A" first="Ana" last="Amorim">Ana Amorim</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Andre" sort="Silva, Andre" uniqKey="Silva A" first="André" last="Silva">André Silva</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martinho, Liliana" sort="Martinho, Liliana" uniqKey="Martinho L" first="Liliana" last="Martinho">Liliana Martinho</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Luis" sort="Monteiro, Luis" uniqKey="Monteiro L" first="Luís" last="Monteiro">Luís Monteiro</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Rafael" sort="Silva, Rafael" uniqKey="Silva R" first="Rafael" last="Silva">Rafael Silva</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Carina" sort="Coelho, Carina" uniqKey="Coelho C" first="Carina" last="Coelho">Carina Coelho</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Odete" sort="Amaral, Odete" uniqKey="Amaral O" first="Odete" last="Amaral">Odete Amaral</name>
<affiliation><nlm:aff id="Aff162">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff164">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Ines" sort="Coelho, Ines" uniqKey="Coelho I" first="Inês" last="Coelho">Inês Coelho</name>
<affiliation><nlm:aff id="Aff163">Unidade de Saúde Familiar Grão Vasco, Viseu, 3500-177 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Carlos" sort="Pereira, Carlos" uniqKey="Pereira C" first="Carlos" last="Pereira">Carlos Pereira</name>
<affiliation><nlm:aff id="Aff162">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff164">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Correia, Andre" sort="Correia, Andre" uniqKey="Correia A" first="André" last="Correia">André Correia</name>
<affiliation><nlm:aff id="Aff160">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff161">Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Diana" sort="Rodrigues, Diana" uniqKey="Rodrigues D" first="Diana" last="Rodrigues">Diana Rodrigues</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marante, Nidia" sort="Marante, Nidia" uniqKey="Marante N" first="Nídia" last="Marante">Nídia Marante</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Pedro" sort="Silva, Pedro" uniqKey="Silva P" first="Pedro" last="Silva">Pedro Silva</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Sara" sort="Carvalho, Sara" uniqKey="Carvalho S" first="Sara" last="Carvalho">Sara Carvalho</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Andre Rts" sort="Araujo, Andre Rts" uniqKey="Araujo A" first="André Rts" last="Araujo">André Rts Araujo</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff166">Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Maximiano" sort="Ribeiro, Maximiano" uniqKey="Ribeiro M" first="Maximiano" last="Ribeiro">Maximiano Ribeiro</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff166">Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coutinho, Paula" sort="Coutinho, Paula" uniqKey="Coutinho P" first="Paula" last="Coutinho">Paula Coutinho</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff166">Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ventura, Sandra" sort="Ventura, Sandra" uniqKey="Ventura S" first="Sandra" last="Ventura">Sandra Ventura</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff166">Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Roque, Fatima" sort="Roque, Fatima" uniqKey="Roque F" first="Fátima" last="Roque">Fátima Roque</name>
<affiliation><nlm:aff id="Aff165">School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff166">Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Calvo, Cristina" sort="Calvo, Cristina" uniqKey="Calvo C" first="Cristina" last="Calvo">Cristina Calvo</name>
<affiliation><nlm:aff id="Aff167">Centro de Ciências da Saúde, Departamento de Saúde Pública, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reses, Manoela" sort="Reses, Manoela" uniqKey="Reses M" first="Manoela" last="Reses">Manoela Reses</name>
<affiliation><nlm:aff id="Aff167">Centro de Ciências da Saúde, Departamento de Saúde Pública, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Conde, Jorge" sort="Conde, Jorge" uniqKey="Conde J" first="Jorge" last="Conde">Jorge Conde</name>
<affiliation><nlm:aff id="Aff168">College of Health Technology, Polytechnic Institute of Coimbra, 340-162 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ana" sort="Ferreira, Ana" uniqKey="Ferreira A" first="Ana" last="Ferreira">Ana Ferreira</name>
<affiliation><nlm:aff id="Aff168">College of Health Technology, Polytechnic Institute of Coimbra, 340-162 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Joao" sort="Figueiredo, Joao" uniqKey="Figueiredo J" first="João" last="Figueiredo">João Figueiredo</name>
<affiliation><nlm:aff id="Aff168">College of Health Technology, Polytechnic Institute of Coimbra, 340-162 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, David" sort="Silva, David" uniqKey="Silva D" first="David" last="Silva">David Silva</name>
<affiliation><nlm:aff id="Aff169">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seica, Luis" sort="Seica, Luis" uniqKey="Seica L" first="Luís" last="Seiça">Luís Seiça</name>
<affiliation><nlm:aff id="Aff169">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Raquel" sort="Soares, Raquel" uniqKey="Soares R" first="Raquel" last="Soares">Raquel Soares</name>
<affiliation><nlm:aff id="Aff169">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mourao, Ricardo" sort="Mourao, Ricardo" uniqKey="Mourao R" first="Ricardo" last="Mourão">Ricardo Mourão</name>
<affiliation><nlm:aff id="Aff169">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kraus, Teresa" sort="Kraus, Teresa" uniqKey="Kraus T" first="Teresa" last="Kraus">Teresa Kraus</name>
<affiliation><nlm:aff id="Aff169">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abreu, Ana C" sort="Abreu, Ana C" uniqKey="Abreu A" first="Ana C." last="Abreu">Ana C. Abreu</name>
<affiliation><nlm:aff id="Aff170">Oporto Portuguese Institute of Oncology FG, EPE, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Padilha, Jose M" sort="Padilha, Jose M" uniqKey="Padilha J" first="José M." last="Padilha">José M. Padilha</name>
<affiliation><nlm:aff id="Aff171">Porto Nursing School, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Julia M" sort="Alves, Julia M" uniqKey="Alves J" first="Júlia M." last="Alves">Júlia M. Alves</name>
<affiliation><nlm:aff id="Aff172">Oporto Central Hospital, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Paulino" sort="Sousa, Paulino" uniqKey="Sousa P" first="Paulino" last="Sousa">Paulino Sousa</name>
<affiliation><nlm:aff id="Aff173">Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff174">Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Manuel" sort="Oliveira, Manuel" uniqKey="Oliveira M" first="Manuel" last="Oliveira">Manuel Oliveira</name>
<affiliation><nlm:aff id="Aff173">Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Joana" sort="Sousa, Joana" uniqKey="Sousa J" first="Joana" last="Sousa">Joana Sousa</name>
<affiliation><nlm:aff id="Aff175">Centro Hospitalar do Porto, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Novais, S Nia" sort="Novais, S Nia" uniqKey="Novais S" first="S Nia" last="Novais">S Nia Novais</name>
<affiliation><nlm:aff id="Aff176">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, 1649-023 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Felismina" sort="Mendes, Felismina" uniqKey="Mendes F" first="Felismina" last="Mendes">Felismina Mendes</name>
<affiliation><nlm:aff id="Aff177">Escola Superior de Enfermagem de S. João de Deus, Universidade de Évora, 7004-516 Évora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Joana" sort="Pinto, Joana" uniqKey="Pinto J" first="Joana" last="Pinto">Joana Pinto</name>
<affiliation><nlm:aff id="Aff178">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Joana" sort="Cruz, Joana" uniqKey="Cruz J" first="Joana" last="Cruz">Joana Cruz</name>
<affiliation><nlm:aff id="Aff178">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff178">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Hugo" sort="Duarte, Hugo" uniqKey="Duarte H" first="Hugo" last="Duarte">Hugo Duarte</name>
<affiliation><nlm:aff id="Aff179">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Maria Dos Anjos" sort="Dixe, Maria Dos Anjos" uniqKey="Dixe M" first="Maria Dos Anjos" last="Dixe">Maria Dos Anjos Dixe</name>
<affiliation><nlm:aff id="Aff179">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Pedro" sort="Sousa, Pedro" uniqKey="Sousa P" first="Pedro" last="Sousa">Pedro Sousa</name>
<affiliation><nlm:aff id="Aff179">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Ines" sort="Cruz, Ines" uniqKey="Cruz I" first="Inês" last="Cruz">Inês Cruz</name>
<affiliation><nlm:aff id="Aff180">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bastos, Fernanda" sort="Bastos, Fernanda" uniqKey="Bastos F" first="Fernanda" last="Bastos">Fernanda Bastos</name>
<affiliation><nlm:aff id="Aff180">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Filipe" sort="Pereira, Filipe" uniqKey="Pereira F" first="Filipe" last="Pereira">Filipe Pereira</name>
<affiliation><nlm:aff id="Aff180">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Francisco L" sort="Carvalho, Francisco L" uniqKey="Carvalho F" first="Francisco L." last="Carvalho">Francisco L. Carvalho</name>
<affiliation><nlm:aff id="Aff181">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Teresa T" sort="Oliveira, Teresa T" uniqKey="Oliveira T" first="Teresa T." last="Oliveira">Teresa T. Oliveira</name>
<affiliation><nlm:aff id="Aff181">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Raposo, Vitor R" sort="Raposo, Vitor R" uniqKey="Raposo V" first="Vítor R." last="Raposo">Vítor R. Raposo</name>
<affiliation><nlm:aff id="Aff181">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rainho, Conceicao" sort="Rainho, Conceicao" uniqKey="Rainho C" first="Conceição" last="Rainho">Conceição Rainho</name>
<affiliation><nlm:aff id="Aff182">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Jose C" sort="Ribeiro, Jose C" uniqKey="Ribeiro J" first="José C." last="Ribeiro">José C. Ribeiro</name>
<affiliation><nlm:aff id="Aff183">Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barroso, Isabel" sort="Barroso, Isabel" uniqKey="Barroso I" first="Isabel" last="Barroso">Isabel Barroso</name>
<affiliation><nlm:aff id="Aff182">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Vitor" sort="Rodrigues, Vitor" uniqKey="Rodrigues V" first="Vítor" last="Rodrigues">Vítor Rodrigues</name>
<affiliation><nlm:aff id="Aff182">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Carmo" sort="Neves, Carmo" uniqKey="Neves C" first="Carmo" last="Neves">Carmo Neves</name>
<affiliation><nlm:aff id="Aff184">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Teresa C" sort="Oliveira, Teresa C" uniqKey="Oliveira T" first="Teresa C." last="Oliveira">Teresa C. Oliveira</name>
<affiliation><nlm:aff id="Aff184">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Barbara" sort="Oliveira, Barbara" uniqKey="Oliveira B" first="Bárbara" last="Oliveira">Bárbara Oliveira</name>
<affiliation><nlm:aff id="Aff185">Centro Hospitalar do Porto, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, M Carminda" sort="Morais, M Carminda" uniqKey="Morais M" first="M Carminda" last="Morais">M Carminda Morais</name>
<affiliation><nlm:aff id="Aff186">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff187">Centro de Estudos e Investigação em Saúde, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baylina, Pilar" sort="Baylina, Pilar" uniqKey="Baylina P" first="Pilar" last="Baylina">Pilar Baylina</name>
<affiliation><nlm:aff id="Aff188">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Rogerio" sort="Rodrigues, Rogerio" uniqKey="Rodrigues R" first="Rogério" last="Rodrigues">Rogério Rodrigues</name>
<affiliation><nlm:aff id="Aff189">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azeredo, Zaida" sort="Azeredo, Zaida" uniqKey="Azeredo Z" first="Zaida" last="Azeredo">Zaida Azeredo</name>
<affiliation><nlm:aff id="Aff190">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vicente, Coralia" sort="Vicente, Coralia" uniqKey="Vicente C" first="Corália" last="Vicente">Corália Vicente</name>
<affiliation><nlm:aff id="Aff191">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Helia" sort="Dias, Helia" uniqKey="Dias H" first="Hélia" last="Dias">Hélia Dias</name>
<affiliation><nlm:aff id="Aff192">Escola Superior de Saúde, Instituto Politécnico de Santarém, Santarém, 2005-075 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Sim, Margarida" sort="Sim Sim, Margarida" uniqKey="Sim Sim M" first="Margarida" last="Sim-Sim">Margarida Sim-Sim</name>
<affiliation><nlm:aff id="Aff193">Escola Superior de Enfermagem S. João de Deus, Universidade de Évora, 7000-811 Évora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro Oliveira, Anabela" sort="Salgueiro Oliveira, Anabela" uniqKey="Salgueiro Oliveira A" first="Anabela" last="Salgueiro-Oliveira">Anabela Salgueiro-Oliveira</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castilho, Amelia" sort="Castilho, Amelia" uniqKey="Castilho A" first="Amélia" last="Castilho">Amélia Castilho</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Rosa" sort="Melo, Rosa" uniqKey="Melo R" first="Rosa" last="Melo">Rosa Melo</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graveto, Joao" sort="Graveto, Joao" uniqKey="Graveto J" first="João" last="Graveto">João Graveto</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Jose" sort="Gomes, Jose" uniqKey="Gomes J" first="José" last="Gomes">José Gomes</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaquinhas, Marina" sort="Vaquinhas, Marina" uniqKey="Vaquinhas M" first="Marina" last="Vaquinhas">Marina Vaquinhas</name>
<affiliation><nlm:aff id="Aff194">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff195">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete" sort="M Nico, Lisete" uniqKey="M Nico L" first="Lisete" last="M Nico">Lisete M Nico</name>
<affiliation><nlm:aff id="Aff195">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brito, Nuno" sort="Brito, Nuno" uniqKey="Brito N" first="Nuno" last="Brito">Nuno Brito</name>
<affiliation><nlm:aff id="Aff196">Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sarroeira, Cassilda" sort="Sarroeira, Cassilda" uniqKey="Sarroeira C" first="Cassilda" last="Sarroeira">Cassilda Sarroeira</name>
<affiliation><nlm:aff id="Aff197">Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff198">Unidade de Investigação do Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff199">Unidade de Monitorização de Indicadores em Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amendoeira, Jose" sort="Amendoeira, Jose" uniqKey="Amendoeira J" first="José" last="Amendoeira">José Amendoeira</name>
<affiliation><nlm:aff id="Aff197">Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff198">Unidade de Investigação do Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff199">Unidade de Monitorização de Indicadores em Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff200">Life Quality Research Centre, Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Fatima" sort="Cunha, Fatima" uniqKey="Cunha F" first="Fátima" last="Cunha">Fátima Cunha</name>
<affiliation><nlm:aff id="Aff197">Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff198">Unidade de Investigação do Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff199">Unidade de Monitorização de Indicadores em Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Candido, Anabela" sort="Candido, Anabela" uniqKey="Candido A" first="Anabela" last="Cândido">Anabela Cândido</name>
<affiliation><nlm:aff id="Aff197">Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff198">Unidade de Investigação do Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff199">Unidade de Monitorização de Indicadores em Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Patricia" sort="Fernandes, Patricia" uniqKey="Fernandes P" first="Patrícia" last="Fernandes">Patrícia Fernandes</name>
<affiliation><nlm:aff id="Aff201">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Helena R" sort="Silva, Helena R" uniqKey="Silva H" first="Helena R." last="Silva">Helena R. Silva</name>
<affiliation><nlm:aff id="Aff201">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Elsa" sort="Silva, Elsa" uniqKey="Silva E" first="Elsa" last="Silva">Elsa Silva</name>
<affiliation><nlm:aff id="Aff201">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barroso, Isabel" sort="Barroso, Isabel" uniqKey="Barroso I" first="Isabel" last="Barroso">Isabel Barroso</name>
<affiliation><nlm:aff id="Aff202">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lapa, Leila" sort="Lapa, Leila" uniqKey="Lapa L" first="Leila" last="Lapa">Leila Lapa</name>
<affiliation><nlm:aff id="Aff202">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Cristina" sort="Antunes, Cristina" uniqKey="Antunes C" first="Cristina" last="Antunes">Cristina Antunes</name>
<affiliation><nlm:aff id="Aff202">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Ana" sort="Goncalves, Ana" uniqKey="Goncalves A" first="Ana" last="Gonçalves">Ana Gonçalves</name>
<affiliation><nlm:aff id="Aff203">Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galvao, Ana" sort="Galvao, Ana" uniqKey="Galvao A" first="Ana" last="Galvão">Ana Galvão</name>
<affiliation><nlm:aff id="Aff203">Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, M Jose" sort="Gomes, M Jose" uniqKey="Gomes M" first="M José" last="Gomes">M José Gomes</name>
<affiliation><nlm:aff id="Aff203">Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Escanciano, Susana R" sort="Escanciano, Susana R" uniqKey="Escanciano S" first="Susana R." last="Escanciano">Susana R. Escanciano</name>
<affiliation><nlm:aff id="Aff204">Universidad de León, 24004 León, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Maria" sort="Freitas, Maria" uniqKey="Freitas M" first="Maria" last="Freitas">Maria Freitas</name>
<affiliation><nlm:aff id="Aff205">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff206">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maroco, Joao" sort="Maroco, Joao" uniqKey="Maroco J" first="João" last="Marôco">João Marôco</name>
<affiliation><nlm:aff id="Aff207">Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, 1149-041 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Ana R" sort="Fernandes, Ana R" uniqKey="Fernandes A" first="Ana R." last="Fernandes">Ana R. Fernandes</name>
<affiliation><nlm:aff id="Aff208">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Cremilde" sort="Cabral, Cremilde" uniqKey="Cabral C" first="Cremilde" last="Cabral">Cremilde Cabral</name>
<affiliation><nlm:aff id="Aff208">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Samuel" sort="Alves, Samuel" uniqKey="Alves S" first="Samuel" last="Alves">Samuel Alves</name>
<affiliation><nlm:aff id="Aff208">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Pedro" sort="Sousa, Pedro" uniqKey="Sousa P" first="Pedro" last="Sousa">Pedro Sousa</name>
<affiliation><nlm:aff id="Aff208">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ant Nio" sort="Ferreira, Ant Nio" uniqKey="Ferreira A" first="Ant Nio" last="Ferreira">Ant Nio Ferreira</name>
<affiliation><nlm:aff id="Aff209">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis,, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Principe, Fernanda" sort="Principe, Fernanda" uniqKey="Principe F" first="Fernanda" last="Príncipe">Fernanda Príncipe</name>
<affiliation><nlm:aff id="Aff209">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis,, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sepp Nen, Ulla Maija" sort="Sepp Nen, Ulla Maija" uniqKey="Sepp Nen U" first="Ulla-Maija" last="Sepp Nen">Ulla-Maija Sepp Nen</name>
<affiliation><nlm:aff id="Aff210">Oulu University of Applied Sciences, 90250 Oulu, Finlândia</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Margarida" sort="Ferreira, Margarida" uniqKey="Ferreira M" first="Margarida" last="Ferreira">Margarida Ferreira</name>
<affiliation><nlm:aff id="Aff209">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis,, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalhais, Maribel" sort="Carvalhais, Maribel" uniqKey="Carvalhais M" first="Maribel" last="Carvalhais">Maribel Carvalhais</name>
<affiliation><nlm:aff id="Aff209">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis,, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Marilene" sort="Silva, Marilene" uniqKey="Silva M" first="Marilene" last="Silva">Marilene Silva</name>
<affiliation><nlm:aff id="Aff211">Unidade de Saúde Familiar - Espaço Saúde, Porto, 4100-503 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Manuela" sort="Ferreira, Manuela" uniqKey="Ferreira M" first="Manuela" last="Ferreira">Manuela Ferreira</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Joana" sort="Silva, Joana" uniqKey="Silva J" first="Joana" last="Silva">Joana Silva</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Jessica" sort="Neves, Jessica" uniqKey="Neves J" first="Jéssica" last="Neves">Jéssica Neves</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Diana" sort="Costa, Diana" uniqKey="Costa D" first="Diana" last="Costa">Diana Costa</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Bruno" sort="Santos, Bruno" uniqKey="Santos B" first="Bruno" last="Santos">Bruno Santos</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Soraia" sort="Duarte, Soraia" uniqKey="Duarte S" first="Soraia" last="Duarte">Soraia Duarte</name>
<affiliation><nlm:aff id="Aff212">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Silvia" sort="Marques, Silvia" uniqKey="Marques S" first="Sílvia" last="Marques">Sílvia Marques</name>
<affiliation><nlm:aff id="Aff213">Administração Regional de Saúde de Lisboa e Vale do Tejo, 1749-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, S Nia" sort="Ramalho, S Nia" uniqKey="Ramalho S" first="S Nia" last="Ramalho">S Nia Ramalho</name>
<affiliation><nlm:aff id="Aff214">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Isabel" sort="Mendes, Isabel" uniqKey="Mendes I" first="Isabel" last="Mendes">Isabel Mendes</name>
<affiliation><nlm:aff id="Aff215">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Louro, Clarisse" sort="Louro, Clarisse" uniqKey="Louro C" first="Clarisse" last="Louro">Clarisse Louro</name>
<affiliation><nlm:aff id="Aff216">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Menino, Eva" sort="Menino, Eva" uniqKey="Menino E" first="Eva" last="Menino">Eva Menino</name>
<affiliation><nlm:aff id="Aff216">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Maria" sort="Dixe, Maria" uniqKey="Dixe M" first="Maria" last="Dixe">Maria Dixe</name>
<affiliation><nlm:aff id="Aff216">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Sara S" sort="Dias, Sara S" uniqKey="Dias S" first="Sara S." last="Dias">Sara S. Dias</name>
<affiliation><nlm:aff id="Aff216">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff217">Departamento de Saúde Pública & Centro de Estudos de Doenças Crónicas, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff218">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff218">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff218">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Daniel" sort="Carvalho, Daniel" uniqKey="Carvalho D" first="Daniel" last="Carvalho">Daniel Carvalho</name>
<affiliation><nlm:aff id="Aff218">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff219">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Joao" sort="Gomes, Joao" uniqKey="Gomes J" first="João" last="Gomes">João Gomes</name>
<affiliation><nlm:aff id="Aff218">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff219">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valim, Frederico C" sort="Valim, Frederico C" uniqKey="Valim F" first="Frederico C." last="Valim">Frederico C. Valim</name>
<affiliation><nlm:aff id="Aff220">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Joyce O" sort="Costa, Joyce O" uniqKey="Costa J" first="Joyce O." last="Costa">Joyce O. Costa</name>
<affiliation><nlm:aff id="Aff220">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bernardes, Lucia G" sort="Bernardes, Lucia G" uniqKey="Bernardes L" first="Lúcia G." last="Bernardes">Lúcia G. Bernardes</name>
<affiliation><nlm:aff id="Aff220">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Prebianchi, Helena" sort="Prebianchi, Helena" uniqKey="Prebianchi H" first="Helena" last="Prebianchi">Helena Prebianchi</name>
<affiliation><nlm:aff id="Aff221">Pontifícia Universidade Católica de Campinas, Campinas, São Paulo 13086-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Marlene Cristina" sort="Rosa, Marlene Cristina" uniqKey="Rosa M" first="Marlene Cristina" last="Rosa">Marlene Cristina Rosa</name>
<affiliation><nlm:aff id="Aff222">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Narcisa" sort="Goncalves, Narcisa" uniqKey="Goncalves N" first="Narcisa" last="Gonçalves">Narcisa Gonçalves</name>
<affiliation><nlm:aff id="Aff223">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff224">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Maria M" sort="Martins, Maria M" uniqKey="Martins M" first="Maria M." last="Martins">Maria M. Martins</name>
<affiliation><nlm:aff id="Aff223">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff224">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kurcgant, Paulina" sort="Kurcgant, Paulina" uniqKey="Kurcgant P" first="Paulina" last="Kurcgant">Paulina Kurcgant</name>
<affiliation><nlm:aff id="Aff225">Universidade de São Paulo, 05403-000 São Paulo, Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vieira, Andre" sort="Vieira, Andre" uniqKey="Vieira A" first="André" last="Vieira">André Vieira</name>
<affiliation><nlm:aff id="Aff226">Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bento, Sandrina" sort="Bento, Sandrina" uniqKey="Bento S" first="Sandrina" last="Bento">Sandrina Bento</name>
<affiliation><nlm:aff id="Aff227">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Deodato, Sergio" sort="Deodato, Sergio" uniqKey="Deodato S" first="Sérgio" last="Deodato">Sérgio Deodato</name>
<affiliation><nlm:aff id="Aff227">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rabiais, Isabel" sort="Rabiais, Isabel" uniqKey="Rabiais I" first="Isabel" last="Rabiais">Isabel Rabiais</name>
<affiliation><nlm:aff id="Aff227">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Laura" sort="Reis, Laura" uniqKey="Reis L" first="Laura" last="Reis">Laura Reis</name>
<affiliation><nlm:aff id="Aff228">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Torres, Ana" sort="Torres, Ana" uniqKey="Torres A" first="Ana" last="Torres">Ana Torres</name>
<affiliation><nlm:aff id="Aff229">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Sergio" sort="Soares, Sergio" uniqKey="Soares S" first="Sérgio" last="Soares">Sérgio Soares</name>
<affiliation><nlm:aff id="Aff229">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Margarida" sort="Ferreira, Margarida" uniqKey="Ferreira M" first="Margarida" last="Ferreira">Margarida Ferreira</name>
<affiliation><nlm:aff id="Aff229">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graca, Pedro" sort="Graca, Pedro" uniqKey="Graca P" first="Pedro" last="Graça">Pedro Graça</name>
<affiliation><nlm:aff id="Aff230">Academia de Teatro, 4465-095 S. Mamede de Infesta, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leitao, Ceu" sort="Leitao, Ceu" uniqKey="Leitao C" first="Céu" last="Leitão">Céu Leitão</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abreu, Renato" sort="Abreu, Renato" uniqKey="Abreu R" first="Renato" last="Abreu">Renato Abreu</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bellem, Fernando" sort="Bellem, Fernando" uniqKey="Bellem F" first="Fernando" last="Bellém">Fernando Bellém</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Ana" sort="Almeida, Ana" uniqKey="Almeida A" first="Ana" last="Almeida">Ana Almeida</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro Varandas, Edna" sort="Ribeiro Varandas, Edna" uniqKey="Ribeiro Varandas E" first="Edna" last="Ribeiro-Varandas">Edna Ribeiro-Varandas</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Ana" sort="Tavares, Ana" uniqKey="Tavares A" first="Ana" last="Tavares">Ana Tavares</name>
<affiliation><nlm:aff id="Aff231">Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Frade, Joao G" sort="Frade, Joao G" uniqKey="Frade J" first="João G." last="Frade">João G. Frade</name>
<affiliation><nlm:aff id="Aff232">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Henriques, Carolina" sort="Henriques, Carolina" uniqKey="Henriques C" first="Carolina" last="Henriques">Carolina Henriques</name>
<affiliation><nlm:aff id="Aff232">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Menino, Eva" sort="Menino, Eva" uniqKey="Menino E" first="Eva" last="Menino">Eva Menino</name>
<affiliation><nlm:aff id="Aff232">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Louro, Clarisse" sort="Louro, Clarisse" uniqKey="Louro C" first="Clarisse" last="Louro">Clarisse Louro</name>
<affiliation><nlm:aff id="Aff232">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jordao, Celia" sort="Jordao, Celia" uniqKey="Jordao C" first="Célia" last="Jordão">Célia Jordão</name>
<affiliation><nlm:aff id="Aff232">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neco, Sofia" sort="Neco, Sofia" uniqKey="Neco S" first="Sofia" last="Neco">Sofia Neco</name>
<affiliation><nlm:aff id="Aff233">Hospital Santa Maria Maior de Barcelos, 4754-909 Barcelos, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, Carminda" sort="Morais, Carminda" uniqKey="Morais C" first="Carminda" last="Morais">Carminda Morais</name>
<affiliation><nlm:aff id="Aff234">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff234">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Carla R" sort="Silva, Carla R" uniqKey="Silva C" first="Carla R." last="Silva">Carla R. Silva</name>
<affiliation><nlm:aff id="Aff235">Universidade Católica Portuguesa/Porto, 4202-401 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff236">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brito, Alice" sort="Brito, Alice" uniqKey="Brito A" first="Alice" last="Brito">Alice Brito</name>
<affiliation><nlm:aff id="Aff236">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Ant Nia" sort="Silva, Ant Nia" uniqKey="Silva A" first="Ant Nia" last="Silva">Ant Nia Silva</name>
<affiliation><nlm:aff id="Aff236">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Hugo" sort="Duarte, Hugo" uniqKey="Duarte H" first="Hugo" last="Duarte">Hugo Duarte</name>
<affiliation><nlm:aff id="Aff237">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Maria Dos Anjos" sort="Dixe, Maria Dos Anjos" uniqKey="Dixe M" first="Maria Dos Anjos" last="Dixe">Maria Dos Anjos Dixe</name>
<affiliation><nlm:aff id="Aff237">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Pedro" sort="Sousa, Pedro" uniqKey="Sousa P" first="Pedro" last="Sousa">Pedro Sousa</name>
<affiliation><nlm:aff id="Aff237">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Postolache, Gabriela" sort="Postolache, Gabriela" uniqKey="Postolache G" first="Gabriela" last="Postolache">Gabriela Postolache</name>
<affiliation><nlm:aff id="Aff238">Instituto de Medicina Molecular, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Raul" sort="Oliveira, Raul" uniqKey="Oliveira R" first="Raul" last="Oliveira">Raul Oliveira</name>
<affiliation><nlm:aff id="Aff239">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Isabel" sort="Moreira, Isabel" uniqKey="Moreira I" first="Isabel" last="Moreira">Isabel Moreira</name>
<affiliation><nlm:aff id="Aff240">Faculdade de Medicina, Universidade de Porto, 4200-319 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedro, Luisa" sort="Pedro, Luisa" uniqKey="Pedro L" first="Luísa" last="Pedro">Luísa Pedro</name>
<affiliation><nlm:aff id="Aff241">Escola Superior de Tecnologias de Saúde, Instituto Politécnico de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vicente, S Nia" sort="Vicente, S Nia" uniqKey="Vicente S" first="S Nia" last="Vicente">S Nia Vicente</name>
<affiliation><nlm:aff id="Aff242">Escola Superior de Saúde, Universidade Atlântica, 2745-615 Barcarena, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Domingos, Samuel" sort="Domingos, Samuel" uniqKey="Domingos S" first="Samuel" last="Domingos">Samuel Domingos</name>
<affiliation><nlm:aff id="Aff243">Instituto de Telecomunicações, Lisboa, 1049-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Postolache, Octavian" sort="Postolache, Octavian" uniqKey="Postolache O" first="Octavian" last="Postolache">Octavian Postolache</name>
<affiliation><nlm:aff id="Aff243">Instituto de Telecomunicações, Lisboa, 1049-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Darlen" sort="Silva, Darlen" uniqKey="Silva D" first="Darlen" last="Silva">Darlen Silva</name>
<affiliation><nlm:aff id="Aff244">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Filho, Joao G" sort="Filho, Joao G" uniqKey="Filho J" first="João G." last="Filho">João G. Filho</name>
<affiliation><nlm:aff id="Aff244">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nazario, Nazare" sort="Nazario, Nazare" uniqKey="Nazario N" first="Nazare" last="Nazario">Nazare Nazario</name>
<affiliation><nlm:aff id="Aff244">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff244">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schneider, Dulcineia" sort="Schneider, Dulcineia" uniqKey="Schneider D" first="Dulcineia" last="Schneider">Dulcineia Schneider</name>
<affiliation><nlm:aff id="Aff245">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Fatima M" sort="Marques, Fatima M" uniqKey="Marques F" first="Fátima M." last="Marques">Fátima M. Marques</name>
<affiliation><nlm:aff id="Aff246">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff247">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff248">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff248">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Carlos" sort="Pinto, Carlos" uniqKey="Pinto C" first="Carlos" last="Pinto">Carlos Pinto</name>
<affiliation><nlm:aff id="Aff248">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vicente, Sara" sort="Vicente, Sara" uniqKey="Vicente S" first="Sara" last="Vicente">Sara Vicente</name>
<affiliation><nlm:aff id="Aff247">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Breda, Sao Joao" sort="Breda, Sao Joao" uniqKey="Breda S" first="São João" last="Breda">São João Breda</name>
<affiliation><nlm:aff id="Aff248">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Jose H" sort="Gomes, Jose H" uniqKey="Gomes J" first="José H." last="Gomes">José H. Gomes</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Rosa" sort="Melo, Rosa" uniqKey="Melo R" first="Rosa" last="Melo">Rosa Melo</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro, Anabela" sort="Salgueiro, Anabela" uniqKey="Salgueiro A" first="Anabela" last="Salgueiro">Anabela Salgueiro</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graveto, Joao" sort="Graveto, Joao" uniqKey="Graveto J" first="João" last="Graveto">João Graveto</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaquinhas, Marina" sort="Vaquinhas, Marina" uniqKey="Vaquinhas M" first="Marina" last="Vaquinhas">Marina Vaquinhas</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castilho, Amelia" sort="Castilho, Amelia" uniqKey="Castilho A" first="Amélia" last="Castilho">Amélia Castilho</name>
<affiliation><nlm:aff id="Aff249">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Angelo" sort="Jesus, Angelo" uniqKey="Jesus A" first="Ângelo" last="Jesus">Ângelo Jesus</name>
<affiliation><nlm:aff id="Aff250">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Nuno" sort="Duarte, Nuno" uniqKey="Duarte N" first="Nuno" last="Duarte">Nuno Duarte</name>
<affiliation><nlm:aff id="Aff250">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff251">Farmácia Outeiro do Linho, 4440-762 Valongo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Jose C" sort="Lopes, Jose C" uniqKey="Lopes J" first="José C." last="Lopes">José C. Lopes</name>
<affiliation><nlm:aff id="Aff250">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff252">Hospital Militar Regional n.°1, Porto, 4150-113 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Helder" sort="Nunes, Helder" uniqKey="Nunes H" first="Hélder" last="Nunes">Hélder Nunes</name>
<affiliation><nlm:aff id="Aff250">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff253">Centro Hospitalar do Porto, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff250">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro Oliveira, Anabela" sort="Salgueiro Oliveira, Anabela" uniqKey="Salgueiro Oliveira A" first="Anabela" last="Salgueiro-Oliveira">Anabela Salgueiro-Oliveira</name>
<affiliation><nlm:aff id="Aff254">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff254">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Basto, Marta L" sort="Basto, Marta L" uniqKey="Basto M" first="Marta L." last="Basto">Marta L. Basto</name>
<affiliation><nlm:aff id="Aff254">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Braga, Luciene M" sort="Braga, Luciene M" uniqKey="Braga L" first="Luciene M." last="Braga">Luciene M. Braga</name>
<affiliation><nlm:aff id="Aff255">Universidade Federal de Viçosa, Viçosa, Minas Gerais 36570-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Ant Nio" sort="Ferreira, Ant Nio" uniqKey="Ferreira A" first="Ant Nio" last="Ferreira">Ant Nio Ferreira</name>
<affiliation><nlm:aff id="Aff256">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Beatriz" sort="Araujo, Beatriz" uniqKey="Araujo B" first="Beatriz" last="Araújo">Beatriz Araújo</name>
<affiliation><nlm:aff id="Aff257">Universidade Católica Portuguesa, Porto, 4202-401 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Jose M" sort="Alves, Jose M" uniqKey="Alves J" first="José M." last="Alves">José M. Alves</name>
<affiliation><nlm:aff id="Aff257">Universidade Católica Portuguesa, Porto, 4202-401 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Margarida" sort="Ferreira, Margarida" uniqKey="Ferreira M" first="Margarida" last="Ferreira">Margarida Ferreira</name>
<affiliation><nlm:aff id="Aff256">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalhais, Maribel" sort="Carvalhais, Maribel" uniqKey="Carvalhais M" first="Maribel" last="Carvalhais">Maribel Carvalhais</name>
<affiliation><nlm:aff id="Aff256">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Marilene" sort="Silva, Marilene" uniqKey="Silva M" first="Marilene" last="Silva">Marilene Silva</name>
<affiliation><nlm:aff id="Aff258">Unidade de Saúde Familiar - Espaço Saúde, Porto, 4100-503 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Novais, S Nia" sort="Novais, S Nia" uniqKey="Novais S" first="S Nia" last="Novais">S Nia Novais</name>
<affiliation><nlm:aff id="Aff259">Administração Regional de Saúde do Norte, Porto, 4000-447 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Ana S" sort="Sousa, Ana S" uniqKey="Sousa A" first="Ana S." last="Sousa">Ana S. Sousa</name>
<affiliation><nlm:aff id="Aff260">Universidade Católica Portuguesa, Porto, 4202-401 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff261">Centro Hospitalar De São João, E.P.E., Porto, 4200-319 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferrito, Candida" sort="Ferrito, Candida" uniqKey="Ferrito C" first="Cândida" last="Ferrito">Cândida Ferrito</name>
<affiliation><nlm:aff id="Aff262">Escola Superior de Saúde, Instituto Politécnico de Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro L" sort="Ferreira, Pedro L" uniqKey="Ferreira P" first="Pedro L." last="Ferreira">Pedro L. Ferreira</name>
<affiliation><nlm:aff id="Aff263">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Alexandre" sort="Rodrigues, Alexandre" uniqKey="Rodrigues A" first="Alexandre" last="Rodrigues">Alexandre Rodrigues</name>
<affiliation><nlm:aff id="Aff264">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Margarida" sort="Ferreira, Margarida" uniqKey="Ferreira M" first="Margarida" last="Ferreira">Margarida Ferreira</name>
<affiliation><nlm:aff id="Aff265">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Isabel" sort="Oliveira, Isabel" uniqKey="Oliveira I" first="Isabel" last="Oliveira">Isabel Oliveira</name>
<affiliation><nlm:aff id="Aff266">Ordem dos Enfermeiros da zona Centro, Coimbra, 3000-076 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Manuela" sort="Ferreira, Manuela" uniqKey="Ferreira M" first="Manuela" last="Ferreira">Manuela Ferreira</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Jessica" sort="Neves, Jessica" uniqKey="Neves J" first="Jéssica" last="Neves">Jéssica Neves</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Diana" sort="Costa, Diana" uniqKey="Costa D" first="Diana" last="Costa">Diana Costa</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Soraia" sort="Duarte, Soraia" uniqKey="Duarte S" first="Soraia" last="Duarte">Soraia Duarte</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Joana" sort="Silva, Joana" uniqKey="Silva J" first="Joana" last="Silva">Joana Silva</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Bruno" sort="Santos, Bruno" uniqKey="Santos B" first="Bruno" last="Santos">Bruno Santos</name>
<affiliation><nlm:aff id="Aff267">Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Cristina" sort="Martins, Cristina" uniqKey="Martins C" first="Cristina" last="Martins">Cristina Martins</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Macedo, Ana P" sort="Macedo, Ana P" uniqKey="Macedo A" first="Ana P." last="Macedo">Ana P. Macedo</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Odete" sort="Araujo, Odete" uniqKey="Araujo O" first="Odete" last="Araújo">Odete Araújo</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Augusto, Claudia" sort="Augusto, Claudia" uniqKey="Augusto C" first="Cláudia" last="Augusto">Cláudia Augusto</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Braga, Fatima" sort="Braga, Fatima" uniqKey="Braga F" first="Fátima" last="Braga">Fátima Braga</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Lisa" sort="Gomes, Lisa" uniqKey="Gomes L" first="Lisa" last="Gomes">Lisa Gomes</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Maria A" sort="Silva, Maria A" uniqKey="Silva M" first="Maria A." last="Silva">Maria A. Silva</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosario, Rafaela" sort="Rosario, Rafaela" uniqKey="Rosario R" first="Rafaela" last="Rosário">Rafaela Rosário</name>
<affiliation><nlm:aff id="Aff268">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pimenta, Luis" sort="Pimenta, Luis" uniqKey="Pimenta L" first="Luís" last="Pimenta">Luís Pimenta</name>
<affiliation><nlm:aff id="Aff269">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carreira, Diana" sort="Carreira, Diana" uniqKey="Carreira D" first="Diana" last="Carreira">Diana Carreira</name>
<affiliation><nlm:aff id="Aff269">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teles, Patricia" sort="Teles, Patricia" uniqKey="Teles P" first="Patrícia" last="Teles">Patrícia Teles</name>
<affiliation><nlm:aff id="Aff269">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barros, Teresa" sort="Barros, Teresa" uniqKey="Barros T" first="Teresa" last="Barros">Teresa Barros</name>
<affiliation><nlm:aff id="Aff269">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff270">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff270">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Daniel" sort="Carvalho, Daniel" uniqKey="Carvalho D" first="Daniel" last="Carvalho">Daniel Carvalho</name>
<affiliation><nlm:aff id="Aff270">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff271">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Joao" sort="Gomes, Joao" uniqKey="Gomes J" first="João" last="Gomes">João Gomes</name>
<affiliation><nlm:aff id="Aff270">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff271">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff270">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Daniel" sort="Carvalho, Daniel" uniqKey="Carvalho D" first="Daniel" last="Carvalho">Daniel Carvalho</name>
<affiliation><nlm:aff id="Aff272">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff273">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff273">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff273">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Joao" sort="Gomes, Joao" uniqKey="Gomes J" first="João" last="Gomes">João Gomes</name>
<affiliation><nlm:aff id="Aff272">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff273">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff273">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jacome, Cristina" sort="Jacome, Cristina" uniqKey="Jacome C" first="Cristina" last="Jácome">Cristina Jácome</name>
<affiliation><nlm:aff id="Aff274">Research Centre in Physical Activity, Health and Leisure, Faculty of Sports, University of Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff275">Lab 3R – Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Capelas, Sylvie" sort="Capelas, Sylvie" uniqKey="Capelas S" first="Sylvie" last="Capelas">Sylvie Capelas</name>
<affiliation><nlm:aff id="Aff276">Unidade de Surdos, Escola de Referência para a Educação Bilingue, 3830-195 Ílhavo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hall, Andreia" sort="Hall, Andreia" uniqKey="Hall A" first="Andreia" last="Hall">Andreia Hall</name>
<affiliation><nlm:aff id="Aff277">Center for Research and Development in Mathematics and Applications, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff278">Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Dina" sort="Alves, Dina" uniqKey="Alves D" first="Dina" last="Alves">Dina Alves</name>
<affiliation><nlm:aff id="Aff279">School of Health Care, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff280">Centro de Linguística da Universidade de Lisboa, Faculdade de Letras, Universidade de Lisboa, 1600-214 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lousada, Marisa" sort="Lousada, Marisa" uniqKey="Lousada M" first="Marisa" last="Lousada">Marisa Lousada</name>
<affiliation><nlm:aff id="Aff281">Center for Health Technology and Services Research, School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Loureiro, M Helena" sort="Loureiro, M Helena" uniqKey="Loureiro M" first="M Helena" last="Loureiro">M Helena Loureiro</name>
<affiliation><nlm:aff id="Aff282">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Camarneiro, Ana" sort="Camarneiro, Ana" uniqKey="Camarneiro A" first="Ana" last="Camarneiro">Ana Camarneiro</name>
<affiliation><nlm:aff id="Aff282">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Margarida" sort="Silva, Margarida" uniqKey="Silva M" first="Margarida" last="Silva">Margarida Silva</name>
<affiliation><nlm:aff id="Aff282">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Aida" sort="Mendes, Aida" uniqKey="Mendes A" first="Aida" last="Mendes">Aida Mendes</name>
<affiliation><nlm:aff id="Aff282">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedreiro, Ana" sort="Pedreiro, Ana" uniqKey="Pedreiro A" first="Ana" last="Pedreiro">Ana Pedreiro</name>
<affiliation><nlm:aff id="Aff283">Unidade de Investigação em Ciências da Saúde: Enfermagem, Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="G Silva, Anne" sort="G Silva, Anne" uniqKey="G Silva A" first="Anne" last="G. Silva">Anne G. Silva</name>
<affiliation><nlm:aff id="Aff284">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Elza S" sort="Coelho, Elza S" uniqKey="Coelho E" first="Elza S." last="Coelho">Elza S. Coelho</name>
<affiliation><nlm:aff id="Aff284">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Flavio" sort="Melo, Flavio" uniqKey="Melo F" first="Flávio" last="Melo">Flávio Melo</name>
<affiliation><nlm:aff id="Aff285">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff286">Peroneo Centro Terapêutico Lda, Amieiro, Montemor-o-velho, 3140-021 Arazede Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Fernando" sort="Ribeiro, Fernando" uniqKey="Ribeiro F" first="Fernando" last="Ribeiro">Fernando Ribeiro</name>
<affiliation><nlm:aff id="Aff285">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff287">Institute for Research in Biomedicine, University of Aveiro, Aveiro, 3810-292 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Torres, Rui" sort="Torres, Rui" uniqKey="Torres R" first="Rui" last="Torres">Rui Torres</name>
<affiliation><nlm:aff id="Aff288">Department of Physiotherapy, North Polytechnic Institute of Health, Gandra, 4585-116 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Rui" sort="Costa, Rui" uniqKey="Costa R" first="Rui" last="Costa">Rui Costa</name>
<affiliation><nlm:aff id="Aff285">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff289">Center for Health Technology and Services Research, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Tania" sort="Pinho, Tania" uniqKey="Pinho T" first="Tânia" last="Pinho">Tânia Pinho</name>
<affiliation><nlm:aff id="Aff290">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jacome, Cristina" sort="Jacome, Cristina" uniqKey="Jacome C" first="Cristina" last="Jácome">Cristina Jácome</name>
<affiliation><nlm:aff id="Aff291">Research Centre in Physical Activity, Health and Leisure, Faculty of Sports, University of Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff290">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Barbara" sort="Cruz, Barbara" uniqKey="Cruz B" first="Bárbara" last="Cruz">Bárbara Cruz</name>
<affiliation><nlm:aff id="Aff292">Irmandade da Misericórdia de Albergaria-a-Velha, 3850-069 Albergaria-a-Velha, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seabra, Daniel" sort="Seabra, Daniel" uniqKey="Seabra D" first="Daniel" last="Seabra">Daniel Seabra</name>
<affiliation><nlm:aff id="Aff293">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carreiras, Diogo" sort="Carreiras, Diogo" uniqKey="Carreiras D" first="Diogo" last="Carreiras">Diogo Carreiras</name>
<affiliation><nlm:aff id="Aff294">Gabinete de Apoio Psicológico, Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ventura, Maria" sort="Ventura, Maria" uniqKey="Ventura M" first="Maria" last="Ventura">Maria Ventura</name>
<affiliation><nlm:aff id="Aff292">Irmandade da Misericórdia de Albergaria-a-Velha, 3850-069 Albergaria-a-Velha, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, X" sort="Cruz, X" uniqKey="Cruz X" first="X" last="Cruz">X. Cruz</name>
<affiliation><nlm:aff id="Aff295">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brooks, Dina" sort="Brooks, Dina" uniqKey="Brooks D" first="Dina" last="Brooks">Dina Brooks</name>
<affiliation><nlm:aff id="Aff296">Rehabilitation Science Institute and Department of Physical Therapy, University of Toronto, Toronto, Ontario M5S 1A1 Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff295">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, M Rosario" sort="Pinto, M Rosario" uniqKey="Pinto M" first="M Rosário" last="Pinto">M Rosário Pinto</name>
<affiliation><nlm:aff id="Aff297">Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff298">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lima Basto, Marta" sort="Lima Basto, Marta" uniqKey="Lima Basto M" first="Marta" last="Lima-Basto">Marta Lima-Basto</name>
<affiliation><nlm:aff id="Aff299">Unidade de Investigação & Desenvolvimento em Enfermagem, Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Miguel" sort="Neves, Miguel" uniqKey="Neves M" first="Miguel" last="Neves">Miguel Neves</name>
<affiliation><nlm:aff id="Aff300">Hospital Distrital de Santarém, EPE, Santarém, 2005-177 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff301">Universidade de Coimbra, 3004-504 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bizarro, Carla" sort="Bizarro, Carla" uniqKey="Bizarro C" first="Carla" last="Bizarro">Carla Bizarro</name>
<affiliation><nlm:aff id="Aff302">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff302">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galhardo, Ana" sort="Galhardo, Ana" uniqKey="Galhardo A" first="Ana" last="Galhardo">Ana Galhardo</name>
<affiliation><nlm:aff id="Aff302">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Margarida, Couto" sort="Margarida, Couto" uniqKey="Margarida C" first="Couto" last="Margarida">Couto Margarida</name>
<affiliation><nlm:aff id="Aff302">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amorim, Ana P" sort="Amorim, Ana P" uniqKey="Amorim A" first="Ana P." last="Amorim">Ana P. Amorim</name>
<affiliation><nlm:aff id="Aff302">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Eduardo" sort="Silva, Eduardo" uniqKey="Silva E" first="Eduardo" last="Silva">Eduardo Silva</name>
<affiliation><nlm:aff id="Aff303">Centro de Tratamento Internacional VillaRamadas, 2460-355 Cela, Alcobaça, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Susana" sort="Cruz, Susana" uniqKey="Cruz S" first="Susana" last="Cruz">Susana Cruz</name>
<affiliation><nlm:aff id="Aff304">Administração Regional de Saúde do Norte, Porto, 4000-447 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Padilha, Jose M" sort="Padilha, Jose M" uniqKey="Padilha J" first="José M." last="Padilha">José M. Padilha</name>
<affiliation><nlm:aff id="Aff305">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valente, Jorge" sort="Valente, Jorge" uniqKey="Valente J" first="Jorge" last="Valente">Jorge Valente</name>
<affiliation><nlm:aff id="Aff306">Faculdade de Economia, Universidade do Porto, 4200-464 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerrero, Jose T" sort="Guerrero, Jose T" uniqKey="Guerrero J" first="José T." last="Guerrero">José T. Guerrero</name>
<affiliation><nlm:aff id="Aff307">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caballero, Francisco P" sort="Caballero, Francisco P" uniqKey="Caballero F" first="Francisco P." last="Caballero">Francisco P. Caballero</name>
<affiliation><nlm:aff id="Aff308">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Rafael B" sort="Santos, Rafael B" uniqKey="Santos R" first="Rafael B." last="Santos">Rafael B. Santos</name>
<affiliation><nlm:aff id="Aff309">Universidad de Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gonzalez, Estefania P" sort="Gonzalez, Estefania P" uniqKey="Gonzalez E" first="Estefania P." last="Gonzalez">Estefania P. Gonzalez</name>
<affiliation><nlm:aff id="Aff307">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monago, Fatima M" sort="Monago, Fatima M" uniqKey="Monago F" first="Fátima M." last="Monago">Fátima M. Monago</name>
<affiliation><nlm:aff id="Aff310">Centro de Salud San Fernando, Badajoz, 06006 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ugalde, Lierni U" sort="Ugalde, Lierni U" uniqKey="Ugalde L" first="Lierni U." last="Ugalde">Lierni U. Ugalde</name>
<affiliation><nlm:aff id="Aff309">Universidad de Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Velez, Marta M" sort="Velez, Marta M" uniqKey="Velez M" first="Marta M." last="Vélez">Marta M. Vélez</name>
<affiliation><nlm:aff id="Aff307">Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tena, Maria J" sort="Tena, Maria J" uniqKey="Tena M" first="Maria J." last="Tena">Maria J. Tena</name>
<affiliation><nlm:aff id="Aff308">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerrero, Jose T" sort="Guerrero, Jose T" uniqKey="Guerrero J" first="José T." last="Guerrero">José T. Guerrero</name>
<affiliation><nlm:aff id="Aff311">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bravo, Rafael" sort="Bravo, Rafael" uniqKey="Bravo R" first="Rafael" last="Bravo">Rafael Bravo</name>
<affiliation><nlm:aff id="Aff312">Universidad de Extremadura, Badajoz, 06071 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Perez Caballero, Francisco L" sort="Perez Caballero, Francisco L" uniqKey="Perez Caballero F" first="Francisco L." last="Pérez-Caballero">Francisco L. Pérez-Caballero</name>
<affiliation><nlm:aff id="Aff313">Centro de Salud La Paz, Badajoz, 06011 España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Becerra, Isabel A" sort="Becerra, Isabel A" uniqKey="Becerra I" first="Isabel A." last="Becerra">Isabel A. Becerra</name>
<affiliation><nlm:aff id="Aff311">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Agudelo, M Elizabeth" sort="Agudelo, M Elizabeth" uniqKey="Agudelo M" first="M Elizabeth" last="Agudelo">M Elizabeth Agudelo</name>
<affiliation><nlm:aff id="Aff311">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Acedo, Guadalupe" sort="Acedo, Guadalupe" uniqKey="Acedo G" first="Guadalupe" last="Acedo">Guadalupe Acedo</name>
<affiliation><nlm:aff id="Aff311">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bajo, Roberto" sort="Bajo, Roberto" uniqKey="Bajo R" first="Roberto" last="Bajo">Roberto Bajo</name>
<affiliation><nlm:aff id="Aff311">Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Malheiro, Isabel" sort="Malheiro, Isabel" uniqKey="Malheiro I" first="Isabel" last="Malheiro">Isabel Malheiro</name>
<affiliation><nlm:aff id="Aff314">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gaspar, Filomena" sort="Gaspar, Filomena" uniqKey="Gaspar F" first="Filomena" last="Gaspar">Filomena Gaspar</name>
<affiliation><nlm:aff id="Aff314">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barros, Luisa" sort="Barros, Luisa" uniqKey="Barros L" first="Luísa" last="Barros">Luísa Barros</name>
<affiliation><nlm:aff id="Aff315">Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Furtado, Guilherme" sort="Furtado, Guilherme" uniqKey="Furtado G" first="Guilherme" last="Furtado">Guilherme Furtado</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff317">Fundação Capes, Ministério da Educação, 70.040-020 Brasília, Distrito Federal Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Uba Chupel, Mateus" sort="Uba Chupel, Mateus" uniqKey="Uba Chupel M" first="Mateus" last="Uba-Chupel">Mateus Uba-Chupel</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff317">Fundação Capes, Ministério da Educação, 70.040-020 Brasília, Distrito Federal Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Mariana" sort="Marques, Mariana" uniqKey="Marques M" first="Mariana" last="Marques">Mariana Marques</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rama, Luis" sort="Rama, Luis" uniqKey="Rama L" first="Luís" last="Rama">Luís Rama</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Braga, Margarida" sort="Braga, Margarida" uniqKey="Braga M" first="Margarida" last="Braga">Margarida Braga</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff318">Faculty of Medicine, University of Porto, Porto, 4200-450 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Jose P" sort="Ferreira, Jose P" uniqKey="Ferreira J" first="José P." last="Ferreira">José P. Ferreira</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixeira, Ana M" sort="Teixeira, Ana M" uniqKey="Teixeira A" first="Ana M" last="Teixeira">Ana M Teixeira</name>
<affiliation><nlm:aff id="Aff316">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Joao" sort="Cruz, Joao" uniqKey="Cruz J" first="João" last="Cruz">João Cruz</name>
<affiliation><nlm:aff id="Aff319">School of Education and Social Sciences, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff320">Life Quality Research Centre – IPLeiria Branch, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barbosa, Tiago" sort="Barbosa, Tiago" uniqKey="Barbosa T" first="Tiago" last="Barbosa">Tiago Barbosa</name>
<affiliation><nlm:aff id="Aff319">School of Education and Social Sciences, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, Angela" sort="Sim Es, Angela" uniqKey="Sim Es A" first="Ângela" last="Sim Es">Ângela Sim Es</name>
<affiliation><nlm:aff id="Aff319">School of Education and Social Sciences, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Luis" sort="Coelho, Luis" uniqKey="Coelho L" first="Luís" last="Coelho">Luís Coelho</name>
<affiliation><nlm:aff id="Aff319">School of Education and Social Sciences, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff320">Life Quality Research Centre – IPLeiria Branch, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Alexandre" sort="Rodrigues, Alexandre" uniqKey="Rodrigues A" first="Alexandre" last="Rodrigues">Alexandre Rodrigues</name>
<affiliation><nlm:aff id="Aff321">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Diaz, Juan Fernando" sort="Jimenez Diaz, Juan Fernando" uniqKey="Jimenez Diaz J" first="Juan-Fernando" last="Jiménez-Díaz">Juan-Fernando Jiménez-Díaz</name>
<affiliation><nlm:aff id="Aff322">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martinez Hernandez, Francisco" sort="Martinez Hernandez, Francisco" uniqKey="Martinez Hernandez F" first="Francisco" last="Martinez-Hernandez">Francisco Martinez-Hernandez</name>
<affiliation><nlm:aff id="Aff322">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez De Vera, Bienvenida" sort="Rodriguez De Vera, Bienvenida" uniqKey="Rodriguez De Vera B" first="Bienvenida" last="Rodriguez-De-Vera">Bienvenida Rodriguez-De-Vera</name>
<affiliation><nlm:aff id="Aff322">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff323">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Alexandrina" sort="Rodrigues, Alexandrina" uniqKey="Rodrigues A" first="Alexandrina" last="Rodrigues">Alexandrina Rodrigues</name>
<affiliation><nlm:aff id="Aff324">Unidade de Cuidados na Comunidade da Ponte da Barca, 4980-620 Ponte da Barca, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, Andre" sort="Ramalho, Andre" uniqKey="Ramalho A" first="André" last="Ramalho">André Ramalho</name>
<affiliation><nlm:aff id="Aff325">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Petrica, Joao" sort="Petrica, Joao" uniqKey="Petrica J" first="João" last="Petrica">João Petrica</name>
<affiliation><nlm:aff id="Aff325">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff326">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff325">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serrano, Joao" sort="Serrano, Joao" uniqKey="Serrano J" first="João" last="Serrano">João Serrano</name>
<affiliation><nlm:aff id="Aff325">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff326">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santo, Ines" sort="Santo, Ines" uniqKey="Santo I" first="Inês" last="Santo">Inês Santo</name>
<affiliation><nlm:aff id="Aff327">Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosado, Ant Nio" sort="Rosado, Ant Nio" uniqKey="Rosado A" first="Ant Nio" last="Rosado">Ant Nio Rosado</name>
<affiliation><nlm:aff id="Aff328">Faculty of Human Kinetics, University of Lisbon, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Paula" sort="Mendonca, Paula" uniqKey="Mendonca P" first="Paula" last="Mendonça">Paula Mendonça</name>
<affiliation><nlm:aff id="Aff329">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Katia" sort="Freitas, Katia" uniqKey="Freitas K" first="Kátia" last="Freitas">Kátia Freitas</name>
<affiliation><nlm:aff id="Aff329">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Dora" sort="Ferreira, Dora" uniqKey="Ferreira D" first="Dora" last="Ferreira">Dora Ferreira</name>
<affiliation><nlm:aff id="Aff330">Escola Superior Desporto De Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brito, Ant Nio" sort="Brito, Ant Nio" uniqKey="Brito A" first="Ant Nio" last="Brito">Ant Nio Brito</name>
<affiliation><nlm:aff id="Aff330">Escola Superior Desporto De Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Renato" sort="Fernandes, Renato" uniqKey="Fernandes R" first="Renato" last="Fernandes">Renato Fernandes</name>
<affiliation><nlm:aff id="Aff330">Escola Superior Desporto De Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Sofia" sort="Gomes, Sofia" uniqKey="Gomes S" first="Sofia" last="Gomes">Sofia Gomes</name>
<affiliation><nlm:aff id="Aff331">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff331">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff332">Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff333">Portugal & Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Claudia" sort="Pinho, Claudia" uniqKey="Pinho C" first="Cláudia" last="Pinho">Cláudia Pinho</name>
<affiliation><nlm:aff id="Aff331">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff334">Núcleo de Investigação e Intervenção em Farmácia, Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Rita" sort="Oliveira, Rita" uniqKey="Oliveira R" first="Rita" last="Oliveira">Rita Oliveira</name>
<affiliation><nlm:aff id="Aff331">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff334">Núcleo de Investigação e Intervenção em Farmácia, Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff335">Secção Autónoma de Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana I" sort="Oliveira, Ana I" uniqKey="Oliveira A" first="Ana I." last="Oliveira">Ana I. Oliveira</name>
<affiliation><nlm:aff id="Aff331">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff334">Núcleo de Investigação e Intervenção em Farmácia, Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Paula" sort="Mendonca, Paula" uniqKey="Mendonca P" first="Paula" last="Mendonça">Paula Mendonça</name>
<affiliation><nlm:aff id="Aff336">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Casimiro, Ana P" sort="Casimiro, Ana P" uniqKey="Casimiro A" first="Ana P." last="Casimiro">Ana P. Casimiro</name>
<affiliation><nlm:aff id="Aff337">Hospital SAMS – Serviços de Assistência Médico-social do Sindicato dos Bancários, 1849-017 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Patricia" sort="Martins, Patricia" uniqKey="Martins P" first="Patrícia" last="Martins">Patrícia Martins</name>
<affiliation><nlm:aff id="Aff336">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Iryna" sort="Silva, Iryna" uniqKey="Silva I" first="Iryna" last="Silva">Iryna Silva</name>
<affiliation><nlm:aff id="Aff336">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Evangelista, Diana" sort="Evangelista, Diana" uniqKey="Evangelista D" first="Diana" last="Evangelista">Diana Evangelista</name>
<affiliation><nlm:aff id="Aff338">North Tyneside General Hospital, Tyne and Wear, NE29 8NH Newcastle UK</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leitao, Catarina" sort="Leitao, Catarina" uniqKey="Leitao C" first="Catarina" last="Leitão">Catarina Leitão</name>
<affiliation><nlm:aff id="Aff339">Life Quality Research Centre, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Velosa, Fabia" sort="Velosa, Fabia" uniqKey="Velosa F" first="Fábia" last="Velosa">Fábia Velosa</name>
<affiliation><nlm:aff id="Aff340">School of Education and Social Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carecho, Nelio" sort="Carecho, Nelio" uniqKey="Carecho N" first="Nélio" last="Carecho">Nélio Carecho</name>
<affiliation><nlm:aff id="Aff341">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Luis" sort="Coelho, Luis" uniqKey="Coelho L" first="Luís" last="Coelho">Luís Coelho</name>
<affiliation><nlm:aff id="Aff339">Life Quality Research Centre, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff340">School of Education and Social Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Menino, Eva" sort="Menino, Eva" uniqKey="Menino E" first="Eva" last="Menino">Eva Menino</name>
<affiliation><nlm:aff id="Aff342">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Anjos" sort="Dixe, Anjos" uniqKey="Dixe A" first="Anjos" last="Dixe">Anjos Dixe</name>
<affiliation><nlm:aff id="Aff342">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catarino, Helena" sort="Catarino, Helena" uniqKey="Catarino H" first="Helena" last="Catarino">Helena Catarino</name>
<affiliation><nlm:aff id="Aff342">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Fatima" sort="Soares, Fatima" uniqKey="Soares F" first="Fátima" last="Soares">Fátima Soares</name>
<affiliation><nlm:aff id="Aff343">Unidade de Saúde Pública, ACES Pinhal Litoral, ARS Centro, 3100-462 Pombal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gama, Ester" sort="Gama, Ester" uniqKey="Gama E" first="Ester" last="Gama">Ester Gama</name>
<affiliation><nlm:aff id="Aff344">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gordo, Clementina" sort="Gordo, Clementina" uniqKey="Gordo C" first="Clementina" last="Gordo">Clementina Gordo</name>
<affiliation><nlm:aff id="Aff342">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Eliana" sort="Moreira, Eliana" uniqKey="Moreira E" first="Eliana" last="Moreira">Eliana Moreira</name>
<affiliation><nlm:aff id="Aff345">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mid Es, Cristiana" sort="Mid Es, Cristiana" uniqKey="Mid Es C" first="Cristiana" last="Mid Es">Cristiana Mid Es</name>
<affiliation><nlm:aff id="Aff345">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Marlene" sort="Santos, Marlene" uniqKey="Santos M" first="Marlene" last="Santos">Marlene Santos</name>
<affiliation><nlm:aff id="Aff345">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, Sara" sort="Machado, Sara" uniqKey="Machado S" first="Sara" last="Machado">Sara Machado</name>
<affiliation><nlm:aff id="Aff346">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Vania P" sort="Oliveira, Vania P" uniqKey="Oliveira V" first="Vânia P." last="Oliveira">Vânia P. Oliveira</name>
<affiliation><nlm:aff id="Aff346">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Marlene" sort="Santos, Marlene" uniqKey="Santos M" first="Marlene" last="Santos">Marlene Santos</name>
<affiliation><nlm:aff id="Aff346">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff347">Health Research Unit, School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Anjos" sort="Dixe, Anjos" uniqKey="Dixe A" first="Anjos" last="Dixe">Anjos Dixe</name>
<affiliation><nlm:aff id="Aff347">Health Research Unit, School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff347">Health Research Unit, School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff348">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Charepe, Zaida" sort="Charepe, Zaida" uniqKey="Charepe Z" first="Zaida" last="Charepe">Zaida Charepe</name>
<affiliation><nlm:aff id="Aff349">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Ana" sort="Antunes, Ana" uniqKey="Antunes A" first="Ana" last="Antunes">Ana Antunes</name>
<affiliation><nlm:aff id="Aff350">Associação Portuguesa de Pais e Amigos do Cidadão Deficiente Mental, 6200-050 Covilhã, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Sofia" sort="Santos, Sofia" uniqKey="Santos S" first="Sofia" last="Santos">Sofia Santos</name>
<affiliation><nlm:aff id="Aff351">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Marlene C" sort="Rosa, Marlene C" uniqKey="Rosa M" first="Marlene C." last="Rosa">Marlene C. Rosa</name>
<affiliation><nlm:aff id="Aff352">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Marlene C" sort="Rosa, Marlene C" uniqKey="Rosa M" first="Marlene C." last="Rosa">Marlene C. Rosa</name>
<affiliation><nlm:aff id="Aff353">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Silvana F" sort="Marques, Silvana F" uniqKey="Marques S" first="Silvana F." last="Marques">Silvana F. Marques</name>
<affiliation><nlm:aff id="Aff354">Unidade de Cuidados na Comunidade, Centro de Saúde de Anadia, 3780-780 Anadia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Minghelli, Beatriz" sort="Minghelli, Beatriz" uniqKey="Minghelli B" first="Beatriz" last="Minghelli">Beatriz Minghelli</name>
<affiliation><nlm:aff id="Aff355">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carominghelli, Eulalia" sort="Carominghelli, Eulalia" uniqKey="Carominghelli E" first="Eulália" last="Carominghelli">Eulália Carominghelli</name>
<affiliation><nlm:aff id="Aff355">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff356">Fisiatris - Recuperação Física, Lda, Sacavém, 2685-010 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luis, M Jose" sort="Luis, M Jose" uniqKey="Luis M" first="M José" last="Luís">M José Luís</name>
<affiliation><nlm:aff id="Aff357">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brandao, Teresa" sort="Brandao, Teresa" uniqKey="Brandao T" first="Teresa" last="Brandão">Teresa Brandão</name>
<affiliation><nlm:aff id="Aff357">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff358">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marinho, Daniel" sort="Marinho, Daniel" uniqKey="Marinho D" first="Daniel" last="Marinho">Daniel Marinho</name>
<affiliation><nlm:aff id="Aff359">Research Centre of Sports Sciences, Health Sciences and Human Development, Universidade da Beira Interior, Covilhã, 6201-001 Covilhã Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Petrica, Joao" sort="Petrica, Joao" uniqKey="Petrica J" first="João" last="Petrica">João Petrica</name>
<affiliation><nlm:aff id="Aff358">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff360">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Diogo" sort="Monteiro, Diogo" uniqKey="Monteiro D" first="Diogo" last="Monteiro">Diogo Monteiro</name>
<affiliation><nlm:aff id="Aff361">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff358">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff362">Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serrano, Joao" sort="Serrano, Joao" uniqKey="Serrano J" first="João" last="Serrano">João Serrano</name>
<affiliation><nlm:aff id="Aff358">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff360">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santo, Ines" sort="Santo, Ines" uniqKey="Santo I" first="Inês" last="Santo">Inês Santo</name>
<affiliation><nlm:aff id="Aff363">Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Lina" sort="Monteiro, Lina" uniqKey="Monteiro L" first="Lina" last="Monteiro">Lina Monteiro</name>
<affiliation><nlm:aff id="Aff364">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, Fatima" sort="Ramalho, Fatima" uniqKey="Ramalho F" first="Fátima" last="Ramalho">Fátima Ramalho</name>
<affiliation><nlm:aff id="Aff364">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff365">Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade Nova de Lisboa, 1499-002 Cruz Quebrada, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos Rocha, Rita" sort="Santos Rocha, Rita" uniqKey="Santos Rocha R" first="Rita" last="Santos-Rocha">Rita Santos-Rocha</name>
<affiliation><nlm:aff id="Aff364">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff365">Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade Nova de Lisboa, 1499-002 Cruz Quebrada, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morgado, S Nia" sort="Morgado, S Nia" uniqKey="Morgado S" first="S Nia" last="Morgado">S Nia Morgado</name>
<affiliation><nlm:aff id="Aff364">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff366">Centro de Investigação e Qualidade de Vida, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bento, Teresa" sort="Bento, Teresa" uniqKey="Bento T" first="Teresa" last="Bento">Teresa Bento</name>
<affiliation><nlm:aff id="Aff364">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff367">Research Centre in Sports Sciences, Health and Human Development, University of Trás-os-Montes and Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Gilberta" sort="Sousa, Gilberta" uniqKey="Sousa G" first="Gilberta" last="Sousa">Gilberta Sousa</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Otilia" sort="Freitas, Otilia" uniqKey="Freitas O" first="Otília" last="Freitas">Otília Freitas</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Isabel" sort="Silva, Isabel" uniqKey="Silva I" first="Isabel" last="Silva">Isabel Silva</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Greg Rio" sort="Freitas, Greg Rio" uniqKey="Freitas G" first="Greg Rio" last="Freitas">Greg Rio Freitas</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morna, Clementina" sort="Morna, Clementina" uniqKey="Morna C" first="Clementina" last="Morna">Clementina Morna</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vasconcelos, Rita" sort="Vasconcelos, Rita" uniqKey="Vasconcelos R" first="Rita" last="Vasconcelos">Rita Vasconcelos</name>
<affiliation><nlm:aff id="Aff368">Universidade da Madeira, 9000-082 Funchal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, Tatiana" sort="Azevedo, Tatiana" uniqKey="Azevedo T" first="Tatiana" last="Azevedo">Tatiana Azevedo</name>
<affiliation><nlm:aff id="Aff369">Lar Cantinho dos Avós - Santa Casa da Misericórdia de Melgaço, 4960-570 Melgaço, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Salete" sort="Soares, Salete" uniqKey="Soares S" first="Salete" last="Soares">Salete Soares</name>
<affiliation><nlm:aff id="Aff370">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pisco, Jacinta" sort="Pisco, Jacinta" uniqKey="Pisco J" first="Jacinta" last="Pisco">Jacinta Pisco</name>
<affiliation><nlm:aff id="Aff371">Unidade Local de Saúde do Alto Minho, EPE, 4904-858 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Paulo P" sort="Ferreira, Paulo P" uniqKey="Ferreira P" first="Paulo P." last="Ferreira">Paulo P. Ferreira</name>
<affiliation><nlm:aff id="Aff372">Secretaria de Saúde do Estado da Bahia, Salvador, Bahia 41745-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Olszewer, Efrain O" sort="Olszewer, Efrain O" uniqKey="Olszewer E" first="Efrain O." last="Olszewer">Efrain O. Olszewer</name>
<affiliation><nlm:aff id="Aff373">Fundação de amparo à pesquisa e inovação do Espírito Santo, Vitória, Esprito Santo 29066-380 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Michelle T" sort="Oliveira, Michelle T" uniqKey="Oliveira M" first="Michelle T." last="Oliveira">Michelle T. Oliveira</name>
<affiliation><nlm:aff id="Aff374">Universidade Estadual de Feira de Santana, Feira de Santana, Bahia 44036-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Anderson R" sort="Sousa, Anderson R" uniqKey="Sousa A" first="Anderson R." last="Sousa">Anderson R. Sousa</name>
<affiliation><nlm:aff id="Aff375">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Ana S" sort="Maia, Ana S" uniqKey="Maia A" first="Ana S." last="Maia">Ana S. Maia</name>
<affiliation><nlm:aff id="Aff375">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Sebastiao T" sort="Oliveira, Sebastiao T" uniqKey="Oliveira S" first="Sebastião T." last="Oliveira">Sebastião T. Oliveira</name>
<affiliation><nlm:aff id="Aff375">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Erica" sort="Santos, Erica" uniqKey="Santos E" first="Erica" last="Santos">Erica Santos</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana I" sort="Oliveira, Ana I" uniqKey="Oliveira A" first="Ana I." last="Oliveira">Ana I. Oliveira</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff377">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Carla" sort="Maia, Carla" uniqKey="Maia C" first="Carla" last="Maia">Carla Maia</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff378">Hospital de Santo Antonio, Centro Hospitalar do Porto, EPE, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff379">Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff380">Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Joana" sort="Santos, Joana" uniqKey="Santos J" first="Joana" last="Santos">Joana Santos</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff381">Centro Hospitalar de São João, EPE, Porto, 4200-319 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Maria F" sort="Mendes, Maria F" uniqKey="Mendes M" first="Maria F." last="Mendes">Maria F. Mendes</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff378">Hospital de Santo Antonio, Centro Hospitalar do Porto, EPE, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Rita F" sort="Oliveira, Rita F" uniqKey="Oliveira R" first="Rita F." last="Oliveira">Rita F. Oliveira</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff378">Hospital de Santo Antonio, Centro Hospitalar do Porto, EPE, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Claudia" sort="Pinho, Claudia" uniqKey="Pinho C" first="Cláudia" last="Pinho">Cláudia Pinho</name>
<affiliation><nlm:aff id="Aff376">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff378">Hospital de Santo Antonio, Centro Hospitalar do Porto, EPE, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barreira, Eduarda" sort="Barreira, Eduarda" uniqKey="Barreira E" first="Eduarda" last="Barreira">Eduarda Barreira</name>
<affiliation><nlm:aff id="Aff382">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana" sort="Pereira, Ana" uniqKey="Pereira A" first="Ana" last="Pereira">Ana Pereira</name>
<affiliation><nlm:aff id="Aff382">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaz, Josiana A" sort="Vaz, Josiana A" uniqKey="Vaz J" first="Josiana A." last="Vaz">Josiana A. Vaz</name>
<affiliation><nlm:aff id="Aff382">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Novo, Andre" sort="Novo, Andre" uniqKey="Novo A" first="André" last="Novo">André Novo</name>
<affiliation><nlm:aff id="Aff382">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Luis D" sort="Silva, Luis D" uniqKey="Silva L" first="Luís D." last="Silva">Luís D. Silva</name>
<affiliation><nlm:aff id="Aff383">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff384">Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Bruno" sort="Maia, Bruno" uniqKey="Maia B" first="Bruno" last="Maia">Bruno Maia</name>
<affiliation><nlm:aff id="Aff383">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Eduardo" sort="Ferreira, Eduardo" uniqKey="Ferreira E" first="Eduardo" last="Ferreira">Eduardo Ferreira</name>
<affiliation><nlm:aff id="Aff383">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pires, Filipa" sort="Pires, Filipa" uniqKey="Pires F" first="Filipa" last="Pires">Filipa Pires</name>
<affiliation><nlm:aff id="Aff383">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Renato" sort="Andrade, Renato" uniqKey="Andrade R" first="Renato" last="Andrade">Renato Andrade</name>
<affiliation><nlm:aff id="Aff384">Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff385">Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Camarinha, Luis" sort="Camarinha, Luis" uniqKey="Camarinha L" first="Luís" last="Camarinha">Luís Camarinha</name>
<affiliation><nlm:aff id="Aff383">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Luis D" sort="Silva, Luis D" uniqKey="Silva L" first="Luís D." last="Silva">Luís D. Silva</name>
<affiliation><nlm:aff id="Aff386">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff387">Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Bruno" sort="Maia, Bruno" uniqKey="Maia B" first="Bruno" last="Maia">Bruno Maia</name>
<affiliation><nlm:aff id="Aff386">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Eduardo" sort="Ferreira, Eduardo" uniqKey="Ferreira E" first="Eduardo" last="Ferreira">Eduardo Ferreira</name>
<affiliation><nlm:aff id="Aff386">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pires, Filipa" sort="Pires, Filipa" uniqKey="Pires F" first="Filipa" last="Pires">Filipa Pires</name>
<affiliation><nlm:aff id="Aff386">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Renato" sort="Andrade, Renato" uniqKey="Andrade R" first="Renato" last="Andrade">Renato Andrade</name>
<affiliation><nlm:aff id="Aff387">Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff388">Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Camarinha, Luis" sort="Camarinha, Luis" uniqKey="Camarinha L" first="Luís" last="Camarinha">Luís Camarinha</name>
<affiliation><nlm:aff id="Aff386">Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cesar, Ana F" sort="Cesar, Ana F" uniqKey="Cesar A" first="Ana F." last="César">Ana F. César</name>
<affiliation><nlm:aff id="Aff389">Centro de Ação Social do Concelho de Ílhavo, 3830-201 Ílhavo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Poco, Mariana" sort="Poco, Mariana" uniqKey="Poco M" first="Mariana" last="Poço">Mariana Poço</name>
<affiliation><nlm:aff id="Aff390">Zelar, Serviços de Apoio Domiciliário, 3810-232 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ventura, David" sort="Ventura, David" uniqKey="Ventura D" first="David" last="Ventura">David Ventura</name>
<affiliation><nlm:aff id="Aff391">Walk’In Clinics, Esgueira, 3800-042 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Loura, Raquel" sort="Loura, Raquel" uniqKey="Loura R" first="Raquel" last="Loura">Raquel Loura</name>
<affiliation><nlm:aff id="Aff392">São João de Deus Clinic, 1749-098 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Pedro" sort="Gomes, Pedro" uniqKey="Gomes P" first="Pedro" last="Gomes">Pedro Gomes</name>
<affiliation><nlm:aff id="Aff393">Arrabida Hospital, 4400-346 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Catarina" sort="Gomes, Catarina" uniqKey="Gomes C" first="Catarina" last="Gomes">Catarina Gomes</name>
<affiliation><nlm:aff id="Aff394">Yasmin Residence, 2500-064 Caldas da Rainha, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Claudia" sort="Silva, Claudia" uniqKey="Silva C" first="Cláudia" last="Silva">Cláudia Silva</name>
<affiliation><nlm:aff id="Aff395">Faro unit, Algarve Hospital, 8000-386 Faro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Elsa" sort="Melo, Elsa" uniqKey="Melo E" first="Elsa" last="Melo">Elsa Melo</name>
<affiliation><nlm:aff id="Aff396">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lindo, Joao" sort="Lindo, Joao" uniqKey="Lindo J" first="João" last="Lindo">João Lindo</name>
<affiliation><nlm:aff id="Aff396">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Domingos, Joana" sort="Domingos, Joana" uniqKey="Domingos J" first="Joana" last="Domingos">Joana Domingos</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Zaida" sort="Mendes, Zaida" uniqKey="Mendes Z" first="Zaida" last="Mendes">Zaida Mendes</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Poeta, Susana" sort="Poeta, Susana" uniqKey="Poeta S" first="Susana" last="Poeta">Susana Poeta</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Tiago" sort="Carvalho, Tiago" uniqKey="Carvalho T" first="Tiago" last="Carvalho">Tiago Carvalho</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff398">Health Research Unit, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catarino, Helena" sort="Catarino, Helena" uniqKey="Catarino H" first="Helena" last="Catarino">Helena Catarino</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff398">Health Research Unit, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff397">School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff398">Health Research Unit, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, Andre" sort="Ramalho, Andre" uniqKey="Ramalho A" first="André" last="Ramalho">André Ramalho</name>
<affiliation><nlm:aff id="Aff399">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosado, Ant Nio" sort="Rosado, Ant Nio" uniqKey="Rosado A" first="Ant Nio" last="Rosado">Ant Nio Rosado</name>
<affiliation><nlm:aff id="Aff400">Faculty of Human Kinetics, University of Lisbon, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff399">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff399">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff401">Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garcia, Ines" sort="Garcia, Ines" uniqKey="Garcia I" first="Inês" last="Garcia">Inês Garcia</name>
<affiliation><nlm:aff id="Aff402">Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Petrica, Joao" sort="Petrica, Joao" uniqKey="Petrica J" first="João" last="Petrica">João Petrica</name>
<affiliation><nlm:aff id="Aff399">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff403">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Sandra" sort="Rodrigues, Sandra" uniqKey="Rodrigues S" first="Sandra" last="Rodrigues">Sandra Rodrigues</name>
<affiliation><nlm:aff id="Aff404">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meneses, Rui" sort="Meneses, Rui" uniqKey="Meneses R" first="Rui" last="Meneses">Rui Meneses</name>
<affiliation><nlm:aff id="Aff404">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Afonso, Carlos" sort="Afonso, Carlos" uniqKey="Afonso C" first="Carlos" last="Afonso">Carlos Afonso</name>
<affiliation><nlm:aff id="Aff404">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faria, Luis" sort="Faria, Luis" uniqKey="Faria L" first="Luís" last="Faria">Luís Faria</name>
<affiliation><nlm:aff id="Aff404">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seixas, Aderito" sort="Seixas, Aderito" uniqKey="Seixas A" first="Adérito" last="Seixas">Adérito Seixas</name>
<affiliation><nlm:aff id="Aff404">Universidade Fernando Pessoa, Porto, 4249-004 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff405">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Granjo, Paulo" sort="Granjo, Paulo" uniqKey="Granjo P" first="Paulo" last="Granjo">Paulo Granjo</name>
<affiliation><nlm:aff id="Aff406">Instituto de Ciências Sociais da Universidade de Lisboa, Universidade de Lisboa, 1600-189 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Jose C" sort="Gomes, Jose C" uniqKey="Gomes J" first="José C." last="Gomes">José C. Gomes</name>
<affiliation><nlm:aff id="Aff405">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Souza, Nelba R" sort="Souza, Nelba R" uniqKey="Souza N" first="Nelba R." last="Souza">Nelba R. Souza</name>
<affiliation><nlm:aff id="Aff407">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Furtado, Guilherme E" sort="Furtado, Guilherme E" uniqKey="Furtado G" first="Guilherme E." last="Furtado">Guilherme E. Furtado</name>
<affiliation><nlm:aff id="Aff407">Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, Saulo V" sort="Rocha, Saulo V" uniqKey="Rocha S" first="Saulo V." last="Rocha">Saulo V. Rocha</name>
<affiliation><nlm:aff id="Aff408">Núcleo de Estudos em Saúde da População, Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia 45700-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Paula" sort="Silva, Paula" uniqKey="Silva P" first="Paula" last="Silva">Paula Silva</name>
<affiliation><nlm:aff id="Aff409">Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Joana" sort="Carvalho, Joana" uniqKey="Carvalho J" first="Joana" last="Carvalho">Joana Carvalho</name>
<affiliation><nlm:aff id="Aff409">Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, Marina Ana" sort="Morais, Marina Ana" uniqKey="Morais M" first="Marina Ana" last="Morais">Marina Ana Morais</name>
<affiliation><nlm:aff id="Aff410">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Sofia" sort="Santos, Sofia" uniqKey="Santos S" first="Sofia" last="Santos">Sofia Santos</name>
<affiliation><nlm:aff id="Aff410">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lebre, Paula" sort="Lebre, Paula" uniqKey="Lebre P" first="Paula" last="Lebre">Paula Lebre</name>
<affiliation><nlm:aff id="Aff410">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Ana" sort="Antunes, Ana" uniqKey="Antunes A" first="Ana" last="Antunes">Ana Antunes</name>
<affiliation><nlm:aff id="Aff411">Casa de Saúde da Idanha, Instituto das Irmãs Hospitaleiras, 2605-077 Belas, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Calha, Ant Nio" sort="Calha, Ant Nio" uniqKey="Calha A" first="Ant Nio" last="Calha">Ant Nio Calha</name>
<affiliation><nlm:aff id="Aff412">Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Xavier, Ana" sort="Xavier, Ana" uniqKey="Xavier A" first="Ana" last="Xavier">Ana Xavier</name>
<affiliation><nlm:aff id="Aff413">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff414">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff413">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alencar, Liana" sort="Alencar, Liana" uniqKey="Alencar L" first="Liana" last="Alencar">Liana Alencar</name>
<affiliation><nlm:aff id="Aff415">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff416">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Madalena" sort="Cunha, Madalena" uniqKey="Cunha M" first="Madalena" last="Cunha">Madalena Cunha</name>
<affiliation><nlm:aff id="Aff415">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff416">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Madureira, Ant Nio" sort="Madureira, Ant Nio" uniqKey="Madureira A" first="Ant Nio" last="Madureira">Ant Nio Madureira</name>
<affiliation><nlm:aff id="Aff416">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Ilda" sort="Cardoso, Ilda" uniqKey="Cardoso I" first="Ilda" last="Cardoso">Ilda Cardoso</name>
<affiliation><nlm:aff id="Aff417">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff418">Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galhardo, Ana" sort="Galhardo, Ana" uniqKey="Galhardo A" first="Ana" last="Galhardo">Ana Galhardo</name>
<affiliation><nlm:aff id="Aff417">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff419">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Daniel, Fernanda" sort="Daniel, Fernanda" uniqKey="Daniel F" first="Fernanda" last="Daniel">Fernanda Daniel</name>
<affiliation><nlm:aff id="Aff417">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff420">Centre for Health Studies and Research, University of Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Vitor" sort="Rodrigues, Vitor" uniqKey="Rodrigues V" first="Vítor" last="Rodrigues">Vítor Rodrigues</name>
<affiliation><nlm:aff id="Aff417">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff418">Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luz, Leonardo" sort="Luz, Leonardo" uniqKey="Luz L" first="Leonardo" last="Luz">Leonardo Luz</name>
<affiliation><nlm:aff id="Aff421">Universidade Federal de Alagoas, Maceió, 57072-900 Alagoas Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luz, Tatiana" sort="Luz, Tatiana" uniqKey="Luz T" first="Tatiana" last="Luz">Tatiana Luz</name>
<affiliation><nlm:aff id="Aff421">Universidade Federal de Alagoas, Maceió, 57072-900 Alagoas Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramos, Mauricio R" sort="Ramos, Mauricio R" uniqKey="Ramos M" first="Maurício R." last="Ramos">Maurício R. Ramos</name>
<affiliation><nlm:aff id="Aff422">Instituto Federal de Alagoas, Maceió, 57035-660 Alagoas Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Medeiros, Dayse C" sort="Medeiros, Dayse C" uniqKey="Medeiros D" first="Dayse C." last="Medeiros">Dayse C. Medeiros</name>
<affiliation><nlm:aff id="Aff423">Centro Universitário Cesmac, Maceió, 57051-160 Alagoas Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carmo, Bruno M" sort="Carmo, Bruno M" uniqKey="Carmo B" first="Bruno M." last="Carmo">Bruno M. Carmo</name>
<affiliation><nlm:aff id="Aff421">Universidade Federal de Alagoas, Maceió, 57072-900 Alagoas Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seabra, Andre" sort="Seabra, Andre" uniqKey="Seabra A" first="André" last="Seabra">André Seabra</name>
<affiliation><nlm:aff id="Aff424">Universidade do Porto, Porto, 4099-002 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Padez, Cristina" sort="Padez, Cristina" uniqKey="Padez C" first="Cristina" last="Padez">Cristina Padez</name>
<affiliation><nlm:aff id="Aff425">Universidade de Coimbra, Coimbra, 3004-504 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Manuel C" sort="Silva, Manuel C" uniqKey="Silva M" first="Manuel C." last="Silva">Manuel C. Silva</name>
<affiliation><nlm:aff id="Aff425">Universidade de Coimbra, Coimbra, 3004-504 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Ant Nio" sort="Rodrigues, Ant Nio" uniqKey="Rodrigues A" first="Ant Nio" last="Rodrigues">Ant Nio Rodrigues</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff427">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Patricia" sort="Coelho, Patricia" uniqKey="Coelho P" first="Patrícia" last="Coelho">Patrícia Coelho</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Alexandre" sort="Coelho, Alexandre" uniqKey="Coelho A" first="Alexandre" last="Coelho">Alexandre Coelho</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caminha, Madson" sort="Caminha, Madson" uniqKey="Caminha M" first="Madson" last="Caminha">Madson Caminha</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Matheus, Filipe" sort="Matheus, Filipe" uniqKey="Matheus F" first="Filipe" last="Matheus">Filipe Matheus</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Elenice" sort="Mendes, Elenice" uniqKey="Mendes E" first="Elenice" last="Mendes">Elenice Mendes</name>
<affiliation><nlm:aff id="Aff428">Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina 88132-149 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Correia, Jony" sort="Correia, Jony" uniqKey="Correia J" first="Jony" last="Correia">Jony Correia</name>
<affiliation><nlm:aff id="Aff428">Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina 88132-149 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff426">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hernandez Martinez, Francisco J" sort="Hernandez Martinez, Francisco J" uniqKey="Hernandez Martinez F" first="Francisco J." last="Hernandez-Martinez">Francisco J. Hernandez-Martinez</name>
<affiliation><nlm:aff id="Aff429">Cabildo de Lanzarote, 35500 Arrecife, Lanzarote, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Diaz, Juan F" sort="Jimenez Diaz, Juan F" uniqKey="Jimenez Diaz J" first="Juan F." last="Jimenez-Diaz">Juan F. Jimenez-Diaz</name>
<affiliation><nlm:aff id="Aff430">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez De Vera, Bienvendida C" sort="Rodriguez De Vera, Bienvendida C" uniqKey="Rodriguez De Vera B" first="Bienvendida C." last="Rodriguez-De-Vera">Bienvendida C. Rodriguez-De-Vera</name>
<affiliation><nlm:aff id="Aff430">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Rodriguez, Carla" sort="Jimenez Rodriguez, Carla" uniqKey="Jimenez Rodriguez C" first="Carla" last="Jimenez-Rodriguez">Carla Jimenez-Rodriguez</name>
<affiliation><nlm:aff id="Aff430">Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Armas Gonzalez, Yadira" sort="Armas Gonzalez, Yadira" uniqKey="Armas Gonzalez Y" first="Yadira" last="Armas-Gonzalez">Yadira Armas-Gonzalez</name>
<affiliation><nlm:aff id="Aff431">Servicio Canario de la Salud, 35500 Arrecife, Lanzarote, Las Palmas España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Catia" sort="Rodrigues, Catia" uniqKey="Rodrigues C" first="Cátia" last="Rodrigues">Cátia Rodrigues</name>
<affiliation><nlm:aff id="Aff432">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedroso, Rosa" sort="Pedroso, Rosa" uniqKey="Pedroso R" first="Rosa" last="Pedroso">Rosa Pedroso</name>
<affiliation><nlm:aff id="Aff432">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Apolinario Hagen, Jennifer" sort="Apolinario Hagen, Jennifer" uniqKey="Apolinario Hagen J" first="Jennifer" last="Apolinário-Hagen">Jennifer Apolinário-Hagen</name>
<affiliation><nlm:aff id="Aff433">Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vehreschild, Viktor" sort="Vehreschild, Viktor" uniqKey="Vehreschild V" first="Viktor" last="Vehreschild">Viktor Vehreschild</name>
<affiliation><nlm:aff id="Aff433">Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veloso, Milene" sort="Veloso, Milene" uniqKey="Veloso M" first="Milene" last="Veloso">Milene Veloso</name>
<affiliation><nlm:aff id="Aff434">Universidade Federal do Pará, Belém, Pará 66075-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magalhaes, Celina" sort="Magalhaes, Celina" uniqKey="Magalhaes C" first="Celina" last="Magalhães">Celina Magalhães</name>
<affiliation><nlm:aff id="Aff434">Universidade Federal do Pará, Belém, Pará 66075-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Isabel" sort="Cabral, Isabel" uniqKey="Cabral I" first="Isabel" last="Cabral">Isabel Cabral</name>
<affiliation><nlm:aff id="Aff434">Universidade Federal do Pará, Belém, Pará 66075-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferraz, Maira" sort="Ferraz, Maira" uniqKey="Ferraz M" first="Maira" last="Ferraz">Maira Ferraz</name>
<affiliation><nlm:aff id="Aff434">Universidade Federal do Pará, Belém, Pará 66075-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nave, Filipe" sort="Nave, Filipe" uniqKey="Nave F" first="Filipe" last="Nave">Filipe Nave</name>
<affiliation><nlm:aff id="Aff435">Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Emilia" sort="Costa, Emilia" uniqKey="Costa E" first="Emília" last="Costa">Emília Costa</name>
<affiliation><nlm:aff id="Aff435">Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Matos, Filomena" sort="Matos, Filomena" uniqKey="Matos F" first="Filomena" last="Matos">Filomena Matos</name>
<affiliation><nlm:aff id="Aff435">Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pacheco, Jose" sort="Pacheco, Jose" uniqKey="Pacheco J" first="José" last="Pacheco">José Pacheco</name>
<affiliation><nlm:aff id="Aff435">Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Ant Nio" sort="Dias, Ant Nio" uniqKey="Dias A" first="Ant Nio" last="Dias">Ant Nio Dias</name>
<affiliation><nlm:aff id="Aff436">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Carlos" sort="Pereira, Carlos" uniqKey="Pereira C" first="Carlos" last="Pereira">Carlos Pereira</name>
<affiliation><nlm:aff id="Aff436">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Joao" sort="Duarte, Joao" uniqKey="Duarte J" first="João" last="Duarte">João Duarte</name>
<affiliation><nlm:aff id="Aff436">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Madalena" sort="Cunha, Madalena" uniqKey="Cunha M" first="Madalena" last="Cunha">Madalena Cunha</name>
<affiliation><nlm:aff id="Aff436">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Daniel" sort="Silva, Daniel" uniqKey="Silva D" first="Daniel" last="Silva">Daniel Silva</name>
<affiliation><nlm:aff id="Aff436">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff437">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alferes, Valentim R" sort="Alferes, Valentim R" uniqKey="Alferes V" first="Valentim R." last="Alferes">Valentim R. Alferes</name>
<affiliation><nlm:aff id="Aff437">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Breda, M Sao Joao" sort="Breda, M Sao Joao" uniqKey="Breda M" first="M São João" last="Brêda">M São João Brêda</name>
<affiliation><nlm:aff id="Aff437">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff437">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro M" sort="Parreira, Pedro M" uniqKey="Parreira P" first="Pedro M." last="Parreira">Pedro M. Parreira</name>
<affiliation><nlm:aff id="Aff438">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, M Carminda" sort="Morais, M Carminda" uniqKey="Morais M" first="M Carminda" last="Morais">M Carminda Morais</name>
<affiliation><nlm:aff id="Aff439">Centro de Estudos e Investigação em Saúde, Faculdade de Economia,, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff440">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff439">Centro de Estudos e Investigação em Saúde, Faculdade de Economia,, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pimenta, Rui" sort="Pimenta, Rui" uniqKey="Pimenta R" first="Rui" last="Pimenta">Rui Pimenta</name>
<affiliation><nlm:aff id="Aff439">Centro de Estudos e Investigação em Saúde, Faculdade de Economia,, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Boavida, Jose" sort="Boavida, Jose" uniqKey="Boavida J" first="José" last="Boavida">José Boavida</name>
<affiliation><nlm:aff id="Aff441">Direção geral de Saúde (DGS), 1049-005 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Isabel C" sort="Pinto, Isabel C" uniqKey="Pinto I" first="Isabel C." last="Pinto">Isabel C. Pinto</name>
<affiliation><nlm:aff id="Aff442">Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pires, Tania" sort="Pires, Tania" uniqKey="Pires T" first="Tânia" last="Pires">Tânia Pires</name>
<affiliation><nlm:aff id="Aff442">Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff443">Centro de Investigação de Montanha, Escola Superior Agrária, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Catarina" sort="Silva, Catarina" uniqKey="Silva C" first="Catarina" last="Silva">Catarina Silva</name>
<affiliation><nlm:aff id="Aff442">Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Maria" sort="Ribeiro, Maria" uniqKey="Ribeiro M" first="Maria" last="Ribeiro">Maria Ribeiro</name>
<affiliation><nlm:aff id="Aff444">Escola Superior Agrária, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff445">Centro de Estudos Transdisciplinares para o Desenvolvimento, Universidade de Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Viega Branco, Maria" sort="Viega Branco, Maria" uniqKey="Viega Branco M" first="Maria" last="Viega-Branco">Maria Viega-Branco</name>
<affiliation><nlm:aff id="Aff446">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Filomena" sort="Pereira, Filomena" uniqKey="Pereira F" first="Filomena" last="Pereira">Filomena Pereira</name>
<affiliation><nlm:aff id="Aff447">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana M" sort="Pereira, Ana M" uniqKey="Pereira A" first="Ana M" last="Pereira">Ana M Pereira</name>
<affiliation><nlm:aff id="Aff446">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Fabricia M" sort="Almeida, Fabricia M" uniqKey="Almeida F" first="Fabrícia M." last="Almeida">Fabrícia M. Almeida</name>
<affiliation><nlm:aff id="Aff448">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Estevez, Gustavo L" sort="Estevez, Gustavo L" uniqKey="Estevez G" first="Gustavo L." last="Estevez">Gustavo L. Estevez</name>
<affiliation><nlm:aff id="Aff448">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Sandra" sort="Ribeiro, Sandra" uniqKey="Ribeiro S" first="Sandra" last="Ribeiro">Sandra Ribeiro</name>
<affiliation><nlm:aff id="Aff448">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia R" sort="Kretzer, Marcia R" uniqKey="Kretzer M" first="Marcia R." last="Kretzer">Marcia R. Kretzer</name>
<affiliation><nlm:aff id="Aff448">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Joao, Paulo V" sort="Joao, Paulo V" uniqKey="Joao P" first="Paulo V." last="João">Paulo V. João</name>
<affiliation><nlm:aff id="Aff449">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nogueira, Paulo" sort="Nogueira, Paulo" uniqKey="Nogueira P" first="Paulo" last="Nogueira">Paulo Nogueira</name>
<affiliation><nlm:aff id="Aff450">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Novais, Sandra" sort="Novais, Sandra" uniqKey="Novais S" first="Sandra" last="Novais">Sandra Novais</name>
<affiliation><nlm:aff id="Aff450">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana" sort="Pereira, Ana" uniqKey="Pereira A" first="Ana" last="Pereira">Ana Pereira</name>
<affiliation><nlm:aff id="Aff449">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff451">Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carneiro, Lara" sort="Carneiro, Lara" uniqKey="Carneiro L" first="Lara" last="Carneiro">Lara Carneiro</name>
<affiliation><nlm:aff id="Aff450">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mota, Maria" sort="Mota, Maria" uniqKey="Mota M" first="Maria" last="Mota">Maria Mota</name>
<affiliation><nlm:aff id="Aff449">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Rui" sort="Cruz, Rui" uniqKey="Cruz R" first="Rui" last="Cruz">Rui Cruz</name>
<affiliation><nlm:aff id="Aff452">College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santiago, Luiz" sort="Santiago, Luiz" uniqKey="Santiago L" first="Luiz" last="Santiago">Luiz Santiago</name>
<affiliation><nlm:aff id="Aff453">Universidade da Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fontes Ribeiro, Carlos" sort="Fontes Ribeiro, Carlos" uniqKey="Fontes Ribeiro C" first="Carlos" last="Fontes-Ribeiro">Carlos Fontes-Ribeiro</name>
<affiliation><nlm:aff id="Aff454">Departamento de Farmacologia e Terapêutica, Faculdade de Medicina, Universidade de Coimbra, Coimbra, 3000-548 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Furtado, Guilherme" sort="Furtado, Guilherme" uniqKey="Furtado G" first="Guilherme" last="Furtado">Guilherme Furtado</name>
<affiliation><nlm:aff id="Aff455">Fundação Capes, Ministério da Educação, 70.040-020 Brasília, Distrito Federal Brasil</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff456">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, Saulo V" sort="Rocha, Saulo V" uniqKey="Rocha S" first="Saulo V." last="Rocha">Saulo V. Rocha</name>
<affiliation><nlm:aff id="Aff457">Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia 45700-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coutinho, Andre P" sort="Coutinho, Andre P" uniqKey="Coutinho A" first="André P." last="Coutinho">André P. Coutinho</name>
<affiliation><nlm:aff id="Aff458">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neto, Joao S" sort="Neto, Joao S" uniqKey="Neto J" first="João S." last="Neto">João S. Neto</name>
<affiliation><nlm:aff id="Aff458">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vasconcelos, Lelia R" sort="Vasconcelos, Lelia R" uniqKey="Vasconcelos L" first="Lélia R." last="Vasconcelos">Lélia R. Vasconcelos</name>
<affiliation><nlm:aff id="Aff457">Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia 45700-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Souza, Nelba R" sort="Souza, Nelba R" uniqKey="Souza N" first="Nelba R." last="Souza">Nelba R. Souza</name>
<affiliation><nlm:aff id="Aff456">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dantas, Estelio" sort="Dantas, Estelio" uniqKey="Dantas E" first="Estélio" last="Dantas">Estélio Dantas</name>
<affiliation><nlm:aff id="Aff459">Universidade Tiradentes, Aracaju, Sergipe & Laboratório de Biociências da Motricidade Humana, 49030-620 Aracaju, Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dinis, Alexandra" sort="Dinis, Alexandra" uniqKey="Dinis A" first="Alexandra" last="Dinis">Alexandra Dinis</name>
<affiliation><nlm:aff id="Aff460">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Sergio" sort="Carvalho, Sergio" uniqKey="Carvalho S" first="Sérgio" last="Carvalho">Sérgio Carvalho</name>
<affiliation><nlm:aff id="Aff460">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castilho, Paula" sort="Castilho, Paula" uniqKey="Castilho P" first="Paula" last="Castilho">Paula Castilho</name>
<affiliation><nlm:aff id="Aff460">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff460">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sarreira Santos, Alexandra" sort="Sarreira Santos, Alexandra" uniqKey="Sarreira Santos A" first="Alexandra" last="Sarreira-Santos">Alexandra Sarreira-Santos</name>
<affiliation><nlm:aff id="Aff461">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff462">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Amelia" sort="Figueiredo, Amelia" uniqKey="Figueiredo A" first="Amélia" last="Figueiredo">Amélia Figueiredo</name>
<affiliation><nlm:aff id="Aff461">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff462">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Medeiros Garcia, Lurdes" sort="Medeiros Garcia, Lurdes" uniqKey="Medeiros Garcia L" first="Lurdes" last="Medeiros-Garcia">Lurdes Medeiros-Garcia</name>
<affiliation><nlm:aff id="Aff461">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff462">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seabra, Paulo" sort="Seabra, Paulo" uniqKey="Seabra P" first="Paulo" last="Seabra">Paulo Seabra</name>
<affiliation><nlm:aff id="Aff461">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff462">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Rosa" sort="Rodrigues, Rosa" uniqKey="Rodrigues R" first="Rosa" last="Rodrigues">Rosa Rodrigues</name>
<affiliation><nlm:aff id="Aff463">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, M Carminda" sort="Morais, M Carminda" uniqKey="Morais M" first="M Carminda" last="Morais">M Carminda Morais</name>
<affiliation><nlm:aff id="Aff463">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Paula O" sort="Fernandes, Paula O" uniqKey="Fernandes P" first="Paula O." last="Fernandes">Paula O. Fernandes</name>
<affiliation><nlm:aff id="Aff464">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santiago, Conceicao" sort="Santiago, Conceicao" uniqKey="Santiago C" first="Conceição" last="Santiago">Conceição Santiago</name>
<affiliation><nlm:aff id="Aff465">Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, M Henriqueta" sort="Figueiredo, M Henriqueta" uniqKey="Figueiredo M" first="M Henriqueta" last="Figueiredo">M Henriqueta Figueiredo</name>
<affiliation><nlm:aff id="Aff466">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Basto, Marta L" sort="Basto, Marta L" uniqKey="Basto M" first="Marta L." last="Basto">Marta L. Basto</name>
<affiliation><nlm:aff id="Aff467">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guimaraes, Teresa" sort="Guimaraes, Teresa" uniqKey="Guimaraes T" first="Teresa" last="Guimarães">Teresa Guimarães</name>
<affiliation><nlm:aff id="Aff468">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Andre" sort="Coelho, Andre" uniqKey="Coelho A" first="André" last="Coelho">André Coelho</name>
<affiliation><nlm:aff id="Aff468">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graca, Anabela" sort="Graca, Anabela" uniqKey="Graca A" first="Anabela" last="Graça">Anabela Graça</name>
<affiliation><nlm:aff id="Aff468">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Ana M" sort="Silva, Ana M" uniqKey="Silva A" first="Ana M." last="Silva">Ana M. Silva</name>
<affiliation><nlm:aff id="Aff468">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca, Ana R" sort="Fonseca, Ana R" uniqKey="Fonseca A" first="Ana R." last="Fonseca">Ana R. Fonseca</name>
<affiliation><nlm:aff id="Aff468">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vale Dias, Luz" sort="Vale Dias, Luz" uniqKey="Vale Dias L" first="Luz" last="Vale-Dias">Luz Vale-Dias</name>
<affiliation><nlm:aff id="Aff469">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Minas, Barbara" sort="Minas, Barbara" uniqKey="Minas B" first="Bárbara" last="Minas">Bárbara Minas</name>
<affiliation><nlm:aff id="Aff469">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Franco Borges, Graciete" sort="Franco Borges, Graciete" uniqKey="Franco Borges G" first="Graciete" last="Franco-Borges">Graciete Franco-Borges</name>
<affiliation><nlm:aff id="Aff469">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, Cristina" sort="Sim Es, Cristina" uniqKey="Sim Es C" first="Cristina" last="Sim Es">Cristina Sim Es</name>
<affiliation><nlm:aff id="Aff470">Universidade de Lisboa, 1649-003 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Sofia" sort="Santos, Sofia" uniqKey="Santos S" first="Sofia" last="Santos">Sofia Santos</name>
<affiliation><nlm:aff id="Aff470">Universidade de Lisboa, 1649-003 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serra, Ana" sort="Serra, Ana" uniqKey="Serra A" first="Ana" last="Serra">Ana Serra</name>
<affiliation><nlm:aff id="Aff471">Universidade de Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Matos, Maria" sort="Matos, Maria" uniqKey="Matos M" first="Maria" last="Matos">Maria Matos</name>
<affiliation><nlm:aff id="Aff471">Universidade de Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Luis" sort="Jesus, Luis" uniqKey="Jesus L" first="Luís" last="Jesus">Luís Jesus</name>
<affiliation><nlm:aff id="Aff471">Universidade de Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Ana S" sort="Tavares, Ana S" uniqKey="Tavares A" first="Ana S." last="Tavares">Ana S. Tavares</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Ana" sort="Almeida, Ana" uniqKey="Almeida A" first="Ana" last="Almeida">Ana Almeida</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leitao, Ceu" sort="Leitao, Ceu" uniqKey="Leitao C" first="Céu" last="Leitão">Céu Leitão</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Varandas, Edna" sort="Varandas, Edna" uniqKey="Varandas E" first="Edna" last="Varandas">Edna Varandas</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abreu, Renato" sort="Abreu, Renato" uniqKey="Abreu R" first="Renato" last="Abreu">Renato Abreu</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bellem, Fernando" sort="Bellem, Fernando" uniqKey="Bellem F" first="Fernando" last="Bellém">Fernando Bellém</name>
<affiliation><nlm:aff id="Aff472">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Trindade, Ines A" sort="Trindade, Ines A" uniqKey="Trindade I" first="Inês A." last="Trindade">Inês A. Trindade</name>
<affiliation><nlm:aff id="Aff473">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Claudia" sort="Ferreira, Claudia" uniqKey="Ferreira C" first="Cláudia" last="Ferreira">Cláudia Ferreira</name>
<affiliation><nlm:aff id="Aff473">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff473">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marta Sim Es, Joana" sort="Marta Sim Es, Joana" uniqKey="Marta Sim Es J" first="Joana" last="Marta-Sim Es">Joana Marta-Sim Es</name>
<affiliation><nlm:aff id="Aff473">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Odete" sort="Amaral, Odete" uniqKey="Amaral O" first="Odete" last="Amaral">Odete Amaral</name>
<affiliation><nlm:aff id="Aff474">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Miranda, Cristiana" sort="Miranda, Cristiana" uniqKey="Miranda C" first="Cristiana" last="Miranda">Cristiana Miranda</name>
<affiliation><nlm:aff id="Aff474">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guimaraes, Pedro" sort="Guimaraes, Pedro" uniqKey="Guimaraes P" first="Pedro" last="Guimarães">Pedro Guimarães</name>
<affiliation><nlm:aff id="Aff474">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Rodrigo" sort="Goncalves, Rodrigo" uniqKey="Goncalves R" first="Rodrigo" last="Gonçalves">Rodrigo Gonçalves</name>
<affiliation><nlm:aff id="Aff474">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veiga, Nelio" sort="Veiga, Nelio" uniqKey="Veiga N" first="Nélio" last="Veiga">Nélio Veiga</name>
<affiliation><nlm:aff id="Aff475">Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Carlos" sort="Pereira, Carlos" uniqKey="Pereira C" first="Carlos" last="Pereira">Carlos Pereira</name>
<affiliation><nlm:aff id="Aff474">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fleig, Tania C" sort="Fleig, Tania C" uniqKey="Fleig T" first="Tânia C." last="Fleig">Tânia C. Fleig</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="San Martin, Elisabete A" sort="San Martin, Elisabete A" uniqKey="San Martin E" first="Elisabete A." last="San-Martin">Elisabete A. San-Martin</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goulart, Cassia L" sort="Goulart, Cassia L" uniqKey="Goulart C" first="Cássia L." last="Goulart">Cássia L. Goulart</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schneiders, Paloma B" sort="Schneiders, Paloma B" uniqKey="Schneiders P" first="Paloma B." last="Schneiders">Paloma B. Schneiders</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Miranda, Natacha F" sort="Miranda, Natacha F" uniqKey="Miranda N" first="Natacha F." last="Miranda">Natacha F. Miranda</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Lisiane L" sort="Carvalho, Lisiane L" uniqKey="Carvalho L" first="Lisiane L." last="Carvalho">Lisiane L. Carvalho</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Andrea G" sort="Silva, Andrea G" uniqKey="Silva A" first="Andrea G." last="Silva">Andrea G. Silva</name>
<affiliation><nlm:aff id="Aff476">Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Topa, Joana" sort="Topa, Joana" uniqKey="Topa J" first="Joana" last="Topa">Joana Topa</name>
<affiliation><nlm:aff id="Aff477">Instituto Superior da Maia, 4475-690 Avioso São Pedro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff478">Centro Interdisciplinar de Estudos de Género, Instituto Superior de Ciências Sociais e Políticas, 1300-663 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nogueira, Conceicao" sort="Nogueira, Conceicao" uniqKey="Nogueira C" first="Conceição" last="Nogueira">Conceição Nogueira</name>
<affiliation><nlm:aff id="Aff479">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Sofia" sort="Neves, Sofia" uniqKey="Neves S" first="Sofia" last="Neves">Sofia Neves</name>
<affiliation><nlm:aff id="Aff477">Instituto Superior da Maia, 4475-690 Avioso São Pedro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff478">Centro Interdisciplinar de Estudos de Género, Instituto Superior de Ciências Sociais e Políticas, 1300-663 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ventura, Rita" sort="Ventura, Rita" uniqKey="Ventura R" first="Rita" last="Ventura">Rita Ventura</name>
<affiliation><nlm:aff id="Aff480">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nazare, Cristina" sort="Nazare, Cristina" uniqKey="Nazare C" first="Cristina" last="Nazaré">Cristina Nazaré</name>
<affiliation><nlm:aff id="Aff480">College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brandao, Daniela" sort="Brandao, Daniela" uniqKey="Brandao D" first="Daniela" last="Brandão">Daniela Brandão</name>
<affiliation><nlm:aff id="Aff481">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff482">Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Alberto" sort="Freitas, Alberto" uniqKey="Freitas A" first="Alberto" last="Freitas">Alberto Freitas</name>
<affiliation><nlm:aff id="Aff482">Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff483">Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Scar" sort="Ribeiro, Scar" uniqKey="Ribeiro " first=" Scar" last="Ribeiro"> Scar Ribeiro</name>
<affiliation><nlm:aff id="Aff481">Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff484">Universidade de Aveiro, 3810–193 Aveiro, Portugal e Instituto Superior De Serviço Social Do Porto, 44600-362 Sra. da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paul, Constanca" sort="Paul, Constanca" uniqKey="Paul C" first="Constança" last="Paúl">Constança Paúl</name>
<affiliation><nlm:aff id="Aff483">Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Merce, Cristiana" sort="Merce, Cristiana" uniqKey="Merce C" first="Cristiana" last="Mercê">Cristiana Mercê</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Branco, Marco" sort="Branco, Marco" uniqKey="Branco M" first="Marco" last="Branco">Marco Branco</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Pedro" sort="Almeida, Pedro" uniqKey="Almeida P" first="Pedro" last="Almeida">Pedro Almeida</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nascimento, Daniela" sort="Nascimento, Daniela" uniqKey="Nascimento D" first="Daniela" last="Nascimento">Daniela Nascimento</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Juliana" sort="Pereira, Juliana" uniqKey="Pereira J" first="Juliana" last="Pereira">Juliana Pereira</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catela, David" sort="Catela, David" uniqKey="Catela D" first="David" last="Catela">David Catela</name>
<affiliation><nlm:aff id="Aff485">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rafael, Helga" sort="Rafael, Helga" uniqKey="Rafael H" first="Helga" last="Rafael">Helga Rafael</name>
<affiliation><nlm:aff id="Aff486">Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Alcinda C" sort="Reis, Alcinda C" uniqKey="Reis A" first="Alcinda C." last="Reis">Alcinda C. Reis</name>
<affiliation><nlm:aff id="Aff487">Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana" sort="Mendes, Ana" uniqKey="Mendes A" first="Ana" last="Mendes">Ana Mendes</name>
<affiliation><nlm:aff id="Aff488">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff489">Institute of Electronics and Informatics Engineering of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valente, Ana R" sort="Valente, Ana R" uniqKey="Valente A" first="Ana R." last="Valente">Ana R. Valente</name>
<affiliation><nlm:aff id="Aff489">Institute of Electronics and Informatics Engineering of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff490">Department of Education, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lousada, Marisa" sort="Lousada, Marisa" uniqKey="Lousada M" first="Marisa" last="Lousada">Marisa Lousada</name>
<affiliation><nlm:aff id="Aff491">Center for Health Technology and Services Research & School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Diana" sort="Sousa, Diana" uniqKey="Sousa D" first="Diana" last="Sousa">Diana Sousa</name>
<affiliation><nlm:aff id="Aff492">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baltazar, Ana L" sort="Baltazar, Ana L" uniqKey="Baltazar A" first="Ana L." last="Baltazar">Ana L. Baltazar</name>
<affiliation><nlm:aff id="Aff492">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Loureiro, M Helena" sort="Loureiro, M Helena" uniqKey="Loureiro M" first="M Helena" last="Loureiro">M Helena Loureiro</name>
<affiliation><nlm:aff id="Aff492">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana" sort="Oliveira, Ana" uniqKey="Oliveira A" first="Ana" last="Oliveira">Ana Oliveira</name>
<affiliation><nlm:aff id="Aff493">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aparicio, Jose" sort="Aparicio, Jose" uniqKey="Aparicio J" first="José" last="Aparício">José Aparício</name>
<affiliation><nlm:aff id="Aff495">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff494">Pediatrics Emergency Department, Hospital Lusíadas, Porto, 4050 113 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff495">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana" sort="Oliveira, Ana" uniqKey="Oliveira A" first="Ana" last="Oliveira">Ana Oliveira</name>
<affiliation><nlm:aff id="Aff495">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Joana" sort="Neves, Joana" uniqKey="Neves J" first="Joana" last="Neves">Joana Neves</name>
<affiliation><nlm:aff id="Aff496">Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ayoub, Rodrigo" sort="Ayoub, Rodrigo" uniqKey="Ayoub R" first="Rodrigo" last="Ayoub">Rodrigo Ayoub</name>
<affiliation><nlm:aff id="Aff496">Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Luis" sort="Sousa, Luis" uniqKey="Sousa L" first="Luís" last="Sousa">Luís Sousa</name>
<affiliation><nlm:aff id="Aff497">Hospital Curry Cabral, Centro Hospitalar Lisboa Central, 1069-166 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques Vieira, Cristina" sort="Marques Vieira, Cristina" uniqKey="Marques Vieira C" first="Cristina" last="Marques-Vieira">Cristina Marques-Vieira</name>
<affiliation><nlm:aff id="Aff498">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Severino, Sandy" sort="Severino, Sandy" uniqKey="Severino S" first="Sandy" last="Severino">Sandy Severino</name>
<affiliation><nlm:aff id="Aff497">Hospital Curry Cabral, Centro Hospitalar Lisboa Central, 1069-166 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jose, Helena" sort="Jose, Helena" uniqKey="Jose H" first="Helena" last="José">Helena José</name>
<affiliation><nlm:aff id="Aff499">Centro de Formação Multiperfil, Luanda, PR - 56Q Angola</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cadorio, Ines" sort="Cadorio, Ines" uniqKey="Cadorio I" first="Inês" last="Cadorio">Inês Cadorio</name>
<affiliation><nlm:aff id="Aff500">Center for Health Technology and Services Research, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lousada, Marisa" sort="Lousada, Marisa" uniqKey="Lousada M" first="Marisa" last="Lousada">Marisa Lousada</name>
<affiliation><nlm:aff id="Aff500">Center for Health Technology and Services Research, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff501">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Diogo" sort="Andrade, Diogo" uniqKey="Andrade D" first="Diogo" last="Andrade">Diogo Andrade</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galhardo, Ana" sort="Galhardo, Ana" uniqKey="Galhardo A" first="Ana" last="Galhardo">Ana Galhardo</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Couto, Margarida" sort="Couto, Margarida" uniqKey="Couto M" first="Margarida" last="Couto">Margarida Couto</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Domingues, Catia" sort="Domingues, Catia" uniqKey="Domingues C" first="Cátia" last="Domingues">Cátia Domingues</name>
<affiliation><nlm:aff id="Aff503">Centre of Investigation in Environment, Genetics and Oncobiology, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schukg, Susann" sort="Schukg, Susann" uniqKey="Schukg S" first="Susann" last="Schukg">Susann Schukg</name>
<affiliation><nlm:aff id="Aff504">Biomedical Laboratory Sciences Department, University of Gothenburg, S-405 30 Gothenburg, Sweden</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abrantes, Ana M" sort="Abrantes, Ana M" uniqKey="Abrantes A" first="Ana M." last="Abrantes">Ana M. Abrantes</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Ana C" sort="Goncalves, Ana C" uniqKey="Goncalves A" first="Ana C." last="Gonçalves">Ana C. Gonçalves</name>
<affiliation><nlm:aff id="Aff506">Oncobiology and Haematology Laboratory of Applied Molecular Biology & Clinical University of Hematology, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sales, Tiago" sort="Sales, Tiago" uniqKey="Sales T" first="Tiago" last="Sales">Tiago Sales</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixo, Ricardo" sort="Teixo, Ricardo" uniqKey="Teixo R" first="Ricardo" last="Teixo">Ricardo Teixo</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Rita" sort="Silva, Rita" uniqKey="Silva R" first="Rita" last="Silva">Rita Silva</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Estrela, Jessica" sort="Estrela, Jessica" uniqKey="Estrela J" first="Jéssica" last="Estrela">Jéssica Estrela</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Laranjo, Mafalda" sort="Laranjo, Mafalda" uniqKey="Laranjo M" first="Mafalda" last="Laranjo">Mafalda Laranjo</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Casalta Lopes, Joao" sort="Casalta Lopes, Joao" uniqKey="Casalta Lopes J" first="João" last="Casalta-Lopes">João Casalta-Lopes</name>
<affiliation><nlm:aff id="Aff507">Radiation Oncology Department, Coimbra Hospital and Universitary Centre, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, Clara" sort="Rocha, Clara" uniqKey="Rocha C" first="Clara" last="Rocha">Clara Rocha</name>
<affiliation><nlm:aff id="Aff502">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, Paulo C" sort="Sim Es, Paulo C" uniqKey="Sim Es P" first="Paulo C." last="Sim Es">Paulo C. Sim Es</name>
<affiliation><nlm:aff id="Aff507">Radiation Oncology Department, Coimbra Hospital and Universitary Centre, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sarmento Ribeiro, Ana B" sort="Sarmento Ribeiro, Ana B" uniqKey="Sarmento Ribeiro A" first="Ana B." last="Sarmento-Ribeiro">Ana B. Sarmento-Ribeiro</name>
<affiliation><nlm:aff id="Aff508">Clinical University of Hematology, Coimbra Hospital and Universitary Centre, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Botelho, M Filomena" sort="Botelho, M Filomena" uniqKey="Botelho M" first="M Filomena" last="Botelho">M Filomena Botelho</name>
<affiliation><nlm:aff id="Aff505">Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Manuel S" sort="Rosa, Manuel S" uniqKey="Rosa M" first="Manuel S." last="Rosa">Manuel S. Rosa</name>
<affiliation><nlm:aff id="Aff509">Imunology Institute, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca, Virginia" sort="Fonseca, Virginia" uniqKey="Fonseca V" first="Virgínia" last="Fonseca">Virgínia Fonseca</name>
<affiliation><nlm:aff id="Aff510">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisboa, 1549-020 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Colaco, Diogo" sort="Colaco, Diogo" uniqKey="Colaco D" first="Diogo" last="Colaço">Diogo Colaço</name>
<affiliation><nlm:aff id="Aff510">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisboa, 1549-020 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Vanessa" sort="Neves, Vanessa" uniqKey="Neves V" first="Vanessa" last="Neves">Vanessa Neves</name>
<affiliation><nlm:aff id="Aff510">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisboa, 1549-020 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Carlos" sort="Jesus, Carlos" uniqKey="Jesus C" first="Carlos" last="Jesus">Carlos Jesus</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hesse, Camilla" sort="Hesse, Camilla" uniqKey="Hesse C" first="Camilla" last="Hesse">Camilla Hesse</name>
<affiliation><nlm:aff id="Aff512">Department of Clinical Chemistry and Transfusion Medicine, Sahlgrenska University Hospital, Göteborg, 413 45 Göteborg Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, Clara" sort="Rocha, Clara" uniqKey="Rocha C" first="Clara" last="Rocha">Clara Rocha</name>
<affiliation><nlm:aff id="Aff513">Complementary Sciences Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Os Rio, Nadia" sort="Os Rio, Nadia" uniqKey="Os Rio N" first="Nádia" last="Os Rio">Nádia Os Rio</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valado, Ana" sort="Valado, Ana" uniqKey="Valado A" first="Ana" last="Valado">Ana Valado</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caseiro, Armando" sort="Caseiro, Armando" uniqKey="Caseiro A" first="Armando" last="Caseiro">Armando Caseiro</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Ant Nio" sort="Gabriel, Ant Nio" uniqKey="Gabriel A" first="Ant Nio" last="Gabriel">Ant Nio Gabriel</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Svensson, Lola" sort="Svensson, Lola" uniqKey="Svensson L" first="Lola" last="Svensson">Lola Svensson</name>
<affiliation><nlm:aff id="Aff512">Department of Clinical Chemistry and Transfusion Medicine, Sahlgrenska University Hospital, Göteborg, 413 45 Göteborg Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff511">Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Siba, Wafa A" sort="Siba, Wafa A" uniqKey="Siba W" first="Wafa A." last="Siba">Wafa A. Siba</name>
<affiliation><nlm:aff id="Aff514">Medical Laboratory Sciences Department, Al-Quds University, Abu Dis, P.O Box 89, Abu Dis, Palestinian National Authority</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Cristina" sort="Pereira, Cristina" uniqKey="Pereira C" first="Cristina" last="Pereira">Cristina Pereira</name>
<affiliation><nlm:aff id="Aff515">Blood Bank Service, Coimbra Hospital and Universitary Center, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomaz, Jorge" sort="Tomaz, Jorge" uniqKey="Tomaz J" first="Jorge" last="Tomaz">Jorge Tomaz</name>
<affiliation><nlm:aff id="Aff515">Blood Bank Service, Coimbra Hospital and Universitary Center, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Teresa" sort="Carvalho, Teresa" uniqKey="Carvalho T" first="Teresa" last="Carvalho">Teresa Carvalho</name>
<affiliation><nlm:aff id="Aff516">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff517">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff516">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff516">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff517">Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Diana" sort="Duarte, Diana" uniqKey="Duarte D" first="Diana" last="Duarte">Diana Duarte</name>
<affiliation><nlm:aff id="Aff518">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Nuno V" sort="Lopes, Nuno V" uniqKey="Lopes N" first="Nuno V." last="Lopes">Nuno V. Lopes</name>
<affiliation><nlm:aff id="Aff518">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff519">Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca Pinto, Rui" sort="Fonseca Pinto, Rui" uniqKey="Fonseca Pinto R" first="Rui" last="Fonseca-Pinto">Rui Fonseca-Pinto</name>
<affiliation><nlm:aff id="Aff518">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff520">Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Diana" sort="Duarte, Diana" uniqKey="Duarte D" first="Diana" last="Duarte">Diana Duarte</name>
<affiliation><nlm:aff id="Aff521">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Nuno V" sort="Lopes, Nuno V" uniqKey="Lopes N" first="Nuno V." last="Lopes">Nuno V. Lopes</name>
<affiliation><nlm:aff id="Aff521">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff522">Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca Pinto, Rui" sort="Fonseca Pinto, Rui" uniqKey="Fonseca Pinto R" first="Rui" last="Fonseca-Pinto">Rui Fonseca-Pinto</name>
<affiliation><nlm:aff id="Aff521">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff523">Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff524">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brandao, Piedade" sort="Brandao, Piedade" uniqKey="Brandao P" first="Piedade" last="Brandão">Piedade Brandão</name>
<affiliation><nlm:aff id="Aff525">Escola Superior de Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff526">Center for Health Technology and Services Research, Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Laura" sort="Martins, Laura" uniqKey="Martins L" first="Laura" last="Martins">Laura Martins</name>
<affiliation><nlm:aff id="Aff525">Escola Superior de Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Margarida" sort="Cardoso, Margarida" uniqKey="Cardoso M" first="Margarida" last="Cardoso">Margarida Cardoso</name>
<affiliation><nlm:aff id="Aff527">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, 4050-313 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff528">Interdisciplinary Centre of Marine and Environmental Research, Universidade do Porto, 4050-123 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, Nuno" sort="Morais, Nuno" uniqKey="Morais N" first="Nuno" last="Morais">Nuno Morais</name>
<affiliation><nlm:aff id="Aff529">School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Joana" sort="Cruz, Joana" uniqKey="Cruz J" first="Joana" last="Cruz">Joana Cruz</name>
<affiliation><nlm:aff id="Aff530">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Nuno" sort="Alves, Nuno" uniqKey="Alves N" first="Nuno" last="Alves">Nuno Alves</name>
<affiliation><nlm:aff id="Aff531">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faria, Paula" sort="Faria, Paula" uniqKey="Faria P" first="Paula" last="Faria">Paula Faria</name>
<affiliation><nlm:aff id="Aff531">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mateus, Artur" sort="Mateus, Artur" uniqKey="Mateus A" first="Artur" last="Mateus">Artur Mateus</name>
<affiliation><nlm:aff id="Aff531">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morouco, Pedro" sort="Morouco, Pedro" uniqKey="Morouco P" first="Pedro" last="Morouço">Pedro Morouço</name>
<affiliation><nlm:aff id="Aff531">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Nuno" sort="Alves, Nuno" uniqKey="Alves N" first="Nuno" last="Alves">Nuno Alves</name>
<affiliation><nlm:aff id="Aff532">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Nelson" sort="Ferreira, Nelson" uniqKey="Ferreira N" first="Nelson" last="Ferreira">Nelson Ferreira</name>
<affiliation><nlm:aff id="Aff532">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mateus, Artur" sort="Mateus, Artur" uniqKey="Mateus A" first="Artur" last="Mateus">Artur Mateus</name>
<affiliation><nlm:aff id="Aff532">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faria, Paula" sort="Faria, Paula" uniqKey="Faria P" first="Paula" last="Faria">Paula Faria</name>
<affiliation><nlm:aff id="Aff532">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morouco, Pedro" sort="Morouco, Pedro" uniqKey="Morouco P" first="Pedro" last="Morouço">Pedro Morouço</name>
<affiliation><nlm:aff id="Aff532">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Malheiro, Isabel" sort="Malheiro, Isabel" uniqKey="Malheiro I" first="Isabel" last="Malheiro">Isabel Malheiro</name>
<affiliation><nlm:aff id="Aff533">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gaspar, Filomena" sort="Gaspar, Filomena" uniqKey="Gaspar F" first="Filomena" last="Gaspar">Filomena Gaspar</name>
<affiliation><nlm:aff id="Aff533">Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barros, Luisa" sort="Barros, Luisa" uniqKey="Barros L" first="Luísa" last="Barros">Luísa Barros</name>
<affiliation><nlm:aff id="Aff534">Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff535">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Andreia" sort="Cardoso, Andreia" uniqKey="Cardoso A" first="Andreia" last="Cardoso">Andreia Cardoso</name>
<affiliation><nlm:aff id="Aff536">Birmingham Hospitals, Birmingham, B15 2GW United Kingdom</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete" sort="M Nico, Lisete" uniqKey="M Nico L" first="Lisete" last="M Nico">Lisete M Nico</name>
<affiliation><nlm:aff id="Aff537">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff537">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Albino" sort="Lopes, Albino" uniqKey="Lopes A" first="Albino" last="Lopes">Albino Lopes</name>
<affiliation><nlm:aff id="Aff538">Instituto Superior de Ciências Sociais e Políticas, 1300-663 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro Oliveira, Anabela" sort="Salgueiro Oliveira, Anabela" uniqKey="Salgueiro Oliveira A" first="Anabela" last="Salgueiro-Oliveira">Anabela Salgueiro-Oliveira</name>
<affiliation><nlm:aff id="Aff535">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seixas, Aderito" sort="Seixas, Aderito" uniqKey="Seixas A" first="Adérito" last="Seixas">Adérito Seixas</name>
<affiliation><nlm:aff id="Aff539">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Valter" sort="Soares, Valter" uniqKey="Soares V" first="Valter" last="Soares">Valter Soares</name>
<affiliation><nlm:aff id="Aff539">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Tiago" sort="Dias, Tiago" uniqKey="Dias T" first="Tiago" last="Dias">Tiago Dias</name>
<affiliation><nlm:aff id="Aff539">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vardasca, Ricardo" sort="Vardasca, Ricardo" uniqKey="Vardasca R" first="Ricardo" last="Vardasca">Ricardo Vardasca</name>
<affiliation><nlm:aff id="Aff540">Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Joaquim" sort="Gabriel, Joaquim" uniqKey="Gabriel J" first="Joaquim" last="Gabriel">Joaquim Gabriel</name>
<affiliation><nlm:aff id="Aff540">Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Sandra" sort="Rodrigues, Sandra" uniqKey="Rodrigues S" first="Sandra" last="Rodrigues">Sandra Rodrigues</name>
<affiliation><nlm:aff id="Aff539">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paredes, Hugo" sort="Paredes, Hugo" uniqKey="Paredes H" first="Hugo" last="Paredes">Hugo Paredes</name>
<affiliation><nlm:aff id="Aff541">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff542">Instituto de Engenharia de Sistemas e Computadores, Tecnologia e Ciência, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Arsenio" sort="Reis, Arsenio" uniqKey="Reis A" first="Arsénio" last="Reis">Arsénio Reis</name>
<affiliation><nlm:aff id="Aff541">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marinho, Sara" sort="Marinho, Sara" uniqKey="Marinho S" first="Sara" last="Marinho">Sara Marinho</name>
<affiliation><nlm:aff id="Aff541">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Filipe, Vitor" sort="Filipe, Vitor" uniqKey="Filipe V" first="Vítor" last="Filipe">Vítor Filipe</name>
<affiliation><nlm:aff id="Aff541">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lains, Jorge" sort="Lains, Jorge" uniqKey="Lains J" first="Jorge" last="Lains">Jorge Lains</name>
<affiliation><nlm:aff id="Aff1000">Centro de Medicina de Reabilitação da Região Centro - Rovisco Pais, 3064-908 Tocha, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barroso, Joao" sort="Barroso, Joao" uniqKey="Barroso J" first="João" last="Barroso">João Barroso</name>
<affiliation><nlm:aff id="Aff541">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Da Motta, Carolina" sort="Da Motta, Carolina" uniqKey="Da Motta C" first="Carolina" last="Da Motta">Carolina Da Motta</name>
<affiliation><nlm:aff id="Aff543">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff544">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Celia B" sort="Carvalho, Celia B" uniqKey="Carvalho C" first="Célia B." last="Carvalho">Célia B. Carvalho</name>
<affiliation><nlm:aff id="Aff543">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff544">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff543">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Peixoto, Ermelindo" sort="Peixoto, Ermelindo" uniqKey="Peixoto E" first="Ermelindo" last="Peixoto">Ermelindo Peixoto</name>
<affiliation><nlm:aff id="Aff544">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Ana A" sort="Gomes, Ana A" uniqKey="Gomes A" first="Ana A." last="Gomes">Ana A. Gomes</name>
<affiliation><nlm:aff id="Aff545">Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff546">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Vanessa" sort="Costa, Vanessa" uniqKey="Costa V" first="Vanessa" last="Costa">Vanessa Costa</name>
<affiliation><nlm:aff id="Aff547">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff548">Centro de investigação em educação e ciências do comportamento, Universidade de Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Couto, Diana" sort="Couto, Diana" uniqKey="Couto D" first="Diana" last="Couto">Diana Couto</name>
<affiliation><nlm:aff id="Aff545">Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff548">Centro de investigação em educação e ciências do comportamento, Universidade de Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Daniel R" sort="Marques, Daniel R" uniqKey="Marques D" first="Daniel R." last="Marques">Daniel R. Marques</name>
<affiliation><nlm:aff id="Aff545">Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff549">Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, Coimbra, 3000-548 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leitao, Jose A" sort="Leitao, Jose A" uniqKey="Leitao J" first="José A." last="Leitão">José A. Leitão</name>
<affiliation><nlm:aff id="Aff547">Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff550">Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Jose" sort="Tavares, Jose" uniqKey="Tavares J" first="José" last="Tavares">José Tavares</name>
<affiliation><nlm:aff id="Aff545">Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, Maria H" sort="Azevedo, Maria H" uniqKey="Azevedo M" first="Maria H." last="Azevedo">Maria H. Azevedo</name>
<affiliation><nlm:aff id="Aff549">Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, Coimbra, 3000-548 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Carlos F" sort="Silva, Carlos F" uniqKey="Silva C" first="Carlos F." last="Silva">Carlos F. Silva</name>
<affiliation><nlm:aff id="Aff545">Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff546">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Joao" sort="Freitas, Joao" uniqKey="Freitas J" first="João" last="Freitas">João Freitas</name>
<affiliation><nlm:aff id="Aff551">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff552">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maroco, Joao" sort="Maroco, Joao" uniqKey="Maroco J" first="João" last="Marôco">João Marôco</name>
<affiliation><nlm:aff id="Aff553">Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, 1149-041 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garcia Gordillo, Miguel A" sort="Garcia Gordillo, Miguel A" uniqKey="Garcia Gordillo M" first="Miguel A." last="Garcia-Gordillo">Miguel A. Garcia-Gordillo</name>
<affiliation><nlm:aff id="Aff554">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Collado Mateo, Daniel" sort="Collado Mateo, Daniel" uniqKey="Collado Mateo D" first="Daniel" last="Collado-Mateo">Daniel Collado-Mateo</name>
<affiliation><nlm:aff id="Aff554">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chen, Gang" sort="Chen, Gang" uniqKey="Chen G" first="Gang" last="Chen">Gang Chen</name>
<affiliation><nlm:aff id="Aff555">Flinders Health Economics Group, Flinders University, Adelaide, 5001 Australia</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Iezzi, Angelo" sort="Iezzi, Angelo" uniqKey="Iezzi A" first="Angelo" last="Iezzi">Angelo Iezzi</name>
<affiliation><nlm:aff id="Aff556">Centre for Health Economics, Monash University, Victoria, 3800 Australia</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sala, Jose A" sort="Sala, Jose A" uniqKey="Sala J" first="José A." last="Sala">José A. Sala</name>
<affiliation><nlm:aff id="Aff554">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parraca, Jose A" sort="Parraca, Jose A" uniqKey="Parraca J" first="José A." last="Parraça">José A. Parraça</name>
<affiliation><nlm:aff id="Aff557">Universidade de Évora, 7004-516 Évora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gusi, Narcis" sort="Gusi, Narcis" uniqKey="Gusi N" first="Narcis" last="Gusi">Narcis Gusi</name>
<affiliation><nlm:aff id="Aff554">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Jani" sort="Sousa, Jani" uniqKey="Sousa J" first="Jani" last="Sousa">Jani Sousa</name>
<affiliation><nlm:aff id="Aff558">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Mariana" sort="Marques, Mariana" uniqKey="Marques M" first="Mariana" last="Marques">Mariana Marques</name>
<affiliation><nlm:aff id="Aff558">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff559">Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jardim, Jacinto" sort="Jardim, Jacinto" uniqKey="Jardim J" first="Jacinto" last="Jardim">Jacinto Jardim</name>
<affiliation><nlm:aff id="Aff560">Centro de Literaturas e Culturas Lusófonas e Europeias, Universidade de Lisboa, 1600-214 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Anabela" sort="Pereira, Anabela" uniqKey="Pereira A" first="Anabela" last="Pereira">Anabela Pereira</name>
<affiliation><nlm:aff id="Aff561">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, S Nia" sort="Sim Es, S Nia" uniqKey="Sim Es S" first="S Nia" last="Sim Es">S Nia Sim Es</name>
<affiliation><nlm:aff id="Aff558">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff558">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sardo, Pedro" sort="Sardo, Pedro" uniqKey="Sardo P" first="Pedro" last="Sardo">Pedro Sardo</name>
<affiliation><nlm:aff id="Aff562">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guedes, Jenifer" sort="Guedes, Jenifer" uniqKey="Guedes J" first="Jenifer" last="Guedes">Jenifer Guedes</name>
<affiliation><nlm:aff id="Aff563">Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lindo, Joao" sort="Lindo, Joao" uniqKey="Lindo J" first="João" last="Lindo">João Lindo</name>
<affiliation><nlm:aff id="Aff562">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, Paulo" sort="Machado, Paulo" uniqKey="Machado P" first="Paulo" last="Machado">Paulo Machado</name>
<affiliation><nlm:aff id="Aff564">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Elsa" sort="Melo, Elsa" uniqKey="Melo E" first="Elsa" last="Melo">Elsa Melo</name>
<affiliation><nlm:aff id="Aff562">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Celia B" sort="Carvalho, Celia B" uniqKey="Carvalho C" first="Célia B." last="Carvalho">Célia B. Carvalho</name>
<affiliation><nlm:aff id="Aff565">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff566">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Benevides, Joana" sort="Benevides, Joana" uniqKey="Benevides J" first="Joana" last="Benevides">Joana Benevides</name>
<affiliation><nlm:aff id="Aff565">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Marina" sort="Sousa, Marina" uniqKey="Sousa M" first="Marina" last="Sousa">Marina Sousa</name>
<affiliation><nlm:aff id="Aff565">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Joana" sort="Cabral, Joana" uniqKey="Cabral J" first="Joana" last="Cabral">Joana Cabral</name>
<affiliation><nlm:aff id="Aff565">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Da Motta, Carolina" sort="Da Motta, Carolina" uniqKey="Da Motta C" first="Carolina" last="Da Motta">Carolina Da Motta</name>
<affiliation><nlm:aff id="Aff565">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff566">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana T" sort="Pereira, Ana T" uniqKey="Pereira A" first="Ana T." last="Pereira">Ana T. Pereira</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Xavier, Sandra" sort="Xavier, Sandra" uniqKey="Xavier S" first="Sandra" last="Xavier">Sandra Xavier</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, Julieta" sort="Azevedo, Julieta" uniqKey="Azevedo J" first="Julieta" last="Azevedo">Julieta Azevedo</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bento, Elisabete" sort="Bento, Elisabete" uniqKey="Bento E" first="Elisabete" last="Bento">Elisabete Bento</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Cristiana" sort="Marques, Cristiana" uniqKey="Marques C" first="Cristiana" last="Marques">Cristiana Marques</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Rosa" sort="Carvalho, Rosa" uniqKey="Carvalho R" first="Rosa" last="Carvalho">Rosa Carvalho</name>
<affiliation><nlm:aff id="Aff568">Unidade de Saúde Familiar – Topázio, Eiras, 3020-171 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Mariana" sort="Marques, Mariana" uniqKey="Marques M" first="Mariana" last="Marques">Mariana Marques</name>
<affiliation><nlm:aff id="Aff569">Instituto Superior Miguel Torga, Coimbra, 3000 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Macedo, Ant Nio" sort="Macedo, Ant Nio" uniqKey="Macedo A" first="Ant Nio" last="Macedo">Ant Nio Macedo</name>
<affiliation><nlm:aff id="Aff567">Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Ana M" sort="Silva, Ana M" uniqKey="Silva A" first="Ana M." last="Silva">Ana M. Silva</name>
<affiliation><nlm:aff id="Aff570">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Juliana" sort="Alves, Juliana" uniqKey="Alves J" first="Juliana" last="Alves">Juliana Alves</name>
<affiliation><nlm:aff id="Aff570">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Ana A" sort="Gomes, Ana A" uniqKey="Gomes A" first="Ana A." last="Gomes">Ana A. Gomes</name>
<affiliation><nlm:aff id="Aff570">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff571">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Daniel R" sort="Marques, Daniel R" uniqKey="Marques D" first="Daniel R." last="Marques">Daniel R. Marques</name>
<affiliation><nlm:aff id="Aff570">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff572">Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, 3000-548 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azevedo, M Helena" sort="Azevedo, M Helena" uniqKey="Azevedo M" first="M Helena" last="Azevedo">M Helena Azevedo</name>
<affiliation><nlm:aff id="Aff572">Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, 3000-548 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Carlos" sort="Silva, Carlos" uniqKey="Silva C" first="Carlos" last="Silva">Carlos Silva</name>
<affiliation><nlm:aff id="Aff570">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff571">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana" sort="Mendes, Ana" uniqKey="Mendes A" first="Ana" last="Mendes">Ana Mendes</name>
<affiliation><nlm:aff id="Aff573">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lee, Huei D" sort="Lee, Huei D" uniqKey="Lee H" first="Huei D." last="Lee">Huei D. Lee</name>
<affiliation><nlm:aff id="Aff574">Laboratory of Bioinformatics, Graduate Program in Engineering and Computing, West Paraná State University, Cascavel, Paraná 85819-110 Brasil</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff575">Universidade Estadual de Campinas, Campinas, São Paulo 13083-970 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Spolaor, Newton" sort="Spolaor, Newton" uniqKey="Spolaor N" first="Newton" last="Spolaôr">Newton Spolaôr</name>
<affiliation><nlm:aff id="Aff574">Laboratory of Bioinformatics, Graduate Program in Engineering and Computing, West Paraná State University, Cascavel, Paraná 85819-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliva, Jefferson T" sort="Oliva, Jefferson T" uniqKey="Oliva J" first="Jefferson T." last="Oliva">Jefferson T. Oliva</name>
<affiliation><nlm:aff id="Aff574">Laboratory of Bioinformatics, Graduate Program in Engineering and Computing, West Paraná State University, Cascavel, Paraná 85819-110 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chung, Wu F" sort="Chung, Wu F" uniqKey="Chung W" first="Wu F." last="Chung">Wu F. Chung</name>
<affiliation><nlm:aff id="Aff574">Laboratory of Bioinformatics, Graduate Program in Engineering and Computing, West Paraná State University, Cascavel, Paraná 85819-110 Brasil</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff575">Universidade Estadual de Campinas, Campinas, São Paulo 13083-970 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca Pinto, Rui" sort="Fonseca Pinto, Rui" uniqKey="Fonseca Pinto R" first="Rui" last="Fonseca-Pinto">Rui Fonseca-Pinto</name>
<affiliation><nlm:aff id="Aff573">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff576">Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bairros, Keila" sort="Bairros, Keila" uniqKey="Bairros K" first="Keila" last="Bairros">Keila Bairros</name>
<affiliation><nlm:aff id="Aff577">Fundação Universidade Regional de Blumenau, Blumenau, Santa Catarina 89012-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Claudia D" sort="Silva, Claudia D" uniqKey="Silva C" first="Cláudia D." last="Silva">Cláudia D. Silva</name>
<affiliation><nlm:aff id="Aff577">Fundação Universidade Regional de Blumenau, Blumenau, Santa Catarina 89012-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Souza, Cl Vis A" sort="Souza, Cl Vis A" uniqKey="Souza C" first="Cl Vis A." last="Souza">Cl Vis A. Souza</name>
<affiliation><nlm:aff id="Aff577">Fundação Universidade Regional de Blumenau, Blumenau, Santa Catarina 89012-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schroeder, Silvana S" sort="Schroeder, Silvana S" uniqKey="Schroeder S" first="Silvana S." last="Schroeder">Silvana S. Schroeder</name>
<affiliation><nlm:aff id="Aff577">Fundação Universidade Regional de Blumenau, Blumenau, Santa Catarina 89012-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Elsa" sort="Araujo, Elsa" uniqKey="Araujo E" first="Elsa" last="Araújo">Elsa Araújo</name>
<affiliation><nlm:aff id="Aff578">Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, Helena" sort="Monteiro, Helena" uniqKey="Monteiro H" first="Helena" last="Monteiro">Helena Monteiro</name>
<affiliation><nlm:aff id="Aff578">Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Ricardo" sort="Costa, Ricardo" uniqKey="Costa R" first="Ricardo" last="Costa">Ricardo Costa</name>
<affiliation><nlm:aff id="Aff578">Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Sara S" sort="Dias, Sara S" uniqKey="Dias S" first="Sara S." last="Dias">Sara S. Dias</name>
<affiliation><nlm:aff id="Aff578">Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff579">Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa, 1150-082 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff580">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Torgal, Jorge" sort="Torgal, Jorge" uniqKey="Torgal J" first="Jorge" last="Torgal">Jorge Torgal</name>
<affiliation><nlm:aff id="Aff578">Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Henriques, Carolina G" sort="Henriques, Carolina G" uniqKey="Henriques C" first="Carolina G." last="Henriques">Carolina G. Henriques</name>
<affiliation><nlm:aff id="Aff581">Health Research Unit, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff582">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Luisa" sort="Santos, Luisa" uniqKey="Santos L" first="Luísa" last="Santos">Luísa Santos</name>
<affiliation><nlm:aff id="Aff582">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caceiro, Elisa F" sort="Caceiro, Elisa F" uniqKey="Caceiro E" first="Elisa F." last="Caceiro">Elisa F. Caceiro</name>
<affiliation><nlm:aff id="Aff582">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalho, S Nia A" sort="Ramalho, S Nia A" uniqKey="Ramalho S" first="S Nia A." last="Ramalho">S Nia A. Ramalho</name>
<affiliation><nlm:aff id="Aff581">Health Research Unit, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff582">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Rita" sort="Oliveira, Rita" uniqKey="Oliveira R" first="Rita" last="Oliveira">Rita Oliveira</name>
<affiliation><nlm:aff id="Aff583">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff584">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Afreixo, Vera" sort="Afreixo, Vera" uniqKey="Afreixo V" first="Vera" last="Afreixo">Vera Afreixo</name>
<affiliation><nlm:aff id="Aff584">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Joao" sort="Santos, Joao" uniqKey="Santos J" first="João" last="Santos">João Santos</name>
<affiliation><nlm:aff id="Aff583">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mota, Priscilla" sort="Mota, Priscilla" uniqKey="Mota P" first="Priscilla" last="Mota">Priscilla Mota</name>
<affiliation><nlm:aff id="Aff583">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff583">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pimentel, Francisco" sort="Pimentel, Francisco" uniqKey="Pimentel F" first="Francisco" last="Pimentel">Francisco Pimentel</name>
<affiliation><nlm:aff id="Aff584">Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff585">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff586">Health Research Unit & School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff586">Health Research Unit & School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff587">Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Benevides, Joana" sort="Benevides, Joana" uniqKey="Benevides J" first="Joana" last="Benevides">Joana Benevides</name>
<affiliation><nlm:aff id="Aff588">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Da Motta, Carolina" sort="Da Motta, Carolina" uniqKey="Da Motta C" first="Carolina" last="Da Motta">Carolina Da Motta</name>
<affiliation><nlm:aff id="Aff588">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff589">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Marina" sort="Sousa, Marina" uniqKey="Sousa M" first="Marina" last="Sousa">Marina Sousa</name>
<affiliation><nlm:aff id="Aff588">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caldeira, Suzana N" sort="Caldeira, Suzana N" uniqKey="Caldeira S" first="Suzana N." last="Caldeira">Suzana N. Caldeira</name>
<affiliation><nlm:aff id="Aff588">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff590">Centro Interdisciplinar de Ciências Sociais, Universidade dos Açores, São Miguel, 9501-855 Ponta Delgada, Região Autónoma dos Açores Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Celia B" sort="Carvalho, Celia B" uniqKey="Carvalho C" first="Célia B." last="Carvalho">Célia B. Carvalho</name>
<affiliation><nlm:aff id="Aff588">Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff589">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff591">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff591">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Daniel" sort="Carvalho, Daniel" uniqKey="Carvalho D" first="Daniel" last="Carvalho">Daniel Carvalho</name>
<affiliation><nlm:aff id="Aff591">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff592">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Joao" sort="Gomes, Joao" uniqKey="Gomes J" first="João" last="Gomes">João Gomes</name>
<affiliation><nlm:aff id="Aff591">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff592">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Marina" sort="Cordeiro, Marina" uniqKey="Cordeiro M" first="Marina" last="Cordeiro">Marina Cordeiro</name>
<affiliation><nlm:aff id="Aff591">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Joyce O" sort="Costa, Joyce O" uniqKey="Costa J" first="Joyce O." last="Costa">Joyce O. Costa</name>
<affiliation><nlm:aff id="Aff593">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais, 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valim, Frederico C" sort="Valim, Frederico C" uniqKey="Valim F" first="Frederico C." last="Valim">Frederico C. Valim</name>
<affiliation><nlm:aff id="Aff593">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais, 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Ligia C" sort="Ribeiro, Ligia C" uniqKey="Ribeiro L" first="Lígia C." last="Ribeiro">Lígia C. Ribeiro</name>
<affiliation><nlm:aff id="Aff593">Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais, 35502-634 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Charepe, Zaida" sort="Charepe, Zaida" uniqKey="Charepe Z" first="Zaida" last="Charepe">Zaida Charepe</name>
<affiliation><nlm:aff id="Aff594">Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff595">Health Research Unit, School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, M Henriqueta" sort="Figueiredo, M Henriqueta" uniqKey="Figueiredo M" first="M Henriqueta" last="Figueiredo">M Henriqueta Figueiredo</name>
<affiliation><nlm:aff id="Aff596">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aquino, Priscila S" sort="Aquino, Priscila S" uniqKey="Aquino P" first="Priscila S." last="Aquino">Priscila S. Aquino</name>
<affiliation><nlm:aff id="Aff597">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Samila G" sort="Ribeiro, Samila G" uniqKey="Ribeiro S" first="Samila G." last="Ribeiro">Samila G. Ribeiro</name>
<affiliation><nlm:aff id="Aff598">Federal University of Piauí, Teresina, Piauí, 64049-550 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinheiro, Ana B" sort="Pinheiro, Ana B" uniqKey="Pinheiro A" first="Ana B." last="Pinheiro">Ana B. Pinheiro</name>
<affiliation><nlm:aff id="Aff597">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lessa, Paula A" sort="Lessa, Paula A" uniqKey="Lessa P" first="Paula A." last="Lessa">Paula A. Lessa</name>
<affiliation><nlm:aff id="Aff599">Federal Institute of Education, Science and Technology of Ceará, Fortaleza, Ceará, 60040-531 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Mirna F" sort="Oliveira, Mirna F" uniqKey="Oliveira M" first="Mirna F." last="Oliveira">Mirna F. Oliveira</name>
<affiliation><nlm:aff id="Aff600">Federal University of Cariri, Juazeiro do Norte, Ceará, 63048-080 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brito, Luisa S" sort="Brito, Luisa S" uniqKey="Brito L" first="Luísa S." last="Brito">Luísa S. Brito</name>
<affiliation><nlm:aff id="Aff598">Federal University of Piauí, Teresina, Piauí, 64049-550 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Italo N" sort="Pinto, Italo N" uniqKey="Pinto I" first="Ítalo N." last="Pinto">Ítalo N. Pinto</name>
<affiliation><nlm:aff id="Aff598">Federal University of Piauí, Teresina, Piauí, 64049-550 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Furtado, Alessandra S" sort="Furtado, Alessandra S" uniqKey="Furtado A" first="Alessandra S." last="Furtado">Alessandra S. Furtado</name>
<affiliation><nlm:aff id="Aff598">Federal University of Piauí, Teresina, Piauí, 64049-550 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castro, Regia B" sort="Castro, Regia B" uniqKey="Castro R" first="Régia B." last="Castro">Régia B. Castro</name>
<affiliation><nlm:aff id="Aff597">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aquino, Caroline Q" sort="Aquino, Caroline Q" uniqKey="Aquino C" first="Caroline Q." last="Aquino">Caroline Q. Aquino</name>
<affiliation><nlm:aff id="Aff597">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Eveliny S" sort="Martins, Eveliny S" uniqKey="Martins E" first="Eveliny S." last="Martins">Eveliny S. Martins</name>
<affiliation><nlm:aff id="Aff597">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinheiro, Ana B" sort="Pinheiro, Ana B" uniqKey="Pinheiro A" first="Ana B" last="Pinheiro">Ana B. Pinheiro</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aquino, Priscila S" sort="Aquino, Priscila S" uniqKey="Aquino P" first="Priscila S." last="Aquino">Priscila S. Aquino</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Lara L" sort="Oliveira, Lara L" uniqKey="Oliveira L" first="Lara L." last="Oliveira">Lara L. Oliveira</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinheiro, Patricia C" sort="Pinheiro, Patricia C" uniqKey="Pinheiro P" first="Patrícia C." last="Pinheiro">Patrícia C. Pinheiro</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Caroline R" sort="Sousa, Caroline R" uniqKey="Sousa C" first="Caroline R." last="Sousa">Caroline R. Sousa</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freitas, Vivien A" sort="Freitas, Vivien A" uniqKey="Freitas V" first="Vívien A." last="Freitas">Vívien A. Freitas</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Tatiane M" sort="Silva, Tatiane M" uniqKey="Silva T" first="Tatiane M." last="Silva">Tatiane M. Silva</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lima, Adman S" sort="Lima, Adman S" uniqKey="Lima A" first="Adman S." last="Lima">Adman S. Lima</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aquino, Caroline Q" sort="Aquino, Caroline Q" uniqKey="Aquino C" first="Caroline Q." last="Aquino">Caroline Q. Aquino</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Karizia V" sort="Andrade, Karizia V" uniqKey="Andrade K" first="Karizia V." last="Andrade">Karizia V. Andrade</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Camila A" sort="Oliveira, Camila A" uniqKey="Oliveira C" first="Camila A." last="Oliveira">Camila A. Oliveira</name>
<affiliation><nlm:aff id="Aff601">Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vidal, Eglidia F" sort="Vidal, Eglidia F" uniqKey="Vidal E" first="Eglidia F." last="Vidal">Eglidia F. Vidal</name>
<affiliation><nlm:aff id="Aff602">Federal University of Cariri, Juazeiro do Norte, Ceará 63048-080 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ganho Vila, Ana" sort="Ganho Vila, Ana" uniqKey="Ganho Vila A" first="Ana" last="Ganho-Ávila">Ana Ganho-Ávila</name>
<affiliation><nlm:aff id="Aff603">Centro de Investigação em Psicologia, Escola de Psicologia, Universidade do Minho, 4710-057 Braga, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moura Ramos, Mariana" sort="Moura Ramos, Mariana" uniqKey="Moura Ramos M" first="Mariana" last="Moura-Ramos">Mariana Moura-Ramos</name>
<affiliation><nlm:aff id="Aff604">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Scar" sort="Goncalves, Scar" uniqKey="Goncalves " first=" Scar" last="Gonçalves"> Scar Gonçalves</name>
<affiliation><nlm:aff id="Aff603">Centro de Investigação em Psicologia, Escola de Psicologia, Universidade do Minho, 4710-057 Braga, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Jorge" sort="Almeida, Jorge" uniqKey="Almeida J" first="Jorge" last="Almeida">Jorge Almeida</name>
<affiliation><nlm:aff id="Aff604">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff605">PROACTION Laboratory, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Armando" sort="Silva, Armando" uniqKey="Silva A" first="Armando" last="Silva">Armando Silva</name>
<affiliation><nlm:aff id="Aff606">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brito, Irma" sort="Brito, Irma" uniqKey="Brito I" first="Irma" last="Brito">Irma Brito</name>
<affiliation><nlm:aff id="Aff606">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amado, Joao" sort="Amado, Joao" uniqKey="Amado J" first="João" last="Amado">João Amado</name>
<affiliation><nlm:aff id="Aff607">Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigo, Ant Nio" sort="Rodrigo, Ant Nio" uniqKey="Rodrigo A" first="Ant Nio" last="Rodrigo">Ant Nio Rodrigo</name>
<affiliation><nlm:aff id="Aff608">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Sofia" sort="Santos, Sofia" uniqKey="Santos S" first="Sofia" last="Santos">Sofia Santos</name>
<affiliation><nlm:aff id="Aff608">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Fernando" sort="Gomes, Fernando" uniqKey="Gomes F" first="Fernando" last="Gomes">Fernando Gomes</name>
<affiliation><nlm:aff id="Aff608">Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rosa, Marlene C" sort="Rosa, Marlene C" uniqKey="Rosa M" first="Marlene C." last="Rosa">Marlene C. Rosa</name>
<affiliation><nlm:aff id="Aff609">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Silvana F" sort="Marques, Silvana F" uniqKey="Marques S" first="Silvana F." last="Marques">Silvana F. Marques</name>
<affiliation><nlm:aff id="Aff610">Unidade de Cuidados na Comunidade, Centro de Saúde de Anadia, 3780-780 Anadia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luis, Sara" sort="Luis, Sara" uniqKey="Luis S" first="Sara" last="Luís">Sara Luís</name>
<affiliation><nlm:aff id="Aff611">Cáritas Diocesana de Coimbra - Centro Rainha Santa Isabel, 3030-382 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff612">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cavalheiro, Luis" sort="Cavalheiro, Luis" uniqKey="Cavalheiro L" first="Luís" last="Cavalheiro">Luís Cavalheiro</name>
<affiliation><nlm:aff id="Aff612">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff614">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff613">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff614">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Rui" sort="Goncalves, Rui" uniqKey="Goncalves R" first="Rui" last="Gonçalves">Rui Gonçalves</name>
<affiliation><nlm:aff id="Aff612">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff614">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Rui S" sort="Lopes, Rui S" uniqKey="Lopes R" first="Rui S." last="Lopes">Rui S. Lopes</name>
<affiliation><nlm:aff id="Aff615">Cáritas Diocesana de Coimbra, Centro Rainha Santa Isabel, 3030-382 Coimbra Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff616">Fundação Mário da Cunha Brito, 3360-908 S. Pedro de Alva, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff617">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cavalheiro, Luis" sort="Cavalheiro, Luis" uniqKey="Cavalheiro L" first="Luís" last="Cavalheiro">Luís Cavalheiro</name>
<affiliation><nlm:aff id="Aff617">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff618">Centro de Estudos e Investigação em Saúde da Universidade Coimbra, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff618">Centro de Estudos e Investigação em Saúde da Universidade Coimbra, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Rui" sort="Goncalves, Rui" uniqKey="Goncalves R" first="Rui" last="Gonçalves">Rui Gonçalves</name>
<affiliation><nlm:aff id="Aff617">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff618">Centro de Estudos e Investigação em Saúde da Universidade Coimbra, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fiorin, Bruno H" sort="Fiorin, Bruno H" uniqKey="Fiorin B" first="Bruno H." last="Fiorin">Bruno H. Fiorin</name>
<affiliation><nlm:aff id="Aff619">Universidade Federal de São Paulo, São Paulo, 04021-001 Brasil</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff620">Escola superior de Ciências da Santa Casa de Misericórdia de Vitória, Vitória- Esprito Santo, 29045-402 Brasil</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff621">Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo, 29017-950 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Marina S" sort="Santos, Marina S" uniqKey="Santos M" first="Marina S." last="Santos">Marina S. Santos</name>
<affiliation><nlm:aff id="Aff621">Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo, 29017-950 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Edmar S" sort="Oliveira, Edmar S" uniqKey="Oliveira E" first="Edmar S." last="Oliveira">Edmar S. Oliveira</name>
<affiliation><nlm:aff id="Aff621">Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo, 29017-950 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Rita L" sort="Moreira, Rita L" uniqKey="Moreira R" first="Rita L." last="Moreira">Rita L. Moreira</name>
<affiliation><nlm:aff id="Aff619">Universidade Federal de São Paulo, São Paulo, 04021-001 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Elizabete A" sort="Oliveira, Elizabete A" uniqKey="Oliveira E" first="Elizabete A." last="Oliveira">Elizabete A. Oliveira</name>
<affiliation><nlm:aff id="Aff621">Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo, 29017-950 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Filho, Braulio L" sort="Filho, Braulio L" uniqKey="Filho B" first="Braulio L." last="Filho">Braulio L. Filho</name>
<affiliation><nlm:aff id="Aff619">Universidade Federal de São Paulo, São Paulo, 04021-001 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Palmeira, Lara" sort="Palmeira, Lara" uniqKey="Palmeira L" first="Lara" last="Palmeira">Lara Palmeira</name>
<affiliation><nlm:aff id="Aff622">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garcia, Teresa" sort="Garcia, Teresa" uniqKey="Garcia T" first="Teresa" last="Garcia">Teresa Garcia</name>
<affiliation><nlm:aff id="Aff622">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff622">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff623">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Sara" sort="Cardoso, Sara" uniqKey="Cardoso S" first="Sara" last="Cardoso">Sara Cardoso</name>
<affiliation><nlm:aff id="Aff624">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Palmeira, Lara" sort="Palmeira, Lara" uniqKey="Palmeira L" first="Lara" last="Palmeira">Lara Palmeira</name>
<affiliation><nlm:aff id="Aff624">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Marina" sort="Cunha, Marina" uniqKey="Cunha M" first="Marina" last="Cunha">Marina Cunha</name>
<affiliation><nlm:aff id="Aff625">Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto Gouveia, Jose" sort="Pinto Gouveia, Jose" uniqKey="Pinto Gouveia J" first="José" last="Pinto-Gouveia">José Pinto-Gouveia</name>
<affiliation><nlm:aff id="Aff624">Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marta Sim Es, Joana" sort="Marta Sim Es, Joana" uniqKey="Marta Sim Es J" first="Joana" last="Marta-Sim Es">Joana Marta-Sim Es</name>
<affiliation><nlm:aff id="Aff626">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana L" sort="Mendes, Ana L" uniqKey="Mendes A" first="Ana L." last="Mendes">Ana L. Mendes</name>
<affiliation><nlm:aff id="Aff626">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Trindade, Ines A" sort="Trindade, Ines A" uniqKey="Trindade I" first="Inês A." last="Trindade">Inês A. Trindade</name>
<affiliation><nlm:aff id="Aff626">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Sara" sort="Oliveira, Sara" uniqKey="Oliveira S" first="Sara" last="Oliveira">Sara Oliveira</name>
<affiliation><nlm:aff id="Aff626">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Claudia" sort="Ferreira, Claudia" uniqKey="Ferreira C" first="Cláudia" last="Ferreira">Cláudia Ferreira</name>
<affiliation><nlm:aff id="Aff626">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana L" sort="Mendes, Ana L" uniqKey="Mendes A" first="Ana L." last="Mendes">Ana L. Mendes</name>
<affiliation><nlm:aff id="Aff627">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marta Sim Es, Joana" sort="Marta Sim Es, Joana" uniqKey="Marta Sim Es J" first="Joana" last="Marta-Sim Es">Joana Marta-Sim Es</name>
<affiliation><nlm:aff id="Aff627">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Trindade, Ines A" sort="Trindade, Ines A" uniqKey="Trindade I" first="Inês A." last="Trindade">Inês A. Trindade</name>
<affiliation><nlm:aff id="Aff627">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Claudia" sort="Ferreira, Claudia" uniqKey="Ferreira C" first="Cláudia" last="Ferreira">Cláudia Ferreira</name>
<affiliation><nlm:aff id="Aff627">Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nave, Filipe" sort="Nave, Filipe" uniqKey="Nave F" first="Filipe" last="Nave">Filipe Nave</name>
<affiliation><nlm:aff id="Aff628">Centro de Estudos em Saúde, Escola Superior de Saúde, Universidade do Algarve, 8000-510 Faro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campos, Mariana" sort="Campos, Mariana" uniqKey="Campos M" first="Mariana" last="Campos">Mariana Campos</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gaudencio, Iris" sort="Gaudencio, Iris" uniqKey="Gaudencio I" first="Iris" last="Gaudêncio">Iris Gaudêncio</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Fernando" sort="Martins, Fernando" uniqKey="Martins F" first="Fernando" last="Martins">Fernando Martins</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Lino" sort="Ferreira, Lino" uniqKey="Ferreira L" first="Lino" last="Ferreira">Lino Ferreira</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff630">Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Nuno" sort="Lopes, Nuno" uniqKey="Lopes N" first="Nuno" last="Lopes">Nuno Lopes</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff631">Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca Pinto, Rui" sort="Fonseca Pinto, Rui" uniqKey="Fonseca Pinto R" first="Rui" last="Fonseca-Pinto">Rui Fonseca-Pinto</name>
<affiliation><nlm:aff id="Aff629">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff630">Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Rogerio" sort="Rodrigues, Rogerio" uniqKey="Rodrigues R" first="Rogério" last="Rodrigues">Rogério Rodrigues</name>
<affiliation><nlm:aff id="Aff632">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azeredo, Zaida" sort="Azeredo, Zaida" uniqKey="Azeredo Z" first="Zaida" last="Azeredo">Zaida Azeredo</name>
<affiliation><nlm:aff id="Aff633">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vicente, Coralia" sort="Vicente, Coralia" uniqKey="Vicente C" first="Corália" last="Vicente">Corália Vicente</name>
<affiliation><nlm:aff id="Aff634">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Joana" sort="Silva, Joana" uniqKey="Silva J" first="Joana" last="Silva">Joana Silva</name>
<affiliation><nlm:aff id="Aff635">Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff635">Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff635">Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff636">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Isabel" sort="Mendes, Isabel" uniqKey="Mendes I" first="Isabel" last="Mendes">Isabel Mendes</name>
<affiliation><nlm:aff id="Aff637">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Rogerio" sort="Rodrigues, Rogerio" uniqKey="Rodrigues R" first="Rogério" last="Rodrigues">Rogério Rodrigues</name>
<affiliation><nlm:aff id="Aff637">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azeredo, Zaida" sort="Azeredo, Zaida" uniqKey="Azeredo Z" first="Zaida" last="Azeredo">Zaida Azeredo</name>
<affiliation><nlm:aff id="Aff638">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vicente, Coralia" sort="Vicente, Coralia" uniqKey="Vicente C" first="Corália" last="Vicente">Corália Vicente</name>
<affiliation><nlm:aff id="Aff639">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, 4050-313 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vardasca, Ricardo" sort="Vardasca, Ricardo" uniqKey="Vardasca R" first="Ricardo" last="Vardasca">Ricardo Vardasca</name>
<affiliation><nlm:aff id="Aff640">Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Ana R" sort="Marques, Ana R" uniqKey="Marques A" first="Ana R." last="Marques">Ana R. Marques</name>
<affiliation><nlm:aff id="Aff640">Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seixas, Aderito" sort="Seixas, Aderito" uniqKey="Seixas A" first="Adérito" last="Seixas">Adérito Seixas</name>
<affiliation><nlm:aff id="Aff641">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Rui" sort="Carvalho, Rui" uniqKey="Carvalho R" first="Rui" last="Carvalho">Rui Carvalho</name>
<affiliation><nlm:aff id="Aff642">Centro Hospitalar do Porto, Porto, 4099-001 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Joaquim" sort="Gabriel, Joaquim" uniqKey="Gabriel J" first="Joaquim" last="Gabriel">Joaquim Gabriel</name>
<affiliation><nlm:aff id="Aff640">Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Paulo P" sort="Ferreira, Paulo P" uniqKey="Ferreira P" first="Paulo P." last="Ferreira">Paulo P. Ferreira</name>
<affiliation><nlm:aff id="Aff643">Secretaria de Saúde do Estado da Bahia, Salvador, Bahia 41745-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Michelle T" sort="Oliveira, Michelle T" uniqKey="Oliveira M" first="Michelle T." last="Oliveira">Michelle T. Oliveira</name>
<affiliation><nlm:aff id="Aff644">Universidade Estadual de Feira de Santana, Feira de Santana, Bahia 44036-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Anderson R" sort="Sousa, Anderson R" uniqKey="Sousa A" first="Anderson R." last="Sousa">Anderson R. Sousa</name>
<affiliation><nlm:aff id="Aff645">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Ana S" sort="Maia, Ana S" uniqKey="Maia A" first="Ana S." last="Maia">Ana S. Maia</name>
<affiliation><nlm:aff id="Aff645">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Sebastiao T" sort="Oliveira, Sebastiao T" uniqKey="Oliveira S" first="Sebastião T." last="Oliveira">Sebastião T. Oliveira</name>
<affiliation><nlm:aff id="Aff645">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Pablo O" sort="Costa, Pablo O" uniqKey="Costa P" first="Pablo O." last="Costa">Pablo O. Costa</name>
<affiliation><nlm:aff id="Aff645">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Maiza M" sort="Silva, Maiza M" uniqKey="Silva M" first="Maiza M." last="Silva">Maiza M. Silva</name>
<affiliation><nlm:aff id="Aff645">Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Arreguy Sena, Cristina" sort="Arreguy Sena, Cristina" uniqKey="Arreguy Sena C" first="Cristina" last="Arreguy-Sena">Cristina Arreguy-Sena</name>
<affiliation><nlm:aff id="Aff646">Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais 36036-330 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alvarenga Martins, Nathalia" sort="Alvarenga Martins, Nathalia" uniqKey="Alvarenga Martins N" first="Nathália" last="Alvarenga-Martins">Nathália Alvarenga-Martins</name>
<affiliation><nlm:aff id="Aff646">Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais 36036-330 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Paulo F" sort="Pinto, Paulo F" uniqKey="Pinto P" first="Paulo F." last="Pinto">Paulo F. Pinto</name>
<affiliation><nlm:aff id="Aff646">Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais 36036-330 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Denize C" sort="Oliveira, Denize C" uniqKey="Oliveira D" first="Denize C." last="Oliveira">Denize C. Oliveira</name>
<affiliation><nlm:aff id="Aff647">Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 20550-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro D" sort="Parreira, Pedro D" uniqKey="Parreira P" first="Pedro D." last="Parreira">Pedro D. Parreira</name>
<affiliation><nlm:aff id="Aff648">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Antonio T" sort="Gomes, Antonio T" uniqKey="Gomes A" first="Antônio T." last="Gomes">Antônio T. Gomes</name>
<affiliation><nlm:aff id="Aff647">Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 20550-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Braga, Luciene M" sort="Braga, Luciene M" uniqKey="Braga L" first="Luciene M." last="Braga">Luciene M. Braga</name>
<affiliation><nlm:aff id="Aff649">Universidade Federal de Viçosa, Viçosa, Minas Gerais 36570-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Odete" sort="Araujo, Odete" uniqKey="Araujo O" first="Odete" last="Araújo">Odete Araújo</name>
<affiliation><nlm:aff id="Aff650">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lage, Isabel" sort="Lage, Isabel" uniqKey="Lage I" first="Isabel" last="Lage">Isabel Lage</name>
<affiliation><nlm:aff id="Aff650">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabrita, Jose" sort="Cabrita, Jose" uniqKey="Cabrita J" first="José" last="Cabrita">José Cabrita</name>
<affiliation><nlm:aff id="Aff651">Faculdade de Farmácia, Universidade de Lisboa, 1649-003 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixeira, Laetitia" sort="Teixeira, Laetitia" uniqKey="Teixeira L" first="Laetitia" last="Teixeira">Laetitia Teixeira</name>
<affiliation><nlm:aff id="Aff652">Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff653">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff654">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Querido, Ana" sort="Querido, Ana" uniqKey="Querido A" first="Ana" last="Querido">Ana Querido</name>
<affiliation><nlm:aff id="Aff654">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff655">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Sara" sort="Silva, Sara" uniqKey="Silva S" first="Sara" last="Silva">Sara Silva</name>
<affiliation><nlm:aff id="Aff656">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cordeiro, Eugenio" sort="Cordeiro, Eugenio" uniqKey="Cordeiro E" first="Eugénio" last="Cordeiro">Eugénio Cordeiro</name>
<affiliation><nlm:aff id="Aff656">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pimentel, Joao" sort="Pimentel, Joao" uniqKey="Pimentel J" first="João" last="Pimentel">João Pimentel</name>
<affiliation><nlm:aff id="Aff656">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferro Lebres, Vera" sort="Ferro Lebres, Vera" uniqKey="Ferro Lebres V" first="Vera" last="Ferro-Lebres">Vera Ferro-Lebres</name>
<affiliation><nlm:aff id="Aff657">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Souza, Juliana A" sort="Souza, Juliana A" uniqKey="Souza J" first="Juliana A." last="Souza">Juliana A. Souza</name>
<affiliation><nlm:aff id="Aff657">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Mariline" sort="Tavares, Mariline" uniqKey="Tavares M" first="Mariline" last="Tavares">Mariline Tavares</name>
<affiliation><nlm:aff id="Aff657">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff658">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Pedro" sort="Sousa, Pedro" uniqKey="Sousa P" first="Pedro" last="Sousa">Pedro Sousa</name>
<affiliation><nlm:aff id="Aff658">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Passadouro, Rui" sort="Passadouro, Rui" uniqKey="Passadouro R" first="Rui" last="Passadouro">Rui Passadouro</name>
<affiliation><nlm:aff id="Aff659">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Peralta, Teresa" sort="Peralta, Teresa" uniqKey="Peralta T" first="Teresa" last="Peralta">Teresa Peralta</name>
<affiliation><nlm:aff id="Aff659">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Carlos" sort="Ferreira, Carlos" uniqKey="Ferreira C" first="Carlos" last="Ferreira">Carlos Ferreira</name>
<affiliation><nlm:aff id="Aff659">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lourenco, Georgina" sort="Lourenco, Georgina" uniqKey="Lourenco G" first="Georgina" last="Lourenço">Georgina Lourenço</name>
<affiliation><nlm:aff id="Aff659">Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serrano, Joao" sort="Serrano, Joao" uniqKey="Serrano J" first="João" last="Serrano">João Serrano</name>
<affiliation><nlm:aff id="Aff660">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Petrica, Joao" sort="Petrica, Joao" uniqKey="Petrica J" first="João" last="Petrica">João Petrica</name>
<affiliation><nlm:aff id="Aff660">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff660">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hon Rio, Samuel" sort="Hon Rio, Samuel" uniqKey="Hon Rio S" first="Samuel" last="Hon Rio">Samuel Hon Rio</name>
<affiliation><nlm:aff id="Aff660">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff660">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, Alexandra" sort="Sim Es, Alexandra" uniqKey="Sim Es A" first="Alexandra" last="Sim Es">Alexandra Sim Es</name>
<affiliation><nlm:aff id="Aff661">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Lucinda" sort="Carvalho, Lucinda" uniqKey="Carvalho L" first="Lucinda" last="Carvalho">Lucinda Carvalho</name>
<affiliation><nlm:aff id="Aff661">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Alexandre" sort="Pereira, Alexandre" uniqKey="Pereira A" first="Alexandre" last="Pereira">Alexandre Pereira</name>
<affiliation><nlm:aff id="Aff661">Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Sara" sort="Silva, Sara" uniqKey="Silva S" first="Sara" last="Silva">Sara Silva</name>
<affiliation><nlm:aff id="Aff662">Centro Hospitalar do Porto, Porto, 4099-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Paulino" sort="Sousa, Paulino" uniqKey="Sousa P" first="Paulino" last="Sousa">Paulino Sousa</name>
<affiliation><nlm:aff id="Aff663">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff664">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4099-002 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Padilha, Jose M" sort="Padilha, Jose M" uniqKey="Padilha J" first="José M." last="Padilha">José M. Padilha</name>
<affiliation><nlm:aff id="Aff663">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Daniela" sort="Figueiredo, Daniela" uniqKey="Figueiredo D" first="Daniela" last="Figueiredo">Daniela Figueiredo</name>
<affiliation><nlm:aff id="Aff665">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valente, Carolina" sort="Valente, Carolina" uniqKey="Valente C" first="Carolina" last="Valente">Carolina Valente</name>
<affiliation><nlm:aff id="Aff665">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Alda" sort="Marques, Alda" uniqKey="Marques A" first="Alda" last="Marques">Alda Marques</name>
<affiliation><nlm:aff id="Aff665">School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribas, Patricia" sort="Ribas, Patricia" uniqKey="Ribas P" first="Patrícia" last="Ribas">Patrícia Ribas</name>
<affiliation><nlm:aff id="Aff666">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Joana" sort="Sousa, Joana" uniqKey="Sousa J" first="Joana" last="Sousa">Joana Sousa</name>
<affiliation><nlm:aff id="Aff666">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brandao, Frederico" sort="Brandao, Frederico" uniqKey="Brandao F" first="Frederico" last="Brandão">Frederico Brandão</name>
<affiliation><nlm:aff id="Aff667">Centro Hospitalar Tâmega e Sousa, Penafiel, 4564-007 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Cesar" sort="Sousa, Cesar" uniqKey="Sousa C" first="Cesar" last="Sousa">Cesar Sousa</name>
<affiliation><nlm:aff id="Aff667">Centro Hospitalar Tâmega e Sousa, Penafiel, 4564-007 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Matilde" sort="Martins, Matilde" uniqKey="Martins M" first="Matilde" last="Martins">Matilde Martins</name>
<affiliation><nlm:aff id="Aff666">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff668">Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano, Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff669">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff670">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Francisco" sort="Mendes, Francisco" uniqKey="Mendes F" first="Francisco" last="Mendes">Francisco Mendes</name>
<affiliation><nlm:aff id="Aff671">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Rosina" sort="Fernandes, Rosina" uniqKey="Fernandes R" first="Rosina" last="Fernandes">Rosina Fernandes</name>
<affiliation><nlm:aff id="Aff671">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Emilia" sort="Martins, Emilia" uniqKey="Martins E" first="Emília" last="Martins">Emília Martins</name>
<affiliation><nlm:aff id="Aff671">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magalhaes, Catia" sort="Magalhaes, Catia" uniqKey="Magalhaes C" first="Cátia" last="Magalhães">Cátia Magalhães</name>
<affiliation><nlm:aff id="Aff671">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Patricia" sort="Araujo, Patricia" uniqKey="Araujo P" first="Patrícia" last="Araújo">Patrícia Araújo</name>
<affiliation><nlm:aff id="Aff672">Universidade Católica Portuguesa – Porto, 4202-401 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Grande, Carla" sort="Grande, Carla" uniqKey="Grande C" first="Carla" last="Grande">Carla Grande</name>
<affiliation><nlm:aff id="Aff673">Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mata, M Augusta" sort="Mata, M Augusta" uniqKey="Mata M" first="M Augusta" last="Mata">M Augusta Mata</name>
<affiliation><nlm:aff id="Aff674">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vieitez, Juan G" sort="Vieitez, Juan G" uniqKey="Vieitez J" first="Juan G." last="Vieitez">Juan G. Vieitez</name>
<affiliation><nlm:aff id="Aff675">Universidad de León, 24004 León, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bianchini, Bruna" sort="Bianchini, Bruna" uniqKey="Bianchini B" first="Bruna" last="Bianchini">Bruna Bianchini</name>
<affiliation><nlm:aff id="Aff676">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nazario, Nazare" sort="Nazario, Nazare" uniqKey="Nazario N" first="Nazare" last="Nazario">Nazare Nazario</name>
<affiliation><nlm:aff id="Aff676">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Filho, Joao G" sort="Filho, Joao G" uniqKey="Filho J" first="João G." last="Filho">João G. Filho</name>
<affiliation><nlm:aff id="Aff676">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff676">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Tania" sort="Costa, Tania" uniqKey="Costa T" first="Tânia" last="Costa">Tânia Costa</name>
<affiliation><nlm:aff id="Aff677">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff678">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Armando" sort="Almeida, Armando" uniqKey="Almeida A" first="Armando" last="Almeida">Armando Almeida</name>
<affiliation><nlm:aff id="Aff677">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff678">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baffour, Gabriel" sort="Baffour, Gabriel" uniqKey="Baffour G" first="Gabriel" last="Baffour">Gabriel Baffour</name>
<affiliation><nlm:aff id="Aff677">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff678">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Armando" sort="Almeida, Armando" uniqKey="Almeida A" first="Armando" last="Almeida">Armando Almeida</name>
<affiliation><nlm:aff id="Aff679">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff680">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Tania" sort="Costa, Tania" uniqKey="Costa T" first="Tânia" last="Costa">Tânia Costa</name>
<affiliation><nlm:aff id="Aff679">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff680">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baffour, Gabriel" sort="Baffour, Gabriel" uniqKey="Baffour G" first="Gabriel" last="Baffour">Gabriel Baffour</name>
<affiliation><nlm:aff id="Aff679">Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff680">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Azeredo, Zaida" sort="Azeredo, Zaida" uniqKey="Azeredo Z" first="Zaida" last="Azeredo">Zaida Azeredo</name>
<affiliation><nlm:aff id="Aff681">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Laranjeira, Carlos" sort="Laranjeira, Carlos" uniqKey="Laranjeira C" first="Carlos" last="Laranjeira">Carlos Laranjeira</name>
<affiliation><nlm:aff id="Aff681">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guerra, Magda" sort="Guerra, Magda" uniqKey="Guerra M" first="Magda" last="Guerra">Magda Guerra</name>
<affiliation><nlm:aff id="Aff681">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barbeiro, Ana P" sort="Barbeiro, Ana P" uniqKey="Barbeiro A" first="Ana P." last="Barbeiro">Ana P. Barbeiro</name>
<affiliation><nlm:aff id="Aff681">Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Regina" sort="Ferreira, Regina" uniqKey="Ferreira R" first="Regina" last="Ferreira">Regina Ferreira</name>
<affiliation><nlm:aff id="Aff682">Escola Superior de Saúde, Instituto Politécnico de Santarém, Santarém, 2005-075 Santarém, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Sara" sort="Lopes, Sara" uniqKey="Lopes S" first="Sara" last="Lopes">Sara Lopes</name>
<affiliation><nlm:aff id="Aff683">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Liliana" sort="Nunes, Liliana" uniqKey="Nunes L" first="Liliana" last="Nunes">Liliana Nunes</name>
<affiliation><nlm:aff id="Aff683">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Ana" sort="Mendes, Ana" uniqKey="Mendes A" first="Ana" last="Mendes">Ana Mendes</name>
<affiliation><nlm:aff id="Aff683">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Julian" sort="Martins, Julian" uniqKey="Martins J" first="Julian" last="Martins">Julian Martins</name>
<affiliation><nlm:aff id="Aff684">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schneider, Dulcineia" sort="Schneider, Dulcineia" uniqKey="Schneider D" first="Dulcineia" last="Schneider">Dulcineia Schneider</name>
<affiliation><nlm:aff id="Aff685">Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia" sort="Kretzer, Marcia" uniqKey="Kretzer M" first="Marcia" last="Kretzer">Marcia Kretzer</name>
<affiliation><nlm:aff id="Aff684">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magajewski, Flavio" sort="Magajewski, Flavio" uniqKey="Magajewski F" first="Flávio" last="Magajewski">Flávio Magajewski</name>
<affiliation><nlm:aff id="Aff684">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Celia" sort="Soares, Celia" uniqKey="Soares C" first="Célia" last="Soares">Célia Soares</name>
<affiliation><nlm:aff id="Aff686">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Ant Nio" sort="Marques, Ant Nio" uniqKey="Marques A" first="Ant Nio" last="Marques">Ant Nio Marques</name>
<affiliation><nlm:aff id="Aff686">School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Batista, Marco" sort="Batista, Marco" uniqKey="Batista M" first="Marco" last="Batista">Marco Batista</name>
<affiliation><nlm:aff id="Aff687">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff688">Research in Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castuera, Ruth J" sort="Castuera, Ruth J" uniqKey="Castuera R" first="Ruth J." last="Castuera">Ruth J. Castuera</name>
<affiliation><nlm:aff id="Aff689">Universidad de Extremadura, 10003 Cáceres, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mesquita, Helena" sort="Mesquita, Helena" uniqKey="Mesquita H" first="Helena" last="Mesquita">Helena Mesquita</name>
<affiliation><nlm:aff id="Aff687">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faustino, Ant Nio" sort="Faustino, Ant Nio" uniqKey="Faustino A" first="Ant Nio" last="Faustino">Ant Nio Faustino</name>
<affiliation><nlm:aff id="Aff687">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Jorge" sort="Santos, Jorge" uniqKey="Santos J" first="Jorge" last="Santos">Jorge Santos</name>
<affiliation><nlm:aff id="Aff687">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hon Rio, Samuel" sort="Hon Rio, Samuel" uniqKey="Hon Rio S" first="Samuel" last="Hon Rio">Samuel Hon Rio</name>
<affiliation><nlm:aff id="Aff687">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff688">Research in Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vizzotto, Betina P" sort="Vizzotto, Betina P" uniqKey="Vizzotto B" first="Betina P." last="Vizzotto">Betina P. Vizzotto</name>
<affiliation><nlm:aff id="Aff690">Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul 97010-032 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Frigo, Leticia" sort="Frigo, Leticia" uniqKey="Frigo L" first="Leticia" last="Frigo">Leticia Frigo</name>
<affiliation><nlm:aff id="Aff690">Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul 97010-032 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pivetta, Hedioneia F" sort="Pivetta, Hedioneia F" uniqKey="Pivetta H" first="Hedioneia F." last="Pivetta">Hedioneia F. Pivetta</name>
<affiliation><nlm:aff id="Aff691">Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul 97105-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sardo, Dolores" sort="Sardo, Dolores" uniqKey="Sardo D" first="Dolores" last="Sardo">Dolores Sardo</name>
<affiliation><nlm:aff id="Aff692">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Cristina" sort="Martins, Cristina" uniqKey="Martins C" first="Cristina" last="Martins">Cristina Martins</name>
<affiliation><nlm:aff id="Aff693">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abreu, Wilson" sort="Abreu, Wilson" uniqKey="Abreu W" first="Wilson" last="Abreu">Wilson Abreu</name>
<affiliation><nlm:aff id="Aff694">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, M Ceu" sort="Figueiredo, M Ceu" uniqKey="Figueiredo M" first="M Céu" last="Figueiredo">M Céu Figueiredo</name>
<affiliation><nlm:aff id="Aff694">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Batista, Marco" sort="Batista, Marco" uniqKey="Batista M" first="Marco" last="Batista">Marco Batista</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jimenez Castuera, Ruth" sort="Jimenez Castuera, Ruth" uniqKey="Jimenez Castuera R" first="Ruth" last="Jimenez-Castuera">Ruth Jimenez-Castuera</name>
<affiliation><nlm:aff id="Aff696">Universidad de Extremadura, 10003 Cáceres, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Petrica, Joao" sort="Petrica, Joao" uniqKey="Petrica J" first="João" last="Petrica">João Petrica</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serrano, Joao" sort="Serrano, Joao" uniqKey="Serrano J" first="João" last="Serrano">João Serrano</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hon Rio, Samuel" sort="Hon Rio, Samuel" uniqKey="Hon Rio S" first="Samuel" last="Hon Rio">Samuel Hon Rio</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff695">Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Patricia" sort="Sousa, Patricia" uniqKey="Sousa P" first="Patrícia" last="Sousa">Patrícia Sousa</name>
<affiliation><nlm:aff id="Aff697">Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Rita" sort="Marques, Rita" uniqKey="Marques R" first="Rita" last="Marques">Rita Marques</name>
<affiliation><nlm:aff id="Aff698">Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faustino, Ant Nio" sort="Faustino, Ant Nio" uniqKey="Faustino A" first="Ant Nio" last="Faustino">Ant Nio Faustino</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silveira, Paulo" sort="Silveira, Paulo" uniqKey="Silveira P" first="Paulo" last="Silveira">Paulo Silveira</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serrano, Joao" sort="Serrano, Joao" uniqKey="Serrano J" first="João" last="Serrano">João Serrano</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hon Rio, Samuel" sort="Hon Rio, Samuel" uniqKey="Hon Rio S" first="Samuel" last="Hon Rio">Samuel Hon Rio</name>
<affiliation><nlm:aff id="Aff699">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Catarina" sort="Oliveira, Catarina" uniqKey="Oliveira C" first="Catarina" last="Oliveira">Catarina Oliveira</name>
<affiliation><nlm:aff id="Aff700">Unidade de Transplante Hepático e Pancreático, Centro Hospitalar do Porto, 4099-001 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bastos, Fernanda" sort="Bastos, Fernanda" uniqKey="Bastos F" first="Fernanda" last="Bastos">Fernanda Bastos</name>
<affiliation><nlm:aff id="Aff701">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Ines" sort="Cruz, Ines" uniqKey="Cruz I" first="Inês" last="Cruz">Inês Cruz</name>
<affiliation><nlm:aff id="Aff701">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodriguez, Claudia K" sort="Rodriguez, Claudia K" uniqKey="Rodriguez C" first="Cláudia K." last="Rodriguez">Cláudia K. Rodriguez</name>
<affiliation><nlm:aff id="Aff702">Universidade Estadual Paulista ‘Júlio de Mesquita Filho”, 01049-010 São Paulo, Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kretzer, Marcia R" sort="Kretzer, Marcia R" uniqKey="Kretzer M" first="Márcia R." last="Kretzer">Márcia R. Kretzer</name>
<affiliation><nlm:aff id="Aff703">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nazario, Nazare O" sort="Nazario, Nazare O" uniqKey="Nazario N" first="Nazaré O." last="Nazário">Nazaré O. Nazário</name>
<affiliation><nlm:aff id="Aff703">Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Pedro" sort="Cruz, Pedro" uniqKey="Cruz P" first="Pedro" last="Cruz">Pedro Cruz</name>
<affiliation><nlm:aff id="Aff704">Coimbra Chemistry Centre, Chemistry Department, University of Coimbra, 3004-535 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaz, Daniela C" sort="Vaz, Daniela C" uniqKey="Vaz D" first="Daniela C." last="Vaz">Daniela C. Vaz</name>
<affiliation><nlm:aff id="Aff704">Coimbra Chemistry Centre, Chemistry Department, University of Coimbra, 3004-535 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff705">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ruben, Rui B" sort="Ruben, Rui B" uniqKey="Ruben R" first="Rui B." last="Ruben">Rui B. Ruben</name>
<affiliation><nlm:aff id="Aff706">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Avelelas, Francisco" sort="Avelelas, Francisco" uniqKey="Avelelas F" first="Francisco" last="Avelelas">Francisco Avelelas</name>
<affiliation><nlm:aff id="Aff707">MARE, Instituto Politécnico de Leiria, Peniche, 2520-641 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Susana" sort="Silva, Susana" uniqKey="Silva S" first="Susana" last="Silva">Susana Silva</name>
<affiliation><nlm:aff id="Aff707">MARE, Instituto Politécnico de Leiria, Peniche, 2520-641 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campos, M Jorge" sort="Campos, M Jorge" uniqKey="Campos M" first="M Jorge" last="Campos">M Jorge Campos</name>
<affiliation><nlm:aff id="Aff707">MARE, Instituto Politécnico de Leiria, Peniche, 2520-641 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Maria" sort="Almeida, Maria" uniqKey="Almeida M" first="Maria" last="Almeida">Maria Almeida</name>
<affiliation><nlm:aff id="Aff708">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goncalves, Liliana" sort="Goncalves, Liliana" uniqKey="Goncalves L" first="Liliana" last="Gonçalves">Liliana Gonçalves</name>
<affiliation><nlm:aff id="Aff709">Hospital Arcebispo João Crisóstomo, Cantanhede, 3060 Cantanhede Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Ligia" sort="Antunes, Ligia" uniqKey="Antunes L" first="Lígia" last="Antunes">Lígia Antunes</name>
<affiliation><nlm:aff id="Aff710">Hospital José Luciano de Castro, Anadia, 3780-226 Anadia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sardo, Pedro" sort="Sardo, Pedro" uniqKey="Sardo P" first="Pedro" last="Sardo">Pedro Sardo</name>
<affiliation><nlm:aff id="Aff711">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guedes, Jenifer" sort="Guedes, Jenifer" uniqKey="Guedes J" first="Jenifer" last="Guedes">Jenifer Guedes</name>
<affiliation><nlm:aff id="Aff712">Hospital de Aveiro, Centro Hospitalar do Baixo Vouga E.P.E., Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sim Es, Joao" sort="Sim Es, Joao" uniqKey="Sim Es J" first="João" last="Sim Es">João Sim Es</name>
<affiliation><nlm:aff id="Aff711">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, Paulo" sort="Machado, Paulo" uniqKey="Machado P" first="Paulo" last="Machado">Paulo Machado</name>
<affiliation><nlm:aff id="Aff713">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Elsa" sort="Melo, Elsa" uniqKey="Melo E" first="Elsa" last="Melo">Elsa Melo</name>
<affiliation><nlm:aff id="Aff711">School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Susana" sort="Cardoso, Susana" uniqKey="Cardoso S" first="Susana" last="Cardoso">Susana Cardoso</name>
<affiliation><nlm:aff id="Aff714">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Osvaldo" sort="Santos, Osvaldo" uniqKey="Santos O" first="Osvaldo" last="Santos">Osvaldo Santos</name>
<affiliation><nlm:aff id="Aff715">Instituto de Medicina Preventiva, Faculdade de Medicina de Lisboa, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunes, Carla" sort="Nunes, Carla" uniqKey="Nunes C" first="Carla" last="Nunes">Carla Nunes</name>
<affiliation><nlm:aff id="Aff714">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Loureiro, Isabel" sort="Loureiro, Isabel" uniqKey="Loureiro I" first="Isabel" last="Loureiro">Isabel Loureiro</name>
<affiliation><nlm:aff id="Aff714">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Flavia" sort="Santos, Flavia" uniqKey="Santos F" first="Flávia" last="Santos">Flávia Santos</name>
<affiliation><nlm:aff id="Aff716">Faculty of Health Sciences, University of Beira Interior, Covilhã, 6200-506 Covilhã Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alves, Gilberto" sort="Alves, Gilberto" uniqKey="Alves G" first="Gilberto" last="Alves">Gilberto Alves</name>
<affiliation><nlm:aff id="Aff716">Faculty of Health Sciences, University of Beira Interior, Covilhã, 6200-506 Covilhã Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff717">Health Sciences Research Centre, University of Beira Interior, Covilhã, 6200-506 Covilhã Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff718">Centre for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soar, Claudia" sort="Soar, Claudia" uniqKey="Soar C" first="Cláudia" last="Soar">Cláudia Soar</name>
<affiliation><nlm:aff id="Aff719">Universidade do Vale do Paraíba, São José dos Campos, São Paulo 12244-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marsi, Teresa O" sort="Marsi, Teresa O" uniqKey="Marsi T" first="Teresa O." last="Marsi">Teresa O. Marsi</name>
<affiliation><nlm:aff id="Aff719">Universidade do Vale do Paraíba, São José dos Campos, São Paulo 12244-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Ernestina" sort="Silva, Ernestina" uniqKey="Silva E" first="Ernestina" last="Silva">Ernestina Silva</name>
<affiliation><nlm:aff id="Aff720">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedrosa, Dora" sort="Pedrosa, Dora" uniqKey="Pedrosa D" first="Dora" last="Pedrosa">Dora Pedrosa</name>
<affiliation><nlm:aff id="Aff721">Maternidade Daniel de Matos, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leca, Andrea" sort="Leca, Andrea" uniqKey="Leca A" first="Andrea" last="Leça">Andrea Leça</name>
<affiliation><nlm:aff id="Aff722">Hospital Dr. Nélio Mendonça, Região Autónoma da Madeira, Funchal, 9004-514 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Daniel" sort="Silva, Daniel" uniqKey="Silva D" first="Daniel" last="Silva">Daniel Silva</name>
<affiliation><nlm:aff id="Aff720">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galvao, Ana" sort="Galvao, Ana" uniqKey="Galvao A" first="Ana" last="Galvão">Ana Galvão</name>
<affiliation><nlm:aff id="Aff723">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Maria" sort="Gomes, Maria" uniqKey="Gomes M" first="Maria" last="Gomes">Maria Gomes</name>
<affiliation><nlm:aff id="Aff723">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Paula" sort="Fernandes, Paula" uniqKey="Fernandes P" first="Paula" last="Fernandes">Paula Fernandes</name>
<affiliation><nlm:aff id="Aff724">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="None, Ana" sort="None, Ana" uniqKey="None A" first="Ana" last="Noné">Ana Noné</name>
<affiliation><nlm:aff id="Aff723">Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Combadao, Jaime" sort="Combadao, Jaime" uniqKey="Combadao J" first="Jaime" last="Combadão">Jaime Combadão</name>
<affiliation><nlm:aff id="Aff725">Universidade New Atlântica, 2745-615 Barcarena, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ramalhete, Catia" sort="Ramalhete, Catia" uniqKey="Ramalhete C" first="Cátia" last="Ramalhete">Cátia Ramalhete</name>
<affiliation><nlm:aff id="Aff725">Universidade New Atlântica, 2745-615 Barcarena, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Figueiredo, Paulo" sort="Figueiredo, Paulo" uniqKey="Figueiredo P" first="Paulo" last="Figueiredo">Paulo Figueiredo</name>
<affiliation><nlm:aff id="Aff725">Universidade New Atlântica, 2745-615 Barcarena, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caeiro, Patricia" sort="Caeiro, Patricia" uniqKey="Caeiro P" first="Patrícia" last="Caeiro">Patrícia Caeiro</name>
<affiliation><nlm:aff id="Aff725">Universidade New Atlântica, 2745-615 Barcarena, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fontana, Karine C" sort="Fontana, Karine C" uniqKey="Fontana K" first="Karine C." last="Fontana">Karine C. Fontana</name>
<affiliation><nlm:aff id="Aff726">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lacerda, Josimari T" sort="Lacerda, Josimari T" uniqKey="Lacerda J" first="Josimari T." last="Lacerda">Josimari T. Lacerda</name>
<affiliation><nlm:aff id="Aff726">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, Patricia O" sort="Machado, Patricia O" uniqKey="Machado P" first="Patrícia O." last="Machado">Patrícia O. Machado</name>
<affiliation><nlm:aff id="Aff726">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Borges, Raphaelle" sort="Borges, Raphaelle" uniqKey="Borges R" first="Raphaelle" last="Borges">Raphaelle Borges</name>
<affiliation><nlm:aff id="Aff727">Universidade Federal do Amapá, Macapá, Amapá 68903-419 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barbosa, Flavio" sort="Barbosa, Flavio" uniqKey="Barbosa F" first="Flávio" last="Barbosa">Flávio Barbosa</name>
<affiliation><nlm:aff id="Aff728">Universidade Federal do Sergipe, São Cristóvão, Sergipe 49100-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sa, Dayse" sort="Sa, Dayse" uniqKey="Sa D" first="Dayse" last="Sá">Dayse Sá</name>
<affiliation><nlm:aff id="Aff727">Universidade Federal do Amapá, Macapá, Amapá 68903-419 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brunhoso, Germana" sort="Brunhoso, Germana" uniqKey="Brunhoso G" first="Germana" last="Brunhoso">Germana Brunhoso</name>
<affiliation><nlm:aff id="Aff729">Centro Hospitalar de Trás –os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aparicio, Graca" sort="Aparicio, Graca" uniqKey="Aparicio G" first="Graça" last="Aparício">Graça Aparício</name>
<affiliation><nlm:aff id="Aff730">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Amancio" sort="Carvalho, Amancio" uniqKey="Carvalho A" first="Amâncio" last="Carvalho">Amâncio Carvalho</name>
<affiliation><nlm:aff id="Aff731">Escola Superior de Enfermagem de Vila Real, Universidade de Trás –os-Montes e Alto Douro, Vila Real, 5000-232 Lordelo Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garcia, Ana P" sort="Garcia, Ana P" uniqKey="Garcia A" first="Ana P." last="Garcia">Ana P. Garcia</name>
<affiliation><nlm:aff id="Aff732">Health Sciences Research Centre, Faculty of Health Sciences, University of Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Paula O" sort="Fernandes, Paula O" uniqKey="Fernandes P" first="Paula O." last="Fernandes">Paula O. Fernandes</name>
<affiliation><nlm:aff id="Aff733">Unidade de Investigação Aplicada em Gestão, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff734">Research Unit in Business Sciences, University of Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Adriana" sort="Santos, Adriana" uniqKey="Santos A" first="Adriana" last="Santos">Adriana Santos</name>
<affiliation><nlm:aff id="Aff732">Health Sciences Research Centre, Faculty of Health Sciences, University of Beira Interior, Covilhã, 6201-001 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veiga, Nelio" sort="Veiga, Nelio" uniqKey="Veiga N" first="Nélio" last="Veiga">Nélio Veiga</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff736">Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bras, Carina" sort="Bras, Carina" uniqKey="Bras C" first="Carina" last="Brás">Carina Brás</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Ines" sort="Carvalho, Ines" uniqKey="Carvalho I" first="Inês" last="Carvalho">Inês Carvalho</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Batalha, Joana" sort="Batalha, Joana" uniqKey="Batalha J" first="Joana" last="Batalha">Joana Batalha</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gl Ria, Margarida" sort="Gl Ria, Margarida" uniqKey="Gl Ria M" first="Margarida" last="Gl Ria">Margarida Gl Ria</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bexiga, Filipa" sort="Bexiga, Filipa" uniqKey="Bexiga F" first="Filipa" last="Bexiga">Filipa Bexiga</name>
<affiliation><nlm:aff id="Aff735">Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff736">Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coelho, Ines" sort="Coelho, Ines" uniqKey="Coelho I" first="Inês" last="Coelho">Inês Coelho</name>
<affiliation><nlm:aff id="Aff737">Unidade de Saúde Familiar Grão Vasco, Viseu, 3500-177 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Odete" sort="Amaral, Odete" uniqKey="Amaral O" first="Odete" last="Amaral">Odete Amaral</name>
<affiliation><nlm:aff id="Aff738">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Carlos" sort="Pereira, Carlos" uniqKey="Pereira C" first="Carlos" last="Pereira">Carlos Pereira</name>
<affiliation><nlm:aff id="Aff738">Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Claudia" sort="Pinho, Claudia" uniqKey="Pinho C" first="Cláudia" last="Pinho">Cláudia Pinho</name>
<affiliation><nlm:aff id="Aff739">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paraiso, Nilson" sort="Paraiso, Nilson" uniqKey="Paraiso N" first="Nilson" last="Paraíso">Nilson Paraíso</name>
<affiliation><nlm:aff id="Aff740">Universidade Federal da Bahia, Salvador da Bahia, 0170-115 Brazil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana I" sort="Oliveira, Ana I" uniqKey="Oliveira A" first="Ana I." last="Oliveira">Ana I. Oliveira</name>
<affiliation><nlm:aff id="Aff739">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lima, Crist Vao F" sort="Lima, Crist Vao F" uniqKey="Lima C" first="Crist Vão F." last="Lima">Crist Vão F. Lima</name>
<affiliation><nlm:aff id="Aff741">Centro de Investigação e de Tecnologias Agro-Ambientais e Biológicas, Universidade de Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal & Universidade do Minho, 4704-553 Braga, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Alberto P" sort="Dias, Alberto P" uniqKey="Dias A" first="Alberto P." last="Dias">Alberto P. Dias</name>
<affiliation><nlm:aff id="Aff741">Centro de Investigação e de Tecnologias Agro-Ambientais e Biológicas, Universidade de Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal & Universidade do Minho, 4704-553 Braga, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Pedro" sort="Silva, Pedro" uniqKey="Silva P" first="Pedro" last="Silva">Pedro Silva</name>
<affiliation><nlm:aff id="Aff742">Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff743">Associação de Melhoramentos Pró Outeiro, Oliveira de Azeméis, 3720-514 Santiago de Riba-Ul Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Espada, Mario" sort="Espada, Mario" uniqKey="Espada M" first="Mário" last="Espada">Mário Espada</name>
<affiliation><nlm:aff id="Aff744">School of Education, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff745">Centro Interdisciplinar da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Cruz Quebrada, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Mario" sort="Marques, Mario" uniqKey="Marques M" first="Mário" last="Marques">Mário Marques</name>
<affiliation><nlm:aff id="Aff742">Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff746">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana" sort="Pereira, Ana" uniqKey="Pereira A" first="Ana" last="Pereira">Ana Pereira</name>
<affiliation><nlm:aff id="Aff742">Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff746">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana M" sort="Pereira, Ana M" uniqKey="Pereira A" first="Ana M" last="Pereira">Ana M Pereira</name>
<affiliation><nlm:aff id="Aff747">Escola Superior de Saúde de Bragança, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Veiga Branco, M" sort="Veiga Branco, M" uniqKey="Veiga Branco M" first="M" last="Veiga-Branco">M Veiga-Branco</name>
<affiliation><nlm:aff id="Aff747">Escola Superior de Saúde de Bragança, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Filomena" sort="Pereira, Filomena" uniqKey="Pereira F" first="Filomena" last="Pereira">Filomena Pereira</name>
<affiliation><nlm:aff id="Aff748">Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Maria" sort="Ribeiro, Maria" uniqKey="Ribeiro M" first="Maria" last="Ribeiro">Maria Ribeiro</name>
<affiliation><nlm:aff id="Aff747">Escola Superior de Saúde de Bragança, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lima, Vera" sort="Lima, Vera" uniqKey="Lima V" first="Vera" last="Lima">Vera Lima</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana I" sort="Oliveira, Ana I" uniqKey="Oliveira A" first="Ana I." last="Oliveira">Ana I. Oliveira</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff750">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Claudia" sort="Pinho, Claudia" uniqKey="Pinho C" first="Cláudia" last="Pinho">Cláudia Pinho</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff750">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Graca" sort="Cruz, Graca" uniqKey="Cruz G" first="Graça" last="Cruz">Graça Cruz</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Rita F" sort="Oliveira, Rita F" uniqKey="Oliveira R" first="Rita F." last="Oliveira">Rita F. Oliveira</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff750">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff751">Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barreiros, Luisa" sort="Barreiros, Luisa" uniqKey="Barreiros L" first="Luísa" last="Barreiros">Luísa Barreiros</name>
<affiliation><nlm:aff id="Aff752">UCBIO-REQUIMTE Rede de Química e Tecnologia, 4051-401 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff753">Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Porto, 4050-313 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff749">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff754">Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, Porto, 4200-319 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff755">Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Camarneiro, Ana" sort="Camarneiro, Ana" uniqKey="Camarneiro A" first="Ana" last="Camarneiro">Ana Camarneiro</name>
<affiliation><nlm:aff id="Aff756">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Loureiro, M Helena" sort="Loureiro, M Helena" uniqKey="Loureiro M" first="M Helena" last="Loureiro">M Helena Loureiro</name>
<affiliation><nlm:aff id="Aff757">University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Margarida" sort="Silva, Margarida" uniqKey="Silva M" first="Margarida" last="Silva">Margarida Silva</name>
<affiliation><nlm:aff id="Aff756">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Catarina" sort="Duarte, Catarina" uniqKey="Duarte C" first="Catarina" last="Duarte">Catarina Duarte</name>
<affiliation><nlm:aff id="Aff758">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Angelo" sort="Jesus, Angelo" uniqKey="Jesus A" first="Ângelo" last="Jesus">Ângelo Jesus</name>
<affiliation><nlm:aff id="Aff758">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff758">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mota, Maria" sort="Mota, Maria" uniqKey="Mota M" first="Maria" last="Mota">Maria Mota</name>
<affiliation><nlm:aff id="Aff759">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Novais, Sandra" sort="Novais, Sandra" uniqKey="Novais S" first="Sandra" last="Novais">Sandra Novais</name>
<affiliation><nlm:aff id="Aff760">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nogueira, Paulo" sort="Nogueira, Paulo" uniqKey="Nogueira P" first="Paulo" last="Nogueira">Paulo Nogueira</name>
<affiliation><nlm:aff id="Aff760">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Ana" sort="Pereira, Ana" uniqKey="Pereira A" first="Ana" last="Pereira">Ana Pereira</name>
<affiliation><nlm:aff id="Aff759">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff761">Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carneiro, Lara" sort="Carneiro, Lara" uniqKey="Carneiro L" first="Lara" last="Carneiro">Lara Carneiro</name>
<affiliation><nlm:aff id="Aff760">Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Joao, Paulo V" sort="Joao, Paulo V" uniqKey="Joao P" first="Paulo V." last="João">Paulo V. João</name>
<affiliation><nlm:aff id="Aff759">Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lima, Teresa Maneca" sort="Lima, Teresa Maneca" uniqKey="Lima T" first="Teresa Maneca" last="Lima">Teresa Maneca Lima</name>
<affiliation><nlm:aff id="Aff762">Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Salgueiro Oliveira, Anabela" sort="Salgueiro Oliveira, Anabela" uniqKey="Salgueiro Oliveira A" first="Anabela" last="Salgueiro-Oliveira">Anabela Salgueiro-Oliveira</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaquinhas, Marina" sort="Vaquinhas, Marina" uniqKey="Vaquinhas M" first="Marina" last="Vaquinhas">Marina Vaquinhas</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Rosa" sort="Melo, Rosa" uniqKey="Melo R" first="Rosa" last="Melo">Rosa Melo</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graveto, Joao" sort="Graveto, Joao" uniqKey="Graveto J" first="João" last="Graveto">João Graveto</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castilho, Amelia" sort="Castilho, Amelia" uniqKey="Castilho A" first="Amélia" last="Castilho">Amélia Castilho</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Jose H" sort="Gomes, Jose H" uniqKey="Gomes J" first="José H." last="Gomes">José H. Gomes</name>
<affiliation><nlm:aff id="Aff763">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Medina, Maria S" sort="Medina, Maria S" uniqKey="Medina M" first="María S." last="Medina">María S. Medina</name>
<affiliation><nlm:aff id="Aff764">GyM Prevención, Burgos, 09007 Burgos, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Blanco, Valeriana G" sort="Blanco, Valeriana G" uniqKey="Blanco V" first="Valeriana G." last="Blanco">Valeriana G. Blanco</name>
<affiliation><nlm:aff id="Aff765">Universidad de Burgos, 09001 Burgos, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Osvaldo" sort="Santos, Osvaldo" uniqKey="Santos O" first="Osvaldo" last="Santos">Osvaldo Santos</name>
<affiliation><nlm:aff id="Aff766">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff767">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Elisa" sort="Lopes, Elisa" uniqKey="Lopes E" first="Elisa" last="Lopes">Elisa Lopes</name>
<affiliation><nlm:aff id="Aff766">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff767">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Virgolino, Ana" sort="Virgolino, Ana" uniqKey="Virgolino A" first="Ana" last="Virgolino">Ana Virgolino</name>
<affiliation><nlm:aff id="Aff766">Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff767">Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dinis, Alexandra" sort="Dinis, Alexandra" uniqKey="Dinis A" first="Alexandra" last="Dinis">Alexandra Dinis</name>
<affiliation><nlm:aff id="Aff768">Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ambr Sio, Sara" sort="Ambr Sio, Sara" uniqKey="Ambr Sio S" first="Sara" last="Ambr Sio">Sara Ambr Sio</name>
<affiliation><nlm:aff id="Aff768">Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Ines" sort="Almeida, Ines" uniqKey="Almeida I" first="Inês" last="Almeida">Inês Almeida</name>
<affiliation><nlm:aff id="Aff768">Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marques, Tatiana" sort="Marques, Tatiana" uniqKey="Marques T" first="Tatiana" last="Marques">Tatiana Marques</name>
<affiliation><nlm:aff id="Aff768">Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Heitor, M Joao" sort="Heitor, M Joao" uniqKey="Heitor M" first="M João" last="Heitor">M João Heitor</name>
<affiliation><nlm:aff id="Aff768">Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff769">Hospital Beatriz Ângelo, Loures, 2674-514 Loures Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Garcia Gordillo, Miguel A" sort="Garcia Gordillo, Miguel A" uniqKey="Garcia Gordillo M" first="Miguel A." last="Garcia-Gordillo">Miguel A. Garcia-Gordillo</name>
<affiliation><nlm:aff id="Aff770">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Collado Mateo, Daniel" sort="Collado Mateo, Daniel" uniqKey="Collado Mateo D" first="Daniel" last="Collado-Mateo">Daniel Collado-Mateo</name>
<affiliation><nlm:aff id="Aff770">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Olivares, Pedro R" sort="Olivares, Pedro R" uniqKey="Olivares P" first="Pedro R." last="Olivares">Pedro R. Olivares</name>
<affiliation><nlm:aff id="Aff771">Universidad Autonoma de Chile, Talca, 1670 Talca Chile</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parraca, Jose A" sort="Parraca, Jose A" uniqKey="Parraca J" first="José A." last="Parraça">José A. Parraça</name>
<affiliation><nlm:aff id="Aff772">Universidade de Évora, 7004-516 Évora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sala, Jose A" sort="Sala, Jose A" uniqKey="Sala J" first="José A." last="Sala">José A. Sala</name>
<affiliation><nlm:aff id="Aff770">University of Extremadura, Badajoz, 06071 Badajoz España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Castilho, Amelia" sort="Castilho, Amelia" uniqKey="Castilho A" first="Amélia" last="Castilho">Amélia Castilho</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Graveto, Joao" sort="Graveto, Joao" uniqKey="Graveto J" first="João" last="Graveto">João Graveto</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro" sort="Parreira, Pedro" uniqKey="Parreira P" first="Pedro" last="Parreira">Pedro Parreira</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Anabela" sort="Oliveira, Anabela" uniqKey="Oliveira A" first="Anabela" last="Oliveira">Anabela Oliveira</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gomes, Jose H" sort="Gomes, Jose H" uniqKey="Gomes J" first="José H." last="Gomes">José H. Gomes</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melo, Rosa" sort="Melo, Rosa" uniqKey="Melo R" first="Rosa" last="Melo">Rosa Melo</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vaquinhas, Marina" sort="Vaquinhas, Marina" uniqKey="Vaquinhas M" first="Marina" last="Vaquinhas">Marina Vaquinhas</name>
<affiliation><nlm:aff id="Aff773">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cheio, M Nica" sort="Cheio, M Nica" uniqKey="Cheio M" first="M Nica" last="Cheio">M Nica Cheio</name>
<affiliation><nlm:aff id="Aff774">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff774">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Olivia R" sort="Pereira, Olivia R" uniqKey="Pereira O" first="Olívia R." last="Pereira">Olívia R. Pereira</name>
<affiliation><nlm:aff id="Aff775">Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Sara" sort="Pinto, Sara" uniqKey="Pinto S" first="Sara" last="Pinto">Sara Pinto</name>
<affiliation><nlm:aff id="Aff776">Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Adriana" sort="Oliveira, Adriana" uniqKey="Oliveira A" first="Adriana" last="Oliveira">Adriana Oliveira</name>
<affiliation><nlm:aff id="Aff776">Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Manso, M Conceicao" sort="Manso, M Conceicao" uniqKey="Manso M" first="M. Conceição" last="Manso">M. Conceição Manso</name>
<affiliation><nlm:aff id="Aff776">Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff777">REQUIMTE/LAQV, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Carla" sort="Sousa, Carla" uniqKey="Sousa C" first="Carla" last="Sousa">Carla Sousa</name>
<affiliation><nlm:aff id="Aff776">Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vinha, Ana F" sort="Vinha, Ana F" uniqKey="Vinha A" first="Ana F." last="Vinha">Ana F. Vinha</name>
<affiliation><nlm:aff id="Aff776">Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff777">REQUIMTE/LAQV, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, 4050-313 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machado, M Manuela" sort="Machado, M Manuela" uniqKey="Machado M" first="M Manuela" last="Machado">M Manuela Machado</name>
<affiliation><nlm:aff id="Aff778">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vieira, Margarida" sort="Vieira, Margarida" uniqKey="Vieira M" first="Margarida" last="Vieira">Margarida Vieira</name>
<affiliation><nlm:aff id="Aff779">Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Beatriz" sort="Fernandes, Beatriz" uniqKey="Fernandes B" first="Beatriz" last="Fernandes">Beatriz Fernandes</name>
<affiliation><nlm:aff id="Aff780">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Teresa" sort="Tomas, Teresa" uniqKey="Tomas T" first="Teresa" last="Tomás">Teresa Tomás</name>
<affiliation><nlm:aff id="Aff780">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Quirino, Diogo" sort="Quirino, Diogo" uniqKey="Quirino D" first="Diogo" last="Quirino">Diogo Quirino</name>
<affiliation><nlm:aff id="Aff780">Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Desouzart, Gustavo" sort="Desouzart, Gustavo" uniqKey="Desouzart G" first="Gustavo" last="Desouzart">Gustavo Desouzart</name>
<affiliation><nlm:aff id="Aff781">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Matos, Rui" sort="Matos, Rui" uniqKey="Matos R" first="Rui" last="Matos">Rui Matos</name>
<affiliation><nlm:aff id="Aff782">Life Quality Research Centre, Polytechnic Institute of Santarém, 2001-904 Santarém, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff783">Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bordini, Magali" sort="Bordini, Magali" uniqKey="Bordini M" first="Magali" last="Bordini">Magali Bordini</name>
<affiliation><nlm:aff id="Aff781">School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mouroco, Pedro" sort="Mouroco, Pedro" uniqKey="Mouroco P" first="Pedro" last="Mouroço">Pedro Mouroço</name>
<affiliation><nlm:aff id="Aff784">Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Matos, Ana R" sort="Matos, Ana R" uniqKey="Matos A" first="Ana R." last="Matos">Ana R. Matos</name>
<affiliation><nlm:aff id="Aff785">Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Serapioni, Mauro" sort="Serapioni, Mauro" uniqKey="Serapioni M" first="Mauro" last="Serapioni">Mauro Serapioni</name>
<affiliation><nlm:aff id="Aff785">Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guimaraes, Teresa" sort="Guimaraes, Teresa" uniqKey="Guimaraes T" first="Teresa" last="Guimarães">Teresa Guimarães</name>
<affiliation><nlm:aff id="Aff786">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fonseca, Virginia" sort="Fonseca, Virginia" uniqKey="Fonseca V" first="Virgínia" last="Fonseca">Virgínia Fonseca</name>
<affiliation><nlm:aff id="Aff786">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Andre" sort="Costa, Andre" uniqKey="Costa A" first="André" last="Costa">André Costa</name>
<affiliation><nlm:aff id="Aff786">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Joao" sort="Ribeiro, Joao" uniqKey="Ribeiro J" first="João" last="Ribeiro">João Ribeiro</name>
<affiliation><nlm:aff id="Aff786">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lobato, Joao" sort="Lobato, Joao" uniqKey="Lobato J" first="João" last="Lobato">João Lobato</name>
<affiliation><nlm:aff id="Aff786">Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martin, Inmaculada Z" sort="Martin, Inmaculada Z" uniqKey="Martin I" first="Inmaculada Z." last="Martin">Inmaculada Z. Martin</name>
<affiliation><nlm:aff id="Aff787">Jönköping University Foundation, 551 11 Jönköping, Sweden</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bjorklund, Anita" sort="Bjorklund, Anita" uniqKey="Bjorklund A" first="Anita" last="Björklund">Anita Björklund</name>
<affiliation><nlm:aff id="Aff787">Jönköping University Foundation, 551 11 Jönköping, Sweden</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Aida I" sort="Tavares, Aida I" uniqKey="Tavares A" first="Aida I." last="Tavares">Aida I. Tavares</name>
<affiliation><nlm:aff id="Aff788">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Pedro" sort="Ferreira, Pedro" uniqKey="Ferreira P" first="Pedro" last="Ferreira">Pedro Ferreira</name>
<affiliation><nlm:aff id="Aff788">Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff789">Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Passadouro, Rui" sort="Passadouro, Rui" uniqKey="Passadouro R" first="Rui" last="Passadouro">Rui Passadouro</name>
<affiliation><nlm:aff id="Aff790">ACES Pinhal Litoral, ARS Centro, Coimbra, 3001-553 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morgado, S Nia" sort="Morgado, S Nia" uniqKey="Morgado S" first="S Nia" last="Morgado">S Nia Morgado</name>
<affiliation><nlm:aff id="Aff791">Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff792">Instituto Superior de Ciências Policiais e Segurança Interna, 1349-040 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tavares, Nuno" sort="Tavares, Nuno" uniqKey="Tavares N" first="Nuno" last="Tavares">Nuno Tavares</name>
<affiliation><nlm:aff id="Aff793">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valente, Joao" sort="Valente, Joao" uniqKey="Valente J" first="João" last="Valente">João Valente</name>
<affiliation><nlm:aff id="Aff793">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff793">Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Patricia" sort="Araujo, Patricia" uniqKey="Araujo P" first="Patrícia" last="Araújo">Patrícia Araújo</name>
<affiliation><nlm:aff id="Aff794">Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Rosina" sort="Fernandes, Rosina" uniqKey="Fernandes R" first="Rosina" last="Fernandes">Rosina Fernandes</name>
<affiliation><nlm:aff id="Aff795">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Francisco" sort="Mendes, Francisco" uniqKey="Mendes F" first="Francisco" last="Mendes">Francisco Mendes</name>
<affiliation><nlm:aff id="Aff795">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magalhaes, Catia" sort="Magalhaes, Catia" uniqKey="Magalhaes C" first="Cátia" last="Magalhães">Cátia Magalhães</name>
<affiliation><nlm:aff id="Aff795">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Emilia" sort="Martins, Emilia" uniqKey="Martins E" first="Emília" last="Martins">Emília Martins</name>
<affiliation><nlm:aff id="Aff795">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Pedro" sort="Mendes, Pedro" uniqKey="Mendes P" first="Pedro" last="Mendes">Pedro Mendes</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paulo, Rui" sort="Paulo, Rui" uniqKey="Paulo R" first="Rui" last="Paulo">Rui Paulo</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff797">Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faustino, Ant Nio" sort="Faustino, Ant Nio" uniqKey="Faustino A" first="Ant Nio" last="Faustino">Ant Nio Faustino</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mesquita, Helena" sort="Mesquita, Helena" uniqKey="Mesquita H" first="Helena" last="Mesquita">Helena Mesquita</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hon Rio, Samuel" sort="Hon Rio, Samuel" uniqKey="Hon Rio S" first="Samuel" last="Hon Rio">Samuel Hon Rio</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff797">Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Batista, Marco" sort="Batista, Marco" uniqKey="Batista M" first="Marco" last="Batista">Marco Batista</name>
<affiliation><nlm:aff id="Aff796">Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff797">Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lacerda, Josimari T" sort="Lacerda, Josimari T" uniqKey="Lacerda J" first="Josimari T." last="Lacerda">Josimari T. Lacerda</name>
<affiliation><nlm:aff id="Aff798">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ortiga, Angela B" sort="Ortiga, Angela B" uniqKey="Ortiga A" first="Angela B." last="Ortiga">Angela B. Ortiga</name>
<affiliation><nlm:aff id="Aff799">Secretaria de estado da saúde de Santa Catarina, Florianópolis, Santa Catarina 88015-130 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Calvo, M Cristina" sort="Calvo, M Cristina" uniqKey="Calvo M" first="M Cristina" last="Calvo">M Cristina Calvo</name>
<affiliation><nlm:aff id="Aff798">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Natal, Sonia" sort="Natal, Sonia" uniqKey="Natal S" first="Sônia" last="Natal">Sônia Natal</name>
<affiliation><nlm:aff id="Aff798">Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Marta" sort="Pereira, Marta" uniqKey="Pereira M" first="Marta" last="Pereira">Marta Pereira</name>
<affiliation><nlm:aff id="Aff800">Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Manuela" sort="Ferreira, Manuela" uniqKey="Ferreira M" first="Manuela" last="Ferreira">Manuela Ferreira</name>
<affiliation><nlm:aff id="Aff801">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Prata, Ana R" sort="Prata, Ana R" uniqKey="Prata A" first="Ana R." last="Prata">Ana R. Prata</name>
<affiliation><nlm:aff id="Aff802">Hospital Pêro da Covilhã, Centro Hospitalar Cova da Beira EPE, 6200-251 Covilhã, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nelas, Paula" sort="Nelas, Paula" uniqKey="Nelas P" first="Paula" last="Nelas">Paula Nelas</name>
<affiliation><nlm:aff id="Aff801">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Joao" sort="Duarte, Joao" uniqKey="Duarte J" first="João" last="Duarte">João Duarte</name>
<affiliation><nlm:aff id="Aff801">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carneiro, Juliana" sort="Carneiro, Juliana" uniqKey="Carneiro J" first="Juliana" last="Carneiro">Juliana Carneiro</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana I" sort="Oliveira, Ana I" uniqKey="Oliveira A" first="Ana I." last="Oliveira">Ana I. Oliveira</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff804">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinho, Claudia" sort="Pinho, Claudia" uniqKey="Pinho C" first="Cláudia" last="Pinho">Cláudia Pinho</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff804">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Couto, Cristina" sort="Couto, Cristina" uniqKey="Couto C" first="Cristina" last="Couto">Cristina Couto</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff805">Serviços farmacêuticos, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, EPE, 4454 509 Senhora da Hora, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Rita F" sort="Oliveira, Rita F" uniqKey="Oliveira R" first="Rita F." last="Oliveira">Rita F. Oliveira</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff804">Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Fernando" sort="Moreira, Fernando" uniqKey="Moreira F" first="Fernando" last="Moreira">Fernando Moreira</name>
<affiliation><nlm:aff id="Aff803">Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff806">Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff807">Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maia, Ana S" sort="Maia, Ana S" uniqKey="Maia A" first="Ana S." last="Maia">Ana S. Maia</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Michelle T" sort="Oliveira, Michelle T" uniqKey="Oliveira M" first="Michelle T." last="Oliveira">Michelle T. Oliveira</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Anderson R" sort="Sousa, Anderson R" uniqKey="Sousa A" first="Anderson R." last="Sousa">Anderson R. Sousa</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Paulo P" sort="Ferreira, Paulo P" uniqKey="Ferreira P" first="Paulo P." last="Ferreira">Paulo P. Ferreira</name>
<affiliation><nlm:aff id="Aff809">Secretaria de Saúde do Estado da Bahia, Salvador, Bahia, 41745-900 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Souza, Gessica M" sort="Souza, Gessica M" uniqKey="Souza G" first="Géssica M." last="Souza">Géssica M. Souza</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almada, Livia F" sort="Almada, Livia F" uniqKey="Almada L" first="Lívia F." last="Almada">Lívia F. Almada</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Conceicao, Milena A" sort="Conceicao, Milena A" uniqKey="Conceicao M" first="Milena A." last="Conceição">Milena A. Conceição</name>
<affiliation><nlm:aff id="Aff808">Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santiago, Eujcely C" sort="Santiago, Eujcely C" uniqKey="Santiago E" first="Eujcely C." last="Santiago">Eujcely C. Santiago</name>
<affiliation><nlm:aff id="Aff810">Hospital Estadual da Criança, Vila Valqueire, Rio de Janeiro Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Sandra" sort="Rodrigues, Sandra" uniqKey="Rodrigues S" first="Sandra" last="Rodrigues">Sandra Rodrigues</name>
<affiliation><nlm:aff id="Aff811">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Domingues, Gabriela" sort="Domingues, Gabriela" uniqKey="Domingues G" first="Gabriela" last="Domingues">Gabriela Domingues</name>
<affiliation><nlm:aff id="Aff811">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Irina" sort="Ferreira, Irina" uniqKey="Ferreira I" first="Irina" last="Ferreira">Irina Ferreira</name>
<affiliation><nlm:aff id="Aff811">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faria, Luis" sort="Faria, Luis" uniqKey="Faria L" first="Luís" last="Faria">Luís Faria</name>
<affiliation><nlm:aff id="Aff811">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seixas, Aderito" sort="Seixas, Aderito" uniqKey="Seixas A" first="Adérito" last="Seixas">Adérito Seixas</name>
<affiliation><nlm:aff id="Aff811">Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Costa, Ana R" sort="Costa, Ana R" uniqKey="Costa A" first="Ana R." last="Costa">Ana R. Costa</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Angelo" sort="Jesus, Angelo" uniqKey="Jesus A" first="Ângelo" last="Jesus">Ângelo Jesus</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cardoso, Americo" sort="Cardoso, Americo" uniqKey="Cardoso A" first="Américo" last="Cardoso">Américo Cardoso</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff813">Instituto Português de Oncologia do Porto FG, EPE, Porto, 4200-072 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meireles, Alexandra" sort="Meireles, Alexandra" uniqKey="Meireles A" first="Alexandra" last="Meireles">Alexandra Meireles</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff814">Centro Hospitalar do Porto, Porto, 4099-001 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Colaco, Armanda" sort="Colaco, Armanda" uniqKey="Colaco A" first="Armanda" last="Colaço">Armanda Colaço</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff815">Centro Hospitalar São João, Porto, 4200-319 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cruz, Agostinho" sort="Cruz, Agostinho" uniqKey="Cruz A" first="Agostinho" last="Cruz">Agostinho Cruz</name>
<affiliation><nlm:aff id="Aff812">Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vieira, Viviane L" sort="Vieira, Viviane L" uniqKey="Vieira V" first="Viviane L." last="Vieira">Viviane L. Vieira</name>
<affiliation><nlm:aff id="Aff816">Universidade de São Paulo, São Paulo, 05403-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vincha, Kellem R" sort="Vincha, Kellem R" uniqKey="Vincha K" first="Kellem R." last="Vincha">Kellem R. Vincha</name>
<affiliation><nlm:aff id="Aff816">Universidade de São Paulo, São Paulo, 05403-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cervato Mancuso, Ana M" sort="Cervato Mancuso, Ana M" uniqKey="Cervato Mancuso A" first="Ana M" last="Cervato-Mancuso">Ana M Cervato-Mancuso</name>
<affiliation><nlm:aff id="Aff816">Universidade de São Paulo, São Paulo, 05403-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Faria, Melissa" sort="Faria, Melissa" uniqKey="Faria M" first="Melissa" last="Faria">Melissa Faria</name>
<affiliation><nlm:aff id="Aff817">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Claudia" sort="Reis, Claudia" uniqKey="Reis C" first="Cláudia" last="Reis">Cláudia Reis</name>
<affiliation><nlm:aff id="Aff817">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cova, Marco P" sort="Cova, Marco P" uniqKey="Cova M" first="Marco P." last="Cova">Marco P. Cova</name>
<affiliation><nlm:aff id="Aff818">VOID – Software Development, 2415-767 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ascenso, Rita T" sort="Ascenso, Rita T" uniqKey="Ascenso R" first="Rita T." last="Ascenso">Rita T. Ascenso</name>
<affiliation><nlm:aff id="Aff819">Centre for Research in Informatics and Communications, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff820">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Henrique A" sort="Almeida, Henrique A" uniqKey="Almeida H" first="Henrique A." last="Almeida">Henrique A. Almeida</name>
<affiliation><nlm:aff id="Aff820">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Eunice G" sort="Oliveira, Eunice G" uniqKey="Oliveira E" first="Eunice G." last="Oliveira">Eunice G. Oliveira</name>
<affiliation><nlm:aff id="Aff820">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff821">Instituto de Engenharia de Sistemas e Computadores de Coimbra, 3000-033 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santana, Miguel" sort="Santana, Miguel" uniqKey="Santana M" first="Miguel" last="Santana">Miguel Santana</name>
<affiliation><nlm:aff id="Aff822">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Rafael" sort="Pereira, Rafael" uniqKey="Pereira R" first="Rafael" last="Pereira">Rafael Pereira</name>
<affiliation><nlm:aff id="Aff822">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Eunice G" sort="Oliveira, Eunice G" uniqKey="Oliveira E" first="Eunice G." last="Oliveira">Eunice G. Oliveira</name>
<affiliation><nlm:aff id="Aff822">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff823">Instituto de Engenharia de Sistemas e Computadores de Coimbra, 3000-033 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Henrique A" sort="Almeida, Henrique A" uniqKey="Almeida H" first="Henrique A." last="Almeida">Henrique A. Almeida</name>
<affiliation><nlm:aff id="Aff822">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ascenso, Rita T" sort="Ascenso, Rita T" uniqKey="Ascenso R" first="Rita T." last="Ascenso">Rita T. Ascenso</name>
<affiliation><nlm:aff id="Aff822">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff824">Centre for Research in Informatics and Communications, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jesus, Rita" sort="Jesus, Rita" uniqKey="Jesus R" first="Rita" last="Jesus">Rita Jesus</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tapadas, Rodrigo" sort="Tapadas, Rodrigo" uniqKey="Tapadas R" first="Rodrigo" last="Tapadas">Rodrigo Tapadas</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tim Tim, Carolina" sort="Tim Tim, Carolina" uniqKey="Tim Tim C" first="Carolina" last="Tim-Tim">Carolina Tim-Tim</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cezanne, Catarina" sort="Cezanne, Catarina" uniqKey="Cezanne C" first="Catarina" last="Cezanne">Catarina Cezanne</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lagoa, Matilde" sort="Lagoa, Matilde" uniqKey="Lagoa M" first="Matilde" last="Lagoa">Matilde Lagoa</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dias, Sara S" sort="Dias, Sara S" uniqKey="Dias S" first="Sara S." last="Dias">Sara S. Dias</name>
<affiliation><nlm:aff id="Aff826">Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa, 1150-082 Lisboa, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff827">Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Torgal, Jorge" sort="Torgal, Jorge" uniqKey="Torgal J" first="Jorge" last="Torgal">Jorge Torgal</name>
<affiliation><nlm:aff id="Aff825">Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Joao" sort="Lopes, Joao" uniqKey="Lopes J" first="João" last="Lopes">João Lopes</name>
<affiliation><nlm:aff id="Aff828">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Henrique" sort="Almeida, Henrique" uniqKey="Almeida H" first="Henrique" last="Almeida">Henrique Almeida</name>
<affiliation><nlm:aff id="Aff828">Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amado, Sandra" sort="Amado, Sandra" uniqKey="Amado S" first="Sandra" last="Amado">Sandra Amado</name>
<affiliation><nlm:aff id="Aff829">School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carrao, Luis" sort="Carrao, Luis" uniqKey="Carrao L" first="Luís" last="Carrão">Luís Carrão</name>
<affiliation><nlm:aff id="Aff829">School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Madalena" sort="Cunha, Madalena" uniqKey="Cunha M" first="Madalena" last="Cunha">Madalena Cunha</name>
<affiliation><nlm:aff id="Aff830">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Saboga Nunes, Luis" sort="Saboga Nunes, Luis" uniqKey="Saboga Nunes L" first="Luís" last="Saboga-Nunes">Luís Saboga-Nunes</name>
<affiliation><nlm:aff id="Aff831">Escola Nacional de Saúde Publica, Lisboa, 1600-560 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Albuquerque, Carlos" sort="Albuquerque, Carlos" uniqKey="Albuquerque C" first="Carlos" last="Albuquerque">Carlos Albuquerque</name>
<affiliation><nlm:aff id="Aff830">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Oliverio" sort="Ribeiro, Oliverio" uniqKey="Ribeiro O" first="Olivério" last="Ribeiro">Olivério Ribeiro</name>
<affiliation><nlm:aff id="Aff832">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Suzete" sort="Oliveira, Suzete" uniqKey="Oliveira S" first="Suzete" last="Oliveira">Suzete Oliveira</name>
<affiliation><nlm:aff id="Aff833">Escola Superior de Tecnologia e Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Morais, M Carminda" sort="Morais, M Carminda" uniqKey="Morais M" first="M Carminda" last="Morais">M Carminda Morais</name>
<affiliation><nlm:aff id="Aff834">Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Emilia" sort="Martins, Emilia" uniqKey="Martins E" first="Emília" last="Martins">Emília Martins</name>
<affiliation><nlm:aff id="Aff835">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Francisco" sort="Mendes, Francisco" uniqKey="Mendes F" first="Francisco" last="Mendes">Francisco Mendes</name>
<affiliation><nlm:aff id="Aff835">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Rosina" sort="Fernandes, Rosina" uniqKey="Fernandes R" first="Rosina" last="Fernandes">Rosina Fernandes</name>
<affiliation><nlm:aff id="Aff835">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Magalhaes, Catia" sort="Magalhaes, Catia" uniqKey="Magalhaes C" first="Cátia" last="Magalhães">Cátia Magalhães</name>
<affiliation><nlm:aff id="Aff835">Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Araujo, Patricia" sort="Araujo, Patricia" uniqKey="Araujo P" first="Patrícia" last="Araújo">Patrícia Araújo</name>
<affiliation><nlm:aff id="Aff836">Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pedro, Ana R" sort="Pedro, Ana R" uniqKey="Pedro A" first="Ana R." last="Pedro">Ana R. Pedro</name>
<affiliation><nlm:aff id="Aff837">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amaral, Odete" sort="Amaral, Odete" uniqKey="Amaral O" first="Odete" last="Amaral">Odete Amaral</name>
<affiliation><nlm:aff id="Aff838">Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Escoval, Ana" sort="Escoval, Ana" uniqKey="Escoval A" first="Ana" last="Escoval">Ana Escoval</name>
<affiliation><nlm:aff id="Aff837">Escola Nacional de Saúde Pública, Lisboa, 1600-560 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Assuncao, Victor" sort="Assuncao, Victor" uniqKey="Assuncao V" first="Victor" last="Assunção">Victor Assunção</name>
<affiliation><nlm:aff id="Aff839">Escola Superior de Saúde, Instituto Politécnico de Portalegre, Portalegre, 7301-901 Portalegre Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luis, Henrique" sort="Luis, Henrique" uniqKey="Luis H" first="Henrique" last="Luís">Henrique Luís</name>
<affiliation><nlm:aff id="Aff840">Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, 1649-003 Lisboa Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luis, Luis" sort="Luis, Luis" uniqKey="Luis L" first="Luís" last="Luís">Luís Luís</name>
<affiliation><nlm:aff id="Aff841">Escola Superior de Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Apolinario Hagen, Jennifer" sort="Apolinario Hagen, Jennifer" uniqKey="Apolinario Hagen J" first="Jennifer" last="Apolinário-Hagen">Jennifer Apolinário-Hagen</name>
<affiliation><nlm:aff id="Aff842">Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vehreschild, Viktor" sort="Vehreschild, Viktor" uniqKey="Vehreschild V" first="Viktor" last="Vehreschild">Viktor Vehreschild</name>
<affiliation><nlm:aff id="Aff842">Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fotschl, Ulrike" sort="Fotschl, Ulrike" uniqKey="Fotschl U" first="Ulrike" last="Fotschl">Ulrike Fotschl</name>
<affiliation><nlm:aff id="Aff843">Department of Biomedical Sciences, University of Applied Sciences Salzburg, A-5412 Puch, Salzburg Austria</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lirk, Gerald" sort="Lirk, Gerald" uniqKey="Lirk G" first="Gerald" last="Lirk">Gerald Lirk</name>
<affiliation><nlm:aff id="Aff844">Department of Medical and Bioinformatics, University of Applied Sciences Upper Austria, Hagenberg, A-4232 Hagenberg Austria</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff845">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff845">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff845">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendonca, Ver Nica" sort="Mendonca, Ver Nica" uniqKey="Mendonca V" first="Ver Nica" last="Mendonça">Ver Nica Mendonça</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Antunes, Sandra" sort="Antunes, Sandra" uniqKey="Antunes S" first="Sandra" last="Antunes">Sandra Antunes</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Os Rio, Nadia" sort="Os Rio, Nadia" uniqKey="Os Rio N" first="Nádia" last="Os Rio">Nádia Os Rio</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valado, Ana" sort="Valado, Ana" uniqKey="Valado A" first="Ana" last="Valado">Ana Valado</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caseiro, Armando" sort="Caseiro, Armando" uniqKey="Caseiro A" first="Armando" last="Caseiro">Armando Caseiro</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Ant Nio" sort="Gabriel, Ant Nio" uniqKey="Gabriel A" first="Ant Nio" last="Gabriel">Ant Nio Gabriel</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff846">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Paula A" sort="Silva, Paula A" uniqKey="Silva P" first="Paula A." last="Silva">Paula A. Silva</name>
<affiliation><nlm:aff id="Aff847">Universidad de Extremadura, 10003 Cáceres, España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff848">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro M" sort="Parreira, Pedro M" uniqKey="Parreira P" first="Pedro M." last="Parreira">Pedro M. Parreira</name>
<affiliation><nlm:aff id="Aff849">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff848">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Carla" sort="Carvalho, Carla" uniqKey="Carvalho C" first="Carla" last="Carvalho">Carla Carvalho</name>
<affiliation><nlm:aff id="Aff850">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parreira, Pedro M" sort="Parreira, Pedro M" uniqKey="Parreira P" first="Pedro M." last="Parreira">Pedro M. Parreira</name>
<affiliation><nlm:aff id="Aff851">Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="M Nico, Lisete M" sort="M Nico, Lisete M" uniqKey="M Nico L" first="Lisete M." last="M Nico">Lisete M. M Nico</name>
<affiliation><nlm:aff id="Aff850">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ruivo, Joana" sort="Ruivo, Joana" uniqKey="Ruivo J" first="Joana" last="Ruivo">Joana Ruivo</name>
<affiliation><nlm:aff id="Aff850">Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Vania" sort="Silva, Vania" uniqKey="Silva V" first="Vânia" last="Silva">Vânia Silva</name>
<affiliation><nlm:aff id="Aff852">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Paulino" sort="Sousa, Paulino" uniqKey="Sousa P" first="Paulino" last="Sousa">Paulino Sousa</name>
<affiliation><nlm:aff id="Aff852">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff853">Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Padilha, Jose M" sort="Padilha, Jose M" uniqKey="Padilha J" first="José M." last="Padilha">José M. Padilha</name>
<affiliation><nlm:aff id="Aff852">Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferraz, Vera" sort="Ferraz, Vera" uniqKey="Ferraz V" first="Vera" last="Ferraz">Vera Ferraz</name>
<affiliation><nlm:aff id="Aff854">Centro Hospitalar de Trás–os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aparicio, Graca" sort="Aparicio, Graca" uniqKey="Aparicio G" first="Graça" last="Aparício">Graça Aparício</name>
<affiliation><nlm:aff id="Aff855">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Duarte, Joao" sort="Duarte, Joao" uniqKey="Duarte J" first="João" last="Duarte">João Duarte</name>
<affiliation><nlm:aff id="Aff855">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vasconcelos, Carlos" sort="Vasconcelos, Carlos" uniqKey="Vasconcelos C" first="Carlos" last="Vasconcelos">Carlos Vasconcelos</name>
<affiliation><nlm:aff id="Aff856">Polytechnic Institute of Viseu, Viseu, 3504-510 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Almeida, Ant Nio" sort="Almeida, Ant Nio" uniqKey="Almeida A" first="Ant Nio" last="Almeida">Ant Nio Almeida</name>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff858">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neves, Joel" sort="Neves, Joel" uniqKey="Neves J" first="Joel" last="Neves">Joel Neves</name>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Correia, Telma" sort="Correia, Telma" uniqKey="Correia T" first="Telma" last="Correia">Telma Correia</name>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Amorim, Helena" sort="Amorim, Helena" uniqKey="Amorim H" first="Helena" last="Amorim">Helena Amorim</name>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Romeu" sort="Mendes, Romeu" uniqKey="Mendes R" first="Romeu" last="Mendes">Romeu Mendes</name>
<affiliation><nlm:aff id="Aff857">University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff858">Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff859">Unidade de Saúde Pública, ACES Douro I, Marão e Douro Norte, Administração Regional de Saúde do Norte, 5000-524 Vila Real, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Saboga Nunes, Luis" sort="Saboga Nunes, Luis" uniqKey="Saboga Nunes L" first="Luís" last="Saboga-Nunes">Luís Saboga-Nunes</name>
<affiliation><nlm:aff id="Aff860">Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Publica, 1600-560 Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cunha, Madalena" sort="Cunha, Madalena" uniqKey="Cunha M" first="Madalena" last="Cunha">Madalena Cunha</name>
<affiliation><nlm:aff id="Aff861">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Albuquerque, Carlos" sort="Albuquerque, Carlos" uniqKey="Albuquerque C" first="Carlos" last="Albuquerque">Carlos Albuquerque</name>
<affiliation><nlm:aff id="Aff861">Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pereira, Elsa S" sort="Pereira, Elsa S" uniqKey="Pereira E" first="Elsa S." last="Pereira">Elsa S. Pereira</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santos, Leonino S" sort="Santos, Leonino S" uniqKey="Santos L" first="Leonino S." last="Santos">Leonino S. Santos</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reis, Ana S" sort="Reis, Ana S" uniqKey="Reis A" first="Ana S." last="Reis">Ana S. Reis</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Helena R" sort="Silva, Helena R" uniqKey="Silva H" first="Helena R." last="Silva">Helena R. Silva</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rombo, Joao" sort="Rombo, Joao" uniqKey="Rombo J" first="João" last="Rombo">João Rombo</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Jorge C" sort="Fernandes, Jorge C" uniqKey="Fernandes J" first="Jorge C." last="Fernandes">Jorge C. Fernandes</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fernandes, Patricia" sort="Fernandes, Patricia" uniqKey="Fernandes P" first="Patrícia" last="Fernandes">Patrícia Fernandes</name>
<affiliation><nlm:aff id="Aff862">Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ribeiro, Jaime" sort="Ribeiro, Jaime" uniqKey="Ribeiro J" first="Jaime" last="Ribeiro">Jaime Ribeiro</name>
<affiliation><nlm:aff id="Aff863">Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mangas, Catarina" sort="Mangas, Catarina" uniqKey="Mangas C" first="Catarina" last="Mangas">Catarina Mangas</name>
<affiliation><nlm:aff id="Aff864">Unidade de Investigação Inclusão e Acessibilidade em Acção “iACT” e Escola Superior Educação e Ciências Sociais, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freire, Ana" sort="Freire, Ana" uniqKey="Freire A" first="Ana" last="Freire">Ana Freire</name>
<affiliation><nlm:aff id="Aff865">Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Silva, Sara" sort="Silva, Sara" uniqKey="Silva S" first="Sara" last="Silva">Sara Silva</name>
<affiliation><nlm:aff id="Aff866">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Francisco, Irene" sort="Francisco, Irene" uniqKey="Francisco I" first="Irene" last="Francisco">Irene Francisco</name>
<affiliation><nlm:aff id="Aff866">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana" sort="Oliveira, Ana" uniqKey="Oliveira A" first="Ana" last="Oliveira">Ana Oliveira</name>
<affiliation><nlm:aff id="Aff866">Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catarino, Helena" sort="Catarino, Helena" uniqKey="Catarino H" first="Helena" last="Catarino">Helena Catarino</name>
<affiliation><nlm:aff id="Aff867">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff867">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Louro, M Clarisse" sort="Louro, M Clarisse" uniqKey="Louro M" first="M Clarisse" last="Louro">M Clarisse Louro</name>
<affiliation><nlm:aff id="Aff867">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lopes, Saudade" sort="Lopes, Saudade" uniqKey="Lopes S" first="Saudade" last="Lopes">Saudade Lopes</name>
<affiliation><nlm:aff id="Aff868">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, Anjos" sort="Dixe, Anjos" uniqKey="Dixe A" first="Anjos" last="Dixe">Anjos Dixe</name>
<affiliation><nlm:aff id="Aff868">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dixe, M Anjos" sort="Dixe, M Anjos" uniqKey="Dixe M" first="M Anjos" last="Dixe">M Anjos Dixe</name>
<affiliation><nlm:aff id="Aff869">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Menino, Eva" sort="Menino, Eva" uniqKey="Menino E" first="Eva" last="Menino">Eva Menino</name>
<affiliation><nlm:aff id="Aff869">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Catarino, Helena" sort="Catarino, Helena" uniqKey="Catarino H" first="Helena" last="Catarino">Helena Catarino</name>
<affiliation><nlm:aff id="Aff869">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soares, Fatima" sort="Soares, Fatima" uniqKey="Soares F" first="Fátima" last="Soares">Fátima Soares</name>
<affiliation><nlm:aff id="Aff870">Unidade de Saúde Pública - ACES Pinhal Litoral, ARS Centro, 3100-462 Pombal, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliveira, Ana P" sort="Oliveira, Ana P" uniqKey="Oliveira A" first="Ana P." last="Oliveira">Ana P. Oliveira</name>
<affiliation><nlm:aff id="Aff871">Consulta Externa de Pediatria, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gordo, Sara" sort="Gordo, Sara" uniqKey="Gordo S" first="Sara" last="Gordo">Sara Gordo</name>
<affiliation><nlm:aff id="Aff869">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kraus, Teresa" sort="Kraus, Teresa" uniqKey="Kraus T" first="Teresa" last="Kraus">Teresa Kraus</name>
<affiliation><nlm:aff id="Aff869">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tomas, Catarina" sort="Tomas, Catarina" uniqKey="Tomas C" first="Catarina" last="Tomás">Catarina Tomás</name>
<affiliation><nlm:aff id="Aff872">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Queir S, Paulo" sort="Queir S, Paulo" uniqKey="Queir S P" first="Paulo" last="Queir S">Paulo Queir S</name>
<affiliation><nlm:aff id="Aff873">Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Teresa" sort="Rodrigues, Teresa" uniqKey="Rodrigues T" first="Teresa" last="Rodrigues">Teresa Rodrigues</name>
<affiliation><nlm:aff id="Aff874">Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Pedro" sort="Sousa, Pedro" uniqKey="Sousa P" first="Pedro" last="Sousa">Pedro Sousa</name>
<affiliation><nlm:aff id="Aff875">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Frade, Joao G" sort="Frade, Joao G" uniqKey="Frade J" first="João G." last="Frade">João G. Frade</name>
<affiliation><nlm:aff id="Aff875">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lobao, Catarina" sort="Lobao, Catarina" uniqKey="Lobao C" first="Catarina" last="Lobão">Catarina Lobão</name>
<affiliation><nlm:aff id="Aff875">Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moura, Cynthia B" sort="Moura, Cynthia B" uniqKey="Moura C" first="Cynthia B." last="Moura">Cynthia B. Moura</name>
<affiliation><nlm:aff id="Aff876">Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná 85851-100 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dreyer, Laysa C" sort="Dreyer, Laysa C" uniqKey="Dreyer L" first="Laysa C." last="Dreyer">Laysa C. Dreyer</name>
<affiliation><nlm:aff id="Aff876">Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná 85851-100 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meneghetti, Vanize" sort="Meneghetti, Vanize" uniqKey="Meneghetti V" first="Vanize" last="Meneghetti">Vanize Meneghetti</name>
<affiliation><nlm:aff id="Aff876">Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná 85851-100 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Priscila P" sort="Cabral, Priscila P" uniqKey="Cabral P" first="Priscila P." last="Cabral">Priscila P. Cabral</name>
<affiliation><nlm:aff id="Aff876">Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná 85851-100 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pinto, Francisca" sort="Pinto, Francisca" uniqKey="Pinto F" first="Francisca" last="Pinto">Francisca Pinto</name>
<affiliation><nlm:aff id="Aff877">Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa/Porto, 4202-401 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff878">Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Cooperativa De Ensino Superior Politécnico Universitário, Instituto Politécnico de Saúde do Norte, 4585-116 Gandra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Paulino" sort="Sousa, Paulino" uniqKey="Sousa P" first="Paulino" last="Sousa">Paulino Sousa</name>
<affiliation><nlm:aff id="Aff879">Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto, Portugal</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff880">Centre for Health Technology and Services Research, Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Esteves, M Raquel" sort="Esteves, M Raquel" uniqKey="Esteves M" first="M Raquel" last="Esteves">M Raquel Esteves</name>
<affiliation><nlm:aff id="Aff878">Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Cooperativa De Ensino Superior Politécnico Universitário, Instituto Politécnico de Saúde do Norte, 4585-116 Gandra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Galvao, Sofia" sort="Galvao, Sofia" uniqKey="Galvao S" first="Sofia" last="Galvão">Sofia Galvão</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tytgat, Ite" sort="Tytgat, Ite" uniqKey="Tytgat I" first="Ite" last="Tytgat">Ite Tytgat</name>
<affiliation><nlm:aff id="Aff882">University Thomas More, B - 2800 Mechelen, Belgium</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Os Rio, Nadia" sort="Os Rio, Nadia" uniqKey="Os Rio N" first="Nádia" last="Os Rio">Nádia Os Rio</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valado, Ana" sort="Valado, Ana" uniqKey="Valado A" first="Ana" last="Valado">Ana Valado</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caseiro, Armando" sort="Caseiro, Armando" uniqKey="Caseiro A" first="Armando" last="Caseiro">Armando Caseiro</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Ant Nio" sort="Gabriel, Ant Nio" uniqKey="Gabriel A" first="Ant Nio" last="Gabriel">Ant Nio Gabriel</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff881">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Casas Novas, M Nica" sort="Casas Novas, M Nica" uniqKey="Casas Novas M" first="M Nica" last="Casas-Novas">M Nica Casas-Novas</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bernardo, Helena" sort="Bernardo, Helena" uniqKey="Bernardo H" first="Helena" last="Bernardo">Helena Bernardo</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Andrade, Isabel" sort="Andrade, Isabel" uniqKey="Andrade I" first="Isabel" last="Andrade">Isabel Andrade</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Gracinda" sort="Sousa, Gracinda" uniqKey="Sousa G" first="Gracinda" last="Sousa">Gracinda Sousa</name>
<affiliation><nlm:aff id="Aff884">Instituto Português do Sangue e da Transplantação, Lisboa, 1000-208 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sousa, Ana P" sort="Sousa, Ana P" uniqKey="Sousa A" first="Ana P." last="Sousa">Ana P. Sousa</name>
<affiliation><nlm:aff id="Aff884">Instituto Português do Sangue e da Transplantação, Lisboa, 1000-208 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rocha, Clara" sort="Rocha, Clara" uniqKey="Rocha C" first="Clara" last="Rocha">Clara Rocha</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Belo, Pedro" sort="Belo, Pedro" uniqKey="Belo P" first="Pedro" last="Belo">Pedro Belo</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Os Rio, Nadia" sort="Os Rio, Nadia" uniqKey="Os Rio N" first="Nádia" last="Os Rio">Nádia Os Rio</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Valado, Ana" sort="Valado, Ana" uniqKey="Valado A" first="Ana" last="Valado">Ana Valado</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Caseiro, Armando" sort="Caseiro, Armando" uniqKey="Caseiro A" first="Armando" last="Caseiro">Armando Caseiro</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gabriel, Ant Nio" sort="Gabriel, Ant Nio" uniqKey="Gabriel A" first="Ant Nio" last="Gabriel">Ant Nio Gabriel</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Anabela C" sort="Martins, Anabela C" uniqKey="Martins A" first="Anabela C." last="Martins">Anabela C. Martins</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mendes, Fernando" sort="Mendes, Fernando" uniqKey="Mendes F" first="Fernando" last="Mendes">Fernando Mendes</name>
<affiliation><nlm:aff id="Aff883">Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martins, Fatima" sort="Martins, Fatima" uniqKey="Martins F" first="Fátima" last="Martins">Fátima Martins</name>
<affiliation><nlm:aff id="Aff885">Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pulido Fuentes, Montserrat" sort="Pulido Fuentes, Montserrat" uniqKey="Pulido Fuentes M" first="Montserrat" last="Pulido-Fuentes">Montserrat Pulido-Fuentes</name>
<affiliation><nlm:aff id="Aff886">Facultad de Terapia Ocupacional, Logopedia y Enfermería, Universidad de Castilla-La Mancha, 45600 Talavera de la Reina, Toledo España</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Barroso, Isabel" sort="Barroso, Isabel" uniqKey="Barroso I" first="Isabel" last="Barroso">Isabel Barroso</name>
<affiliation><nlm:aff id="Aff887">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cabral, Gil" sort="Cabral, Gil" uniqKey="Cabral G" first="Gil" last="Cabral">Gil Cabral</name>
<affiliation><nlm:aff id="Aff888">Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monteiro, M Joao" sort="Monteiro, M Joao" uniqKey="Monteiro M" first="M. João" last="Monteiro">M. João Monteiro</name>
<affiliation><nlm:aff id="Aff887">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rainho, Conceicao" sort="Rainho, Conceicao" uniqKey="Rainho C" first="Conceição" last="Rainho">Conceição Rainho</name>
<affiliation><nlm:aff id="Aff887">Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Prado, Alessandro" sort="Prado, Alessandro" uniqKey="Prado A" first="Alessandro" last="Prado">Alessandro Prado</name>
<affiliation><nlm:aff id="Aff889">Universidade de São Paulo, São Paulo, 05403-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carvalho, Yara M" sort="Carvalho, Yara M" uniqKey="Carvalho Y" first="Yara M." last="Carvalho">Yara M. Carvalho</name>
<affiliation><nlm:aff id="Aff889">Universidade de São Paulo, São Paulo, 05403-000 Brasil</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campos, Maria" sort="Campos, Maria" uniqKey="Campos M" first="Maria" last="Campos">Maria Campos</name>
<affiliation><nlm:aff id="Aff890">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Liliana" sort="Moreira, Liliana" uniqKey="Moreira L" first="Liliana" last="Moreira">Liliana Moreira</name>
<affiliation><nlm:aff id="Aff890">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Jose" sort="Ferreira, Jose" uniqKey="Ferreira J" first="José" last="Ferreira">José Ferreira</name>
<affiliation><nlm:aff id="Aff890">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixeira, Ana" sort="Teixeira, Ana" uniqKey="Teixeira A" first="Ana" last="Teixeira">Ana Teixeira</name>
<affiliation><nlm:aff id="Aff890">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rama, Luis" sort="Rama, Luis" uniqKey="Rama L" first="Luís" last="Rama">Luís Rama</name>
<affiliation><nlm:aff id="Aff890">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Campos, Maria" sort="Campos, Maria" uniqKey="Campos M" first="Maria" last="Campos">Maria Campos</name>
<affiliation><nlm:aff id="Aff891">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moreira, Liliana" sort="Moreira, Liliana" uniqKey="Moreira L" first="Liliana" last="Moreira">Liliana Moreira</name>
<affiliation><nlm:aff id="Aff891">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ferreira, Jose" sort="Ferreira, Jose" uniqKey="Ferreira J" first="José" last="Ferreira">José Ferreira</name>
<affiliation><nlm:aff id="Aff891">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Teixeira, Ana" sort="Teixeira, Ana" uniqKey="Teixeira A" first="Ana" last="Teixeira">Ana Teixeira</name>
<affiliation><nlm:aff id="Aff891">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rama, Luis" sort="Rama, Luis" uniqKey="Rama L" first="Luís" last="Rama">Luís Rama</name>
<affiliation><nlm:aff id="Aff891">Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">BMC Health Services Research</title>
<idno type="eISSN">1472-6963</idno>
<imprint><date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
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<front><div type="abstract" xml:lang="en"><title>Table of contents</title>
<p>S1 Health literacy and health education in adolescence</p>
<p>Catarina Cardoso Tomás</p>
<p>S2 The effect of a walking program on the quality of life and well-being of people with schizophrenia</p>
<p>Emanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C. Rocha, A. Teixeira, P. Ferreira</p>
<p>S3 Diagnosis and innovative treatments - the way to a better medical practice</p>
<p>Celeste Alves</p>
<p>S4 Simulation-based learning and how it is a high contribution</p>
<p>Stefan Gisin</p>
<p>S5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and Príncipe</p>
<p>Elisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina Silva</p>
<p>S6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathology</p>
<p>Débora Franco</p>
<p>S7 About wine, fortune cookies and patient experience</p>
<p>Jesús Alcoba González</p>
<p>O1 The psychological impact on the emergency crews after the disaster event on February 20, 2010</p>
<p>Helena G. Jardim, Rita Silva</p>
<p>O2 Musculoskeletal disorders in midwives</p>
<p>Cristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. Cardoso</p>
<p>O3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescence</p>
<p>Marina Cunha, Joana Mendes, Ana Xavier, Ana Galhardo, Margarida Couto</p>
<p>O4 Optimal age to give the first dose of measles vaccine in Portugal</p>
<p>João G. Frade, Carla Nunes, João R. Mesquita, Maria S. Nascimento, Guilherme Gonçalves</p>
<p>O5 Functional assessment of elderly in primary care</p>
<p>Conceição Castro, Alice Mártires, Mª João Monteiro, Conceição Rainho</p>
<p>O6 Smoking and coronary events in a population of Spanish health-care centre: An observational study</p>
<p>Francisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M. Monago, Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milanés, Mercedes G. Reina, Ana G. Villanueva, Ana S. Piñero, Isabel R. Aliseda, Francisco B. Ramirez</p>
<p>O7 Prevalence of musculoskeletal injuries in Portuguese musicians</p>
<p>Andrea Ribeiro, Ana Quelhas, Conceição Manso</p>
<p>O8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in Spain</p>
<p>Francisco P. Caballero, Jose T. Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G. Nuñez, Inmaculada R. Gomez, Mª Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno, Mª Jesus Tena Huertas, Francisco B. Ramirez</p>
<p>O9 The role of self-criticism and shame in social anxiety in a clinical SAD sample</p>
<p>Daniel Seabra, Mª Céu Salvador</p>
<p>O10 Obstruction and infiltration: a proposal of a quality indicator</p>
<p>Luciene Braga, Pedro Parreira, Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, Mª Adriana Henriques</p>
<p>O11 Balance and anxiety and depression symptoms in old age people</p>
<p>Joana Santos, Sara Lebre, Alda Marques</p>
<p>O12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto)</p>
<p>Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José Lumini</p>
<p>O13 Ischemic stroke vs. haemorrhagic stroke survival rate</p>
<p>Ana G. Figueiredo</p>
<p>O14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescents</p>
<p>Francisco J. Hernandez-Martinez, Liliana Campi, Mª Pino Quintana-Montesdeoca, Juan F. Jimenez-Diaz, Bienvenida C. Rodriguez-De-Vera</p>
<p>O15 Risk of malnutrition in the elderly of Bragança</p>
<p>Alexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel Brás</p>
<p>O16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing intervention</p>
<p>Mª Rosário Pinto, Pedro Parreira, Marta L. Basto, Ana C. Rei, Lisete M. Mónico</p>
<p>O17 Medication adherence in elderly people</p>
<p>Gilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita Vasconcelos</p>
<p>O18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014</p>
<p>Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo Bordin</p>
<p>O19 Oncologic assistance of high complexity: evaluation of regulating accesses</p>
<p>Rosiane Kniess, Josimari T. Lacerda</p>
<p>O20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological Plan</p>
<p>Joana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar Ribeiro</p>
<p>O21 Sleep difficulties and depressive symptoms in college students</p>
<p>Ana P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui Cruz</p>
<p>O22 Psychopathological symptoms and medication use in higher education</p>
<p>Ana P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui Cruz</p>
<p>O23 Sexually transmitted diseases in higher education institutions</p>
<p>Sandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes</p>
<p>O24 Alcohol consumption and suicide ideation in higher education students</p>
<p>Lídia Cabral, Manuela Ferreira, Amadeu Gonçalves</p>
<p>O25 Quality of life in university students</p>
<p>Tatiana D. Luz, Leonardo Luz, Raul Martins</p>
<p>O26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sample</p>
<p>Alice Morgado, Maria L. Vale-Dias</p>
<p>O27 Risk factors for mental health in higher education students of health sciences</p>
<p>Rui Porta-Nova</p>
<p>O28 International classification of functioning disability and health as reflexive reasoning in primary attention in health</p>
<p>Tânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. Carvalho</p>
<p>O29 Risk factors and cardiovascular disease in Portalegre</p>
<p>Daniel Guedelha, P. Coelho, A. Pereira</p>
<p>O30 Health status of the elderly population living in Portalegre historic city centre: A longitudinal study</p>
<p>António Calha, Raul Cordeiro</p>
<p>O31 Student’s sleep in higher education: sleep quality among students of the IPB</p>
<p>Ana Gonçalves, Ana Certo, Ana Galvão, Mª Augusta Mata</p>
<p>O32 Trend in mortality from cervical cancer in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, 2000 to 2013</p>
<p>Aline Welter, Elayne Pereira, Sandra Ribeiro, Marcia Kretzer</p>
<p>O33 Adherence to treatment in the elderly in an urban environment in Spain</p>
<p>Juan-Fernando Jiménez-Díaz, Carla Jiménez-Rodríguez, Francisco-José Hernández-Martínez, Bienvenida-Del-Carmen Rodríguez-De-Vera, Alexandre Marques-Rodrigues</p>
<p>O34 Beira Baixa Blood Pressure Study (Study PABB)</p>
<p>Patrícia Coelho, Tiago Bernardes, Alexandre Pereira</p>
<p>O35 Trends in cervical cancer mortality statistics in Santa Catarina State, Brazil, by age group and macro-region, from 2000 to 2013</p>
<p>Patrícia Sousa, João G. Filho, Nazare Nazario, Marcia Kretzer</p>
<p>O36 Sleep problems among Portuguese adolescents: a public health issue</p>
<p>Odete Amaral, António Garrido, Nélio Veiga, Carla Nunes, Ana R. Pedro, Carlos Pereira</p>
<p>O37 Association between body fat and health-related quality of life in patients with type 2 diabetes</p>
<p>António Almeia, Helder M. Fernandes, Carlos Vasconcelos, Nelson Sousa, Victor M. Reis, M. João Monteiro, Romeu Mendes</p>
<p>O38 Therapy adherence and polypharmacy in non-institutionalized elderly from Amares county, Portugal</p>
<p>Isabel C. Pinto, Tânia Pires, João Gama</p>
<p>O39 Prevalence of surgical site infection in adults at a hospital unit in the North of Portugal</p>
<p>Vera Preto, Norberto Silva, Carlos Magalhães, Matilde Martins</p>
<p>O40 Frailty phenotype in old age: implications to intervention</p>
<p>Mafalda Duarte, Constança Paúl, Ignácio Martín</p>
<p>O41 Portuguese women: sexual symptoms in perimenopause</p>
<p>Arminda A. Pinheiro</p>
<p>O42 Predictive ability of the Perinatal Depression Screening and Prevention Tool – preliminary results of the categorical approach</p>
<p>Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Mariana Marques, António Macedo, Ana T. Pereira</p>
<p>O43 Aging and muscle strength in patients with type 2 diabetes: cross sectional analysis</p>
<p>José P. Almeida, António Almeida, Josiane Alves, Nelson Sousa, Francisco Saavedra, Romeu Mendes</p>
<p>O44 Accessibility of the elderly in the prevention of hypertension in a family health unit</p>
<p>Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Luci S. Lopes, Eujcely C. Santiago</p>
<p>O45 Community Health screenings and self-reported chronic diseases</p>
<p>Sílvia Monteiro, Ângelo Jesus, Armanda Colaço, António Carvalho, Rita P. Silva, Agostinho Cruz</p>
<p>O46 Evaluation of indoor air quality in Kindergartens</p>
<p>Ana Ferreira, Catarina Marques, João P. Figueiredo, Susana Paixão</p>
<p>O47 Atmospheric exposure to chemical agents under the occupational activity of pathology technicians</p>
<p>Ana Ferreira, Carla Lopes, Fernando Moreira, João P. Figueiredo</p>
<p>O48 Occupational exposure to air pollutants in night entertainment venues workers</p>
<p>Ana Ferreira, Diana Ribeiro, Fernando Moreira, João P. Figueiredo, Susana Paixão</p>
<p>O49 Beliefs and attitudes of young people towards breastfeeding</p>
<p>Telma Fernandes, Diogo Amado, Jéssica Leal, Marcelo Azevedo, Sónia Ramalho</p>
<p>O50 Profiling informal caregivers: surveying needs in the care of the elderly</p>
<p>Catarina Mangas, Jaime Ribeiro, Rita Gonçalves</p>
<p>O51 Visual health in teenagers</p>
<p>Amélia F Nunes, Ana R. Tuna, Carlos R. Martins, Henriqueta D. Forte</p>
<p>O52 Amenable mortality and the geographic accessibility to healthcare in Portugal</p>
<p>Cláudia Costa, José A. Tenedório, Paula Santana</p>
<p>O53 Bacterial contamination of door handles in a São Paulo See Metropolitan Cathedral public restrooms in Brazil</p>
<p>J. A. Andrade, J. L. Pinto, C. Campofiorito, S. Nunes, A. Carmo, A. Kaliniczenco, B. Alves, F. Mendes, C. Jesus, F. Fonseca, F. Gehrke</p>
<p>O54 Adherence of patients to rehabilitation programmes</p>
<p>Carlos Albuquerque, Rita Batista, Madalena Cunha, António Madureira, Olivério Ribeiro, Rosa Martins</p>
<p>O55 Prevalence of malnutrition among Portuguese elderly living in nursing homes: preliminary results of the PEN-3S project</p>
<p>Teresa Madeira, Catarina Peixoto-Plácido, Nuno Santos, Osvaldo Santos, Astrid Bergland, Asta Bye, Carla Lopes, Violeta Alarcão, Beatriz Goulão, Nuno Mendonça, Paulo Nicola, João G. Clara</p>
<p>O56 Relation between emotional intelligence and mental illness in health students</p>
<p>João Gomes, Ana Querido, Catarina Tomás, Daniel Carvalho, Marina Cordeiro</p>
<p>P1 Fall risk factors in people older than 50 years old – a pilot report</p>
<p>Marlene C. Rosa, Alda Marques</p>
<p>P2 What about the Portuguese oldest old? A global overview using census data</p>
<p>Daniela Brandão, Óscar Ribeiro, Lia Araújo, Constança Paúl</p>
<p>P3 Prevalence of injuries in senior amateur volleyball athletes in Alentejo and Algarve clubs, Portugal: factors associated</p>
<p>Beatriz Minghelli, Sylvina Richaud</p>
<p>P4 Shame feelings and quality of life: the role of acceptance and decentring</p>
<p>Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira</p>
<p>P5 Assessment of social support during deployment in portuguese colonial war veterans</p>
<p>Teresa Carvalho, Marina Cunha, José Pinto-Gouveia</p>
<p>P6 Hospitalization for acute viral bronchiolitis of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014</p>
<p>Morgana C. Fernandes, Roger S. Rosa, Rita C. Nugem, Luís F. Kranz, Mariana S. Siqueira, Ronaldo Bordin</p>
<p>P7 Falls-risk screening – an opportunity for preventing falls in the elderly from Nordeste</p>
<p>Anabela C. Martins, Anabela Medeiros, Rafaela Pimentel, Andreia Fernandes, Carlos Mendonça, Isabel Andrade, Susana Andrade, Ruth L. Menezes</p>
<p>P8 Aging provokes chronodisruption in mature people in temperature circadian rhythm</p>
<p>Rafael Bravo, Marta Miranda, Lierni Ugartemendia, José Mª Tena, Francisco L. Pérez-Caballero, Lorena Fuentes-Broto, Ana B. Rodríguez, Barriga Carmen</p>
<p>P9 The influence of climate and pollution factors in dengue cases of great ABC region, São Paulo</p>
<p>M. A. Carneiro, J. N. Domingues, S. Paixão, J. Figueiredo, V. B. Nascimento, C. Jesus, F Mendes, F. Gehrke, B. Alves, L. Azzalis, F. Fonseca</p>
<p>P10 Visual function and impact of visual therapy in children with learning disabilities: a pilot study</p>
<p>Ana R. Martins, Amélia Nunes, Arminda Jorge</p>
<p>P11 Edentulism and the need of oral rehabilitation among institutionalized elderly</p>
<p>Nélio Veiga, Ana Amorim, André Silva, Liliana Martinho, Luís Monteiro, Rafael Silva, Carina Coelho, Odete Amaral, Inês Coelho, Carlos Pereira, André Correia</p>
<p>P12 Therapy adherence of outpatients in the pharmacy services of a hospital unit</p>
<p>Diana Rodrigues, Nídia Marante, Pedro Silva, Sara Carvalho, André Rts Araujo, Maximiano Ribeiro, Paula Coutinho, Sandra Ventura, Fátima Roque</p>
<p>P13 Universal access and comprehensive care of oral health: an availability study</p>
<p>Cristina Calvo, Manoela Reses</p>
<p>P14 Is the respiratory function of children a predictor of air quality? Coimbra as a case study</p>
<p>Jorge Conde, Ana Ferreira, João Figueiredo</p>
<p>P15 Meaning-in-life of college students</p>
<p>David Silva, Luís Seiça, Raquel Soares, Ricardo Mourão, Teresa Kraus</p>
<p>O57 Training needs for nurses in palliative care</p>
<p>Ana C. Abreu, José M. Padilha, Júlia M. Alves</p>
<p>O58 Impact of computerized information systems in the global nurses’ workload: nurses’ perceptions and real-time</p>
<p>Paulino Sousa, Manuel Oliveira, Joana Sousa</p>
<p>O59 The perspective of health care professionals on self-care in hereditary neurodegenerative disease: a qualitative study</p>
<p>Sónia Novais, Felismina Mendes</p>
<p>O60 Contribution for health-related physical fitness reference values in healthy adolescents</p>
<p>Joana Pinto, Joana Cruz, Alda Marques</p>
<p>School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</p>
<p>O61 Perception of learning, satisfaction and self-efficacy of nursing students about High-Fidelity Simulation</p>
<p>Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa</p>
<p>O62 Analysis of statements of diagnosis about health deviation in self-care requisites customized in a Nursing Practice Support System (SAPE®): Management of therapeutic regimen</p>
<p>Inês Cruz, Fernanda Bastos, Filipe Pereira</p>
<p>O63 Hybrid management and hospital governance: doctors and nurses as managers</p>
<p>Francisco L. Carvalho, Teresa T. Oliveira, Vítor R. Raposo</p>
<p>O64 Time management in health professionals</p>
<p>Conceição Rainho, José C. Ribeiro, Isabel Barroso, Vítor Rodrigues</p>
<p>O65 Financial rewards and wellbeing in primary health care</p>
<p>Carmo Neves, Teresa C. Oliveira</p>
<p>O66 Patient safety promotion in the operating room</p>
<p>Bárbara Oliveira, Mª Carminda Morais, Pilar Baylina</p>
<p>O67 Difficulties and needs of pre-graduate nursing students in the area of Geriatrics/Gerontology</p>
<p>Rogério Rodrigues, Zaida Azeredo, Corália Vicente</p>
<p>O68 Teaching and learning sexuality in nursing education</p>
<p>Hélia Dias, Margarida Sim-Sim</p>
<p>O69 Entrepreneurial Motivations Questionnaire: AFC and CFA in academy</p>
<p>Pedro Parreira, Anabela Salgueiro-Oliveira, Amélia Castilho, Rosa Melo, João Graveto, José Gomes, Marina Vaquinhas, Carla Carvalho, Lisete Mónico, Nuno Brito</p>
<p>O70 Nursing intervention to patient with Permanent Pacemakers and Implantable Cardioverter Defibrillators: a qualitative analysis</p>
<p>Cassilda Sarroeira, José Amendoeira, Fátima Cunha, Anabela Cândido, Patrícia Fernandes, Helena R. Silva, Elsa Silva</p>
<p>O71 Alcohol consumption among nursing students: where does education fail?</p>
<p>Isabel Barroso, Leila Lapa, Cristina Antunes</p>
<p>O72 Labour stress in nursing</p>
<p>Ana Gonçalves, Ana Galvão, Mª José Gomes, Susana R. Escanciano</p>
<p>O73 The influence of safe staff nursing in patient satisfaction with nursing care</p>
<p>Maria Freitas, Pedro Parreira, João Marôco</p>
<p>O74 Intention to use eHealth strategies with nursing students</p>
<p>Ana R. Fernandes, Cremilde Cabral, Samuel Alves, Pedro Sousa</p>
<p>O75 Community Based Mental Health: contributions of an interdisciplinary international program for students in higher health education</p>
<p>António Ferreira, Fernanda Príncipe, Ulla-Maija Seppänen, Margarida Ferreira, Maribel Carvalhais, Marilene Silva</p>
<p>O76 Study of satisfaction at work of graduates in nursing: 2002-2014</p>
<p>Manuela Ferreira, Joana Silva, Jéssica Neves, Diana Costa, Bruno Santos, Soraia Duarte</p>
<p>O77 Health professionals’ attitudes towards breastfeeding</p>
<p>Sílvia Marques, Sónia Ramalho, Isabel Mendes</p>
<p>O78 Continuity of nursing care to person with type 2 diabetes</p>
<p>Clarisse Louro, Eva Menino, Maria Dixe, Sara S. Dias</p>
<p>O79 Stigma toward mental illness among future health professionals</p>
<p>Marina Cordeiro, Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes</p>
<p>O80 Working with fears and anxieties of medical students in search of a humanized care</p>
<p>Frederico C. Valim, Joyce O. Costa, Lúcia G. Bernardes</p>
<p>P16 Surgical paediatrics patients’ psycho prophylaxis at a teaching hospital</p>
<p>Helena Prebianchi</p>
<p>P17 Patient-perceived outcomes in physiotherapy – a pilot study</p>
<p>Marlene Cristina Rosa</p>
<p>P18 Building competencies for managers in nursing</p>
<p>Narcisa Gonçalves, Maria M. Martins, Paulina Kurcgant</p>
<p>P19 Theoretical basis underlying physiotherapy practice in stroke rehabilitation</p>
<p>André Vieira</p>
<p>P20 When the life-cycle ends: the nurse’s confrontation with death</p>
<p>Sandrina Bento, Sérgio Deodato, Isabel Rabiais</p>
<p>P21 Nursing students’ opinion about the supervision relationship during their first clinical experience</p>
<p>Laura Reis</p>
<p>P22 Nursing Relational Laboratory: Pedagogical, dialogic and critical project</p>
<p>Ana Torres, Sérgio Soares, Margarida Ferreira, Pedro Graça</p>
<p>P23 Job satisfaction of bioscientists at a Lisbon hospital</p>
<p>Céu Leitão, Renato Abreu, Fernando Bellém, Ana Almeida, Edna Ribeiro-Varandas, Ana Tavares</p>
<p>P24 Sociodemographic and professional profile of nurses and its relation with the importance of family in nursing practices</p>
<p>João G. Frade, Carolina Henriques, Eva Menino, Clarisse Louro, Célia Jordão</p>
<p>P25 Professional satisfaction of rehabilitation nurses</p>
<p>Sofia Neco, Carminda Morais, Pedro Ferreira</p>
<p>P26 The person living with a stoma: the formalization of knowledge in nursing</p>
<p>Carla R. Silva, Alice Brito, Antónia Silva</p>
<p>P27 Validation of the Portuguese versions of the nursing students’ perceptions of learning and learner satisfaction with simulation tool</p>
<p>Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa</p>
<p>P28 Physiotherapists’ perceived knowledge on technologies for electronic health records for physiotherapy</p>
<p>Gabriela Postolache, Raul Oliveira, Isabel Moreira, Luísa Pedro, Sónia Vicente, Samuel Domingos, Octavian Postolache</p>
<p>P29 Quality of life and physical activity of medicine undergraduate students in the University of Southern Santa Catarina, Brazil</p>
<p>Darlen Silva, João G. Filho, Nazare Nazario, Marcia Kretzer, Dulcineia Schneider</p>
<p>P30 The curricular skills for decision making education in a Nursing Degree</p>
<p>Fátima M. Marques</p>
<p>P31 Effect of nurses’ mobilization in satisfaction at work and turnover: An empirical study in the hospital setting</p>
<p>Pedro Parreira, Carla Carvalho, Lisete M. Mónico, Carlos Pinto, Sara Vicente, São João Breda</p>
<p>P32 Entrepreneurial skills of students of polytechnic higher education in Portugal: Business influences</p>
<p>José H. Gomes, Rosa Melo, Pedro Parreira, Anabela Salgueiro, João Graveto, Marina Vaquinhas, Amélia Castilho</p>
<p>P33 Design and assessment of e-learning modules for Pharmacology</p>
<p>Ângelo Jesus, Nuno Duarte, José C. Lopes, Hélder Nunes, Agostinho Cruz</p>
<p>P34 Perspective of nurses involved in an action-research study on the changes observed in care provision: results from a focus group</p>
<p>Anabela Salgueiro-Oliveira, Pedro Parreira, Marta L. Basto, Luciene M. Braga</p>
<p>P35 Use of peer feedback by nursing students during clinical training: teacher’s perception</p>
<p>António Ferreira, Beatriz Araújo, José M. Alves, Margarida Ferreira, Maribel Carvalhais, Marilene Silva, Sónia Novais</p>
<p>P36 What’s new on endotracheal suctioning recommendations</p>
<p>Ana S. Sousa, Cândida Ferrito</p>
<p>P37 Assessment of the nurses satisfaction on the Central Region of Portugal</p>
<p>Pedro L. Ferreira, Alexandre Rodrigues, Margarida Ferreira, Isabel Oliveira</p>
<p>P38 Study of graduate’s satisfaction with the school of nursing</p>
<p>Manuela Ferreira, Jéssica Neves, Diana Costa, Soraia Duarte, Joana Silva, Bruno Santos</p>
<p>P39 Partnership between the school of nursing and the hospital: Supervisors´ perspectives</p>
<p>Cristina Martins, Ana P. Macedo, Odete Araújo, Cláudia Augusto, Fátima Braga, Lisa Gomes, Maria A. Silva, Rafaela Rosário</p>
<p>P40 Coping strategies of college students</p>
<p>Luís Pimenta, Diana Carreira, Patrícia Teles, Teresa Barros</p>
<p>P41 Emotional intelligence and mental health stigma in health students</p>
<p>Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes, Marina Cordeiro</p>
<p>P42 Stigma of mental health assessment: Comparison between health courses</p>
<p>Daniel Carvalho, Ana Querido, Catarina Tomás, João Gomes, Marina Cordeiro</p>
<p>O81 Short- and long-term effects of pulmonary rehabilitation in mild COPD</p>
<p>Cristina Jácome, Alda Marques</p>
<p>O82 Phonological awareness programme for preschool children</p>
<p>Sylvie Capelas, Andreia Hall, Dina Alves, Marisa Lousada</p>
<p>O83 REforma ATIVA: An efficient health promotion program to be implemented during retirement</p>
<p>Mª Helena Loureiro, Ana Camarneiro, Margarida Silva, Aida Mendes, Ana Pedreiro</p>
<p>O84 Intervention for men who batter women, a case report</p>
<p>Anne G.Silva, Elza S. Coelho</p>
<p>O85 Immediate effects of Bowen Therapy on muscle tone and flexibility</p>
<p>Flávio Melo, Fernando Ribeiro, Rui Torres, Rui Costa</p>
<p>O86 Predictive equation for incremental shuttle walk test in adolescents</p>
<p>Tânia Pinho, Cristina Jácome, Alda Marques</p>
<p>O87 Life satisfaction and psychopathology in institutionalized elderly people: The results of an adapted Mindfulness-Based Stress Reduction program</p>
<p>Bárbara Cruz, Daniel Seabra, Diogo Carreira, Maria Ventura</p>
<p>O88 Outcome changes in COPD rehabilitation: exploring the relationship between physical activity and health-related outcomes</p>
<p>Joana Cruz, Dina Brooks, Alda Marques</p>
<p>O89 Assessing the effectiveness of a Complex Nursing Intervention</p>
<p>M Rosário Pinto, Pedro Parreira, Marta Lima-Basto, Miguel Neves, Lisete M. Mónico</p>
<p>O90 Psychotherapeutic intervention in addiction disorders: Change in psychopathological symptoms and emotional states</p>
<p>Carla Bizarro, Marina Cunha, Ana Galhardo, Couto Margarida, Ana P. Amorim, Eduardo Silva</p>
<p>O91 Economic impact of a nursing intervention program to promote self-management in COPD</p>
<p>Susana Cruz, José M. Padilha, Jorge Valente</p>
<p>O92 Multimodal acute pain management during uterine artery embolization in treatment of uterine myomas</p>
<p>José T. Guerrero, Francisco P. Caballero, Rafael B. Santos, Estefania P. Gonzalez, Fátima M. Monago, Lierni U. Ugalde, Marta M. Vélez, Maria J. Tena</p>
<p>O93 Fluid administration strategies in major surgery: Goal-directed therapy</p>
<p>José T. Guerrero, Rafael Bravo, Francisco L. Pérez-Caballero, Isabel A. Becerra, Mª Elizabeth Agudelo, Guadalupe Acedo, Roberto Bajo</p>
<p>O94 Development and implementation of a self-management educational programme using lay-led’s in adolescents Spina Bifida: A pilot study</p>
<p>Isabel Malheiro, Filomena Gaspar, Luísa Barros</p>
<p>O95 Influence of chair-based yoga exercises on salivary anti-microbial proteins in institutionalized frail-elderly women: a preliminary study</p>
<p>Guilherme Furtado, Mateus Uba-Chupel, Mariana Marques, Luís Rama, Margarida Braga, José P. Ferreira, Ana Mª Teixeira</p>
<p>O96 High intensity interval training vs moderate intensity continuous training impact on diabetes 2</p>
<p>João Cruz, Tiago Barbosa, Ângela Simões, Luís Coelho</p>
<p>O97 Family caregiver of people with pressure ulcer: Nursing intervention plan</p>
<p>Alexandre Rodrigues, Juan-Fernando Jiménez-Díaz, Francisco Martinez-Hernández, Bienvenida Rodriguez-De-Vera, Pedro Ferreira, Alexandrina Rodrigues</p>
<p>O98 Chronic effects of exercise on motor memory consolidation in elderly people</p>
<p>André Ramalho, João Petrica, Pedro Mendes, João Serrano, Inês Santo, António Rosado</p>
<p>O99 Impression cytology of the ocular surface: Collection technique and sample processing</p>
<p>Paula Mendonça, Kátia Freitas</p>
<p>O100 Does sport practice affect the reaction time in neuromuscular activity?</p>
<p>Dora Ferreira, António Brito, Renato Fernandes</p>
<p>O101 Efficiency of the enteral administration of fibbers in the treatment of chronic obstipation</p>
<p>Sofia Gomes, Fernando Moreira, Cláudia Pinho, Rita Oliveira, Ana I. Oliveira</p>
<p>O102 Fast decalcifier in compact bone and spongy bone</p>
<p>Paula Mendonça, Ana P. Casimiro, Patrícia Martins, Iryna Silva</p>
<p>O103 Health promotion in the elderly – Intervention project in dementia</p>
<p>Diana Evangelista</p>
<p>O104 Prevention of musculoskeletal disorders through an exercise protocol held in labour context</p>
<p>Catarina Leitão, Fábia Velosa, Nélio Carecho, Luís Coelho</p>
<p>O105 Knowledge of teachers and other education agents on diabetes type 1: Effectiveness of an intervention program</p>
<p>Eva Menino, Anjos Dixe, Helena Catarino, Fátima Soares, Ester Gama, Clementina Gordo</p>
<p>O106 Treatment of diabetic peripheral neuropathic pain: a systematic review of clinical trials of phase II and III</p>
<p>Eliana Moreira, Cristiana Midões, Marlene Santos</p>
<p>O107 New drugs for osteoporosis treatment: Systematic review of clinical trials of phase II and III</p>
<p>Sara Machado, Vânia P. Oliveira, Marlene Santos</p>
<p>O108 Promoting hope at the end of life: Effectiveness of an Intervention Programme</p>
<p>Ana Querido, Anjos Dixe, Rita Marques, Zaida Charepe</p>
<p>P43 Psychomotor therapy effects on adaptive behaviour and motor proficiency of adults with intellectual disability</p>
<p>Ana Antunes, Sofia Santos</p>
<p>P44 The effect of exercise therapy in multiple sclerosis – a single study case</p>
<p>Marlene C. Rosa</p>
<p>P45 Physical condition and self-efficacy in people with fall risk – a preliminary study</p>
<p>Marlene C. Rosa, Silvana F. Marques</p>
<p>P46 Shock waves: their effectiveness in improving the symptoms of calcifying tendinitis of the shoulder</p>
<p>Beatriz Minghelli, Eulália Caro</p>
<p>P47 Pacifier – construction and pilot application of a parenting intervention for parents of babies until six months in primary health care</p>
<p>Mª José Luís, Teresa Brandão</p>
<p>P48 The influence of Motor Imagery in fine motor skills of individuals with disabilities</p>
<p>Pedro Mendes, Daniel Marinho, João Petrica, Diogo Monteiro, Rui Paulo, João Serrano, Inês Santo</p>
<p>P49 Evaluation of the effects of a walking programme on the fall risk factors in older people – a longitudinal pilot study</p>
<p>Lina Monteiro, Fátima Ramalho, Rita Santos-Rocha, Sónia Morgado, Teresa Bento</p>
<p>P50 Nursing intervention programme in lifestyles of adolescents</p>
<p>Gilberta Sousa, Otília Freitas, Isabel Silva, Gregório Freitas, Clementina Morna, Rita Vasconcelos</p>
<p>P51 The person submitted to hip replacement rehabilitation, at home</p>
<p>Tatiana Azevedo, Salete Soares, Jacinta Pisco</p>
<p>P52 Effects of Melatonin use in the treatment of neurovegetative diseases</p>
<p>Paulo P. Ferreira, Efrain O. Olszewer, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira</p>
<p>P53 Review of Phytotherapy and other natural substances in alcohol abuse and alcoholism</p>
<p>Erica Santos, Ana I. Oliveira, Carla Maia, Fernando Moreira, Joana Santos, Maria F. Mendes, Rita F. Oliveira, Cláudia Pinho</p>
<p>P54 Dietary programme impact on biochemical markers in diabetics: systematic review</p>
<p>Eduarda Barreira, Ana Pereira, Josiana A. Vaz, André Novo</p>
<p>P55 Biological approaches to knee osteoarthritis: platelet-rich plasma and hyaluronic acid</p>
<p>Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha</p>
<p>P56 Platelet-rich plasma and hyaluronic acid intra-articular injections for the treatment of ankle osteoarthritis</p>
<p>Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha</p>
<p>P57 The impact of preventive measures in the incidence of diabetic foot ulcers: a systematic review</p>
<p>Ana F. César, Mariana Poço, David Ventura, Raquel Loura, Pedro Gomes, Catarina Gomes, Cláudia Silva, Elsa Melo, João Lindo</p>
<p>P58 Dating violence among young adolescents</p>
<p>Joana Domingos, Zaida Mendes, Susana Poeta, Tiago Carvalho, Catarina Tomás, Helena Catarino, Mª Anjos Dixe</p>
<p>P59 Physical activity and motor memory in pedal dexterity</p>
<p>André Ramalho, António Rosado, Pedro Mendes, Rui Paulo, Inês Garcia, João Petrica</p>
<p>P60 The effects of whole body vibration on the electromyographic activity of thigh muscles</p>
<p>Sandra Rodrigues, Rui Meneses, Carlos Afonso, Luís Faria, Adérito Seixas</p>
<p>P61 Mental health promotion in the workplace</p>
<p>Marina Cordeiro, Paulo Granjo, José C. Gomes</p>
<p>P62 Influence of physical exercise on the self-perception of body image in elderly women: A systematic review of qualitative studies</p>
<p>Nelba R. Souza, Guilherme E. Furtado, Saulo V. Rocha, Paula Silva, Joana Carvalho</p>
<p>O109 Psychometric properties of the Portuguese version of the Éxamen Geronto-Psychomoteur (P-EGP)</p>
<p>Marina Ana Morais, Sofia Santos, Paula Lebre, Ana Antunes</p>
<p>O110 Symptoms of depression in the elderly population of Portugal, Spain and Italy</p>
<p>António Calha</p>
<p>O111 Emotion regulation strategies and psychopathology symptoms: A comparison between adolescents with and without deliberate self-harm</p>
<p>Ana Xavier, Marina Cunha, José Pinto-Gouveia</p>
<p>O112 Prevalence of physical disability in people with leprosy</p>
<p>Liana Alencar, Madalena Cunha, António Madureira</p>
<p>O113 Quality of life and self-esteem in type 1 and type 2 diabetes mellitus patients</p>
<p>Ilda Cardoso, Ana Galhardo, Fernanda Daniel, Vítor Rodrigues</p>
<p>O114 Cross-cultural comparison of gross motor coordination in children from Brazil and Portugal</p>
<p>Leonardo Luz, Tatiana Luz, Maurício R. Ramos, Dayse C. Medeiros, Bruno M. Carmo, André Seabra, Cristina Padez, Manuel C. Silva</p>
<p>O115 Electrocardiographic differences between African and Caucasian people</p>
<p>António Rodrigues, Patrícia Coelho, Alexandre Coelho</p>
<p>O116 Factors associated with domestic, sexual and other types of violence in the city of Palhoça - Brazil</p>
<p>Madson Caminha, Filipe Matheus, Elenice Mendes, Jony Correia, Marcia Kretzer</p>
<p>O117 Tinnitus prevalence study of users of a hospital of public management - Spain</p>
<p>Francisco J. Hernandez-Martinez, Juan F. Jimenez-Diaz, Bienvendida C. Rodriguez-De-Vera, Carla Jimenez-Rodriguez, Yadira Armas-Gonzalez</p>
<p>O118 Difficulties experienced by parents of children with diabetes mellitus of preschool age in therapeutic and nutritional management</p>
<p>Cátia Rodrigues, Rosa Pedroso</p>
<p>O119 E-mental health - “nice to have” or “must have”? Exploring the attitudes towards e-mental health in the general population</p>
<p>Jennifer Apolinário-Hagen, Viktor Vehreschild</p>
<p>O120 Violence against children and adolescents and the role of health professionals: Knowing how to identify and care</p>
<p>Milene Veloso, Celina Magalhães, Isabel Cabral, Maira Ferraz</p>
<p>O121 Marital violence. A study in the Algarve population</p>
<p>Filipe Nave, Emília Costa, Filomena Matos, José Pacheco</p>
<p>O122 Clinical factors and adherence to treatment in ischemic heart disease</p>
<p>António Dias, Carlos Pereira, João Duarte, Madalena Cunha, Daniel Silva</p>
<p>O123 Can religiosity improve optimism in participants in states of illness, when controlling for life satisfaction?</p>
<p>Lisete M. Mónico, Valentim R. Alferes, Mª São João Brêda, Carla Carvalho, Pedro M. Parreira</p>
<p>O124 Empowerment, knowledge and quality of life of people with diabetes type 2 in the Alto Minho Health Local Unit</p>
<p>Mª Carminda Morais, Pedro Ferreira, Rui Pimenta, José Boavida</p>
<p>O125 Antihypertensive therapy adherence among hypertensive patients from Bragança county, Portugal</p>
<p>Isabel C. Pinto, Tânia Pires, Catarina Silva</p>
<p>O126 Subjective perception of sexual achievement - An exploratory study on people with overweight</p>
<p>Maria Ribeiro, Maria Viega-Branco, Filomena Pereira, Ana Mª Pereira</p>
<p>O127 Physical activity level and associated factors in hypertensive individuals registered in the family health strategy of a basic health unit from the city of Palhoça, Santa Catarina, Brazil</p>
<p>Fabrícia M. Almeida, Gustavo L. Estevez, Sandra Ribeiro, Marcia R. Kretzer</p>
<p>O128 Perception of functional fitness and health in non-institutionalised elderly from rural areas</p>
<p>Paulo V. João, Paulo Nogueira, Sandra Novais, Ana Pereira, Lara Carneiro, Maria Mota</p>
<p>O129 Medication adherence in patients with type 2 diabetes mellitus treated at primary health care in Coimbra</p>
<p>Rui Cruz, Luiz Santiago, Carlos Fontes-Ribeiro</p>
<p>O130 Multivariate association between body mass index and multi-comorbidities in elderly people living in low socio-economic status context</p>
<p>Guilherme Furtado, Saulo V. Rocha, André P. Coutinho, João S. Neto, Lélia R. Vasconcelos, Nelba R. Souza, Estélio Dantas</p>
<p>O131 Metacognition, rumination and experiential avoidance in Borderline Personality Disorder</p>
<p>Alexandra Dinis, Sérgio Carvalho, Paula Castilho, José Pinto-Gouveia</p>
<p>O132 Health issues in a vulnerable population: nursing consultation in a public bathhouse in Lisbon</p>
<p>Alexandra Sarreira-Santos, Amélia Figueiredo, Lurdes Medeiros-Garcia, Paulo Seabra</p>
<p>O133 The perception of quality of life in people with multiple sclerosis accompanied in External Consultation of the Local Health Unit of Alto Minho</p>
<p>Rosa Rodrigues, Mª Carminda Morais, Paula O. Fernandes</p>
<p>O134 Representation of interaction established between immigrant women and nurse during pregnancy to postpartum, from the perspective of immigrant women</p>
<p>Conceição Santiago, Mª Henriqueta Figueiredo, Marta L. Basto</p>
<p>O135 Illness perceptions and medication adherence in hypertension</p>
<p>Teresa Guimarães, André Coelho, Anabela Graça, Ana M. Silva, Ana R. Fonseca</p>
<p>O136 A Portuguese study on adults’ intimate partner violence, interpersonal trust and hope</p>
<p>Luz Vale-Dias, Bárbara Minas, Graciete Franco-Borges</p>
<p>P63 QOL’ predictors of people with intellectual disability and general population</p>
<p>Cristina Simões, Sofia Santos</p>
<p>P64 Content validation of the Communication Disability Profile (CDP) - Portuguese Version</p>
<p>Ana Serra, Maria Matos, Luís Jesus</p>
<p>P65 Study of biochemical and haematological changes in football players</p>
<p>Ana S. Tavares, Ana Almeida, Céu Leitão, Edna Varandas, Renato Abreu, Fernando Bellém</p>
<p>P66 Body image dissatisfaction in inflammatory bowel disease: exploring the role of chronic illness-related shame</p>
<p>Inês A. Trindade, Cláudia Ferreira, José Pinto-Gouveia, Joana Marta-Simões</p>
<p>P67 Obesity and sleep in the adult population - a systematic review</p>
<p>Odete Amaral, Cristiana Miranda, Pedro Guimarães, Rodrigo Gonçalves, Nélio Veiga, Carlos Pereira</p>
<p>P68 Frequency of daytime sleepiness and obstructive sleep apnea risk in COPD patients</p>
<p>Tânia C. Fleig, Elisabete A. San-Martin, Cássia L. Goulart, Paloma B. Schneiders, Natacha F. Miranda, Lisiane L. Carvalho, Andrea G. Silva</p>
<p>P69 Working with immigrant-origin clients: discourses and practices of health professionals</p>
<p>Joana Topa, Conceição Nogueira, Sofia Neves</p>
<p>P70 Systemic Lupus Erythematosus – what are audiovestibular changes?</p>
<p>Rita Ventura, Cristina Nazaré</p>
<p>P71 Mental disorders in the oldest old: findings from the Portuguese national hospitalization database</p>
<p>Daniela Brandão, Alberto Freitas, Óscar Ribeiro, Constança Paúl</p>
<p>P72 Recurrence analysis in postural control in children with cerebral palsy</p>
<p>Cristiana Mercê, Marco Branco, Pedro Almeida, Daniela Nascimento, Juliana Pereira, David Catela</p>
<p>P73 The experience of self-care in the elderly with COPD: contributions to reflect proximity care</p>
<p>Helga Rafael</p>
<p>P74 Culturally competent nurses: managing unpredictability in clinical practice with immigrants</p>
<p>Alcinda C. Reis</p>
<p>O137 Paediatric speech and language screening: An instrument for health professionals</p>
<p>Ana Mendes, Ana R. Valente, Marisa Lousada</p>
<p>O138 Anthropometric and nutritional assessment in bodybuilders</p>
<p>Diana Sousa, Ana L. Baltazar, Mª Helena Loureiro</p>
<p>O139 Computerized adventitious respiratory sounds in children with lower respiratory tract infections</p>
<p>Ana Oliveira, José Aparício, Alda Marques</p>
<p>O140 Role of computerized respiratory sounds as a marker in LRTI</p>
<p>Alda Marques, Ana Oliveira, Joana Neves, Rodrigo Ayoub</p>
<p>O141 Confirmatory factor analysis of the Personal Wellbeing Index in people with chronic kidney disease</p>
<p>Luís Sousa, Cristina Marques-Vieira, Sandy Severino, Helena José</p>
<p>O142 Phonological awareness skills in school aged children</p>
<p>Inês Cadorio, Marisa Lousada</p>
<p>O143 Assessment of early memories of warmth and safeness in interaction with peers: its relationship with psychopathology in adolescence</p>
<p>Marina Cunha, Diogo Andrade, Ana Galhardo, Margarida Couto</p>
<p>O144 The molecular effects induced by single shot irradiation on a diffuse large B cell lymphoma cell line</p>
<p>Fernando Mendes, Cátia Domingues, Susann Schukg, Ana M. Abrantes, Ana C. Gonçalves, Tiago Sales, Ricardo Teixo, Rita Silva, Jéssica Estrela, Mafalda Laranjo, João Casalta-Lopes, Clara Rocha, Paulo C. Simões, Ana B. Sarmento-Ribeiro, Mª Filomena Botelho, Manuel S. Rosa</p>
<p>O145 Morpho-functional characterization of cardiac chambers by Transthoracic Echocardiography, in young athletes of gymnastics competition</p>
<p>Virgínia Fonseca, Diogo Colaço, Vanessa Neves</p>
<p>O146 Prevalence of the antibodies of the new histo-blood system – FORS system</p>
<p>Carlos Jesus, Camilla Hesse, Clara Rocha, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Lola Svensson, Fernando Mendes, Wafa A. Siba, Cristina Pereira, Jorge Tomaz</p>
<p>O147 Assessment of the war-related perceived threat in Portuguese Colonial War Veterans</p>
<p>Teresa Carvalho, José Pinto-Gouveia, Marina Cunha</p>
<p>O148 Pulse transit time estimation for continuous blood pressure measurement: A comparative study</p>
<p>Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto</p>
<p>O149 Blood pressure assessment during standard clinical manoeuvres: A non-invasive PPT based approach</p>
<p>Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto</p>
<p>O150 Development and initial validation of the Activities and Participation Profile related to Mobility (APPM)</p>
<p>Anabela C. Martins</p>
<p>O151 MEASYCare-2010 Standard–A geriatric evaluation system in primary health care: Reliability and validity of the latest version in Portugal</p>
<p>Piedade Brandão, Laura Martins, Margarida Cardoso</p>
<p>O152 Interrater and intrarater reliability and agreement of the range of shoulder flexion in the standing upright position through photographic assessment</p>
<p>Nuno Morais, Joana Cruz</p>
<p>O153 Three-dimensional biofabrication techniques for tissue regeneration</p>
<p>Nuno Alves, Paula Faria, Artur Mateus, Pedro Morouço</p>
<p>O154 A new computer tool for biofabrication applied to tissue engineering</p>
<p>Nuno Alves, Nelson Ferreira, Artur Mateus, Paula Faria, Pedro Morouço</p>
<p>O155 Development and psychometric qualities of a scale to measure the functional independence of adolescents with motor impairment</p>
<p>Isabel Malheiro, Filomena Gaspar, Luísa Barros</p>
<p>O156 Organizational Trust in Health services: Exploratory and Confirmatory factor analysis of the Organizational Trust Inventory- Short Form (OTI-SF)</p>
<p>Pedro Parreira, Andreia Cardoso, Lisete Mónico, Carla Carvalho, Albino Lopes, Anabela Salgueiro-Oliveira</p>
<p>O157 Thermal symmetry: An indicator of occupational task asymmetries in physiotherapy</p>
<p>Adérito Seixas, Valter Soares, Tiago Dias, Ricardo Vardasca, Joaquim Gabriel, Sandra Rodrigues</p>
<p>O158 A study of ICT active monitoring adoption in stroke rehabilitation</p>
<p>Hugo Paredes, Arsénio Reis, Sara Marinho, Vítor Filipe, João Barroso</p>
<p>O159 Paranoia Checklist (Portuguese Version): Preliminary studies in a mixed sample of patients and healthy controls</p>
<p>Carolina Da Motta, Célia B. Carvalho, José Pinto-Gouveia, Ermelindo Peixoto</p>
<p>O160 Reliability and validity of the Composite Scale on Morningness: European Portuguese version, in adolescents and young adults</p>
<p>Ana A. Gomes, Vanessa Costa, Diana Couto, Daniel R. Marques, José A. Leitão, José Tavares, Maria H. Azevedo, Carlos F. Silva</p>
<p>O161 Evaluation scale of patient satisfaction with nursing care: Psychometric properties evaluation</p>
<p>João Freitas, Pedro Parreira, João Marôco</p>
<p>O162 Impact of fibromyalgia on quality of life: Comparing results from generic instruments and FIQR</p>
<p>Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Gang Chen, Angelo Iezzi, José A. Sala, José A. Parraça, Narcis Gusi</p>
<p>O163 Preliminary study of the adaptation and validation of the Rating Scale of Resilient Self: Resilience, self-harm and suicidal ideation in adolescents</p>
<p>Jani Sousa, Mariana Marques, Jacinto Jardim, Anabela Pereira, Sónia Simões, Marina Cunha</p>
<p>O164 Development of the first pressure ulcer in inpatient setting: Focus on length of stay</p>
<p>Pedro Sardo, Jenifer Guedes, João Lindo, Paulo Machado, Elsa Melo</p>
<p>O165 Forms of Self-Criticizing and Self-Reassuring Scale: Adaptation and early findings in a sample of Portuguese children</p>
<p>Célia B. Carvalho, Joana Benevides, Marina Sousa, Joana Cabral, Carolina Da Motta</p>
<p>O166 Predictive ability of the Perinatal Depression Screening and Prevention Tool – Preliminary results of the dimensional approach</p>
<p>Ana T. Pereira, Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Rosa Carvalho, Mariana Marques, António Macedo</p>
<p>O167 Psychometric properties of the BaSIQS-Basic Scale on insomnia symptoms and quality of sleep, in adults and in the elderly</p>
<p>Ana M. Silva, Juliana Alves, Ana A. Gomes, Daniel R. Marques, Mª Helena Azevedo, Carlos Silva</p>
<p>O168 Enlightening the human decision in health: The skin melanocytic classification challenge</p>
<p>Ana Mendes, Huei D. Lee, Newton Spolaôr, Jefferson T. Oliva, Wu F. Chung, Rui Fonseca-Pinto</p>
<p>O169 Test-retest reliability household life study and health questionnaire Pomerode (SHIP-BRAZIL)</p>
<p>Keila Bairros, Cláudia D. Silva, Clóvis A. Souza, Silvana S. Schroeder</p>
<p>O170 Characterization of sun exposure behaviours among medical students from Nova Medical School</p>
<p>Elsa Araújo, Helena Monteiro, Ricardo Costa, Sara S. Dias, Jorge Torgal</p>
<p>O171 Spirituality in pregnant women</p>
<p>Carolina G. Henriques, Luísa Santos, Elisa F. Caceiro, Sónia A. Ramalho</p>
<p>O172 Polypharmacy in older patients with cancer</p>
<p>Rita Oliveira, Vera Afreixo, João Santos, Priscilla Mota, Agostinho Cruz, Francisco Pimentel</p>
<p>O173 Quality of life of caregivers of people with advanced chronic disease: Translation and validation of the quality of life in life threatening illness - family carer version (QOLLTI-C-PT)</p>
<p>Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa</p>
<p>O174 The psychometric properties of the brief Other as Shamer Scale for Children (OAS-C): preliminary validation studies in a sample of Portuguese children</p>
<p>Joana Benevides, Carolina Da Motta, Marina Sousa, Suzana N. Caldeira, Célia B. Carvalho</p>
<p>O175 Measuring emotional intelligence in health care students – Revalidation of WLEIS-P</p>
<p>Ana Querido, Catarina Tomás, Daniel Carvalho, João Gomes, Marina Cordeiro</p>
<p>O176 Health indicators in prenatal assistance: The impact of computerization and of under-production in basic health centres</p>
<p>Joyce O. Costa, Frederico C. Valim, Lígia C. Ribeiro</p>
<p>O177 Hope genogram: Assessment of resources and interaction patterns in the family of the child with cerebral palsy</p>
<p>Zaida Charepe, Ana Querido, Mª Henriqueta Figueiredo</p>
<p>O178 The influence of childbirth type in postpartum quality of life</p>
<p>Priscila S. Aquino, Samila G. Ribeiro, Ana B. Pinheiro, Paula A. Lessa, Mirna F. Oliveira, Luísa S. Brito, Ítalo N. Pinto, Alessandra S. Furtado, Régia B. Castro, Caroline Q. Aquino, Eveliny S. Martins</p>
<p>O179 Women’s beliefs about pap smear test and cervical cancer: influence of social determinants</p>
<p>Ana B Pinheiro, Priscila S. Aquino, Lara L. Oliveira, Patrícia C. Pinheiro, Caroline R. Sousa, Vívien A. Freitas, Tatiane M. Silva, Adman S. Lima, Caroline Q. Aquino, Karizia V. Andrade, Camila A. Oliveira, Eglidia F. Vidal</p>
<p>O180 Validity of the Portuguese version of the ASI-3: Is anxiety sensitivity a unidimensional or multidimensional construct?</p>
<p>Ana Ganho-Ávila, Mariana Moura-Ramos, Óscar Gonçalves, Jorge Almeida</p>
<p>O181 Lifestyles of higher education students: the influence of self-esteem and psychological well-being</p>
<p>Armando Silva, Irma Brito, João Amado</p>
<p>P75 Assessing the quality of life of persons with significant intellectual disability: Portuguese version of Escala de San Martín</p>
<p>António Rodrigo, Sofia Santos, Fernando Gomes</p>
<p>P76 Childhood obesity and breastfeeding - A systematic review</p>
<p>Marlene C. Rosa, Silvana F. Marques</p>
<p>P77 Cross-cultural adaptation of the Foot and Ankle Ability Measure (FAAM) for the Portuguese population</p>
<p>Sara Luís, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves</p>
<p>P78 Cross-cultural adaptation of the Patient-Rated Wrist Evaluation score (PRWE) for the Portuguese population</p>
<p>Rui S. Lopes, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves</p>
<p>P79 Cross-cultural adaptation of the Myocardial Infraction Dimensional Assessment Scale (MIDAS) for Brazilian Portuguese language</p>
<p>Bruno H. Fiorin, Marina S. Santos, Edmar S. Oliveira, Rita L. Moreira, Elizabete A. Oliveira, Braulio L. Filho</p>
<p>P80 The revised Portuguese version of the Three-Factor Eating Questionnaire: A confirmatory factor analysis</p>
<p>Lara Palmeira, Teresa Garcia, José Pinto-Gouveia, Marina Cunha</p>
<p>P81 Assessing weight-related psychological inflexibility: An exploratory factor analysis of the AAQW’s Portuguese version</p>
<p>Sara Cardoso, Lara Palmeira, Marina Cunha; José Pinto-Gouveia</p>
<p>P82 Validation of the Body Appreciation Scale-2 for Portuguese women</p>
<p>Joana Marta-Simões, Ana L. Mendes, Inês A. Trindade, Sara Oliveira, Cláudia Ferreira</p>
<p>P83 The Portuguese validation of the Dietary Intent Scale</p>
<p>Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira</p>
<p>P84 Construction and validation of the Inventory of Marital Violence (IVC)</p>
<p>Filipe Nave</p>
<p>P85 Portable continuous blood pressure monitor system</p>
<p>Mariana Campos, Iris Gaudêncio, Fernando Martins, Lino Ferreira, Nuno Lopes, Rui Fonseca-Pinto</p>
<p>P86 Construction and validation of the Scale of Perception of the Difficulties in Caring for the Elderly (SPDCE)</p>
<p>Rogério Rodrigues, Zaida Azeredo, Corália Vicente</p>
<p>P87 Development and validation of a comfort rating scale for the elderly hospitalized with chronic illness</p>
<p>Joana Silva, Patrícia Sousa, Rita Marques</p>
<p>P88 Construction and validation of the Postpartum Paternal Quality of Life Questionnaire (PP-QOL)</p>
<p>Isabel Mendes, Rogério Rodrigues, Zaida Azeredo, Corália Vicente</p>
<p>P89 Infrared thermal imaging: A tool for assessing diabetic foot ulcers</p>
<p>Ricardo Vardasca, Ana R. Marques, Adérito Seixas, Rui Carvalho, Joaquim Gabriel</p>
<p>P90 Pressure ulcers in an intensive care unit: An experience report</p>
<p>Paulo P. Ferreira, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira, Pablo O. Costa, Maiza M. Silva</p>
<p>P91 Validation of figures used in evocations: instrument to capture representations</p>
<p>Cristina Arreguy-Sena, Nathália Alvarenga-Martins, Paulo F. Pinto, Denize C. Oliveira, Pedro D. Parreira, Antônio T. Gomes, Luciene M. Braga</p>
<p>P92 Telephone assistance to decrease burden in informal caregivers of stroke older people: Monitoring and diagnostic evaluation</p>
<p>Odete Araújo, Isabel Lage, José Cabrita, Laetitia Teixeira</p>
<p>P93 Hope of informal caregivers of people with chronic and advanced disease</p>
<p>Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa</p>
<p>P94 Functionality and quality information from the Portuguese National Epidemiological Surveillance System</p>
<p>Sara Silva, Eugénio Cordeiro, João Pimentel</p>
<p>P95 Resting metabolic rate objectively measured vs. Harris and Benedict formula</p>
<p>Vera Ferro-Lebres, Juliana A. Souza, Mariline Tavares</p>
<p>O182 Characteristics of non-urgent patients: Cross-sectional study of an emergency department</p>
<p>Mª Anjos Dixe, Pedro Sousa, Rui Passadouro, Teresa Peralta, Carlos Ferreira, Georgina Lourenço</p>
<p>O183 Physical fitness and health in children of the 1st Cycle of Education</p>
<p>João Serrano, João Petrica, Rui Paulo, Samuel Honório, Pedro Mendes</p>
<p>O184 The impact of physical activity on sleep quality, in children</p>
<p>Alexandra Simões, Lucinda Carvalho, Alexandre Pereira</p>
<p>O185 What is the potential for using Information and Communication Technologies in Arterial Hypertension self-management?</p>
<p>Sara Silva, Paulino Sousa, José M. Padilha</p>
<p>O186 Exploring psychosocial factors associated with risk of falling in older patients undergoing haemodialysis</p>
<p>Daniela Figueiredo, Carolina Valente, Alda Marques</p>
<p>O187 Development of pressure ulcers on the face in patients undergoing non-invasive ventilation</p>
<p>Patrícia Ribas, Joana Sousa, Frederico Brandão, Cesar Sousa, Matilde Martins</p>
<p>O188 The elder hospitalized: Limiting factors of comfort</p>
<p>Patrícia Sousa, Rita Marques</p>
<p>O189 Physical activity and health state self-perception by Portuguese adults</p>
<p>Francisco Mendes, Rosina Fernandes, Emília Martins, Cátia Magalhães, Patrícia Araújo</p>
<p>O190 Satisfaction with social support in the elderly of the district of Bragança</p>
<p>Carla Grande, Mª Augusta Mata, Juan G. Vieitez</p>
<p>O191 Prevalence of death by traumatic brain injury and associated factors in intensive care unit of a general hospital, Brazil</p>
<p>Bruna Bianchini, Nazare Nazario, João G. Filho, Marcia Kretzer</p>
<p>O192 Relation between family caregivers burden and health status of elderly dependents</p>
<p>Tânia Costa, Armando Almeida, Gabriel Baffour</p>
<p>O193 Phenomena sensitive to nursing care in day centre</p>
<p>Armando Almeida, Tânia Costa, Gabriel Baffour</p>
<p>O194 Frailty: what do the elderly think?</p>
<p>Zaida Azeredo, Carlos Laranjeira, Magda Guerra, Ana P. Barbeiro</p>
<p>O195 The therapeutic self-care as a nursing-sensitive outcome: A correlational study</p>
<p>Regina Ferreira</p>
<p>O196 Phonetic-phonological acquisition for the European Portuguese from 18 months to 6 years and 12 months</p>
<p>Sara Lopes, Liliana Nunes, Ana Mendes</p>
<p>O197 Quality of life of patients undergoing liver transplant surgery</p>
<p>Julian Martins, Dulcineia Schneider, Marcia Kretzer, Flávio Magajewski</p>
<p>O198 Professional competences in health: views of older people from different European Countries</p>
<p>Célia Soares, António Marques</p>
<p>O199 Life satisfaction of working adults due to the number of hours of weekly exercise</p>
<p>Marco Batista, Ruth J. Castuera, Helena Mesquita, António Faustino, Jorge Santos, Samuel Honório</p>
<p>O200 Therapeutic itinerary of women with breast cancer in Santa Maria City/RS</p>
<p>Betina P. Vizzotto, Leticia Frigo, Hedioneia F. Pivetta</p>
<p>O201 The breastfeeding prevalence at 4 months: Maternal experience as a determining factor</p>
<p>Dolores Sardo</p>
<p>O202 The impact of the transition to parenthood in health and well-being</p>
<p>Cristina Martins, Wilson Abreu, Mª Céu Figueiredo</p>
<p>P96 Self-determined motivation and well-being in Portuguese active adults of both genders</p>
<p>Marco Batista, Ruth Jimenez-Castuera, João Petrica, João Serrano, Samuel Honório, Rui Paulo, Pedro Mendes</p>
<p>P97 The geriatric care: ways and means of comforting</p>
<p>Patrícia Sousa, Rita Marques</p>
<p>P98 The influence of relative age, subcutaneous adiposity and physical growth on Castelo Branco under-15 soccer players 2015</p>
<p>António Faustino, Paulo Silveira, João Serrano, Rui Paulo, Pedro Mendes, Samuel Honório</p>
<p>P99 Data for the diagnostic process focused on self-care – managing medication regime: An integrative literature review</p>
<p>Catarina Oliveira, Fernanda Bastos, Inês Cruz</p>
<p>P100 Art therapy as mental health promotion for children</p>
<p>Cláudia K. Rodriguez, Márcia R. Kretzer, Nazaré O. Nazário</p>
<p>P101 Chemical characterization of fungal chitosan for industrial applications</p>
<p>Pedro Cruz, Daniela C. Vaz, Rui B. Ruben, Francisco Avelelas, Susana Silva, Mª Jorge Campos</p>
<p>P102 The impact of caring older people at home</p>
<p>Maria Almeida, Liliana Gonçalves, Lígia Antunes</p>
<p>P103 Development of the first pressure ulcer in an inpatient setting: Focus on patients’ characteristics</p>
<p>Pedro Sardo, Jenifer Guedes, João Simões, Paulo Machado, Elsa Melo</p>
<p>P104 Association between General Self-efficacy and Physical Activity among Adolescents</p>
<p>Susana Cardoso, Osvaldo Santos, Carla Nunes, Isabel Loureiro</p>
<p>O203 Characterization of the habits of online acquisition of medicinal products in Portugal</p>
<p>Flávia Santos, Gilberto Alves</p>
<p>O204 Waiting room – A space for health education</p>
<p>Cláudia Soar, Teresa O. Marsi</p>
<p>O205 Safey culture evaluation in hospitalized children</p>
<p>Ernestina Silva, Dora Pedrosa, Andrea Leça, Daniel Silva</p>
<p>O206 Sexual Self-awareness and Body Image</p>
<p>Ana Galvão, Maria Gomes, Paula Fernandes, Ana Noné</p>
<p>O207 Perception of a Portuguese population regarding the acquisition and consumption of functional foods</p>
<p>Jaime Combadão, Cátia Ramalhete, Paulo Figueiredo, Patrícia Caeiro</p>
<p>O208 The work process in primary health care: evaluation in municipalities of southern Brazil</p>
<p>Karine C. Fontana, Josimari T. Lacerda, Patrícia O. Machado</p>
<p>O209 Exploration and evaluation of potential probiotic lactic acid bacteria isolated from Amazon buffalo milk</p>
<p>Raphaelle Borges, Flávio Barbosa, Dayse Sá</p>
<p>O210 Road safety for children: Using children’s observation, as a passenger</p>
<p>Germana Brunhoso, Graça Aparício, Amâncio Carvalho</p>
<p>O211 Perception and application of quality-by-design by the Pharmaceutical industry in Portugal</p>
<p>Ana P. Garcia, Paula O. Fernandes, Adriana Santos</p>
<p>O212 Oral health among Portuguese children and adolescents: a public health issue</p>
<p>Nélio Veiga, Carina Brás, Inês Carvalho, Joana Batalha, Margarida Glória, Filipa Bexiga, Inês Coelho, Odete Amaral, Carlos Pereira</p>
<p>O213 Plant species as a medicinal resource in Igatu-Chapada Diamantina (Bahia, Brazil)</p>
<p>Cláudia Pinho, Nilson Paraíso, Ana I. Oliveira, Cristóvão F. Lima, Alberto P. Dias</p>
<p>O214 Characterization of cognitive and functional performance in everyday tasks: Implications for health in institutionalised older adults</p>
<p>Pedro Silva, Mário Espada, Mário Marques, Ana Pereira</p>
<p>O215 BMI and the perception of the importance given to sexuality in obese and overweight people</p>
<p>Ana Mª Pereira, Mª Veiga-Branco, Filomena Pereira, Maria Ribeiro</p>
<p>O216 Analysis and comparison of microbiological contaminations of two different composition pacifiers</p>
<p>Vera Lima, Ana I. Oliveira, Cláudia Pinho, Graça Cruz, Rita F. Oliveira, Luísa Barreiros, Fernando Moreira</p>
<p>O217 Experiences of couple relationships in the transition to retirement</p>
<p>Ana Camarneiro, Mª Helena Loureiro, Margarida Silva</p>
<p>O218 Preventive and corrective treatment of drug-induced calcium deficiency: an analysis in a community pharmacy setting</p>
<p>Catarina Duarte, Ângelo Jesus, Agostinho Cruz</p>
<p>O219 Profile of mood states in physically active elderly subjects: Is there a relation with health perception?</p>
<p>Maria Mota, Sandra Novais, Paulo Nogueira, Ana Pereira, Lara Carneiro, Paulo V. João</p>
<p>O220 (Un)Safety behaviour at work: the role of education towards a health and safety culture</p>
<p>Teresa Maneca Lima</p>
<p>O221 Analysis of the entrepreneurial profile of students attending higher education in Portugal: the Carland Entrepreneurship Index application</p>
<p>Anabela Salgueiro-Oliveira, Marina Vaquinhas, Pedro Parreira, Rosa Melo, João Graveto, Amélia Castilho, José H. Gomes</p>
<p>O222 Evaluation of welfare and quality of life of pregnant working women regarding the age of the pregnant</p>
<p>María S. Medina, Valeriana G. Blanco</p>
<p>O223 Psychological wellbeing protection among unemployed and temporary workers: Uncovering effective community-based interventions with a Delphi panel</p>
<p>Osvaldo Santos, Elisa Lopes, Ana Virgolino, Alexandra Dinis, Sara Ambrósio, Inês Almeida, Tatiana Marques, Mª João Heitor</p>
<p>O224 Chilean population norms derived from the Health-related quality of life SF-6D</p>
<p>Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Pedro R. Olivares, José A. Parraça, José A. Sala</p>
<p>O225 Motivation of college students toward Entrepreneurship: The influence of social and economic instability</p>
<p>Amélia Castilho, João Graveto, Pedro Parreira, Anabela Oliveira, José H. Gomes, Rosa Melo, Marina Vaquinhas</p>
<p>O226 Use of aromatic and medicinal plants, drugs and herbal products in Bragança city</p>
<p>Mónia Cheio, Agostinho Cruz, Olívia R. Pereira</p>
<p>O227 Edible flowers as new novel foods concept for health promotion</p>
<p>Sara Pinto, Adriana Oliveira, M. Conceição Manso, Carla Sousa, Ana F. Vinha</p>
<p>O228 The influence of leisure activities on the health and welfare of older people living in nursing homes</p>
<p>Mª Manuela Machado, Margarida Vieira</p>
<p>O229 Risk of falling, fear of falling and functionality in community-dwelling older adults</p>
<p>Beatriz Fernandes, Teresa Tomás, Diogo Quirino</p>
<p>O230 Musculoskeletal pain and postural habits in children and teenage students</p>
<p>Gustavo Desouzart, Rui Matos, Magali Bordini, Pedro Mouroço</p>
<p>O231 What's different in Southern Europe? The question of citizens’ participation in health systems</p>
<p>Ana R. Matos, Mauro Serapioni</p>
<p>O232 Occupational stress in Portuguese police officers</p>
<p>Teresa Guimarães, Virgínia Fonseca, André Costa, João Ribeiro, João Lobato</p>
<p>O233 Is occupational therapy culturally relevant to promote mental health in Burkina Faso?</p>
<p>Inmaculada Z. Martin, Anita Björklund</p>
<p>P105 Pay-for-performance satisfaction and quality in primary care</p>
<p>Aida I. Tavares, Pedro Ferreira, Rui Passadouro</p>
<p>P106 Economic development through life expectancy lenses</p>
<p>Sónia Morgado</p>
<p>P107 What is the effectiveness of exercise on smoking cessation to prevent clinical complications of smoking?</p>
<p>Nuno Tavares, João Valente, Anabela C. Martins</p>
<p>P108 A systematic review of the effects of yoga on mental health</p>
<p>Patrícia Araújo, Rosina Fernandes, Francisco Mendes, Cátia Magalhães, Emília Martins</p>
<p>P109 Healthy lifestyle: comparison between higher education students that lived until adult age in rural and urban environment</p>
<p>Pedro Mendes, Rui Paulo, António Faustino, Helena Mesquita, Samuel Honório, Marco Batista</p>
<p>P110 Evaluation of the Mobile Emergency Care Service (SAMU) in Brazil</p>
<p>Josimari T. Lacerda, Angela B. Ortiga, Mª Cristina Calvo, Sônia Natal</p>
<p>P111 Bioactive compounds - antioxidant activity of tropical fruits</p>
<p>Marta Pereira</p>
<p>P112 Use of non-pharmacological methods to relieve pain in labour</p>
<p>Manuela Ferreira, Ana R. Prata, Paula Nelas, João Duarte</p>
<p>P113 Mechanical safety of pacifiers sold in Portuguese pharmacies and childcare stores</p>
<p>Juliana Carneiro, Ana I. Oliveira, Cláudia Pinho, Cristina Couto, Rita F. Oliveira, Fernando Moreira</p>
<p>P114 The importance of prenatal consultation: Information to pregnant women given on a unit of primary care</p>
<p>Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Géssica M. Souza, Lívia F. Almada, Milena A. Conceição, Eujcely C. Santiago</p>
<p>P115 Influence of different backpack loading conditions on neck and lumbar muscles activity of elementary school children</p>
<p>Sandra Rodrigues, Gabriela Domingues, Irina Ferreira, Luís Faria, Adérito Seixas</p>
<p>P116 Efficacy and safety of dry extract Hedera helix in the treatment of productive cough</p>
<p>Ana R. Costa, Ângelo Jesus, Américo Cardoso, Alexandra Meireles, Armanda Colaço, Agostinho Cruz</p>
<p>P117 A portrait of the evaluation processes of education groups in primary health care</p>
<p>Viviane L. Vieira, Kellem R. Vincha, Ana Mª Cervato-Mancuso</p>
<p>P118 Benefits of vitamins C and E in sensorineural hearing loss: a review</p>
<p>Melissa Faria, Cláudia Reis</p>
<p>P119 BODY SNAPSHOT – a web-integrated anthropometric evaluation system</p>
<p>Marco P. Cova, Rita T. Ascenso, Henrique A. Almeida, Eunice G. Oliveira</p>
<p>P120 Anthropometric evaluation and variation during pregnancy</p>
<p>Miguel Santana, Rafael Pereira, Eunice G. Oliveira, Henrique A. Almeida, Rita T. Ascenso</p>
<p>P121 Knowledge of college students on the amendments of their eating habits and physical activity index in the transition to higher education</p>
<p>Rita Jesus, Rodrigo Tapadas, Carolina Tim-Tim, Catarina Cezanne, Matilde Lagoa, Sara S. Dias, Jorge Torgal</p>
<p>P122 Muscular activity of a rally race car driver</p>
<p>João Lopes, Henrique Almeida, Sandra Amado, Luís Carrão</p>
<p>O234 Literacy and results in health</p>
<p>Madalena Cunha, Luís Saboga-Nunes, Carlos Albuquerque, Olivério Ribeiro</p>
<p>O235 Literacy promotion and empowerment of type 2 diabetics elderly in four family health units of the group of health centers of Dão Lafões</p>
<p>Suzete Oliveira, Mª Carminda Morais</p>
<p>O236 Mediterranean diet, health and life quality among Portuguese children</p>
<p>Emília Martins, Francisco Mendes, Rosina Fernandes, Cátia Magalhães, Patrícia Araújo</p>
<p>O237 Health literacy, from data to action - translation, validation and application of the European Health Literacy Survey in Portugal (HLS-EU-PT)</p>
<p>Ana R. Pedro, Odete Amaral, Ana Escoval</p>
<p>O238 Oral health literacy evaluation in a Portuguese military population</p>
<p>Victor Assunção, Henrique Luís, Luís Luís</p>
<p>O239 Preferences to Internet-based cognitive behavioural therapy – do attachment orientations matter?</p>
<p>Jennifer Apolinário-Hagen, Viktor Vehreschild</p>
<p>O240 A comparative transnational study in health literacy between Austria and Portugal</p>
<p>Ulrike Fotschl, Gerald Lirk, Anabela C. Martins, Isabel Andrade, Fernando Mendes</p>
<p>O241 Health literacy and social behaviours: relationship with sexually transmitted diseases?</p>
<p>Verónica Mendonça, Sandra Antunes, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes</p>
<p>O242 Parenting styles and attachment to parents: what relationships?</p>
<p>Paula A. Silva, Lisete M. Mónico, Pedro M. Parreira, Carla Carvalho</p>
<p>O243 Work-life balance in health professionals and professors: comparative study of workers with shift work and fixed schedule</p>
<p>Carla Carvalho, Pedro M. Parreira, Lisete M. Mónico, Joana Ruivo</p>
<p>O244 Technology literacy in self-management of diabetes</p>
<p>Vânia Silva, Paulino Sousa, José M. Padilha</p>
<p>O245 Satisfaction with therapeutic education and its relationship with clinical variables in children with type 1 diabetes</p>
<p>Vera Ferraz, Graça Aparício, João Duarte</p>
<p>O246 Nutrition-related knowledge in middle-age and older patients with type 2 diabetes</p>
<p>Carlos Vasconcelos, António Almeida, Joel Neves, Telma Correia, Helena Amorim, Romeu Mendes</p>
<p>O247 Validating the HLS-EU-(PT) questionnaire to measure health literacy in adolescents (CrAdLiSa project: HLS-EU-PT)</p>
<p>Luís Saboga-Nunes, Madalena Cunha, Carlos Albuquerque</p>
<p>O248 Health education in people with coronary heart disease: Experience of the cardiology department of a hospital on the outskirts of Lisbon</p>
<p>Elsa S. Pereira, Leonino S. Santos, Ana S. Reis, Helena R. Silva, João Rombo, Jorge C. Fernandes, Patrícia Fernandes</p>
<p>O249 Information and training needs of informal caregivers of individuals with stroke sequelae: a qualitative survey</p>
<p>Jaime Ribeiro, Catarina Mangas, Ana Freire</p>
<p>O250 Prevention of psychoactive substances consumption in students from 6th grade of Albergaria-a-Velha´s School Group</p>
<p>Sara Silva, Irene Francisco, Ana Oliveira</p>
<p>O251 Promoting healthy sexuality: shared responsibility for family, youth and educators</p>
<p>Helena Catarino, Mª Anjos Dixe, Mª Clarisse Louro</p>
<p>O252 Sexual risk behaviour in adolescents and young people</p>
<p>Saudade Lopes, Anjos Dixe</p>
<p>O253 Knowledge of school staff on type 1 diabetes</p>
<p>Mª Anjos Dixe, Eva Menino, Helena Catarino, Fátima Soares, Ana P. Oliveira, Sara Gordo, Teresa Kraus</p>
<p>O254 Sexual health in adolescents: the impact of information search in literacy</p>
<p>Catarina Tomás, Paulo Queirós, Teresa Rodrigues</p>
<p>P123 Improving basic life support skills in adolescents through a training programme</p>
<p>Pedro Sousa, João G. Frade, Catarina Lobão</p>
<p>P124 Difficulties in sexual education reported by basic education teachers in the city of Foz do Iguaçu - Brazil</p>
<p>Cynthia B. Moura, Laysa C. Dreyer, Vanize Meneghetti, Priscila P. Cabral</p>
<p>P125 Breast cancer survivors: subjects and resources for information. A qualitative systematic review</p>
<p>Francisca Pinto, Paulino Sousa, Mª Raquel Esteves</p>
<p>P126 Relationship between health literacy and prevalence of STI in Biomedical Laboratory Science students</p>
<p>Sofia Galvão, Ite Tytgat, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes</p>
<p>P127 Health literacy, risk behaviours and sexually transmitted diseases among blood donors</p>
<p>Mónica Casas-Novas, Helena Bernardo, Isabel Andrade, Gracinda Sousa, Ana P. Sousa, Clara Rocha, Pedro Belo, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes</p>
<p>P128 Promoting literacy in pregnancy health-care</p>
<p>Fátima Martins, Montserrat Pulido-Fuentes</p>
<p>P129 The lifestyles of the operating assistants of education</p>
<p>Isabel Barroso, Gil Cabral, M. João Monteiro, Conceição Rainho</p>
<p>P130 Experiences of service-learning health and the literary art: reflections about the health education</p>
<p>Alessandro Prado, Yara M. Carvalho</p>
<p>P131 Life long swimming – a European Erasmus + project</p>
<p>Maria Campos, Liliana Moreira, José Ferreira, Ana Teixeira, Luís Rama</p>
</div>
</front>
</TEI>
<pmc article-type="abstract"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Health Serv Res</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Health Serv Res</journal-id>
<journal-title-group><journal-title>BMC Health Services Research</journal-title>
</journal-title-group>
<issn pub-type="epub">1472-6963</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27409075</article-id>
<article-id pub-id-type="pmc">4943498</article-id>
<article-id pub-id-type="publisher-id">1423</article-id>
<article-id pub-id-type="doi">10.1186/s12913-016-1423-5</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Meeting Abstracts</subject>
</subj-group>
</article-categories>
<title-group><article-title>Proceedings of the 3rd IPLeiria’s International Health Congress</article-title>
<subtitle>Leiria, Portugal. 6-7 May 2016</subtitle>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Tomás</surname>
<given-names>Catarina Cardoso</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Oliveira</surname>
<given-names>Emanuel</given-names>
</name>
<xref ref-type="aff" rid="Aff2"></xref>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>D.</given-names>
</name>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Uba-Chupel</surname>
<given-names>M.</given-names>
</name>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Furtado</surname>
<given-names>G.</given-names>
</name>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rocha</surname>
<given-names>C.</given-names>
</name>
<xref ref-type="aff" rid="Aff4"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Teixeira</surname>
<given-names>A.</given-names>
</name>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>P.</given-names>
</name>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Alves</surname>
<given-names>Celeste</given-names>
</name>
<xref ref-type="aff" rid="Aff5"></xref>
<xref ref-type="aff" rid="Aff6"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Gisin</surname>
<given-names>Stefan</given-names>
</name>
<address><email>stefan@gisin.net</email>
</address>
<xref ref-type="aff" rid="Aff7"></xref>
<xref ref-type="aff" rid="Aff8"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Catarino</surname>
<given-names>Elisabete</given-names>
</name>
<address><email>elisabetecatarino@helpo.pt</email>
</address>
<xref ref-type="aff" rid="Aff9"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Nelma</given-names>
</name>
<xref ref-type="aff" rid="Aff9"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coucelo</surname>
<given-names>Tiago</given-names>
</name>
<xref ref-type="aff" rid="Aff9"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bonfim</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff9"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Carina</given-names>
</name>
<xref ref-type="aff" rid="Aff9"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Franco</surname>
<given-names>Débora</given-names>
</name>
<xref ref-type="aff" rid="Aff10"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>González</surname>
<given-names>Jesús Alcoba</given-names>
</name>
<xref ref-type="aff" rid="Aff11"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Jardim</surname>
<given-names>Helena G.</given-names>
</name>
<address><email>hjardim@uma.pt</email>
</address>
<xref ref-type="aff" rid="Aff12"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff13"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Baixinho</surname>
<given-names>Cristina L.</given-names>
</name>
<address><email>crbaixinho@esel.pt</email>
</address>
<xref ref-type="aff" rid="Aff14"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Presado</surname>
<given-names>Mª Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff14"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Mª Fátima</given-names>
</name>
<xref ref-type="aff" rid="Aff14"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cardoso</surname>
<given-names>Mário E.</given-names>
</name>
<xref ref-type="aff" rid="Aff14"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cunha</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff15"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff15"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Xavier</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff16"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Galhardo</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff15"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Couto</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff15"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Frade</surname>
<given-names>João G.</given-names>
</name>
<address><email>joao.frade@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff17"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nunes</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff18"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mesquita</surname>
<given-names>João R.</given-names>
</name>
<xref ref-type="aff" rid="Aff19"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nascimento</surname>
<given-names>Maria S.</given-names>
</name>
<xref ref-type="aff" rid="Aff20"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gonçalves</surname>
<given-names>Guilherme</given-names>
</name>
<xref ref-type="aff" rid="Aff21"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Castro</surname>
<given-names>Conceição</given-names>
</name>
<xref ref-type="aff" rid="Aff22"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mártires</surname>
<given-names>Alice</given-names>
</name>
<xref ref-type="aff" rid="Aff23"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monteiro</surname>
<given-names>Mª João</given-names>
</name>
<xref ref-type="aff" rid="Aff23"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rainho</surname>
<given-names>Conceição</given-names>
</name>
<address><email>crainho@utad.pt</email>
</address>
<xref ref-type="aff" rid="Aff23"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Caballero</surname>
<given-names>Francisco P.</given-names>
</name>
<xref ref-type="aff" rid="Aff24"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monago</surname>
<given-names>Fatima M.</given-names>
</name>
<xref ref-type="aff" rid="Aff25"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guerrero</surname>
<given-names>Jose T.</given-names>
</name>
<xref ref-type="aff" rid="Aff26"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monago</surname>
<given-names>Rocio M.</given-names>
</name>
<xref ref-type="aff" rid="Aff27"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Trigo</surname>
<given-names>Africa P.</given-names>
</name>
<xref ref-type="aff" rid="Aff27"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gutierrez</surname>
<given-names>Milagros L.</given-names>
</name>
<xref ref-type="aff" rid="Aff26"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Milanés</surname>
<given-names>Gemma M.</given-names>
</name>
<xref ref-type="aff" rid="Aff26"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Reina</surname>
<given-names>Mercedes G.</given-names>
</name>
<xref ref-type="aff" rid="Aff24"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Villanueva</surname>
<given-names>Ana G.</given-names>
</name>
<xref ref-type="aff" rid="Aff28"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Piñero</surname>
<given-names>Ana S.</given-names>
</name>
<xref ref-type="aff" rid="Aff29"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Aliseda</surname>
<given-names>Isabel R.</given-names>
</name>
<xref ref-type="aff" rid="Aff26"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ramirez</surname>
<given-names>Francisco B.</given-names>
</name>
<xref ref-type="aff" rid="Aff24"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ribeiro</surname>
<given-names>Andrea</given-names>
</name>
<address><email>andrear@ufp.edu.pt</email>
</address>
<xref ref-type="aff" rid="Aff30"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Quelhas</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff30"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Manso</surname>
<given-names>Conceição</given-names>
</name>
<xref ref-type="aff" rid="Aff30"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Caballero</surname>
<given-names>Francisco P.</given-names>
</name>
<address><email>franciscoluisper@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff31"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guerrero</surname>
<given-names>Jose T.</given-names>
</name>
<xref ref-type="aff" rid="Aff32"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monago</surname>
<given-names>Fatima M.</given-names>
</name>
<xref ref-type="aff" rid="Aff33"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Rafael B.</given-names>
</name>
<xref ref-type="aff" rid="Aff34"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jimenez</surname>
<given-names>Nuria R.</given-names>
</name>
<xref ref-type="aff" rid="Aff31"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nuñez</surname>
<given-names>Cristina G.</given-names>
</name>
<xref ref-type="aff" rid="Aff31"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomez</surname>
<given-names>Inmaculada R.</given-names>
</name>
<xref ref-type="aff" rid="Aff31"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandez</surname>
<given-names>Mª Jose L.</given-names>
</name>
<xref ref-type="aff" rid="Aff31"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marquez</surname>
<given-names>Laura A.</given-names>
</name>
<xref ref-type="aff" rid="Aff33"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moreno</surname>
<given-names>Ana L.</given-names>
</name>
<xref ref-type="aff" rid="Aff32"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Huertas</surname>
<given-names>Mª Jesus Tena</given-names>
</name>
<xref ref-type="aff" rid="Aff31"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ramirez</surname>
<given-names>Francisco B.</given-names>
</name>
<xref ref-type="aff" rid="Aff31"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Seabra</surname>
<given-names>Daniel</given-names>
</name>
<address><email>daniel_seabra_@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff35"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Salvador</surname>
<given-names>Mª Céu</given-names>
</name>
<xref ref-type="aff" rid="Aff35"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Braga</surname>
<given-names>Luciene</given-names>
</name>
<address><email>lucienemunizbraga@yahoo.com.br</email>
</address>
<xref ref-type="aff" rid="Aff36"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff37"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Salgueiro-Oliveira</surname>
<given-names>Anabela</given-names>
</name>
<xref ref-type="aff" rid="Aff37"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Arreguy-Sena</surname>
<given-names>Cristina</given-names>
</name>
<xref ref-type="aff" rid="Aff38"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Bibiana F.</given-names>
</name>
<xref ref-type="aff" rid="Aff39"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Henriques</surname>
<given-names>Mª Adriana</given-names>
</name>
<xref ref-type="aff" rid="Aff40"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Santos</surname>
<given-names>Joana</given-names>
</name>
<address><email>joanacarvalhosantos@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff41"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lebre</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="Aff41"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Alda</given-names>
</name>
<xref ref-type="aff" rid="Aff41"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Festas</surname>
<given-names>Clarinda</given-names>
</name>
<address><email>clarinda@ufp.edu.pt</email>
</address>
<xref ref-type="aff" rid="Aff42"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodrigues</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="Aff42"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Andrea</given-names>
</name>
<xref ref-type="aff" rid="Aff42"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lumini</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff42"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Figueiredo</surname>
<given-names>Ana G.</given-names>
</name>
<address><email>ritagfigueiredo@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff43"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Hernandez-Martinez</surname>
<given-names>Francisco J.</given-names>
</name>
<address><email>fjhernandez@denf.ulpgc.es</email>
</address>
<xref ref-type="aff" rid="Aff44"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Campi</surname>
<given-names>Liliana</given-names>
</name>
<xref ref-type="aff" rid="Aff45"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Quintana-Montesdeoca</surname>
<given-names>Mª Pino</given-names>
</name>
<xref ref-type="aff" rid="Aff46"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jimenez-Diaz</surname>
<given-names>Juan F.</given-names>
</name>
<xref ref-type="aff" rid="Aff46"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodriguez-De-Vera</surname>
<given-names>Bienvenida C.</given-names>
</name>
<xref ref-type="aff" rid="Aff46"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parente</surname>
<given-names>Alexandra</given-names>
</name>
<xref ref-type="aff" rid="Aff47"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mata</surname>
<given-names>Mª Augusta</given-names>
</name>
<xref ref-type="aff" rid="Aff47"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Ana Mª</given-names>
</name>
<xref ref-type="aff" rid="Aff47"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Adília</given-names>
</name>
<xref ref-type="aff" rid="Aff47"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Brás</surname>
<given-names>Manuel</given-names>
</name>
<address><email>manuel-bras@ipb.pt</email>
</address>
<xref ref-type="aff" rid="Aff47"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pinto</surname>
<given-names>Mª Rosário</given-names>
</name>
<address><email>mrosariopinto.essaude@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff48"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff49"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Basto</surname>
<given-names>Marta L.</given-names>
</name>
<xref ref-type="aff" rid="Aff50"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rei</surname>
<given-names>Ana C.</given-names>
</name>
<xref ref-type="aff" rid="Aff51"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mónico</surname>
<given-names>Lisete M.</given-names>
</name>
<xref ref-type="aff" rid="Aff52"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Gilberta</given-names>
</name>
<xref ref-type="aff" rid="Aff53"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morna</surname>
<given-names>Clementina</given-names>
</name>
<xref ref-type="aff" rid="Aff53"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Freitas</surname>
<given-names>Otília</given-names>
</name>
<xref ref-type="aff" rid="Aff53"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Freitas</surname>
<given-names>Gregório</given-names>
</name>
<xref ref-type="aff" rid="Aff53"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jardim</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff53"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vasconcelos</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff53"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Horta</surname>
<given-names>Lina G.</given-names>
</name>
<xref ref-type="aff" rid="Aff54"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rosa</surname>
<given-names>Roger S.</given-names>
</name>
<address><email>roger.rosa@ufrgs.br</email>
</address>
<xref ref-type="aff" rid="Aff54"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kranz</surname>
<given-names>Luís F.</given-names>
</name>
<xref ref-type="aff" rid="Aff54"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nugem</surname>
<given-names>Rita C.</given-names>
</name>
<xref ref-type="aff" rid="Aff54"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Siqueira</surname>
<given-names>Mariana S.</given-names>
</name>
<xref ref-type="aff" rid="Aff54"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bordin</surname>
<given-names>Ronaldo</given-names>
</name>
<xref ref-type="aff" rid="Aff54"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Kniess</surname>
<given-names>Rosiane</given-names>
</name>
<address><email>rosik29@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff55"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lacerda</surname>
<given-names>Josimari T.</given-names>
</name>
<xref ref-type="aff" rid="Aff55"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Guedes</surname>
<given-names>Joana</given-names>
</name>
<address><email>joana.guedes@isssp.pt</email>
</address>
<xref ref-type="aff" rid="Aff56"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Machado</surname>
<given-names>Idalina</given-names>
</name>
<xref ref-type="aff" rid="Aff56"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>Sidalina</given-names>
</name>
<xref ref-type="aff" rid="Aff56"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zilhão</surname>
<given-names>Adriano</given-names>
</name>
<xref ref-type="aff" rid="Aff56"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alves</surname>
<given-names>Helder</given-names>
</name>
<xref ref-type="aff" rid="Aff56"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Óscar</given-names>
</name>
<xref ref-type="aff" rid="Aff56"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Amaral</surname>
<given-names>Ana P.</given-names>
</name>
<address><email>apamaral.22@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff57"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff57"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monteiro</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff57"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rocha</surname>
<given-names>Mª Clara</given-names>
</name>
<xref ref-type="aff" rid="Aff57"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff57"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Amaral</surname>
<given-names>Ana P.</given-names>
</name>
<xref ref-type="aff" rid="Aff58"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lourenço</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff58"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rocha</surname>
<given-names>Mª Clara</given-names>
</name>
<xref ref-type="aff" rid="Aff58"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff58"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Antunes</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="Aff59"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendonça</surname>
<given-names>Verónica</given-names>
</name>
<xref ref-type="aff" rid="Aff59"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff59"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Osório</surname>
<given-names>Nádia</given-names>
</name>
<xref ref-type="aff" rid="Aff59"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Valado</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff59"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Caseiro</surname>
<given-names>Armando</given-names>
</name>
<xref ref-type="aff" rid="Aff59"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gabriel</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff59"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Anabela C.</given-names>
</name>
<xref ref-type="aff" rid="Aff59"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Fernando</given-names>
</name>
<address><email>fjmendes@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff59"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cabral</surname>
<given-names>Lídia</given-names>
</name>
<address><email>lcabral@essv.ipv.pt</email>
</address>
<xref ref-type="aff" rid="Aff60"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Manuela</given-names>
</name>
<xref ref-type="aff" rid="Aff60"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gonçalves</surname>
<given-names>Amadeu</given-names>
</name>
<xref ref-type="aff" rid="Aff60"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Luz</surname>
<given-names>Tatiana D.</given-names>
</name>
<address><email>tati-ddluz@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff61"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Luz</surname>
<given-names>Leonardo</given-names>
</name>
<xref ref-type="aff" rid="Aff61"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Raul</given-names>
</name>
<xref ref-type="aff" rid="Aff62"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morgado</surname>
<given-names>Alice</given-names>
</name>
<xref ref-type="aff" rid="Aff63"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vale-Dias</surname>
<given-names>Maria L.</given-names>
</name>
<xref ref-type="aff" rid="Aff63"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Porta-Nova</surname>
<given-names>Rui</given-names>
</name>
<address><email>rnova@esscvp.eu</email>
</address>
<xref ref-type="aff" rid="Aff64"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Fleig</surname>
<given-names>Tânia C.</given-names>
</name>
<address><email>tcmfleig@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff65"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Reuter</surname>
<given-names>Éboni M.</given-names>
</name>
<xref ref-type="aff" rid="Aff65"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Froemming</surname>
<given-names>Miriam B.</given-names>
</name>
<xref ref-type="aff" rid="Aff65"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guerreiro</surname>
<given-names>Sabrina L.</given-names>
</name>
<xref ref-type="aff" rid="Aff65"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Lisiane L.</given-names>
</name>
<xref ref-type="aff" rid="Aff65"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Guedelha</surname>
<given-names>Daniel</given-names>
</name>
<address><email>daniel.jsguedelha@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff66"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coelho</surname>
<given-names>P.</given-names>
</name>
<xref ref-type="aff" rid="Aff66"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>A.</given-names>
</name>
<xref ref-type="aff" rid="Aff66"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Calha</surname>
<given-names>António</given-names>
</name>
<address><email>antoniocalha@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff67"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cordeiro</surname>
<given-names>Raul</given-names>
</name>
<xref ref-type="aff" rid="Aff67"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Gonçalves</surname>
<given-names>Ana</given-names>
</name>
<address><email>velosogoncalves@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff68"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Certo</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff68"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Galvão</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff68"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mata</surname>
<given-names>Mª Augusta</given-names>
</name>
<xref ref-type="aff" rid="Aff68"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Welter</surname>
<given-names>Aline</given-names>
</name>
<address><email>ninewelter@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff69"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Elayne</given-names>
</name>
<xref ref-type="aff" rid="Aff69"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="Aff70"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kretzer</surname>
<given-names>Marcia</given-names>
</name>
<xref ref-type="aff" rid="Aff69"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Jiménez-Díaz</surname>
<given-names>Juan-Fernando</given-names>
</name>
<address><email>juanfernando.jimenez@ulpgc.es</email>
</address>
<xref ref-type="aff" rid="Aff71"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jiménez-Rodríguez</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff71"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hernández-Martínez</surname>
<given-names>Francisco-José</given-names>
</name>
<xref ref-type="aff" rid="Aff72"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodríguez-De-Vera</surname>
<given-names>Bienvenida-Del-Carmen</given-names>
</name>
<xref ref-type="aff" rid="Aff71"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques-Rodrigues</surname>
<given-names>Alexandre</given-names>
</name>
<xref ref-type="aff" rid="Aff73"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Coelho</surname>
<given-names>Patrícia</given-names>
</name>
<address><email>patriciacoelho@ipcb.pt</email>
</address>
<xref ref-type="aff" rid="Aff74"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bernardes</surname>
<given-names>Tiago</given-names>
</name>
<xref ref-type="aff" rid="Aff74"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Alexandre</given-names>
</name>
<xref ref-type="aff" rid="Aff74"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Patrícia</given-names>
</name>
<address><email>patricia.pssantos@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff75"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Filho</surname>
<given-names>João G.</given-names>
</name>
<xref ref-type="aff" rid="Aff75"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nazario</surname>
<given-names>Nazare</given-names>
</name>
<xref ref-type="aff" rid="Aff75"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kretzer</surname>
<given-names>Marcia</given-names>
</name>
<xref ref-type="aff" rid="Aff75"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Amaral</surname>
<given-names>Odete</given-names>
</name>
<xref ref-type="aff" rid="Aff76"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Garrido</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff77"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Veiga</surname>
<given-names>Nélio</given-names>
</name>
<xref ref-type="aff" rid="Aff78"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nunes</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff79"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pedro</surname>
<given-names>Ana R.</given-names>
</name>
<xref ref-type="aff" rid="Aff79"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff76"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeia</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff80"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Helder M.</given-names>
</name>
<xref ref-type="aff" rid="Aff80"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vasconcelos</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff80"></xref>
<xref ref-type="aff" rid="Aff81"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Nelson</given-names>
</name>
<xref ref-type="aff" rid="Aff80"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Reis</surname>
<given-names>Victor M.</given-names>
</name>
<xref ref-type="aff" rid="Aff80"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monteiro</surname>
<given-names>M. João</given-names>
</name>
<xref ref-type="aff" rid="Aff80"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Romeu</given-names>
</name>
<xref ref-type="aff" rid="Aff80"></xref>
<xref ref-type="aff" rid="Aff82"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pinto</surname>
<given-names>Isabel C.</given-names>
</name>
<address><email>isabel.pinto@ipb.pt</email>
</address>
<xref ref-type="aff" rid="Aff83"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pires</surname>
<given-names>Tânia</given-names>
</name>
<xref ref-type="aff" rid="Aff84"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gama</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff85"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Preto</surname>
<given-names>Vera</given-names>
</name>
<address><email>vera.preto@sapo.pt</email>
</address>
<xref ref-type="aff" rid="Aff86"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Norberto</given-names>
</name>
<xref ref-type="aff" rid="Aff87"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Magalhães</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff88"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Matilde</given-names>
</name>
<xref ref-type="aff" rid="Aff89"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Duarte</surname>
<given-names>Mafalda</given-names>
</name>
<address><email>mafalda.duarte@isave.pt</email>
</address>
<xref ref-type="aff" rid="Aff90"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paúl</surname>
<given-names>Constança</given-names>
</name>
<xref ref-type="aff" rid="Aff91"></xref>
<xref ref-type="aff" rid="Aff92"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martín</surname>
<given-names>Ignácio</given-names>
</name>
<xref ref-type="aff" rid="Aff93"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pinheiro</surname>
<given-names>Arminda A.</given-names>
</name>
<address><email>aanes@ese.uminho.pt</email>
</address>
<xref ref-type="aff" rid="Aff94"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Xavier</surname>
<given-names>Sandra</given-names>
</name>
<address><email>sandraalvesxavier@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff95"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Azevedo</surname>
<given-names>Julieta</given-names>
</name>
<xref ref-type="aff" rid="Aff95"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bento</surname>
<given-names>Elisabete</given-names>
</name>
<xref ref-type="aff" rid="Aff95"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Cristiana</given-names>
</name>
<xref ref-type="aff" rid="Aff95"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Mariana</given-names>
</name>
<xref ref-type="aff" rid="Aff95"></xref>
<xref ref-type="aff" rid="Aff96"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Macedo</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff95"></xref>
<xref ref-type="aff" rid="Aff96"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Ana T.</given-names>
</name>
<xref ref-type="aff" rid="Aff95"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>José P.</given-names>
</name>
<xref ref-type="aff" rid="Aff97"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff97"></xref>
<xref ref-type="aff" rid="Aff98"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alves</surname>
<given-names>Josiane</given-names>
</name>
<xref ref-type="aff" rid="Aff97"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Nelson</given-names>
</name>
<xref ref-type="aff" rid="Aff97"></xref>
<xref ref-type="aff" rid="Aff98"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Saavedra</surname>
<given-names>Francisco</given-names>
</name>
<xref ref-type="aff" rid="Aff97"></xref>
<xref ref-type="aff" rid="Aff98"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Romeu</given-names>
</name>
<address><email>romeuduartemendes@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff97"></xref>
<xref ref-type="aff" rid="Aff98"></xref>
<xref ref-type="aff" rid="Aff99"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Maia</surname>
<given-names>Ana S.</given-names>
</name>
<address><email>anamargarette@yahoo.com.br</email>
</address>
<xref ref-type="aff" rid="Aff100"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Michelle T.</given-names>
</name>
<xref ref-type="aff" rid="Aff100"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Anderson R.</given-names>
</name>
<xref ref-type="aff" rid="Aff100"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Paulo P.</given-names>
</name>
<xref ref-type="aff" rid="Aff101"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopes</surname>
<given-names>Luci S.</given-names>
</name>
<xref ref-type="aff" rid="Aff100"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santiago</surname>
<given-names>Eujcely C.</given-names>
</name>
<xref ref-type="aff" rid="Aff102"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Monteiro</surname>
<given-names>Sílvia</given-names>
</name>
<xref ref-type="aff" rid="Aff103"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Jesus</surname>
<given-names>Ângelo</given-names>
</name>
<address><email>acj@estsp.ipp.pt</email>
</address>
<xref ref-type="aff" rid="Aff103"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Colaço</surname>
<given-names>Armanda</given-names>
</name>
<xref ref-type="aff" rid="Aff103"></xref>
<xref ref-type="aff" rid="Aff104"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff103"></xref>
<xref ref-type="aff" rid="Aff104"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Rita P.</given-names>
</name>
<xref ref-type="aff" rid="Aff103"></xref>
<xref ref-type="aff" rid="Aff105"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Agostinho</given-names>
</name>
<xref ref-type="aff" rid="Aff103"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferreira</surname>
<given-names>Ana</given-names>
</name>
<address><email>anaferreira@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff106"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff106"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Figueiredo</surname>
<given-names>João P.</given-names>
</name>
<xref ref-type="aff" rid="Aff106"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paixão</surname>
<given-names>Susana</given-names>
</name>
<xref ref-type="aff" rid="Aff106"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferreira</surname>
<given-names>Ana</given-names>
</name>
<address><email>anaferreira@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff107"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopes</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff107"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moreira</surname>
<given-names>Fernando</given-names>
</name>
<xref ref-type="aff" rid="Aff107"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Figueiredo</surname>
<given-names>João P.</given-names>
</name>
<xref ref-type="aff" rid="Aff107"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff108"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Diana</given-names>
</name>
<xref ref-type="aff" rid="Aff108"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moreira</surname>
<given-names>Fernando</given-names>
</name>
<xref ref-type="aff" rid="Aff108"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Figueiredo</surname>
<given-names>João P.</given-names>
</name>
<address><email>jpfigueiredo@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff108"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paixão</surname>
<given-names>Susana</given-names>
</name>
<xref ref-type="aff" rid="Aff108"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Telma</given-names>
</name>
<xref ref-type="aff" rid="Aff109"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Amado</surname>
<given-names>Diogo</given-names>
</name>
<xref ref-type="aff" rid="Aff109"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Leal</surname>
<given-names>Jéssica</given-names>
</name>
<xref ref-type="aff" rid="Aff109"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Azevedo</surname>
<given-names>Marcelo</given-names>
</name>
<xref ref-type="aff" rid="Aff109"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ramalho</surname>
<given-names>Sónia</given-names>
</name>
<address><email>sonia.ramalho@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff109"></xref>
<xref ref-type="aff" rid="Aff110"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mangas</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff111"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ribeiro</surname>
<given-names>Jaime</given-names>
</name>
<address><email>jaime.ribeiro@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff112"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gonçalves</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff113"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Nunes</surname>
<given-names>Amélia F</given-names>
</name>
<address><email>amnunes@ubi.pt</email>
</address>
<xref ref-type="aff" rid="Aff114"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tuna</surname>
<given-names>Ana R.</given-names>
</name>
<xref ref-type="aff" rid="Aff114"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Carlos R.</given-names>
</name>
<xref ref-type="aff" rid="Aff115"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Forte</surname>
<given-names>Henriqueta D.</given-names>
</name>
<xref ref-type="aff" rid="Aff115"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Costa</surname>
<given-names>Cláudia</given-names>
</name>
<address><email>claudiampcosta@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff116"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tenedório</surname>
<given-names>José A.</given-names>
</name>
<xref ref-type="aff" rid="Aff117"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santana</surname>
<given-names>Paula</given-names>
</name>
<xref ref-type="aff" rid="Aff116"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>J. A.</given-names>
</name>
<xref ref-type="aff" rid="Aff118"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto</surname>
<given-names>J. L.</given-names>
</name>
<xref ref-type="aff" rid="Aff119"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Campofiorito</surname>
<given-names>C.</given-names>
</name>
<xref ref-type="aff" rid="Aff118"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nunes</surname>
<given-names>S.</given-names>
</name>
<xref ref-type="aff" rid="Aff118"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carmo</surname>
<given-names>A.</given-names>
</name>
<xref ref-type="aff" rid="Aff119"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kaliniczenco</surname>
<given-names>A.</given-names>
</name>
<xref ref-type="aff" rid="Aff118"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alves</surname>
<given-names>B.</given-names>
</name>
<xref ref-type="aff" rid="Aff120"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>F.</given-names>
</name>
<address><email>fjmendes@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff121"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jesus</surname>
<given-names>C.</given-names>
</name>
<xref ref-type="aff" rid="Aff121"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fonseca</surname>
<given-names>F.</given-names>
</name>
<xref ref-type="aff" rid="Aff120"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gehrke</surname>
<given-names>F.</given-names>
</name>
<xref ref-type="aff" rid="Aff118"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Albuquerque</surname>
<given-names>Carlos</given-names>
</name>
<address><email>cmalbuquerque@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff122"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Batista</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff123"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cunha</surname>
<given-names>Madalena</given-names>
</name>
<xref ref-type="aff" rid="Aff122"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Madureira</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff122"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Olivério</given-names>
</name>
<xref ref-type="aff" rid="Aff122"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Rosa</given-names>
</name>
<xref ref-type="aff" rid="Aff122"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Madeira</surname>
<given-names>Teresa</given-names>
</name>
<address><email>anateresamadeira@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff124"></xref>
<xref ref-type="aff" rid="Aff125"></xref>
<xref ref-type="aff" rid="Aff126"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Peixoto-Plácido</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff124"></xref>
<xref ref-type="aff" rid="Aff125"></xref>
<xref ref-type="aff" rid="Aff126"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Nuno</given-names>
</name>
<xref ref-type="aff" rid="Aff124"></xref>
<xref ref-type="aff" rid="Aff125"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Osvaldo</given-names>
</name>
<xref ref-type="aff" rid="Aff124"></xref>
<xref ref-type="aff" rid="Aff125"></xref>
<xref ref-type="aff" rid="Aff126"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bergland</surname>
<given-names>Astrid</given-names>
</name>
<xref ref-type="aff" rid="Aff127"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bye</surname>
<given-names>Asta</given-names>
</name>
<xref ref-type="aff" rid="Aff127"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopes</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff124"></xref>
<xref ref-type="aff" rid="Aff125"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alarcão</surname>
<given-names>Violeta</given-names>
</name>
<xref ref-type="aff" rid="Aff124"></xref>
<xref ref-type="aff" rid="Aff125"></xref>
<xref ref-type="aff" rid="Aff126"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Goulão</surname>
<given-names>Beatriz</given-names>
</name>
<xref ref-type="aff" rid="Aff124"></xref>
<xref ref-type="aff" rid="Aff125"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendonça</surname>
<given-names>Nuno</given-names>
</name>
<xref ref-type="aff" rid="Aff124"></xref>
<xref ref-type="aff" rid="Aff128"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nicola</surname>
<given-names>Paulo</given-names>
</name>
<xref ref-type="aff" rid="Aff124"></xref>
<xref ref-type="aff" rid="Aff125"></xref>
<xref ref-type="aff" rid="Aff126"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Clara</surname>
<given-names>João G.</given-names>
</name>
<xref ref-type="aff" rid="Aff124"></xref>
<xref ref-type="aff" rid="Aff125"></xref>
<xref ref-type="aff" rid="Aff126"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Gomes</surname>
<given-names>João</given-names>
</name>
<address><email>joao.gomes@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff129"></xref>
<xref ref-type="aff" rid="Aff130"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Querido</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff130"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tomás</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff130"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="Aff129"></xref>
<xref ref-type="aff" rid="Aff130"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cordeiro</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff130"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rosa</surname>
<given-names>Marlene C.</given-names>
</name>
<address><email>marlenerosa@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff131"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Alda</given-names>
</name>
<xref ref-type="aff" rid="Aff132"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Brandão</surname>
<given-names>Daniela</given-names>
</name>
<address><email>daniela.brandao@unifai.eu</email>
</address>
<xref ref-type="aff" rid="Aff133"></xref>
<xref ref-type="aff" rid="Aff134"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Óscar</given-names>
</name>
<xref ref-type="aff" rid="Aff133"></xref>
<xref ref-type="aff" rid="Aff135"></xref>
<xref ref-type="aff" rid="Aff136"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Araújo</surname>
<given-names>Lia</given-names>
</name>
<xref ref-type="aff" rid="Aff133"></xref>
<xref ref-type="aff" rid="Aff137"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paúl</surname>
<given-names>Constança</given-names>
</name>
<xref ref-type="aff" rid="Aff133"></xref>
<xref ref-type="aff" rid="Aff138"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Minghelli</surname>
<given-names>Beatriz</given-names>
</name>
<address><email>beatriz.minghelli@silves.ipiaget.pt</email>
</address>
<xref ref-type="aff" rid="Aff139"></xref>
<xref ref-type="aff" rid="Aff140"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Richaud</surname>
<given-names>Sylvina</given-names>
</name>
<xref ref-type="aff" rid="Aff140"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Ana L.</given-names>
</name>
<address><email>analauramendes@live.com.pt</email>
</address>
<xref ref-type="aff" rid="Aff141"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marta-Simões</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff141"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Trindade</surname>
<given-names>Inês A.</given-names>
</name>
<xref ref-type="aff" rid="Aff141"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Cláudia</given-names>
</name>
<xref ref-type="aff" rid="Aff141"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Carvalho</surname>
<given-names>Teresa</given-names>
</name>
<address><email>teresacarvalho.psi@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff142"></xref>
<xref ref-type="aff" rid="Aff143"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cunha</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff142"></xref>
<xref ref-type="aff" rid="Aff143"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto-Gouveia</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff142"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Morgana C.</given-names>
</name>
<xref ref-type="aff" rid="Aff144"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rosa</surname>
<given-names>Roger S.</given-names>
</name>
<address><email>roger.rosa@ufrgs.br</email>
</address>
<xref ref-type="aff" rid="Aff144"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nugem</surname>
<given-names>Rita C.</given-names>
</name>
<xref ref-type="aff" rid="Aff144"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kranz</surname>
<given-names>Luís F.</given-names>
</name>
<xref ref-type="aff" rid="Aff144"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Siqueira</surname>
<given-names>Mariana S.</given-names>
</name>
<xref ref-type="aff" rid="Aff144"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bordin</surname>
<given-names>Ronaldo</given-names>
</name>
<xref ref-type="aff" rid="Aff144"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Martins</surname>
<given-names>Anabela C.</given-names>
</name>
<address><email>anabelacmartins@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff145"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Medeiros</surname>
<given-names>Anabela</given-names>
</name>
<xref ref-type="aff" rid="Aff146"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pimentel</surname>
<given-names>Rafaela</given-names>
</name>
<xref ref-type="aff" rid="Aff146"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Andreia</given-names>
</name>
<xref ref-type="aff" rid="Aff146"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendonça</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff146"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff145"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>Susana</given-names>
</name>
<xref ref-type="aff" rid="Aff145"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Menezes</surname>
<given-names>Ruth L.</given-names>
</name>
<xref ref-type="aff" rid="Aff147"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Bravo</surname>
<given-names>Rafael</given-names>
</name>
<address><email>rbravo@unex.es</email>
</address>
<xref ref-type="aff" rid="Aff148"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Miranda</surname>
<given-names>Marta</given-names>
</name>
<xref ref-type="aff" rid="Aff149"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ugartemendia</surname>
<given-names>Lierni</given-names>
</name>
<xref ref-type="aff" rid="Aff149"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tena</surname>
<given-names>José Mª</given-names>
</name>
<xref ref-type="aff" rid="Aff150"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pérez-Caballero</surname>
<given-names>Francisco L.</given-names>
</name>
<xref ref-type="aff" rid="Aff151"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fuentes-Broto</surname>
<given-names>Lorena</given-names>
</name>
<xref ref-type="aff" rid="Aff152"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodríguez</surname>
<given-names>Ana B.</given-names>
</name>
<xref ref-type="aff" rid="Aff149"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carmen</surname>
<given-names>Barriga</given-names>
</name>
<xref ref-type="aff" rid="Aff149"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carneiro</surname>
<given-names>M. A.</given-names>
</name>
<address><email>gaspar_c94@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff153"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Domingues</surname>
<given-names>J. N.</given-names>
</name>
<xref ref-type="aff" rid="Aff154"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paixão</surname>
<given-names>S.</given-names>
</name>
<xref ref-type="aff" rid="Aff154"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Figueiredo</surname>
<given-names>J.</given-names>
</name>
<xref ref-type="aff" rid="Aff154"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nascimento</surname>
<given-names>V. B.</given-names>
</name>
<xref ref-type="aff" rid="Aff153"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Jesus</surname>
<given-names>C.</given-names>
</name>
<xref ref-type="aff" rid="Aff155"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>F</given-names>
</name>
<xref ref-type="aff" rid="Aff155"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gehrke</surname>
<given-names>F.</given-names>
</name>
<xref ref-type="aff" rid="Aff156"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alves</surname>
<given-names>B.</given-names>
</name>
<xref ref-type="aff" rid="Aff153"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Azzalis</surname>
<given-names>L.</given-names>
</name>
<xref ref-type="aff" rid="Aff157"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fonseca</surname>
<given-names>F.</given-names>
</name>
<xref ref-type="aff" rid="Aff153"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Martins</surname>
<given-names>Ana R.</given-names>
</name>
<address><email>anarita.m91@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff158"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nunes</surname>
<given-names>Amélia</given-names>
</name>
<xref ref-type="aff" rid="Aff158"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jorge</surname>
<given-names>Arminda</given-names>
</name>
<xref ref-type="aff" rid="Aff159"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Veiga</surname>
<given-names>Nélio</given-names>
</name>
<address><email>nelioveiga@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff160"></xref>
<xref ref-type="aff" rid="Aff161"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Amorim</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff160"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>André</given-names>
</name>
<xref ref-type="aff" rid="Aff160"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martinho</surname>
<given-names>Liliana</given-names>
</name>
<xref ref-type="aff" rid="Aff160"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monteiro</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff160"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Rafael</given-names>
</name>
<xref ref-type="aff" rid="Aff160"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coelho</surname>
<given-names>Carina</given-names>
</name>
<xref ref-type="aff" rid="Aff160"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Amaral</surname>
<given-names>Odete</given-names>
</name>
<xref ref-type="aff" rid="Aff162"></xref>
<xref ref-type="aff" rid="Aff164"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coelho</surname>
<given-names>Inês</given-names>
</name>
<xref ref-type="aff" rid="Aff163"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff162"></xref>
<xref ref-type="aff" rid="Aff164"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Correia</surname>
<given-names>André</given-names>
</name>
<xref ref-type="aff" rid="Aff160"></xref>
<xref ref-type="aff" rid="Aff161"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodrigues</surname>
<given-names>Diana</given-names>
</name>
<xref ref-type="aff" rid="Aff165"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marante</surname>
<given-names>Nídia</given-names>
</name>
<xref ref-type="aff" rid="Aff165"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff165"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="Aff165"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Araujo</surname>
<given-names>André Rts</given-names>
</name>
<xref ref-type="aff" rid="Aff165"></xref>
<xref ref-type="aff" rid="Aff166"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Maximiano</given-names>
</name>
<xref ref-type="aff" rid="Aff165"></xref>
<xref ref-type="aff" rid="Aff166"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coutinho</surname>
<given-names>Paula</given-names>
</name>
<xref ref-type="aff" rid="Aff165"></xref>
<xref ref-type="aff" rid="Aff166"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ventura</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="Aff165"></xref>
<xref ref-type="aff" rid="Aff166"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Roque</surname>
<given-names>Fátima</given-names>
</name>
<address><email>froque@ipg.pt</email>
</address>
<xref ref-type="aff" rid="Aff165"></xref>
<xref ref-type="aff" rid="Aff166"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Calvo</surname>
<given-names>Cristina</given-names>
</name>
<address><email>cristina.clv@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff167"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Reses</surname>
<given-names>Manoela</given-names>
</name>
<xref ref-type="aff" rid="Aff167"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Conde</surname>
<given-names>Jorge</given-names>
</name>
<address><email>jconde@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff168"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff168"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Figueiredo</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff168"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="Aff169"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Seiça</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff169"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Soares</surname>
<given-names>Raquel</given-names>
</name>
<xref ref-type="aff" rid="Aff169"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mourão</surname>
<given-names>Ricardo</given-names>
</name>
<xref ref-type="aff" rid="Aff169"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Kraus</surname>
<given-names>Teresa</given-names>
</name>
<address><email>teresa.kraus@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff169"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Abreu</surname>
<given-names>Ana C.</given-names>
</name>
<xref ref-type="aff" rid="Aff170"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Padilha</surname>
<given-names>José M.</given-names>
</name>
<xref ref-type="aff" rid="Aff171"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alves</surname>
<given-names>Júlia M.</given-names>
</name>
<xref ref-type="aff" rid="Aff172"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Paulino</given-names>
</name>
<address><email>paulino@esenf.pt</email>
</address>
<xref ref-type="aff" rid="Aff173"></xref>
<xref ref-type="aff" rid="Aff174"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Manuel</given-names>
</name>
<xref ref-type="aff" rid="Aff173"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff175"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Novais</surname>
<given-names>Sónia</given-names>
</name>
<address><email>snovais@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff176"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Felismina</given-names>
</name>
<xref ref-type="aff" rid="Aff177"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff178"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff178"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Marques</surname>
<given-names>Alda</given-names>
</name>
<address><email>amarques@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff178"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Duarte</surname>
<given-names>Hugo</given-names>
</name>
<address><email>hugoduarte2009@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff179"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dixe</surname>
<given-names>Maria Dos Anjos</given-names>
</name>
<xref ref-type="aff" rid="Aff179"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff179"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cruz</surname>
<given-names>Inês</given-names>
</name>
<address><email>inescruz@esenf.pt</email>
</address>
<xref ref-type="aff" rid="Aff180"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bastos</surname>
<given-names>Fernanda</given-names>
</name>
<xref ref-type="aff" rid="Aff180"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Filipe</given-names>
</name>
<xref ref-type="aff" rid="Aff180"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Carvalho</surname>
<given-names>Francisco L.</given-names>
</name>
<address><email>edinaldo.lira@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff181"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Teresa T.</given-names>
</name>
<xref ref-type="aff" rid="Aff181"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Raposo</surname>
<given-names>Vítor R.</given-names>
</name>
<xref ref-type="aff" rid="Aff181"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rainho</surname>
<given-names>Conceição</given-names>
</name>
<address><email>crainho@utad.pt</email>
</address>
<xref ref-type="aff" rid="Aff182"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>José C.</given-names>
</name>
<xref ref-type="aff" rid="Aff183"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Barroso</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff182"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodrigues</surname>
<given-names>Vítor</given-names>
</name>
<xref ref-type="aff" rid="Aff182"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Neves</surname>
<given-names>Carmo</given-names>
</name>
<address><email>carmonevespt@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff184"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Teresa C.</given-names>
</name>
<xref ref-type="aff" rid="Aff184"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Bárbara</given-names>
</name>
<xref ref-type="aff" rid="Aff185"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morais</surname>
<given-names>Mª Carminda</given-names>
</name>
<xref ref-type="aff" rid="Aff186"></xref>
<xref ref-type="aff" rid="Aff187"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Baylina</surname>
<given-names>Pilar</given-names>
</name>
<xref ref-type="aff" rid="Aff188"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rodrigues</surname>
<given-names>Rogério</given-names>
</name>
<address><email>rogerio@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff189"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Azeredo</surname>
<given-names>Zaida</given-names>
</name>
<xref ref-type="aff" rid="Aff190"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vicente</surname>
<given-names>Corália</given-names>
</name>
<xref ref-type="aff" rid="Aff191"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Dias</surname>
<given-names>Hélia</given-names>
</name>
<address><email>helia.dias@essaude.ipsantarem.pt</email>
</address>
<xref ref-type="aff" rid="Aff192"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sim-Sim</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff193"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<address><email>parreira@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff194"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Salgueiro-Oliveira</surname>
<given-names>Anabela</given-names>
</name>
<xref ref-type="aff" rid="Aff194"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Castilho</surname>
<given-names>Amélia</given-names>
</name>
<xref ref-type="aff" rid="Aff194"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Melo</surname>
<given-names>Rosa</given-names>
</name>
<xref ref-type="aff" rid="Aff194"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Graveto</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff194"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff194"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vaquinhas</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff194"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff195"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mónico</surname>
<given-names>Lisete</given-names>
</name>
<xref ref-type="aff" rid="Aff195"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brito</surname>
<given-names>Nuno</given-names>
</name>
<xref ref-type="aff" rid="Aff196"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sarroeira</surname>
<given-names>Cassilda</given-names>
</name>
<address><email>cassilda.sarroeira@essaude.ipsantarem.pt</email>
</address>
<xref ref-type="aff" rid="Aff197"></xref>
<xref ref-type="aff" rid="Aff198"></xref>
<xref ref-type="aff" rid="Aff199"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Amendoeira</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff197"></xref>
<xref ref-type="aff" rid="Aff198"></xref>
<xref ref-type="aff" rid="Aff199"></xref>
<xref ref-type="aff" rid="Aff200"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cunha</surname>
<given-names>Fátima</given-names>
</name>
<xref ref-type="aff" rid="Aff197"></xref>
<xref ref-type="aff" rid="Aff198"></xref>
<xref ref-type="aff" rid="Aff199"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cândido</surname>
<given-names>Anabela</given-names>
</name>
<xref ref-type="aff" rid="Aff197"></xref>
<xref ref-type="aff" rid="Aff198"></xref>
<xref ref-type="aff" rid="Aff199"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff201"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Helena R.</given-names>
</name>
<xref ref-type="aff" rid="Aff201"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Elsa</given-names>
</name>
<xref ref-type="aff" rid="Aff201"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Barroso</surname>
<given-names>Isabel</given-names>
</name>
<address><email>imbarroso@utad.pt</email>
</address>
<xref ref-type="aff" rid="Aff202"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lapa</surname>
<given-names>Leila</given-names>
</name>
<xref ref-type="aff" rid="Aff202"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Antunes</surname>
<given-names>Cristina</given-names>
</name>
<xref ref-type="aff" rid="Aff202"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Gonçalves</surname>
<given-names>Ana</given-names>
</name>
<address><email>velosogoncalves@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff203"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Galvão</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff203"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>Mª José</given-names>
</name>
<xref ref-type="aff" rid="Aff203"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Escanciano</surname>
<given-names>Susana R.</given-names>
</name>
<xref ref-type="aff" rid="Aff204"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Freitas</surname>
<given-names>Maria</given-names>
</name>
<address><email>mjbsfreitas@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff205"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff206"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marôco</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff207"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Ana R.</given-names>
</name>
<xref ref-type="aff" rid="Aff208"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cabral</surname>
<given-names>Cremilde</given-names>
</name>
<xref ref-type="aff" rid="Aff208"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alves</surname>
<given-names>Samuel</given-names>
</name>
<xref ref-type="aff" rid="Aff208"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Pedro</given-names>
</name>
<address><email>pedro.sousa@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff208"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferreira</surname>
<given-names>António</given-names>
</name>
<address><email>ferreira.esecvpoa@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff209"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Príncipe</surname>
<given-names>Fernanda</given-names>
</name>
<xref ref-type="aff" rid="Aff209"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Seppänen</surname>
<given-names>Ulla-Maija</given-names>
</name>
<xref ref-type="aff" rid="Aff210"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff209"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalhais</surname>
<given-names>Maribel</given-names>
</name>
<xref ref-type="aff" rid="Aff209"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Marilene</given-names>
</name>
<xref ref-type="aff" rid="Aff211"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferreira</surname>
<given-names>Manuela</given-names>
</name>
<address><email>ferreiramanuela75@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff212"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff212"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Neves</surname>
<given-names>Jéssica</given-names>
</name>
<xref ref-type="aff" rid="Aff212"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Costa</surname>
<given-names>Diana</given-names>
</name>
<xref ref-type="aff" rid="Aff212"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Bruno</given-names>
</name>
<xref ref-type="aff" rid="Aff212"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Duarte</surname>
<given-names>Soraia</given-names>
</name>
<xref ref-type="aff" rid="Aff212"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Marques</surname>
<given-names>Sílvia</given-names>
</name>
<address><email>silvimarques@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff213"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ramalho</surname>
<given-names>Sónia</given-names>
</name>
<xref ref-type="aff" rid="Aff214"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff215"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Louro</surname>
<given-names>Clarisse</given-names>
</name>
<xref ref-type="aff" rid="Aff216"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Menino</surname>
<given-names>Eva</given-names>
</name>
<address><email>eva.guilherme@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff216"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dixe</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="Aff216"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dias</surname>
<given-names>Sara S.</given-names>
</name>
<xref ref-type="aff" rid="Aff216"></xref>
<xref ref-type="aff" rid="Aff217"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cordeiro</surname>
<given-names>Marina</given-names>
</name>
<address><email>marina.cordeiro@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff218"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tomás</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff218"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Querido</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff218"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="Aff218"></xref>
<xref ref-type="aff" rid="Aff219"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff218"></xref>
<xref ref-type="aff" rid="Aff219"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Valim</surname>
<given-names>Frederico C.</given-names>
</name>
<xref ref-type="aff" rid="Aff220"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Costa</surname>
<given-names>Joyce O.</given-names>
</name>
<xref ref-type="aff" rid="Aff220"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bernardes</surname>
<given-names>Lúcia G.</given-names>
</name>
<xref ref-type="aff" rid="Aff220"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Prebianchi</surname>
<given-names>Helena</given-names>
</name>
<address><email>helenabp@puc-campinas.edu.br</email>
</address>
<xref ref-type="aff" rid="Aff221"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rosa</surname>
<given-names>Marlene Cristina</given-names>
</name>
<xref ref-type="aff" rid="Aff222"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Gonçalves</surname>
<given-names>Narcisa</given-names>
</name>
<address><email>mnarcisa@esenf.pt</email>
</address>
<xref ref-type="aff" rid="Aff223"></xref>
<xref ref-type="aff" rid="Aff224"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Maria M.</given-names>
</name>
<xref ref-type="aff" rid="Aff223"></xref>
<xref ref-type="aff" rid="Aff224"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kurcgant</surname>
<given-names>Paulina</given-names>
</name>
<xref ref-type="aff" rid="Aff225"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Vieira</surname>
<given-names>André</given-names>
</name>
<address><email>andrevieira@ipcb.pt</email>
</address>
<xref ref-type="aff" rid="Aff226"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bento</surname>
<given-names>Sandrina</given-names>
</name>
<xref ref-type="aff" rid="Aff227"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Deodato</surname>
<given-names>Sérgio</given-names>
</name>
<xref ref-type="aff" rid="Aff227"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rabiais</surname>
<given-names>Isabel</given-names>
</name>
<address><email>raby@ics.lisboa.ucp.pt</email>
</address>
<xref ref-type="aff" rid="Aff227"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Reis</surname>
<given-names>Laura</given-names>
</name>
<address><email>laurareis@esenf.pt</email>
</address>
<xref ref-type="aff" rid="Aff228"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Torres</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff229"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Soares</surname>
<given-names>Sérgio</given-names>
</name>
<address><email>sergiosoares@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff229"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff229"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Graça</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff230"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Leitão</surname>
<given-names>Céu</given-names>
</name>
<xref ref-type="aff" rid="Aff231"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Abreu</surname>
<given-names>Renato</given-names>
</name>
<xref ref-type="aff" rid="Aff231"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bellém</surname>
<given-names>Fernando</given-names>
</name>
<xref ref-type="aff" rid="Aff231"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff231"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro-Varandas</surname>
<given-names>Edna</given-names>
</name>
<xref ref-type="aff" rid="Aff231"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tavares</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff231"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Frade</surname>
<given-names>João G.</given-names>
</name>
<address><email>joao.frade@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff232"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Henriques</surname>
<given-names>Carolina</given-names>
</name>
<xref ref-type="aff" rid="Aff232"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Menino</surname>
<given-names>Eva</given-names>
</name>
<xref ref-type="aff" rid="Aff232"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Louro</surname>
<given-names>Clarisse</given-names>
</name>
<xref ref-type="aff" rid="Aff232"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jordão</surname>
<given-names>Célia</given-names>
</name>
<xref ref-type="aff" rid="Aff232"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Neco</surname>
<given-names>Sofia</given-names>
</name>
<address><email>sofia3rrr@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff233"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morais</surname>
<given-names>Carminda</given-names>
</name>
<xref ref-type="aff" rid="Aff234"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff234"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Silva</surname>
<given-names>Carla R.</given-names>
</name>
<address><email>enf_carlasilva@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff235"></xref>
<xref ref-type="aff" rid="Aff236"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brito</surname>
<given-names>Alice</given-names>
</name>
<xref ref-type="aff" rid="Aff236"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Antónia</given-names>
</name>
<xref ref-type="aff" rid="Aff236"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Duarte</surname>
<given-names>Hugo</given-names>
</name>
<address><email>hugoduarte2009@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff237"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dixe</surname>
<given-names>Maria Dos Anjos</given-names>
</name>
<xref ref-type="aff" rid="Aff237"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff237"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Postolache</surname>
<given-names>Gabriela</given-names>
</name>
<address><email>pgpostolache@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff238"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Raul</given-names>
</name>
<xref ref-type="aff" rid="Aff239"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moreira</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff240"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pedro</surname>
<given-names>Luísa</given-names>
</name>
<xref ref-type="aff" rid="Aff241"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vicente</surname>
<given-names>Sónia</given-names>
</name>
<xref ref-type="aff" rid="Aff242"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Domingos</surname>
<given-names>Samuel</given-names>
</name>
<xref ref-type="aff" rid="Aff243"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Postolache</surname>
<given-names>Octavian</given-names>
</name>
<xref ref-type="aff" rid="Aff243"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Silva</surname>
<given-names>Darlen</given-names>
</name>
<address><email>darlendj@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff244"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Filho</surname>
<given-names>João G.</given-names>
</name>
<xref ref-type="aff" rid="Aff244"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nazario</surname>
<given-names>Nazare</given-names>
</name>
<xref ref-type="aff" rid="Aff244"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kretzer</surname>
<given-names>Marcia</given-names>
</name>
<xref ref-type="aff" rid="Aff244"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Schneider</surname>
<given-names>Dulcineia</given-names>
</name>
<xref ref-type="aff" rid="Aff245"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Marques</surname>
<given-names>Fátima M.</given-names>
</name>
<address><email>fmarques@esel.pt</email>
</address>
<xref ref-type="aff" rid="Aff246"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<address><email>parreira@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff247"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff248"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mónico</surname>
<given-names>Lisete M.</given-names>
</name>
<xref ref-type="aff" rid="Aff248"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff248"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vicente</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="Aff247"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Breda</surname>
<given-names>São João</given-names>
</name>
<xref ref-type="aff" rid="Aff248"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Gomes</surname>
<given-names>José H.</given-names>
</name>
<address><email>herminio@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff249"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Melo</surname>
<given-names>Rosa</given-names>
</name>
<xref ref-type="aff" rid="Aff249"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff249"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Salgueiro</surname>
<given-names>Anabela</given-names>
</name>
<xref ref-type="aff" rid="Aff249"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Graveto</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff249"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vaquinhas</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff249"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Castilho</surname>
<given-names>Amélia</given-names>
</name>
<xref ref-type="aff" rid="Aff249"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Jesus</surname>
<given-names>Ângelo</given-names>
</name>
<address><email>acj@estsp.ipp.pt</email>
</address>
<xref ref-type="aff" rid="Aff250"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Duarte</surname>
<given-names>Nuno</given-names>
</name>
<xref ref-type="aff" rid="Aff250"></xref>
<xref ref-type="aff" rid="Aff251"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopes</surname>
<given-names>José C.</given-names>
</name>
<xref ref-type="aff" rid="Aff250"></xref>
<xref ref-type="aff" rid="Aff252"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nunes</surname>
<given-names>Hélder</given-names>
</name>
<xref ref-type="aff" rid="Aff250"></xref>
<xref ref-type="aff" rid="Aff253"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Agostinho</given-names>
</name>
<xref ref-type="aff" rid="Aff250"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Salgueiro-Oliveira</surname>
<given-names>Anabela</given-names>
</name>
<address><email>anabela@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff254"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff254"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Basto</surname>
<given-names>Marta L.</given-names>
</name>
<xref ref-type="aff" rid="Aff254"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Braga</surname>
<given-names>Luciene M.</given-names>
</name>
<xref ref-type="aff" rid="Aff255"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferreira</surname>
<given-names>António</given-names>
</name>
<address><email>ferreira.esecvpoa@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff256"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Araújo</surname>
<given-names>Beatriz</given-names>
</name>
<xref ref-type="aff" rid="Aff257"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alves</surname>
<given-names>José M.</given-names>
</name>
<xref ref-type="aff" rid="Aff257"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff256"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalhais</surname>
<given-names>Maribel</given-names>
</name>
<xref ref-type="aff" rid="Aff256"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Marilene</given-names>
</name>
<xref ref-type="aff" rid="Aff258"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Novais</surname>
<given-names>Sónia</given-names>
</name>
<xref ref-type="aff" rid="Aff259"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Ana S.</given-names>
</name>
<address><email>sabrinasousa72@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff260"></xref>
<xref ref-type="aff" rid="Aff261"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferrito</surname>
<given-names>Cândida</given-names>
</name>
<xref ref-type="aff" rid="Aff262"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Pedro L.</given-names>
</name>
<xref ref-type="aff" rid="Aff263"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodrigues</surname>
<given-names>Alexandre</given-names>
</name>
<xref ref-type="aff" rid="Aff264"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff265"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Oliveira</surname>
<given-names>Isabel</given-names>
</name>
<address><email>ijoliveira@sapo.pt</email>
</address>
<xref ref-type="aff" rid="Aff266"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferreira</surname>
<given-names>Manuela</given-names>
</name>
<address><email>ferreiramanuela75@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff267"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Neves</surname>
<given-names>Jéssica</given-names>
</name>
<xref ref-type="aff" rid="Aff267"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Costa</surname>
<given-names>Diana</given-names>
</name>
<xref ref-type="aff" rid="Aff267"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Duarte</surname>
<given-names>Soraia</given-names>
</name>
<xref ref-type="aff" rid="Aff267"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff267"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Bruno</given-names>
</name>
<xref ref-type="aff" rid="Aff267"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Martins</surname>
<given-names>Cristina</given-names>
</name>
<address><email>cmartins@ese.uminho.pt</email>
</address>
<xref ref-type="aff" rid="Aff268"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Macedo</surname>
<given-names>Ana P.</given-names>
</name>
<xref ref-type="aff" rid="Aff268"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Araújo</surname>
<given-names>Odete</given-names>
</name>
<xref ref-type="aff" rid="Aff268"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Augusto</surname>
<given-names>Cláudia</given-names>
</name>
<xref ref-type="aff" rid="Aff268"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Braga</surname>
<given-names>Fátima</given-names>
</name>
<xref ref-type="aff" rid="Aff268"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>Lisa</given-names>
</name>
<xref ref-type="aff" rid="Aff268"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Maria A.</given-names>
</name>
<xref ref-type="aff" rid="Aff268"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rosário</surname>
<given-names>Rafaela</given-names>
</name>
<xref ref-type="aff" rid="Aff268"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pimenta</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff269"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carreira</surname>
<given-names>Diana</given-names>
</name>
<xref ref-type="aff" rid="Aff269"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Teles</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff269"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Barros</surname>
<given-names>Teresa</given-names>
</name>
<address><email>teresa.kraus@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff269"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Tomás</surname>
<given-names>Catarina</given-names>
</name>
<address><email>catarina.tomas@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff270"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Querido</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff270"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="Aff270"></xref>
<xref ref-type="aff" rid="Aff271"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff270"></xref>
<xref ref-type="aff" rid="Aff271"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cordeiro</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff270"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Carvalho</surname>
<given-names>Daniel</given-names>
</name>
<address><email>drscarvalho@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff272"></xref>
<xref ref-type="aff" rid="Aff273"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Querido</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff273"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tomás</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff273"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff272"></xref>
<xref ref-type="aff" rid="Aff273"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cordeiro</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff273"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Jácome</surname>
<given-names>Cristina</given-names>
</name>
<address><email>cristinajacome@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff274"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Alda</given-names>
</name>
<xref ref-type="aff" rid="Aff275"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Capelas</surname>
<given-names>Sylvie</given-names>
</name>
<xref ref-type="aff" rid="Aff276"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hall</surname>
<given-names>Andreia</given-names>
</name>
<xref ref-type="aff" rid="Aff277"></xref>
<xref ref-type="aff" rid="Aff278"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alves</surname>
<given-names>Dina</given-names>
</name>
<xref ref-type="aff" rid="Aff279"></xref>
<xref ref-type="aff" rid="Aff280"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Lousada</surname>
<given-names>Marisa</given-names>
</name>
<address><email>marisalousada@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff281"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Loureiro</surname>
<given-names>Mª Helena</given-names>
</name>
<address><email>hloureiro@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff282"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Camarneiro</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff282"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff282"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Aida</given-names>
</name>
<xref ref-type="aff" rid="Aff282"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pedreiro</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff283"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>G.Silva</surname>
<given-names>Anne</given-names>
</name>
<address><email>anne_clg@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff284"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coelho</surname>
<given-names>Elza S.</given-names>
</name>
<xref ref-type="aff" rid="Aff284"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Melo</surname>
<given-names>Flávio</given-names>
</name>
<address><email>flavio.melo.2010@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff285"></xref>
<xref ref-type="aff" rid="Aff286"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Fernando</given-names>
</name>
<xref ref-type="aff" rid="Aff285"></xref>
<xref ref-type="aff" rid="Aff287"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Torres</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff288"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Costa</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff285"></xref>
<xref ref-type="aff" rid="Aff289"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinho</surname>
<given-names>Tânia</given-names>
</name>
<xref ref-type="aff" rid="Aff290"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jácome</surname>
<given-names>Cristina</given-names>
</name>
<xref ref-type="aff" rid="Aff291"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Marques</surname>
<given-names>Alda</given-names>
</name>
<address><email>amarques@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff290"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Bárbara</given-names>
</name>
<xref ref-type="aff" rid="Aff292"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Seabra</surname>
<given-names>Daniel</given-names>
</name>
<address><email>daniel_seabra_@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff293"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carreiras</surname>
<given-names>Diogo</given-names>
</name>
<xref ref-type="aff" rid="Aff294"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ventura</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="Aff292"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cruz</surname>
<given-names>x</given-names>
</name>
<address><email>joana.cruz@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff295"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brooks</surname>
<given-names>Dina</given-names>
</name>
<xref ref-type="aff" rid="Aff296"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Alda</given-names>
</name>
<xref ref-type="aff" rid="Aff295"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pinto</surname>
<given-names>M Rosário</given-names>
</name>
<address><email>mrosariopinto.essaude@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff297"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff298"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lima-Basto</surname>
<given-names>Marta</given-names>
</name>
<xref ref-type="aff" rid="Aff299"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Neves</surname>
<given-names>Miguel</given-names>
</name>
<xref ref-type="aff" rid="Aff300"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mónico</surname>
<given-names>Lisete M.</given-names>
</name>
<xref ref-type="aff" rid="Aff301"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Bizarro</surname>
<given-names>Carla</given-names>
</name>
<address><email>bizarro.carla@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff302"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cunha</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff302"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Galhardo</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff302"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Margarida</surname>
<given-names>Couto</given-names>
</name>
<xref ref-type="aff" rid="Aff302"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Amorim</surname>
<given-names>Ana P.</given-names>
</name>
<xref ref-type="aff" rid="Aff302"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Eduardo</given-names>
</name>
<xref ref-type="aff" rid="Aff303"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cruz</surname>
<given-names>Susana</given-names>
</name>
<address><email>susanacruz.ermesinde@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff304"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Padilha</surname>
<given-names>José M.</given-names>
</name>
<xref ref-type="aff" rid="Aff305"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Valente</surname>
<given-names>Jorge</given-names>
</name>
<xref ref-type="aff" rid="Aff306"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Guerrero</surname>
<given-names>José T.</given-names>
</name>
<address><email>tenaguerrero@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff307"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Caballero</surname>
<given-names>Francisco P.</given-names>
</name>
<xref ref-type="aff" rid="Aff308"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Rafael B.</given-names>
</name>
<xref ref-type="aff" rid="Aff309"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gonzalez</surname>
<given-names>Estefania P.</given-names>
</name>
<xref ref-type="aff" rid="Aff307"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monago</surname>
<given-names>Fátima M.</given-names>
</name>
<xref ref-type="aff" rid="Aff310"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ugalde</surname>
<given-names>Lierni U.</given-names>
</name>
<xref ref-type="aff" rid="Aff309"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vélez</surname>
<given-names>Marta M.</given-names>
</name>
<xref ref-type="aff" rid="Aff307"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tena</surname>
<given-names>Maria J.</given-names>
</name>
<xref ref-type="aff" rid="Aff308"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guerrero</surname>
<given-names>José T.</given-names>
</name>
<xref ref-type="aff" rid="Aff311"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Bravo</surname>
<given-names>Rafael</given-names>
</name>
<address><email>rbravo@unex.es</email>
</address>
<xref ref-type="aff" rid="Aff312"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pérez-Caballero</surname>
<given-names>Francisco L.</given-names>
</name>
<xref ref-type="aff" rid="Aff313"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Becerra</surname>
<given-names>Isabel A.</given-names>
</name>
<xref ref-type="aff" rid="Aff311"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Agudelo</surname>
<given-names>Mª Elizabeth</given-names>
</name>
<xref ref-type="aff" rid="Aff311"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Acedo</surname>
<given-names>Guadalupe</given-names>
</name>
<xref ref-type="aff" rid="Aff311"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bajo</surname>
<given-names>Roberto</given-names>
</name>
<xref ref-type="aff" rid="Aff311"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Malheiro</surname>
<given-names>Isabel</given-names>
</name>
<address><email>mmalheiro@esel.pt</email>
</address>
<xref ref-type="aff" rid="Aff314"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gaspar</surname>
<given-names>Filomena</given-names>
</name>
<xref ref-type="aff" rid="Aff314"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Barros</surname>
<given-names>Luísa</given-names>
</name>
<xref ref-type="aff" rid="Aff315"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Furtado</surname>
<given-names>Guilherme</given-names>
</name>
<address><email>furts2001@yahoo.com.br</email>
</address>
<xref ref-type="aff" rid="Aff316"></xref>
<xref ref-type="aff" rid="Aff317"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Uba-Chupel</surname>
<given-names>Mateus</given-names>
</name>
<xref ref-type="aff" rid="Aff316"></xref>
<xref ref-type="aff" rid="Aff317"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Mariana</given-names>
</name>
<xref ref-type="aff" rid="Aff316"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rama</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff316"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Braga</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff316"></xref>
<xref ref-type="aff" rid="Aff318"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>José P.</given-names>
</name>
<xref ref-type="aff" rid="Aff316"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Teixeira</surname>
<given-names>Ana Mª</given-names>
</name>
<xref ref-type="aff" rid="Aff316"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cruz</surname>
<given-names>João</given-names>
</name>
<address><email>joaocruz@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff319"></xref>
<xref ref-type="aff" rid="Aff320"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Barbosa</surname>
<given-names>Tiago</given-names>
</name>
<xref ref-type="aff" rid="Aff319"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Simões</surname>
<given-names>Ângela</given-names>
</name>
<xref ref-type="aff" rid="Aff319"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coelho</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff319"></xref>
<xref ref-type="aff" rid="Aff320"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rodrigues</surname>
<given-names>Alexandre</given-names>
</name>
<address><email>rodriguesalexandr@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff321"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jiménez-Díaz</surname>
<given-names>Juan-Fernando</given-names>
</name>
<xref ref-type="aff" rid="Aff322"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martinez-Hernandez</surname>
<given-names>Francisco</given-names>
</name>
<xref ref-type="aff" rid="Aff322"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodriguez-De-Vera</surname>
<given-names>Bienvenida</given-names>
</name>
<xref ref-type="aff" rid="Aff322"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff323"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodrigues</surname>
<given-names>Alexandrina</given-names>
</name>
<xref ref-type="aff" rid="Aff324"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ramalho</surname>
<given-names>André</given-names>
</name>
<address><email>andreramalho361@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff325"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Petrica</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff325"></xref>
<xref ref-type="aff" rid="Aff326"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff325"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Serrano</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff325"></xref>
<xref ref-type="aff" rid="Aff326"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santo</surname>
<given-names>Inês</given-names>
</name>
<xref ref-type="aff" rid="Aff327"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rosado</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff328"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendonça</surname>
<given-names>Paula</given-names>
</name>
<address><email>paula.mendonca@estesl.ipl.pt</email>
</address>
<xref ref-type="aff" rid="Aff329"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Freitas</surname>
<given-names>Kátia</given-names>
</name>
<xref ref-type="aff" rid="Aff329"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferreira</surname>
<given-names>Dora</given-names>
</name>
<address><email>dferreira@esdrm.ipsantarem.pt</email>
</address>
<xref ref-type="aff" rid="Aff330"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brito</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff330"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Renato</given-names>
</name>
<xref ref-type="aff" rid="Aff330"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Gomes</surname>
<given-names>Sofia</given-names>
</name>
<address><email>sofiasilvagomes93@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff331"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moreira</surname>
<given-names>Fernando</given-names>
</name>
<xref ref-type="aff" rid="Aff331"></xref>
<xref ref-type="aff" rid="Aff332"></xref>
<xref ref-type="aff" rid="Aff333"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinho</surname>
<given-names>Cláudia</given-names>
</name>
<xref ref-type="aff" rid="Aff331"></xref>
<xref ref-type="aff" rid="Aff334"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff331"></xref>
<xref ref-type="aff" rid="Aff334"></xref>
<xref ref-type="aff" rid="Aff335"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Ana I.</given-names>
</name>
<xref ref-type="aff" rid="Aff331"></xref>
<xref ref-type="aff" rid="Aff334"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendonça</surname>
<given-names>Paula</given-names>
</name>
<address><email>paula.mendonca@estesl.ipl.pt</email>
</address>
<xref ref-type="aff" rid="Aff336"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Casimiro</surname>
<given-names>Ana P.</given-names>
</name>
<xref ref-type="aff" rid="Aff337"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff336"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Iryna</given-names>
</name>
<xref ref-type="aff" rid="Aff336"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Evangelista</surname>
<given-names>Diana</given-names>
</name>
<xref ref-type="aff" rid="Aff338"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Leitão</surname>
<given-names>Catarina</given-names>
</name>
<address><email>catarinaleitao.pt@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff339"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Velosa</surname>
<given-names>Fábia</given-names>
</name>
<xref ref-type="aff" rid="Aff340"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carecho</surname>
<given-names>Nélio</given-names>
</name>
<xref ref-type="aff" rid="Aff341"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coelho</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff339"></xref>
<xref ref-type="aff" rid="Aff340"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Menino</surname>
<given-names>Eva</given-names>
</name>
<address><email>eva.guilherme@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff342"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dixe</surname>
<given-names>Anjos</given-names>
</name>
<xref ref-type="aff" rid="Aff342"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Catarino</surname>
<given-names>Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff342"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Soares</surname>
<given-names>Fátima</given-names>
</name>
<xref ref-type="aff" rid="Aff343"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gama</surname>
<given-names>Ester</given-names>
</name>
<xref ref-type="aff" rid="Aff344"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gordo</surname>
<given-names>Clementina</given-names>
</name>
<xref ref-type="aff" rid="Aff342"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moreira</surname>
<given-names>Eliana</given-names>
</name>
<xref ref-type="aff" rid="Aff345"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Midões</surname>
<given-names>Cristiana</given-names>
</name>
<xref ref-type="aff" rid="Aff345"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Santos</surname>
<given-names>Marlene</given-names>
</name>
<address><email>mes@estsp.ipp.pt</email>
</address>
<xref ref-type="aff" rid="Aff345"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Machado</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="Aff346"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Vânia P.</given-names>
</name>
<xref ref-type="aff" rid="Aff346"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Santos</surname>
<given-names>Marlene</given-names>
</name>
<address><email>mes@estsp.ipp.pt</email>
</address>
<xref ref-type="aff" rid="Aff346"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Querido</surname>
<given-names>Ana</given-names>
</name>
<address><email>ana.querido@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff347"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dixe</surname>
<given-names>Anjos</given-names>
</name>
<xref ref-type="aff" rid="Aff347"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff347"></xref>
<xref ref-type="aff" rid="Aff348"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Charepe</surname>
<given-names>Zaida</given-names>
</name>
<xref ref-type="aff" rid="Aff349"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Antunes</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff350"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Santos</surname>
<given-names>Sofia</given-names>
</name>
<address><email>sofiasantos@fmh.ulisboa.pt</email>
</address>
<xref ref-type="aff" rid="Aff351"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rosa</surname>
<given-names>Marlene C.</given-names>
</name>
<address><email>marlenerosa@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff352"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rosa</surname>
<given-names>Marlene C.</given-names>
</name>
<address><email>marlenerosa@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff353"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Silvana F.</given-names>
</name>
<xref ref-type="aff" rid="Aff354"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Minghelli</surname>
<given-names>Beatriz</given-names>
</name>
<address><email>beatriz.minghelli@silves.ipiaget.pt</email>
</address>
<xref ref-type="aff" rid="Aff355"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>CaroMinghelli</surname>
<given-names>Eulália</given-names>
</name>
<xref ref-type="aff" rid="Aff355"></xref>
<xref ref-type="aff" rid="Aff356"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Luís</surname>
<given-names>Mª José</given-names>
</name>
<address><email>mariaa.pluis@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff357"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brandão</surname>
<given-names>Teresa</given-names>
</name>
<xref ref-type="aff" rid="Aff357"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Pedro</given-names>
</name>
<address><email>pedromendes@ipcb.pt</email>
</address>
<xref ref-type="aff" rid="Aff358"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marinho</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="Aff359"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Petrica</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff358"></xref>
<xref ref-type="aff" rid="Aff360"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monteiro</surname>
<given-names>Diogo</given-names>
</name>
<xref ref-type="aff" rid="Aff361"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paulo</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff358"></xref>
<xref ref-type="aff" rid="Aff362"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Serrano</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff358"></xref>
<xref ref-type="aff" rid="Aff360"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santo</surname>
<given-names>Inês</given-names>
</name>
<xref ref-type="aff" rid="Aff363"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monteiro</surname>
<given-names>Lina</given-names>
</name>
<xref ref-type="aff" rid="Aff364"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ramalho</surname>
<given-names>Fátima</given-names>
</name>
<xref ref-type="aff" rid="Aff364"></xref>
<xref ref-type="aff" rid="Aff365"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos-Rocha</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff364"></xref>
<xref ref-type="aff" rid="Aff365"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morgado</surname>
<given-names>Sónia</given-names>
</name>
<xref ref-type="aff" rid="Aff364"></xref>
<xref ref-type="aff" rid="Aff366"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Bento</surname>
<given-names>Teresa</given-names>
</name>
<address><email>teresabento@esdrm.ipsantarem.pt</email>
</address>
<xref ref-type="aff" rid="Aff364"></xref>
<xref ref-type="aff" rid="Aff367"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Gilberta</given-names>
</name>
<address><email>gfranca@uma.pt</email>
</address>
<xref ref-type="aff" rid="Aff368"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Freitas</surname>
<given-names>Otília</given-names>
</name>
<xref ref-type="aff" rid="Aff368"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff368"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Freitas</surname>
<given-names>Gregório</given-names>
</name>
<xref ref-type="aff" rid="Aff368"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morna</surname>
<given-names>Clementina</given-names>
</name>
<xref ref-type="aff" rid="Aff368"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vasconcelos</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff368"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Azevedo</surname>
<given-names>Tatiana</given-names>
</name>
<address><email>tatiana.azevedo@scmmelgaco.pt</email>
</address>
<xref ref-type="aff" rid="Aff369"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Soares</surname>
<given-names>Salete</given-names>
</name>
<xref ref-type="aff" rid="Aff370"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pisco</surname>
<given-names>Jacinta</given-names>
</name>
<xref ref-type="aff" rid="Aff371"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferreira</surname>
<given-names>Paulo P.</given-names>
</name>
<address><email>paulopanelli@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff372"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Olszewer</surname>
<given-names>Efrain O.</given-names>
</name>
<xref ref-type="aff" rid="Aff373"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Michelle T.</given-names>
</name>
<xref ref-type="aff" rid="Aff374"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Anderson R.</given-names>
</name>
<xref ref-type="aff" rid="Aff375"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Maia</surname>
<given-names>Ana S.</given-names>
</name>
<xref ref-type="aff" rid="Aff375"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Sebastião T.</given-names>
</name>
<xref ref-type="aff" rid="Aff375"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Erica</given-names>
</name>
<xref ref-type="aff" rid="Aff376"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Ana I.</given-names>
</name>
<xref ref-type="aff" rid="Aff376"></xref>
<xref ref-type="aff" rid="Aff377"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Maia</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff376"></xref>
<xref ref-type="aff" rid="Aff378"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moreira</surname>
<given-names>Fernando</given-names>
</name>
<xref ref-type="aff" rid="Aff376"></xref>
<xref ref-type="aff" rid="Aff379"></xref>
<xref ref-type="aff" rid="Aff380"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff376"></xref>
<xref ref-type="aff" rid="Aff381"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Maria F.</given-names>
</name>
<xref ref-type="aff" rid="Aff376"></xref>
<xref ref-type="aff" rid="Aff378"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Rita F.</given-names>
</name>
<xref ref-type="aff" rid="Aff376"></xref>
<xref ref-type="aff" rid="Aff378"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pinho</surname>
<given-names>Cláudia</given-names>
</name>
<address><email>clp@estsp.ipp.pt</email>
</address>
<xref ref-type="aff" rid="Aff376"></xref>
<xref ref-type="aff" rid="Aff378"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Barreira</surname>
<given-names>Eduarda</given-names>
</name>
<address><email>edubarreira4@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff382"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff382"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vaz</surname>
<given-names>Josiana A.</given-names>
</name>
<xref ref-type="aff" rid="Aff382"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Novo</surname>
<given-names>André</given-names>
</name>
<xref ref-type="aff" rid="Aff382"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Silva</surname>
<given-names>Luís D.</given-names>
</name>
<address><email>luisduartesilva1985@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff383"></xref>
<xref ref-type="aff" rid="Aff384"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Maia</surname>
<given-names>Bruno</given-names>
</name>
<xref ref-type="aff" rid="Aff383"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Eduardo</given-names>
</name>
<xref ref-type="aff" rid="Aff383"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pires</surname>
<given-names>Filipa</given-names>
</name>
<xref ref-type="aff" rid="Aff383"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>Renato</given-names>
</name>
<xref ref-type="aff" rid="Aff384"></xref>
<xref ref-type="aff" rid="Aff385"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Camarinha</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff383"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Silva</surname>
<given-names>Luís D.</given-names>
</name>
<address><email>luisduartesilva1985@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff386"></xref>
<xref ref-type="aff" rid="Aff387"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Maia</surname>
<given-names>Bruno</given-names>
</name>
<xref ref-type="aff" rid="Aff386"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Eduardo</given-names>
</name>
<xref ref-type="aff" rid="Aff386"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pires</surname>
<given-names>Filipa</given-names>
</name>
<xref ref-type="aff" rid="Aff386"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>Renato</given-names>
</name>
<xref ref-type="aff" rid="Aff387"></xref>
<xref ref-type="aff" rid="Aff388"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Camarinha</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff386"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>César</surname>
<given-names>Ana F.</given-names>
</name>
<address><email>afilipacesar@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff389"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Poço</surname>
<given-names>Mariana</given-names>
</name>
<xref ref-type="aff" rid="Aff390"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ventura</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="Aff391"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Loura</surname>
<given-names>Raquel</given-names>
</name>
<xref ref-type="aff" rid="Aff392"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff393"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff394"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Cláudia</given-names>
</name>
<xref ref-type="aff" rid="Aff395"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Melo</surname>
<given-names>Elsa</given-names>
</name>
<xref ref-type="aff" rid="Aff396"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lindo</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff396"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Domingos</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff397"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Zaida</given-names>
</name>
<xref ref-type="aff" rid="Aff397"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Poeta</surname>
<given-names>Susana</given-names>
</name>
<xref ref-type="aff" rid="Aff397"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Tiago</given-names>
</name>
<xref ref-type="aff" rid="Aff397"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tomás</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff397"></xref>
<xref ref-type="aff" rid="Aff398"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Catarino</surname>
<given-names>Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff397"></xref>
<xref ref-type="aff" rid="Aff398"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Dixe</surname>
<given-names>Mª Anjos</given-names>
</name>
<address><email>maria.dixe@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff397"></xref>
<xref ref-type="aff" rid="Aff398"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ramalho</surname>
<given-names>André</given-names>
</name>
<address><email>andreramalho361@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff399"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rosado</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff400"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff399"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paulo</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff399"></xref>
<xref ref-type="aff" rid="Aff401"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Garcia</surname>
<given-names>Inês</given-names>
</name>
<xref ref-type="aff" rid="Aff402"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Petrica</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff399"></xref>
<xref ref-type="aff" rid="Aff403"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rodrigues</surname>
<given-names>Sandra</given-names>
</name>
<address><email>sandrar@ufp.edu.pt</email>
</address>
<xref ref-type="aff" rid="Aff404"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Meneses</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff404"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Afonso</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff404"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Faria</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff404"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Seixas</surname>
<given-names>Adérito</given-names>
</name>
<xref ref-type="aff" rid="Aff404"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cordeiro</surname>
<given-names>Marina</given-names>
</name>
<address><email>marina.cordeiro@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff405"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Granjo</surname>
<given-names>Paulo</given-names>
</name>
<xref ref-type="aff" rid="Aff406"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>José C.</given-names>
</name>
<xref ref-type="aff" rid="Aff405"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Souza</surname>
<given-names>Nelba R.</given-names>
</name>
<address><email>nelbaef@yahoo.com.br</email>
</address>
<xref ref-type="aff" rid="Aff407"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Furtado</surname>
<given-names>Guilherme E.</given-names>
</name>
<xref ref-type="aff" rid="Aff407"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rocha</surname>
<given-names>Saulo V.</given-names>
</name>
<xref ref-type="aff" rid="Aff408"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Paula</given-names>
</name>
<xref ref-type="aff" rid="Aff409"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff409"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Morais</surname>
<given-names>Marina Ana</given-names>
</name>
<address><email>arodriguesmorais@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff410"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Sofia</given-names>
</name>
<xref ref-type="aff" rid="Aff410"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lebre</surname>
<given-names>Paula</given-names>
</name>
<xref ref-type="aff" rid="Aff410"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Antunes</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff411"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Calha</surname>
<given-names>António</given-names>
</name>
<address><email>antoniocalha@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff412"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Xavier</surname>
<given-names>Ana</given-names>
</name>
<address><email>ana.mj.xavier@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff413"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cunha</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff414"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto-Gouveia</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff413"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alencar</surname>
<given-names>Liana</given-names>
</name>
<xref ref-type="aff" rid="Aff415"></xref>
<xref ref-type="aff" rid="Aff416"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cunha</surname>
<given-names>Madalena</given-names>
</name>
<address><email>madalenacunhanunes@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff415"></xref>
<xref ref-type="aff" rid="Aff416"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Madureira</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff416"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cardoso</surname>
<given-names>Ilda</given-names>
</name>
<address><email>ildamassano@ismt.pt</email>
</address>
<xref ref-type="aff" rid="Aff417"></xref>
<xref ref-type="aff" rid="Aff418"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Galhardo</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff417"></xref>
<xref ref-type="aff" rid="Aff419"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Daniel</surname>
<given-names>Fernanda</given-names>
</name>
<xref ref-type="aff" rid="Aff417"></xref>
<xref ref-type="aff" rid="Aff420"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodrigues</surname>
<given-names>Vítor</given-names>
</name>
<xref ref-type="aff" rid="Aff417"></xref>
<xref ref-type="aff" rid="Aff418"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Luz</surname>
<given-names>Leonardo</given-names>
</name>
<address><email>ltluz@ig.com.br</email>
</address>
<xref ref-type="aff" rid="Aff421"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Luz</surname>
<given-names>Tatiana</given-names>
</name>
<xref ref-type="aff" rid="Aff421"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ramos</surname>
<given-names>Maurício R.</given-names>
</name>
<xref ref-type="aff" rid="Aff422"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Medeiros</surname>
<given-names>Dayse C.</given-names>
</name>
<xref ref-type="aff" rid="Aff423"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carmo</surname>
<given-names>Bruno M.</given-names>
</name>
<xref ref-type="aff" rid="Aff421"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Seabra</surname>
<given-names>André</given-names>
</name>
<xref ref-type="aff" rid="Aff424"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Padez</surname>
<given-names>Cristina</given-names>
</name>
<xref ref-type="aff" rid="Aff425"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Manuel C.</given-names>
</name>
<xref ref-type="aff" rid="Aff425"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rodrigues</surname>
<given-names>António</given-names>
</name>
<address><email>afrodrigues6@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff426"></xref>
<xref ref-type="aff" rid="Aff427"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coelho</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff426"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coelho</surname>
<given-names>Alexandre</given-names>
</name>
<xref ref-type="aff" rid="Aff426"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Caminha</surname>
<given-names>Madson</given-names>
</name>
<address><email>madsoncaminha@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff426"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Matheus</surname>
<given-names>Filipe</given-names>
</name>
<xref ref-type="aff" rid="Aff426"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Elenice</given-names>
</name>
<xref ref-type="aff" rid="Aff428"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Correia</surname>
<given-names>Jony</given-names>
</name>
<xref ref-type="aff" rid="Aff428"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kretzer</surname>
<given-names>Marcia</given-names>
</name>
<xref ref-type="aff" rid="Aff426"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Hernandez-Martinez</surname>
<given-names>Francisco J.</given-names>
</name>
<address><email>fjhernandez@denf.ulpgc.es</email>
</address>
<xref ref-type="aff" rid="Aff429"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jimenez-Diaz</surname>
<given-names>Juan F.</given-names>
</name>
<xref ref-type="aff" rid="Aff430"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodriguez-De-Vera</surname>
<given-names>Bienvendida C.</given-names>
</name>
<xref ref-type="aff" rid="Aff430"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jimenez-Rodriguez</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff430"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Armas-Gonzalez</surname>
<given-names>Yadira</given-names>
</name>
<xref ref-type="aff" rid="Aff431"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rodrigues</surname>
<given-names>Cátia</given-names>
</name>
<degrees>catialexrodrig@gmail.com</degrees>
<xref ref-type="aff" rid="Aff432"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pedroso</surname>
<given-names>Rosa</given-names>
</name>
<xref ref-type="aff" rid="Aff432"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Apolinário-Hagen</surname>
<given-names>Jennifer</given-names>
</name>
<address><email>jennifer.apolinario-hagen@fernuni-hagen.de</email>
</address>
<xref ref-type="aff" rid="Aff433"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vehreschild</surname>
<given-names>Viktor</given-names>
</name>
<xref ref-type="aff" rid="Aff433"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Veloso</surname>
<given-names>Milene</given-names>
</name>
<address><email>mveloso@ufpa.br</email>
</address>
<xref ref-type="aff" rid="Aff434"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Magalhães</surname>
<given-names>Celina</given-names>
</name>
<xref ref-type="aff" rid="Aff434"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cabral</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff434"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferraz</surname>
<given-names>Maira</given-names>
</name>
<xref ref-type="aff" rid="Aff434"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Nave</surname>
<given-names>Filipe</given-names>
</name>
<address><email>fnave@ualg.pt</email>
</address>
<xref ref-type="aff" rid="Aff435"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Costa</surname>
<given-names>Emília</given-names>
</name>
<xref ref-type="aff" rid="Aff435"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Matos</surname>
<given-names>Filomena</given-names>
</name>
<xref ref-type="aff" rid="Aff435"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pacheco</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff435"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Dias</surname>
<given-names>António</given-names>
</name>
<address><email>madureiradias@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff436"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff436"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Duarte</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff436"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cunha</surname>
<given-names>Madalena</given-names>
</name>
<xref ref-type="aff" rid="Aff436"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="Aff436"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mónico</surname>
<given-names>Lisete M.</given-names>
</name>
<address><email>lisete_monico@fpce.uc.pt</email>
</address>
<xref ref-type="aff" rid="Aff437"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alferes</surname>
<given-names>Valentim R.</given-names>
</name>
<xref ref-type="aff" rid="Aff437"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brêda</surname>
<given-names>Mª São João</given-names>
</name>
<xref ref-type="aff" rid="Aff437"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff437"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro M.</given-names>
</name>
<xref ref-type="aff" rid="Aff438"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Morais</surname>
<given-names>Mª Carminda</given-names>
</name>
<address><email>carmindamorais@ess.ipvc.pt</email>
</address>
<xref ref-type="aff" rid="Aff439"></xref>
<xref ref-type="aff" rid="Aff440"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff439"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pimenta</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff439"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Boavida</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff441"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pinto</surname>
<given-names>Isabel C.</given-names>
</name>
<address><email>isabel.pinto@ipb.pt</email>
</address>
<xref ref-type="aff" rid="Aff442"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pires</surname>
<given-names>Tânia</given-names>
</name>
<xref ref-type="aff" rid="Aff442"></xref>
<xref ref-type="aff" rid="Aff443"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff442"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ribeiro</surname>
<given-names>Maria</given-names>
</name>
<address><email>xilote@ipb.pt</email>
</address>
<xref ref-type="aff" rid="Aff444"></xref>
<xref ref-type="aff" rid="Aff445"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Viega-Branco</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="Aff446"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Filomena</given-names>
</name>
<xref ref-type="aff" rid="Aff447"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Ana Mª</given-names>
</name>
<xref ref-type="aff" rid="Aff446"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>Fabrícia M.</given-names>
</name>
<xref ref-type="aff" rid="Aff448"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Estevez</surname>
<given-names>Gustavo L.</given-names>
</name>
<xref ref-type="aff" rid="Aff448"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="Aff448"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Kretzer</surname>
<given-names>Marcia R.</given-names>
</name>
<address><email>marcia.kretzer1@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff448"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>João</surname>
<given-names>Paulo V.</given-names>
</name>
<address><email>pvicente@utad.pt</email>
</address>
<xref ref-type="aff" rid="Aff449"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nogueira</surname>
<given-names>Paulo</given-names>
</name>
<xref ref-type="aff" rid="Aff450"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Novais</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="Aff450"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff449"></xref>
<xref ref-type="aff" rid="Aff451"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carneiro</surname>
<given-names>Lara</given-names>
</name>
<xref ref-type="aff" rid="Aff450"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mota</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="Aff449"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cruz</surname>
<given-names>Rui</given-names>
</name>
<address><email>ruic@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff452"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santiago</surname>
<given-names>Luiz</given-names>
</name>
<xref ref-type="aff" rid="Aff453"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fontes-Ribeiro</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff454"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Furtado</surname>
<given-names>Guilherme</given-names>
</name>
<address><email>furts2001@yahoo.com.br</email>
</address>
<xref ref-type="aff" rid="Aff455"></xref>
<xref ref-type="aff" rid="Aff456"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rocha</surname>
<given-names>Saulo V.</given-names>
</name>
<xref ref-type="aff" rid="Aff457"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coutinho</surname>
<given-names>André P.</given-names>
</name>
<xref ref-type="aff" rid="Aff458"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Neto</surname>
<given-names>João S.</given-names>
</name>
<xref ref-type="aff" rid="Aff458"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vasconcelos</surname>
<given-names>Lélia R.</given-names>
</name>
<xref ref-type="aff" rid="Aff457"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Souza</surname>
<given-names>Nelba R.</given-names>
</name>
<xref ref-type="aff" rid="Aff456"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dantas</surname>
<given-names>Estélio</given-names>
</name>
<xref ref-type="aff" rid="Aff459"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Dinis</surname>
<given-names>Alexandra</given-names>
</name>
<address><email>alexandra.m.b.dinis@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff460"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Sérgio</given-names>
</name>
<xref ref-type="aff" rid="Aff460"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Castilho</surname>
<given-names>Paula</given-names>
</name>
<xref ref-type="aff" rid="Aff460"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto-Gouveia</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff460"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sarreira-Santos</surname>
<given-names>Alexandra</given-names>
</name>
<address><email>alexantos@ics.lisboa.ucp.pt</email>
</address>
<xref ref-type="aff" rid="Aff461"></xref>
<xref ref-type="aff" rid="Aff462"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Figueiredo</surname>
<given-names>Amélia</given-names>
</name>
<xref ref-type="aff" rid="Aff461"></xref>
<xref ref-type="aff" rid="Aff462"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Medeiros-Garcia</surname>
<given-names>Lurdes</given-names>
</name>
<xref ref-type="aff" rid="Aff461"></xref>
<xref ref-type="aff" rid="Aff462"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Seabra</surname>
<given-names>Paulo</given-names>
</name>
<xref ref-type="aff" rid="Aff461"></xref>
<xref ref-type="aff" rid="Aff462"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rodrigues</surname>
<given-names>Rosa</given-names>
</name>
<address><email>rmilir@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff463"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morais</surname>
<given-names>Mª Carminda</given-names>
</name>
<xref ref-type="aff" rid="Aff463"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Paula O.</given-names>
</name>
<xref ref-type="aff" rid="Aff464"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Santiago</surname>
<given-names>Conceição</given-names>
</name>
<address><email>mcfs65@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff465"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Figueiredo</surname>
<given-names>Mª Henriqueta</given-names>
</name>
<xref ref-type="aff" rid="Aff466"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Basto</surname>
<given-names>Marta L.</given-names>
</name>
<xref ref-type="aff" rid="Aff467"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Guimarães</surname>
<given-names>Teresa</given-names>
</name>
<address><email>tguimaraes@estesl.ipl.pt</email>
</address>
<xref ref-type="aff" rid="Aff468"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coelho</surname>
<given-names>André</given-names>
</name>
<xref ref-type="aff" rid="Aff468"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Graça</surname>
<given-names>Anabela</given-names>
</name>
<xref ref-type="aff" rid="Aff468"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Ana M.</given-names>
</name>
<xref ref-type="aff" rid="Aff468"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fonseca</surname>
<given-names>Ana R.</given-names>
</name>
<xref ref-type="aff" rid="Aff468"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Vale-Dias</surname>
<given-names>Luz</given-names>
</name>
<address><email>valedias@fpce.uc.pt</email>
</address>
<xref ref-type="aff" rid="Aff469"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Minas</surname>
<given-names>Bárbara</given-names>
</name>
<xref ref-type="aff" rid="Aff469"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Franco-Borges</surname>
<given-names>Graciete</given-names>
</name>
<xref ref-type="aff" rid="Aff469"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Simões</surname>
<given-names>Cristina</given-names>
</name>
<address><email>cristina-ferreira@iol.pt</email>
</address>
<xref ref-type="aff" rid="Aff470"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Sofia</given-names>
</name>
<xref ref-type="aff" rid="Aff470"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Serra</surname>
<given-names>Ana</given-names>
</name>
<address><email>acserra@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff471"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Matos</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="Aff471"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jesus</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff471"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tavares</surname>
<given-names>Ana S.</given-names>
</name>
<xref ref-type="aff" rid="Aff472"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Almeida</surname>
<given-names>Ana</given-names>
</name>
<address><email>ana.almeida@estesl.ipl.pt</email>
</address>
<xref ref-type="aff" rid="Aff472"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Leitão</surname>
<given-names>Céu</given-names>
</name>
<xref ref-type="aff" rid="Aff472"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Varandas</surname>
<given-names>Edna</given-names>
</name>
<xref ref-type="aff" rid="Aff472"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Abreu</surname>
<given-names>Renato</given-names>
</name>
<xref ref-type="aff" rid="Aff472"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bellém</surname>
<given-names>Fernando</given-names>
</name>
<xref ref-type="aff" rid="Aff472"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Trindade</surname>
<given-names>Inês A.</given-names>
</name>
<xref ref-type="aff" rid="Aff473"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Cláudia</given-names>
</name>
<xref ref-type="aff" rid="Aff473"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto-Gouveia</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff473"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Marta-Simões</surname>
<given-names>Joana</given-names>
</name>
<address><email>joana_simoes_@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff473"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Amaral</surname>
<given-names>Odete</given-names>
</name>
<address><email>mopamaral@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff474"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Miranda</surname>
<given-names>Cristiana</given-names>
</name>
<xref ref-type="aff" rid="Aff474"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guimarães</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff474"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gonçalves</surname>
<given-names>Rodrigo</given-names>
</name>
<xref ref-type="aff" rid="Aff474"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Veiga</surname>
<given-names>Nélio</given-names>
</name>
<xref ref-type="aff" rid="Aff475"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff474"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Fleig</surname>
<given-names>Tânia C.</given-names>
</name>
<address><email>tcmfleig@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff476"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>San-Martin</surname>
<given-names>Elisabete A.</given-names>
</name>
<xref ref-type="aff" rid="Aff476"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Goulart</surname>
<given-names>Cássia L.</given-names>
</name>
<xref ref-type="aff" rid="Aff476"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Schneiders</surname>
<given-names>Paloma B.</given-names>
</name>
<xref ref-type="aff" rid="Aff476"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Miranda</surname>
<given-names>Natacha F.</given-names>
</name>
<xref ref-type="aff" rid="Aff476"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Lisiane L.</given-names>
</name>
<xref ref-type="aff" rid="Aff476"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Andrea G.</given-names>
</name>
<xref ref-type="aff" rid="Aff476"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Topa</surname>
<given-names>Joana</given-names>
</name>
<address><email>joana.topas.07@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff477"></xref>
<xref ref-type="aff" rid="Aff478"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nogueira</surname>
<given-names>Conceição</given-names>
</name>
<xref ref-type="aff" rid="Aff479"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Neves</surname>
<given-names>Sofia</given-names>
</name>
<xref ref-type="aff" rid="Aff477"></xref>
<xref ref-type="aff" rid="Aff478"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ventura</surname>
<given-names>Rita</given-names>
</name>
<address><email>ritaventura_91@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff480"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nazaré</surname>
<given-names>Cristina</given-names>
</name>
<xref ref-type="aff" rid="Aff480"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Brandão</surname>
<given-names>Daniela</given-names>
</name>
<address><email>daniela.brandao@unifai.eu</email>
</address>
<xref ref-type="aff" rid="Aff481"></xref>
<xref ref-type="aff" rid="Aff482"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Freitas</surname>
<given-names>Alberto</given-names>
</name>
<xref ref-type="aff" rid="Aff482"></xref>
<xref ref-type="aff" rid="Aff483"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Óscar</given-names>
</name>
<xref ref-type="aff" rid="Aff481"></xref>
<xref ref-type="aff" rid="Aff484"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paúl</surname>
<given-names>Constança</given-names>
</name>
<xref ref-type="aff" rid="Aff483"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mercê</surname>
<given-names>Cristiana</given-names>
</name>
<address><email>cristianamerce@esdrm.ipsantarem.pt</email>
</address>
<xref ref-type="aff" rid="Aff485"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Branco</surname>
<given-names>Marco</given-names>
</name>
<xref ref-type="aff" rid="Aff485"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff485"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nascimento</surname>
<given-names>Daniela</given-names>
</name>
<xref ref-type="aff" rid="Aff485"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Juliana</given-names>
</name>
<xref ref-type="aff" rid="Aff485"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Catela</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="Aff485"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rafael</surname>
<given-names>Helga</given-names>
</name>
<address><email>hrafael@esel.pt</email>
</address>
<xref ref-type="aff" rid="Aff486"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Reis</surname>
<given-names>Alcinda C.</given-names>
</name>
<address><email>alcinda.reis22@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff487"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff488"></xref>
<xref ref-type="aff" rid="Aff489"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Valente</surname>
<given-names>Ana R.</given-names>
</name>
<xref ref-type="aff" rid="Aff489"></xref>
<xref ref-type="aff" rid="Aff490"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Lousada</surname>
<given-names>Marisa</given-names>
</name>
<address><email>marisalousada@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff491"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Diana</given-names>
</name>
<address><email>dianasousa18@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff492"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Baltazar</surname>
<given-names>Ana L.</given-names>
</name>
<xref ref-type="aff" rid="Aff492"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Loureiro</surname>
<given-names>Mª Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff492"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff493"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Aparício</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff495"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Marques</surname>
<given-names>Alda</given-names>
</name>
<address><email>amarques@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff494"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Marques</surname>
<given-names>Alda</given-names>
</name>
<address><email>amarques@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff495"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff495"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Neves</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff496"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ayoub</surname>
<given-names>Rodrigo</given-names>
</name>
<xref ref-type="aff" rid="Aff496"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Luís</given-names>
</name>
<address><email>luismmsousa@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff497"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques-Vieira</surname>
<given-names>Cristina</given-names>
</name>
<xref ref-type="aff" rid="Aff498"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Severino</surname>
<given-names>Sandy</given-names>
</name>
<xref ref-type="aff" rid="Aff497"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>José</surname>
<given-names>Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff499"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cadorio</surname>
<given-names>Inês</given-names>
</name>
<address><email>inescadorio@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff500"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lousada</surname>
<given-names>Marisa</given-names>
</name>
<xref ref-type="aff" rid="Aff500"></xref>
<xref ref-type="aff" rid="Aff501"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cunha</surname>
<given-names>Marina</given-names>
</name>
<address><email>marina_cunha@ismt.pt</email>
</address>
<xref ref-type="aff" rid="Aff502"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>Diogo</given-names>
</name>
<xref ref-type="aff" rid="Aff502"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Galhardo</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff502"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Couto</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff502"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Fernando</given-names>
</name>
<address><email>fjmendes@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff502"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Domingues</surname>
<given-names>Cátia</given-names>
</name>
<xref ref-type="aff" rid="Aff503"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Schukg</surname>
<given-names>Susann</given-names>
</name>
<xref ref-type="aff" rid="Aff504"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Abrantes</surname>
<given-names>Ana M.</given-names>
</name>
<xref ref-type="aff" rid="Aff505"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gonçalves</surname>
<given-names>Ana C.</given-names>
</name>
<xref ref-type="aff" rid="Aff506"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sales</surname>
<given-names>Tiago</given-names>
</name>
<xref ref-type="aff" rid="Aff505"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Teixo</surname>
<given-names>Ricardo</given-names>
</name>
<xref ref-type="aff" rid="Aff505"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff505"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Estrela</surname>
<given-names>Jéssica</given-names>
</name>
<xref ref-type="aff" rid="Aff502"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Laranjo</surname>
<given-names>Mafalda</given-names>
</name>
<xref ref-type="aff" rid="Aff505"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Casalta-Lopes</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff507"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rocha</surname>
<given-names>Clara</given-names>
</name>
<xref ref-type="aff" rid="Aff502"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Simões</surname>
<given-names>Paulo C.</given-names>
</name>
<xref ref-type="aff" rid="Aff507"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sarmento-Ribeiro</surname>
<given-names>Ana B.</given-names>
</name>
<xref ref-type="aff" rid="Aff508"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Botelho</surname>
<given-names>Mª Filomena</given-names>
</name>
<xref ref-type="aff" rid="Aff505"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rosa</surname>
<given-names>Manuel S.</given-names>
</name>
<xref ref-type="aff" rid="Aff509"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Fonseca</surname>
<given-names>Virgínia</given-names>
</name>
<address><email>virginia.fonseca@estesl.ipl.pt</email>
</address>
<xref ref-type="aff" rid="Aff510"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Colaço</surname>
<given-names>Diogo</given-names>
</name>
<xref ref-type="aff" rid="Aff510"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Neves</surname>
<given-names>Vanessa</given-names>
</name>
<xref ref-type="aff" rid="Aff510"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jesus</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff511"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hesse</surname>
<given-names>Camilla</given-names>
</name>
<xref ref-type="aff" rid="Aff512"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rocha</surname>
<given-names>Clara</given-names>
</name>
<xref ref-type="aff" rid="Aff513"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Osório</surname>
<given-names>Nádia</given-names>
</name>
<xref ref-type="aff" rid="Aff511"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Valado</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff511"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Caseiro</surname>
<given-names>Armando</given-names>
</name>
<xref ref-type="aff" rid="Aff511"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gabriel</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff511"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Svensson</surname>
<given-names>Lola</given-names>
</name>
<xref ref-type="aff" rid="Aff512"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Fernando</given-names>
</name>
<address><email>fjmendes@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff511"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Siba</surname>
<given-names>Wafa A.</given-names>
</name>
<xref ref-type="aff" rid="Aff514"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Cristina</given-names>
</name>
<xref ref-type="aff" rid="Aff515"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tomaz</surname>
<given-names>Jorge</given-names>
</name>
<xref ref-type="aff" rid="Aff515"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Carvalho</surname>
<given-names>Teresa</given-names>
</name>
<address><email>teresacarvalho.psi@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff516"></xref>
<xref ref-type="aff" rid="Aff517"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto-Gouveia</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff516"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cunha</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff516"></xref>
<xref ref-type="aff" rid="Aff517"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Duarte</surname>
<given-names>Diana</given-names>
</name>
<xref ref-type="aff" rid="Aff518"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopes</surname>
<given-names>Nuno V.</given-names>
</name>
<xref ref-type="aff" rid="Aff518"></xref>
<xref ref-type="aff" rid="Aff519"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Fonseca-Pinto</surname>
<given-names>Rui</given-names>
</name>
<address><email>rui.pinto@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff518"></xref>
<xref ref-type="aff" rid="Aff520"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Duarte</surname>
<given-names>Diana</given-names>
</name>
<xref ref-type="aff" rid="Aff521"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopes</surname>
<given-names>Nuno V.</given-names>
</name>
<xref ref-type="aff" rid="Aff521"></xref>
<xref ref-type="aff" rid="Aff522"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Fonseca-Pinto</surname>
<given-names>Rui</given-names>
</name>
<address><email>rui.pinto@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff521"></xref>
<xref ref-type="aff" rid="Aff523"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Anabela C.</given-names>
</name>
<xref ref-type="aff" rid="Aff524"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brandão</surname>
<given-names>Piedade</given-names>
</name>
<xref ref-type="aff" rid="Aff525"></xref>
<xref ref-type="aff" rid="Aff526"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Martins</surname>
<given-names>Laura</given-names>
</name>
<address><email>laura.martins@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff525"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cardoso</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff527"></xref>
<xref ref-type="aff" rid="Aff528"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Morais</surname>
<given-names>Nuno</given-names>
</name>
<address><email>nuno.morais@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff529"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff530"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Alves</surname>
<given-names>Nuno</given-names>
</name>
<address><email>nuno.alves@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff531"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Faria</surname>
<given-names>Paula</given-names>
</name>
<xref ref-type="aff" rid="Aff531"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mateus</surname>
<given-names>Artur</given-names>
</name>
<xref ref-type="aff" rid="Aff531"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morouço</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff531"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Alves</surname>
<given-names>Nuno</given-names>
</name>
<address><email>nuno.alves@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff532"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Nelson</given-names>
</name>
<xref ref-type="aff" rid="Aff532"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mateus</surname>
<given-names>Artur</given-names>
</name>
<xref ref-type="aff" rid="Aff532"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Faria</surname>
<given-names>Paula</given-names>
</name>
<xref ref-type="aff" rid="Aff532"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morouço</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff532"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Malheiro</surname>
<given-names>Isabel</given-names>
</name>
<address><email>mmalheiro@esel.pt</email>
</address>
<xref ref-type="aff" rid="Aff533"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gaspar</surname>
<given-names>Filomena</given-names>
</name>
<xref ref-type="aff" rid="Aff533"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Barros</surname>
<given-names>Luísa</given-names>
</name>
<xref ref-type="aff" rid="Aff534"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<address><email>parreira@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff535"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cardoso</surname>
<given-names>Andreia</given-names>
</name>
<xref ref-type="aff" rid="Aff536"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mónico</surname>
<given-names>Lisete</given-names>
</name>
<xref ref-type="aff" rid="Aff537"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff537"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopes</surname>
<given-names>Albino</given-names>
</name>
<xref ref-type="aff" rid="Aff538"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Salgueiro-Oliveira</surname>
<given-names>Anabela</given-names>
</name>
<xref ref-type="aff" rid="Aff535"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Seixas</surname>
<given-names>Adérito</given-names>
</name>
<address><email>aderito@ufp.edu.pt</email>
</address>
<xref ref-type="aff" rid="Aff539"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Soares</surname>
<given-names>Valter</given-names>
</name>
<xref ref-type="aff" rid="Aff539"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dias</surname>
<given-names>Tiago</given-names>
</name>
<xref ref-type="aff" rid="Aff539"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vardasca</surname>
<given-names>Ricardo</given-names>
</name>
<xref ref-type="aff" rid="Aff540"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gabriel</surname>
<given-names>Joaquim</given-names>
</name>
<xref ref-type="aff" rid="Aff540"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodrigues</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="Aff539"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Paredes</surname>
<given-names>Hugo</given-names>
</name>
<address><email>hparedes@utad.pt</email>
</address>
<xref ref-type="aff" rid="Aff541"></xref>
<xref ref-type="aff" rid="Aff542"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Reis</surname>
<given-names>Arsénio</given-names>
</name>
<xref ref-type="aff" rid="Aff541"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marinho</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="Aff541"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Filipe</surname>
<given-names>Vítor</given-names>
</name>
<xref ref-type="aff" rid="Aff541"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lains</surname>
<given-names>Jorge</given-names>
</name>
<xref ref-type="aff" rid="Aff1000"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Barroso</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff541"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Da Motta</surname>
<given-names>Carolina</given-names>
</name>
<address><email>carolina.d.motta@uac.pt</email>
</address>
<xref ref-type="aff" rid="Aff543"></xref>
<xref ref-type="aff" rid="Aff544"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Célia B.</given-names>
</name>
<xref ref-type="aff" rid="Aff543"></xref>
<xref ref-type="aff" rid="Aff544"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto-Gouveia</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff543"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Peixoto</surname>
<given-names>Ermelindo</given-names>
</name>
<xref ref-type="aff" rid="Aff544"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Gomes</surname>
<given-names>Ana A.</given-names>
</name>
<address><email>ana.allen@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff545"></xref>
<xref ref-type="aff" rid="Aff546"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Costa</surname>
<given-names>Vanessa</given-names>
</name>
<xref ref-type="aff" rid="Aff547"></xref>
<xref ref-type="aff" rid="Aff548"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Couto</surname>
<given-names>Diana</given-names>
</name>
<xref ref-type="aff" rid="Aff545"></xref>
<xref ref-type="aff" rid="Aff548"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Daniel R.</given-names>
</name>
<xref ref-type="aff" rid="Aff545"></xref>
<xref ref-type="aff" rid="Aff549"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Leitão</surname>
<given-names>José A.</given-names>
</name>
<xref ref-type="aff" rid="Aff547"></xref>
<xref ref-type="aff" rid="Aff550"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tavares</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff545"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Azevedo</surname>
<given-names>Maria H.</given-names>
</name>
<xref ref-type="aff" rid="Aff549"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Carlos F.</given-names>
</name>
<xref ref-type="aff" rid="Aff545"></xref>
<xref ref-type="aff" rid="Aff546"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Freitas</surname>
<given-names>João</given-names>
</name>
<address><email>mjbsfreitas@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff551"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff552"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marôco</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff553"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Garcia-Gordillo</surname>
<given-names>Miguel A.</given-names>
</name>
<address><email>miguelgarciagordillo@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff554"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Collado-Mateo</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="Aff554"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chen</surname>
<given-names>Gang</given-names>
</name>
<xref ref-type="aff" rid="Aff555"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Iezzi</surname>
<given-names>Angelo</given-names>
</name>
<xref ref-type="aff" rid="Aff556"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sala</surname>
<given-names>José A.</given-names>
</name>
<xref ref-type="aff" rid="Aff554"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parraça</surname>
<given-names>José A.</given-names>
</name>
<xref ref-type="aff" rid="Aff557"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gusi</surname>
<given-names>Narcis</given-names>
</name>
<xref ref-type="aff" rid="Aff554"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Jani</given-names>
</name>
<address><email>janims@live.com.pt</email>
</address>
<xref ref-type="aff" rid="Aff558"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Mariana</given-names>
</name>
<xref ref-type="aff" rid="Aff558"></xref>
<xref ref-type="aff" rid="Aff559"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jardim</surname>
<given-names>Jacinto</given-names>
</name>
<xref ref-type="aff" rid="Aff560"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Anabela</given-names>
</name>
<xref ref-type="aff" rid="Aff561"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Simões</surname>
<given-names>Sónia</given-names>
</name>
<xref ref-type="aff" rid="Aff558"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cunha</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff558"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sardo</surname>
<given-names>Pedro</given-names>
</name>
<address><email>pedro.sardo@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff562"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guedes</surname>
<given-names>Jenifer</given-names>
</name>
<xref ref-type="aff" rid="Aff563"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lindo</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff562"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Machado</surname>
<given-names>Paulo</given-names>
</name>
<xref ref-type="aff" rid="Aff564"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Melo</surname>
<given-names>Elsa</given-names>
</name>
<xref ref-type="aff" rid="Aff562"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Carvalho</surname>
<given-names>Célia B.</given-names>
</name>
<address><email>celia.mo.carvalho@uac.pt</email>
</address>
<xref ref-type="aff" rid="Aff565"></xref>
<xref ref-type="aff" rid="Aff566"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Benevides</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff565"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff565"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cabral</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff565"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Da Motta</surname>
<given-names>Carolina</given-names>
</name>
<xref ref-type="aff" rid="Aff565"></xref>
<xref ref-type="aff" rid="Aff566"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pereira</surname>
<given-names>Ana T.</given-names>
</name>
<address><email>bemestarperinatal.fmuc@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff567"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Xavier</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="Aff567"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Azevedo</surname>
<given-names>Julieta</given-names>
</name>
<xref ref-type="aff" rid="Aff567"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bento</surname>
<given-names>Elisabete</given-names>
</name>
<xref ref-type="aff" rid="Aff567"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Cristiana</given-names>
</name>
<xref ref-type="aff" rid="Aff567"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Rosa</given-names>
</name>
<xref ref-type="aff" rid="Aff568"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Mariana</given-names>
</name>
<xref ref-type="aff" rid="Aff569"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Macedo</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff567"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Ana M.</given-names>
</name>
<xref ref-type="aff" rid="Aff570"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alves</surname>
<given-names>Juliana</given-names>
</name>
<xref ref-type="aff" rid="Aff570"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Gomes</surname>
<given-names>Ana A.</given-names>
</name>
<address><email>ana.allen@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff570"></xref>
<xref ref-type="aff" rid="Aff571"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Daniel R.</given-names>
</name>
<xref ref-type="aff" rid="Aff570"></xref>
<xref ref-type="aff" rid="Aff572"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Azevedo</surname>
<given-names>Mª Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff572"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff570"></xref>
<xref ref-type="aff" rid="Aff571"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Ana</given-names>
</name>
<address><email>aimendes@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff573"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lee</surname>
<given-names>Huei D.</given-names>
</name>
<xref ref-type="aff" rid="Aff574"></xref>
<xref ref-type="aff" rid="Aff575"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Spolaôr</surname>
<given-names>Newton</given-names>
</name>
<xref ref-type="aff" rid="Aff574"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliva</surname>
<given-names>Jefferson T.</given-names>
</name>
<xref ref-type="aff" rid="Aff574"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chung</surname>
<given-names>Wu F.</given-names>
</name>
<xref ref-type="aff" rid="Aff574"></xref>
<xref ref-type="aff" rid="Aff575"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fonseca-Pinto</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff573"></xref>
<xref ref-type="aff" rid="Aff576"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Bairros</surname>
<given-names>Keila</given-names>
</name>
<address><email>ship.keila@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff577"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Cláudia D.</given-names>
</name>
<xref ref-type="aff" rid="Aff577"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Souza</surname>
<given-names>Clóvis A.</given-names>
</name>
<xref ref-type="aff" rid="Aff577"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Schroeder</surname>
<given-names>Silvana S.</given-names>
</name>
<xref ref-type="aff" rid="Aff577"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Araújo</surname>
<given-names>Elsa</given-names>
</name>
<xref ref-type="aff" rid="Aff578"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monteiro</surname>
<given-names>Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff578"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Costa</surname>
<given-names>Ricardo</given-names>
</name>
<xref ref-type="aff" rid="Aff578"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Dias</surname>
<given-names>Sara S.</given-names>
</name>
<address><email>sara.dias@fcm.unl.pt</email>
</address>
<xref ref-type="aff" rid="Aff578"></xref>
<xref ref-type="aff" rid="Aff579"></xref>
<xref ref-type="aff" rid="Aff580"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Torgal</surname>
<given-names>Jorge</given-names>
</name>
<xref ref-type="aff" rid="Aff578"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Henriques</surname>
<given-names>Carolina G.</given-names>
</name>
<address><email>carolina.henriques@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff581"></xref>
<xref ref-type="aff" rid="Aff582"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Luísa</given-names>
</name>
<xref ref-type="aff" rid="Aff582"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Caceiro</surname>
<given-names>Elisa F.</given-names>
</name>
<xref ref-type="aff" rid="Aff582"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ramalho</surname>
<given-names>Sónia A.</given-names>
</name>
<xref ref-type="aff" rid="Aff581"></xref>
<xref ref-type="aff" rid="Aff582"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Oliveira</surname>
<given-names>Rita</given-names>
</name>
<address><email>rfo@estsp.ipp.pt</email>
</address>
<xref ref-type="aff" rid="Aff583"></xref>
<xref ref-type="aff" rid="Aff584"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Afreixo</surname>
<given-names>Vera</given-names>
</name>
<xref ref-type="aff" rid="Aff584"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff583"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mota</surname>
<given-names>Priscilla</given-names>
</name>
<xref ref-type="aff" rid="Aff583"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Agostinho</given-names>
</name>
<xref ref-type="aff" rid="Aff583"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pimentel</surname>
<given-names>Francisco</given-names>
</name>
<xref ref-type="aff" rid="Aff584"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Marques</surname>
<given-names>Rita</given-names>
</name>
<address><email>ritamdmarques@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff585"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dixe</surname>
<given-names>Mª Anjos</given-names>
</name>
<xref ref-type="aff" rid="Aff586"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Querido</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff586"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff587"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Benevides</surname>
<given-names>Joana</given-names>
</name>
<address><email>joana.c.benevides@uac.pt</email>
</address>
<xref ref-type="aff" rid="Aff588"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Da Motta</surname>
<given-names>Carolina</given-names>
</name>
<xref ref-type="aff" rid="Aff588"></xref>
<xref ref-type="aff" rid="Aff589"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff588"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Caldeira</surname>
<given-names>Suzana N.</given-names>
</name>
<xref ref-type="aff" rid="Aff588"></xref>
<xref ref-type="aff" rid="Aff590"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Célia B.</given-names>
</name>
<xref ref-type="aff" rid="Aff588"></xref>
<xref ref-type="aff" rid="Aff589"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Querido</surname>
<given-names>Ana</given-names>
</name>
<address><email>ana.querido@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff591"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tomás</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff591"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="Aff591"></xref>
<xref ref-type="aff" rid="Aff592"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff591"></xref>
<xref ref-type="aff" rid="Aff592"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cordeiro</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff591"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Costa</surname>
<given-names>Joyce O.</given-names>
</name>
<xref ref-type="aff" rid="Aff593"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Valim</surname>
<given-names>Frederico C.</given-names>
</name>
<xref ref-type="aff" rid="Aff593"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Lígia C.</given-names>
</name>
<xref ref-type="aff" rid="Aff593"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Charepe</surname>
<given-names>Zaida</given-names>
</name>
<address><email>zaidacharepe@ics.lisboa.ucp.pt</email>
</address>
<xref ref-type="aff" rid="Aff594"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Querido</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff595"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Figueiredo</surname>
<given-names>Mª Henriqueta</given-names>
</name>
<xref ref-type="aff" rid="Aff596"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Aquino</surname>
<given-names>Priscila S.</given-names>
</name>
<address><email>priscilapetenf@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff597"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Samila G.</given-names>
</name>
<xref ref-type="aff" rid="Aff598"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinheiro</surname>
<given-names>Ana B.</given-names>
</name>
<xref ref-type="aff" rid="Aff597"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lessa</surname>
<given-names>Paula A.</given-names>
</name>
<xref ref-type="aff" rid="Aff599"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Mirna F.</given-names>
</name>
<xref ref-type="aff" rid="Aff600"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brito</surname>
<given-names>Luísa S.</given-names>
</name>
<xref ref-type="aff" rid="Aff598"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto</surname>
<given-names>Ítalo N.</given-names>
</name>
<xref ref-type="aff" rid="Aff598"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Furtado</surname>
<given-names>Alessandra S.</given-names>
</name>
<xref ref-type="aff" rid="Aff598"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Castro</surname>
<given-names>Régia B.</given-names>
</name>
<xref ref-type="aff" rid="Aff597"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Aquino</surname>
<given-names>Caroline Q.</given-names>
</name>
<xref ref-type="aff" rid="Aff597"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Eveliny S.</given-names>
</name>
<xref ref-type="aff" rid="Aff597"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinheiro</surname>
<given-names>Ana B</given-names>
</name>
<xref ref-type="aff" rid="Aff601"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Aquino</surname>
<given-names>Priscila S.</given-names>
</name>
<address><email>priscilapetenf@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff601"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Lara L.</given-names>
</name>
<xref ref-type="aff" rid="Aff601"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinheiro</surname>
<given-names>Patrícia C.</given-names>
</name>
<xref ref-type="aff" rid="Aff601"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Caroline R.</given-names>
</name>
<xref ref-type="aff" rid="Aff601"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Freitas</surname>
<given-names>Vívien A.</given-names>
</name>
<xref ref-type="aff" rid="Aff601"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Tatiane M.</given-names>
</name>
<xref ref-type="aff" rid="Aff601"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lima</surname>
<given-names>Adman S.</given-names>
</name>
<xref ref-type="aff" rid="Aff601"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Aquino</surname>
<given-names>Caroline Q.</given-names>
</name>
<xref ref-type="aff" rid="Aff601"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>Karizia V.</given-names>
</name>
<xref ref-type="aff" rid="Aff601"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Camila A.</given-names>
</name>
<xref ref-type="aff" rid="Aff601"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vidal</surname>
<given-names>Eglidia F.</given-names>
</name>
<xref ref-type="aff" rid="Aff602"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ganho-Ávila</surname>
<given-names>Ana</given-names>
</name>
<address><email>anaganho@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff603"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moura-Ramos</surname>
<given-names>Mariana</given-names>
</name>
<xref ref-type="aff" rid="Aff604"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gonçalves</surname>
<given-names>Óscar</given-names>
</name>
<xref ref-type="aff" rid="Aff603"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>Jorge</given-names>
</name>
<xref ref-type="aff" rid="Aff604"></xref>
<xref ref-type="aff" rid="Aff605"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Silva</surname>
<given-names>Armando</given-names>
</name>
<address><email>armandos@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff606"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brito</surname>
<given-names>Irma</given-names>
</name>
<xref ref-type="aff" rid="Aff606"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Amado</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff607"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodrigo</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff608"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Santos</surname>
<given-names>Sofia</given-names>
</name>
<address><email>sofiasantos@fmh.ulisboa.pt</email>
</address>
<xref ref-type="aff" rid="Aff608"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>Fernando</given-names>
</name>
<xref ref-type="aff" rid="Aff608"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rosa</surname>
<given-names>Marlene C.</given-names>
</name>
<address><email>marlenerosa@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff609"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Silvana F.</given-names>
</name>
<xref ref-type="aff" rid="Aff610"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Luís</surname>
<given-names>Sara</given-names>
</name>
<address><email>sararluis@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff611"></xref>
<xref ref-type="aff" rid="Aff612"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cavalheiro</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff612"></xref>
<xref ref-type="aff" rid="Aff614"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff613"></xref>
<xref ref-type="aff" rid="Aff614"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gonçalves</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff612"></xref>
<xref ref-type="aff" rid="Aff614"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Lopes</surname>
<given-names>Rui S.</given-names>
</name>
<address><email>ftruisousa@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff615"></xref>
<xref ref-type="aff" rid="Aff616"></xref>
<xref ref-type="aff" rid="Aff617"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cavalheiro</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff617"></xref>
<xref ref-type="aff" rid="Aff618"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff618"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gonçalves</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff617"></xref>
<xref ref-type="aff" rid="Aff618"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Fiorin</surname>
<given-names>Bruno H.</given-names>
</name>
<address><email>bfiorin@salesiano.br</email>
</address>
<xref ref-type="aff" rid="Aff619"></xref>
<xref ref-type="aff" rid="Aff620"></xref>
<xref ref-type="aff" rid="Aff621"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Marina S.</given-names>
</name>
<xref ref-type="aff" rid="Aff621"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Edmar S.</given-names>
</name>
<xref ref-type="aff" rid="Aff621"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moreira</surname>
<given-names>Rita L.</given-names>
</name>
<xref ref-type="aff" rid="Aff619"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Elizabete A.</given-names>
</name>
<xref ref-type="aff" rid="Aff621"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Filho</surname>
<given-names>Braulio L.</given-names>
</name>
<xref ref-type="aff" rid="Aff619"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Palmeira</surname>
<given-names>Lara</given-names>
</name>
<address><email>larapalmeira@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff622"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Garcia</surname>
<given-names>Teresa</given-names>
</name>
<xref ref-type="aff" rid="Aff622"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto-Gouveia</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff622"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cunha</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff623"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cardoso</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="Aff624"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Palmeira</surname>
<given-names>Lara</given-names>
</name>
<address><email>larapalmeira@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff624"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cunha</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff625"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto-Gouveia</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff624"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Marta-Simões</surname>
<given-names>Joana</given-names>
</name>
<address><email>joana_simoes_@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff626"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Ana L.</given-names>
</name>
<xref ref-type="aff" rid="Aff626"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Trindade</surname>
<given-names>Inês A.</given-names>
</name>
<xref ref-type="aff" rid="Aff626"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="Aff626"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Cláudia</given-names>
</name>
<xref ref-type="aff" rid="Aff626"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Ana L.</given-names>
</name>
<address><email>analauramendes@live.com.pt</email>
</address>
<xref ref-type="aff" rid="Aff627"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marta-Simões</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff627"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Trindade</surname>
<given-names>Inês A.</given-names>
</name>
<xref ref-type="aff" rid="Aff627"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Cláudia</given-names>
</name>
<xref ref-type="aff" rid="Aff627"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Nave</surname>
<given-names>Filipe</given-names>
</name>
<address><email>fnave@ualg.pt</email>
</address>
<xref ref-type="aff" rid="Aff628"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Campos</surname>
<given-names>Mariana</given-names>
</name>
<xref ref-type="aff" rid="Aff629"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gaudêncio</surname>
<given-names>Iris</given-names>
</name>
<xref ref-type="aff" rid="Aff629"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Fernando</given-names>
</name>
<xref ref-type="aff" rid="Aff629"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Lino</given-names>
</name>
<xref ref-type="aff" rid="Aff629"></xref>
<xref ref-type="aff" rid="Aff630"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopes</surname>
<given-names>Nuno</given-names>
</name>
<xref ref-type="aff" rid="Aff629"></xref>
<xref ref-type="aff" rid="Aff631"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Fonseca-Pinto</surname>
<given-names>Rui</given-names>
</name>
<address><email>rui.pinto@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff629"></xref>
<xref ref-type="aff" rid="Aff630"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rodrigues</surname>
<given-names>Rogério</given-names>
</name>
<address><email>rogerio@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff632"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Azeredo</surname>
<given-names>Zaida</given-names>
</name>
<xref ref-type="aff" rid="Aff633"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vicente</surname>
<given-names>Corália</given-names>
</name>
<xref ref-type="aff" rid="Aff634"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Silva</surname>
<given-names>Joana</given-names>
</name>
<address><email>jo.cunhaesilva@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff635"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff635"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff635"></xref>
<xref ref-type="aff" rid="Aff636"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Isabel</given-names>
</name>
<address><email>isabelmendes@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff637"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodrigues</surname>
<given-names>Rogério</given-names>
</name>
<xref ref-type="aff" rid="Aff637"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Azeredo</surname>
<given-names>Zaida</given-names>
</name>
<xref ref-type="aff" rid="Aff638"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vicente</surname>
<given-names>Corália</given-names>
</name>
<xref ref-type="aff" rid="Aff639"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Vardasca</surname>
<given-names>Ricardo</given-names>
</name>
<xref ref-type="aff" rid="Aff640"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Ana R.</given-names>
</name>
<xref ref-type="aff" rid="Aff640"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Seixas</surname>
<given-names>Adérito</given-names>
</name>
<xref ref-type="aff" rid="Aff641"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff642"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gabriel</surname>
<given-names>Joaquim</given-names>
</name>
<xref ref-type="aff" rid="Aff640"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferreira</surname>
<given-names>Paulo P.</given-names>
</name>
<xref ref-type="aff" rid="Aff643"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Michelle T.</given-names>
</name>
<xref ref-type="aff" rid="Aff644"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Anderson R.</given-names>
</name>
<xref ref-type="aff" rid="Aff645"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Maia</surname>
<given-names>Ana S.</given-names>
</name>
<xref ref-type="aff" rid="Aff645"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Sebastião T.</given-names>
</name>
<xref ref-type="aff" rid="Aff645"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Costa</surname>
<given-names>Pablo O.</given-names>
</name>
<xref ref-type="aff" rid="Aff645"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Maiza M.</given-names>
</name>
<xref ref-type="aff" rid="Aff645"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Arreguy-Sena</surname>
<given-names>Cristina</given-names>
</name>
<address><email>cristina.arreguy@ufjf.edu.br</email>
</address>
<xref ref-type="aff" rid="Aff646"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alvarenga-Martins</surname>
<given-names>Nathália</given-names>
</name>
<xref ref-type="aff" rid="Aff646"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto</surname>
<given-names>Paulo F.</given-names>
</name>
<xref ref-type="aff" rid="Aff646"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Denize C.</given-names>
</name>
<xref ref-type="aff" rid="Aff647"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro D.</given-names>
</name>
<xref ref-type="aff" rid="Aff648"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>Antônio T.</given-names>
</name>
<xref ref-type="aff" rid="Aff647"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Braga</surname>
<given-names>Luciene M.</given-names>
</name>
<xref ref-type="aff" rid="Aff649"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Araújo</surname>
<given-names>Odete</given-names>
</name>
<address><email>odete.araujo@ese.uminho.pt</email>
</address>
<xref ref-type="aff" rid="Aff650"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lage</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff650"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cabrita</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff651"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Teixeira</surname>
<given-names>Laetitia</given-names>
</name>
<xref ref-type="aff" rid="Aff652"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Marques</surname>
<given-names>Rita</given-names>
</name>
<address><email>ritamdmarques@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff653"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dixe</surname>
<given-names>Mª Anjos</given-names>
</name>
<xref ref-type="aff" rid="Aff654"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Querido</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff654"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff655"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Silva</surname>
<given-names>Sara</given-names>
</name>
<address><email>sararebelo.silva@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff656"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cordeiro</surname>
<given-names>Eugénio</given-names>
</name>
<xref ref-type="aff" rid="Aff656"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pimentel</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff656"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferro-Lebres</surname>
<given-names>Vera</given-names>
</name>
<address><email>vferrolebres@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff657"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Souza</surname>
<given-names>Juliana A.</given-names>
</name>
<xref ref-type="aff" rid="Aff657"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tavares</surname>
<given-names>Mariline</given-names>
</name>
<xref ref-type="aff" rid="Aff657"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dixe</surname>
<given-names>Mª Anjos</given-names>
</name>
<xref ref-type="aff" rid="Aff658"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Pedro</given-names>
</name>
<address><email>pedro.sousa@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff658"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Passadouro</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff659"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Peralta</surname>
<given-names>Teresa</given-names>
</name>
<xref ref-type="aff" rid="Aff659"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff659"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lourenço</surname>
<given-names>Georgina</given-names>
</name>
<xref ref-type="aff" rid="Aff659"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Serrano</surname>
<given-names>João</given-names>
</name>
<address><email>j.serrano@ipcb.pt</email>
</address>
<xref ref-type="aff" rid="Aff660"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Petrica</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff660"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paulo</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff660"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Honório</surname>
<given-names>Samuel</given-names>
</name>
<xref ref-type="aff" rid="Aff660"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff660"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Simões</surname>
<given-names>Alexandra</given-names>
</name>
<xref ref-type="aff" rid="Aff661"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Lucinda</given-names>
</name>
<xref ref-type="aff" rid="Aff661"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Alexandre</given-names>
</name>
<xref ref-type="aff" rid="Aff661"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Silva</surname>
<given-names>Sara</given-names>
</name>
<address><email>sara_pereira_s@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff662"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Paulino</given-names>
</name>
<xref ref-type="aff" rid="Aff663"></xref>
<xref ref-type="aff" rid="Aff664"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Padilha</surname>
<given-names>José M.</given-names>
</name>
<xref ref-type="aff" rid="Aff663"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Figueiredo</surname>
<given-names>Daniela</given-names>
</name>
<address><email>daniela.figueiredo@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff665"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Valente</surname>
<given-names>Carolina</given-names>
</name>
<xref ref-type="aff" rid="Aff665"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Alda</given-names>
</name>
<xref ref-type="aff" rid="Aff665"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ribas</surname>
<given-names>Patrícia</given-names>
</name>
<address><email>patriciasofiaribas@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff666"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff666"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brandão</surname>
<given-names>Frederico</given-names>
</name>
<xref ref-type="aff" rid="Aff667"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Cesar</given-names>
</name>
<xref ref-type="aff" rid="Aff667"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Matilde</given-names>
</name>
<xref ref-type="aff" rid="Aff666"></xref>
<xref ref-type="aff" rid="Aff668"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Patrícia</given-names>
</name>
<address><email>patriciapontificesousa@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff669"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff670"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Francisco</given-names>
</name>
<xref ref-type="aff" rid="Aff671"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Fernandes</surname>
<given-names>Rosina</given-names>
</name>
<address><email>rosina@esev.ipv.pt</email>
</address>
<xref ref-type="aff" rid="Aff671"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Emília</given-names>
</name>
<xref ref-type="aff" rid="Aff671"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Magalhães</surname>
<given-names>Cátia</given-names>
</name>
<xref ref-type="aff" rid="Aff671"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Araújo</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff672"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Grande</surname>
<given-names>Carla</given-names>
</name>
<address><email>carlagrande1@sapo.pt</email>
</address>
<xref ref-type="aff" rid="Aff673"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mata</surname>
<given-names>Mª Augusta</given-names>
</name>
<xref ref-type="aff" rid="Aff674"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vieitez</surname>
<given-names>Juan G.</given-names>
</name>
<xref ref-type="aff" rid="Aff675"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bianchini</surname>
<given-names>Bruna</given-names>
</name>
<xref ref-type="aff" rid="Aff676"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Nazario</surname>
<given-names>Nazare</given-names>
</name>
<xref ref-type="aff" rid="Aff676"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Filho</surname>
<given-names>João G.</given-names>
</name>
<xref ref-type="aff" rid="Aff676"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kretzer</surname>
<given-names>Marcia</given-names>
</name>
<xref ref-type="aff" rid="Aff676"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Costa</surname>
<given-names>Tânia</given-names>
</name>
<address><email>tcosta@porto.ucp.pt</email>
</address>
<xref ref-type="aff" rid="Aff677"></xref>
<xref ref-type="aff" rid="Aff678"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>Armando</given-names>
</name>
<xref ref-type="aff" rid="Aff677"></xref>
<xref ref-type="aff" rid="Aff678"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Baffour</surname>
<given-names>Gabriel</given-names>
</name>
<xref ref-type="aff" rid="Aff677"></xref>
<xref ref-type="aff" rid="Aff678"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Almeida</surname>
<given-names>Armando</given-names>
</name>
<address><email>enfarmandoalmeida@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff679"></xref>
<xref ref-type="aff" rid="Aff680"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Costa</surname>
<given-names>Tânia</given-names>
</name>
<xref ref-type="aff" rid="Aff679"></xref>
<xref ref-type="aff" rid="Aff680"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Baffour</surname>
<given-names>Gabriel</given-names>
</name>
<xref ref-type="aff" rid="Aff679"></xref>
<xref ref-type="aff" rid="Aff680"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Azeredo</surname>
<given-names>Zaida</given-names>
</name>
<address><email>zaida.azeredo@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff681"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Laranjeira</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff681"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guerra</surname>
<given-names>Magda</given-names>
</name>
<xref ref-type="aff" rid="Aff681"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Barbeiro</surname>
<given-names>Ana P.</given-names>
</name>
<xref ref-type="aff" rid="Aff681"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferreira</surname>
<given-names>Regina</given-names>
</name>
<address><email>regina.ferreira@essaude.ipsantarem.pt</email>
</address>
<xref ref-type="aff" rid="Aff682"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Lopes</surname>
<given-names>Sara</given-names>
</name>
<address><email>sara.rf.lopes@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff683"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nunes</surname>
<given-names>Liliana</given-names>
</name>
<xref ref-type="aff" rid="Aff683"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff683"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Martins</surname>
<given-names>Julian</given-names>
</name>
<address><email>julianrodrigues1@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff684"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Schneider</surname>
<given-names>Dulcineia</given-names>
</name>
<xref ref-type="aff" rid="Aff685"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kretzer</surname>
<given-names>Marcia</given-names>
</name>
<xref ref-type="aff" rid="Aff684"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Magajewski</surname>
<given-names>Flávio</given-names>
</name>
<xref ref-type="aff" rid="Aff684"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Soares</surname>
<given-names>Célia</given-names>
</name>
<address><email>celia.soares@ess.ips.pt</email>
</address>
<xref ref-type="aff" rid="Aff686"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff686"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Batista</surname>
<given-names>Marco</given-names>
</name>
<address><email>marco.batista@ipcb.pt</email>
</address>
<xref ref-type="aff" rid="Aff687"></xref>
<xref ref-type="aff" rid="Aff688"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Castuera</surname>
<given-names>Ruth J.</given-names>
</name>
<xref ref-type="aff" rid="Aff689"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mesquita</surname>
<given-names>Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff687"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Faustino</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff687"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Jorge</given-names>
</name>
<xref ref-type="aff" rid="Aff687"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Honório</surname>
<given-names>Samuel</given-names>
</name>
<xref ref-type="aff" rid="Aff687"></xref>
<xref ref-type="aff" rid="Aff688"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Vizzotto</surname>
<given-names>Betina P.</given-names>
</name>
<address><email>be_vizzotto@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff690"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Frigo</surname>
<given-names>Leticia</given-names>
</name>
<xref ref-type="aff" rid="Aff690"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pivetta</surname>
<given-names>Hedioneia F.</given-names>
</name>
<xref ref-type="aff" rid="Aff691"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sardo</surname>
<given-names>Dolores</given-names>
</name>
<address><email>dolores.sardo@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff692"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Martins</surname>
<given-names>Cristina</given-names>
</name>
<address><email>cmartins@ese.uminho.pt</email>
</address>
<xref ref-type="aff" rid="Aff693"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Abreu</surname>
<given-names>Wilson</given-names>
</name>
<xref ref-type="aff" rid="Aff694"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Figueiredo</surname>
<given-names>Mª Céu</given-names>
</name>
<xref ref-type="aff" rid="Aff694"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Batista</surname>
<given-names>Marco</given-names>
</name>
<address><email>marco.batista@ipcb.pt</email>
</address>
<xref ref-type="aff" rid="Aff695"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jimenez-Castuera</surname>
<given-names>Ruth</given-names>
</name>
<xref ref-type="aff" rid="Aff696"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Petrica</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff695"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Serrano</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff695"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Honório</surname>
<given-names>Samuel</given-names>
</name>
<xref ref-type="aff" rid="Aff695"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paulo</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff695"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff695"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Patrícia</given-names>
</name>
<address><email>patriciapontificesousa@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff697"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff698"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Faustino</surname>
<given-names>António</given-names>
</name>
<address><email>a.faustino@ipcb.pt</email>
</address>
<xref ref-type="aff" rid="Aff699"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silveira</surname>
<given-names>Paulo</given-names>
</name>
<xref ref-type="aff" rid="Aff699"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Serrano</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff699"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paulo</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff699"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff699"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Honório</surname>
<given-names>Samuel</given-names>
</name>
<xref ref-type="aff" rid="Aff699"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Oliveira</surname>
<given-names>Catarina</given-names>
</name>
<address><email>olive.enf@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff700"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bastos</surname>
<given-names>Fernanda</given-names>
</name>
<xref ref-type="aff" rid="Aff701"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Inês</given-names>
</name>
<xref ref-type="aff" rid="Aff701"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodriguez</surname>
<given-names>Cláudia K.</given-names>
</name>
<xref ref-type="aff" rid="Aff702"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kretzer</surname>
<given-names>Márcia R.</given-names>
</name>
<xref ref-type="aff" rid="Aff703"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Nazário</surname>
<given-names>Nazaré O.</given-names>
</name>
<address><email>nazare.nazario@unisul.br</email>
</address>
<xref ref-type="aff" rid="Aff703"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cruz</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff704"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Vaz</surname>
<given-names>Daniela C.</given-names>
</name>
<address><email>dvaz@ci.uc.pt</email>
</address>
<xref ref-type="aff" rid="Aff704"></xref>
<xref ref-type="aff" rid="Aff705"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ruben</surname>
<given-names>Rui B.</given-names>
</name>
<xref ref-type="aff" rid="Aff706"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Avelelas</surname>
<given-names>Francisco</given-names>
</name>
<xref ref-type="aff" rid="Aff707"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Susana</given-names>
</name>
<xref ref-type="aff" rid="Aff707"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Campos</surname>
<given-names>Mª Jorge</given-names>
</name>
<xref ref-type="aff" rid="Aff707"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Almeida</surname>
<given-names>Maria</given-names>
</name>
<address><email>mlurdes@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff708"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gonçalves</surname>
<given-names>Liliana</given-names>
</name>
<xref ref-type="aff" rid="Aff709"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Antunes</surname>
<given-names>Lígia</given-names>
</name>
<xref ref-type="aff" rid="Aff710"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sardo</surname>
<given-names>Pedro</given-names>
</name>
<address><email>pedro.sardo@ua.pt</email>
</address>
<xref ref-type="aff" rid="Aff711"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guedes</surname>
<given-names>Jenifer</given-names>
</name>
<xref ref-type="aff" rid="Aff712"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Simões</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff711"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Machado</surname>
<given-names>Paulo</given-names>
</name>
<xref ref-type="aff" rid="Aff713"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Melo</surname>
<given-names>Elsa</given-names>
</name>
<xref ref-type="aff" rid="Aff711"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cardoso</surname>
<given-names>Susana</given-names>
</name>
<address><email>suscardoso@yahoo.com.br</email>
</address>
<xref ref-type="aff" rid="Aff714"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Osvaldo</given-names>
</name>
<xref ref-type="aff" rid="Aff715"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nunes</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff714"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Loureiro</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff714"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Flávia</given-names>
</name>
<xref ref-type="aff" rid="Aff716"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alves</surname>
<given-names>Gilberto</given-names>
</name>
<xref ref-type="aff" rid="Aff716"></xref>
<xref ref-type="aff" rid="Aff717"></xref>
<xref ref-type="aff" rid="Aff718"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Soar</surname>
<given-names>Cláudia</given-names>
</name>
<address><email>claudiasoar@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff719"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marsi</surname>
<given-names>Teresa O.</given-names>
</name>
<xref ref-type="aff" rid="Aff719"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Silva</surname>
<given-names>Ernestina</given-names>
</name>
<address><email>ernestinabatoca@sapo.pt</email>
</address>
<xref ref-type="aff" rid="Aff720"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pedrosa</surname>
<given-names>Dora</given-names>
</name>
<xref ref-type="aff" rid="Aff721"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Leça</surname>
<given-names>Andrea</given-names>
</name>
<xref ref-type="aff" rid="Aff722"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="Aff720"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Galvão</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff723"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Gomes</surname>
<given-names>Maria</given-names>
</name>
<address><email>mgomes16mgomes@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff723"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Paula</given-names>
</name>
<xref ref-type="aff" rid="Aff724"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Noné</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff723"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Combadão</surname>
<given-names>Jaime</given-names>
</name>
<address><email>jcombadao@uatlantica.pt</email>
</address>
<xref ref-type="aff" rid="Aff725"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ramalhete</surname>
<given-names>Cátia</given-names>
</name>
<xref ref-type="aff" rid="Aff725"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Figueiredo</surname>
<given-names>Paulo</given-names>
</name>
<xref ref-type="aff" rid="Aff725"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Caeiro</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff725"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fontana</surname>
<given-names>Karine C.</given-names>
</name>
<xref ref-type="aff" rid="Aff726"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Lacerda</surname>
<given-names>Josimari T.</given-names>
</name>
<address><email>jtelino@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff726"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Machado</surname>
<given-names>Patrícia O.</given-names>
</name>
<xref ref-type="aff" rid="Aff726"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Borges</surname>
<given-names>Raphaelle</given-names>
</name>
<address><email>raphaellebio@yahoo.com.br</email>
</address>
<xref ref-type="aff" rid="Aff727"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Barbosa</surname>
<given-names>Flávio</given-names>
</name>
<xref ref-type="aff" rid="Aff728"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sá</surname>
<given-names>Dayse</given-names>
</name>
<xref ref-type="aff" rid="Aff727"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brunhoso</surname>
<given-names>Germana</given-names>
</name>
<xref ref-type="aff" rid="Aff729"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Aparício</surname>
<given-names>Graça</given-names>
</name>
<address><email>gaparicio5@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff730"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Amâncio</given-names>
</name>
<xref ref-type="aff" rid="Aff731"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Garcia</surname>
<given-names>Ana P.</given-names>
</name>
<address><email>acatarinagarcia@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff732"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Paula O.</given-names>
</name>
<xref ref-type="aff" rid="Aff733"></xref>
<xref ref-type="aff" rid="Aff734"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Adriana</given-names>
</name>
<xref ref-type="aff" rid="Aff732"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Veiga</surname>
<given-names>Nélio</given-names>
</name>
<address><email>nelioveiga@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff735"></xref>
<xref ref-type="aff" rid="Aff736"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brás</surname>
<given-names>Carina</given-names>
</name>
<xref ref-type="aff" rid="Aff735"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Inês</given-names>
</name>
<xref ref-type="aff" rid="Aff735"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Batalha</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff735"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Glória</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff735"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bexiga</surname>
<given-names>Filipa</given-names>
</name>
<xref ref-type="aff" rid="Aff735"></xref>
<xref ref-type="aff" rid="Aff736"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coelho</surname>
<given-names>Inês</given-names>
</name>
<xref ref-type="aff" rid="Aff737"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Amaral</surname>
<given-names>Odete</given-names>
</name>
<xref ref-type="aff" rid="Aff738"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff738"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes" equal-contrib="yes"><name><surname>Pinho</surname>
<given-names>Cláudia</given-names>
</name>
<address><email>clp@estsp.ipp.pt</email>
</address>
<xref ref-type="aff" rid="Aff739"></xref>
</contrib>
<contrib contrib-type="author" equal-contrib="yes"><name><surname>Paraíso</surname>
<given-names>Nilson</given-names>
</name>
<xref ref-type="aff" rid="Aff740"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Ana I.</given-names>
</name>
<xref ref-type="aff" rid="Aff739"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lima</surname>
<given-names>Cristóvão F.</given-names>
</name>
<xref ref-type="aff" rid="Aff741"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dias</surname>
<given-names>Alberto P.</given-names>
</name>
<xref ref-type="aff" rid="Aff741"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff742"></xref>
<xref ref-type="aff" rid="Aff743"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Espada</surname>
<given-names>Mário</given-names>
</name>
<xref ref-type="aff" rid="Aff744"></xref>
<xref ref-type="aff" rid="Aff745"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Mário</given-names>
</name>
<xref ref-type="aff" rid="Aff742"></xref>
<xref ref-type="aff" rid="Aff746"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pereira</surname>
<given-names>Ana</given-names>
</name>
<address><email>anapereiraphd@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff742"></xref>
<xref ref-type="aff" rid="Aff746"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pereira</surname>
<given-names>Ana Mª</given-names>
</name>
<address><email>amgpereira@ipb.pt</email>
</address>
<xref ref-type="aff" rid="Aff747"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Veiga-Branco</surname>
<given-names>Mª</given-names>
</name>
<xref ref-type="aff" rid="Aff747"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Filomena</given-names>
</name>
<xref ref-type="aff" rid="Aff748"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="Aff747"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lima</surname>
<given-names>Vera</given-names>
</name>
<xref ref-type="aff" rid="Aff749"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Ana I.</given-names>
</name>
<xref ref-type="aff" rid="Aff749"></xref>
<xref ref-type="aff" rid="Aff750"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinho</surname>
<given-names>Cláudia</given-names>
</name>
<xref ref-type="aff" rid="Aff749"></xref>
<xref ref-type="aff" rid="Aff750"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Graça</given-names>
</name>
<xref ref-type="aff" rid="Aff749"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Rita F.</given-names>
</name>
<xref ref-type="aff" rid="Aff749"></xref>
<xref ref-type="aff" rid="Aff750"></xref>
<xref ref-type="aff" rid="Aff751"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Barreiros</surname>
<given-names>Luísa</given-names>
</name>
<xref ref-type="aff" rid="Aff752"></xref>
<xref ref-type="aff" rid="Aff753"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Moreira</surname>
<given-names>Fernando</given-names>
</name>
<address><email>ffm@estsp.ipp.pt</email>
</address>
<xref ref-type="aff" rid="Aff749"></xref>
<xref ref-type="aff" rid="Aff754"></xref>
<xref ref-type="aff" rid="Aff755"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Camarneiro</surname>
<given-names>Ana</given-names>
</name>
<address><email>pcamarneiro@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff756"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Loureiro</surname>
<given-names>Mª Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff757"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff756"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Duarte</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff758"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Jesus</surname>
<given-names>Ângelo</given-names>
</name>
<address><email>acj@estsp.ipp.pt</email>
</address>
<xref ref-type="aff" rid="Aff758"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Agostinho</given-names>
</name>
<xref ref-type="aff" rid="Aff758"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mota</surname>
<given-names>Maria</given-names>
</name>
<address><email>mpmota@utad.pt</email>
</address>
<xref ref-type="aff" rid="Aff759"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Novais</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="Aff760"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nogueira</surname>
<given-names>Paulo</given-names>
</name>
<xref ref-type="aff" rid="Aff760"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff759"></xref>
<xref ref-type="aff" rid="Aff761"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carneiro</surname>
<given-names>Lara</given-names>
</name>
<xref ref-type="aff" rid="Aff760"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>João</surname>
<given-names>Paulo V.</given-names>
</name>
<xref ref-type="aff" rid="Aff759"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Lima</surname>
<given-names>Teresa Maneca</given-names>
</name>
<address><email>tmaneca@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff762"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Salgueiro-Oliveira</surname>
<given-names>Anabela</given-names>
</name>
<address><email>anabela@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff763"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vaquinhas</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff763"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff763"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Melo</surname>
<given-names>Rosa</given-names>
</name>
<xref ref-type="aff" rid="Aff763"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Graveto</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff763"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Castilho</surname>
<given-names>Amélia</given-names>
</name>
<xref ref-type="aff" rid="Aff763"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>José H.</given-names>
</name>
<xref ref-type="aff" rid="Aff763"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Medina</surname>
<given-names>María S.</given-names>
</name>
<address><email>mariasierra3@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff764"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Blanco</surname>
<given-names>Valeriana G.</given-names>
</name>
<xref ref-type="aff" rid="Aff765"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Santos</surname>
<given-names>Osvaldo</given-names>
</name>
<address><email>osvaldorsantos@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff766"></xref>
<xref ref-type="aff" rid="Aff767"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopes</surname>
<given-names>Elisa</given-names>
</name>
<xref ref-type="aff" rid="Aff766"></xref>
<xref ref-type="aff" rid="Aff767"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Virgolino</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff766"></xref>
<xref ref-type="aff" rid="Aff767"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dinis</surname>
<given-names>Alexandra</given-names>
</name>
<xref ref-type="aff" rid="Aff768"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ambrósio</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="Aff768"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>Inês</given-names>
</name>
<xref ref-type="aff" rid="Aff768"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marques</surname>
<given-names>Tatiana</given-names>
</name>
<xref ref-type="aff" rid="Aff768"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Heitor</surname>
<given-names>Mª João</given-names>
</name>
<xref ref-type="aff" rid="Aff768"></xref>
<xref ref-type="aff" rid="Aff769"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Garcia-Gordillo</surname>
<given-names>Miguel A.</given-names>
</name>
<address><email>miguelgarciagordillo@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff770"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Collado-Mateo</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="Aff770"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Olivares</surname>
<given-names>Pedro R.</given-names>
</name>
<xref ref-type="aff" rid="Aff771"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parraça</surname>
<given-names>José A.</given-names>
</name>
<xref ref-type="aff" rid="Aff772"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sala</surname>
<given-names>José A.</given-names>
</name>
<xref ref-type="aff" rid="Aff770"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Castilho</surname>
<given-names>Amélia</given-names>
</name>
<address><email>afilomena@esenfc.pt</email>
</address>
<xref ref-type="aff" rid="Aff773"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Graveto</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff773"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff773"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Anabela</given-names>
</name>
<xref ref-type="aff" rid="Aff773"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gomes</surname>
<given-names>José H.</given-names>
</name>
<xref ref-type="aff" rid="Aff773"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Melo</surname>
<given-names>Rosa</given-names>
</name>
<xref ref-type="aff" rid="Aff773"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vaquinhas</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff773"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cheio</surname>
<given-names>Mónica</given-names>
</name>
<xref ref-type="aff" rid="Aff774"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Agostinho</given-names>
</name>
<xref ref-type="aff" rid="Aff774"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pereira</surname>
<given-names>Olívia R.</given-names>
</name>
<xref ref-type="aff" rid="Aff775"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinto</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="Aff776"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Adriana</given-names>
</name>
<xref ref-type="aff" rid="Aff776"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Manso</surname>
<given-names>M. Conceição</given-names>
</name>
<xref ref-type="aff" rid="Aff776"></xref>
<xref ref-type="aff" rid="Aff777"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff776"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Vinha</surname>
<given-names>Ana F.</given-names>
</name>
<address><email>acvinha@ufp.edu.pt</email>
</address>
<xref ref-type="aff" rid="Aff776"></xref>
<xref ref-type="aff" rid="Aff777"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Machado</surname>
<given-names>Mª Manuela</given-names>
</name>
<address><email>mmachado@ese.uminho.pt</email>
</address>
<xref ref-type="aff" rid="Aff778"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vieira</surname>
<given-names>Margarida</given-names>
</name>
<xref ref-type="aff" rid="Aff779"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Fernandes</surname>
<given-names>Beatriz</given-names>
</name>
<address><email>beatriz.fernandes@estesl.ipl.pt</email>
</address>
<xref ref-type="aff" rid="Aff780"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tomás</surname>
<given-names>Teresa</given-names>
</name>
<xref ref-type="aff" rid="Aff780"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Quirino</surname>
<given-names>Diogo</given-names>
</name>
<xref ref-type="aff" rid="Aff780"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Desouzart</surname>
<given-names>Gustavo</given-names>
</name>
<address><email>gustavodesouzart@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff781"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Matos</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff782"></xref>
<xref ref-type="aff" rid="Aff783"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bordini</surname>
<given-names>Magali</given-names>
</name>
<xref ref-type="aff" rid="Aff781"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mouroço</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff784"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Matos</surname>
<given-names>Ana R.</given-names>
</name>
<address><email>amatos@ces.uc.pt</email>
</address>
<xref ref-type="aff" rid="Aff785"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Serapioni</surname>
<given-names>Mauro</given-names>
</name>
<xref ref-type="aff" rid="Aff785"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Guimarães</surname>
<given-names>Teresa</given-names>
</name>
<address><email>tguimaraes@estesl.ipl.pt</email>
</address>
<xref ref-type="aff" rid="Aff786"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fonseca</surname>
<given-names>Virgínia</given-names>
</name>
<xref ref-type="aff" rid="Aff786"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Costa</surname>
<given-names>André</given-names>
</name>
<xref ref-type="aff" rid="Aff786"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff786"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lobato</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff786"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Martin</surname>
<given-names>Inmaculada Z.</given-names>
</name>
<address><email>zainma@ju.se</email>
</address>
<xref ref-type="aff" rid="Aff787"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Björklund</surname>
<given-names>Anita</given-names>
</name>
<xref ref-type="aff" rid="Aff787"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Tavares</surname>
<given-names>Aida I.</given-names>
</name>
<address><email>aitavar@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff788"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff788"></xref>
<xref ref-type="aff" rid="Aff789"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Passadouro</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff790"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Morgado</surname>
<given-names>Sónia</given-names>
</name>
<address><email>soniamorgado2006@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff791"></xref>
<xref ref-type="aff" rid="Aff792"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Tavares</surname>
<given-names>Nuno</given-names>
</name>
<address><email>ftnunotavares@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff793"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Valente</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff793"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Anabela C.</given-names>
</name>
<xref ref-type="aff" rid="Aff793"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Araújo</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff794"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Fernandes</surname>
<given-names>Rosina</given-names>
</name>
<address><email>rosina@esev.ipv.pt</email>
</address>
<xref ref-type="aff" rid="Aff795"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Francisco</given-names>
</name>
<xref ref-type="aff" rid="Aff795"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Magalhães</surname>
<given-names>Cátia</given-names>
</name>
<xref ref-type="aff" rid="Aff795"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Emília</given-names>
</name>
<xref ref-type="aff" rid="Aff795"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Pedro</given-names>
</name>
<address><email>pedromendes@ipcb.pt</email>
</address>
<xref ref-type="aff" rid="Aff796"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paulo</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="Aff796"></xref>
<xref ref-type="aff" rid="Aff797"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Faustino</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff796"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mesquita</surname>
<given-names>Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff796"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Honório</surname>
<given-names>Samuel</given-names>
</name>
<xref ref-type="aff" rid="Aff796"></xref>
<xref ref-type="aff" rid="Aff797"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Batista</surname>
<given-names>Marco</given-names>
</name>
<xref ref-type="aff" rid="Aff796"></xref>
<xref ref-type="aff" rid="Aff797"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Lacerda</surname>
<given-names>Josimari T.</given-names>
</name>
<address><email>jtelino@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff798"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ortiga</surname>
<given-names>Angela B.</given-names>
</name>
<xref ref-type="aff" rid="Aff799"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Calvo</surname>
<given-names>Mª Cristina</given-names>
</name>
<xref ref-type="aff" rid="Aff798"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Natal</surname>
<given-names>Sônia</given-names>
</name>
<xref ref-type="aff" rid="Aff798"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pereira</surname>
<given-names>Marta</given-names>
</name>
<address><email>msofpereira@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff800"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ferreira</surname>
<given-names>Manuela</given-names>
</name>
<address><email>mmcferreira@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff801"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Prata</surname>
<given-names>Ana R.</given-names>
</name>
<xref ref-type="aff" rid="Aff802"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nelas</surname>
<given-names>Paula</given-names>
</name>
<xref ref-type="aff" rid="Aff801"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Duarte</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff801"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carneiro</surname>
<given-names>Juliana</given-names>
</name>
<xref ref-type="aff" rid="Aff803"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Ana I.</given-names>
</name>
<xref ref-type="aff" rid="Aff803"></xref>
<xref ref-type="aff" rid="Aff804"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinho</surname>
<given-names>Cláudia</given-names>
</name>
<xref ref-type="aff" rid="Aff803"></xref>
<xref ref-type="aff" rid="Aff804"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Couto</surname>
<given-names>Cristina</given-names>
</name>
<xref ref-type="aff" rid="Aff803"></xref>
<xref ref-type="aff" rid="Aff805"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Rita F.</given-names>
</name>
<xref ref-type="aff" rid="Aff803"></xref>
<xref ref-type="aff" rid="Aff804"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Moreira</surname>
<given-names>Fernando</given-names>
</name>
<address><email>ffm@estsp.ipp.pt</email>
</address>
<xref ref-type="aff" rid="Aff803"></xref>
<xref ref-type="aff" rid="Aff806"></xref>
<xref ref-type="aff" rid="Aff807"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Maia</surname>
<given-names>Ana S.</given-names>
</name>
<address><email>anamargarette@yahoo.com.br</email>
</address>
<xref ref-type="aff" rid="Aff808"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Michelle T.</given-names>
</name>
<xref ref-type="aff" rid="Aff808"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Anderson R.</given-names>
</name>
<xref ref-type="aff" rid="Aff808"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Paulo P.</given-names>
</name>
<xref ref-type="aff" rid="Aff809"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Souza</surname>
<given-names>Géssica M.</given-names>
</name>
<xref ref-type="aff" rid="Aff808"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almada</surname>
<given-names>Lívia F.</given-names>
</name>
<xref ref-type="aff" rid="Aff808"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Conceição</surname>
<given-names>Milena A.</given-names>
</name>
<xref ref-type="aff" rid="Aff808"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santiago</surname>
<given-names>Eujcely C.</given-names>
</name>
<xref ref-type="aff" rid="Aff810"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rodrigues</surname>
<given-names>Sandra</given-names>
</name>
<address><email>sandrar@ufp.edu.pt</email>
</address>
<xref ref-type="aff" rid="Aff811"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Domingues</surname>
<given-names>Gabriela</given-names>
</name>
<xref ref-type="aff" rid="Aff811"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>Irina</given-names>
</name>
<xref ref-type="aff" rid="Aff811"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Faria</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff811"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Seixas</surname>
<given-names>Adérito</given-names>
</name>
<xref ref-type="aff" rid="Aff811"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Costa</surname>
<given-names>Ana R.</given-names>
</name>
<xref ref-type="aff" rid="Aff812"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Jesus</surname>
<given-names>Ângelo</given-names>
</name>
<address><email>acj@estsp.ipp.pt</email>
</address>
<xref ref-type="aff" rid="Aff812"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cardoso</surname>
<given-names>Américo</given-names>
</name>
<xref ref-type="aff" rid="Aff812"></xref>
<xref ref-type="aff" rid="Aff813"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Meireles</surname>
<given-names>Alexandra</given-names>
</name>
<xref ref-type="aff" rid="Aff812"></xref>
<xref ref-type="aff" rid="Aff814"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Colaço</surname>
<given-names>Armanda</given-names>
</name>
<xref ref-type="aff" rid="Aff812"></xref>
<xref ref-type="aff" rid="Aff815"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cruz</surname>
<given-names>Agostinho</given-names>
</name>
<xref ref-type="aff" rid="Aff812"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Vieira</surname>
<given-names>Viviane L.</given-names>
</name>
<address><email>vivianevieira26@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff816"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vincha</surname>
<given-names>Kellem R.</given-names>
</name>
<xref ref-type="aff" rid="Aff816"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cervato-Mancuso</surname>
<given-names>Ana Mª</given-names>
</name>
<xref ref-type="aff" rid="Aff816"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Faria</surname>
<given-names>Melissa</given-names>
</name>
<address><email>creis@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff817"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Reis</surname>
<given-names>Cláudia</given-names>
</name>
<xref ref-type="aff" rid="Aff817"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cova</surname>
<given-names>Marco P.</given-names>
</name>
<address><email>mc@void.pt</email>
</address>
<xref ref-type="aff" rid="Aff818"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ascenso</surname>
<given-names>Rita T.</given-names>
</name>
<xref ref-type="aff" rid="Aff819"></xref>
<xref ref-type="aff" rid="Aff820"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>Henrique A.</given-names>
</name>
<xref ref-type="aff" rid="Aff820"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Eunice G.</given-names>
</name>
<xref ref-type="aff" rid="Aff820"></xref>
<xref ref-type="aff" rid="Aff821"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santana</surname>
<given-names>Miguel</given-names>
</name>
<xref ref-type="aff" rid="Aff822"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Rafael</given-names>
</name>
<xref ref-type="aff" rid="Aff822"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Eunice G.</given-names>
</name>
<xref ref-type="aff" rid="Aff822"></xref>
<xref ref-type="aff" rid="Aff823"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>Henrique A.</given-names>
</name>
<xref ref-type="aff" rid="Aff822"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ascenso</surname>
<given-names>Rita T.</given-names>
</name>
<address><email>rita.ascenso@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff822"></xref>
<xref ref-type="aff" rid="Aff824"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jesus</surname>
<given-names>Rita</given-names>
</name>
<xref ref-type="aff" rid="Aff825"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tapadas</surname>
<given-names>Rodrigo</given-names>
</name>
<xref ref-type="aff" rid="Aff825"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tim-Tim</surname>
<given-names>Carolina</given-names>
</name>
<xref ref-type="aff" rid="Aff825"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cezanne</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff825"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lagoa</surname>
<given-names>Matilde</given-names>
</name>
<xref ref-type="aff" rid="Aff825"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Dias</surname>
<given-names>Sara S.</given-names>
</name>
<address><email>sara.dias@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff826"></xref>
<xref ref-type="aff" rid="Aff827"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Torgal</surname>
<given-names>Jorge</given-names>
</name>
<xref ref-type="aff" rid="Aff825"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopes</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff828"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>Henrique</given-names>
</name>
<xref ref-type="aff" rid="Aff828"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Amado</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="Aff829"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Carrão</surname>
<given-names>Luís</given-names>
</name>
<address><email>luis.carrao@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff829"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Cunha</surname>
<given-names>Madalena</given-names>
</name>
<address><email>madalenacunhanunes@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff830"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Saboga-Nunes</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff831"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Albuquerque</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff830"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ribeiro</surname>
<given-names>Olivério</given-names>
</name>
<xref ref-type="aff" rid="Aff832"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Oliveira</surname>
<given-names>Suzete</given-names>
</name>
<address><email>suzt.oliveira@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff833"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morais</surname>
<given-names>Mª Carminda</given-names>
</name>
<xref ref-type="aff" rid="Aff834"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Martins</surname>
<given-names>Emília</given-names>
</name>
<address><email>emiliamartins@esev.ipv.pt</email>
</address>
<xref ref-type="aff" rid="Aff835"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendes</surname>
<given-names>Francisco</given-names>
</name>
<xref ref-type="aff" rid="Aff835"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Rosina</given-names>
</name>
<xref ref-type="aff" rid="Aff835"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Magalhães</surname>
<given-names>Cátia</given-names>
</name>
<xref ref-type="aff" rid="Aff835"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Araújo</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff836"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pedro</surname>
<given-names>Ana R.</given-names>
</name>
<address><email>rita.pedro@ensp.unl.pt</email>
</address>
<xref ref-type="aff" rid="Aff837"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Amaral</surname>
<given-names>Odete</given-names>
</name>
<xref ref-type="aff" rid="Aff838"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Escoval</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff837"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Assunção</surname>
<given-names>Victor</given-names>
</name>
<address><email>victorassuncao@essp.pt</email>
</address>
<xref ref-type="aff" rid="Aff839"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Luís</surname>
<given-names>Henrique</given-names>
</name>
<xref ref-type="aff" rid="Aff840"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Luís</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff841"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Apolinário-Hagen</surname>
<given-names>Jennifer</given-names>
</name>
<address><email>jennifer.apolinario-hagen@fernuni-hagen.de</email>
</address>
<xref ref-type="aff" rid="Aff842"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vehreschild</surname>
<given-names>Viktor</given-names>
</name>
<xref ref-type="aff" rid="Aff842"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fotschl</surname>
<given-names>Ulrike</given-names>
</name>
<xref ref-type="aff" rid="Aff843"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lirk</surname>
<given-names>Gerald</given-names>
</name>
<xref ref-type="aff" rid="Aff844"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Anabela C.</given-names>
</name>
<xref ref-type="aff" rid="Aff845"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff845"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Fernando</given-names>
</name>
<address><email>fjmendes@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff845"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mendonça</surname>
<given-names>Verónica</given-names>
</name>
<xref ref-type="aff" rid="Aff846"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Antunes</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="Aff846"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff846"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Osório</surname>
<given-names>Nádia</given-names>
</name>
<xref ref-type="aff" rid="Aff846"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Valado</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff846"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Caseiro</surname>
<given-names>Armando</given-names>
</name>
<xref ref-type="aff" rid="Aff846"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gabriel</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff846"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Anabela C.</given-names>
</name>
<xref ref-type="aff" rid="Aff846"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Fernando</given-names>
</name>
<address><email>fjmendes@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff846"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Paula A.</given-names>
</name>
<xref ref-type="aff" rid="Aff847"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mónico</surname>
<given-names>Lisete M.</given-names>
</name>
<xref ref-type="aff" rid="Aff848"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro M.</given-names>
</name>
<xref ref-type="aff" rid="Aff849"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carvalho</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="Aff848"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Carvalho</surname>
<given-names>Carla</given-names>
</name>
<address><email>ccarvalho@fpce.uc.pt</email>
</address>
<xref ref-type="aff" rid="Aff850"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parreira</surname>
<given-names>Pedro M.</given-names>
</name>
<xref ref-type="aff" rid="Aff851"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mónico</surname>
<given-names>Lisete M.</given-names>
</name>
<xref ref-type="aff" rid="Aff850"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ruivo</surname>
<given-names>Joana</given-names>
</name>
<xref ref-type="aff" rid="Aff850"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Vânia</given-names>
</name>
<xref ref-type="aff" rid="Aff852"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Paulino</given-names>
</name>
<xref ref-type="aff" rid="Aff852"></xref>
<xref ref-type="aff" rid="Aff853"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Padilha</surname>
<given-names>José M.</given-names>
</name>
<address><email>miguelpadilha@esenf.pt</email>
</address>
<xref ref-type="aff" rid="Aff852"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferraz</surname>
<given-names>Vera</given-names>
</name>
<xref ref-type="aff" rid="Aff854"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Aparício</surname>
<given-names>Graça</given-names>
</name>
<address><email>gaparicio5@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff855"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Duarte</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff855"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vasconcelos</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff856"></xref>
<xref ref-type="aff" rid="Aff857"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Almeida</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff857"></xref>
<xref ref-type="aff" rid="Aff858"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Neves</surname>
<given-names>Joel</given-names>
</name>
<xref ref-type="aff" rid="Aff857"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Correia</surname>
<given-names>Telma</given-names>
</name>
<xref ref-type="aff" rid="Aff857"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Amorim</surname>
<given-names>Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff857"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Romeu</given-names>
</name>
<address><email>romeuduartemendes@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff857"></xref>
<xref ref-type="aff" rid="Aff858"></xref>
<xref ref-type="aff" rid="Aff859"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Saboga-Nunes</surname>
<given-names>Luís</given-names>
</name>
<address><email>saboga@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff860"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cunha</surname>
<given-names>Madalena</given-names>
</name>
<xref ref-type="aff" rid="Aff861"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Albuquerque</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="Aff861"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pereira</surname>
<given-names>Elsa S.</given-names>
</name>
<address><email>elsa.m.silva@hff.min-saude.pt</email>
</address>
<xref ref-type="aff" rid="Aff862"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santos</surname>
<given-names>Leonino S.</given-names>
</name>
<xref ref-type="aff" rid="Aff862"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Reis</surname>
<given-names>Ana S.</given-names>
</name>
<xref ref-type="aff" rid="Aff862"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Helena R.</given-names>
</name>
<xref ref-type="aff" rid="Aff862"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rombo</surname>
<given-names>João</given-names>
</name>
<xref ref-type="aff" rid="Aff862"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Jorge C.</given-names>
</name>
<xref ref-type="aff" rid="Aff862"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Patrícia</given-names>
</name>
<xref ref-type="aff" rid="Aff862"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ribeiro</surname>
<given-names>Jaime</given-names>
</name>
<address><email>jaime.ribeiro@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff863"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mangas</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff864"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Freire</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff865"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Silva</surname>
<given-names>Sara</given-names>
</name>
<address><email>sararebelo.silva@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff866"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Francisco</surname>
<given-names>Irene</given-names>
</name>
<xref ref-type="aff" rid="Aff866"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff866"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Catarino</surname>
<given-names>Helena</given-names>
</name>
<address><email>helena.catarino@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff867"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dixe</surname>
<given-names>Mª Anjos</given-names>
</name>
<xref ref-type="aff" rid="Aff867"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Louro</surname>
<given-names>Mª Clarisse</given-names>
</name>
<xref ref-type="aff" rid="Aff867"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lopes</surname>
<given-names>Saudade</given-names>
</name>
<xref ref-type="aff" rid="Aff868"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dixe</surname>
<given-names>Anjos</given-names>
</name>
<xref ref-type="aff" rid="Aff868"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Dixe</surname>
<given-names>Mª Anjos</given-names>
</name>
<address><email>maria.dixe@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff869"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Menino</surname>
<given-names>Eva</given-names>
</name>
<xref ref-type="aff" rid="Aff869"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Catarino</surname>
<given-names>Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff869"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Soares</surname>
<given-names>Fátima</given-names>
</name>
<xref ref-type="aff" rid="Aff870"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliveira</surname>
<given-names>Ana P.</given-names>
</name>
<xref ref-type="aff" rid="Aff871"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gordo</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="Aff869"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kraus</surname>
<given-names>Teresa</given-names>
</name>
<xref ref-type="aff" rid="Aff869"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Tomás</surname>
<given-names>Catarina</given-names>
</name>
<address><email>catarina.tomas@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff872"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Queirós</surname>
<given-names>Paulo</given-names>
</name>
<xref ref-type="aff" rid="Aff873"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rodrigues</surname>
<given-names>Teresa</given-names>
</name>
<xref ref-type="aff" rid="Aff874"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Sousa</surname>
<given-names>Pedro</given-names>
</name>
<address><email>pedro.sousa@ipleiria.pt</email>
</address>
<xref ref-type="aff" rid="Aff875"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Frade</surname>
<given-names>João G.</given-names>
</name>
<xref ref-type="aff" rid="Aff875"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lobão</surname>
<given-names>Catarina</given-names>
</name>
<xref ref-type="aff" rid="Aff875"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Moura</surname>
<given-names>Cynthia B.</given-names>
</name>
<address><email>cynthia-moura@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff876"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dreyer</surname>
<given-names>Laysa C.</given-names>
</name>
<xref ref-type="aff" rid="Aff876"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Meneghetti</surname>
<given-names>Vanize</given-names>
</name>
<xref ref-type="aff" rid="Aff876"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cabral</surname>
<given-names>Priscila P.</given-names>
</name>
<xref ref-type="aff" rid="Aff876"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pinto</surname>
<given-names>Francisca</given-names>
</name>
<address><email>franciscampinto@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff877"></xref>
<xref ref-type="aff" rid="Aff878"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Paulino</given-names>
</name>
<xref ref-type="aff" rid="Aff879"></xref>
<xref ref-type="aff" rid="Aff880"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Esteves</surname>
<given-names>Mª Raquel</given-names>
</name>
<xref ref-type="aff" rid="Aff878"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Galvão</surname>
<given-names>Sofia</given-names>
</name>
<xref ref-type="aff" rid="Aff881"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tytgat</surname>
<given-names>Ite</given-names>
</name>
<xref ref-type="aff" rid="Aff882"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff881"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Osório</surname>
<given-names>Nádia</given-names>
</name>
<xref ref-type="aff" rid="Aff881"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Valado</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff881"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Caseiro</surname>
<given-names>Armando</given-names>
</name>
<xref ref-type="aff" rid="Aff881"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gabriel</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff881"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Anabela C.</given-names>
</name>
<xref ref-type="aff" rid="Aff881"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Fernando</given-names>
</name>
<address><email>fjmendes@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff881"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Casas-Novas</surname>
<given-names>Mónica</given-names>
</name>
<xref ref-type="aff" rid="Aff883"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bernardo</surname>
<given-names>Helena</given-names>
</name>
<xref ref-type="aff" rid="Aff883"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Andrade</surname>
<given-names>Isabel</given-names>
</name>
<xref ref-type="aff" rid="Aff883"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Gracinda</given-names>
</name>
<xref ref-type="aff" rid="Aff884"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sousa</surname>
<given-names>Ana P.</given-names>
</name>
<xref ref-type="aff" rid="Aff884"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rocha</surname>
<given-names>Clara</given-names>
</name>
<xref ref-type="aff" rid="Aff883"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Belo</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="Aff883"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Osório</surname>
<given-names>Nádia</given-names>
</name>
<xref ref-type="aff" rid="Aff883"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Valado</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff883"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Caseiro</surname>
<given-names>Armando</given-names>
</name>
<xref ref-type="aff" rid="Aff883"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gabriel</surname>
<given-names>António</given-names>
</name>
<xref ref-type="aff" rid="Aff883"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martins</surname>
<given-names>Anabela C.</given-names>
</name>
<xref ref-type="aff" rid="Aff883"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Mendes</surname>
<given-names>Fernando</given-names>
</name>
<address><email>fjmendes@estescoimbra.pt</email>
</address>
<xref ref-type="aff" rid="Aff883"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Martins</surname>
<given-names>Fátima</given-names>
</name>
<address><email>fmartins@ese.uminho.pt</email>
</address>
<xref ref-type="aff" rid="Aff885"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pulido-Fuentes</surname>
<given-names>Montserrat</given-names>
</name>
<xref ref-type="aff" rid="Aff886"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Barroso</surname>
<given-names>Isabel</given-names>
</name>
<address><email>imbarroso@utad.pt</email>
</address>
<xref ref-type="aff" rid="Aff887"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cabral</surname>
<given-names>Gil</given-names>
</name>
<xref ref-type="aff" rid="Aff888"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Monteiro</surname>
<given-names>M. João</given-names>
</name>
<xref ref-type="aff" rid="Aff887"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rainho</surname>
<given-names>Conceição</given-names>
</name>
<xref ref-type="aff" rid="Aff887"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Prado</surname>
<given-names>Alessandro</given-names>
</name>
<xref ref-type="aff" rid="Aff889"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Carvalho</surname>
<given-names>Yara M.</given-names>
</name>
<address><email>yaramc@usp.br</email>
</address>
<xref ref-type="aff" rid="Aff889"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Campos</surname>
<given-names>Maria</given-names>
</name>
<address><email>mjcampos@fcdef.uc.pt</email>
</address>
<xref ref-type="aff" rid="Aff890"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moreira</surname>
<given-names>Liliana</given-names>
</name>
<xref ref-type="aff" rid="Aff890"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff890"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Teixeira</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff890"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rama</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff890"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Campos</surname>
<given-names>Maria</given-names>
</name>
<address><email>mjcampos@fcdef.uc.pt</email>
</address>
<xref ref-type="aff" rid="Aff891"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moreira</surname>
<given-names>Liliana</given-names>
</name>
<xref ref-type="aff" rid="Aff891"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ferreira</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff891"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Teixeira</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="Aff891"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rama</surname>
<given-names>Luís</given-names>
</name>
<xref ref-type="aff" rid="Aff891"></xref>
</contrib>
<aff id="Aff1"><label></label>
Health Sciences Research Unit: Nursing, Collegue of College of Health Technology of Coimbra, Coimbra, Portugal</aff>
<aff id="Aff2"><label></label>
Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa Isabel, Coimbra, Portugal</aff>
<aff id="Aff3"><label></label>
Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal</aff>
<aff id="Aff4"><label></label>
Complementary Sciences- INESCC, Coimbra, Portugal</aff>
<aff id="Aff5"><label></label>
CUF Hospitals, Lisbon, Portugal</aff>
<aff id="Aff6"><label></label>
Breast Unit, Champalimaud Clinical Center, Lisbon, Portugal</aff>
<aff id="Aff7"><label></label>
Swiss Centre for Medical Simulation & Swiss Association of Simulation in Healthcare, 4031 Basel, Switzerland</aff>
<aff id="Aff8"><label></label>
Basel University Hospital, 4056 Basel, Switzerland</aff>
<aff id="Aff9"><label></label>
HELPO Association, 2750-318 Cascais, Portugal</aff>
<aff id="Aff10"><label></label>
Centro de Linguística, Universidade de Lisboa, Lisboa, Portugal</aff>
<aff id="Aff11"><label></label>
Centro Superior de Estudios Universitarios La Salle, Madrid, Spain</aff>
<aff id="Aff12"><label></label>
Universidade da Madeira, 9000-082 Funchal, Portugal</aff>
<aff id="Aff13"><label></label>
Serviço de Saúde da Região Autónoma da Madeira, E.P.E., 9004-514 Funchal, Portugal</aff>
<aff id="Aff14"><label></label>
Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</aff>
<aff id="Aff15"><label></label>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</aff>
<aff id="Aff16"><label></label>
Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, Coimbra, 3001-802 Portugal</aff>
<aff id="Aff17"><label></label>
Escola Superior de Saúde de Leiria & Unidade de Investigação em Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff18"><label></label>
National School of Public Health & Centro de Investigação em Saúde Pública, Universidade Nova de Lisboa, 1600-560 Lisboa, Portugal</aff>
<aff id="Aff19"><label></label>
Agrarian Superior School, Polytechnic Institute of Viseu, 3500-606 Viseu, Portugal</aff>
<aff id="Aff20"><label></label>
Laboratory of Microbiology, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal</aff>
<aff id="Aff21"><label></label>
Unit for Multidisciplinary Biomedical Research, Institute of Biomedical Sciences Abel Salazar, University of Porto, 4050-313 Porto, Portugal</aff>
<aff id="Aff22"><label></label>
Agrupamento de Centros de Saúde (ACES) Baixo Mondego, 3080-199 Figueira da Foz, Portugal</aff>
<aff id="Aff23"><label></label>
Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff24"><label></label>
Centro de Salud La Paz, Badajoz, 06011 Badajoz España</aff>
<aff id="Aff25"><label></label>
Centro de Salud San Fernando, Badajoz, 06006 Badajoz España</aff>
<aff id="Aff26"><label></label>
Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</aff>
<aff id="Aff27"><label></label>
Hospital Don Benito-Villanueva, Don Benito, 06400 Badajoz España</aff>
<aff id="Aff28"><label></label>
Centro de Salud Villanueva Norte, Villanueva de la Serena, 06700 Badajoz España</aff>
<aff id="Aff29"><label></label>
Centro de Salud Gevora, 06180 Gévora, Badajoz España</aff>
<aff id="Aff30"><label></label>
Universidade Fernando Pessoa, Porto, 4249-004 Portugal</aff>
<aff id="Aff31"><label></label>
Centro de Salud La Paz, Badajoz, 06011 España</aff>
<aff id="Aff32"><label></label>
Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España</aff>
<aff id="Aff33"><label></label>
Centro de Salud San Fernando, Badajoz, 06006 Badajoz España</aff>
<aff id="Aff34"><label></label>
Universidad de Extremadura, Badajoz, 06071 Badajoz España</aff>
<aff id="Aff35"><label></label>
Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</aff>
<aff id="Aff36"><label></label>
Universidade Federal de Viçosa, Viçosa, Minas Gerais 36570-900 Brasil</aff>
<aff id="Aff37"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff38"><label></label>
Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais 36036-330 Brasil</aff>
<aff id="Aff39"><label></label>
Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal</aff>
<aff id="Aff40"><label></label>
Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</aff>
<aff id="Aff41"><label></label>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff42"><label></label>
Universidade Fernando Pessoa, 4249-004 Porto, Portugal</aff>
<aff id="Aff43"><label></label>
Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff44"><label></label>
Cabildo de Lanzarote, 35500 Arrecife, Lanzarote, Las Palmas España</aff>
<aff id="Aff45"><label></label>
Servicio Canario de la Salud, 35500 Arrecife, Lanzarote, Las Palmas España</aff>
<aff id="Aff46"><label></label>
Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</aff>
<aff id="Aff47"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</aff>
<aff id="Aff48"><label></label>
Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal</aff>
<aff id="Aff49"><label></label>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</aff>
<aff id="Aff50"><label></label>
Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</aff>
<aff id="Aff51"><label></label>
Hospital Distrital de Santarém, EPE, Santarém, 2005-177 Portugal</aff>
<aff id="Aff52"><label></label>
Universidade de Coimbra, 3004-504 Coimbra, Portugal</aff>
<aff id="Aff53"><label></label>
Universidade da Madeira, 9000-082 Funchal, Portugal</aff>
<aff id="Aff54"><label></label>
Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul, 90050-170 Brasil</aff>
<aff id="Aff55"><label></label>
Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</aff>
<aff id="Aff56"><label></label>
Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</aff>
<aff id="Aff57"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff58"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff59"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff60"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff61"><label></label>
Universidade Federal de Alagoas, Maceió, Alagoas, 57072-900 Brasil</aff>
<aff id="Aff62"><label></label>
Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</aff>
<aff id="Aff63"><label></label>
Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Portugal</aff>
<aff id="Aff64"><label></label>
Escola Superior da Saúde da Cruz Vermelha Portuguesa, Lisboa, 1300-125 Portugal</aff>
<aff id="Aff65"><label></label>
Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</aff>
<aff id="Aff66"><label></label>
Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff67"><label></label>
Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal</aff>
<aff id="Aff68"><label></label>
Instituto Politécnico de Bragança, Bragança, 5300-121 Portugal</aff>
<aff id="Aff69"><label></label>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</aff>
<aff id="Aff70"><label></label>
Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina 88132-149 Brasil</aff>
<aff id="Aff71"><label></label>
Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</aff>
<aff id="Aff72"><label></label>
Cabildo de Lanzarote, 35500 Lanzarote, Las Palmas España</aff>
<aff id="Aff73"><label></label>
Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff74"><label></label>
Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767 Portugal</aff>
<aff id="Aff75"><label></label>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</aff>
<aff id="Aff76"><label></label>
Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff77"><label></label>
Casa de Saúde de São Mateus, Viseu, 3500-106 Portugal</aff>
<aff id="Aff78"><label></label>
Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</aff>
<aff id="Aff79"><label></label>
Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</aff>
<aff id="Aff80"><label></label>
Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff81"><label></label>
Polytechnic Institute of Viseu, Viseu, 3504-510 Portugal</aff>
<aff id="Aff82"><label></label>
Unidade de Saúde Pública do ACES Douro I—Marão e Douro Norte, Administração Regional de Saúde do Norte, IP, 5000-524 Vila Real, Portugal</aff>
<aff id="Aff83"><label></label>
Núcleo de Investigação e Intervenção no Idoso, Departamento de Tecnologias de Diagnóstico e Terapêutica, Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</aff>
<aff id="Aff84"><label></label>
Centro de Investigação de Montanha, Escola Superior Agrária, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</aff>
<aff id="Aff85"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</aff>
<aff id="Aff86"><label></label>
Programa de Prevenção e Controlo de Infeções e de Resistência aos Antimicrobianos, Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Portugal</aff>
<aff id="Aff87"><label></label>
Departamento de Urgência e Emergência Unidade, Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Portugal</aff>
<aff id="Aff88"><label></label>
Departamento de Enfermagem, Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</aff>
<aff id="Aff89"><label></label>
Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano, Departamento de Enfermagem, Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</aff>
<aff id="Aff90"><label></label>
Health Superior School of Alto Ave, 4830-345 Póvoa de Lanhoso, Portugal</aff>
<aff id="Aff91"><label></label>
Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</aff>
<aff id="Aff92"><label></label>
Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff93"><label></label>
Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff94"><label></label>
Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</aff>
<aff id="Aff95"><label></label>
Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</aff>
<aff id="Aff96"><label></label>
Centro de responsabilidade integrado, Serviço Psiquiatria, Centro Hospitalar e Universitário de Coimbra, 3000-354 Coimbra, Portugal</aff>
<aff id="Aff97"><label></label>
University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff98"><label></label>
Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff99"><label></label>
Unidade de Saúde Pública, ACES Douro I, Marão e Douro Norte, Administração Regional de Saúde do Norte, 5000-524 Vila Real, Portugal</aff>
<aff id="Aff100"><label></label>
Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</aff>
<aff id="Aff101"><label></label>
Secretaria de Saúde do Estado da Bahia, Salvador, Bahia 41745-900 Brasil</aff>
<aff id="Aff102"><label></label>
Hospital Estadual da Criança, Vila Valqueire, Rio de Janeiro Brasil</aff>
<aff id="Aff103"><label></label>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff104"><label></label>
Centro Hospitalar de São João, EPE, Porto, 4200-319 Porto Portugal</aff>
<aff id="Aff105"><label></label>
Unidade Local de Saúde de Matosinhos, EPE, 4454 509 Senhora da Hora, Portugal</aff>
<aff id="Aff106"><label></label>
College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff107"><label></label>
College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff108"><label></label>
College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff109"><label></label>
Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff110"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff111"><label></label>
Unidade de Investigação Inclusão e Acessibilidade em Acção “iACT” e Escola Superior Educação e Ciências Sociais, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff112"><label></label>
Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff113"><label></label>
Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff114"><label></label>
Universidade da Beira Interior, Covilhã, 6201-001 Portugal</aff>
<aff id="Aff115"><label></label>
Unidade de Saúde Pública, Agrupamento de Centros de Saúde Cova da Beira, 6200-251 Covilhã, Portugal</aff>
<aff id="Aff116"><label></label>
Centre of Studies on Geography and Spatial Planning, University of Coimbra, 3000-043 Coimbra, Portugal</aff>
<aff id="Aff117"><label></label>
Research Centre for Geography and Regional Planning, Universidade Nova de Lisboa, 1069-061 Lisboa, Portugal</aff>
<aff id="Aff118"><label></label>
Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</aff>
<aff id="Aff119"><label></label>
Pharmacy Department, Paulista University, São Paulo, 04026-002 Brazil</aff>
<aff id="Aff120"><label></label>
Molecular Laboratory of Diagnosis, ABC Medical School, Santo André, São Paulo 09080-650 Brazil</aff>
<aff id="Aff121"><label></label>
Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff122"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff123"><label></label>
Hospital Sousa Martins, 6300-858 Guarda, Portugal</aff>
<aff id="Aff124"><label></label>
Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</aff>
<aff id="Aff125"><label></label>
Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</aff>
<aff id="Aff126"><label></label>
Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</aff>
<aff id="Aff127"><label></label>
Oslo and Akershus University College of Applied Sciences, 0167 Oslo, Norway</aff>
<aff id="Aff128"><label></label>
Newcastle University Institute for Ageing, Newcastle upon Tyne, NE4 5PL United Kingdom</aff>
<aff id="Aff129"><label></label>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</aff>
<aff id="Aff130"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff131"><label></label>
Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff132"><label></label>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff133"><label></label>
Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</aff>
<aff id="Aff134"><label></label>
Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff135"><label></label>
Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff136"><label></label>
Instituto Superior De Serviço Social Do Porto, 44600-362 Sra. da Hora, Portugal</aff>
<aff id="Aff137"><label></label>
Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</aff>
<aff id="Aff138"><label></label>
Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff139"><label></label>
Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</aff>
<aff id="Aff140"><label></label>
Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</aff>
<aff id="Aff141"><label></label>
Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</aff>
<aff id="Aff142"><label></label>
Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff143"><label></label>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</aff>
<aff id="Aff144"><label></label>
Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90050-170 Brasil</aff>
<aff id="Aff145"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff146"><label></label>
Municipality of Nordeste, 9630 Nordeste, Azores Portugal</aff>
<aff id="Aff147"><label></label>
University of Brasilia, Brasília, Distrito Federal 70910-900 Brasil</aff>
<aff id="Aff148"><label></label>
Universidad de Extremadura, Badajoz, 06071 España</aff>
<aff id="Aff149"><label></label>
Chrononutrition Laboratory, Department of Physiology, Faculty of Science, University of Extremadura, Badajoz, 06071 España</aff>
<aff id="Aff150"><label></label>
Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</aff>
<aff id="Aff151"><label></label>
Centro de Salud La Paz, Badajoz, 06011 España</aff>
<aff id="Aff152"><label></label>
Aragon Institute for Health Research, Zaragoza, 50009 España</aff>
<aff id="Aff153"><label></label>
ABC Medical School, Santo André, São Paulo 09210-180 Brazil</aff>
<aff id="Aff154"><label></label>
Department of Complementary Sciences, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff155"><label></label>
Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff156"><label></label>
Biomedical Sciences Department, Paulista University, São Paulo, 04026-002 Brazil</aff>
<aff id="Aff157"><label></label>
Federal University of São Paulo, Diadema campus, Diadema, São Paulo 09913-030 Brazil</aff>
<aff id="Aff158"><label></label>
Universidade da Beira Interior, Covilhã, 6201-001 Portugal</aff>
<aff id="Aff159"><label></label>
Centro Hospitalar Cova da Beira, Covilhã, 6200-251 Portugal</aff>
<aff id="Aff160"><label></label>
Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</aff>
<aff id="Aff161"><label></label>
Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal</aff>
<aff id="Aff162"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff163"><label></label>
Unidade de Saúde Familiar Grão Vasco, Viseu, 3500-177 Portugal</aff>
<aff id="Aff164"><label></label>
Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff165"><label></label>
School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</aff>
<aff id="Aff166"><label></label>
Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</aff>
<aff id="Aff167"><label></label>
Centro de Ciências da Saúde, Departamento de Saúde Pública, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</aff>
<aff id="Aff168"><label></label>
College of Health Technology, Polytechnic Institute of Coimbra, 340-162 Coimbra, Portugal</aff>
<aff id="Aff169"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff170"><label></label>
Oporto Portuguese Institute of Oncology FG, EPE, 4200-072 Porto, Portugal</aff>
<aff id="Aff171"><label></label>
Porto Nursing School, 4200-072 Porto, Portugal</aff>
<aff id="Aff172"><label></label>
Oporto Central Hospital, 4099-001 Porto, Portugal</aff>
<aff id="Aff173"><label></label>
Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff174"><label></label>
Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff175"><label></label>
Centro Hospitalar do Porto, 4099-001 Porto, Portugal</aff>
<aff id="Aff176"><label></label>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, 1649-023 Lisboa, Portugal</aff>
<aff id="Aff177"><label></label>
Escola Superior de Enfermagem de S. João de Deus, Universidade de Évora, 7004-516 Évora, Portugal</aff>
<aff id="Aff178"><label></label>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff179"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff180"><label></label>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</aff>
<aff id="Aff181"><label></label>
Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff182"><label></label>
Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff183"><label></label>
Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</aff>
<aff id="Aff184"><label></label>
Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff185"><label></label>
Centro Hospitalar do Porto, 4099-001 Porto, Portugal</aff>
<aff id="Aff186"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</aff>
<aff id="Aff187"><label></label>
Centro de Estudos e Investigação em Saúde, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff188"><label></label>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</aff>
<aff id="Aff189"><label></label>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</aff>
<aff id="Aff190"><label></label>
Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</aff>
<aff id="Aff191"><label></label>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</aff>
<aff id="Aff192"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Santarém, Santarém, 2005-075 Portugal</aff>
<aff id="Aff193"><label></label>
Escola Superior de Enfermagem S. João de Deus, Universidade de Évora, 7000-811 Évora, Portugal</aff>
<aff id="Aff194"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff195"><label></label>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff196"><label></label>
Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</aff>
<aff id="Aff197"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</aff>
<aff id="Aff198"><label></label>
Unidade de Investigação do Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</aff>
<aff id="Aff199"><label></label>
Unidade de Monitorização de Indicadores em Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</aff>
<aff id="Aff200"><label></label>
Life Quality Research Centre, Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal</aff>
<aff id="Aff201"><label></label>
Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</aff>
<aff id="Aff202"><label></label>
Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff203"><label></label>
Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança Portugal</aff>
<aff id="Aff204"><label></label>
Universidad de León, 24004 León, España</aff>
<aff id="Aff205"><label></label>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</aff>
<aff id="Aff206"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff207"><label></label>
Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, 1149-041 Lisboa, Portugal</aff>
<aff id="Aff208"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff209"><label></label>
Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis,, 3720-126 Oliveira de Azeméis, Portugal</aff>
<aff id="Aff210"><label></label>
Oulu University of Applied Sciences, 90250 Oulu, Finlândia</aff>
<aff id="Aff211"><label></label>
Unidade de Saúde Familiar - Espaço Saúde, Porto, 4100-503 Portugal</aff>
<aff id="Aff212"><label></label>
Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</aff>
<aff id="Aff213"><label></label>
Administração Regional de Saúde de Lisboa e Vale do Tejo, 1749-096 Lisboa, Portugal</aff>
<aff id="Aff214"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff215"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff216"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff217"><label></label>
Departamento de Saúde Pública & Centro de Estudos de Doenças Crónicas, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</aff>
<aff id="Aff218"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff219"><label></label>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</aff>
<aff id="Aff220"><label></label>
Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais 35502-634 Brasil</aff>
<aff id="Aff221"><label></label>
Pontifícia Universidade Católica de Campinas, Campinas, São Paulo 13086-900 Brasil</aff>
<aff id="Aff222"><label></label>
Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193 Portugal</aff>
<aff id="Aff223"><label></label>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</aff>
<aff id="Aff224"><label></label>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff225"><label></label>
Universidade de São Paulo, 05403-000 São Paulo, Brasil</aff>
<aff id="Aff226"><label></label>
Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767 Portugal</aff>
<aff id="Aff227"><label></label>
Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</aff>
<aff id="Aff228"><label></label>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff229"><label></label>
Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</aff>
<aff id="Aff230"><label></label>
Academia de Teatro, 4465-095 S. Mamede de Infesta, Portugal</aff>
<aff id="Aff231"><label></label>
Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</aff>
<aff id="Aff232"><label></label>
Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff233"><label></label>
Hospital Santa Maria Maior de Barcelos, 4754-909 Barcelos, Portugal</aff>
<aff id="Aff234"><label></label>
Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff235"><label></label>
Universidade Católica Portuguesa/Porto, 4202-401 Porto, Portugal</aff>
<aff id="Aff236"><label></label>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff237"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff238"><label></label>
Instituto de Medicina Molecular, Universidade de Lisboa, 1649-028 Lisboa, Portugal</aff>
<aff id="Aff239"><label></label>
Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</aff>
<aff id="Aff240"><label></label>
Faculdade de Medicina, Universidade de Porto, 4200-319 Porto, Portugal</aff>
<aff id="Aff241"><label></label>
Escola Superior de Tecnologias de Saúde, Instituto Politécnico de Lisboa, 1990-096 Lisboa, Portugal</aff>
<aff id="Aff242"><label></label>
Escola Superior de Saúde, Universidade Atlântica, 2745-615 Barcarena, Portugal</aff>
<aff id="Aff243"><label></label>
Instituto de Telecomunicações, Lisboa, 1049-001 Portugal</aff>
<aff id="Aff244"><label></label>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</aff>
<aff id="Aff245"><label></label>
Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</aff>
<aff id="Aff246"><label></label>
Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</aff>
<aff id="Aff247"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff248"><label></label>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff249"><label></label>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</aff>
<aff id="Aff250"><label></label>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff251"><label></label>
Farmácia Outeiro do Linho, 4440-762 Valongo, Portugal</aff>
<aff id="Aff252"><label></label>
Hospital Militar Regional n.°1, Porto, 4150-113 Portugal</aff>
<aff id="Aff253"><label></label>
Centro Hospitalar do Porto, 4099-001 Porto, Portugal</aff>
<aff id="Aff254"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff255"><label></label>
Universidade Federal de Viçosa, Viçosa, Minas Gerais 36570-900 Brasil</aff>
<aff id="Aff256"><label></label>
Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</aff>
<aff id="Aff257"><label></label>
Universidade Católica Portuguesa, Porto, 4202-401 Portugal</aff>
<aff id="Aff258"><label></label>
Unidade de Saúde Familiar - Espaço Saúde, Porto, 4100-503 Portugal</aff>
<aff id="Aff259"><label></label>
Administração Regional de Saúde do Norte, Porto, 4000-447 Portugal</aff>
<aff id="Aff260"><label></label>
Universidade Católica Portuguesa, Porto, 4202-401 Portugal</aff>
<aff id="Aff261"><label></label>
Centro Hospitalar De São João, E.P.E., Porto, 4200-319 Portugal</aff>
<aff id="Aff262"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Setúbal, 2910-761 Setúbal, Portugal</aff>
<aff id="Aff263"><label></label>
Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff264"><label></label>
Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff265"><label></label>
Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</aff>
<aff id="Aff266"><label></label>
Ordem dos Enfermeiros da zona Centro, Coimbra, 3000-076 Portugal</aff>
<aff id="Aff267"><label></label>
Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</aff>
<aff id="Aff268"><label></label>
Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</aff>
<aff id="Aff269"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff270"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff271"><label></label>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</aff>
<aff id="Aff272"><label></label>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</aff>
<aff id="Aff273"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff274"><label></label>
Research Centre in Physical Activity, Health and Leisure, Faculty of Sports, University of Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff275"><label></label>
Lab 3R – Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff276"><label></label>
Unidade de Surdos, Escola de Referência para a Educação Bilingue, 3830-195 Ílhavo, Portugal</aff>
<aff id="Aff277"><label></label>
Center for Research and Development in Mathematics and Applications, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff278"><label></label>
Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff279"><label></label>
School of Health Care, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</aff>
<aff id="Aff280"><label></label>
Centro de Linguística da Universidade de Lisboa, Faculdade de Letras, Universidade de Lisboa, 1600-214 Lisboa, Portugal</aff>
<aff id="Aff281"><label></label>
Center for Health Technology and Services Research, School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</aff>
<aff id="Aff282"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff283"><label></label>
Unidade de Investigação em Ciências da Saúde: Enfermagem, Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff284"><label></label>
Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</aff>
<aff id="Aff285"><label></label>
School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff286"><label></label>
Peroneo Centro Terapêutico Lda, Amieiro, Montemor-o-velho, 3140-021 Arazede Portugal</aff>
<aff id="Aff287"><label></label>
Institute for Research in Biomedicine, University of Aveiro, Aveiro, 3810-292 Portugal</aff>
<aff id="Aff288"><label></label>
Department of Physiotherapy, North Polytechnic Institute of Health, Gandra, 4585-116 Portugal</aff>
<aff id="Aff289"><label></label>
Center for Health Technology and Services Research, University of Aveiro, Aveiro, 3810-193 Portugal</aff>
<aff id="Aff290"><label></label>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff291"><label></label>
Research Centre in Physical Activity, Health and Leisure, Faculty of Sports, University of Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff292"><label></label>
Irmandade da Misericórdia de Albergaria-a-Velha, 3850-069 Albergaria-a-Velha, Portugal</aff>
<aff id="Aff293"><label></label>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff294"><label></label>
Gabinete de Apoio Psicológico, Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</aff>
<aff id="Aff295"><label></label>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff296"><label></label>
Rehabilitation Science Institute and Department of Physical Therapy, University of Toronto, Toronto, Ontario M5S 1A1 Canada</aff>
<aff id="Aff297"><label></label>
Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal</aff>
<aff id="Aff298"><label></label>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</aff>
<aff id="Aff299"><label></label>
Unidade de Investigação & Desenvolvimento em Enfermagem, Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</aff>
<aff id="Aff300"><label></label>
Hospital Distrital de Santarém, EPE, Santarém, 2005-177 Portugal</aff>
<aff id="Aff301"><label></label>
Universidade de Coimbra, 3004-504 Coimbra, Portugal</aff>
<aff id="Aff302"><label></label>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</aff>
<aff id="Aff303"><label></label>
Centro de Tratamento Internacional VillaRamadas, 2460-355 Cela, Alcobaça, Portugal</aff>
<aff id="Aff304"><label></label>
Administração Regional de Saúde do Norte, Porto, 4000-447 Portugal</aff>
<aff id="Aff305"><label></label>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</aff>
<aff id="Aff306"><label></label>
Faculdade de Economia, Universidade do Porto, 4200-464 Porto, Portugal</aff>
<aff id="Aff307"><label></label>
Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 España</aff>
<aff id="Aff308"><label></label>
Centro de Salud La Paz, Badajoz, 06011 España</aff>
<aff id="Aff309"><label></label>
Universidad de Extremadura, Badajoz, 06071 España</aff>
<aff id="Aff310"><label></label>
Centro de Salud San Fernando, Badajoz, 06006 España</aff>
<aff id="Aff311"><label></label>
Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España</aff>
<aff id="Aff312"><label></label>
Universidad de Extremadura, Badajoz, 06071 España</aff>
<aff id="Aff313"><label></label>
Centro de Salud La Paz, Badajoz, 06011 España</aff>
<aff id="Aff314"><label></label>
Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</aff>
<aff id="Aff315"><label></label>
Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal</aff>
<aff id="Aff316"><label></label>
Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</aff>
<aff id="Aff317"><label></label>
Fundação Capes, Ministério da Educação, 70.040-020 Brasília, Distrito Federal Brasil</aff>
<aff id="Aff318"><label></label>
Faculty of Medicine, University of Porto, Porto, 4200-450 Portugal</aff>
<aff id="Aff319"><label></label>
School of Education and Social Sciences, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</aff>
<aff id="Aff320"><label></label>
Life Quality Research Centre – IPLeiria Branch, Polytechnic Institute of Leiria, Leiria, 2411-901 Portugal</aff>
<aff id="Aff321"><label></label>
Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff322"><label></label>
Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, España</aff>
<aff id="Aff323"><label></label>
Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff324"><label></label>
Unidade de Cuidados na Comunidade da Ponte da Barca, 4980-620 Ponte da Barca, Portugal</aff>
<aff id="Aff325"><label></label>
Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff326"><label></label>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff327"><label></label>
Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland</aff>
<aff id="Aff328"><label></label>
Faculty of Human Kinetics, University of Lisbon, 1649-028 Lisboa, Portugal</aff>
<aff id="Aff329"><label></label>
Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</aff>
<aff id="Aff330"><label></label>
Escola Superior Desporto De Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</aff>
<aff id="Aff331"><label></label>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</aff>
<aff id="Aff332"><label></label>
Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal</aff>
<aff id="Aff333"><label></label>
Portugal & Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Portugal</aff>
<aff id="Aff334"><label></label>
Núcleo de Investigação e Intervenção em Farmácia, Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</aff>
<aff id="Aff335"><label></label>
Secção Autónoma de Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff336"><label></label>
Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</aff>
<aff id="Aff337"><label></label>
Hospital SAMS – Serviços de Assistência Médico-social do Sindicato dos Bancários, 1849-017 Lisboa, Portugal</aff>
<aff id="Aff338"><label></label>
North Tyneside General Hospital, Tyne and Wear, NE29 8NH Newcastle UK</aff>
<aff id="Aff339"><label></label>
Life Quality Research Centre, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff340"><label></label>
School of Education and Social Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff341"><label></label>
Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</aff>
<aff id="Aff342"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff343"><label></label>
Unidade de Saúde Pública, ACES Pinhal Litoral, ARS Centro, 3100-462 Pombal, Portugal</aff>
<aff id="Aff344"><label></label>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</aff>
<aff id="Aff345"><label></label>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff346"><label></label>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff347"><label></label>
Health Research Unit, School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff348"><label></label>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</aff>
<aff id="Aff349"><label></label>
Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</aff>
<aff id="Aff350"><label></label>
Associação Portuguesa de Pais e Amigos do Cidadão Deficiente Mental, 6200-050 Covilhã, Portugal</aff>
<aff id="Aff351"><label></label>
Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</aff>
<aff id="Aff352"><label></label>
Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193 Portugal</aff>
<aff id="Aff353"><label></label>
Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff354"><label></label>
Unidade de Cuidados na Comunidade, Centro de Saúde de Anadia, 3780-780 Anadia, Portugal</aff>
<aff id="Aff355"><label></label>
Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal</aff>
<aff id="Aff356"><label></label>
Fisiatris - Recuperação Física, Lda, Sacavém, 2685-010 Portugal</aff>
<aff id="Aff357"><label></label>
Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</aff>
<aff id="Aff358"><label></label>
Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff359"><label></label>
Research Centre of Sports Sciences, Health Sciences and Human Development, Universidade da Beira Interior, Covilhã, 6201-001 Covilhã Portugal</aff>
<aff id="Aff360"><label></label>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff361"><label></label>
Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</aff>
<aff id="Aff362"><label></label>
Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</aff>
<aff id="Aff363"><label></label>
Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland</aff>
<aff id="Aff364"><label></label>
Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</aff>
<aff id="Aff365"><label></label>
Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade Nova de Lisboa, 1499-002 Cruz Quebrada, Portugal</aff>
<aff id="Aff366"><label></label>
Centro de Investigação e Qualidade de Vida, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</aff>
<aff id="Aff367"><label></label>
Research Centre in Sports Sciences, Health and Human Development, University of Trás-os-Montes and Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff368"><label></label>
Universidade da Madeira, 9000-082 Funchal, Portugal</aff>
<aff id="Aff369"><label></label>
Lar Cantinho dos Avós - Santa Casa da Misericórdia de Melgaço, 4960-570 Melgaço, Portugal</aff>
<aff id="Aff370"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</aff>
<aff id="Aff371"><label></label>
Unidade Local de Saúde do Alto Minho, EPE, 4904-858 Viana do Castelo, Portugal</aff>
<aff id="Aff372"><label></label>
Secretaria de Saúde do Estado da Bahia, Salvador, Bahia 41745-900 Brasil</aff>
<aff id="Aff373"><label></label>
Fundação de amparo à pesquisa e inovação do Espírito Santo, Vitória, Esprito Santo 29066-380 Brasil</aff>
<aff id="Aff374"><label></label>
Universidade Estadual de Feira de Santana, Feira de Santana, Bahia 44036-900 Brasil</aff>
<aff id="Aff375"><label></label>
Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</aff>
<aff id="Aff376"><label></label>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</aff>
<aff id="Aff377"><label></label>
Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Portugal</aff>
<aff id="Aff378"><label></label>
Hospital de Santo Antonio, Centro Hospitalar do Porto, EPE, 4099-001 Porto, Portugal</aff>
<aff id="Aff379"><label></label>
Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal</aff>
<aff id="Aff380"><label></label>
Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Portugal</aff>
<aff id="Aff381"><label></label>
Centro Hospitalar de São João, EPE, Porto, 4200-319 Portugal</aff>
<aff id="Aff382"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</aff>
<aff id="Aff383"><label></label>
Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</aff>
<aff id="Aff384"><label></label>
Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal</aff>
<aff id="Aff385"><label></label>
Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff386"><label></label>
Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</aff>
<aff id="Aff387"><label></label>
Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal</aff>
<aff id="Aff388"><label></label>
Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff389"><label></label>
Centro de Ação Social do Concelho de Ílhavo, 3830-201 Ílhavo, Portugal</aff>
<aff id="Aff390"><label></label>
Zelar, Serviços de Apoio Domiciliário, 3810-232 Aveiro, Portugal</aff>
<aff id="Aff391"><label></label>
Walk’In Clinics, Esgueira, 3800-042 Aveiro, Portugal</aff>
<aff id="Aff392"><label></label>
São João de Deus Clinic, 1749-098 Lisboa, Portugal</aff>
<aff id="Aff393"><label></label>
Arrabida Hospital, 4400-346 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff394"><label></label>
Yasmin Residence, 2500-064 Caldas da Rainha, Portugal</aff>
<aff id="Aff395"><label></label>
Faro unit, Algarve Hospital, 8000-386 Faro, Portugal</aff>
<aff id="Aff396"><label></label>
School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</aff>
<aff id="Aff397"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</aff>
<aff id="Aff398"><label></label>
Health Research Unit, Polytechnic institute of Leiria, Leiria, 2411-901 Portugal</aff>
<aff id="Aff399"><label></label>
Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff400"><label></label>
Faculty of Human Kinetics, University of Lisbon, 1649-028 Lisboa, Portugal</aff>
<aff id="Aff401"><label></label>
Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</aff>
<aff id="Aff402"><label></label>
Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland</aff>
<aff id="Aff403"><label></label>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff404"><label></label>
Universidade Fernando Pessoa, Porto, 4249-004 Portugal</aff>
<aff id="Aff405"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff406"><label></label>
Instituto de Ciências Sociais da Universidade de Lisboa, Universidade de Lisboa, 1600-189 Lisboa, Portugal</aff>
<aff id="Aff407"><label></label>
Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</aff>
<aff id="Aff408"><label></label>
Núcleo de Estudos em Saúde da População, Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia 45700-000 Brasil</aff>
<aff id="Aff409"><label></label>
Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff410"><label></label>
Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</aff>
<aff id="Aff411"><label></label>
Casa de Saúde da Idanha, Instituto das Irmãs Hospitaleiras, 2605-077 Belas, Portugal</aff>
<aff id="Aff412"><label></label>
Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal</aff>
<aff id="Aff413"><label></label>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff414"><label></label>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</aff>
<aff id="Aff415"><label></label>
Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff416"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff417"><label></label>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</aff>
<aff id="Aff418"><label></label>
Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal</aff>
<aff id="Aff419"><label></label>
Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff420"><label></label>
Centre for Health Studies and Research, University of Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff421"><label></label>
Universidade Federal de Alagoas, Maceió, 57072-900 Alagoas Brasil</aff>
<aff id="Aff422"><label></label>
Instituto Federal de Alagoas, Maceió, 57035-660 Alagoas Brasil</aff>
<aff id="Aff423"><label></label>
Centro Universitário Cesmac, Maceió, 57051-160 Alagoas Brasil</aff>
<aff id="Aff424"><label></label>
Universidade do Porto, Porto, 4099-002 Portugal</aff>
<aff id="Aff425"><label></label>
Universidade de Coimbra, Coimbra, 3004-504 Portugal</aff>
<aff id="Aff426"><label></label>
Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, 6000-767 Portugal</aff>
<aff id="Aff427"><label></label>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</aff>
<aff id="Aff428"><label></label>
Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina 88132-149 Brasil</aff>
<aff id="Aff429"><label></label>
Cabildo de Lanzarote, 35500 Arrecife, Lanzarote, Las Palmas España</aff>
<aff id="Aff430"><label></label>
Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas España</aff>
<aff id="Aff431"><label></label>
Servicio Canario de la Salud, 35500 Arrecife, Lanzarote, Las Palmas España</aff>
<aff id="Aff432"><label></label>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</aff>
<aff id="Aff433"><label></label>
Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</aff>
<aff id="Aff434"><label></label>
Universidade Federal do Pará, Belém, Pará 66075-110 Brasil</aff>
<aff id="Aff435"><label></label>
Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510 Portugal</aff>
<aff id="Aff436"><label></label>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff437"><label></label>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff438"><label></label>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</aff>
<aff id="Aff439"><label></label>
Centro de Estudos e Investigação em Saúde, Faculdade de Economia,, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff440"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</aff>
<aff id="Aff441"><label></label>
Direção geral de Saúde (DGS), 1049-005 Lisboa, Portugal</aff>
<aff id="Aff442"><label></label>
Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</aff>
<aff id="Aff443"><label></label>
Centro de Investigação de Montanha, Escola Superior Agrária, 5300-253 Bragança, Portugal</aff>
<aff id="Aff444"><label></label>
Escola Superior Agrária, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</aff>
<aff id="Aff445"><label></label>
Centro de Estudos Transdisciplinares para o Desenvolvimento, Universidade de Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal</aff>
<aff id="Aff446"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</aff>
<aff id="Aff447"><label></label>
Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</aff>
<aff id="Aff448"><label></label>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</aff>
<aff id="Aff449"><label></label>
Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff450"><label></label>
Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff451"><label></label>
Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</aff>
<aff id="Aff452"><label></label>
College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</aff>
<aff id="Aff453"><label></label>
Universidade da Beira Interior, Covilhã, 6201-001 Portugal</aff>
<aff id="Aff454"><label></label>
Departamento de Farmacologia e Terapêutica, Faculdade de Medicina, Universidade de Coimbra, Coimbra, 3000-548 Portugal</aff>
<aff id="Aff455"><label></label>
Fundação Capes, Ministério da Educação, 70.040-020 Brasília, Distrito Federal Brasil</aff>
<aff id="Aff456"><label></label>
Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</aff>
<aff id="Aff457"><label></label>
Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia 45700-000 Brasil</aff>
<aff id="Aff458"><label></label>
Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</aff>
<aff id="Aff459"><label></label>
Universidade Tiradentes, Aracaju, Sergipe & Laboratório de Biociências da Motricidade Humana, 49030-620 Aracaju, Brazil</aff>
<aff id="Aff460"><label></label>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff461"><label></label>
Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</aff>
<aff id="Aff462"><label></label>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</aff>
<aff id="Aff463"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</aff>
<aff id="Aff464"><label></label>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</aff>
<aff id="Aff465"><label></label>
Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal</aff>
<aff id="Aff466"><label></label>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</aff>
<aff id="Aff467"><label></label>
Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</aff>
<aff id="Aff468"><label></label>
Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</aff>
<aff id="Aff469"><label></label>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff470"><label></label>
Universidade de Lisboa, 1649-003 Lisboa, Portugal</aff>
<aff id="Aff471"><label></label>
Universidade de Aveiro, Aveiro, 3810-193 Portugal</aff>
<aff id="Aff472"><label></label>
Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</aff>
<aff id="Aff473"><label></label>
Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</aff>
<aff id="Aff474"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff475"><label></label>
Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</aff>
<aff id="Aff476"><label></label>
Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brasil</aff>
<aff id="Aff477"><label></label>
Instituto Superior da Maia, 4475-690 Avioso São Pedro, Portugal</aff>
<aff id="Aff478"><label></label>
Centro Interdisciplinar de Estudos de Género, Instituto Superior de Ciências Sociais e Políticas, 1300-663 Lisboa, Portugal</aff>
<aff id="Aff479"><label></label>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff480"><label></label>
College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</aff>
<aff id="Aff481"><label></label>
Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</aff>
<aff id="Aff482"><label></label>
Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff483"><label></label>
Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff484"><label></label>
Universidade de Aveiro, 3810–193 Aveiro, Portugal e Instituto Superior De Serviço Social Do Porto, 44600-362 Sra. da Hora, Portugal</aff>
<aff id="Aff485"><label></label>
Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</aff>
<aff id="Aff486"><label></label>
Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal</aff>
<aff id="Aff487"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</aff>
<aff id="Aff488"><label></label>
School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</aff>
<aff id="Aff489"><label></label>
Institute of Electronics and Informatics Engineering of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff490"><label></label>
Department of Education, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff491"><label></label>
Center for Health Technology and Services Research & School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff492"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff493"><label></label>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff494"><label></label>
Pediatrics Emergency Department, Hospital Lusíadas, Porto, 4050 113 Portugal</aff>
<aff id="Aff495"><label></label>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff496"><label></label>
Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</aff>
<aff id="Aff497"><label></label>
Hospital Curry Cabral, Centro Hospitalar Lisboa Central, 1069-166 Lisboa, Portugal</aff>
<aff id="Aff498"><label></label>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</aff>
<aff id="Aff499"><label></label>
Centro de Formação Multiperfil, Luanda, PR - 56Q Angola</aff>
<aff id="Aff500"><label></label>
Center for Health Technology and Services Research, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</aff>
<aff id="Aff501"><label></label>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff502"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff503"><label></label>
Centre of Investigation in Environment, Genetics and Oncobiology, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal</aff>
<aff id="Aff504"><label></label>
Biomedical Laboratory Sciences Department, University of Gothenburg, S-405 30 Gothenburg, Sweden</aff>
<aff id="Aff505"><label></label>
Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</aff>
<aff id="Aff506"><label></label>
Oncobiology and Haematology Laboratory of Applied Molecular Biology & Clinical University of Hematology, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</aff>
<aff id="Aff507"><label></label>
Radiation Oncology Department, Coimbra Hospital and Universitary Centre, 3000-075 Coimbra, Portugal</aff>
<aff id="Aff508"><label></label>
Clinical University of Hematology, Coimbra Hospital and Universitary Centre, 3000-075 Coimbra, Portugal</aff>
<aff id="Aff509"><label></label>
Imunology Institute, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</aff>
<aff id="Aff510"><label></label>
Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisboa, 1549-020 Portugal</aff>
<aff id="Aff511"><label></label>
Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff512"><label></label>
Department of Clinical Chemistry and Transfusion Medicine, Sahlgrenska University Hospital, Göteborg, 413 45 Göteborg Switzerland</aff>
<aff id="Aff513"><label></label>
Complementary Sciences Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff514"><label></label>
Medical Laboratory Sciences Department, Al-Quds University, Abu Dis, P.O Box 89, Abu Dis, Palestinian National Authority</aff>
<aff id="Aff515"><label></label>
Blood Bank Service, Coimbra Hospital and Universitary Center, 3000-075 Coimbra, Portugal</aff>
<aff id="Aff516"><label></label>
Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff517"><label></label>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal</aff>
<aff id="Aff518"><label></label>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff519"><label></label>
Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal</aff>
<aff id="Aff520"><label></label>
Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff521"><label></label>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff522"><label></label>
Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal</aff>
<aff id="Aff523"><label></label>
Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff524"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</aff>
<aff id="Aff525"><label></label>
Escola Superior de Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff526"><label></label>
Center for Health Technology and Services Research, Universidade do Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff527"><label></label>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, 4050-313 Porto Portugal</aff>
<aff id="Aff528"><label></label>
Interdisciplinary Centre of Marine and Environmental Research, Universidade do Porto, 4050-123 Porto, Portugal</aff>
<aff id="Aff529"><label></label>
School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff530"><label></label>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff531"><label></label>
Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</aff>
<aff id="Aff532"><label></label>
Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</aff>
<aff id="Aff533"><label></label>
Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</aff>
<aff id="Aff534"><label></label>
Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal</aff>
<aff id="Aff535"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff536"><label></label>
Birmingham Hospitals, Birmingham, B15 2GW United Kingdom</aff>
<aff id="Aff537"><label></label>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff538"><label></label>
Instituto Superior de Ciências Sociais e Políticas, 1300-663 Lisboa, Portugal</aff>
<aff id="Aff539"><label></label>
Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</aff>
<aff id="Aff540"><label></label>
Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</aff>
<aff id="Aff541"><label></label>
Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</aff>
<aff id="Aff1000"><label></label>
Centro de Medicina de Reabilitação da Região Centro - Rovisco Pais, 3064-908 Tocha, Portugal</aff>
<aff id="Aff542"><label></label>
Instituto de Engenharia de Sistemas e Computadores, Tecnologia e Ciência, 4200-465 Porto, Portugal</aff>
<aff id="Aff543"><label></label>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff544"><label></label>
Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</aff>
<aff id="Aff545"><label></label>
Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</aff>
<aff id="Aff546"><label></label>
Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto Portugal</aff>
<aff id="Aff547"><label></label>
Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</aff>
<aff id="Aff548"><label></label>
Centro de investigação em educação e ciências do comportamento, Universidade de Aveiro, Aveiro, 3810-193 Aveiro Portugal</aff>
<aff id="Aff549"><label></label>
Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, Coimbra, 3000-548 Coimbra Portugal</aff>
<aff id="Aff550"><label></label>
Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, Coimbra, 3001-802 Coimbra Portugal</aff>
<aff id="Aff551"><label></label>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</aff>
<aff id="Aff552"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff553"><label></label>
Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, 1149-041 Lisboa, Portugal</aff>
<aff id="Aff554"><label></label>
University of Extremadura, Badajoz, 06071 Badajoz España</aff>
<aff id="Aff555"><label></label>
Flinders Health Economics Group, Flinders University, Adelaide, 5001 Australia</aff>
<aff id="Aff556"><label></label>
Centre for Health Economics, Monash University, Victoria, 3800 Australia</aff>
<aff id="Aff557"><label></label>
Universidade de Évora, 7004-516 Évora, Portugal</aff>
<aff id="Aff558"><label></label>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</aff>
<aff id="Aff559"><label></label>
Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal</aff>
<aff id="Aff560"><label></label>
Centro de Literaturas e Culturas Lusófonas e Europeias, Universidade de Lisboa, 1600-214 Lisboa, Portugal</aff>
<aff id="Aff561"><label></label>
Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff562"><label></label>
School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</aff>
<aff id="Aff563"><label></label>
Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Aveiro, Portugal</aff>
<aff id="Aff564"><label></label>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto Portugal</aff>
<aff id="Aff565"><label></label>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff566"><label></label>
Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</aff>
<aff id="Aff567"><label></label>
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</aff>
<aff id="Aff568"><label></label>
Unidade de Saúde Familiar – Topázio, Eiras, 3020-171 Coimbra Portugal</aff>
<aff id="Aff569"><label></label>
Instituto Superior Miguel Torga, Coimbra, 3000 Coimbra Portugal</aff>
<aff id="Aff570"><label></label>
University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</aff>
<aff id="Aff571"><label></label>
Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto Portugal</aff>
<aff id="Aff572"><label></label>
Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, 3000-548 Coimbra, Portugal</aff>
<aff id="Aff573"><label></label>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff574"><label></label>
Laboratory of Bioinformatics, Graduate Program in Engineering and Computing, West Paraná State University, Cascavel, Paraná 85819-110 Brasil</aff>
<aff id="Aff575"><label></label>
Universidade Estadual de Campinas, Campinas, São Paulo 13083-970 Brasil</aff>
<aff id="Aff576"><label></label>
Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff577"><label></label>
Fundação Universidade Regional de Blumenau, Blumenau, Santa Catarina 89012-900 Brasil</aff>
<aff id="Aff578"><label></label>
Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</aff>
<aff id="Aff579"><label></label>
Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa, 1150-082 Lisboa, Portugal</aff>
<aff id="Aff580"><label></label>
Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff581"><label></label>
Health Research Unit, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff582"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff583"><label></label>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff584"><label></label>
Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff585"><label></label>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</aff>
<aff id="Aff586"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff587"><label></label>
Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</aff>
<aff id="Aff588"><label></label>
Azores University, São Miguel, 9501-855 Ponta Delgada Portugal</aff>
<aff id="Aff589"><label></label>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff590"><label></label>
Centro Interdisciplinar de Ciências Sociais, Universidade dos Açores, São Miguel, 9501-855 Ponta Delgada, Região Autónoma dos Açores Portugal</aff>
<aff id="Aff591"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff592"><label></label>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</aff>
<aff id="Aff593"><label></label>
Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis, Minas Gerais, 35502-634 Brasil</aff>
<aff id="Aff594"><label></label>
Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal</aff>
<aff id="Aff595"><label></label>
Health Research Unit, School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff596"><label></label>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto Portugal</aff>
<aff id="Aff597"><label></label>
Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</aff>
<aff id="Aff598"><label></label>
Federal University of Piauí, Teresina, Piauí, 64049-550 Brazil</aff>
<aff id="Aff599"><label></label>
Federal Institute of Education, Science and Technology of Ceará, Fortaleza, Ceará, 60040-531 Brazil</aff>
<aff id="Aff600"><label></label>
Federal University of Cariri, Juazeiro do Norte, Ceará, 63048-080 Brazil</aff>
<aff id="Aff601"><label></label>
Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil</aff>
<aff id="Aff602"><label></label>
Federal University of Cariri, Juazeiro do Norte, Ceará 63048-080 Brazil</aff>
<aff id="Aff603"><label></label>
Centro de Investigação em Psicologia, Escola de Psicologia, Universidade do Minho, 4710-057 Braga, Portugal</aff>
<aff id="Aff604"><label></label>
Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</aff>
<aff id="Aff605"><label></label>
PROACTION Laboratory, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff606"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff607"><label></label>
Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</aff>
<aff id="Aff608"><label></label>
Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa Portugal</aff>
<aff id="Aff609"><label></label>
Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff610"><label></label>
Unidade de Cuidados na Comunidade, Centro de Saúde de Anadia, 3780-780 Anadia, Portugal</aff>
<aff id="Aff611"><label></label>
Cáritas Diocesana de Coimbra - Centro Rainha Santa Isabel, 3030-382 Coimbra, Portugal</aff>
<aff id="Aff612"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</aff>
<aff id="Aff613"><label></label>
Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff614"><label></label>
Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff615"><label></label>
Cáritas Diocesana de Coimbra, Centro Rainha Santa Isabel, 3030-382 Coimbra Portugal</aff>
<aff id="Aff616"><label></label>
Fundação Mário da Cunha Brito, 3360-908 S. Pedro de Alva, Portugal</aff>
<aff id="Aff617"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff618"><label></label>
Centro de Estudos e Investigação em Saúde da Universidade Coimbra, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff619"><label></label>
Universidade Federal de São Paulo, São Paulo, 04021-001 Brasil</aff>
<aff id="Aff620"><label></label>
Escola superior de Ciências da Santa Casa de Misericórdia de Vitória, Vitória- Esprito Santo, 29045-402 Brasil</aff>
<aff id="Aff621"><label></label>
Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo, 29017-950 Brasil</aff>
<aff id="Aff622"><label></label>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</aff>
<aff id="Aff623"><label></label>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</aff>
<aff id="Aff624"><label></label>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra Portugal</aff>
<aff id="Aff625"><label></label>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal</aff>
<aff id="Aff626"><label></label>
Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</aff>
<aff id="Aff627"><label></label>
Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra Portugal</aff>
<aff id="Aff628"><label></label>
Centro de Estudos em Saúde, Escola Superior de Saúde, Universidade do Algarve, 8000-510 Faro, Portugal</aff>
<aff id="Aff629"><label></label>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff630"><label></label>
Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff631"><label></label>
Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal</aff>
<aff id="Aff632"><label></label>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra Portugal</aff>
<aff id="Aff633"><label></label>
Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</aff>
<aff id="Aff634"><label></label>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</aff>
<aff id="Aff635"><label></label>
Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal</aff>
<aff id="Aff636"><label></label>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</aff>
<aff id="Aff637"><label></label>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra Portugal</aff>
<aff id="Aff638"><label></label>
Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</aff>
<aff id="Aff639"><label></label>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, 4050-313 Porto Portugal</aff>
<aff id="Aff640"><label></label>
Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</aff>
<aff id="Aff641"><label></label>
Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</aff>
<aff id="Aff642"><label></label>
Centro Hospitalar do Porto, Porto, 4099-001 Porto Portugal</aff>
<aff id="Aff643"><label></label>
Secretaria de Saúde do Estado da Bahia, Salvador, Bahia 41745-900 Brasil</aff>
<aff id="Aff644"><label></label>
Universidade Estadual de Feira de Santana, Feira de Santana, Bahia 44036-900 Brasil</aff>
<aff id="Aff645"><label></label>
Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil</aff>
<aff id="Aff646"><label></label>
Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais 36036-330 Brasil</aff>
<aff id="Aff647"><label></label>
Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 20550-900 Brasil</aff>
<aff id="Aff648"><label></label>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</aff>
<aff id="Aff649"><label></label>
Universidade Federal de Viçosa, Viçosa, Minas Gerais 36570-900 Brasil</aff>
<aff id="Aff650"><label></label>
Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</aff>
<aff id="Aff651"><label></label>
Faculdade de Farmácia, Universidade de Lisboa, 1649-003 Lisboa, Portugal</aff>
<aff id="Aff652"><label></label>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</aff>
<aff id="Aff653"><label></label>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</aff>
<aff id="Aff654"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff655"><label></label>
Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</aff>
<aff id="Aff656"><label></label>
Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</aff>
<aff id="Aff657"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</aff>
<aff id="Aff658"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff659"><label></label>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</aff>
<aff id="Aff660"><label></label>
Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff661"><label></label>
Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff662"><label></label>
Centro Hospitalar do Porto, Porto, 4099-001 Portugal</aff>
<aff id="Aff663"><label></label>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</aff>
<aff id="Aff664"><label></label>
Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4099-002 Portugal</aff>
<aff id="Aff665"><label></label>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff666"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</aff>
<aff id="Aff667"><label></label>
Centro Hospitalar Tâmega e Sousa, Penafiel, 4564-007 Portugal</aff>
<aff id="Aff668"><label></label>
Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano, Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</aff>
<aff id="Aff669"><label></label>
Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</aff>
<aff id="Aff670"><label></label>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</aff>
<aff id="Aff671"><label></label>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</aff>
<aff id="Aff672"><label></label>
Universidade Católica Portuguesa – Porto, 4202-401 Porto, Portugal</aff>
<aff id="Aff673"><label></label>
Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Portugal</aff>
<aff id="Aff674"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</aff>
<aff id="Aff675"><label></label>
Universidad de León, 24004 León, España</aff>
<aff id="Aff676"><label></label>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</aff>
<aff id="Aff677"><label></label>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</aff>
<aff id="Aff678"><label></label>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff679"><label></label>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</aff>
<aff id="Aff680"><label></label>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff681"><label></label>
Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal</aff>
<aff id="Aff682"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Santarém, Santarém, 2005-075 Santarém, Portugal</aff>
<aff id="Aff683"><label></label>
School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</aff>
<aff id="Aff684"><label></label>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brasil</aff>
<aff id="Aff685"><label></label>
Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil</aff>
<aff id="Aff686"><label></label>
School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</aff>
<aff id="Aff687"><label></label>
Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff688"><label></label>
Research in Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</aff>
<aff id="Aff689"><label></label>
Universidad de Extremadura, 10003 Cáceres, España</aff>
<aff id="Aff690"><label></label>
Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul 97010-032 Brasil</aff>
<aff id="Aff691"><label></label>
Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul 97105-900 Brasil</aff>
<aff id="Aff692"><label></label>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff693"><label></label>
Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</aff>
<aff id="Aff694"><label></label>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff695"><label></label>
Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff696"><label></label>
Universidad de Extremadura, 10003 Cáceres, España</aff>
<aff id="Aff697"><label></label>
Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal</aff>
<aff id="Aff698"><label></label>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</aff>
<aff id="Aff699"><label></label>
Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff700"><label></label>
Unidade de Transplante Hepático e Pancreático, Centro Hospitalar do Porto, 4099-001 Porto, Portugal</aff>
<aff id="Aff701"><label></label>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff702"><label></label>
Universidade Estadual Paulista ‘Júlio de Mesquita Filho”, 01049-010 São Paulo, Brazil</aff>
<aff id="Aff703"><label></label>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270 Brazil</aff>
<aff id="Aff704"><label></label>
Coimbra Chemistry Centre, Chemistry Department, University of Coimbra, 3004-535 Coimbra, Portugal</aff>
<aff id="Aff705"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff706"><label></label>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff707"><label></label>
MARE, Instituto Politécnico de Leiria, Peniche, 2520-641 Portugal</aff>
<aff id="Aff708"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff709"><label></label>
Hospital Arcebispo João Crisóstomo, Cantanhede, 3060 Cantanhede Portugal</aff>
<aff id="Aff710"><label></label>
Hospital José Luciano de Castro, Anadia, 3780-226 Anadia Portugal</aff>
<aff id="Aff711"><label></label>
School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal</aff>
<aff id="Aff712"><label></label>
Hospital de Aveiro, Centro Hospitalar do Baixo Vouga E.P.E., Aveiro, 3814-501 Portugal</aff>
<aff id="Aff713"><label></label>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal</aff>
<aff id="Aff714"><label></label>
Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal</aff>
<aff id="Aff715"><label></label>
Instituto de Medicina Preventiva, Faculdade de Medicina de Lisboa, Universidade de Lisboa, 1649-028 Lisboa, Portugal</aff>
<aff id="Aff716"><label></label>
Faculty of Health Sciences, University of Beira Interior, Covilhã, 6200-506 Covilhã Portugal</aff>
<aff id="Aff717"><label></label>
Health Sciences Research Centre, University of Beira Interior, Covilhã, 6200-506 Covilhã Portugal</aff>
<aff id="Aff718"><label></label>
Centre for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal</aff>
<aff id="Aff719"><label></label>
Universidade do Vale do Paraíba, São José dos Campos, São Paulo 12244-000 Brasil</aff>
<aff id="Aff720"><label></label>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff721"><label></label>
Maternidade Daniel de Matos, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal</aff>
<aff id="Aff722"><label></label>
Hospital Dr. Nélio Mendonça, Região Autónoma da Madeira, Funchal, 9004-514 Portugal</aff>
<aff id="Aff723"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</aff>
<aff id="Aff724"><label></label>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</aff>
<aff id="Aff725"><label></label>
Universidade New Atlântica, 2745-615 Barcarena, Portugal</aff>
<aff id="Aff726"><label></label>
Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</aff>
<aff id="Aff727"><label></label>
Universidade Federal do Amapá, Macapá, Amapá 68903-419 Brasil</aff>
<aff id="Aff728"><label></label>
Universidade Federal do Sergipe, São Cristóvão, Sergipe 49100-000 Brasil</aff>
<aff id="Aff729"><label></label>
Centro Hospitalar de Trás –os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</aff>
<aff id="Aff730"><label></label>
Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff731"><label></label>
Escola Superior de Enfermagem de Vila Real, Universidade de Trás –os-Montes e Alto Douro, Vila Real, 5000-232 Lordelo Portugal</aff>
<aff id="Aff732"><label></label>
Health Sciences Research Centre, Faculty of Health Sciences, University of Beira Interior, Covilhã, 6201-001 Portugal</aff>
<aff id="Aff733"><label></label>
Unidade de Investigação Aplicada em Gestão, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal</aff>
<aff id="Aff734"><label></label>
Research Unit in Business Sciences, University of Beira Interior, Covilhã, 6201-001 Portugal</aff>
<aff id="Aff735"><label></label>
Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Portugal</aff>
<aff id="Aff736"><label></label>
Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal</aff>
<aff id="Aff737"><label></label>
Unidade de Saúde Familiar Grão Vasco, Viseu, 3500-177 Portugal</aff>
<aff id="Aff738"><label></label>
Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff739"><label></label>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff740"><label></label>
Universidade Federal da Bahia, Salvador da Bahia, 0170-115 Brazil</aff>
<aff id="Aff741"><label></label>
Centro de Investigação e de Tecnologias Agro-Ambientais e Biológicas, Universidade de Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal & Universidade do Minho, 4704-553 Braga, Portugal</aff>
<aff id="Aff742"><label></label>
Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal</aff>
<aff id="Aff743"><label></label>
Associação de Melhoramentos Pró Outeiro, Oliveira de Azeméis, 3720-514 Santiago de Riba-Ul Portugal</aff>
<aff id="Aff744"><label></label>
School of Education, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</aff>
<aff id="Aff745"><label></label>
Centro Interdisciplinar da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Cruz Quebrada, Portugal</aff>
<aff id="Aff746"><label></label>
Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</aff>
<aff id="Aff747"><label></label>
Escola Superior de Saúde de Bragança, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</aff>
<aff id="Aff748"><label></label>
Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</aff>
<aff id="Aff749"><label></label>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff750"><label></label>
Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff751"><label></label>
Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff752"><label></label>
UCBIO-REQUIMTE Rede de Química e Tecnologia, 4051-401 Porto, Portugal</aff>
<aff id="Aff753"><label></label>
Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Porto, 4050-313 Porto Portugal</aff>
<aff id="Aff754"><label></label>
Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, Porto, 4200-319 Porto Portugal</aff>
<aff id="Aff755"><label></label>
Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff756"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff757"><label></label>
University of Aveiro, Aveiro, 3810-193 Aveiro Portugal</aff>
<aff id="Aff758"><label></label>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</aff>
<aff id="Aff759"><label></label>
Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</aff>
<aff id="Aff760"><label></label>
Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real Portugal</aff>
<aff id="Aff761"><label></label>
Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</aff>
<aff id="Aff762"><label></label>
Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra, Portugal</aff>
<aff id="Aff763"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff764"><label></label>
GyM Prevención, Burgos, 09007 Burgos, España</aff>
<aff id="Aff765"><label></label>
Universidad de Burgos, 09001 Burgos, España</aff>
<aff id="Aff766"><label></label>
Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</aff>
<aff id="Aff767"><label></label>
Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</aff>
<aff id="Aff768"><label></label>
Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa Portugal</aff>
<aff id="Aff769"><label></label>
Hospital Beatriz Ângelo, Loures, 2674-514 Loures Portugal</aff>
<aff id="Aff770"><label></label>
University of Extremadura, Badajoz, 06071 Badajoz España</aff>
<aff id="Aff771"><label></label>
Universidad Autonoma de Chile, Talca, 1670 Talca Chile</aff>
<aff id="Aff772"><label></label>
Universidade de Évora, 7004-516 Évora, Portugal</aff>
<aff id="Aff773"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff774"><label></label>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff775"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança Portugal</aff>
<aff id="Aff776"><label></label>
Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal</aff>
<aff id="Aff777"><label></label>
REQUIMTE/LAQV, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, 4050-313 Porto, Portugal</aff>
<aff id="Aff778"><label></label>
Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga Portugal</aff>
<aff id="Aff779"><label></label>
Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</aff>
<aff id="Aff780"><label></label>
Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</aff>
<aff id="Aff781"><label></label>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff782"><label></label>
Life Quality Research Centre, Polytechnic Institute of Santarém, 2001-904 Santarém, Portugal</aff>
<aff id="Aff783"><label></label>
Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff784"><label></label>
Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal</aff>
<aff id="Aff785"><label></label>
Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra, Portugal</aff>
<aff id="Aff786"><label></label>
Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</aff>
<aff id="Aff787"><label></label>
Jönköping University Foundation, 551 11 Jönköping, Sweden</aff>
<aff id="Aff788"><label></label>
Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff789"><label></label>
Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</aff>
<aff id="Aff790"><label></label>
ACES Pinhal Litoral, ARS Centro, Coimbra, 3001-553 Coimbra Portugal</aff>
<aff id="Aff791"><label></label>
Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</aff>
<aff id="Aff792"><label></label>
Instituto Superior de Ciências Policiais e Segurança Interna, 1349-040 Lisboa, Portugal</aff>
<aff id="Aff793"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</aff>
<aff id="Aff794"><label></label>
Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</aff>
<aff id="Aff795"><label></label>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</aff>
<aff id="Aff796"><label></label>
Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</aff>
<aff id="Aff797"><label></label>
Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu Portugal</aff>
<aff id="Aff798"><label></label>
Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</aff>
<aff id="Aff799"><label></label>
Secretaria de estado da saúde de Santa Catarina, Florianópolis, Santa Catarina 88015-130 Brasil</aff>
<aff id="Aff800"><label></label>
Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff801"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff802"><label></label>
Hospital Pêro da Covilhã, Centro Hospitalar Cova da Beira EPE, 6200-251 Covilhã, Portugal</aff>
<aff id="Aff803"><label></label>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</aff>
<aff id="Aff804"><label></label>
Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</aff>
<aff id="Aff805"><label></label>
Serviços farmacêuticos, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, EPE, 4454 509 Senhora da Hora, Portugal</aff>
<aff id="Aff806"><label></label>
Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal</aff>
<aff id="Aff807"><label></label>
Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff808"><label></label>
Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil</aff>
<aff id="Aff809"><label></label>
Secretaria de Saúde do Estado da Bahia, Salvador, Bahia, 41745-900 Brasil</aff>
<aff id="Aff810"><label></label>
Hospital Estadual da Criança, Vila Valqueire, Rio de Janeiro Brasil</aff>
<aff id="Aff811"><label></label>
Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal</aff>
<aff id="Aff812"><label></label>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal</aff>
<aff id="Aff813"><label></label>
Instituto Português de Oncologia do Porto FG, EPE, Porto, 4200-072 Porto Portugal</aff>
<aff id="Aff814"><label></label>
Centro Hospitalar do Porto, Porto, 4099-001 Porto Portugal</aff>
<aff id="Aff815"><label></label>
Centro Hospitalar São João, Porto, 4200-319 Porto Portugal</aff>
<aff id="Aff816"><label></label>
Universidade de São Paulo, São Paulo, 05403-000 Brasil</aff>
<aff id="Aff817"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra Portugal</aff>
<aff id="Aff818"><label></label>
VOID – Software Development, 2415-767 Leiria, Portugal</aff>
<aff id="Aff819"><label></label>
Centre for Research in Informatics and Communications, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff820"><label></label>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff821"><label></label>
Instituto de Engenharia de Sistemas e Computadores de Coimbra, 3000-033 Coimbra, Portugal</aff>
<aff id="Aff822"><label></label>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff823"><label></label>
Instituto de Engenharia de Sistemas e Computadores de Coimbra, 3000-033 Coimbra, Portugal</aff>
<aff id="Aff824"><label></label>
Centre for Research in Informatics and Communications, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff825"><label></label>
Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</aff>
<aff id="Aff826"><label></label>
Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa, 1150-082 Lisboa, Portugal</aff>
<aff id="Aff827"><label></label>
Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff828"><label></label>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff829"><label></label>
School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff830"><label></label>
Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff831"><label></label>
Escola Nacional de Saúde Publica, Lisboa, 1600-560 Lisboa Portugal</aff>
<aff id="Aff832"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff833"><label></label>
Escola Superior de Tecnologia e Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</aff>
<aff id="Aff834"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</aff>
<aff id="Aff835"><label></label>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</aff>
<aff id="Aff836"><label></label>
Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal</aff>
<aff id="Aff837"><label></label>
Escola Nacional de Saúde Pública, Lisboa, 1600-560 Lisboa Portugal</aff>
<aff id="Aff838"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff839"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Portalegre, Portalegre, 7301-901 Portalegre Portugal</aff>
<aff id="Aff840"><label></label>
Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, 1649-003 Lisboa Portugal</aff>
<aff id="Aff841"><label></label>
Escola Superior de Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff842"><label></label>
Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</aff>
<aff id="Aff843"><label></label>
Department of Biomedical Sciences, University of Applied Sciences Salzburg, A-5412 Puch, Salzburg Austria</aff>
<aff id="Aff844"><label></label>
Department of Medical and Bioinformatics, University of Applied Sciences Upper Austria, Hagenberg, A-4232 Hagenberg Austria</aff>
<aff id="Aff845"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff846"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff847"><label></label>
Universidad de Extremadura, 10003 Cáceres, España</aff>
<aff id="Aff848"><label></label>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff849"><label></label>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</aff>
<aff id="Aff850"><label></label>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</aff>
<aff id="Aff851"><label></label>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal</aff>
<aff id="Aff852"><label></label>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff853"><label></label>
Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal</aff>
<aff id="Aff854"><label></label>
Centro Hospitalar de Trás–os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</aff>
<aff id="Aff855"><label></label>
Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff856"><label></label>
Polytechnic Institute of Viseu, Viseu, 3504-510 Portugal</aff>
<aff id="Aff857"><label></label>
University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff858"><label></label>
Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff859"><label></label>
Unidade de Saúde Pública, ACES Douro I, Marão e Douro Norte, Administração Regional de Saúde do Norte, 5000-524 Vila Real, Portugal</aff>
<aff id="Aff860"><label></label>
Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Publica, 1600-560 Lisboa, Portugal</aff>
<aff id="Aff861"><label></label>
Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</aff>
<aff id="Aff862"><label></label>
Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal</aff>
<aff id="Aff863"><label></label>
Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal</aff>
<aff id="Aff864"><label></label>
Unidade de Investigação Inclusão e Acessibilidade em Acção “iACT” e Escola Superior Educação e Ciências Sociais, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff865"><label></label>
Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff866"><label></label>
Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal</aff>
<aff id="Aff867"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff868"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff869"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff870"><label></label>
Unidade de Saúde Pública - ACES Pinhal Litoral, ARS Centro, 3100-462 Pombal, Portugal</aff>
<aff id="Aff871"><label></label>
Consulta Externa de Pediatria, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</aff>
<aff id="Aff872"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff873"><label></label>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</aff>
<aff id="Aff874"><label></label>
Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff875"><label></label>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</aff>
<aff id="Aff876"><label></label>
Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná 85851-100 Brasil</aff>
<aff id="Aff877"><label></label>
Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa/Porto, 4202-401 Porto, Portugal</aff>
<aff id="Aff878"><label></label>
Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Cooperativa De Ensino Superior Politécnico Universitário, Instituto Politécnico de Saúde do Norte, 4585-116 Gandra, Portugal</aff>
<aff id="Aff879"><label></label>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto, Portugal</aff>
<aff id="Aff880"><label></label>
Centre for Health Technology and Services Research, Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</aff>
<aff id="Aff881"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff882"><label></label>
University Thomas More, B - 2800 Mechelen, Belgium</aff>
<aff id="Aff883"><label></label>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</aff>
<aff id="Aff884"><label></label>
Instituto Português do Sangue e da Transplantação, Lisboa, 1000-208 Portugal</aff>
<aff id="Aff885"><label></label>
Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Portugal</aff>
<aff id="Aff886"><label></label>
Facultad de Terapia Ocupacional, Logopedia y Enfermería, Universidad de Castilla-La Mancha, 45600 Talavera de la Reina, Toledo España</aff>
<aff id="Aff887"><label></label>
Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal</aff>
<aff id="Aff888"><label></label>
Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, 5000-508 Portugal</aff>
<aff id="Aff889"><label></label>
Universidade de São Paulo, São Paulo, 05403-000 Brasil</aff>
<aff id="Aff890"><label></label>
Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</aff>
<aff id="Aff891"><label></label>
Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</aff>
</contrib-group>
<pub-date pub-type="epub"><day>6</day>
<month>7</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>6</day>
<month>7</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection"><year>2016</year>
</pub-date>
<volume>16</volume>
<issue>Suppl 3</issue>
<issue-sponsor>Publication of this supplement was funded by the School of Health Sciences of Leiria. The Supplement Editors declare that they have no competing interests.</issue-sponsor>
<elocation-id>200</elocation-id>
<permissions><copyright-statement>© The Author(s). 2016</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><title>Table of contents</title>
<p>S1 Health literacy and health education in adolescence</p>
<p>Catarina Cardoso Tomás</p>
<p>S2 The effect of a walking program on the quality of life and well-being of people with schizophrenia</p>
<p>Emanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C. Rocha, A. Teixeira, P. Ferreira</p>
<p>S3 Diagnosis and innovative treatments - the way to a better medical practice</p>
<p>Celeste Alves</p>
<p>S4 Simulation-based learning and how it is a high contribution</p>
<p>Stefan Gisin</p>
<p>S5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and Príncipe</p>
<p>Elisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina Silva</p>
<p>S6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathology</p>
<p>Débora Franco</p>
<p>S7 About wine, fortune cookies and patient experience</p>
<p>Jesús Alcoba González</p>
<p>O1 The psychological impact on the emergency crews after the disaster event on February 20, 2010</p>
<p>Helena G. Jardim, Rita Silva</p>
<p>O2 Musculoskeletal disorders in midwives</p>
<p>Cristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. Cardoso</p>
<p>O3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescence</p>
<p>Marina Cunha, Joana Mendes, Ana Xavier, Ana Galhardo, Margarida Couto</p>
<p>O4 Optimal age to give the first dose of measles vaccine in Portugal</p>
<p>João G. Frade, Carla Nunes, João R. Mesquita, Maria S. Nascimento, Guilherme Gonçalves</p>
<p>O5 Functional assessment of elderly in primary care</p>
<p>Conceição Castro, Alice Mártires, Mª João Monteiro, Conceição Rainho</p>
<p>O6 Smoking and coronary events in a population of Spanish health-care centre: An observational study</p>
<p>Francisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M. Monago, Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milanés, Mercedes G. Reina, Ana G. Villanueva, Ana S. Piñero, Isabel R. Aliseda, Francisco B. Ramirez</p>
<p>O7 Prevalence of musculoskeletal injuries in Portuguese musicians</p>
<p>Andrea Ribeiro, Ana Quelhas, Conceição Manso</p>
<p>O8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in Spain</p>
<p>Francisco P. Caballero, Jose T. Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G. Nuñez, Inmaculada R. Gomez, Mª Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno, Mª Jesus Tena Huertas, Francisco B. Ramirez</p>
<p>O9 The role of self-criticism and shame in social anxiety in a clinical SAD sample</p>
<p>Daniel Seabra, Mª Céu Salvador</p>
<p>O10 Obstruction and infiltration: a proposal of a quality indicator</p>
<p>Luciene Braga, Pedro Parreira, Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, Mª Adriana Henriques</p>
<p>O11 Balance and anxiety and depression symptoms in old age people</p>
<p>Joana Santos, Sara Lebre, Alda Marques</p>
<p>O12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto)</p>
<p>Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José Lumini</p>
<p>O13 Ischemic stroke vs. haemorrhagic stroke survival rate</p>
<p>Ana G. Figueiredo</p>
<p>O14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescents</p>
<p>Francisco J. Hernandez-Martinez, Liliana Campi, Mª Pino Quintana-Montesdeoca, Juan F. Jimenez-Diaz, Bienvenida C. Rodriguez-De-Vera</p>
<p>O15 Risk of malnutrition in the elderly of Bragança</p>
<p>Alexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel Brás</p>
<p>O16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing intervention</p>
<p>Mª Rosário Pinto, Pedro Parreira, Marta L. Basto, Ana C. Rei, Lisete M. Mónico</p>
<p>O17 Medication adherence in elderly people</p>
<p>Gilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita Vasconcelos</p>
<p>O18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014</p>
<p>Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo Bordin</p>
<p>O19 Oncologic assistance of high complexity: evaluation of regulating accesses</p>
<p>Rosiane Kniess, Josimari T. Lacerda</p>
<p>O20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological Plan</p>
<p>Joana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar Ribeiro</p>
<p>O21 Sleep difficulties and depressive symptoms in college students</p>
<p>Ana P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui Cruz</p>
<p>O22 Psychopathological symptoms and medication use in higher education</p>
<p>Ana P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui Cruz</p>
<p>O23 Sexually transmitted diseases in higher education institutions</p>
<p>Sandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes</p>
<p>O24 Alcohol consumption and suicide ideation in higher education students</p>
<p>Lídia Cabral, Manuela Ferreira, Amadeu Gonçalves</p>
<p>O25 Quality of life in university students</p>
<p>Tatiana D. Luz, Leonardo Luz, Raul Martins</p>
<p>O26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sample</p>
<p>Alice Morgado, Maria L. Vale-Dias</p>
<p>O27 Risk factors for mental health in higher education students of health sciences</p>
<p>Rui Porta-Nova</p>
<p>O28 International classification of functioning disability and health as reflexive reasoning in primary attention in health</p>
<p>Tânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. Carvalho</p>
<p>O29 Risk factors and cardiovascular disease in Portalegre</p>
<p>Daniel Guedelha, P. Coelho, A. Pereira</p>
<p>O30 Health status of the elderly population living in Portalegre historic city centre: A longitudinal study</p>
<p>António Calha, Raul Cordeiro</p>
<p>O31 Student’s sleep in higher education: sleep quality among students of the IPB</p>
<p>Ana Gonçalves, Ana Certo, Ana Galvão, Mª Augusta Mata</p>
<p>O32 Trend in mortality from cervical cancer in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, 2000 to 2013</p>
<p>Aline Welter, Elayne Pereira, Sandra Ribeiro, Marcia Kretzer</p>
<p>O33 Adherence to treatment in the elderly in an urban environment in Spain</p>
<p>Juan-Fernando Jiménez-Díaz, Carla Jiménez-Rodríguez, Francisco-José Hernández-Martínez, Bienvenida-Del-Carmen Rodríguez-De-Vera, Alexandre Marques-Rodrigues</p>
<p>O34 Beira Baixa Blood Pressure Study (Study PABB)</p>
<p>Patrícia Coelho, Tiago Bernardes, Alexandre Pereira</p>
<p>O35 Trends in cervical cancer mortality statistics in Santa Catarina State, Brazil, by age group and macro-region, from 2000 to 2013</p>
<p>Patrícia Sousa, João G. Filho, Nazare Nazario, Marcia Kretzer</p>
<p>O36 Sleep problems among Portuguese adolescents: a public health issue</p>
<p>Odete Amaral, António Garrido, Nélio Veiga, Carla Nunes, Ana R. Pedro, Carlos Pereira</p>
<p>O37 Association between body fat and health-related quality of life in patients with type 2 diabetes</p>
<p>António Almeia, Helder M. Fernandes, Carlos Vasconcelos, Nelson Sousa, Victor M. Reis, M. João Monteiro, Romeu Mendes</p>
<p>O38 Therapy adherence and polypharmacy in non-institutionalized elderly from Amares county, Portugal</p>
<p>Isabel C. Pinto, Tânia Pires, João Gama</p>
<p>O39 Prevalence of surgical site infection in adults at a hospital unit in the North of Portugal</p>
<p>Vera Preto, Norberto Silva, Carlos Magalhães, Matilde Martins</p>
<p>O40 Frailty phenotype in old age: implications to intervention</p>
<p>Mafalda Duarte, Constança Paúl, Ignácio Martín</p>
<p>O41 Portuguese women: sexual symptoms in perimenopause</p>
<p>Arminda A. Pinheiro</p>
<p>O42 Predictive ability of the Perinatal Depression Screening and Prevention Tool – preliminary results of the categorical approach</p>
<p>Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Mariana Marques, António Macedo, Ana T. Pereira</p>
<p>O43 Aging and muscle strength in patients with type 2 diabetes: cross sectional analysis</p>
<p>José P. Almeida, António Almeida, Josiane Alves, Nelson Sousa, Francisco Saavedra, Romeu Mendes</p>
<p>O44 Accessibility of the elderly in the prevention of hypertension in a family health unit</p>
<p>Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Luci S. Lopes, Eujcely C. Santiago</p>
<p>O45 Community Health screenings and self-reported chronic diseases</p>
<p>Sílvia Monteiro, Ângelo Jesus, Armanda Colaço, António Carvalho, Rita P. Silva, Agostinho Cruz</p>
<p>O46 Evaluation of indoor air quality in Kindergartens</p>
<p>Ana Ferreira, Catarina Marques, João P. Figueiredo, Susana Paixão</p>
<p>O47 Atmospheric exposure to chemical agents under the occupational activity of pathology technicians</p>
<p>Ana Ferreira, Carla Lopes, Fernando Moreira, João P. Figueiredo</p>
<p>O48 Occupational exposure to air pollutants in night entertainment venues workers</p>
<p>Ana Ferreira, Diana Ribeiro, Fernando Moreira, João P. Figueiredo, Susana Paixão</p>
<p>O49 Beliefs and attitudes of young people towards breastfeeding</p>
<p>Telma Fernandes, Diogo Amado, Jéssica Leal, Marcelo Azevedo, Sónia Ramalho</p>
<p>O50 Profiling informal caregivers: surveying needs in the care of the elderly</p>
<p>Catarina Mangas, Jaime Ribeiro, Rita Gonçalves</p>
<p>O51 Visual health in teenagers</p>
<p>Amélia F Nunes, Ana R. Tuna, Carlos R. Martins, Henriqueta D. Forte</p>
<p>O52 Amenable mortality and the geographic accessibility to healthcare in Portugal</p>
<p>Cláudia Costa, José A. Tenedório, Paula Santana</p>
<p>O53 Bacterial contamination of door handles in a São Paulo See Metropolitan Cathedral public restrooms in Brazil</p>
<p>J. A. Andrade, J. L. Pinto, C. Campofiorito, S. Nunes, A. Carmo, A. Kaliniczenco, B. Alves, F. Mendes, C. Jesus, F. Fonseca, F. Gehrke</p>
<p>O54 Adherence of patients to rehabilitation programmes</p>
<p>Carlos Albuquerque, Rita Batista, Madalena Cunha, António Madureira, Olivério Ribeiro, Rosa Martins</p>
<p>O55 Prevalence of malnutrition among Portuguese elderly living in nursing homes: preliminary results of the PEN-3S project</p>
<p>Teresa Madeira, Catarina Peixoto-Plácido, Nuno Santos, Osvaldo Santos, Astrid Bergland, Asta Bye, Carla Lopes, Violeta Alarcão, Beatriz Goulão, Nuno Mendonça, Paulo Nicola, João G. Clara</p>
<p>O56 Relation between emotional intelligence and mental illness in health students</p>
<p>João Gomes, Ana Querido, Catarina Tomás, Daniel Carvalho, Marina Cordeiro</p>
<p>P1 Fall risk factors in people older than 50 years old – a pilot report</p>
<p>Marlene C. Rosa, Alda Marques</p>
<p>P2 What about the Portuguese oldest old? A global overview using census data</p>
<p>Daniela Brandão, Óscar Ribeiro, Lia Araújo, Constança Paúl</p>
<p>P3 Prevalence of injuries in senior amateur volleyball athletes in Alentejo and Algarve clubs, Portugal: factors associated</p>
<p>Beatriz Minghelli, Sylvina Richaud</p>
<p>P4 Shame feelings and quality of life: the role of acceptance and decentring</p>
<p>Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira</p>
<p>P5 Assessment of social support during deployment in portuguese colonial war veterans</p>
<p>Teresa Carvalho, Marina Cunha, José Pinto-Gouveia</p>
<p>P6 Hospitalization for acute viral bronchiolitis of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014</p>
<p>Morgana C. Fernandes, Roger S. Rosa, Rita C. Nugem, Luís F. Kranz, Mariana S. Siqueira, Ronaldo Bordin</p>
<p>P7 Falls-risk screening – an opportunity for preventing falls in the elderly from Nordeste</p>
<p>Anabela C. Martins, Anabela Medeiros, Rafaela Pimentel, Andreia Fernandes, Carlos Mendonça, Isabel Andrade, Susana Andrade, Ruth L. Menezes</p>
<p>P8 Aging provokes chronodisruption in mature people in temperature circadian rhythm</p>
<p>Rafael Bravo, Marta Miranda, Lierni Ugartemendia, José Mª Tena, Francisco L. Pérez-Caballero, Lorena Fuentes-Broto, Ana B. Rodríguez, Barriga Carmen</p>
<p>P9 The influence of climate and pollution factors in dengue cases of great ABC region, São Paulo</p>
<p>M. A. Carneiro, J. N. Domingues, S. Paixão, J. Figueiredo, V. B. Nascimento, C. Jesus, F Mendes, F. Gehrke, B. Alves, L. Azzalis, F. Fonseca</p>
<p>P10 Visual function and impact of visual therapy in children with learning disabilities: a pilot study</p>
<p>Ana R. Martins, Amélia Nunes, Arminda Jorge</p>
<p>P11 Edentulism and the need of oral rehabilitation among institutionalized elderly</p>
<p>Nélio Veiga, Ana Amorim, André Silva, Liliana Martinho, Luís Monteiro, Rafael Silva, Carina Coelho, Odete Amaral, Inês Coelho, Carlos Pereira, André Correia</p>
<p>P12 Therapy adherence of outpatients in the pharmacy services of a hospital unit</p>
<p>Diana Rodrigues, Nídia Marante, Pedro Silva, Sara Carvalho, André Rts Araujo, Maximiano Ribeiro, Paula Coutinho, Sandra Ventura, Fátima Roque</p>
<p>P13 Universal access and comprehensive care of oral health: an availability study</p>
<p>Cristina Calvo, Manoela Reses</p>
<p>P14 Is the respiratory function of children a predictor of air quality? Coimbra as a case study</p>
<p>Jorge Conde, Ana Ferreira, João Figueiredo</p>
<p>P15 Meaning-in-life of college students</p>
<p>David Silva, Luís Seiça, Raquel Soares, Ricardo Mourão, Teresa Kraus</p>
<p>O57 Training needs for nurses in palliative care</p>
<p>Ana C. Abreu, José M. Padilha, Júlia M. Alves</p>
<p>O58 Impact of computerized information systems in the global nurses’ workload: nurses’ perceptions and real-time</p>
<p>Paulino Sousa, Manuel Oliveira, Joana Sousa</p>
<p>O59 The perspective of health care professionals on self-care in hereditary neurodegenerative disease: a qualitative study</p>
<p>Sónia Novais, Felismina Mendes</p>
<p>O60 Contribution for health-related physical fitness reference values in healthy adolescents</p>
<p>Joana Pinto, Joana Cruz, Alda Marques</p>
<p>School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</p>
<p>O61 Perception of learning, satisfaction and self-efficacy of nursing students about High-Fidelity Simulation</p>
<p>Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa</p>
<p>O62 Analysis of statements of diagnosis about health deviation in self-care requisites customized in a Nursing Practice Support System (SAPE®): Management of therapeutic regimen</p>
<p>Inês Cruz, Fernanda Bastos, Filipe Pereira</p>
<p>O63 Hybrid management and hospital governance: doctors and nurses as managers</p>
<p>Francisco L. Carvalho, Teresa T. Oliveira, Vítor R. Raposo</p>
<p>O64 Time management in health professionals</p>
<p>Conceição Rainho, José C. Ribeiro, Isabel Barroso, Vítor Rodrigues</p>
<p>O65 Financial rewards and wellbeing in primary health care</p>
<p>Carmo Neves, Teresa C. Oliveira</p>
<p>O66 Patient safety promotion in the operating room</p>
<p>Bárbara Oliveira, Mª Carminda Morais, Pilar Baylina</p>
<p>O67 Difficulties and needs of pre-graduate nursing students in the area of Geriatrics/Gerontology</p>
<p>Rogério Rodrigues, Zaida Azeredo, Corália Vicente</p>
<p>O68 Teaching and learning sexuality in nursing education</p>
<p>Hélia Dias, Margarida Sim-Sim</p>
<p>O69 Entrepreneurial Motivations Questionnaire: AFC and CFA in academy</p>
<p>Pedro Parreira, Anabela Salgueiro-Oliveira, Amélia Castilho, Rosa Melo, João Graveto, José Gomes, Marina Vaquinhas, Carla Carvalho, Lisete Mónico, Nuno Brito</p>
<p>O70 Nursing intervention to patient with Permanent Pacemakers and Implantable Cardioverter Defibrillators: a qualitative analysis</p>
<p>Cassilda Sarroeira, José Amendoeira, Fátima Cunha, Anabela Cândido, Patrícia Fernandes, Helena R. Silva, Elsa Silva</p>
<p>O71 Alcohol consumption among nursing students: where does education fail?</p>
<p>Isabel Barroso, Leila Lapa, Cristina Antunes</p>
<p>O72 Labour stress in nursing</p>
<p>Ana Gonçalves, Ana Galvão, Mª José Gomes, Susana R. Escanciano</p>
<p>O73 The influence of safe staff nursing in patient satisfaction with nursing care</p>
<p>Maria Freitas, Pedro Parreira, João Marôco</p>
<p>O74 Intention to use eHealth strategies with nursing students</p>
<p>Ana R. Fernandes, Cremilde Cabral, Samuel Alves, Pedro Sousa</p>
<p>O75 Community Based Mental Health: contributions of an interdisciplinary international program for students in higher health education</p>
<p>António Ferreira, Fernanda Príncipe, Ulla-Maija Seppänen, Margarida Ferreira, Maribel Carvalhais, Marilene Silva</p>
<p>O76 Study of satisfaction at work of graduates in nursing: 2002-2014</p>
<p>Manuela Ferreira, Joana Silva, Jéssica Neves, Diana Costa, Bruno Santos, Soraia Duarte</p>
<p>O77 Health professionals’ attitudes towards breastfeeding</p>
<p>Sílvia Marques, Sónia Ramalho, Isabel Mendes</p>
<p>O78 Continuity of nursing care to person with type 2 diabetes</p>
<p>Clarisse Louro, Eva Menino, Maria Dixe, Sara S. Dias</p>
<p>O79 Stigma toward mental illness among future health professionals</p>
<p>Marina Cordeiro, Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes</p>
<p>O80 Working with fears and anxieties of medical students in search of a humanized care</p>
<p>Frederico C. Valim, Joyce O. Costa, Lúcia G. Bernardes</p>
<p>P16 Surgical paediatrics patients’ psycho prophylaxis at a teaching hospital</p>
<p>Helena Prebianchi</p>
<p>P17 Patient-perceived outcomes in physiotherapy – a pilot study</p>
<p>Marlene Cristina Rosa</p>
<p>P18 Building competencies for managers in nursing</p>
<p>Narcisa Gonçalves, Maria M. Martins, Paulina Kurcgant</p>
<p>P19 Theoretical basis underlying physiotherapy practice in stroke rehabilitation</p>
<p>André Vieira</p>
<p>P20 When the life-cycle ends: the nurse’s confrontation with death</p>
<p>Sandrina Bento, Sérgio Deodato, Isabel Rabiais</p>
<p>P21 Nursing students’ opinion about the supervision relationship during their first clinical experience</p>
<p>Laura Reis</p>
<p>P22 Nursing Relational Laboratory: Pedagogical, dialogic and critical project</p>
<p>Ana Torres, Sérgio Soares, Margarida Ferreira, Pedro Graça</p>
<p>P23 Job satisfaction of bioscientists at a Lisbon hospital</p>
<p>Céu Leitão, Renato Abreu, Fernando Bellém, Ana Almeida, Edna Ribeiro-Varandas, Ana Tavares</p>
<p>P24 Sociodemographic and professional profile of nurses and its relation with the importance of family in nursing practices</p>
<p>João G. Frade, Carolina Henriques, Eva Menino, Clarisse Louro, Célia Jordão</p>
<p>P25 Professional satisfaction of rehabilitation nurses</p>
<p>Sofia Neco, Carminda Morais, Pedro Ferreira</p>
<p>P26 The person living with a stoma: the formalization of knowledge in nursing</p>
<p>Carla R. Silva, Alice Brito, Antónia Silva</p>
<p>P27 Validation of the Portuguese versions of the nursing students’ perceptions of learning and learner satisfaction with simulation tool</p>
<p>Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa</p>
<p>P28 Physiotherapists’ perceived knowledge on technologies for electronic health records for physiotherapy</p>
<p>Gabriela Postolache, Raul Oliveira, Isabel Moreira, Luísa Pedro, Sónia Vicente, Samuel Domingos, Octavian Postolache</p>
<p>P29 Quality of life and physical activity of medicine undergraduate students in the University of Southern Santa Catarina, Brazil</p>
<p>Darlen Silva, João G. Filho, Nazare Nazario, Marcia Kretzer, Dulcineia Schneider</p>
<p>P30 The curricular skills for decision making education in a Nursing Degree</p>
<p>Fátima M. Marques</p>
<p>P31 Effect of nurses’ mobilization in satisfaction at work and turnover: An empirical study in the hospital setting</p>
<p>Pedro Parreira, Carla Carvalho, Lisete M. Mónico, Carlos Pinto, Sara Vicente, São João Breda</p>
<p>P32 Entrepreneurial skills of students of polytechnic higher education in Portugal: Business influences</p>
<p>José H. Gomes, Rosa Melo, Pedro Parreira, Anabela Salgueiro, João Graveto, Marina Vaquinhas, Amélia Castilho</p>
<p>P33 Design and assessment of e-learning modules for Pharmacology</p>
<p>Ângelo Jesus, Nuno Duarte, José C. Lopes, Hélder Nunes, Agostinho Cruz</p>
<p>P34 Perspective of nurses involved in an action-research study on the changes observed in care provision: results from a focus group</p>
<p>Anabela Salgueiro-Oliveira, Pedro Parreira, Marta L. Basto, Luciene M. Braga</p>
<p>P35 Use of peer feedback by nursing students during clinical training: teacher’s perception</p>
<p>António Ferreira, Beatriz Araújo, José M. Alves, Margarida Ferreira, Maribel Carvalhais, Marilene Silva, Sónia Novais</p>
<p>P36 What’s new on endotracheal suctioning recommendations</p>
<p>Ana S. Sousa, Cândida Ferrito</p>
<p>P37 Assessment of the nurses satisfaction on the Central Region of Portugal</p>
<p>Pedro L. Ferreira, Alexandre Rodrigues, Margarida Ferreira, Isabel Oliveira</p>
<p>P38 Study of graduate’s satisfaction with the school of nursing</p>
<p>Manuela Ferreira, Jéssica Neves, Diana Costa, Soraia Duarte, Joana Silva, Bruno Santos</p>
<p>P39 Partnership between the school of nursing and the hospital: Supervisors´ perspectives</p>
<p>Cristina Martins, Ana P. Macedo, Odete Araújo, Cláudia Augusto, Fátima Braga, Lisa Gomes, Maria A. Silva, Rafaela Rosário</p>
<p>P40 Coping strategies of college students</p>
<p>Luís Pimenta, Diana Carreira, Patrícia Teles, Teresa Barros</p>
<p>P41 Emotional intelligence and mental health stigma in health students</p>
<p>Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes, Marina Cordeiro</p>
<p>P42 Stigma of mental health assessment: Comparison between health courses</p>
<p>Daniel Carvalho, Ana Querido, Catarina Tomás, João Gomes, Marina Cordeiro</p>
<p>O81 Short- and long-term effects of pulmonary rehabilitation in mild COPD</p>
<p>Cristina Jácome, Alda Marques</p>
<p>O82 Phonological awareness programme for preschool children</p>
<p>Sylvie Capelas, Andreia Hall, Dina Alves, Marisa Lousada</p>
<p>O83 REforma ATIVA: An efficient health promotion program to be implemented during retirement</p>
<p>Mª Helena Loureiro, Ana Camarneiro, Margarida Silva, Aida Mendes, Ana Pedreiro</p>
<p>O84 Intervention for men who batter women, a case report</p>
<p>Anne G.Silva, Elza S. Coelho</p>
<p>O85 Immediate effects of Bowen Therapy on muscle tone and flexibility</p>
<p>Flávio Melo, Fernando Ribeiro, Rui Torres, Rui Costa</p>
<p>O86 Predictive equation for incremental shuttle walk test in adolescents</p>
<p>Tânia Pinho, Cristina Jácome, Alda Marques</p>
<p>O87 Life satisfaction and psychopathology in institutionalized elderly people: The results of an adapted Mindfulness-Based Stress Reduction program</p>
<p>Bárbara Cruz, Daniel Seabra, Diogo Carreira, Maria Ventura</p>
<p>O88 Outcome changes in COPD rehabilitation: exploring the relationship between physical activity and health-related outcomes</p>
<p>Joana Cruz, Dina Brooks, Alda Marques</p>
<p>O89 Assessing the effectiveness of a Complex Nursing Intervention</p>
<p>M Rosário Pinto, Pedro Parreira, Marta Lima-Basto, Miguel Neves, Lisete M. Mónico</p>
<p>O90 Psychotherapeutic intervention in addiction disorders: Change in psychopathological symptoms and emotional states</p>
<p>Carla Bizarro, Marina Cunha, Ana Galhardo, Couto Margarida, Ana P. Amorim, Eduardo Silva</p>
<p>O91 Economic impact of a nursing intervention program to promote self-management in COPD</p>
<p>Susana Cruz, José M. Padilha, Jorge Valente</p>
<p>O92 Multimodal acute pain management during uterine artery embolization in treatment of uterine myomas</p>
<p>José T. Guerrero, Francisco P. Caballero, Rafael B. Santos, Estefania P. Gonzalez, Fátima M. Monago, Lierni U. Ugalde, Marta M. Vélez, Maria J. Tena</p>
<p>O93 Fluid administration strategies in major surgery: Goal-directed therapy</p>
<p>José T. Guerrero, Rafael Bravo, Francisco L. Pérez-Caballero, Isabel A. Becerra, Mª Elizabeth Agudelo, Guadalupe Acedo, Roberto Bajo</p>
<p>O94 Development and implementation of a self-management educational programme using lay-led’s in adolescents Spina Bifida: A pilot study</p>
<p>Isabel Malheiro, Filomena Gaspar, Luísa Barros</p>
<p>O95 Influence of chair-based yoga exercises on salivary anti-microbial proteins in institutionalized frail-elderly women: a preliminary study</p>
<p>Guilherme Furtado, Mateus Uba-Chupel, Mariana Marques, Luís Rama, Margarida Braga, José P. Ferreira, Ana Mª Teixeira</p>
<p>O96 High intensity interval training vs moderate intensity continuous training impact on diabetes 2</p>
<p>João Cruz, Tiago Barbosa, Ângela Simões, Luís Coelho</p>
<p>O97 Family caregiver of people with pressure ulcer: Nursing intervention plan</p>
<p>Alexandre Rodrigues, Juan-Fernando Jiménez-Díaz, Francisco Martinez-Hernández, Bienvenida Rodriguez-De-Vera, Pedro Ferreira, Alexandrina Rodrigues</p>
<p>O98 Chronic effects of exercise on motor memory consolidation in elderly people</p>
<p>André Ramalho, João Petrica, Pedro Mendes, João Serrano, Inês Santo, António Rosado</p>
<p>O99 Impression cytology of the ocular surface: Collection technique and sample processing</p>
<p>Paula Mendonça, Kátia Freitas</p>
<p>O100 Does sport practice affect the reaction time in neuromuscular activity?</p>
<p>Dora Ferreira, António Brito, Renato Fernandes</p>
<p>O101 Efficiency of the enteral administration of fibbers in the treatment of chronic obstipation</p>
<p>Sofia Gomes, Fernando Moreira, Cláudia Pinho, Rita Oliveira, Ana I. Oliveira</p>
<p>O102 Fast decalcifier in compact bone and spongy bone</p>
<p>Paula Mendonça, Ana P. Casimiro, Patrícia Martins, Iryna Silva</p>
<p>O103 Health promotion in the elderly – Intervention project in dementia</p>
<p>Diana Evangelista</p>
<p>O104 Prevention of musculoskeletal disorders through an exercise protocol held in labour context</p>
<p>Catarina Leitão, Fábia Velosa, Nélio Carecho, Luís Coelho</p>
<p>O105 Knowledge of teachers and other education agents on diabetes type 1: Effectiveness of an intervention program</p>
<p>Eva Menino, Anjos Dixe, Helena Catarino, Fátima Soares, Ester Gama, Clementina Gordo</p>
<p>O106 Treatment of diabetic peripheral neuropathic pain: a systematic review of clinical trials of phase II and III</p>
<p>Eliana Moreira, Cristiana Midões, Marlene Santos</p>
<p>O107 New drugs for osteoporosis treatment: Systematic review of clinical trials of phase II and III</p>
<p>Sara Machado, Vânia P. Oliveira, Marlene Santos</p>
<p>O108 Promoting hope at the end of life: Effectiveness of an Intervention Programme</p>
<p>Ana Querido, Anjos Dixe, Rita Marques, Zaida Charepe</p>
<p>P43 Psychomotor therapy effects on adaptive behaviour and motor proficiency of adults with intellectual disability</p>
<p>Ana Antunes, Sofia Santos</p>
<p>P44 The effect of exercise therapy in multiple sclerosis – a single study case</p>
<p>Marlene C. Rosa</p>
<p>P45 Physical condition and self-efficacy in people with fall risk – a preliminary study</p>
<p>Marlene C. Rosa, Silvana F. Marques</p>
<p>P46 Shock waves: their effectiveness in improving the symptoms of calcifying tendinitis of the shoulder</p>
<p>Beatriz Minghelli, Eulália Caro</p>
<p>P47 Pacifier – construction and pilot application of a parenting intervention for parents of babies until six months in primary health care</p>
<p>Mª José Luís, Teresa Brandão</p>
<p>P48 The influence of Motor Imagery in fine motor skills of individuals with disabilities</p>
<p>Pedro Mendes, Daniel Marinho, João Petrica, Diogo Monteiro, Rui Paulo, João Serrano, Inês Santo</p>
<p>P49 Evaluation of the effects of a walking programme on the fall risk factors in older people – a longitudinal pilot study</p>
<p>Lina Monteiro, Fátima Ramalho, Rita Santos-Rocha, Sónia Morgado, Teresa Bento</p>
<p>P50 Nursing intervention programme in lifestyles of adolescents</p>
<p>Gilberta Sousa, Otília Freitas, Isabel Silva, Gregório Freitas, Clementina Morna, Rita Vasconcelos</p>
<p>P51 The person submitted to hip replacement rehabilitation, at home</p>
<p>Tatiana Azevedo, Salete Soares, Jacinta Pisco</p>
<p>P52 Effects of Melatonin use in the treatment of neurovegetative diseases</p>
<p>Paulo P. Ferreira, Efrain O. Olszewer, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira</p>
<p>P53 Review of Phytotherapy and other natural substances in alcohol abuse and alcoholism</p>
<p>Erica Santos, Ana I. Oliveira, Carla Maia, Fernando Moreira, Joana Santos, Maria F. Mendes, Rita F. Oliveira, Cláudia Pinho</p>
<p>P54 Dietary programme impact on biochemical markers in diabetics: systematic review</p>
<p>Eduarda Barreira, Ana Pereira, Josiana A. Vaz, André Novo</p>
<p>P55 Biological approaches to knee osteoarthritis: platelet-rich plasma and hyaluronic acid</p>
<p>Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha</p>
<p>P56 Platelet-rich plasma and hyaluronic acid intra-articular injections for the treatment of ankle osteoarthritis</p>
<p>Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha</p>
<p>P57 The impact of preventive measures in the incidence of diabetic foot ulcers: a systematic review</p>
<p>Ana F. César, Mariana Poço, David Ventura, Raquel Loura, Pedro Gomes, Catarina Gomes, Cláudia Silva, Elsa Melo, João Lindo</p>
<p>P58 Dating violence among young adolescents</p>
<p>Joana Domingos, Zaida Mendes, Susana Poeta, Tiago Carvalho, Catarina Tomás, Helena Catarino, Mª Anjos Dixe</p>
<p>P59 Physical activity and motor memory in pedal dexterity</p>
<p>André Ramalho, António Rosado, Pedro Mendes, Rui Paulo, Inês Garcia, João Petrica</p>
<p>P60 The effects of whole body vibration on the electromyographic activity of thigh muscles</p>
<p>Sandra Rodrigues, Rui Meneses, Carlos Afonso, Luís Faria, Adérito Seixas</p>
<p>P61 Mental health promotion in the workplace</p>
<p>Marina Cordeiro, Paulo Granjo, José C. Gomes</p>
<p>P62 Influence of physical exercise on the self-perception of body image in elderly women: A systematic review of qualitative studies</p>
<p>Nelba R. Souza, Guilherme E. Furtado, Saulo V. Rocha, Paula Silva, Joana Carvalho</p>
<p>O109 Psychometric properties of the Portuguese version of the Éxamen Geronto-Psychomoteur (P-EGP)</p>
<p>Marina Ana Morais, Sofia Santos, Paula Lebre, Ana Antunes</p>
<p>O110 Symptoms of depression in the elderly population of Portugal, Spain and Italy</p>
<p>António Calha</p>
<p>O111 Emotion regulation strategies and psychopathology symptoms: A comparison between adolescents with and without deliberate self-harm</p>
<p>Ana Xavier, Marina Cunha, José Pinto-Gouveia</p>
<p>O112 Prevalence of physical disability in people with leprosy</p>
<p>Liana Alencar, Madalena Cunha, António Madureira</p>
<p>O113 Quality of life and self-esteem in type 1 and type 2 diabetes mellitus patients</p>
<p>Ilda Cardoso, Ana Galhardo, Fernanda Daniel, Vítor Rodrigues</p>
<p>O114 Cross-cultural comparison of gross motor coordination in children from Brazil and Portugal</p>
<p>Leonardo Luz, Tatiana Luz, Maurício R. Ramos, Dayse C. Medeiros, Bruno M. Carmo, André Seabra, Cristina Padez, Manuel C. Silva</p>
<p>O115 Electrocardiographic differences between African and Caucasian people</p>
<p>António Rodrigues, Patrícia Coelho, Alexandre Coelho</p>
<p>O116 Factors associated with domestic, sexual and other types of violence in the city of Palhoça - Brazil</p>
<p>Madson Caminha, Filipe Matheus, Elenice Mendes, Jony Correia, Marcia Kretzer</p>
<p>O117 Tinnitus prevalence study of users of a hospital of public management - Spain</p>
<p>Francisco J. Hernandez-Martinez, Juan F. Jimenez-Diaz, Bienvendida C. Rodriguez-De-Vera, Carla Jimenez-Rodriguez, Yadira Armas-Gonzalez</p>
<p>O118 Difficulties experienced by parents of children with diabetes mellitus of preschool age in therapeutic and nutritional management</p>
<p>Cátia Rodrigues, Rosa Pedroso</p>
<p>O119 E-mental health - “nice to have” or “must have”? Exploring the attitudes towards e-mental health in the general population</p>
<p>Jennifer Apolinário-Hagen, Viktor Vehreschild</p>
<p>O120 Violence against children and adolescents and the role of health professionals: Knowing how to identify and care</p>
<p>Milene Veloso, Celina Magalhães, Isabel Cabral, Maira Ferraz</p>
<p>O121 Marital violence. A study in the Algarve population</p>
<p>Filipe Nave, Emília Costa, Filomena Matos, José Pacheco</p>
<p>O122 Clinical factors and adherence to treatment in ischemic heart disease</p>
<p>António Dias, Carlos Pereira, João Duarte, Madalena Cunha, Daniel Silva</p>
<p>O123 Can religiosity improve optimism in participants in states of illness, when controlling for life satisfaction?</p>
<p>Lisete M. Mónico, Valentim R. Alferes, Mª São João Brêda, Carla Carvalho, Pedro M. Parreira</p>
<p>O124 Empowerment, knowledge and quality of life of people with diabetes type 2 in the Alto Minho Health Local Unit</p>
<p>Mª Carminda Morais, Pedro Ferreira, Rui Pimenta, José Boavida</p>
<p>O125 Antihypertensive therapy adherence among hypertensive patients from Bragança county, Portugal</p>
<p>Isabel C. Pinto, Tânia Pires, Catarina Silva</p>
<p>O126 Subjective perception of sexual achievement - An exploratory study on people with overweight</p>
<p>Maria Ribeiro, Maria Viega-Branco, Filomena Pereira, Ana Mª Pereira</p>
<p>O127 Physical activity level and associated factors in hypertensive individuals registered in the family health strategy of a basic health unit from the city of Palhoça, Santa Catarina, Brazil</p>
<p>Fabrícia M. Almeida, Gustavo L. Estevez, Sandra Ribeiro, Marcia R. Kretzer</p>
<p>O128 Perception of functional fitness and health in non-institutionalised elderly from rural areas</p>
<p>Paulo V. João, Paulo Nogueira, Sandra Novais, Ana Pereira, Lara Carneiro, Maria Mota</p>
<p>O129 Medication adherence in patients with type 2 diabetes mellitus treated at primary health care in Coimbra</p>
<p>Rui Cruz, Luiz Santiago, Carlos Fontes-Ribeiro</p>
<p>O130 Multivariate association between body mass index and multi-comorbidities in elderly people living in low socio-economic status context</p>
<p>Guilherme Furtado, Saulo V. Rocha, André P. Coutinho, João S. Neto, Lélia R. Vasconcelos, Nelba R. Souza, Estélio Dantas</p>
<p>O131 Metacognition, rumination and experiential avoidance in Borderline Personality Disorder</p>
<p>Alexandra Dinis, Sérgio Carvalho, Paula Castilho, José Pinto-Gouveia</p>
<p>O132 Health issues in a vulnerable population: nursing consultation in a public bathhouse in Lisbon</p>
<p>Alexandra Sarreira-Santos, Amélia Figueiredo, Lurdes Medeiros-Garcia, Paulo Seabra</p>
<p>O133 The perception of quality of life in people with multiple sclerosis accompanied in External Consultation of the Local Health Unit of Alto Minho</p>
<p>Rosa Rodrigues, Mª Carminda Morais, Paula O. Fernandes</p>
<p>O134 Representation of interaction established between immigrant women and nurse during pregnancy to postpartum, from the perspective of immigrant women</p>
<p>Conceição Santiago, Mª Henriqueta Figueiredo, Marta L. Basto</p>
<p>O135 Illness perceptions and medication adherence in hypertension</p>
<p>Teresa Guimarães, André Coelho, Anabela Graça, Ana M. Silva, Ana R. Fonseca</p>
<p>O136 A Portuguese study on adults’ intimate partner violence, interpersonal trust and hope</p>
<p>Luz Vale-Dias, Bárbara Minas, Graciete Franco-Borges</p>
<p>P63 QOL’ predictors of people with intellectual disability and general population</p>
<p>Cristina Simões, Sofia Santos</p>
<p>P64 Content validation of the Communication Disability Profile (CDP) - Portuguese Version</p>
<p>Ana Serra, Maria Matos, Luís Jesus</p>
<p>P65 Study of biochemical and haematological changes in football players</p>
<p>Ana S. Tavares, Ana Almeida, Céu Leitão, Edna Varandas, Renato Abreu, Fernando Bellém</p>
<p>P66 Body image dissatisfaction in inflammatory bowel disease: exploring the role of chronic illness-related shame</p>
<p>Inês A. Trindade, Cláudia Ferreira, José Pinto-Gouveia, Joana Marta-Simões</p>
<p>P67 Obesity and sleep in the adult population - a systematic review</p>
<p>Odete Amaral, Cristiana Miranda, Pedro Guimarães, Rodrigo Gonçalves, Nélio Veiga, Carlos Pereira</p>
<p>P68 Frequency of daytime sleepiness and obstructive sleep apnea risk in COPD patients</p>
<p>Tânia C. Fleig, Elisabete A. San-Martin, Cássia L. Goulart, Paloma B. Schneiders, Natacha F. Miranda, Lisiane L. Carvalho, Andrea G. Silva</p>
<p>P69 Working with immigrant-origin clients: discourses and practices of health professionals</p>
<p>Joana Topa, Conceição Nogueira, Sofia Neves</p>
<p>P70 Systemic Lupus Erythematosus – what are audiovestibular changes?</p>
<p>Rita Ventura, Cristina Nazaré</p>
<p>P71 Mental disorders in the oldest old: findings from the Portuguese national hospitalization database</p>
<p>Daniela Brandão, Alberto Freitas, Óscar Ribeiro, Constança Paúl</p>
<p>P72 Recurrence analysis in postural control in children with cerebral palsy</p>
<p>Cristiana Mercê, Marco Branco, Pedro Almeida, Daniela Nascimento, Juliana Pereira, David Catela</p>
<p>P73 The experience of self-care in the elderly with COPD: contributions to reflect proximity care</p>
<p>Helga Rafael</p>
<p>P74 Culturally competent nurses: managing unpredictability in clinical practice with immigrants</p>
<p>Alcinda C. Reis</p>
<p>O137 Paediatric speech and language screening: An instrument for health professionals</p>
<p>Ana Mendes, Ana R. Valente, Marisa Lousada</p>
<p>O138 Anthropometric and nutritional assessment in bodybuilders</p>
<p>Diana Sousa, Ana L. Baltazar, Mª Helena Loureiro</p>
<p>O139 Computerized adventitious respiratory sounds in children with lower respiratory tract infections</p>
<p>Ana Oliveira, José Aparício, Alda Marques</p>
<p>O140 Role of computerized respiratory sounds as a marker in LRTI</p>
<p>Alda Marques, Ana Oliveira, Joana Neves, Rodrigo Ayoub</p>
<p>O141 Confirmatory factor analysis of the Personal Wellbeing Index in people with chronic kidney disease</p>
<p>Luís Sousa, Cristina Marques-Vieira, Sandy Severino, Helena José</p>
<p>O142 Phonological awareness skills in school aged children</p>
<p>Inês Cadorio, Marisa Lousada</p>
<p>O143 Assessment of early memories of warmth and safeness in interaction with peers: its relationship with psychopathology in adolescence</p>
<p>Marina Cunha, Diogo Andrade, Ana Galhardo, Margarida Couto</p>
<p>O144 The molecular effects induced by single shot irradiation on a diffuse large B cell lymphoma cell line</p>
<p>Fernando Mendes, Cátia Domingues, Susann Schukg, Ana M. Abrantes, Ana C. Gonçalves, Tiago Sales, Ricardo Teixo, Rita Silva, Jéssica Estrela, Mafalda Laranjo, João Casalta-Lopes, Clara Rocha, Paulo C. Simões, Ana B. Sarmento-Ribeiro, Mª Filomena Botelho, Manuel S. Rosa</p>
<p>O145 Morpho-functional characterization of cardiac chambers by Transthoracic Echocardiography, in young athletes of gymnastics competition</p>
<p>Virgínia Fonseca, Diogo Colaço, Vanessa Neves</p>
<p>O146 Prevalence of the antibodies of the new histo-blood system – FORS system</p>
<p>Carlos Jesus, Camilla Hesse, Clara Rocha, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Lola Svensson, Fernando Mendes, Wafa A. Siba, Cristina Pereira, Jorge Tomaz</p>
<p>O147 Assessment of the war-related perceived threat in Portuguese Colonial War Veterans</p>
<p>Teresa Carvalho, José Pinto-Gouveia, Marina Cunha</p>
<p>O148 Pulse transit time estimation for continuous blood pressure measurement: A comparative study</p>
<p>Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto</p>
<p>O149 Blood pressure assessment during standard clinical manoeuvres: A non-invasive PPT based approach</p>
<p>Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto</p>
<p>O150 Development and initial validation of the Activities and Participation Profile related to Mobility (APPM)</p>
<p>Anabela C. Martins</p>
<p>O151 MEASYCare-2010 Standard–A geriatric evaluation system in primary health care: Reliability and validity of the latest version in Portugal</p>
<p>Piedade Brandão, Laura Martins, Margarida Cardoso</p>
<p>O152 Interrater and intrarater reliability and agreement of the range of shoulder flexion in the standing upright position through photographic assessment</p>
<p>Nuno Morais, Joana Cruz</p>
<p>O153 Three-dimensional biofabrication techniques for tissue regeneration</p>
<p>Nuno Alves, Paula Faria, Artur Mateus, Pedro Morouço</p>
<p>O154 A new computer tool for biofabrication applied to tissue engineering</p>
<p>Nuno Alves, Nelson Ferreira, Artur Mateus, Paula Faria, Pedro Morouço</p>
<p>O155 Development and psychometric qualities of a scale to measure the functional independence of adolescents with motor impairment</p>
<p>Isabel Malheiro, Filomena Gaspar, Luísa Barros</p>
<p>O156 Organizational Trust in Health services: Exploratory and Confirmatory factor analysis of the Organizational Trust Inventory- Short Form (OTI-SF)</p>
<p>Pedro Parreira, Andreia Cardoso, Lisete Mónico, Carla Carvalho, Albino Lopes, Anabela Salgueiro-Oliveira</p>
<p>O157 Thermal symmetry: An indicator of occupational task asymmetries in physiotherapy</p>
<p>Adérito Seixas, Valter Soares, Tiago Dias, Ricardo Vardasca, Joaquim Gabriel, Sandra Rodrigues</p>
<p>O158 A study of ICT active monitoring adoption in stroke rehabilitation</p>
<p>Hugo Paredes, Arsénio Reis, Sara Marinho, Vítor Filipe, João Barroso</p>
<p>O159 Paranoia Checklist (Portuguese Version): Preliminary studies in a mixed sample of patients and healthy controls</p>
<p>Carolina Da Motta, Célia B. Carvalho, José Pinto-Gouveia, Ermelindo Peixoto</p>
<p>O160 Reliability and validity of the Composite Scale on Morningness: European Portuguese version, in adolescents and young adults</p>
<p>Ana A. Gomes, Vanessa Costa, Diana Couto, Daniel R. Marques, José A. Leitão, José Tavares, Maria H. Azevedo, Carlos F. Silva</p>
<p>O161 Evaluation scale of patient satisfaction with nursing care: Psychometric properties evaluation</p>
<p>João Freitas, Pedro Parreira, João Marôco</p>
<p>O162 Impact of fibromyalgia on quality of life: Comparing results from generic instruments and FIQR</p>
<p>Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Gang Chen, Angelo Iezzi, José A. Sala, José A. Parraça, Narcis Gusi</p>
<p>O163 Preliminary study of the adaptation and validation of the Rating Scale of Resilient Self: Resilience, self-harm and suicidal ideation in adolescents</p>
<p>Jani Sousa, Mariana Marques, Jacinto Jardim, Anabela Pereira, Sónia Simões, Marina Cunha</p>
<p>O164 Development of the first pressure ulcer in inpatient setting: Focus on length of stay</p>
<p>Pedro Sardo, Jenifer Guedes, João Lindo, Paulo Machado, Elsa Melo</p>
<p>O165 Forms of Self-Criticizing and Self-Reassuring Scale: Adaptation and early findings in a sample of Portuguese children</p>
<p>Célia B. Carvalho, Joana Benevides, Marina Sousa, Joana Cabral, Carolina Da Motta</p>
<p>O166 Predictive ability of the Perinatal Depression Screening and Prevention Tool – Preliminary results of the dimensional approach</p>
<p>Ana T. Pereira, Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Rosa Carvalho, Mariana Marques, António Macedo</p>
<p>O167 Psychometric properties of the BaSIQS-Basic Scale on insomnia symptoms and quality of sleep, in adults and in the elderly</p>
<p>Ana M. Silva, Juliana Alves, Ana A. Gomes, Daniel R. Marques, Mª Helena Azevedo, Carlos Silva</p>
<p>O168 Enlightening the human decision in health: The skin melanocytic classification challenge</p>
<p>Ana Mendes, Huei D. Lee, Newton Spolaôr, Jefferson T. Oliva, Wu F. Chung, Rui Fonseca-Pinto</p>
<p>O169 Test-retest reliability household life study and health questionnaire Pomerode (SHIP-BRAZIL)</p>
<p>Keila Bairros, Cláudia D. Silva, Clóvis A. Souza, Silvana S. Schroeder</p>
<p>O170 Characterization of sun exposure behaviours among medical students from Nova Medical School</p>
<p>Elsa Araújo, Helena Monteiro, Ricardo Costa, Sara S. Dias, Jorge Torgal</p>
<p>O171 Spirituality in pregnant women</p>
<p>Carolina G. Henriques, Luísa Santos, Elisa F. Caceiro, Sónia A. Ramalho</p>
<p>O172 Polypharmacy in older patients with cancer</p>
<p>Rita Oliveira, Vera Afreixo, João Santos, Priscilla Mota, Agostinho Cruz, Francisco Pimentel</p>
<p>O173 Quality of life of caregivers of people with advanced chronic disease: Translation and validation of the quality of life in life threatening illness - family carer version (QOLLTI-C-PT)</p>
<p>Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa</p>
<p>O174 The psychometric properties of the brief Other as Shamer Scale for Children (OAS-C): preliminary validation studies in a sample of Portuguese children</p>
<p>Joana Benevides, Carolina Da Motta, Marina Sousa, Suzana N. Caldeira, Célia B. Carvalho</p>
<p>O175 Measuring emotional intelligence in health care students – Revalidation of WLEIS-P</p>
<p>Ana Querido, Catarina Tomás, Daniel Carvalho, João Gomes, Marina Cordeiro</p>
<p>O176 Health indicators in prenatal assistance: The impact of computerization and of under-production in basic health centres</p>
<p>Joyce O. Costa, Frederico C. Valim, Lígia C. Ribeiro</p>
<p>O177 Hope genogram: Assessment of resources and interaction patterns in the family of the child with cerebral palsy</p>
<p>Zaida Charepe, Ana Querido, Mª Henriqueta Figueiredo</p>
<p>O178 The influence of childbirth type in postpartum quality of life</p>
<p>Priscila S. Aquino, Samila G. Ribeiro, Ana B. Pinheiro, Paula A. Lessa, Mirna F. Oliveira, Luísa S. Brito, Ítalo N. Pinto, Alessandra S. Furtado, Régia B. Castro, Caroline Q. Aquino, Eveliny S. Martins</p>
<p>O179 Women’s beliefs about pap smear test and cervical cancer: influence of social determinants</p>
<p>Ana B Pinheiro, Priscila S. Aquino, Lara L. Oliveira, Patrícia C. Pinheiro, Caroline R. Sousa, Vívien A. Freitas, Tatiane M. Silva, Adman S. Lima, Caroline Q. Aquino, Karizia V. Andrade, Camila A. Oliveira, Eglidia F. Vidal</p>
<p>O180 Validity of the Portuguese version of the ASI-3: Is anxiety sensitivity a unidimensional or multidimensional construct?</p>
<p>Ana Ganho-Ávila, Mariana Moura-Ramos, Óscar Gonçalves, Jorge Almeida</p>
<p>O181 Lifestyles of higher education students: the influence of self-esteem and psychological well-being</p>
<p>Armando Silva, Irma Brito, João Amado</p>
<p>P75 Assessing the quality of life of persons with significant intellectual disability: Portuguese version of Escala de San Martín</p>
<p>António Rodrigo, Sofia Santos, Fernando Gomes</p>
<p>P76 Childhood obesity and breastfeeding - A systematic review</p>
<p>Marlene C. Rosa, Silvana F. Marques</p>
<p>P77 Cross-cultural adaptation of the Foot and Ankle Ability Measure (FAAM) for the Portuguese population</p>
<p>Sara Luís, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves</p>
<p>P78 Cross-cultural adaptation of the Patient-Rated Wrist Evaluation score (PRWE) for the Portuguese population</p>
<p>Rui S. Lopes, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves</p>
<p>P79 Cross-cultural adaptation of the Myocardial Infraction Dimensional Assessment Scale (MIDAS) for Brazilian Portuguese language</p>
<p>Bruno H. Fiorin, Marina S. Santos, Edmar S. Oliveira, Rita L. Moreira, Elizabete A. Oliveira, Braulio L. Filho</p>
<p>P80 The revised Portuguese version of the Three-Factor Eating Questionnaire: A confirmatory factor analysis</p>
<p>Lara Palmeira, Teresa Garcia, José Pinto-Gouveia, Marina Cunha</p>
<p>P81 Assessing weight-related psychological inflexibility: An exploratory factor analysis of the AAQW’s Portuguese version</p>
<p>Sara Cardoso, Lara Palmeira, Marina Cunha; José Pinto-Gouveia</p>
<p>P82 Validation of the Body Appreciation Scale-2 for Portuguese women</p>
<p>Joana Marta-Simões, Ana L. Mendes, Inês A. Trindade, Sara Oliveira, Cláudia Ferreira</p>
<p>P83 The Portuguese validation of the Dietary Intent Scale</p>
<p>Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira</p>
<p>P84 Construction and validation of the Inventory of Marital Violence (IVC)</p>
<p>Filipe Nave</p>
<p>P85 Portable continuous blood pressure monitor system</p>
<p>Mariana Campos, Iris Gaudêncio, Fernando Martins, Lino Ferreira, Nuno Lopes, Rui Fonseca-Pinto</p>
<p>P86 Construction and validation of the Scale of Perception of the Difficulties in Caring for the Elderly (SPDCE)</p>
<p>Rogério Rodrigues, Zaida Azeredo, Corália Vicente</p>
<p>P87 Development and validation of a comfort rating scale for the elderly hospitalized with chronic illness</p>
<p>Joana Silva, Patrícia Sousa, Rita Marques</p>
<p>P88 Construction and validation of the Postpartum Paternal Quality of Life Questionnaire (PP-QOL)</p>
<p>Isabel Mendes, Rogério Rodrigues, Zaida Azeredo, Corália Vicente</p>
<p>P89 Infrared thermal imaging: A tool for assessing diabetic foot ulcers</p>
<p>Ricardo Vardasca, Ana R. Marques, Adérito Seixas, Rui Carvalho, Joaquim Gabriel</p>
<p>P90 Pressure ulcers in an intensive care unit: An experience report</p>
<p>Paulo P. Ferreira, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira, Pablo O. Costa, Maiza M. Silva</p>
<p>P91 Validation of figures used in evocations: instrument to capture representations</p>
<p>Cristina Arreguy-Sena, Nathália Alvarenga-Martins, Paulo F. Pinto, Denize C. Oliveira, Pedro D. Parreira, Antônio T. Gomes, Luciene M. Braga</p>
<p>P92 Telephone assistance to decrease burden in informal caregivers of stroke older people: Monitoring and diagnostic evaluation</p>
<p>Odete Araújo, Isabel Lage, José Cabrita, Laetitia Teixeira</p>
<p>P93 Hope of informal caregivers of people with chronic and advanced disease</p>
<p>Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa</p>
<p>P94 Functionality and quality information from the Portuguese National Epidemiological Surveillance System</p>
<p>Sara Silva, Eugénio Cordeiro, João Pimentel</p>
<p>P95 Resting metabolic rate objectively measured vs. Harris and Benedict formula</p>
<p>Vera Ferro-Lebres, Juliana A. Souza, Mariline Tavares</p>
<p>O182 Characteristics of non-urgent patients: Cross-sectional study of an emergency department</p>
<p>Mª Anjos Dixe, Pedro Sousa, Rui Passadouro, Teresa Peralta, Carlos Ferreira, Georgina Lourenço</p>
<p>O183 Physical fitness and health in children of the 1st Cycle of Education</p>
<p>João Serrano, João Petrica, Rui Paulo, Samuel Honório, Pedro Mendes</p>
<p>O184 The impact of physical activity on sleep quality, in children</p>
<p>Alexandra Simões, Lucinda Carvalho, Alexandre Pereira</p>
<p>O185 What is the potential for using Information and Communication Technologies in Arterial Hypertension self-management?</p>
<p>Sara Silva, Paulino Sousa, José M. Padilha</p>
<p>O186 Exploring psychosocial factors associated with risk of falling in older patients undergoing haemodialysis</p>
<p>Daniela Figueiredo, Carolina Valente, Alda Marques</p>
<p>O187 Development of pressure ulcers on the face in patients undergoing non-invasive ventilation</p>
<p>Patrícia Ribas, Joana Sousa, Frederico Brandão, Cesar Sousa, Matilde Martins</p>
<p>O188 The elder hospitalized: Limiting factors of comfort</p>
<p>Patrícia Sousa, Rita Marques</p>
<p>O189 Physical activity and health state self-perception by Portuguese adults</p>
<p>Francisco Mendes, Rosina Fernandes, Emília Martins, Cátia Magalhães, Patrícia Araújo</p>
<p>O190 Satisfaction with social support in the elderly of the district of Bragança</p>
<p>Carla Grande, Mª Augusta Mata, Juan G. Vieitez</p>
<p>O191 Prevalence of death by traumatic brain injury and associated factors in intensive care unit of a general hospital, Brazil</p>
<p>Bruna Bianchini, Nazare Nazario, João G. Filho, Marcia Kretzer</p>
<p>O192 Relation between family caregivers burden and health status of elderly dependents</p>
<p>Tânia Costa, Armando Almeida, Gabriel Baffour</p>
<p>O193 Phenomena sensitive to nursing care in day centre</p>
<p>Armando Almeida, Tânia Costa, Gabriel Baffour</p>
<p>O194 Frailty: what do the elderly think?</p>
<p>Zaida Azeredo, Carlos Laranjeira, Magda Guerra, Ana P. Barbeiro</p>
<p>O195 The therapeutic self-care as a nursing-sensitive outcome: A correlational study</p>
<p>Regina Ferreira</p>
<p>O196 Phonetic-phonological acquisition for the European Portuguese from 18 months to 6 years and 12 months</p>
<p>Sara Lopes, Liliana Nunes, Ana Mendes</p>
<p>O197 Quality of life of patients undergoing liver transplant surgery</p>
<p>Julian Martins, Dulcineia Schneider, Marcia Kretzer, Flávio Magajewski</p>
<p>O198 Professional competences in health: views of older people from different European Countries</p>
<p>Célia Soares, António Marques</p>
<p>O199 Life satisfaction of working adults due to the number of hours of weekly exercise</p>
<p>Marco Batista, Ruth J. Castuera, Helena Mesquita, António Faustino, Jorge Santos, Samuel Honório</p>
<p>O200 Therapeutic itinerary of women with breast cancer in Santa Maria City/RS</p>
<p>Betina P. Vizzotto, Leticia Frigo, Hedioneia F. Pivetta</p>
<p>O201 The breastfeeding prevalence at 4 months: Maternal experience as a determining factor</p>
<p>Dolores Sardo</p>
<p>O202 The impact of the transition to parenthood in health and well-being</p>
<p>Cristina Martins, Wilson Abreu, Mª Céu Figueiredo</p>
<p>P96 Self-determined motivation and well-being in Portuguese active adults of both genders</p>
<p>Marco Batista, Ruth Jimenez-Castuera, João Petrica, João Serrano, Samuel Honório, Rui Paulo, Pedro Mendes</p>
<p>P97 The geriatric care: ways and means of comforting</p>
<p>Patrícia Sousa, Rita Marques</p>
<p>P98 The influence of relative age, subcutaneous adiposity and physical growth on Castelo Branco under-15 soccer players 2015</p>
<p>António Faustino, Paulo Silveira, João Serrano, Rui Paulo, Pedro Mendes, Samuel Honório</p>
<p>P99 Data for the diagnostic process focused on self-care – managing medication regime: An integrative literature review</p>
<p>Catarina Oliveira, Fernanda Bastos, Inês Cruz</p>
<p>P100 Art therapy as mental health promotion for children</p>
<p>Cláudia K. Rodriguez, Márcia R. Kretzer, Nazaré O. Nazário</p>
<p>P101 Chemical characterization of fungal chitosan for industrial applications</p>
<p>Pedro Cruz, Daniela C. Vaz, Rui B. Ruben, Francisco Avelelas, Susana Silva, Mª Jorge Campos</p>
<p>P102 The impact of caring older people at home</p>
<p>Maria Almeida, Liliana Gonçalves, Lígia Antunes</p>
<p>P103 Development of the first pressure ulcer in an inpatient setting: Focus on patients’ characteristics</p>
<p>Pedro Sardo, Jenifer Guedes, João Simões, Paulo Machado, Elsa Melo</p>
<p>P104 Association between General Self-efficacy and Physical Activity among Adolescents</p>
<p>Susana Cardoso, Osvaldo Santos, Carla Nunes, Isabel Loureiro</p>
<p>O203 Characterization of the habits of online acquisition of medicinal products in Portugal</p>
<p>Flávia Santos, Gilberto Alves</p>
<p>O204 Waiting room – A space for health education</p>
<p>Cláudia Soar, Teresa O. Marsi</p>
<p>O205 Safey culture evaluation in hospitalized children</p>
<p>Ernestina Silva, Dora Pedrosa, Andrea Leça, Daniel Silva</p>
<p>O206 Sexual Self-awareness and Body Image</p>
<p>Ana Galvão, Maria Gomes, Paula Fernandes, Ana Noné</p>
<p>O207 Perception of a Portuguese population regarding the acquisition and consumption of functional foods</p>
<p>Jaime Combadão, Cátia Ramalhete, Paulo Figueiredo, Patrícia Caeiro</p>
<p>O208 The work process in primary health care: evaluation in municipalities of southern Brazil</p>
<p>Karine C. Fontana, Josimari T. Lacerda, Patrícia O. Machado</p>
<p>O209 Exploration and evaluation of potential probiotic lactic acid bacteria isolated from Amazon buffalo milk</p>
<p>Raphaelle Borges, Flávio Barbosa, Dayse Sá</p>
<p>O210 Road safety for children: Using children’s observation, as a passenger</p>
<p>Germana Brunhoso, Graça Aparício, Amâncio Carvalho</p>
<p>O211 Perception and application of quality-by-design by the Pharmaceutical industry in Portugal</p>
<p>Ana P. Garcia, Paula O. Fernandes, Adriana Santos</p>
<p>O212 Oral health among Portuguese children and adolescents: a public health issue</p>
<p>Nélio Veiga, Carina Brás, Inês Carvalho, Joana Batalha, Margarida Glória, Filipa Bexiga, Inês Coelho, Odete Amaral, Carlos Pereira</p>
<p>O213 Plant species as a medicinal resource in Igatu-Chapada Diamantina (Bahia, Brazil)</p>
<p>Cláudia Pinho, Nilson Paraíso, Ana I. Oliveira, Cristóvão F. Lima, Alberto P. Dias</p>
<p>O214 Characterization of cognitive and functional performance in everyday tasks: Implications for health in institutionalised older adults</p>
<p>Pedro Silva, Mário Espada, Mário Marques, Ana Pereira</p>
<p>O215 BMI and the perception of the importance given to sexuality in obese and overweight people</p>
<p>Ana Mª Pereira, Mª Veiga-Branco, Filomena Pereira, Maria Ribeiro</p>
<p>O216 Analysis and comparison of microbiological contaminations of two different composition pacifiers</p>
<p>Vera Lima, Ana I. Oliveira, Cláudia Pinho, Graça Cruz, Rita F. Oliveira, Luísa Barreiros, Fernando Moreira</p>
<p>O217 Experiences of couple relationships in the transition to retirement</p>
<p>Ana Camarneiro, Mª Helena Loureiro, Margarida Silva</p>
<p>O218 Preventive and corrective treatment of drug-induced calcium deficiency: an analysis in a community pharmacy setting</p>
<p>Catarina Duarte, Ângelo Jesus, Agostinho Cruz</p>
<p>O219 Profile of mood states in physically active elderly subjects: Is there a relation with health perception?</p>
<p>Maria Mota, Sandra Novais, Paulo Nogueira, Ana Pereira, Lara Carneiro, Paulo V. João</p>
<p>O220 (Un)Safety behaviour at work: the role of education towards a health and safety culture</p>
<p>Teresa Maneca Lima</p>
<p>O221 Analysis of the entrepreneurial profile of students attending higher education in Portugal: the Carland Entrepreneurship Index application</p>
<p>Anabela Salgueiro-Oliveira, Marina Vaquinhas, Pedro Parreira, Rosa Melo, João Graveto, Amélia Castilho, José H. Gomes</p>
<p>O222 Evaluation of welfare and quality of life of pregnant working women regarding the age of the pregnant</p>
<p>María S. Medina, Valeriana G. Blanco</p>
<p>O223 Psychological wellbeing protection among unemployed and temporary workers: Uncovering effective community-based interventions with a Delphi panel</p>
<p>Osvaldo Santos, Elisa Lopes, Ana Virgolino, Alexandra Dinis, Sara Ambrósio, Inês Almeida, Tatiana Marques, Mª João Heitor</p>
<p>O224 Chilean population norms derived from the Health-related quality of life SF-6D</p>
<p>Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Pedro R. Olivares, José A. Parraça, José A. Sala</p>
<p>O225 Motivation of college students toward Entrepreneurship: The influence of social and economic instability</p>
<p>Amélia Castilho, João Graveto, Pedro Parreira, Anabela Oliveira, José H. Gomes, Rosa Melo, Marina Vaquinhas</p>
<p>O226 Use of aromatic and medicinal plants, drugs and herbal products in Bragança city</p>
<p>Mónia Cheio, Agostinho Cruz, Olívia R. Pereira</p>
<p>O227 Edible flowers as new novel foods concept for health promotion</p>
<p>Sara Pinto, Adriana Oliveira, M. Conceição Manso, Carla Sousa, Ana F. Vinha</p>
<p>O228 The influence of leisure activities on the health and welfare of older people living in nursing homes</p>
<p>Mª Manuela Machado, Margarida Vieira</p>
<p>O229 Risk of falling, fear of falling and functionality in community-dwelling older adults</p>
<p>Beatriz Fernandes, Teresa Tomás, Diogo Quirino</p>
<p>O230 Musculoskeletal pain and postural habits in children and teenage students</p>
<p>Gustavo Desouzart, Rui Matos, Magali Bordini, Pedro Mouroço</p>
<p>O231 What's different in Southern Europe? The question of citizens’ participation in health systems</p>
<p>Ana R. Matos, Mauro Serapioni</p>
<p>O232 Occupational stress in Portuguese police officers</p>
<p>Teresa Guimarães, Virgínia Fonseca, André Costa, João Ribeiro, João Lobato</p>
<p>O233 Is occupational therapy culturally relevant to promote mental health in Burkina Faso?</p>
<p>Inmaculada Z. Martin, Anita Björklund</p>
<p>P105 Pay-for-performance satisfaction and quality in primary care</p>
<p>Aida I. Tavares, Pedro Ferreira, Rui Passadouro</p>
<p>P106 Economic development through life expectancy lenses</p>
<p>Sónia Morgado</p>
<p>P107 What is the effectiveness of exercise on smoking cessation to prevent clinical complications of smoking?</p>
<p>Nuno Tavares, João Valente, Anabela C. Martins</p>
<p>P108 A systematic review of the effects of yoga on mental health</p>
<p>Patrícia Araújo, Rosina Fernandes, Francisco Mendes, Cátia Magalhães, Emília Martins</p>
<p>P109 Healthy lifestyle: comparison between higher education students that lived until adult age in rural and urban environment</p>
<p>Pedro Mendes, Rui Paulo, António Faustino, Helena Mesquita, Samuel Honório, Marco Batista</p>
<p>P110 Evaluation of the Mobile Emergency Care Service (SAMU) in Brazil</p>
<p>Josimari T. Lacerda, Angela B. Ortiga, Mª Cristina Calvo, Sônia Natal</p>
<p>P111 Bioactive compounds - antioxidant activity of tropical fruits</p>
<p>Marta Pereira</p>
<p>P112 Use of non-pharmacological methods to relieve pain in labour</p>
<p>Manuela Ferreira, Ana R. Prata, Paula Nelas, João Duarte</p>
<p>P113 Mechanical safety of pacifiers sold in Portuguese pharmacies and childcare stores</p>
<p>Juliana Carneiro, Ana I. Oliveira, Cláudia Pinho, Cristina Couto, Rita F. Oliveira, Fernando Moreira</p>
<p>P114 The importance of prenatal consultation: Information to pregnant women given on a unit of primary care</p>
<p>Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Géssica M. Souza, Lívia F. Almada, Milena A. Conceição, Eujcely C. Santiago</p>
<p>P115 Influence of different backpack loading conditions on neck and lumbar muscles activity of elementary school children</p>
<p>Sandra Rodrigues, Gabriela Domingues, Irina Ferreira, Luís Faria, Adérito Seixas</p>
<p>P116 Efficacy and safety of dry extract Hedera helix in the treatment of productive cough</p>
<p>Ana R. Costa, Ângelo Jesus, Américo Cardoso, Alexandra Meireles, Armanda Colaço, Agostinho Cruz</p>
<p>P117 A portrait of the evaluation processes of education groups in primary health care</p>
<p>Viviane L. Vieira, Kellem R. Vincha, Ana Mª Cervato-Mancuso</p>
<p>P118 Benefits of vitamins C and E in sensorineural hearing loss: a review</p>
<p>Melissa Faria, Cláudia Reis</p>
<p>P119 BODY SNAPSHOT – a web-integrated anthropometric evaluation system</p>
<p>Marco P. Cova, Rita T. Ascenso, Henrique A. Almeida, Eunice G. Oliveira</p>
<p>P120 Anthropometric evaluation and variation during pregnancy</p>
<p>Miguel Santana, Rafael Pereira, Eunice G. Oliveira, Henrique A. Almeida, Rita T. Ascenso</p>
<p>P121 Knowledge of college students on the amendments of their eating habits and physical activity index in the transition to higher education</p>
<p>Rita Jesus, Rodrigo Tapadas, Carolina Tim-Tim, Catarina Cezanne, Matilde Lagoa, Sara S. Dias, Jorge Torgal</p>
<p>P122 Muscular activity of a rally race car driver</p>
<p>João Lopes, Henrique Almeida, Sandra Amado, Luís Carrão</p>
<p>O234 Literacy and results in health</p>
<p>Madalena Cunha, Luís Saboga-Nunes, Carlos Albuquerque, Olivério Ribeiro</p>
<p>O235 Literacy promotion and empowerment of type 2 diabetics elderly in four family health units of the group of health centers of Dão Lafões</p>
<p>Suzete Oliveira, Mª Carminda Morais</p>
<p>O236 Mediterranean diet, health and life quality among Portuguese children</p>
<p>Emília Martins, Francisco Mendes, Rosina Fernandes, Cátia Magalhães, Patrícia Araújo</p>
<p>O237 Health literacy, from data to action - translation, validation and application of the European Health Literacy Survey in Portugal (HLS-EU-PT)</p>
<p>Ana R. Pedro, Odete Amaral, Ana Escoval</p>
<p>O238 Oral health literacy evaluation in a Portuguese military population</p>
<p>Victor Assunção, Henrique Luís, Luís Luís</p>
<p>O239 Preferences to Internet-based cognitive behavioural therapy – do attachment orientations matter?</p>
<p>Jennifer Apolinário-Hagen, Viktor Vehreschild</p>
<p>O240 A comparative transnational study in health literacy between Austria and Portugal</p>
<p>Ulrike Fotschl, Gerald Lirk, Anabela C. Martins, Isabel Andrade, Fernando Mendes</p>
<p>O241 Health literacy and social behaviours: relationship with sexually transmitted diseases?</p>
<p>Verónica Mendonça, Sandra Antunes, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes</p>
<p>O242 Parenting styles and attachment to parents: what relationships?</p>
<p>Paula A. Silva, Lisete M. Mónico, Pedro M. Parreira, Carla Carvalho</p>
<p>O243 Work-life balance in health professionals and professors: comparative study of workers with shift work and fixed schedule</p>
<p>Carla Carvalho, Pedro M. Parreira, Lisete M. Mónico, Joana Ruivo</p>
<p>O244 Technology literacy in self-management of diabetes</p>
<p>Vânia Silva, Paulino Sousa, José M. Padilha</p>
<p>O245 Satisfaction with therapeutic education and its relationship with clinical variables in children with type 1 diabetes</p>
<p>Vera Ferraz, Graça Aparício, João Duarte</p>
<p>O246 Nutrition-related knowledge in middle-age and older patients with type 2 diabetes</p>
<p>Carlos Vasconcelos, António Almeida, Joel Neves, Telma Correia, Helena Amorim, Romeu Mendes</p>
<p>O247 Validating the HLS-EU-(PT) questionnaire to measure health literacy in adolescents (CrAdLiSa project: HLS-EU-PT)</p>
<p>Luís Saboga-Nunes, Madalena Cunha, Carlos Albuquerque</p>
<p>O248 Health education in people with coronary heart disease: Experience of the cardiology department of a hospital on the outskirts of Lisbon</p>
<p>Elsa S. Pereira, Leonino S. Santos, Ana S. Reis, Helena R. Silva, João Rombo, Jorge C. Fernandes, Patrícia Fernandes</p>
<p>O249 Information and training needs of informal caregivers of individuals with stroke sequelae: a qualitative survey</p>
<p>Jaime Ribeiro, Catarina Mangas, Ana Freire</p>
<p>O250 Prevention of psychoactive substances consumption in students from 6th grade of Albergaria-a-Velha´s School Group</p>
<p>Sara Silva, Irene Francisco, Ana Oliveira</p>
<p>O251 Promoting healthy sexuality: shared responsibility for family, youth and educators</p>
<p>Helena Catarino, Mª Anjos Dixe, Mª Clarisse Louro</p>
<p>O252 Sexual risk behaviour in adolescents and young people</p>
<p>Saudade Lopes, Anjos Dixe</p>
<p>O253 Knowledge of school staff on type 1 diabetes</p>
<p>Mª Anjos Dixe, Eva Menino, Helena Catarino, Fátima Soares, Ana P. Oliveira, Sara Gordo, Teresa Kraus</p>
<p>O254 Sexual health in adolescents: the impact of information search in literacy</p>
<p>Catarina Tomás, Paulo Queirós, Teresa Rodrigues</p>
<p>P123 Improving basic life support skills in adolescents through a training programme</p>
<p>Pedro Sousa, João G. Frade, Catarina Lobão</p>
<p>P124 Difficulties in sexual education reported by basic education teachers in the city of Foz do Iguaçu - Brazil</p>
<p>Cynthia B. Moura, Laysa C. Dreyer, Vanize Meneghetti, Priscila P. Cabral</p>
<p>P125 Breast cancer survivors: subjects and resources for information. A qualitative systematic review</p>
<p>Francisca Pinto, Paulino Sousa, Mª Raquel Esteves</p>
<p>P126 Relationship between health literacy and prevalence of STI in Biomedical Laboratory Science students</p>
<p>Sofia Galvão, Ite Tytgat, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes</p>
<p>P127 Health literacy, risk behaviours and sexually transmitted diseases among blood donors</p>
<p>Mónica Casas-Novas, Helena Bernardo, Isabel Andrade, Gracinda Sousa, Ana P. Sousa, Clara Rocha, Pedro Belo, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes</p>
<p>P128 Promoting literacy in pregnancy health-care</p>
<p>Fátima Martins, Montserrat Pulido-Fuentes</p>
<p>P129 The lifestyles of the operating assistants of education</p>
<p>Isabel Barroso, Gil Cabral, M. João Monteiro, Conceição Rainho</p>
<p>P130 Experiences of service-learning health and the literary art: reflections about the health education</p>
<p>Alessandro Prado, Yara M. Carvalho</p>
<p>P131 Life long swimming – a European Erasmus + project</p>
<p>Maria Campos, Liliana Moreira, José Ferreira, Ana Teixeira, Luís Rama</p>
</abstract>
<conference><conf-name>3rd IPLeiria International Health Congress: Health, demographic changes and well-being</conf-name>
<conf-loc>Leiria, Portugal</conf-loc>
<conf-date>6-7 May 2016</conf-date>
<string-conf><uri>http://health.ipleiria.pt/</uri>
</string-conf>
</conference>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body><sec id="Sec1"><title>Session 1: Citizenship in health</title>
<sec id="Sec2"><title>S1 Health literacy and health education in adolescence</title>
<sec id="Sec3"><title>Catarina Cardoso Tomás</title>
<sec id="Sec4"><title>Health Sciences Research Unit: Nursing, Collegue of College of Health Technology of Coimbra, Coimbra, Portugal</title>
<p>Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2].</p>
<p>Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3].</p>
<p>As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education.</p>
<p>References</p>
<p>1. Borzekowski D. Considering Children and Health Literacy: A Theoretical Approach. Pediatrics. 2009; 124: S282-S288.</p>
<p>2. Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008; 67: 2072-2078.</p>
<p>3. Tomás C. Literacia em Saúde na Adolescência [Doctoral Thesis]. OPorto: Abel Salazar Institute of Biomedical Sciences of Oporto University; 2014.</p>
<p>4. Committee on Health Literacy. Health Literacy: A Prescription To End Confusion. Washington, D. C.: The National Academies Press, 2004.</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec5"><title>Session 2: Evaluation & intervention in health</title>
<sec id="Sec6"><title>S2 The effect of a walking program on the quality of life and well-being of people with schizophrenia</title>
<sec id="Sec7"><title>Emanuel Oliveira<sup>1,2</sup>
, D. Sousa<sup>1</sup>
, M. Uba-Chupel<sup>2</sup>
, G. Furtado<sup>2</sup>
, C. Rocha<sup>3</sup>
, A. Teixeira<sup>2</sup>
, P. Ferreira <sup>2</sup>
</title>
<sec id="Sec8"><title><sup>1</sup>
Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa Isabel, Coimbra, Portugal; <sup>2</sup>
Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal; <sup>3</sup>
Complementary Sciences- INESCC, Coimbra, Portugal</title>
<sec id="Sec9"><title><bold>Correspondence:</bold>
Emanuel Oliveira – Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa Isabel, Coimbra, Portugal</title>
<p>Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and self-perception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD – p = 0.001) and physical components of the psychological tests ([SF-36] physical functioning p < 0.05; [PSPP-SCV] functionality p < 0.05 and SWLS p < 0.05 of people with schizophrenia. The walking program enhances the quality of life and self-perception of the physical domain and physical fitness of people with schizophrenia.</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec10"><title>S3 Diagnosis and innovative treatments - the way to a better medical practice</title>
<sec id="Sec11"><title>Celeste Alves<sup>1,2</sup>
</title>
<sec id="Sec12"><title><sup>1</sup>
CUF Hospitals, Lisbon, Portugal; <sup>2</sup>
Breast Unit, Champalimaud Clinical Center, Lisbon, Portugal</title>
<p>The advancement of technology in diagnostic equipment was the major driving force in the advancement of medical knowledge. In few decades, imaging methods went from two planes conventional radiology to computed tomography in volumetric acquisition and multiplanar reconstruction, with morphological analysis and quantification of densities. With magnetic resonance we are able to perform the analysis of tissue composition and to identify it´s changes in context with each disease. Nowadays, molecular imaging methods enable the correlation of metabolism and diseases. The research and knowledge acquired about the genome and the development of genomics has given to the medical community the opportunity to study genetic alterations linked to a large number of diseases.</p>
<p>New technology allows physicians a better diagnosis of a significant number of syndromes and diseases, has seen in chronic degenerative diseases and in oncological diseases. This big technological progress is responsible for the advancement of personalized medicine and new treatments, taking into account the biological and genetic characteristics of each individual diseases. All the progress made in screening methods has also lead the medical community to a more efficient study of diseases with high prevalence in the general population.</p>
<p>The link between technological advancement seen today and the early diagnosis of a large number of oncological diseases as well as the development of a personalized medicine contributes not only to the well-being of each patient but also to the practice of sustainable medicine.</p>
</sec>
</sec>
</sec>
<sec id="Sec13"><title>S4 Simulation-based learning and how it is a high contribution</title>
<sec id="Sec14"><title>Stefan Gisin (stefan@gisin.net)<sup>1,2</sup>
</title>
<sec id="Sec15"><title><sup>1</sup>
Swiss Centre for Medical Simulation & Swiss Association of Simulation in Healthcare, 4031 Basel, Switzerland; <sup>2</sup>
Basel University Hospital, 4056 Basel, Switzerland</title>
<p>Dr. Stefan Gisin is staff anaesthesiologist at the University Hospital in Basel/Switzerland, deployed in various specialties of anaesthesia (including cardiac, thoracic, neuro, obstetric), he has a special interest in pre-hospital emergency medicine and is flying doctor for the Swiss Helicopter Rescue Service (Rega) and passionate ATLS Course Director.</p>
<p>Stefan Gisin is head of the Swiss Center for Medical Simulation in Basel and implemented a multitude course concepts for pre- and postgraduate simulation-based education, focussing on interdisciplinary and multiprofessional team training. In collaboration with the Swiss Department for Development and Collaboration (DEZA) he is a consultant in several healthcare education projects in Eastern European countries. He serves as faculty for international simulation instructor courses (EuSim, PAEDSIM, InFact) and is on the advisory board of PAEDSIM eV. Stefan Gisin is currently President of SASH (Swiss Association of Simulation in Healthcare) and Vice-President of SESAM (Society in Europe for Simulation applied to Medicine).</p>
</sec>
</sec>
</sec>
<sec id="Sec16"><title>S5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and Príncipe</title>
<sec id="Sec17"><title>Elisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina Silva</title>
<sec id="Sec18"><title>HELPO Association, 2750-318 Cascais, Portugal</title>
<sec id="Sec19"><title><bold>Correspondence:</bold>
Elisabete Catarino (elisabetecatarino@helpo.pt) – HELPO Association, 2750-318 Cascais, Portugal</title>
<p>Ensuring adequate micronutrient status in children is a challenge, particular in developing countries. In São Tomé e Príncipe, the Demographic and Health Survey reveals that more than half (62 %) of children aged between 6 and 59 are anaemic [1]. Documents guiding the Copenhagen Consensus [2] are very clear in demonstrating that without micronutrient status correction there is no full development of human potential, in particular the cognitive capacity [3-5]. It is thus essential that mothers know the consequences to better understand the necessity of a balanced nutrition. Since 2011, WHO [6] has been promoting the use of micronutrient powders (MNP) in countries with elevated anaemia prevalence in children, considering them as a highly recommendable public health measure in fighting this disease. In 2014, home supplementation with micronutrient powders was proposed as a National Nutrition Policy strategy in São Tomé and Príncipe [7].</p>
<p>The objective of this study is to describe families and communities’ reaction to the use of MNPs with emphasis on their acceptance, utilization and promotion. This formative research contributes to adjust MNP messages to the culture and preferences of the target public before the wider distribution of the MNPs.</p>
<p>The results of our study showed a good acceptance and correct utilization of MNP. Regarding an effective communication, participants chose the colour of the package with an image of a saotomean baby/child. The name brand “Vitaferro” was voted as most popular as it is easy to pronounce and relates easily to MNP and to anaemia. Some mothers also suggested a positive message motivating MNP use in the communication materials.</p>
<p><bold>References</bold>
</p>
<p>1. INE, MSAS. Macro I. “Inquérito Demográfico e Sanitário”, São Tomé e Príncipe, IDS STP 2008-2009. Calverton, Maryland, USA; 2010.</p>
<p>2. Hoddinott J, Rosegrant M, Torero M. “Challenge Paper on Hunger and Malnutrition”. Washington DC: Copenhagen Consensus 2012; 2012. Available in: <ext-link ext-link-type="uri" xlink:href="http://www.copenhagenconsensus.com/sites/default/files/hungerandmalnutrition.pdf">http://www.copenhagenconsensus.com/sites/default/files/hungerandmalnutrition.pdf</ext-link>
</p>
<p>3. Adu-Afarwuah S, Lartey A, Brown KH, Zlotkin S, Briend A, Dewey KG. “Home fortification of complementary foods with micronutrient supplements is well accepted and has positive effects on infant iron status in Ghana”. American Journal of Clinical Nutrition. 2008; 87(4):929-38.</p>
<p>4. Bilukha O, Howard C, Wilkinson C, Bamrah S, Husain F. “Effects of multi-micronutrient home fortification on anaemia and growth in Bhutanese refugee children”. Food and Nutrition Bulletin. 2011; 32(3):264-76.</p>
<p>5. De-Regil LM, Suchdev PS, Vist GE, Walleser S, Peña-Rosas JP. “Home fortification of foods with multiple micronutrient powders for health and nutrition in children under two years of age”. Evidence-Based Child Health. 2013; 8(1):112-201.</p>
<p>6. WHO. “Guideline: Use of Multiple Micronutrient Powders for Home Fortification of Foods Consumed by Infants and Children 6-23 Months of Age”. Geneva; 2011.</p>
<p>7. Osei A, Septiari A, Suryantan J, Hossain MM, Chiwile F, Sari M, et al. “Using formative research to inform the design of a home fortification with micronutrient powders (MNP) Programme in Aileu District, Timor-Leste”. Food and nutrition bulletin. 2014; 35(1):68-82.</p>
<p><bold>Keywords</bold>
: Children, micronutrient status, anaemia, micronutrient powders, MNP</p>
</sec>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec20"><title>Session 3: Health policy & health management</title>
<sec id="Sec21"><title>S6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathology</title>
<sec id="Sec22"><title>Débora Franco</title>
<sec id="Sec23"><title>Centro de Linguística, Universidade de Lisboa, Lisboa, Portugal</title>
<p>Clinical practice raises issues pertaining to vocal quality, such as the incidence and prevalence of dysphonia and the relapses in the process of vocal rehabilitation. These issues merit a commitment of critical analysis to improve healthcare quality. The vocal use of each speaker, the existence of bad habits and the presence of other pathologies are factors which compromise vocal health and can lead to dysphonia.</p>
<p>It has been concluded that body composition characteristics can influence the postural adaptations that an individual adopts over time, h an impact on vocal health and glottic dynamics. Fatter individuals will have compromised vital capacity and pneumophonic coordination, increasing the irregularities of vocal vibration and decreasing the vocal intensity. These individuals can develop postural adjustments to improve the efficiency of the respiratory tract. However, a head in hyper-extension will favour jaw descent with an impact on vocal quality. The increase in cervical lordosis will increase the thoracic kyphosis and the kyphotic index, with differences having been observed between normal and dysphonic individuals for these variables.</p>
<p>It is believed that a greater effectiveness of the intervention, reducing the relapses, is possible if body morphology analysis is also included in the evaluation protocols, permitting: (a) an identification of risk factors of vocal pathology; (b) the forwarding to precise diagnostic exams; (c) team planning of treatment; (d) postural intervention to be included in the rehabilitation of dysphonia. Building a culture of safety of the patient is finding our mission as health professionals.</p>
</sec>
</sec>
</sec>
<sec id="Sec24"><title>S7 About wine, fortune cookies and patient experience</title>
<sec id="Sec25"><title>Jesús Alcoba González</title>
<sec id="Sec26"><title>Centro Superior de Estudios Universitarios La Salle, Madrid, Spain</title>
<p>Experience economy is the last segment in the evolution of the market, and it is characterized by the fact that consumers do not acquire goods, products or services, but experiences that they integrate in their biography, and consequently in their identity. Customer Experience, possibly the latest revolution in business thinking along with the digital transformation, seeks the design and management of truly customer-centric experiences. This revolution is spreading across different sectors, among which the health sector should necessarily be considered. This talk covers the fundamental ideas within the concept of customer experience, as well as it provides information and suggestions about how to design and deliver an optimal patient experience.</p>
<p><bold>Keywords:</bold>
Experience economy, customer experience, patient experience, health care, customer centric culture.</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec27"><title>Oral & poster presentations</title>
<sec id="Sec28"><title>Acessibility to Health Care & Determinants of Demand for Health Services</title>
<sec id="Sec29"><title>O1 The psychological impact on the emergency crews after the disaster event on February 20, 2010</title>
<sec id="Sec30"><title>Helena G. Jardim<sup>1</sup>
, Rita Silva<sup>2</sup>
</title>
<sec id="Sec31"><title><sup>1</sup>
Universidade da Madeira, 9000-082 Funchal, Portugal; <sup>2</sup>
Serviço de Saúde da Região Autónoma da Madeira, E.P.E., 9004-514 Funchal, Portugal</title>
<sec id="Sec32"><title><bold>Correspondence:</bold>
Helena G. Jardim (hjardim@uma.pt) – Universidade da Madeira, 9000-082 Funchal, Portugal</title>
<p>Disasters affect emergency teams to varying degrees, causing trauma. The risk factors for mental health can be determined according to the experience of professionals in coping with these situations. The gravity of the situation, as well as the behaviour and response of those present will be different, depending on the extent of the catastrophe, such as the number of deaths, destruction, duration and degree of rapidity of the phenomenon.</p>
<p>The purpose of the study was to assess the psychological impact on emergency crews after the natural disaster of February 20 2010, in the isle of Madeira, Portugal. The professional group was comprised of 405 individuals: firemen (41.7 %), military (32.8 %), police (17.3 %) and health professionals (8.1 %). The assessment tools used were: the list of life events and the peri-traumatic experiences questionnaire, adult version. Ethical issues were considered as well as informed consent.</p>
<p>The average age was 34.5 years, mostly male, married and in residence at the time of the event. The data show that there were significant differences between the profession and the response to the event, as well as in relation to Post Traumatic Stress Disorder (PTSD), this being most evident in the group of firemen and military (p < 0.001; p < 0.001).</p>
<p>The results suggest the vital need for specific training for these professional groups in the field of mental health, aimed at the prevention of psychological disorders.</p>
<p><bold>Keywords</bold>
</p>
<p>Natural Disasters, peritraumatic experiences, post-traumatic Stress Disorder</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec33"><title>O2 Musculoskeletal disorders in midwives</title>
<sec id="Sec34"><title>Cristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. Cardoso</title>
<sec id="Sec35"><title>Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</title>
<sec id="Sec36"><title><bold>Correspondence:</bold>
Cristina L. Baixinho (crbaixinho@esel.pt) – Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The prevalence of musculoskeletal disorders related to work (MDRW) is high in midwives. The risk factors are associated with the physical environment, the nature of the occupation, the parturient, the type of delivery and the new-born. Objective: Identifying the safety practices adopted by the midwives to prevent the MDRW.</p>
<p><bold>Methods</bold>
</p>
<p>Qualitative exploratory study. The inclusion criteria for the 12 participants were, the professional title of the midwives, if they work in childbirth blocks. For results analysis, Bardin’s propose of content analysis was used. The anonymity and confidentiality of the results was guaranteed.</p>
<p><bold>Results</bold>
</p>
<p>Concerns about equipment and materials manipulation as to prevent low back overload in the initial positioning of the parturient and the mobilization of the new-born stood out. Speech analysis revealed difficulty in adopting preventive measures for the expulsive period, because the movement of pronation supination of the upper limbs needed to facilitate the birth is done by increasing muscular tension, making it difficult to maintain alignment and body balance.</p>
<p><bold>Conclusions</bold>
</p>
<p>Participants report difficulties in maintaining the principles of biomechanics especially in the expulsive period caused by the complications in controlling the parturient behaviour.</p>
<p><bold>Keywords</bold>
</p>
<p>Musculoskeletal disorders, midwives, biomechanics</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec37"><title>O3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescence</title>
<sec id="Sec38"><title>Marina Cunha<sup>1</sup>
, Joana Mendes<sup>1</sup>
, Ana Xavier<sup>2</sup>
, Ana Galhardo<sup>1</sup>
, Margarida Couto<sup>1</sup>
</title>
<sec id="Sec39"><title><sup>1</sup>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra, Portugal; <sup>2</sup>
Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, Coimbra, 3001-802, Portugal</title>
<sec id="Sec40"><title><bold>Correspondence:</bold>
Marina Cunha (marina_cunha@ismt.pt) – Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Adverse childhood experiences are not only linked to mental health difficulties but also to the inability to generate positive and affiliative emotions. Individuals from these adverse backgrounds may also fear and avoid compassionate feelings from others and being compassionate for others and for themselves. Objective: This study aims to test whether the impact of early negative memories in childhood on psychological difficulties is mediated by fears of compassion (for others, from others and for self).</p>
<p><bold>Methods</bold>
</p>
<p>The sample consists of 178 adolescents with ages between 12 and 18 years old (M = 15.53, SD = 1.96) from middle and secondary schools in the central region of Portugal. Participants answered the following self-report questionnaires: The Early Life Experiences Scale; the Fears of Compassion Scales; and the Strengths and Difficulties Questionnaire.</p>
<p><bold>Results</bold>
</p>
<p>Results from Path Analysis showed that the full model accounted for 36 % of the psychological difficulties among adolescents. The recall of threatening, subordination and devaluation experiences in childhood with parents had a direct impact on psychological difficulties. These early adverse experiences also had an indirect effect in psychological difficulties through both fears of compassion from others and for self. A multi-group analysis for gender was tested and the meditational model was equivalent for both genders.</p>
<p><bold>Conclusions</bold>
</p>
<p>These findings suggest that addressing adverse emotional memories in childhood and fears of compassion (in others and self-to-self relationships) may be a valuable approach for preventive and intervention actions in order to promote psychological adjustment in youths.</p>
<p><bold>Keywords</bold>
</p>
<p>Adolescence, psychological difficulties, negative emotional memories, fear of compassion, Path analysis</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec41"><title>O4 Optimal age to give the first dose of measles vaccine in Portugal</title>
<sec id="Sec42"><title>João G. Frade<sup>1</sup>
, Carla Nunes<sup>2</sup>
, João R. Mesquita<sup>3</sup>
, Maria S. Nascimento<sup>4</sup>
, Guilherme Gonçalves<sup>5</sup>
</title>
<sec id="Sec43"><title><sup>1</sup>
Escola Superior de Saúde de Leiria & Unidade de Investigação em Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
National School of Public Health & Centro de Investigação em Saúde Pública, Universidade Nova de Lisboa, 1600-560 Lisboa, Portugal; <sup>3</sup>
Agrarian Superior School, Polytechnic Institute of Viseu, 3500-606 Viseu, Portugal; <sup>4</sup>
Laboratory of Microbiology, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal; <sup>5</sup>
Unit for Multidisciplinary Biomedical Research, Institute of Biomedical Sciences Abel Salazar, University of Porto, 4050-313 Porto, Portugal</title>
<sec id="Sec44"><title><bold>Correspondence:</bold>
João G. Frade (joao.frade@ipleiria.pt) – Escola Superior de Saúde de Leiria & Unidade de Investigação em Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The optimum age to give the first dose of the combined measles-mumps-rubella vaccine (MMR) must balance the risk of disease and the age of specific immunity induced by the vaccine.</p>
<p><bold>Methods</bold>
</p>
<p>A seroepidemiological study was conducted with 206 newborns, in the Obstetric service of a Hospital of the District of Leiria. The study followed all ethical procedures and was conducted under the approval of the ethical committee of the Hospital. At birth, a cord serum sample was collected. Measles antibodies were measured in cord sera, using Siemens Enzgnost’s immunoassay. Maternal vaccination history was ascertained through the analysis of individual records available at ACES Pinhal Litoral, Portugal.</p>
<p><bold>Results</bold>
</p>
<p>Among participants, 54 mothers had never been vaccinated with MMR, 62 had one dose and 90 had two doses. The concentration of measles antibody increased with the age of the mother (r<sup>2</sup>
= 0.097, p = 0.001) and was the highest in the newborns of mothers who had never been vaccinated against measles (μ = 1906, IC 95 % = 1194-2857 mUI/mL; p < 0.001). According to a hypothetical model, and to the level of measles antibody concentrations found at birth, 95 % of the children at 12 months of age should still have a title of measles antibody above 40 mUI/mL.</p>
<p><bold>Conclusions</bold>
</p>
<p>Giving the first dose of MMR at 12 months of age, would be a good decision if the half-life of measles antibodies in infants would be 44 days or less. Above that value, could be to compromise the effectiveness of the immune response.</p>
<p><bold>Keywords</bold>
</p>
<p>Measles, vaccine, Portuguese population</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec45"><title>O5 Functional assessment of elderly in primary care</title>
<sec id="Sec46"><title>Conceição Castro<sup>1</sup>
, Alice Mártires<sup>2</sup>
, Mª João Monteiro<sup>2</sup>
, Conceição Rainho<sup>2</sup>
</title>
<sec id="Sec47"><title><sup>1</sup>
Agrupamento de Centros de Saúde (ACES) Baixo Mondego, 3080-199 Figueira da Foz, Portugal; <sup>2</sup>
Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal</title>
<sec id="Sec48"><title><bold>Correspondence:</bold>
Conceição Rainho (crainho@utad.pt) – Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The aging process is multifactorial and progressive. A major goal in this process is to be active, in order to maintain independence and continue as long as possible an active life. Objectives: To evaluate the functional independence in activities of daily living of elderly; and analyse the scoring in daily activities in relation to socio-demographic variables.</p>
<p><bold>Methods</bold>
</p>
<p>A correlational study with elderly, registered in a health centre of central Portugal. It was used the Barthel index (10 items) to estimate the functional independence in activities of daily life. The score ranges from zero to hundred. The Spearman correlation was used, with a statistically significant level of α = 0.05.</p>
<p><bold>Results</bold>
</p>
<p>A total of 62 elders were assessed, 34 (54.8 %) of them women, with a mean age of 77.2 ± 7.5 years. The Barthel Index showed high internal consistency (Cronbach's alpha = 0.846). The average Barthel Index was 95.5 ± 10.2, most have a higher level of independence, however the elderly had more dependency for daily activities: bathing and using the toilet. The relationship between age and daily activities of the elderly was significant on the total score of the Barthel Index. The age and the level of independence shown to be statistically associated.</p>
<p><bold>Conclusions</bold>
</p>
<p>The results show the reliability of the Barthel Index. The age has been identified as the key factor and therefore is consistent with the results of other studies. This study may contribute to identify the factors that will promote the degree of independence.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, life, activities</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec49"><title>O6 Smoking and coronary events in a population of Spanish health-care centre: An observational study</title>
<sec id="Sec50"><title>Francisco P. Caballero<sup>1</sup>
, Fatima M. Monago<sup>2</sup>
, Jose T. Guerrero<sup>3</sup>
, Rocio M. Monago<sup>4</sup>
, Africa P. Trigo<sup>4</sup>
, Milagros L. Gutierrez<sup>3</sup>
, Gemma M. Milanés<sup>3</sup>
, Mercedes G. Reina<sup>1</sup>
, Ana G. Villanueva<sup>5</sup>
, Ana S. Piñero<sup>6</sup>
, Isabel R. Aliseda<sup>3</sup>
, Francisco B. Ramirez<sup>1</sup>
.</title>
<sec id="Sec51"><title><sup>1</sup>
Centro de Salud La Paz, Badajoz, 06011, España; <sup>2</sup>
Centro de Salud San Fernando, Badajoz, 06006 Badajoz, España; <sup>3</sup>
Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz, España; <sup>4</sup>
Hospital Don Benito-Villanueva, Don Benito, 06400 Badajoz, España; <sup>5</sup>
Centro de Salud Villanueva Norte, Villanueva de la Serena, 06700 Badajoz, España; <sup>6</sup>
Centro de Salud Gevora, 06180 Gévora, Badajoz, España</title>
<sec id="Sec52"><title><bold>Correspondence:</bold>
Francisco P. Caballero (franciscoluisper@gmail.com) – Centro de Salud La Paz, Badajoz, 06011, España</title>
<p><bold>Background</bold>
</p>
<p>Smoking is a major risk factor for multiple chronic diseases, such as cardiovascular diseases and cancer, and an established risk factor for premature death. Objective. To analyse the association between smoking and total coronary risk (incidence of lethal and non-lethal coronary events) in a cohort of 35-74 year-old patients followed for 10 years.</p>
<p><bold>Methods</bold>
</p>
<p>Longitudinal, observational study of a retrospective cohort followed for ten years in primary care practices in Badajoz (Spain). A cohort of 968 patients (mean 55.7 year-old; 57.5 % women) without evidence of cardiovascular disease was studied. Smokers were defined as those who consumed any amount of tobacco daily during the year before, or those who declared cessation of smoking within less than one year.</p>
<p><bold>Results</bold>
</p>
<p>A 25.9 % of the patients were smokers (47.4 % of male and 10.2 % of female patients). Smokers were younger (51.5 vs 57.2 years, p < 0.001), with less prevalence of arterial hypertension (45.4 % vs 61.5 %, p < 0.01), and lower HDL-cholesterol (45.5 vs 54.0 mg/dl, p < 0.001). During the follow-up, they presented a higher mortality, myocardial infarction events, and more coronary episodes (14.7 % vs 9.2 %, p < 0.05). The final model of the logistic regression multivariate analysis revealed that only smoking and age are predictor variables of total coronary events, the greater odds ratio corresponding to smoking (OR: 2.33; IC95%; 1.31-4.16; p < 0.01).</p>
<p><bold>Conclusions</bold>
</p>
<p>In patients aged 35-74 years followed during 10 years, smoking doubles the risk of total coronary events. Primary health care and general practitioners must keep their commitment to investigate and search strategies that facilitate smoking cessation.</p>
<p><bold>Keywords</bold>
</p>
<p>Smoking, smoking and gender, cardiovascular risk factors, cardiovascular disease, primary health care</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec53"><title>O7 Prevalence of musculoskeletal injuries in Portuguese musicians</title>
<sec id="Sec54"><title>Andrea Ribeiro, Ana Quelhas, Conceição Manso</title>
<sec id="Sec55"><title>Universidade Fernando Pessoa, Porto, 4249-004, Portugal</title>
<sec id="Sec56"><title><bold>Correspondence:</bold>
Andrea Ribeiro (andrear@ufp.edu.pt) – Universidade Fernando Pessoa, Porto, 4249-004, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Quantify the prevalence of musculoskeletal disorders (MSDs) in musicians due by posture. The goal was also to measure the intensity of pain in different body parts and the influence of playing a certain musical instrument has on pain.</p>
<p><bold>Methods</bold>
</p>
<p>The sample used in this study consisted of all musicians of the Philharmonic Society of Crestuma and the Musical Band of Avintes, each constituted by fifty (50) musicians. All elements completed an individual questionnaire about individual and work factors and then the Nordic Musculoskeletal Questionnaire (NMQ).</p>
<p><bold>Results</bold>
</p>
<p>Neck, shoulders, wrists/hands, lumbar spine were main areas where the musicians complained about pain. Drummers were the ones who reported more intense pain in shoulders, wrists/hands and lumbar spine. It was also observed that women had higher pain intensities while compared to men. The pain seems to decrease with years of practice, except in what concerns the lower back.</p>
<p><bold>Conclusions</bold>
</p>
<p>This study concluded that there is a high prevalence of musculoskeletal disorders (MSDs) in musicians and the lumbar and cervical spine, shoulders and wrists/hands were the most affected areas.</p>
<p><bold>Keywords</bold>
</p>
<p>Prevalence, musculoskeletal disorders, pain, musicians</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec57"><title>O8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in Spain</title>
<sec id="Sec58"><title>Francisco P. Caballero<sup>1</sup>
, Jose T. Guerrero<sup>2</sup>
, Fatima M. Monago<sup>3</sup>
, Rafael B. Santos<sup>4</sup>
, Nuria R. Jimenez<sup>1</sup>
, Cristina G. Nuñez<sup>1</sup>
, Inmaculada R. Gomez<sup>1</sup>
, Mª Jose L. Fernandez<sup>1</sup>
, Laura A. Marquez<sup>3</sup>
, Ana L. Moreno<sup>2</sup>
, Mª Jesus Tena Huertas<sup>1</sup>
, Francisco B. Ramirez<sup>1</sup>
</title>
<sec id="Sec59"><title><sup>1</sup>
Centro de Salud La Paz, Badajoz, 06011, España; <sup>2</sup>
Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz, España; <sup>3</sup>
Centro de Salud San Fernando, Badajoz, 06006 Badajoz, España; <sup>4</sup>
Universidad de Extremadura, Badajoz, 06071 Badajoz, España</title>
<sec id="Sec60"><title><bold>Correspondence:</bold>
Francisco P. Caballero (franciscoluisper@gmail.com) – Centro de Salud La Paz, Badajoz, 06011, España</title>
<p><bold>Background</bold>
</p>
<p>Hip fractures are a major health problem in elderly people, with great impact on their quality of life and life expectancy, beyond increasing dependence and institutionalization. Psychotropic drugs have been associated with multiple health problems, and they increase the risk of falls, which can cause fractures. Objectives: To analyse the risk factors for hip fracture in the population of a primary care practice in Badajoz (Spain), and the possible association between hip fractures and chronic use of psychotropic drugs.</p>
<p><bold>Methods</bold>
</p>
<p>Descriptive, observational study of 73 patients diagnosed with hip fracture between 2007-2013 (75.3 % women; 24.7 % men), with clinical history in the primary care practice.</p>
<p><bold>Results</bold>
</p>
<p>The mean age of the patients was 78.3 ± 12.6 years (79.5 % ≥ 70 years; 16.4 % ≥ 90 years), all women. 67.1 % had high blood pressure, 43.8 % cardiovascular diseases, 38.4 % dyslipidaemia, 30.1 % musculoskeletal diseases and 21.9 % some kind of visual impairment. Medication with psychotropic drugs was registered in 50.7 %, highlighting an important prescription among women (58.2 % vs 27.8 %, p < 0.05), mainly benzodiazepines (47.3 % vs 22.2 %, p = 0.053). However, only 19.2 % had picked up on their history a diagnosis to justify such a prescription.</p>
<p><bold>Conclusions</bold>
</p>
<p>Patients with hip fracture were women, with a mean age of 80.9 years and a register of high consumption of psychotropic drugs (58.2 %), particularly benzodiazepines (47.3 %). These results encourage a judicious prescription of psychotropic drugs in general, and benzodiazepines in particular, with limited duration of treatments, as recommended by the clinical practice guidelines.</p>
<p><bold>Keywords</bold>
</p>
<p>Hip fracture, Psychotropic drugs, Benzodiazepines, Prescription</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec61"><title>O9 The role of self-criticism and shame in social anxiety in a clinical SAD sample</title>
<sec id="Sec62"><title>Daniel Seabra, Mª Céu Salvador</title>
<sec id="Sec63"><title>Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra, Portugal</title>
<sec id="Sec64"><title><bold>Correspondence:</bold>
Daniel Seabra (daniel_seabra_@hotmail.com) – Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Social Anxiety Disorder (SAD) is characterized by a marked fear or anxiety in situations where the individual might be exposed to the possible scrutiny by others. Post-Event Processing (PEP), which refers to a post-mortem rumination wherein the subject reviews critically and with detail what went wrong in the social event, is considered an important maintenance factor of SAD. Clinical practice seems to indicate that rumination in patients with SAD, is mainly a self-critical process frequently resulting in feelings of shame.</p>
<p>Aims: This study aimed to bridge the gap between cognitive variables (PEP) and evolutionary variables (Self-Criticism and Internal/External Shame) in understanding Social Anxiety (SA), exploring the mediator role of these evolutionary variables in the relationship between PEP and SA in a clinical sample of patients with SAD.</p>
<p><bold>Methods</bold>
</p>
<p>The sample was constituted by 32 subjects with SAD – 25 females (78.10 %) and 7 males (21.90 %) – with an average age of 26.78 (SD = 9.22), that filled several self-report instruments and answered a diagnostic interview.</p>
<p><bold>Results</bold>
</p>
<p>Self-Criticism and Internal Shame fully mediated the relationship between PEP and SA. However, Sobel test only supported the full mediation of Internal Shame.</p>
<p><bold>Conclusions</bold>
</p>
<p>These results suggest that SA does not directly depend on PEP levels but from Internal Shame levels. In other words, Internal Shame is the mechanism through which PEP impacts on SA. Therefore, Internal Shame seems to be an important health indicator to consider in the intervention with this population. Limitations and clinical implications will be discussed.</p>
<p><bold>Keywords</bold>
</p>
<p>Social Anxiety Disorder, Post-Event Processing, Shame, Self-Criticism, Mediation</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec65"><title>O10 Obstruction and infiltration: a proposal of a quality indicator</title>
<sec id="Sec66"><title>Luciene Braga<sup>1</sup>
, Pedro Parreira<sup>2</sup>
, Anabela Salgueiro-Oliveira<sup>2</sup>
, Cristina Arreguy-Sena<sup>3</sup>
, Bibiana F. Oliveira<sup>4</sup>
, Mª Adriana Henriques<sup>5</sup>
</title>
<sec id="Sec67"><title><sup>1</sup>
Universidade Federal de Viçosa, Viçosa - Minas Gerais, 36570-900, Brasil; <sup>2</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>3</sup>
Universidade Federal de Juiz de Fora, Juiz de Fora – Minas Gerais, 36036-330, Brasil; <sup>4</sup>
Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal; <sup>5</sup>
Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</title>
<sec id="Sec68"><title><bold>Correspondence:</bold>
Luciene Braga (lucienemunizbraga@yahoo.com.br) – Universidade Federal de Viçosa, Viçosa - Minas Gerais, 36570-900, Brasil</title>
<p><bold>Background</bold>
</p>
<p>The quest for continuous improvement of the quality of provided care is the objective of nursing care. However, the insertion and permanence of a peripheral venous catheter has been associated to complications, thus making a systematic evaluation of the performance of professionals and the management of health services important. Objective: Analyse complications that caused removal of intravenous catheters.</p>
<p><bold>Methods</bold>
</p>
<p>A prospective study with 64 patients of a health service of Portugal, from July to September/2015. Included patients with age 18 years, with a peripheral venous catheter. Descriptive analysis using SPSS. Ethical requirements were met.</p>
<p><bold>Results</bold>
</p>
<p>Two hundred three (203) intravenous catheters, in 64 patients, most elderly (section 95.3 %), with mean age of 80 years were evaluated. The catheters remained inserted between one and 12 days (mean 2 days), 66 % of the devices were removed because of complications, such as: removal by the patient (17.7 %), obstruction (17.2 %), infiltration (14.8 %), phlebitis (9.4 %) and fluid exiting the insertion site (6.4 %). The prevalence of obstruction and infiltration per patient was respectively 36 % and 39 %.</p>
<p><bold>Conclusions</bold>
</p>
<p>Obstruction and infiltration were the complications of higher prevalence that led to the removal and reinsertion of a new peripheral venous catheter with the possibility of increased pain, infection and hospital costs. Faced with the risk of compromising patient safety and being able to contribute to the improvement of health care, we suggest the inclusion of obstruction and infiltration in the indicators of quality of care, in order to have systematic evaluation of results, (re)plan and implement preventive measures.</p>
<p><bold>Keywords</bold>
</p>
<p>Catheterization Peripheral, Complication, Nursing, Patient Safety, Quality Indicators Health Care</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec69"><title>O11 Balance and anxiety and depression symptoms in old age people</title>
<sec id="Sec70"><title>Joana Santos, Sara Lebre, Alda Marques</title>
<sec id="Sec71"><title>School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec72"><title><bold>Correspondence:</bold>
Joana Santos (joanacarvalhosantos@ua.pt) – School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Falls have high incidence in elderly and are major responsible for accidental deaths. People with high depression and anxiety symptoms have impaired balance and this is more problematic in the elderly population. However, it is unknown how anxiety and depression symptoms affect the different systems responsible for balance and balance confidence. Objective: Explore balance systems and balance confidence differences between elderly with presence/absence of anxiety and depression symptoms.</p>
<p><bold>Methods</bold>
</p>
<p>A quantitative cross-sectional study was conducted. Socio-demographic, anthropometric and general clinical data were collected with a structured questionnaire. Balance confidence was evaluated with Activities-specific Balance Confidence (ABC) and balance with Balance Evaluation System Test (BESTest) and Berg Balance Scale (BBS). The level of significance was set at p < .05.</p>
<p><bold>Results</bold>
</p>
<p>One hundred thirty-six (136) elderly (75.9 ± 8.8 years old; n = 96 female), participated in this study. All BESTest sections were significantly affected by the presence of anxiety or depression symptoms (p < 0.001). Similar results were observed in BBS (p < 0.001). The Reactive section presented the larger difference between present/absence of anxiety (49.4 ± 21.1 vs 84.2 ± 14.9; p < 0.001) and depression (46.3 ± 30.3 vs 88.5 ± 15.3; p < 0.001) symptoms. Participants’ balance confidence also decreased significantly in the presence of both symptoms (anxiety: p = 0.010; depression: p = 0.001). The severity of both symptoms influenced significantly the balance (BBS (anxiety: p = 0.013; depression: p = 0.029); BESTest (0.001 < p > 0.046)) but not the balance confidence (anxiety: p = 0.516; depression: p = 0.274).</p>
<p><bold>Conclusions</bold>
</p>
<p>The presence of anxiety and of depression symptoms significantly decrease balance performance and balance confidence in the elderly. The severity of symptoms significantly decreases balance performance but does not seem to significantly impact on balance confidence.</p>
<p><bold>Keywords</bold>
</p>
<p>Balance, old age people, anxiety, depression</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec73"><title>O12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto)</title>
<sec id="Sec74"><title>Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José Lumini</title>
<sec id="Sec75"><title>Universidade Fernando Pessoa, 4249-004 Porto, Portugal</title>
<sec id="Sec76"><title><bold>Correspondence:</bold>
Clarinda Festas (clarinda@ufp.edu.pt) – Universidade Fernando Pessoa, 4249-004 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Postural changes acquired during childhood and adolescence are a risk factor for disorders of the spine in adulthood and may become irreversible if not treated in time. The purpose of this study was to evaluate the postural changes among students of basic schools in the district of Porto.</p>
<p><bold>Methods</bold>
</p>
<p>Weight and height were measured. The "body chart" and visual analogue scale for pain and static postural form for evaluation of postural changes, backpack characteristics and additional physical activity questionnaire were used.</p>
<p><bold>Results</bold>
</p>
<p>This study included 285 students, aged 11.46 years ± 1.32 years, and weighing 43.36 kg ± 10.49 kg and with a height of 1.48 m ± 0.95 m. Use of backpack: 97.5 % of the participants, 83.0 % use it in both shoulders and 17.0 % only on one shoulder. In relationship to physical activity 58.0 % do it after regular school time, the most prevalent physical activity was swimming with 21.3 % and 23.1 % for football. Pain lifetime prevalence was 43.0 %. With regard to postural changes, elevation of the shoulders was the most prevalent (78.0 %), changes in iliocostalis angle (52.5 %) and flat feet (47.2 %), calcaneus valgus (37.7 %) and scoliosis (25.5 %), anterior head projection (63.0 %), anterior shoulder (45.2 %), pelvic anteversion (37.7 %), lumbar hyperlordosis (56.9 %) and knee recurvatum (24.2 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>We conclude that postural changes found are according the postural characteristics for this age group and identification of changes allowed earlier clinical referral and propose school postural education prevention programmes.</p>
<p><bold>Keywords</bold>
</p>
<p>Postural changes, school children and adolescents, school health, backpack, pain</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec77"><title>O13 Ischemic stroke vs. haemorrhagic stroke survival rate</title>
<sec id="Sec78"><title>Ana G. Figueiredo (ritagfigueiredo@gmail.com)</title>
<sec id="Sec79"><title><sup>1</sup>
Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Stroke is the main cause of death in Portugal and it’s also one of the pathologies involved in several physical and psychological comorbidities and which often prevents stroke patients from having an autonomous life. There are still several gaps related to the prognosis of the two different types of stroke (ischemic and haemorrhagic) and is relevant to know which type has the better longevity. Objective: The main objective of the present study is to evaluate the survival rate of both types of stroke, and simultaneously the mortality risk in those patients.</p>
<p><bold>Methods</bold>
</p>
<p>A sample of 1367 individuals who suffered a stroke was collected in Hospital do Espírito Santo de Évora, between 2010 and 2015, after that the sample’s profile, risk factors and associated comorbidities were studied. Then, we created a subgroup from the initial sample with 311 individuals who suffered both types of stroke in the period 2013-2014 and performed a statistical analysis of survival and mortality risk.</p>
<p><bold>Results</bold>
</p>
<p>Individuals who suffered ischemic stroke have a lower mortality rate, as well as an improved initial survival; Three months after the event, the mortality risk becomes independent of the stroke type. We also observed that age has an effect on survival.</p>
<p><bold>Conclusions</bold>
</p>
<p>Haemorrhagic stroke is associated with an increased mortality and worse survival rate compared with ischemic stroke.</p>
<p><bold>Keywords</bold>
</p>
<p>Ischemic stroke, haemorrhagic stroke, survival, mortality</p>
</sec>
</sec>
</sec>
<sec id="Sec81"><title>O14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescents</title>
<sec id="Sec82"><title>Francisco J. Hernandez-Martinez<sup>1</sup>
, Liliana Campi<sup>2</sup>
, Mª Pino Quintana-Montesdeoca<sup>3</sup>
, Juan F. Jimenez-Diaz<sup>3</sup>
, Bienvenida C. Rodriguez-De-Vera<sup>3</sup>
</title>
<sec id="Sec83"><title><sup>1</sup>
Cabildo de Lanzarote, 35500 Arrecife, Lanzarote, Las Palmas, España; <sup>2</sup>
Servicio Canario de la Salud, 35500 – Arrecife, Lanzarote, Las Palmas, España; <sup>3</sup>
Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas, España</title>
<sec id="Sec84"><title><bold>Correspondence:</bold>
Francisco J. Hernandez-Martinez (fjhernandez@denf.ulpgc.es) – Cabildo de Lanzarote, 35500. Arrecife, Lanzarote, Las Palmas, España</title>
<p><bold>Background</bold>
</p>
<p>Chronobiology is a discipline that studies the biological processes following predictable temporal sequences, focusing on the analysis of circadian rhythms and biological rhythms associated with the geophysical basis. Any physiological function of living things can be analysed from the perspective of chronobiology as a phenomenon with a significant temporal and rhythmic dimension. Objective: To determine whether the existence of chronobiological factors and circadian variations involved in the development of locomotives diseases in adolescence.</p>
<p><bold>Methods</bold>
</p>
<p>Observational, descriptive, retrospective and quantitative study on the adolescent population of Lanzarote (Canary Islands) from 2010 to 2015 Study. Data collection: computer system Drago. Statistical Analysis with SPSS 23.0 software.</p>
<p><bold>Results</bold>
</p>
<p>On a sample of 1,214 adolescents it was found a significant association (p < 0.023) between gender, seasonal time and location of the lesion, being more frequent in males 11-16 years, most of them in autumn and winter and being the lower limbs in men (56 %) and arms in women (42 %), the most affected areas. Highlighting the lack of medical records in medical records regarding the etiology of the lesion (37.2 %) and time of occurrence (89 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>The teenage gender is a trigger factor in musculoskeletal disorders. The prevalence of these diseases is higher in urban areas. The prevalent etiology is trauma. The climate and geographical location of Lanzarote, significantly influence the etiology and location of the lesion. We should prepare educational programs on risk prevention at schools.</p>
<p><bold>Keywords</bold>
</p>
<p>Chronobiology, adolescence, Lanzarote, locomotor pathology</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec85"><title>O15 Risk of malnutrition in the elderly of Bragança</title>
<sec id="Sec86"><title>Alexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel Brás</title>
<sec id="Sec87"><title>Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</title>
<sec id="Sec88"><title><bold>Correspondence:</bold>
Manuel Brás (manuel-bras@ipb.pt) – Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Malnutrition affects a significant number of people, the elderly being the main group affected. Retrospective studies highlight that the elderly are at higher risk and have higher susceptibility of nutritional deficiencies than young adults. Objective: To assess the risk of malnutrition in the elderly of Bragança.</p>
<p><bold>Methods</bold>
</p>
<p>Analytical and cross-sectional study. Based on a sampling error under 5 % and a confidence level of 95 %, a sample of 385 elderly people stratified by gender and age was studied. A questionnaire was used including nutritional risk assessment using the Mini Nutritional Assessment (MNA).</p>
<p><bold>Results</bold>
</p>
<p>56.4 % (217) are women and 43.6 % (168) are men with an average of 76.39 ± 7.18 years of age. The majority (62.9 %; 242) is married/civil partnership and 28.6 % (110) are widowers. 37.8 % (134) relate some degree of loneliness. We also noticed that 96 elderly (24.9 %) show risk of malnutrition. Those who are married/in a civil partnership have higher probability of normal nutritional condition when compared with single or divorced (OR = 2.925); those with schooling have higher probability of normal nutritional condition (OR = 2.287) compared to those without schooling. The ones who mention less loneliness present 1.5 to 4.7 higher probabilities of normal nutritional condition compared with the ones who state any level of loneliness. The ones who are functionally independent have higher probability of a normal nutritional state than those who have any degree of dependency.</p>
<p><bold>Conclusions</bold>
</p>
<p>Results highlight the need for specific protocols in health institutions to identify old people at nutritional risk allowing a timely intervention.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, malnutrition, risk</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec89"><title>O16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing intervention</title>
<sec id="Sec90"><title>Mª Rosário Pinto<sup>1</sup>
, Pedro Parreira<sup>2</sup>
, Marta L. Basto<sup>3</sup>
, Ana C. Rei<sup>4</sup>
, Lisete M. Mónico<sup>5</sup>
</title>
<sec id="Sec91"><title><sup>1</sup>
Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal; <sup>2</sup>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal; <sup>3</sup>
Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal; <sup>4</sup>
Hospital Distrital de Santarém, EPE, Santarém, 2005-177 Portugal; <sup>5</sup>
Universidade de Coimbra, 3004-504 Coimbra, Portugal</title>
<sec id="Sec92"><title><bold>Correspondence:</bold>
Mª Rosário Pinto (mrosariopinto.essaude@gmail.com) – Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal</title>
<p><bold>Background</bold>
</p>
<p>Therapeutic Education is structural to diabetic people’s self-control. Although these questions have been a research theme of concern over the past years, there is a shortage of tested educational programmes that allow discussion of its effectiveness. Objective: To design a lifestyle educational programme for diabetic patients.</p>
<p><bold>Methods</bold>
</p>
<p>An exploratory and descriptive approach was made, starting by characterizing and understanding the context – a Primary Care Unit, as well as the usual educational intervention developed. Data collection included semi-directive interviews, observational moments and record analysis. Supported by a theoretical framework (Orem’s Self-care Theory and Empowerment perspective), information was analysed and discussed with the nurses, in group and individual interactions, from July until October 2014.</p>
<p><bold>Results</bold>
</p>
<p>The result was a Lifestyle Educational Programme directed to people with type 2 diabetes, focused on lifestyle and self-control behaviours, to be implemented by primary care nurses. With a 24-week timeline, the programme starts with a face-to-face nursing intervention, followed by two educational group sessions, the first one focussed on self-motivation and lifestyle generic behaviours, and the second one centred on foot self-care and monitoring. At 12 weeks, the second face-to-face intervention is done, complemented by a telephone monitoring intervention after four weeks, ending with the last individual moment, 24 weeks after the beginning of the programme.</p>
<p><bold>Conclusions</bold>
</p>
<p>The programme developed is a Complex Intervention, with several components, including the intervention usually carried out by nursing professionals, in addition to which is added group and telephone intervention, merged in an educational protocol that follows specific sequential phases.</p>
<p><bold>Keywords</bold>
</p>
<p>Therapeutic Education, Type 2 Diabetes, Lifestyle Educational Program, Nursing education</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec93"><title>O17 Medication adherence in elderly people</title>
<sec id="Sec94"><title>Gilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita Vasconcelos</title>
<sec id="Sec95"><title>Universidade da Madeira, 9000-082 Funchal, Portugal</title>
<sec id="Sec96"><title><bold>Correspondence:</bold>
Gilberta Sousa (gfranca@uma.pt) – Universidade da Madeira, 9000-082 Funchal, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Adherence to medication regimens is an indicator of health service efficiency (WHO, 2003). It promotes improvements in clinical status, safety and quality of life of individuals and leads to better financial results, reflected by reduced use of health services and decreases the risk of aggravation of disease and acute crises caused by inadequate drug management. Objective: Describe the level and factors associated with the adherence to medication regimens in the elderly.</p>
<p><bold>Methods</bold>
</p>
<p>From a research-action perspective, we developed a descriptive, quantitative and transversal study (2014), with random and accidental sample in a Madeira Island parish (n = 493) using the questionnaire “Measure Adherence to Treatment- MAT” validated for the Portuguese population (α = 0.74).</p>
<p><bold>Results</bold>
</p>
<p>Mean age 70 years (σ ± 7.1); 68 % female; 70 % have 4 years of education; 40 % consume 5 or more different drugs/day; with a mean of adherence of 5.4(6). The main factors that influence adherence are the problems of memory (40 %); In the MAT subscales 23.5 % non-adherence was found; 13.5 % non-adherence by excess; 18.0 %-non-adherence by deficit and 14.1 % other causes. In the subscale of non-adherence, the values observed were: 33.0 % failure to take the medication; 30.5 % the neglect in the time of taking; 16.8 % abandonment because they feel better and 15.8 % because they feel worse.</p>
<p><bold>Conclusions</bold>
</p>
<p>The results corroborate the findings of other studies and express the priorities for action in this context. In partnership, specific objectives were outlined and nursing interventions designed to enhance patient adherence to medication prescriptions.</p>
<p><bold>Acknowledgements</bold>
</p>
<p>Authors wish to acknowledge the helpful collaboration given to this study by the Nursing students.</p>
<p><bold>Keywords</bold>
</p>
<p>Adherence to medication regimen, elderly, nursing intervention</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec97"><title>O18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014</title>
<sec id="Sec98"><title>Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo Bordin</title>
<sec id="Sec99"><title>Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 90050-170, Brasil</title>
<sec id="Sec100"><title><bold>Correspondence:</bold>
Roger S. Rosa (roger.rosa@ufrgs.br) – Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 90050-170, Brasil</title>
<p><bold>Background</bold>
</p>
<p>Cervical cancer is caused by persistent infection due to certain oncogenic types of human papillomavirus (HPV). These changes of the cells are easily discovered on the Pap test and are curable in almost all cases. Objective: To describe the characteristics of hospitalizations for cervical cancer in the public health system by residents of the Greater Porto Alegre (GPA), in southern Brazil, 2012 to 2014.</p>
<p><bold>Methods</bold>
</p>
<p>Analysis of hospitalizations with a primary diagnosis ICD-10 C53 from the Hospital Information System (HIS)/SUS publicly available. Calculation of indicators by age, stay, mortality and hospitalization for spending.</p>
<p><bold>Results</bold>
</p>
<p>There were 2,143 hospitalizations (714.3/year) in the public health system for cervical cancer of the GPA residents (3.4/10,000 inhabitants/year). Hospitalizations and deaths of patients up to 44 years represented 41.0 % and 27.9 % respectively. The average length of stay was 7.4 days. Thirty-two (1.5 %) patients needed to use Intensive Care Unit (ICU). The mortality rate reached 8.5 % with 183 deceased patients (61/year). The average annual expenditure was $ 657,0 thousand PPP (Purchasing Power Parity) and the average value per hospitalization $ 919,78 PPP.</p>
<p><bold>Conclusions</bold>
</p>
<p>Hospitalization for and death from cervical cancer have occurred in young women in GPA and it could be prevented if more emphasis was given to preventive tests.</p>
<p><bold>Keywords</bold>
</p>
<p>Women, cervical cancer, hospitalization, primary care sensitive conditions, public health system</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec101"><title>O19 Oncologic assistance of high complexity: evaluation of regulating accesses</title>
<sec id="Sec102"><title>Rosiane Kniess, Josimari T. Lacerda</title>
<sec id="Sec103"><title>Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</title>
<sec id="Sec104"><title><bold>Correspondence:</bold>
Rosiane Kniess (rosik29@gmail.com) – Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</title>
<p>In many countries, health systems are guided by the principle of equal access, which becomes a major challenge when it comes to high-magnitude diseases, such as cancer. In Brazil, this is considered as a public health problem due to its high incidence, mortality and difficulty in accessing diagnosis and treatment. This research study aimed at analysing the regulation of access to highly complex cancer care in a Brazilian State, considering the normative criteria established under the Unified Health System, the care model structure, and integrated and coordinated network services. The research involved two stages: design of the evaluation model and case study. The evaluation model consisted in 14 indicators, grouped into two dimensions - working condition and adequacy of regulation - and was agreed by experts in consensus workshops. Data were collected through direct observation, interviews with managers and professionals from the State Regulatory Agency, and the review of information and documents from the regulatory sector data banks. The research findings show that the performance of the Regulatory System in regulating the access to highly complex cancer care in the State under study is being implemented, although its ability to meet the patients’ health needs falls short of its potential. There are weaknesses in the implementation and adoption of Information and Regulation Systems and in the availability of information with the potential to help the State manager’s decision-making in highly complex cancer care.</p>
<p><bold>Keywords</bold>
</p>
<p>Evaluation, Regulation, Access Oncology</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec105"><title>O20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological Plan</title>
<sec id="Sec106"><title>Joana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar Ribeiro</title>
<sec id="Sec107"><title>Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</title>
<sec id="Sec108"><title><bold>Correspondence:</bold>
Joana Guedes (joana.guedes@isssp.pt) – Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Access to health services means the timely use of personal health services to achieve the best health outcomes. Several studies have identified a multiplicity of impediments to health services accessibility by older adults including cost, cultural barriers and physical access barriers. Objectives: This study takes part of a Gerontological Plan currently being conducted in the Vila Nova de Gaia (VNG) Municipality. It focuses on the main difficulties observed in the older population as perceived by professionals who assume a pivotal role in the coordination of social care services at a parish level.</p>
<p><bold>Methods</bold>
</p>
<p>Twenty interviews were conducted and data was analysed based on thematic content.</p>
<p><bold>Results</bold>
</p>
<p>Access to health care services was found to be an important difficulty, namely due to the costs/affordability of health care visits and to the lack/costs of transportation particularly for seniors living in rural areas. Problems related to family care provision and medical care compliance, low incomes and the absence of specialized services (e.g. neurocognitive disorders) were also frequently mentioned constraints.</p>
<p><bold>Conclusions</bold>
</p>
<p>Findings are in line with the last WHO World Health Survey, which highlights that in low and lower-middle income countries the greatest barriers that many older people face in accessing health care appear to arise from the cost of the health-care visits and transportation. These findings raise important questions for defining and implementing policies aimed at meeting the needs of the older population and have to be further complemented with the perspective of the older adults themselves and their experiences as patients.</p>
<p><bold>Keywords</bold>
</p>
<p>Older adults, accessibility to health care, healthy aging, gerontological plan</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec109"><title>O21 Sleep difficulties and depressive symptoms in college students</title>
<sec id="Sec110"><title>Ana P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui Cruz</title>
<sec id="Sec111"><title>Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec112"><title><bold>Correspondence:</bold>
Ana P. Amaral (apamaral.22@gmail.com) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Usually sleep disturbances often precede depression, being an independent risk factor for a first episode or recurrence of depression [1]. Young adults beginning college are entering a new phase with new social contexts, demanding classes and variable sleep schedules. These significant lifestyle changes are associated with lower sleep quality [2] and with a higher prevalence of psychological distress and depression [3]. Objectives: I) To study the prevalence of sleep difficulties and depressive symptoms in college students and II) To analyse the relationship between these two variables.</p>
<p><bold>Methods</bold>
</p>
<p>Seven hounded seventy-six (776) Portuguese students (64.3 % females) filled in the Beck Depressive Inventory II (BDI II) [4] and an adaptation of a sleep self-response questionnaire [5].</p>
<p><bold>Results</bold>
</p>
<p>In the present sample 49.6 % students reported sleep difficulties, which varied according to gender and age (p < 0.05). The prevalence of difficulty initiating sleep was 25.4 %, of maintaining sleep was 20.5 % and of early morning awakening was 30.2 %. The prevalence of depression was 17.4 %, highlighting the somatic dimension. Strongest correlations were observed between sleep difficulties and depression (r = 0.332; p < 0.001).</p>
<p><bold>Conclusions</bold>
</p>
<p>The results show a high prevalence of sleep difficulties associated with depressive symptoms. It was found that approximately 1/5 of the analysed students had depression. These results underline the importance of developing prevention programs in higher education for healthy sleep in order to promote better mental health.</p>
<p><bold>References</bold>
</p>
<p>1. Espie CA, Bartlett DJ. Chapter 142 Insomnia. International Neurology: A Clinical Approach. Edited by Robert P. Lisak, Daniel D. Truong, William M. Carroll, and Roongroj Bhidayasiri. 2009 Blackwell Publishing, ISBN: 978-1-4051-5738-4.</p>
<p>2. Kloss, Nash, Horsey, & Taylor (2011). The Delivery of Behavioral Sleep Medicine to College Students. Journal of Adolescent Health, 48 (6): 553-561. DOI: http://dx.doi.org/10.1016/j.jadohealth.2010.09.023</p>
<p>3. Christensson et al. Change in depressive symptoms over higher education and professional establishment - a longitudinal investigation in a national cohort of Swedish nursing students. BMC Public Health, 2010: 343 <ext-link ext-link-type="uri" xlink:href="http://www.biomedcentral.com/1471-2458/10/343">http://www.biomedcentral.com/1471-2458/10/343</ext-link>
.</p>
<p>4. Beck, A.T., Steer, R.A., & Brown, G.K. Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation; 1996.</p>
<p>5. Gomes A A, Tavares J & Azevedo M H. Sleep and Academic Performance in Undergraduates: A Multi-measure, Multipredictor Approach. Chronobiology International: The Journal of Biological and Medical Rhythm Research. 2011; 28: 9. DOI: 10.3109/07420528.2011.606518.</p>
<p><bold>Keywords</bold>
</p>
<p>Mental health, sleep, depression, college students</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec113"><title>O22 Psychopathological symptoms and medication use in higher education</title>
<sec id="Sec114"><title>Ana P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui Cruz</title>
<sec id="Sec115"><title>Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec116"><title><bold>Correspondence:</bold>
Ana P. Amaral (apamaral.22@gmail.com) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Research on mental health in higher education reported a high prevalence of psychological distress among students [1]. The college years represent a developmentally challenging transition to adulthood, and untreated mental illness may have significant implications for academic success, productivity, substance use, and social relationships [2]. Objectives: I) To study the prevalence of psychopathological symptoms and medication use in college students and II) To analyse the relationship between these two variables.</p>
<p>Methods</p>
<p>Seven hundred seventy-six (776) Portuguese students (64.3 % females) filled in the Portuguese version of the Brief Symptom Inventory (BSI) [3, 4] and a self-response questionnaire about medication use.</p>
<p><bold>Results</bold>
</p>
<p>20.1 % of the student’s present psychopathology, more prevalent in females in several dimensions (Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Anxiety, and Paranoid ideation), being the Obsessive-Compulsive dimension the most prevalent. 50.1 % of the students had consumed medication in the last four weeks: 14.7 % Non-steroidal anti-inflammatory, 14.0 % Analgesics and antipyretics, 5.3 % Antihistamines and 1.7 % Psychotropic drug. The prevalence was higher in females (75.4 %). Comparing students with and without psychopathological symptoms we found significant differences in relation to use of medication (p < 0.05). Students with psychopathological symptoms use more Analgesics and antipyretics and Psychotropic drugs (p < 0.05).</p>
<p><bold>Conclusions</bold>
</p>
<p>Results indicate a relevant prevalence of psychopathology, higher in females and a high prevalence of medication use. Students with psychopathological symptoms use more medication. These results highlight the importance of developing mental health intervention programs.</p>
<p><bold>References</bold>
</p>
<p>1. Christensson A, Runeson B, Dickman, PW, Vaez M. Change in depressive symptoms over higher education and professional establishment - a longitudinal investigation in a national cohort of Swedish nursing students. BMC Public Health, 2010; 10:343–353.</p>
<p>2. Hunt J, Eisenberg D. Mental Health Problems and Help-Seeking Behavior among College Students. Journal of Adolescent Health, 2010; 46(1): 3-10.</p>
<p>3. Derogatis LR. BSI: Brief Symptom Inventory. Minneapolis: National Computers Systems; 1982.</p>
<p>4. Canavarro MC. Inventário de Sintomas Psicopatológicos—BSI. Testes e Provas psicológicas em Portugal. Simões MR, Gonçalves M, Almeida L. Eds., Braga: Sistemas Humanos e Organizacionais. 1999(II), 95-109.</p>
<p><bold>Keywords</bold>
</p>
<p>Mental health, Medication use, Students</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec117"><title>O23 Sexually transmitted diseases in higher education institutions</title>
<sec id="Sec118"><title>Sandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes</title>
<sec id="Sec119"><title>Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec120"><title><bold>Correspondence:</bold>
Fernando Mendes (fjmendes@estescoimbra.pt) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>There is evidence from the literature that an individual with adequate health literacy (HL) has the ability to be responsible for its own health as well as one's family and community health. However, actions such as unprotected sexual intercourse (SI) and multiple partners during adolescence are important risk factors to transmission of sexually transmitted diseases (STD). Objective. To study the relationship between HL, STD and risks behaviour in second and third years of higher education studies, comparing students of health sciences (HSc) vs. non-health sciences (NHSc).</p>
<p><bold>Methods</bold>
</p>
<p>A questionnaire was used to evaluate the HL level and sexual risk behaviours, and a blood sample was collected for ELISA screening of HIV, HCV and Herpes simplex virus type 2 (HSV 2), and Treponema Pallidum (VDRL test).</p>
<p><bold>Results</bold>
</p>
<p>Higher levels of HL were found in HSc students (p < 0.001), and also in those with higher level of confidence in condom use (p < 0.05). In average, NHSc students had a higher number of sexual partners (p = 0.001). The practice of anal intercourse is associated with younger age at first SI, as well as a higher number of sexual partners. STD prevalence (2.5 %), in particular in the case of HSV 2, was higher in those who consume more alcohol to relax before a sexual encounter.</p>
<p><bold>Conclusions</bold>
</p>
<p>Students of NHSc show a lower level of HL, higher number of sexual partners and higher level of practice of anal intercourse when compared with HSc students.</p>
<p><bold>Keywords</bold>
</p>
<p>Health literacy, higher education students, HIV, HCV, HSV2, syphilis, risk behaviours</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec121"><title>O24 Alcohol consumption and suicide ideation in higher education students</title>
<sec id="Sec122"><title>Lídia Cabral, Manuela Ferreira, Amadeu Gonçalves</title>
<sec id="Sec123"><title>Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<sec id="Sec124"><title><bold>Correspondence:</bold>
Lídia Cabral (lcabral@essv.ipv.pt) – Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Alcohol abuse appears associated with numerous risk behaviours among students, including suicide attempts. One in each four students who attempted suicide admitted to having consumed alcohol or drugs before the act (WHO, 2013) [1]. Objective: To identify the influence of alcohol consumption in suicidal ideation of higher education students.</p>
<p><bold>Methods</bold>
</p>
<p>We resorted to a model of quantitative, cross-sectional, analytical, descriptive and correlation research. Two hundred and sixty (260) students of our institution (Health School of Viseu) participated in the study. The evaluation protocol includes a socio-demographic questionnaire, the Involvement Scale for Adolescents with Alcohol Filstead & Mayer (1979) adapted by Fonte & Alves (1999) [2] and the Suicidal Ideation Questionnaire-QIS-Reynolds (1988) adapted to the Portuguese population by Ferreira e Castela (1999) [3].</p>
<p><bold>Results</bold>
</p>
<p>We found that 69.9 % of students started drinking after the age of 15, and curiosity (61.3 %) was the main given reason. Of the 87.2 % habitual drinkers, only 3.3 % reported drinking problems. It should be noted that 3.1 % of the students admitted having suicidal thoughts. In our study there were no statistically significant associations between alcohol consumption and suicidal ideation (p > 0.005).</p>
<p><bold>Conclusions</bold>
</p>
<p>The results point to the importance of continuing to investigate the association between alcohol consumption and suicide ideation. The early onset of alcohol consumption associated with easy access to such drinks and suicidal ideation are variables to consider in future researches and in actions intending to promote healthier lifestyles among higher education students.</p>
<p><bold>References</bold>
</p>
<p>1. WHO Suicide Prevention (SUPRE). WHO: 2013.</p>
<p>2. Fonte A, Alves A. Uso da Escala de Envolvimento com o Álcool para Adolescentes (AAIS). Avaliação das Características Psicométricas. Alcoologia, Revista da Sociedade Portuguesa de Alcoologia. 1999: VII (4).</p>
<p>3. Ferreira J, Castela M. Questionário de Ideação Suicida (Q.I.S.). In M. R. Simões, M.M. Gonçalves & L. S. Almeida (Eds.). Testes e Provas Psicológicas em Portugal. Braga: APPORT/SHO; 1999; 2: 123-130.</p>
<p><bold>Keywords</bold>
</p>
<p>Drinking, suicidal ideation, students</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec125"><title>O25 Quality of life in university students</title>
<sec id="Sec126"><title>Tatiana D. Luz, Leonardo Luz, Raul Martins</title>
<sec id="Sec127"><title><sup>1</sup>
Universidade Federal de Alagoas, Maceió, Alagoas, 57072-900, Brasil; <sup>2</sup>
Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</title>
<sec id="Sec128"><title><bold>Correspondence:</bold>
Tatiana D. Luz (tati-ddluz@hotmail.com) – Universidade Federal de Alagoas, Maceió - Alagoas, 57072-900, Brasil</title>
<p><bold>Background</bold>
</p>
<p>The transition from high school to university usually represents changes in the lifestyle of the students. However, changes in the quality of life (QoL) are not well known in this population. Objective: The aim of this study is to analyse the QoL of university students by gender and school year.</p>
<p><bold>Methods</bold>
</p>
<p>Participants are 198 undergraduate students (135 males and 63 females) at <italic>Faculdade de Ciências do Desporto e Educação Física</italic>
of the University of Coimbra (FCDEF-UC). Demographic variables and physical activity were collected using a self-reported questionnaire. QoL was assessed using the Medical Outcomes Study 36-Item Short-Form Health Survey - SF-36v2. MANOVA one-way, and MANCOVA, controlling for gender, were used to compare variables of interest (p < 0.05).</p>
<p><bold>Results</bold>
</p>
<p>Males had higher QoL than females, specifically in the domains of vitality (M = 61 ± 17, F = 53 ± 18; p =0.003), social functioning (M = 83 ± 18, F = 77 ± 21; p = 0.039), role-emotional (M = 81 ± 21, F = 74 ± 23; p = 0.053), mental health (M = 73 ± 17; F = 66 ± 19; p = 0.005), mental component score (M = 74 ± 15, F = 67 ± 16; p = 0.005), and overall SF-36 (M = 78 ± 11, F = 73 ± 13; p = 0.006). Students in the third school year had higher role-physical (p = 0.045) and bodily pain (p = 0.034) than in the first school year, controlling for gender.</p>
<p><bold>Conclusions</bold>
</p>
<p>Male students had better QoL than women. Students in the third school year had higher values in the domains of role-physical and bodily pain. Further research in this area with university students is recommended.</p>
<p><bold>Keywords</bold>
</p>
<p>Quality of life, SF-36, university students</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec129"><title>O26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sample</title>
<sec id="Sec130"><title>Alice Morgado, Maria L. Vale-Dias</title>
<sec id="Sec131"><title>Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra, Portugal</title>
<sec id="Sec132"><title><bold>Correspondence:</bold>
Alice Morgado (alicemmorgado@gmail.com) – Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra, Portugal</title>
<p>The adolescent antisocial phenomenon is an important matter for our society due to the increase in frequency and severity of deviant conducts during a developmental stage, when individuals face multiple changes.</p>
<p>We present a study on antisocial manifestations and their relation with gender, age, socioeconomic status, personality, social skills, self-concept, and family environment in a sample of 489 adolescents, that filled self-report measures to assess behaviour, personality, self-concept, family environment and social skills.</p>
<p>Results show important gender differences that may explain why boys have higher antisocial tendencies. While, in boys, psychoticism and family environment contribute to determine which individuals are more likely to have higher antisocial scores; female antisocial tendency appears to be defined by individual dispositions and social skills. Significant correlations between antisocial behaviour, age, personality, social skills, self-concept and family environment in boys and girls reveal the importance of individual dispositions and of early prevention efforts focused on the individual and family.</p>
<p>Conclusions focus on the importance of dimensions for the prevention of adolescent antisocial behaviour and reveal important gender differences and trends on the evolution of antisocial behaviour through adolescence. We demonstrate the importance of differences between boys and girls in adolescent antisocial behaviour and of the necessity to address this issue taking into account gender specificities and vulnerabilities.</p>
<p><bold>Keywords</bold>
</p>
<p>Antisocial behaviour, adolescence, gender differences</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec133"><title>O27 Risk factors for mental health in higher education students of health sciences</title>
<sec id="Sec134"><title>Rui Porta-Nova (rnova@esscvp.eu)</title>
<sec id="Sec135"><title>Escola Superior da Saúde da Cruz Vermelha Portuguesa, Lisboa, 1300-125, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The mental health of students attending higher education in the area of Health Sciences may be conditioned by factors which may affect them as a person, their relationships and their academic performance, compromising their adaptation. Objectives: To identify the main risk factors for mental health, associated with the academic life experiences of students of Health Sciences and to contribute to the implementation of prevention strategies of mental health problems in these students.</p>
<p><bold>Methods</bold>
</p>
<p>The research dealt with a sample of 620 people, medical students, nursing students and applied health students, namely: physiotherapy, cardiopulmonary technology and radiography, whose average age was 20.3 and ranged between 18 and 25 years old, 81 % being female. The instruments used were a Demographic Questionnaire; Academic Life Experiences Questionnaire [1,2] and Mental Health Inventory [3].</p>
<p><bold>Results</bold>
</p>
<p>The results showed that attending the 1st year in the course of physiotherapy, belonging to the female gender, being displaced, having a lower career expectation, not being autonomous, showing a negative perception of their cognitive skills, lower self-confidence, decreased of psychological and/or physical well-being, academic difficulties resulting from deficient knowledge bases and high levels of anxiety in situations of assessment, are associated with poorer mental health.</p>
<p><bold>Conclusions</bold>
</p>
<p>This calls for special attention from the different structures of Higher Education institutions, namely, governing bodies, teachers and academic services, to reduce the negative impact of these risk factors and implement strategies to prevent the incidence of mental health problems in this population.</p>
<p><bold>References</bold>
</p>
<p>1. Almeida LS, Ferreira JA. Questionário de vivências académicas. Braga: Universidade do Minho, Centro de Estudos em Educação e Psicologia; 1997.</p>
<p>2. Almeida LS. Ferreira JA. Adaptação e rendimento académico no ensino superior: fundamentação e validação de uma escala de avaliação de vivências académicas. Psicologia: Teoria, Investigação e Prática. 1999; 1:157-170.</p>
<p>3. Veit C, Ware J. The structure of psychological distress and well-being in general populations. Journal of Consulting and Clinical Psychology. 1983; 51:730-742.</p>
<p><bold>Keywords</bold>
</p>
<p>Mental Health, risk factors, higher education, health sciences students</p>
</sec>
</sec>
</sec>
<sec id="Sec136"><title>O28 International classification of functioning disability and health as reflexive reasoning in primary attention in health</title>
<sec id="Sec137"><title>Tânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. Carvalho</title>
<sec id="Sec138"><title>Universidade de Santa Cruz do Sul, Santa Cruz do Sul – Rio Grande do Sul, 96815-900, Brasil</title>
<sec id="Sec139"><title><bold>Correspondence:</bold>
Tânia C. Fleig (tcmfleig@gmail.com) – Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul, 96815-900, Brasil</title>
<p><bold>Background</bold>
</p>
<p>In Primary Health Care (PHC) the impact of health problems on the individual’s health, interaction with the environment and on the quality of life guided by the International Classification of Functioning Disability and Health (ICF), allows an approach to health indicators and attention to the components of functionality, environmental and personal contexts. Objective: To describe the functionality profile of people registered in Family Health Strategies (FHSs).</p>
<p><bold>Methods</bold>
</p>
<p>A transversal study. Ninety-two people were attended in the physiotherapy apprenticeship programme of UNISC, in PHC, starting from the physiotherapeutic diagnosis guided by ICF, at four FHSs in Santa Cruz do Sul (Rio Grande do Sul, Brazil), in 2015. Data presented in relative frequency.</p>
<p><bold>Results</bold>
</p>
<p>The prevalent alterations were sensorial functions and pain (84 %), pain (75 %), cardiovascular, haematological, immunological and respiratory alterations (56 %), neuromusculoskeletal problems and those related to movement (85 %), mobility of joints (73 %) and muscular strength (50 %), structures related to movement (94 %) and lower extremities (56 %). The limitations of activities and restriction in participation was in mobility (66 %). The environmental factors of larger occurrence were products and technology (56 %), support and relationships (91 %), immediate family being a facilitator and barrier (67 % and 14 %), and health professional facilitators (82 %). Services, systems and policies (62 %) are added, especially services, systems and policies of health (52 % facilitator; 4 % barrier).</p>
<p><bold>Conclusions</bold>
</p>
<p>The ICF is considered in the composition of health indicators sustaining, expanding and guiding the actions of health, enlarging access and people's accessibility to provide comprehensive attention and to care.</p>
<p><bold>Keywords</bold>
</p>
<p>International Classification of Functionality, Primary Health Care, health indicators</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec140"><title>O29 Risk factors and cardiovascular disease in Portalegre</title>
<sec id="Sec141"><title>Daniel Guedelha, P. Coelho, A. Pereira</title>
<sec id="Sec142"><title>Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<sec id="Sec143"><title><bold>Correspondence:</bold>
Daniel Guedelha (daniel.jsguedelha@gmail.com) – Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Cardiovascular disease is the main cause of disability and premature death worldwide, being associated to these clinical conditions various cardiovascular risk factors leading to a higher prevalence of cardiovascular disease manifested in different ways. Among the various cardiovascular risk factors, it stands out dyslipidaemia, diabetes mellitus, hypertension, smoking and family history of atherosclerotic disease. Objective: The aim is to estimate the prevalence of cardiovascular risk factors and cardiovascular disease, such as acute myocardial infarction and stroke in Portalegre city's population.</p>
<p><bold>Methods</bold>
</p>
<p>The present study is of the analytical, observational and cross-sectional type in a random sample, consisting of 1,000 subjects and collected between July 2014 and January 2015. Data were collected by a questionnaire applied to the population under study.</p>
<p><bold>Results</bold>
</p>
<p>In 1,000 subjects there was a mean age of 52.5 ± 19.1 years and 54.7 % of subjects belonged to the female gender. The overall prevalence of hypertension was 35.0 % followed by hypercholesterolemia with 32.3 %, smoking habits with 14.0 % and 15.8 % of ex-smokers, diabetes present in 12.0 % of respondents and hypertriglyceridemia, that was the less present in the population with 7.2 %. It was also analysed cardiovascular pathology, being obtained a prevalence of acute myocardial infarction of 4.2 % and 2.7 % for stroke.</p>
<p><bold>Conclusions</bold>
</p>
<p>The prevalence of risk factors proved to be high in the population of the city of Portalegre, as well as the occurrence of the cardiovascular events studied.</p>
<p><bold>Keywords</bold>
</p>
<p>Cardiovascular risk factors, Acute Myocardial Infarction, stroke, prevalence, Portalegre</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec144"><title>O30 Health status of the elderly population living in Portalegre historic city centre: A longitudinal study</title>
<sec id="Sec145"><title>António Calha, Raul Cordeiro</title>
<sec id="Sec146"><title>Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal</title>
<sec id="Sec147"><title><bold>Correspondence:</bold>
António Calha (antoniocalha@hotmail.com) – Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal</title>
<p>Demographical changes and the increasing proportion of older people will generate new health needs in the coming years as well as huge challenges to health and social systems. The growth in the number of older people living alone in urban areas is particularly problematic because of the potential health risk that may be associated with social isolation and loneliness.</p>
<p>In this paper we present the results of a longitudinal descriptive and correlational study of the elderly population living in Portalegre historic city centre. The purpose of the research is to monitor trends between 2013 and 2015, regarding health status (self-assessment of health status; self-assessment of the existence of changes in health status and autonomy in performing everyday activities), feelings of loneliness and symptoms of depression. The first evaluation took place in January 2013 comprising a sample of 123 elders. The second evaluation took place in October 2015 comprising 44 elderly people (79 cases had been lost between the 1st and the 2nd evaluations).</p>
<p>Results showed a deterioration of health status (although differences were not statistically significant), changing the self-perceived unhealthy elderly from 43.5 % to 58.2 % (p = 0.227 by McNemar's test)- The same tendency was found in the percentage of elderly needing help in performing everyday activities, changing from 5 % in 2013 to 14 % in 2015 (p = 0.289 by McNemar's test).</p>
<p>Concerning feelings of loneliness and symptoms of depression a weakening was also found of elderly people’s status with potential consequences on social and personal wellbeing.</p>
<p><bold>Keywords</bold>
</p>
<p>Aging, health status, loneliness, depression symptoms</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec148"><title>O31 Student’s sleep in higher education: sleep quality among students of the IPB</title>
<sec id="Sec149"><title>Ana Gonçalves, Ana Certo, Ana Galvão, Mª Augusta Mata</title>
<sec id="Sec150"><title>Instituto Politécnico de Bragança, Bragança, 5300-121, Portugal</title>
<sec id="Sec151"><title><bold>Correspondence:</bold>
Ana Gonçalves (velosogoncalves@gmail.com) – Instituto Politécnico de Bragança, Bragança, 5300-121, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Sleep represents a basic human need, embodying several crucial functions in the young adult phase. Objective: To evaluate the sleep quality of higher education students.</p>
<p><bold>Methods</bold>
</p>
<p>A descriptive-transversal study with a quantitative approach. Non-probabilistic convenience sample of 358 students from Instituto Politécnico de Bragança (IPB). Data collection tools used: Socio-demographic record and the Pittsburgh Sleep Quality Index (PSQI).</p>
<p><bold>Results</bold>
</p>
<p>The majority of the sample (54 %) presents bad sleep quality and the remaining (46 %) good quality. Concerning gender, we can highlight that the majority of males presents good sleep quality and the majority of the females bad quality. Concerning sleep quality, the results match those of Pereira (2013) [1], who obtained a global PSQI score of 7.74, with 76 % of the students considered to have bad sleep quality and 24 % good quality. Data from national and international literature state that university or higher education students present bad sleep quality. Concerning the difference of sleep quality among genders, the results corroborate those of Coelho (2014), [2] in which females were more affected by bad sleep quality.</p>
<p><bold>Conclusions</bold>
</p>
<p>The majority of higher education students consider that they have bad sleep quality and gender influences quality. Given the aforementioned, it becomes imperative to perform interventions that promote sleep quality in this group.</p>
<p><bold>References</bold>
</p>
<p>1. Pereira, A. Hábitos de Sono em Estudantes Universitários [Dissertação]. Porto: Universidade Fernando Pessoa; 2013.</p>
<p>2. Coelho, A. Avaliação da Qualidade do Sono em Estudantes Universitários e a sua relação com Disfunções Temporomandibulares Musculares [Dissertação] Porto: Universidade Fernando Pessoa; 2014.</p>
<p><bold>Keywords</bold>
</p>
<p>Sleep, students, higher education, life quality</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec152"><title>O32 Trend in mortality from cervical cancer in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, 2000 to 2013</title>
<sec id="Sec153"><title>Aline Welter<sup>1</sup>
, Elayne Pereira<sup>1</sup>
, Sandra Ribeiro<sup>2</sup>
, Marcia Kretzer<sup>1</sup>
</title>
<sec id="Sec154"><title><sup>1</sup>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil; <sup>2</sup>
Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina, 88132-149, Brasil</title>
<sec id="Sec155"><title><bold>Correspondence:</bold>
Aline Welter (ninewelter@gmail.com) – Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil</title>
<p><bold>Background</bold>
</p>
<p>Cervical cancer is a public health problem in Brazil and worldwide, due to the high mortality rates observed mainly in less developed regions. Being the most preventable cancer, is of great importance its early diagnosis and treatment. Objective: To analyse time trends in mortality from cervical cancer 2000 to 2013 in the metropolitan area of Florianópolis, state of Santa Catarina - Brazil, by age-specific groups and its regions.</p>
<p><bold>Methods</bold>
</p>
<p>An ecological study of time series was conducted using data from the National Information System on Mortality. Data on deaths from 2000 to 2013. Crude and specific mortality rates were calculated according to age group and region. The existence of correlations was analysed by the Spearman's correlation coefficient t.</p>
<p><bold>Results</bold>
</p>
<p>There was little variability in mortality trends from Cervical Cancer in the metropolitan region, ranging between 3.43 and 2.24/100 thousand, with a declining trend from 40 to 49 years (r = -0.547; p < 0.05). Analysing the cities, in Florianópolis there was a declining trend from 60 to 69 years (r = -0.612; p < 0.05) and from 70 to 79 years (r = -0.701; p < 0.01), while in the São José city there was an increasing trend in the age group from 60 to 69 years (r = 0.539; p < 0.05).</p>
<p><bold>Conclusions</bold>
</p>
<p>The mortality trend of Cervical Cancer in the metropolitan area of Florianópolis is stationary, with a decrease from 40 to 49 years. In the city of Florianopolis there was a decreasing trend from 60 to 79 years, and in the São José city there an increase from 60 to 69 years.</p>
<p><bold>Keywords</bold>
</p>
<p>Cervical cancer, uterine cervical neoplasms, mortality trends</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec156"><title>O33 Adherence to treatment in the elderly in an urban environment in Spain</title>
<sec id="Sec157"><title>Juan-Fernando Jiménez-Díaz<sup>1</sup>
, Carla Jiménez-Rodríguez<sup>1</sup>
, Francisco-José Hernández-Martínez<sup>2</sup>
, Bienvenida-Del-Carmen Rodríguez-De-Vera<sup>1</sup>
, Alexandre Marques-Rodrigues<sup>3</sup>
</title>
<sec id="Sec158"><title><sup>1</sup>
Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas, España; <sup>2</sup>
Cabildo de Lanzarote, 35500. Arrecife, Lanzarote, Las Palmas, España; <sup>3</sup>
Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec159"><title><bold>Correspondence:</bold>
Juan-Fernando Jiménez-Díaz (juanfernando.jimenez@ulpgc.es) – Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas, España</title>
<p><bold>Background</bold>
</p>
<p>Lack of adherence to treatment is a major public health problem. Over 50 % of the Spanish population fails to comply with prescribed treatments. The WHO defines adherence as "the degree to which a person's behaviour corresponds with agreed recommendations from a health care provider." Therefore, in addition to the clinical impact also it has socio-economic implications. Objective: To determine the level of adherence to treatment in a sample of over 65 with chronic polypharmacy and diseases in an urban environment.</p>
<p><bold>Methods</bold>
</p>
<p>A cross-sectional descriptive study with a simple random sampling from a Community Pharmacy Service in an urban environment by applying the Morisky-Green Test.</p>
<p><bold>Results</bold>
</p>
<p>36.8 % of patients do not show good adherence in taking medication. However, the overall adherence to treatment increases with age, especially among those over 71, with no statistical significance between genders and, similarly, better adherence correlates with less education of individuals, but not with their socioeconomic status.</p>
<p><bold>Conclusions</bold>
</p>
<p>The positive predictive value of the Morisky-Green Test can be a good alternative to identifying groups at risk of non-adherence in primary care, especially when our findings show that the older and less educated patients achieved better therapeutic adherence, which is conditioned by a greater dependence on health professionals in determining the criteria.</p>
<p><bold>Keywords</bold>
</p>
<p>Adherence, Therapy, Elderly</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec160"><title>O34 Beira Baixa Blood Pressure Study (Study PABB)</title>
<sec id="Sec161"><title>Patrícia Coelho, Tiago Bernardes, Alexandre Pereira</title>
<sec id="Sec162"><title>Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767, Portugal</title>
<sec id="Sec163"><title><bold>Correspondence:</bold>
Patrícia Coelho (patriciacoelho@ipcb.pt) – Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Arterial Hypertension (AHT) is a multifactorial systemic disease characterized by high and sustained levels of blood pressure (BP). In Portugal a prevalence of 42 % is estimated among the adult population and it is known to be closely related to cardiovascular disease. Objective: To characterize the population of Castelo Branco district regarding the prevalence, knowledge and AHT control rates, as well as to determine cardiovascular risks (CVR).</p>
<p><bold>Methods</bold>
</p>
<p>Cross-sectional study performed in the district of Castelo Branco between 2010-2014 through survey application, BP measurements via the auscultatory method and anthropometric data information. The sample consisted of 11,139 individuals, 55.6 % female, aged between 18 and 101 years, with a mean of 58.17 ± 17.95 years. Data were analysed with SPSS® 20.0.</p>
<p><bold>Results</bold>
</p>
<p>The prevalence of AHT was 53.2 % (53.8 % in males and 52 % in females). 6.8 % of the subjects had prehypertension; 24.1 % at AHT grade 1; 8.1 % AHT grade 2 and 2.1 % AHT grade 3. Of the 4,199 individuals under antihypertensive therapy, 49.8 % had BP values above normal. Regarding the CVR 51.1 % of subjects had no significant CVR; 10.9 % had low risk; 19.0 % moderate risk and 18.9 % high or very high risk according to the international guidelines.</p>
<p><bold>Conclusions</bold>
</p>
<p>There was prevalence above the national average as well as a high rate of medicated AHT with high BP values. It’s a population with high CVR, fact that should be taken into account in drawing up preventive strategies for the control of cardiovascular risk factors.</p>
<p><bold>Keywords</bold>
</p>
<p>Prevalence, arterial hypertension, risk factors, cardiovascular risk</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec164"><title>O35 Trends in cervical cancer mortality statistics in Santa Catarina State, Brazil, by age group and macro-region, from 2000 to 2013</title>
<sec id="Sec165"><title>Patrícia Sousa, João G. Filho, Nazare Nazario, Marcia Kretzer</title>
<sec id="Sec166"><title>Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil</title>
<sec id="Sec167"><title><bold>Correspondence:</bold>
Patrícia Sousa (patricia.pssantos@hotmail.com) – Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil</title>
<p><bold>Background</bold>
</p>
<p>Cervical cancer is a public health issue in Brazil and worldwide, due to the high mortality rates observed mainly in less developed regions. Being the most preventable cancer, its early diagnosis and treatment is of great importance. Objective: To analyse the trends in cervical cancer mortality statistics over time in Santa Catarina State, Brazil.</p>
<p><bold>Methods</bold>
</p>
<p>An ecological time series study was conducted using data from the Brazilian National Information System on Mortality. Trends in the data on deaths from 2000 to 2013 were identified using linear regression. Crude and specific mortality rates were calculated according to age group and macro-region.</p>
<p><bold>Results</bold>
</p>
<p>There was little variability in the cervical cancer mortality rates in this state, ranging from 1.80 to 2.66/100,000, and this variation showed no statistical significance. There was an increasing trend for the age group 0-29 years, with a mean annual increase of 0.01 % (p = 0.02), and a decreasing for the 40-49 years (0.16 %; p = 0.004). On analysing the health administration macro-regions, the only significant increasing trend was observed for the Vale do Itajaí (0.04 %; p = 0.02).</p>
<p><bold>Conclusions</bold>
</p>
<p>For the period of 2000 to 2013 the overall cervical cancer mortality in Santa Catarina State is trend stationary, but the mortality is increasing for the age range of 0 to 29 years and decreasing for the age range of 40 to 49 years. The only health administration macro-region of Santa Catarina State which has registered a significant increasing trend in cervical cancer mortality is the Itajaí Valley.</p>
<p><bold>Keywords</bold>
</p>
<p>Uterine cervical neoplasms, cervical cancer, mortality trends</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec168"><title>O36 Sleep problems among Portuguese adolescents: a public health issue</title>
<sec id="Sec169"><title>Odete Amaral<sup>1</sup>
, António Garrido<sup>2</sup>
, Nélio Veiga<sup>3</sup>
, Carla Nunes<sup>4</sup>
, Ana R. Pedro<sup>4</sup>
, Carlos Pereira<sup>1</sup>
</title>
<sec id="Sec170"><title><sup>1</sup>
Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504 - 510 Viseu, Portugal; <sup>2</sup>
Casa de Saúde de São Mateus, Viseu, 3500-106, Portugal; <sup>3</sup>
Universidade Católica Portuguesa, Viseu, 3504-505, Portugal; <sup>4</sup>
Escola Nacional de Saúde Pública, Lisboa, 1600-560, Portugal</title>
<sec id="Sec171"><title><bold>Correspondence:</bold>
Odete Amaral (mopamaral@gmail.com) – Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504 - 510 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Recent studies have shown that sleeping problems, particularly during adolescence, are an important public health problem. During adolescence many biological, psychological and social factors interact, resulting in shortening of sleep duration, excessive sleepiness, insomnia and delayed sleep phase syndrome. The aim of this study was to determine the prevalence of sleep problems in adolescents.</p>
<p><bold>Methods</bold>
</p>
<p>In a cross-sectional approach we assessed 7,354 students (3944 females), aged 11 to 20 years from twenty-six schools of the district of Viseu, Portugal. Data was collected using a self-administered questionnaire answered by the students in the classroom. Insomnia was defined based on the Diagnostic and Statistical Manual of Mental Disorders IV criteria. Daytime sleepiness was assessed by the Epworth Sleepiness Scale and we considered as "insufficient" less than 8 hours of night sleep.</p>
<p><bold>Results</bold>
</p>
<p>The prevalence of “insomnia” was 8.3 % and of “insomnia symptoms” 21.4 %. The prevalence of “difficulty initiating sleep”, “difficulty maintaining sleep”, “early morning awakening” and “non-restorative sleep” was 8.9 %; 8.2 %; 6.1 % and 5.6 %, respectively. The prevalence of insomnia and symptoms of insomnia were higher among the female gender (p < 0.001). Each symptom was more prevalent among the female gender (p < 0.001). The prevalence of daytime sleepiness was 33.1 % and of insufficient sleep 29.0 %. Both were higher among the female gender (p < 0.001). Only 6.4 % of the adolescents reported to lie down every night at the same hour.</p>
<p><bold>Conclusions</bold>
</p>
<p>Sleep problems in Portuguese adolescents are common. The results of this study suggest the need for comprehensive programs to prevent sleep problems in Portuguese adolescents.</p>
<p><bold>Keywords</bold>
</p>
<p>Sleep problems, Insomnia, Daytime sleepiness, Insufficient sleep, Adolescents</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec172"><title>O37 Association between body fat and health-related quality of life in patients with type 2 diabetes</title>
<sec id="Sec173"><title>António Almeia<sup>1</sup>
, Helder M. Fernandes<sup>1</sup>
, Carlos Vasconcelos<sup>1,2</sup>
, Nelson Sousa<sup>1</sup>
, Victor M. Reis<sup>1</sup>
, M. João Monteiro<sup>1</sup>
, Romeu Mendes<sup>1,3</sup>
</title>
<sec id="Sec174"><title><sup>1</sup>
Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal; <sup>2</sup>
Polytechnic Institute of Viseu, Viseu, 3504-510, Portugal; <sup>3</sup>
Unidade de Saúde Pública do ACES Douro I—Marão e Douro Norte, Administração Regional de Saúde do Norte, IP, 5000-524 Vila Real, Portugal</title>
<sec id="Sec175"><title><bold>Correspondence:</bold>
Romeu Mendes (romeuduartemendes@gmail.com) – Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal</title>
<p><bold>Background</bold>
</p>
<p>There is increasing evidence that obesity is associated with a decline in health-related quality of life (HRQOL). Objective: This cross-sectional study aimed to analyse the relation between body fat and HRQOL in patients with type 2 diabetes.</p>
<p><bold>Methods</bold>
</p>
<p>The SF-36v2 questionnaire was administered to 95 individuals with type 2 diabetes (47 women and 48 men; 66.23 ± 6.34 years old; 10.55 ± 7.55 years of diabetes; 37.47 ± 8.19 % of body fat) candidates to <italic>Diabetes em Movimento®</italic>
, a community-based lifestyle intervention program developed in Vila Real, Portugal (NCT02631902). Body fat was assessed by bioelectrical impedance analysis technique (Tanita, BC-418 MA). Pearson’s correlation coefficients were used to evaluate the associations between each SF-36v2 scale (physical functioning, PF; role physical, RP; bodily pain, BP; general health, GH; vitality, VT; social functioning, SF; role emotional, RE; mental health, MH) and summary scales (physical component score, PCS; mental component score, MCS), and patient’s body fat.</p>
<p><bold>Results</bold>
</p>
<p>Negative and significant correlations were observed between body fat and PF (r = -0.331; p = 0.001), BP (r = -0.324; p = 0.001), VT (r = -0.336; p = 0.001), SF (r = -0.231; p = 0.025), RE (r = -0.280; p = 0.006), MH (r = -0.310; p = 0.002), PCS (r = -0.234; p = 0.023), and MCS (r = -0.230; p = 0.026), respectively.</p>
<p><bold>Conclusions</bold>
</p>
<p>High levels of body fat are associated with impaired HRQL in patients with type 2 diabetes, possibly compromising the individuals' ability to perform daily activities.</p>
<p><bold>Keywords</bold>
</p>
<p>Health-related quality of Life, obesity, type 2 diabetes</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec176"><title>O38 Therapy adherence and polypharmacy in non-institutionalized elderly from Amares county, Portugal</title>
<sec id="Sec177"><title>Isabel C. Pinto<sup>1</sup>
, Tânia Pires<sup>2</sup>
, João Gama<sup>3</sup>
</title>
<sec id="Sec178"><title><sup>1</sup>
Núcleo de Investigação e Intervenção no Idoso, Departamento de Tecnologias de Diagnóstico e Terapêutica, Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253, Portugal; <sup>2</sup>
Centro de Investigação de Montanha, Escola Superior Agrária, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal; <sup>3</sup>
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</title>
<sec id="Sec179"><title><bold>Correspondence:</bold>
Isabel C. Pinto (isabel.pinto@ipb.pt) – Núcleo de Investigação e Intervenção no Idoso, Departamento de Tecnologias de Diagnóstico e Terapêutica, Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Polypharmacy is frequent in elderly, and therapy adherence is a crucial component to achieve the effectiveness of treatment, although the complex therapies in elderly can lead to therapy non-adherence, increasing costs and several health risks. Objective: To estimate the prevalence of therapy adherence, polypharmacy and associated factors in elderly.</p>
<p><bold>Methods</bold>
</p>
<p>This cross-sectional study was based on a questionnaire, with the MAT scale (Measure of Adherence to Therapy) validated for the Portuguese population [1], applied to 159 elderly (≥65 years) living in their home in Amares county, in the north of Portugal. To assess therapy adherence, those whose average adherence levels were ≥ 5 were called “adherent”, and considered as polymedicated seniors taking ≥ 5 drugs. It was used descriptive statistics, correlations were accessed using the qui-square test and adjusted residuals (AdR) for variables categories, with a significance level of 5 %.</p>
<p><bold>Results</bold>
</p>
<p>The sample consisted mainly of females (54.7 % vs. 45.3 %), aged between 65 and 96 years old (mean 74.6), while 50.3 % was between 65-74 years old. The participants show good therapy adherence (69.8 %), being highly polymedicated (58.5 %) with an average of 5.5 different drugs administered per day. Non-adherence was associated with having mental disorders (p = 0.002) and respiratory system diseases (AdR = 2.0), and seems to be related with being polymedicated (AdR = 1.7) and bad health perception (AdR = 1.3). Having hypertension, cholesterol, depression, mental disorders (p = 0.001), pain (p = 0.003) and diabetes (p = 0.014) were also related to polypharmacy.</p>
<p><bold>Conclusions</bold>
</p>
<p>This study shows a considerable prevalence of therapy adherence and polypharmacy, being several factors associated with these phenomena.</p>
<p><bold>References</bold>
</p>
<p>1. Delgado A, Lima M. Contributo para validação concorrente de uma medida de adesão aos tratamentos. Psicologia, Saúde & Doenças. 2001; 2(2): 81-100.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, non-institutionalized elderly, polypharmacy, therapy adherence, therapy non-adherence</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec180"><title>O39 Prevalence of surgical site infection in adults at a hospital unit in the North of Portugal</title>
<sec id="Sec181"><title>Vera Preto<sup>1</sup>
, Norberto Silva<sup>2</sup>
, Carlos Magalhães<sup>3</sup>
, Matilde Martins<sup>4</sup>
</title>
<sec id="Sec182"><title><sup>1</sup>
Programa de Prevenção e Controlo de Infeções e de Resistência aos Antimicrobianos, Unidade Local de Saúde do Nordeste, Bragança, 5301-852, Portugal; <sup>2</sup>
Departamento de Urgência e Emergência Unidade, Unidade Local de Saúde do Nordeste, Bragança, 5301-852, Portugal; <sup>3</sup>
Departamento de Enfermagem, Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal; <sup>4</sup>
Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano, Departamento de Enfermagem, Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</title>
<sec id="Sec183"><title><bold>Correspondence:</bold>
Vera Preto (vera.preto@sapo.pt) – Programa de Prevenção e Controlo de Infeções e de Resistência aos Antimicrobianos, Unidade Local de Saúde do Nordeste, Bragança, 5301-852, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Infection of the surgical site is one of the most frequent infections associated with health care. Objective: To identify the prevalence of surgical site infection in adults at a hospital in the North of Portugal.</p>
<p><bold>Methods</bold>
</p>
<p>A prospective study carried out at a hospital in the north of Portugal in 2015. Inclusion criteria: having been hospitalized in surgical and obstetrics services in the past 24 hours, aged 16 years or more, undergoing colon surgery, gallbladder and caesarean section. A sample of 579 participants was obtained. The characterization of the patient and the surgery was performed using an inquiry application in the first 24 hours after surgery, and the registration of the infection at the time of occurrence within 30 days following the procedure.</p>
<p><bold>Results</bold>
</p>
<p>Among the 579 participants 53.4 % were females, with an average age of 57.1 years (17-97 years), 64.1 % underwent prophylactic antibiotic therapy, in 52.7 % the surgery was urgent, 6.6 % underwent surgery laparoscopically, 70.0 % of the surgeries occurred in the surgery department, of which 33.3 % were cholecystectomy. Predominantly the wounds were clean (62.0 %). The average wait for surgery was 7 days, for admission 12 days and average surgical time 59 minutes. There was a 6.0 % prevalence of surgical site infection and Escherichia coli accounted for 47.8 % of them. The average time of onset was 9 days and the organ/space was the most affected site (48.6 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>Prevalence of infection was 6.0 %. It is suggested to carry out further studies that show factors associated with this type of infection.</p>
<p><bold>Keywords</bold>
</p>
<p>Surgical Wound Infection, Escherichia coli, Prevalence</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec184"><title>O40 Frailty phenotype in old age: implications to intervention</title>
<sec id="Sec185"><title>Mafalda Duarte<sup>1</sup>
, Constança Paúl<sup>2,3</sup>
, Ignácio Martín<sup>4</sup>
</title>
<sec id="Sec186"><title><sup>1</sup>
Health Superior School of Alto Ave, 4830-345 Póvoa de Lanhoso, Portugal; <sup>2</sup>
Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal; <sup>3</sup>
Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal; <sup>4</sup>
Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec187"><title><bold>Correspondence:</bold>
Mafalda Duarte (mafalda.duarte@isave.pt) – Health Superior School of Alto Ave, 4830-345 Póvoa de Lanhoso, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The Frailty Phenotype is a syndrome composed of five criteria: weight loss, endurance, physical activity, slowness and weakness. An older person is considered to be frail if being impaired in three of these domains. This study aims to identify predictive factors of the frailty condition that may be considered for intervention.</p>
<p><bold>Methods</bold>
</p>
<p>A representative sample, stratified by age group, of elders living in the community (n = 339) was assessed and logistic regression models conducted.</p>
<p><bold>Results</bold>
</p>
<p>Predictive factors were gender (woman) OR 1.7, 95 % CI 1.0 – 2.8), age (more advanced) (OR 2.8, 95 % CI 1.6 - 4.9) and educational level (no schooling) (OR 2.6, 95 % CI 1.1 – 6.0). The bio behavioural variables and the low respiratory flow predicted the frailty condition (OR 3.3, 95 % CI 1.9 – 6.0). Geriatric indicators as falls (OR 3.3, 95 % CI 1.5 - 5.6), changes in sensorial processes (OR 2.1, 95 % CI 1.2 -3. 8; OR 2.1, 95 % CI 1.1 - 4.0 respectively), comorbidity (OR 1.8, 95 % CI 1.0 - 3.2) were also predictors of frailty. Impairment in ADL increases the risk of frailty (OR 2.1, 95 % IC 1.2 -3.5). The presence of depressive symptomatology (OR 4.2, 95 % IC 1.9-9.2) and cognitive deterioration (OR 2.9, 95 % IC 1.6 -5.3) are equally predictive of this condition.</p>
<p><bold>Conclusions</bold>
</p>
<p>These biopsychosocial predictors were all considered in an intervention program.</p>
<p><bold>Keywords</bold>
</p>
<p>Elders, frailty, predictive factors, intervention</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec188"><title>O41 Portuguese women: sexual symptoms in perimenopause</title>
<sec id="Sec189"><title>Arminda A. Pinheiro (aanes@ese.uminho.pt)</title>
<sec id="Sec190"><title>Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Cultural differences in sexual symptoms exist, and should be measured in perimenopause, including the following symptoms: loss of interest in sex, vaginal dryness, satisfaction and pain during intercourse. The measurement of these symptoms provides a comparison between studies.</p>
<p><bold>Methods</bold>
</p>
<p>A cross-sectional study, correlational; with a non-probabilistic convenience sample (n = 600 Portuguese women perimenopause, 45 - 55 years) was performed. Protocol included: Menopause Rating Scale; attitudes and beliefs before menopause (built and validated by us); Social Support Satisfaction Scale, Scale, levels E2; FSH, sociodemographic; lifestyle and projects, perception of subjective well-being and stressful events.</p>
<p><bold>Results</bold>
</p>
<p>Regarding the influence of different factors included in the final model on the probability of a woman having reported uncomfortable sexual symptoms, logistic regression forward showed the conditions of socio-demographic/socio-economic factors: labour condition (bunemployed = 0.817; p = 0.001; OR = 2.264), household formation (balone, with children = - 0.993; p < 0.001; OR = 0.136); the conditions of psychosocial factors: meaning attributed to menopause (bpositive meaning = -1.038; p < 0.001; OR = 0.354), level of self-esteem (bself-esteem = -0.045; p = 0.029; OR = 0.956), satisfaction with social support (b family support = -0.099; p = 0.039; OR = 0.906), attitudes/beliefs facing menopause (bchanges health aging = -0.148, p = 0.023; OR = 0.863);attitudes/beliefs facing menopause (b physical changes = -0.147; p = 0.011; OR = 0.863).The adjusted Logit model (G2(8) = 173.621; p < 0.001; X2wald (8) = 16.847; p = 0.032; R2CS = 0.251; R2N = 0.349; R2MF = 0.228).</p>
<p><bold>Conclusions</bold>
</p>
<p>Midwives can address the attitudes and self-esteem of perimenopausal women to promote sexual health in family planning consultations.</p>
<p><bold>Keywords</bold>
</p>
<p>health sexual, perimenopause, women</p>
</sec>
</sec>
</sec>
<sec id="Sec191"><title>O42 Predictive ability of the Perinatal Depression Screening and Prevention Tool – preliminary results of the categorical approach</title>
<sec id="Sec192"><title>Sandra Xavier<sup>1</sup>
, Julieta Azevedo<sup>1</sup>
, Elisabete Bento<sup>1</sup>
, Cristiana Marques<sup>1</sup>
, Mariana Marques<sup>1,2</sup>
, António Macedo<sup>1,2</sup>
, Ana T. Pereira<sup>1</sup>
</title>
<sec id="Sec193"><title><sup>1</sup>
Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal; <sup>2</sup>
Centro de responsabilidade integrado, Serviço Psiquiatria, Centro Hospitalar e Universitário de Coimbra, 3000-354 Coimbra, Portugal</title>
<sec id="Sec194"><title><bold>Correspondence:</bold>
Sandra Xavier (sandraalvesxavier@gmail.com) – Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The 2015 update of the depression screening recommendations reflects the importance of screening during and after pregnancy. The perinatal depression screening and early detection should combine the evaluation of depressive symptoms and risk factors. Objective: To analyse the predictive ability of the Perinatal Depression Screening and Prevention Tool (PDSP Tool) assessing both PD symptoms and risk factors identified by our team (lifetime history of depression/LtHD, prenatal insomnia, increased depressive symptoms and negative affect/NA at pregnancy) to identify postpartum major depression.</p>
<p><bold>Methods</bold>
</p>
<p>Nighty-two (92) pregnant women (mean age: 32.64 ± 4.59 years) in their second trimester (21.38 ± 2.41 weeks of gestation) completed the PDSP Tool. At six (6.34 ± 1.66) weeks postpartum they were interviewed with the Diagnostic Interview for Psychological Distress-Postpartum, to determine if they fulfilled the diagnostic criteria for major depression/DSM-5.</p>
<p><bold>Results</bold>
</p>
<p>4.3 % of the women showed major depression. The global correct classification rate of the PDSP Tool was 53.3 %. False-negatives 1.1 %, false-positives 44.6 %, true-negatives 55.2 % and true-positives 3.3 %. Considering the PDSP Tool components, high NA showed the highest predictive ability: 100 % of women with high NA at pregnancy (X<sup>2</sup>
= 11.21, OR = 2.190, p = .005) had major depression in the postpartum.</p>
<p><bold>Conclusions</bold>
</p>
<p>Considering that false-negatives are worse than false-positives, the finding that the PDS Tool identifies more than half of the women who will develop postpartum major depression encourages us to continue to develop efforts to succeed in this very difficult task of identifying pregnant women who will tend to have major depression in the postpartum.</p>
<p><bold>Keywords</bold>
</p>
<p>Perinatal Depression, early screening, assessment</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec195"><title>O43 Aging and muscle strength in patients with type 2 diabetes: cross sectional analysis</title>
<sec id="Sec196"><title>José P. Almeida<sup>1</sup>
, António Almeida<sup>1,2</sup>
, Josiane Alves<sup>1</sup>
, Nelson Sousa<sup>1,2</sup>
, Francisco Saavedra<sup>1,2</sup>
, Romeu Mendes<sup>1,2,3</sup>
</title>
<sec id="Sec197"><title><sup>1</sup>
University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal; <sup>2</sup>
Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal; <sup>3</sup>
Unidade de Saúde Pública, ACES Douro I, Marão e Douro Norte, Administração Regional de Saúde do Norte, 5000-524 Vila Real, Portugal</title>
<sec id="Sec198"><title><bold>Correspondence:</bold>
José P. Almeida (romeuduartemendes@gmail.com) – University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The aging process is associated with the decline of muscle mass and strength and this loss is increased by diabetes, leading to the development of physical disability in older adults with diabetes. Objective: This study aimed to analyse the association between age and muscle strength levels in middle-age and older patients with type 2 diabetes (T2D).</p>
<p><bold>Methods</bold>
</p>
<p>Ninety-three individuals with T2D (47 men and 46 women; 66.26 ± 6.32 years of age [55 to 80 years]) candidates for Diabetes em Movimento®, a community-based lifestyle intervention programme developed in Vila Real, Portugal (NCT02631902), participated in a cross sectional analysis. Upper limb muscle strength was assessed through performance in the Seated Medicine Ball Throw Test (SMBT) and lower limb through performance in the 30-Second Chair Stand Test (30-SCS). Pearson’s correlation coefficients were used to evaluate the associations between age and muscle strength levels, in both genders.</p>
<p><bold>Results</bold>
</p>
<p>Negative and significant correlations were observed between age and SMBT in men (r = -0.345, p = 0.019) and women (r = -0.314, p = 0.033), and between age and 30-SCS in women (r = -0.409, p = 0.005), but not in men (r = -0.126, p = 0.403).</p>
<p><bold>Conclusions</bold>
</p>
<p>In general, the results showed a relation between aging and loss of muscle strength in both genders in patients with T2D. However, men seem more protected than women in the loss of lower limb muscle strength.</p>
<p><bold>Keywords</bold>
</p>
<p>Muscle strength, aging, Type 2 Diabetes</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec199"><title>O44 Accessibility of the elderly in the prevention of hypertension in a family health unit</title>
<sec id="Sec200"><title>Ana S. Maia<sup>1</sup>
, Michelle T. Oliveira<sup>1</sup>
, Anderson R. Sousa<sup>1</sup>
, Paulo P. Ferreira<sup>2</sup>
, Luci S. Lopes<sup>1</sup>
, Eujcely C. Santiago<sup>3</sup>
</title>
<sec id="Sec201"><title><sup>1</sup>
Faculdade Nobre, Feira de Santana - Bahia, 44001-008, Brasil; <sup>2</sup>
Secretaria de Saúde do Estado da Bahia, Salvador - Bahia, 41745-900, Brasil; <sup>3</sup>
Hospital Estadual da Criança, Vila Valqueire, Rio de Janeiro, Brasil</title>
<sec id="Sec202"><title><bold>Correspondence:</bold>
Ana S. Maia (anamargarette@yahoo.com.br) – Faculdade Nobre, Feira de Santana, Bahia, 44001-008, Brasil</title>
<p>In Brazil, there is a steady increase in life expectancy, due to the decline in mortality and fertility rates, thus increasing the number of elderly. With that index of Chronic Diseases has grown, with arterial hypertension as an example. This research aimed to analyse accessibility of the elderly in the prevention of hypertension in a Family Health Unit. This is a descriptive and exploratory study, with qualitative approach, performed at a Family Health Unit in the municipality of Bahia, Brazil. It was conducted with 16 elderly people, aged over 60 years, through a semi-structured interview. The interviews were submitted to thematic content analysis. The study was divided into the following categories: “<italic>You have to be careful</italic>
”, “<italic>have to do your exams every month</italic>
”, “<italic>every year to stay healthy</italic>
”, respondents show access to knowledge on how to prevent high blood pressure, citing changes in habits beyond just use of prescribed medication. Respondents indicated that access to knowledge and information in the prevention of hypertension happens through media, health professionals, consultations, lectures, television, and conversation groups. The orientation of the unit's health team contributes to changes in the lifestyle of the elderly. Therefore, it is concluded that access to health education and encouraging changes of habits in daily life are required for the acquisition of knowledge, assisting in self-care.</p>
<p><bold>Keywords</bold>
</p>
<p>Access, arterial hypertension, elderly</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec203"><title>O45 Community Health screenings and self-reported chronic diseases</title>
<sec id="Sec204"><title>Sílvia Monteiro<sup>1</sup>
, Ângelo Jesus<sup>1</sup>
, Armanda Colaço<sup>1,2</sup>
, António Carvalho<sup>1,2</sup>
, Rita P. Silva<sup>1,3</sup>
, Agostinho Cruz<sup>1</sup>
</title>
<sec id="Sec205"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal; <sup>2</sup>
Centro Hospitalar de São João, EPE, Porto, 4200-319 Porto, Portugal; <sup>3</sup>
Unidade Local de Saúde de Matosinhos, EPE, 4454 509 Senhora da Hora, Portugal</title>
<sec id="Sec206"><title><bold>Correspondence:</bold>
Sílvia Monteiro – Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal; Ângelo Jesus (acj@estsp.ipp.pt) – Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Community Health screenings are an important part of the Pharmacy Technician’s role as a health care provider. Objectives: To evaluate the relation between anthropometric, physiological and biochemical parameters and self-reported chronic conditions during community health screenings.</p>
<p><bold>Methods</bold>
</p>
<p>The authors conducted an exploratory study including 60 individuals: 63.3 % had one or more chronic diseases and 36.7 % were healthy individuals. For anthropometric measurements we obtained height, weight, body mass index, waist circumference, body fat percentage and muscle mass; for physiological assessment, blood pressure was measured; biochemical variables evaluated were blood glucose, cholesterol and triglycerides in point-of-care testing.</p>
<p><bold>Results</bold>
</p>
<p>Self-reported chronic diseases consisted of 30 % cardiovascular diseases, 26.7 % metabolic diseases, and 16.7 % of other diseases. Cardiovascular patients had abnormal values of systolic blood pressure, triglycerides and body fat. Patients with metabolic disorders showed considerable differences in systolic blood pressure, blood sugar and central adiposity compared to healthy individuals; individuals with obesity revealed high levels of blood pressure, cholesterol, triglycerides, body mass index, waist circumference and body fat percentage. There were a significant number of patients with abnormal values that were neither diagnosed nor medicated.</p>
<p><bold>Conclusions</bold>
</p>
<p>Community health screening is of major importance for patients’ awareness of chronic diseases, and a fundamental role for Pharmacy Technicians. These results show the need for further action with patients, in order to promote a correct follow-up with other health care providers.</p>
<p><bold>Keywords</bold>
</p>
<p>Chronic disease, Community Pharmacy Services, Pharmacy Technician, Metabolic disease, Cardiovascular disease, Obesity</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec207"><title>O46 Evaluation of indoor air quality in Kindergartens</title>
<sec id="Sec208"><title>Ana Ferreira, Catarina Marques, João P. Figueiredo, Susana Paixão</title>
<sec id="Sec209"><title>College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec210"><title><bold>Correspondence:</bold>
Ana Ferreira (anaferreira@estescoimbra.pt) – College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p>The indoor air pollutants may cause several effects on human health, although there is a greater severity in risk groups, particularly among children. The aim was to evaluate the Indoor Air Quality in kindergartens of the Coimbra city, its structural and functional conditions, and respiratory health of its occupants.</p>
<p>The study evaluated the air quality of 4 kindergartens, both inside and outside the rooms. Air carbon dioxide (CO<sub>2</sub>
), carbon monoxide (CO), particles PM10 and PM2.5 volatile organic compounds (VOCs), formaldehyde (H<sub>2</sub>
CO), temperature (T,°C), relative humidity (Hr) and Velocity were evaluated.</p>
<p>The results showed that on average every single parameter of the sampled parameters exceed the limits set by legislation. However, it was found that the maximum value of some parameters was equal or exceeded the reference value, among them VOCs, H<sub>2</sub>
CO, T°C, Hr and Velocity. According to the occupants' respiratory health, it appears that there is a relationship between the concentration of pollutants and the frequency of disease/symptoms perceived by employees.</p>
<p><bold>Keywords</bold>
</p>
<p>Indoor Air Quality, kindergartens, health</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec211"><title>O47 Atmospheric exposure to chemical agents under the occupational activity of pathology technicians</title>
<sec id="Sec212"><title>Ana Ferreira, Carla Lopes, Fernando Moreira, João P. Figueiredo</title>
<sec id="Sec213"><title>College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec214"><title><bold>Correspondence:</bold>
Ana Ferreira (anaferreira@estescoimbra.pt) – College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p>In anatomical pathology laboratories (APLs) the presence of several chemical agents and other pollutants is common. These have repercussions in air quality, representing a risk factor for the health of the workers who handle them daily. In this regard, the occupational exposure of 19 anatomical pathology technicians of 3 APLs in the centre region of Portugal to air pollutants was evaluated: formaldehyde (CH<sub>2</sub>
O), volatile organic compounds (VOCs) and particles (PM2.5 and PM10).</p>
<p>The indoor air quality (IAQ) was evaluated by direct reading equipment regarding the referred pollutants, as well as temperature, relative humidity and air velocity. In addition to these measurements, questionnaires were distributed to obtain data regarding personal/professional history of workers, occupational exposure characterization, APTs’ health conditions and tobacco consumption data.</p>
<p>The study was of the observational type, descriptive-correlational and cross-sectional (cohort). The type of sampling was non-probabilistic. To proceed with the analytical collection of the evaluated parameters, portable equipment of real-time reading was used, namely the Q-TrakTM Plus – IAQ Monitor gauge, label TSI, model 8552/8554, the Phocheck + gauge, ion science (to measure total VOCs), the Lightouse gauge, model Handheld 3016 IAQ to collect the quantitative values of PM2,5 e PM10 and the PPM Formaldemeter TM htV – IAQ Monitor gauge to evaluate the concentration of CH<sub>2</sub>
O.</p>
<p>The results led to the assessment that in all APLs situations of exposure above the protection threshold were verified. It was concluded it is necessary the implementation of safety and control measures that minimize the risk of exposure to air pollutants.</p>
<p><bold>Keywords</bold>
</p>
<p>Anatomical pathology laboratories, occupational exposure, air pollutants</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec215"><title>O48 Occupational exposure to air pollutants in night entertainment venues workers</title>
<sec id="Sec216"><title>Ana Ferreira, Diana Ribeiro, Fernando Moreira, João P. Figueiredo, Susana Paixão</title>
<sec id="Sec217"><title>College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec218"><title><bold>Correspondence:</bold>
João P. Figueiredo (jpfigueiredo@estescoimbra.pt) – College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p>Given the significant increase of time spent by the population in nightlife venues and the lack of indoor air quality (IAQ), there is a need to study the possibility that this deprivation might affect the employees’ health through their exposure to this environment.</p>
<p>The main goal of this study consisted in assess workers’ occupational exposure to environmental indoor air pollutants, in order to understand its risk and interaction with people’s health.</p>
<p>Therefore, a data collection was held through the measurements of concentration levels: volatile organic compounds (VOC’s), carbon dioxide (CO<sub>2</sub>
), particles PM2.5 and PM10, in three different night-time entertainment venues situated in the North of Portugal. For this study, a sample constituted by 14 employees from those three nightclubs was asked important and necessary questions to the execution of this research.</p>
<p>The pollutants evaluated were the VOC’s with use of the equipment branded as ION SCIENCE, model: Phocheck + 2000 – Fristcheck; CO2 with TSI equipment, model 8558552/8554, Q-TrakTM Plus – IAQ Monitor with electrochemical cell direct reading; formaldehyde using the handheld meter PPM Formaldemeter TM htv, 3 Parameter – IAQ Monitor and finally the PM2,5 e PM10 were evaluated with a Lighthouse Worldwide Solutions equipment, model: Handheld 3016-IAQ.</p>
<p>The results show that they infringe extensively the maximum concentration values set by law; one of the reasons is that the artificial air vents are constantly turned off. Despite the strong evidences found in this research it was not possible to associate the employees’ symptoms caused by pollutants with their occupational exposure.</p>
<p><bold>Keywords</bold>
</p>
<p>Indoor Air Quality, Human health, Occupational exposure</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec219"><title>O49 Beliefs and attitudes of young people towards breastfeeding</title>
<sec id="Sec220"><title>Telma Fernandes<sup>1</sup>
, Diogo Amado<sup>1</sup>
, Jéssica Leal<sup>1</sup>
, Marcelo Azevedo<sup>1</sup>
, Sónia Ramalho<sup>1,2</sup>
</title>
<sec id="Sec221"><title><sup>1</sup>
Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec222"><title><bold>Correspondence:</bold>
Sónia Ramalho (sonia.ramalho@ipleiria.pt) – Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Breastfeeding is a priority of global strategy for women’s, children’s and adolescents’ Health: 2016-2030 (World Health Organization, 2015) [1]. Objectives: To understand beliefs and attitudes and knowledge of young people towards breastfeeding and to assess the relation between the beliefs and attitudes of young people towards breastfeeding and sociodemographic and academic variables.</p>
<p><bold>Methods</bold>
</p>
<p>Quantitative, cross-sectional and correlational study with a sample of 177 first-year students of the degree courses of a Portuguese School of Health Sciences. A questionnaire with sociodemographic and academic data and "Adolescent breastfeeding beliefs and intentions questionnaire” validated for the Portuguese population by Catarino, Henriques and Dixe (2011) [2]. Ethical and legal procedures were followed.</p>
<p><bold>Results</bold>
</p>
<p>These young people have an average age: X = 18.89, s = 1.56, and 80.8 % were female. 55.4 % live in rural areas, 54.2 % obtained information about breastfeeding on television. It was found the level of beliefs and attitudes (X = 82.59, s = 5.75) and perceived social barriers (X = 16.46, s = 4.57) for breastfeeding is low. There are significant differences between the beliefs and attitudes towards breastfeeding and gender (z = 1374.0 and p < 0.001). Beliefs and attitudes are mainly influenced by health professionals and the perception of social barriers is influenced by family and magazines.</p>
<p><bold>Conclusions</bold>
</p>
<p>This study confirms the importance of early intervention, the need for specific training in breastfeeding and developing strategies to promote and support breastfeeding in the community.</p>
<p><bold>References</bold>
</p>
<p>1. World Health Organization. National Breastfeeding Policy and Action Plan: 2015-2020. Malta: Health Promotion and Disease Prevention Directorate; 2015.</p>
<p>2. Catarino H, Henriques C, Dixe M. Escala de crenças e atitudes dos adolescentes face à amamentação: validação para a população portuguesa. International Journal of Developmental and Educational Psychology. 2011; 1(2):179-186.</p>
<p><bold>Keywords</bold>
</p>
<p>Beliefs, attitudes, young, breastfeeding</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec223"><title>O50 Profiling informal caregivers: surveying needs in the care of the elderly</title>
<sec id="Sec224"><title>Catarina Mangas<sup>1</sup>
, Jaime Ribeiro<sup>2</sup>
, Rita Gonçalves<sup>3</sup>
</title>
<sec id="Sec225"><title><sup>1</sup>
Unidade de Investigação Inclusão e Acessibilidade em Acção "iACT" e Escola Superior Educação e Ciências Sociais, Instituto Politécnico de Leiria; 2411-901 Leiria, Portugal; <sup>2</sup>
Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal; <sup>3</sup>
Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec226"><title><bold>Correspondence:</bold>
Jaime Ribeiro (jaime.ribeiro@ipleiria.pt) – Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<p>Currently, in Portugal and in the world, a marked increase has been observed in the number of elderly and their longevity. Due to this phenomenon, more studies on ageing and all associated topics are emerging. Informal caregivers arise due to concern about the welfare and health of the elderly. They devote their time, often full-time, in providing care for their relatives.</p>
<p>This descriptive-exploratory study aimed to understand and describe the difficulties faced by each caregiver, their motivations, concerns, and how to overcome them. For this, through a mixed methods approach, 14 interviews were carried out with 14 primary informal caregivers and questionnaires to 30 secondary and tertiary informal caregivers in the municipality of Leiria.</p>
<p>The quantitative data were analysed using descriptive statistics and qualitative data were subjected to content analysis from the perspective of Bardin with coding in predetermined literature-based categories and also in emerging categories. In this way, we characterized informal caregivers and the elderly in their care and perceived the economic and/or social needs, the implications caused by the provision of care and the level of training of each caregiver. In conclusion, we observed that training is not the biggest need pointed out by informal caregivers, but rather the social, family and economic support that would allow these caregivers less physical and emotional burden, as well as lower personal and professional implications.</p>
<p><bold>Keywords</bold>
</p>
<p>Informal caregivers, elderly people, implications, dependency and training</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec227"><title>O51 Visual health in teenagers</title>
<sec id="Sec228"><title>Amélia F Nunes<sup>1</sup>
, Ana R. Tuna<sup>1</sup>
, Carlos R. Martins<sup>2</sup>
, Henriqueta D. Forte<sup>2</sup>
</title>
<sec id="Sec229"><title><sup>1</sup>
Universidade da Beira Interior, Covilhã, 6201-001, Portugal; <sup>2</sup>
Unidade de Saúde Pública, Agrupamento de Centros de Saúde Cova da Beira, 6200-251 Covilhã, Portugal</title>
<sec id="Sec230"><title><bold>Correspondence:</bold>
Amélia F Nunes (amnunes@ubi.pt) – Universidade da Beira Interior, Covilhã, 6201-001, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The advance of education levels causes a greater visual effort in school requirements and the teenagers are likely to present signs and symptoms associated with vision disorders. This can be reduced or avoided with the adoption of healthy visual habits. Objective: To estimate the frequency of the more common visual changes in adolescence, and to design strategies that promote prevention of visual health in this age group.</p>
<p><bold>Methods</bold>
</p>
<p>A pilot study implemented in two schools in the centre of the country: one is in the city and the other one is in the suburb. It was applied a screening protocol, designed to identify refractive errors that weren’t corrected and changes in binocular vision (focus and convergence system). The size of the sample was 303 teenagers between 12 and 15 years, 158 were boys and 145 were girls.</p>
<p><bold>Results</bold>
</p>
<p>Around 10 % of teenagers have a refractive error uncorrected, 35 % have binocular vision disorders and 55 % have normal binocular vision. The frequencies between rural areas and the suburbs, are significantly different when we talk about refractive errors, there are higher frequencies in rural areas.</p>
<p><bold>Conclusions</bold>
</p>
<p>It was found that the changes in binocular system, are the most common visual changes and these are closely related with the excess of use of the near vision. Knowing the relationship between these changes and the higher risk of development myopia, it is important to implement preventive strategies to adopt appropriate vision and posture habits to relieve stress on the near vision.</p>
<p><bold>Keywords</bold>
</p>
<p>Binocular Vision, Health Vision, Eye care, Teens' Vision</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec231"><title>O52 Amenable mortality and the geographic accessibility to healthcare in Portugal</title>
<sec id="Sec232"><title>Cláudia Costa<sup>1</sup>
, José A. Tenedório<sup>2</sup>
, Paula Santana<sup>1</sup>
</title>
<sec id="Sec233"><title><sup>1</sup>
Centre of Studies on Geography and Spatial Planning, University of Coimbra, 3000-043 Coimbra, Portugal; <sup>2</sup>
Research Centre for Geography and Regional Planning, Universidade Nova de Lisboa, 1069-061 Lisboa, Portugal</title>
<sec id="Sec234"><title><bold>Correspondence:</bold>
Cláudia Costa (claudiampcosta@gmail.com) – Centre of Studies on Geography and Spatial Planning, University of Coimbra, 3000-043 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Amenable mortality (premature deaths that should not have occurred given the availability of healthcare) is an important public health theme in Europe and Portugal is one of the European countries with the highest rates. One of the causes may be the time people need to reach the closest hospital. The aim of this paper is to identify the association between geographic accessibility to the nearest hospital in mainland Portugal and the geography of amenable mortality which occurred between 2009 and 2013.</p>
<p><bold>Methods</bold>
</p>
<p>Three methods were applied: To measure geographic accessibility, the Municipal Time-Weighted Accessibility; to analyse amenable mortality, a hierarchical Bayesian model was used to calculate the smooth Standardized Mortality Ratio. Finally, we applied an ecological regression model to identify the association between both.</p>
<p><bold>Results</bold>
</p>
<p>Three major results came out from this study: 1. The mortality amenable to healthcare presents low values in the north and high values in the south; 2. On average, the population has good accessibility to the closest hospital; and 3. For each additional ten minutes required to travel to the nearest hospital, the risk of dying from an amenable cause of death increases by 0.3 % and the relative risk of those living over 30 minutes away from a hospital, is 13 % greater.</p>
<p><bold>Conclusions</bold>
</p>
<p>Geographic accessibility to healthcare services has an important role in the health of the Portuguese population. As such, it is important to implement policies and interventions that reduce the gap between the place of living and healthcare services.</p>
<p><bold>Keywords</bold>
</p>
<p>Amenable Mortality, geographic accessibility, healthcare services</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec235"><title>O53 Bacterial contamination of door handles in a São Paulo See Metropolitan Cathedral public restrooms in Brazil</title>
<sec id="Sec236"><title>J. A. Andrade<sup>1</sup>
, J. L. Pinto<sup>2</sup>
, C. Campofiorito<sup>1</sup>
, S. Nunes<sup>1</sup>
, A. Carmo<sup>2</sup>
, A. Kaliniczenco<sup>1</sup>
, B. Alves<sup>3</sup>
, F. Mendes<sup>4</sup>
, C. Jesus<sup>4</sup>
, F. Fonseca<sup>3</sup>
, F. Gehrke<sup>1</sup>
</title>
<sec id="Sec237"><title><sup>1</sup>
Biomedical Sciences Department, Paulista University, São Paulo, 04026-002, Brazil; <sup>2</sup>
Pharmacy Department, Paulista University, São Paulo, 04026-002, Brazil; <sup>3</sup>
Molecular Laboratory of Diagnosis, ABC Medical School, Santo André, São Paulo, 09080-650, Brazil; <sup>4</sup>
Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec238"><title><bold>Correspondence:</bold>
F. Mendes (fjmendes@estescoimbra.pt) – Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Increasing incidence of epidemic outbreaks of certain diseases and its rate of spread from one community to the other has become a major public health concern. Door handles are heavily contaminated with microbes of faecal origin. Enterobacteriaceae are a large family of gram-negative, facultative anaerobic, rod-shaped bacteria usually motile. In humans, disease is produced by invasive action and toxin production. Species not normally associated with disease are often opportunistic pathogens. Objective: To determine the composition of Enterobacteriaceae communities associated with door handle restroom surfaces.</p>
<p><bold>Methods</bold>
</p>
<p>35 door handles were analysed using sterile cotton swabs to obtain specimens from door handles, were streaked on MacConkey and CLED agar plates and incubated for a 24 h/48 h period at 37 °C. After incubation, the number of resulting colonies was counted and characterized based on margin, elevation, and colony shape. Gram-stain procedure was used to assist in the separation of bacterial cells. After a macro- and microscopic study was performed, colonies were analysed in regard to their biochemical characteristics.</p>
<p><bold>Results</bold>
</p>
<p>In 35 swab samples cultured, 80 % were positive. Isolation differentiated bacteria arranged according their percentage as <italic>Enterobacter</italic>
32 %, <italic>Escherichia coli</italic>
25 %, <italic>Edwardsiella sp.</italic>
14 %, <italic>Proteus vulgaris</italic>
11 %, <italic>Klebsiella sp.</italic>
7 %, <italic>Klebsiella pneumoniae</italic>
4 %, <italic>Citrobacter</italic>
4 % and <italic>Morganella morgani</italic>
4 %.</p>
<p><bold>Conclusions</bold>
</p>
<p>These results imply that Gram-negative organisms can be transmitted through door handles. Three of these bacterial species are classified as fecal coliform that can cause serious diseases. Preventive and inspection measures should be strengthened so that potential hazards individuals are daily exposed to can be avoided.</p>
<p><bold>Keywords</bold>
</p>
<p>Enterobacteriaceae infections, door handles, public restrooms, public health, education</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec239"><title>O54 Adherence of patients to rehabilitation programmes</title>
<sec id="Sec240"><title>Carlos Albuquerque<sup>1</sup>
, Rita Batista<sup>2</sup>
, Madalena Cunha<sup>1</sup>
, António Madureira<sup>1</sup>
, Olivério Ribeiro<sup>1</sup>
, Rosa Martins<sup>1</sup>
</title>
<sec id="Sec241"><title><sup>1</sup>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; <sup>2</sup>
Hospital Sousa Martins, 6300-858 Guarda, Portugal</title>
<sec id="Sec242"><title><bold>Correspondence:</bold>
Carlos Albuquerque (cmalbuquerque@gmail.com) – Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Sticking with a rehabilitation programme is still a source of concern to all healthcare professionals. However, the default rates associated with participation in rehabilitation programmes are still very high. So, regarding this subject, the main goal of this study was to determine the influence of sociodemographic and labour factors in healthcare professionals’ perception towards patient adhesion to rehabilitation treatments.</p>
<p><bold>Methods</bold>
</p>
<p>Thus, we conducted a cross-sectional, descriptive-correlational study with a non-probabilistic sample of 98 healthcare professionals, 58.16 % females, with a mean age of 39.80 years. They answered questions about socio-demographic profiles in order to measure the scale of patient adhesion to rehabilitation programmes.</p>
<p><bold>Results</bold>
</p>
<p>The score of healthcare professionals towards patient adhesion to rehabilitation programmes is 6.48, a value above average. Study results also reveal that strategies used by specialist nurses are more likely to improve patient adhesion than those used by doctors. When it comes to the methods used to promote patient adhesion there is a higher score in cardio-respiratory pathology when compared to the ones used in trauma and rheumatology. Healthcare professionals who work with neurology patients have a higher score than the ones who work with trauma and cardio-respiratory patients.</p>
<p><bold>Conclusions</bold>
</p>
<p>Study results suggest that there is still a long way to go when it comes to finding strategies to improve patient adhesion to rehabilitation programmes. Study findings also suggest that academic contents should be reviewed, as well as promoting public awareness campaigns to encourage patients to keep up with their rehabilitation programmes.</p>
<p><bold>Keywords</bold>
</p>
<p>Adhesion, rehabilitation programs, healthcare professionals</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec243"><title>O55 Prevalence of malnutrition among Portuguese elderly living in nursing homes: preliminary results of the PEN-3S project</title>
<sec id="Sec244"><title>Teresa Madeira<sup>1,2,3</sup>
, Catarina Peixoto-Plácido<sup>1,2,3</sup>
, Nuno Santos<sup>1,2</sup>
, Osvaldo Santos<sup>1,2,3</sup>
, Astrid Bergland<sup>4</sup>
, Asta Bye<sup>4</sup>
, Carla Lopes<sup>1,2</sup>
, Violeta Alarcão<sup>1,2,3</sup>
, Beatriz Goulão<sup>1,2</sup>
, Nuno Mendonça<sup>1,5</sup>
, Paulo Nicola<sup>1,2,3</sup>
, João G. Clara<sup>1,2,3</sup>
</title>
<sec id="Sec245"><title><sup>1</sup>
Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal; <sup>2</sup>
Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal; <sup>3</sup>
Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal; <sup>4</sup>
Oslo and Akershus University College of Applied Sciences, 0167 Oslo, Norway; <sup>5</sup>
Newcastle University Institute for Ageing, Newcastle upon Tyne, NE4 5PL UK</title>
<sec id="Sec246"><title><bold>Correspondence:</bold>
Teresa Madeira (anateresamadeira@gmail.com) – Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Malnutrition is a modifiable risk factor for several diseases among elderly. To develop appropriate nutrition policies to decrease malnutrition, up-to-date information on the dimension of the problem is warranted. Objective: To estimate the prevalence of malnutrition among Portuguese elderly (65+ years old) resident in nursing homes.</p>
<p><bold>Methods</bold>
</p>
<p>This nationally representative cross-sectional study collects data through computer-assisted face-to-face structured interviews and anthropometric measurements. Elderly nursing homes were randomly selected (national-wide sampling). In each home, all elderly with no severe pathologies and who were not bedridden were interviewed. Nutritional status was assessed with the Mini Nutritional Assessment (MNA®) and body mass index was calculated.</p>
<p><bold>Results</bold>
</p>
<p>Overall, 660 elderlies (mean age: 84.3 years; SD = 6.9) participated in the study (60 % of the target sample size). Undernutrition affects 5.6 % (95 % CI: 3.9-7.4) of them and 38.9 % (95 % CI: 35.2-42.7) are at risk of it. Undernutrition was significantly more prevalent among women (5.9 %) than men (4.8 %) and significantly increased with age (1.2 % for 65-74 years old, 4.6 % for 75-84 years old, and 7.6 % for 85+ years old). On the other hand, 27.4 % (95 % CI: 24.0-30.8) of the elderly were considered obese, with significant differences between genders (33.3 % for women; 24.9 % for men) and age groups (43.4 % for 65-74 years old, 37.7 % for 75-84 years old, and 22 % for 85+ years old).</p>
<p><bold>Conclusions</bold>
</p>
<p>Preliminary results reveal a high prevalence of malnutrition (both under- and over nutrition) among elderly living in nursing homes. This highlights the importance of developing an electronic surveillance system for early detection of malnutrition in the elderly.</p>
<p><bold>Keywords</bold>
</p>
<p>Malnutrition, undernutrition, obesity, elderly, nursing home</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec247"><title>O56 Relation between emotional intelligence and mental illness in health students</title>
<sec id="Sec248"><title>João Gomes<sup>1,2</sup>
, Ana Querido<sup>2</sup>
, Catarina Tomás<sup>2</sup>
, Daniel Carvalho<sup>1,2</sup>
, Marina Cordeiro<sup>2</sup>
</title>
<sec id="Sec249"><title><sup>1</sup>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal; <sup>2</sup>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec250"><title><bold>Correspondence:</bold>
João Gomes (joao.gomes@ipleiria.pt) – Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Emotional ability to perceive, use, understand and manage emotions has been associated with mental health. Objectives: Analyse the differences in emotional intelligence (EI) due to presence of mental illness; Correlate EI and perceived mental health knowledge.</p>
<p><bold>Methods</bold>
</p>
<p>Cross-sectional correlational study, in a non-probabilistic sample of 672 Portuguese health students from Dietetics, Nursing, Physiotherapy, Speech Therapy, Occupational Therapy. We applied a sociodemographic questionnaire and Emotional Intelligence Scale (WLEIS-P). Students were mostly women (85.4 %), mean age of 21.16 (±4.17), 6.0 % with a diagnose of mental illness, 36.9 % reporting family with mental illness.</p>
<p><bold>Results</bold>
</p>
<p>Globally, students revealed good EI. Students with mental illness scored lower in EI on subscale of self-appraisal emotions (p = 0.000) and emotional regulation (p = 0.015). However, students with mental illness revealed higher “emotional appraisal of others” compared to the ones without mental illness (p = 0.000). There are no differences in EI related to mental illness in family. Positive significant correlations were found between perceived knowledge in mental health and EI (p = 0.039) as well as regulation of emotions (p = 0.039).</p>
<p><bold>Conclusions</bold>
</p>
<p>Health students with mental illness have lower emotional self-appraisal and regulation of emotional than students without mental illness. Nevertheless, students with mental illness also have better ability to emotional appraisal of others, suggesting a bigger awareness to emotional suffering of others. Correlation between mental health knowledge and EI points out the need of enhancing mental health education to improve emotional intelligence.</p>
<p><bold>Keywords</bold>
</p>
<p>Emotional Intelligence, mental health, students</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec251"><title>P1 Fall risk factors in people older than 50 years old – a pilot report</title>
<sec id="Sec252"><title>Marlene C. Rosa<sup>1</sup>
, Alda Marques<sup>2</sup>
</title>
<sec id="Sec253"><title><sup>1</sup>
Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec254"><title><bold>Correspondence:</bold>
Marlene C. Rosa (marlenerosa@ua.pt) – Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Falls are a major public health problem worldwide that has been mainly studied in people older than 65 years old however, recently it has been demonstrated that this problem might affect people at an earlier age. Objective: To determine fall risk factors in a wider range of age interval.</p>
<p><bold>Methods</bold>
</p>
<p>People older than 50 years were recruited in a primary care centre of Portugal. Age, gender, falls history over the past 2 months, comorbidities, need of ambulatory aid and gait difficulties were collected using Morse scale. Independent t-tests and Chi-square tests were used to examine statistical differences (p < 0.05) in these characteristics between fallers and non-fallers. A logistic regression model was built using as independent variables the statistically different characteristics between the two groups and as dependent variable the fall status (fallers or non-fallers).</p>
<p><bold>Results</bold>
</p>
<p>One hundred and forty participants were included (90 female; 71.33 ± 9.97 years; 31.4 % fallers). Fallers were statistically different from non-fallers in: age (74.0 ± 9.9 years vs 69.9 ± 9.9 years, p = 0.03), gender (77.3 % vs 58.5 % female; p = 0.01); incidence of multiple comorbidities (70.5 % vs 48.0 %, p = 0.01); need of ambulatory aid (55.0 % vs 17.0 %, p = 0.01) and incidence of gait difficulties (79.5 % vs 44.7 %, p = 0.01). The odds of falling increased 2.6 in females (95 % CI 1.1-6.5), 3.5 in people that need ambulatory aid (95 % CI 1.4-8.4) and 3.3 in people with gait difficulties (95 % CI 1.3-8.6). These three factors significantly contributed to explain 27.2 % of falls history variability (p = 0.01).</p>
<p><bold>Conclusions</bold>
</p>
<p>Gait impairments and female gender seem to explain almost 30 % of fall risk in people older than 50 years.</p>
<p><bold>Keywords</bold>
</p>
<p>Falls, risk factors, middle-aged, elderly</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec255"><title>P2 What about the Portuguese oldest old? A global overview using census data</title>
<sec id="Sec256"><title>Daniela Brandão<sup>1,2</sup>
, Óscar Ribeiro<sup>1,3</sup>
, Lia Araújo<sup>1,4</sup>
, Constança Paúl<sup>1,5</sup>
</title>
<sec id="Sec257"><title><sup>1</sup>
Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal; <sup>2</sup>
Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal; <sup>3</sup>
Universidade de Aveiro, 3810-193 Aveiro, Portugal e Instituto Superior De Serviço Social Do Porto, 44600-362 Sra. da Hora, Portugal; <sup>4</sup>
Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal; <sup>5</sup>
Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal</title>
<sec id="Sec258"><title><bold>Correspondence:</bold>
Daniela Brandão (daniela.brandao@unifai.eu) – Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The older population is itself aging, and achieving an advanced age is becoming more common worldwide. In Portugal, individuals aged 80+ represent 5.6 % of the total population and 26.5 % of the population were aged 65 and over in 2011. Having a national profile on this population will give important information to develop intervention programs and identify the areas requiring most attention. Objective: This study aims to provide a profile of the Portuguese oldest old, as given by the last national census data.</p>
<p><bold>Methods</bold>
</p>
<p>The characteristics of all residents aged 80+ (N = 532,219) were analysed considering socio-demographic information (gender, marital status, education, type of residence, place of birth, income) and the existence of difficulties in functional, sensorial and cognitive activities due to health problems or ageing.</p>
<p><bold>Results</bold>
</p>
<p>The majority of the most aged are females (64.5 %), widowed (53.9 %), and present low educational levels (46.1 % never attended school and 31.6 % do not know how to read/write). Own pensions constitute the main source of income (96.3 %) and the majority live in private households (88.8 %), with 43.2 % currently living in the place where they were born. The majority (73.0 %) reported major difficulties in at least one functional activity – bathing/dressing, walking/climbing stairs, seeing, hearing, memory/concentration, understanding others/being understood.</p>
<p><bold>Conclusions</bold>
</p>
<p>The high percentage of oldest old living in private households and the presence of functional limitations point to the importance of informal care and community care services to support this population. Further studies paying attention to their needs and utilisation of services are required.</p>
<p><bold>Keywords</bold>
</p>
<p>Oldest old, census, Portuguese, sociodemographic profile</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec259"><title>P3 Prevalence of injuries in senior amateur volleyball athletes in Alentejo and Algarve clubs, Portugal: factors associated</title>
<sec id="Sec260"><title>Beatriz Minghelli<sup>1,2</sup>
, Sylvina Richaud<sup>2</sup>
</title>
<sec id="Sec261"><title><sup>1</sup>
Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025, Portugal; <sup>2</sup>
Escola Superior de Saúde Jean Piaget, Silves, 8300-025, Portugal</title>
<sec id="Sec262"><title><bold>Correspondence:</bold>
Beatriz Minghelli (beatriz.minghelli@silves.ipiaget.pt) – Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025, Portugal</title>
<p>Volleyball practice leads to more precise movements and imposes a higher injury risk on the athletes. The study investigates the prevalence of injuries in volleyball athletes in amateur clubs in the Alentejo and Algarve regions and factors associated.</p>
<p>The sample consisted of 52 athletes aged between 18 and 47 years, where 25 (48.1 %) were male.</p>
<p>A questionnaire was used with questions about aspects related to sports, about injury mechanism and techniques to be used at the time of injury. The athlete answered about the most frequent injury (FI) related with the practice and/or the injury that most limited (LI) and/or prevented them from practicing their sports activity (SA).</p>
<p>Thirty-eight (73.1 %) athletes reported having suffered some type of injury, 29 (55.8 %) referring to FI and 29 (55.8 %) LI. The most prevalent type injury was ligament (27.6 % for FI and 44.8 % LI). The most affected body areas in FI were shoulders, hands and fingers and ankles (27.6 % each) and the LI were the ankle (24.1 %) and knee (20.7 %).</p>
<p>The most common injury mechanism was the impact with the ball and repetitive movements (20.7 % each) for FI and LI. Females had 1.33 times (95 % CI: 0.38-4.58; p = 0.648) more probability of having an injury, and older athletes (>25 years) had 1.88 (95 % CI: 0.51-6.37; p = 0.362). Athletes with less practice of the activity (up to 5 years) had 1.154 (95 % CI: 0.300-4.43; p = 0.835), those who train over 2 hours had 1.289 (85 % CI: 0.324-5.122; p = 0.718), and those who are not in net line positions had 1.174 (95 % CI: 0.329-4.189; p = 0.805).</p>
<p>A high prevalence of injuries was observed.</p>
<p><bold>Acknowledgements</bold>
</p>
<p>Authors wish to acknowledge the financial support of the Portuguese Foundation for Science and Technology (FCT), and of the programme COMPETE - Programa Operacional Factores de Competitividade, QREN – Quadro de Referência Estratégico Nacional.</p>
<p><bold>Keywords</bold>
</p>
<p>Prevalence, injury, volleyball, risk factors</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec263"><title>P4 Shame feelings and quality of life: the role of acceptance and decentring</title>
<sec id="Sec264"><title>Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira</title>
<sec id="Sec265"><title>Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</title>
<sec id="Sec266"><title><bold>Correspondence:</bold>
Ana L. Mendes (analauramendes@live.com.pt) – Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Shame is highlighted as a pathogenic phenomenon in well-being and mental health. In fact, although shame has been considered as an adaptive emotion, higher levels of this painful affect are strongly associated with several psychological difficulties and different mental health conditions. However, the association between external shame and psychological quality of life does not seem to be linear. Objectives: The present study thus aims to clarify the role of two emotion regulation processes, decentring and acceptance, in the association between external shame and psychological quality of life.</p>
<p><bold>Methods</bold>
</p>
<p>The sample comprised 359 participants (131 males and 228 females), aged between 18 and 30 years old.</p>
<p><bold>Results</bold>
</p>
<p>The tested model explained 40 % of psychological quality of life and showed excellent model fit indices. Results showed that external shame negatively impacted on psychological quality of life with a direct effect, and also with an indirect effect through the mechanisms of acceptance and decentring. These findings suggest that the impact of external shame on psychological quality of life is partially attenuated by the effects of higher levels of acceptance and decentring abilities.</p>
<p><bold>Conclusions</bold>
</p>
<p>These findings seem to offer significant implications, emphasizing the importance of targeting shame in the promotion of young women’s psychological quality of life, through community interventions that comprise the development of acceptance (the willingness to contact with internal experiences) and decentring (the ability to perceive internal experiences as transitory and subjective events). Furthermore, longitudinal research should study the protective role of these adaptive emotion regulation processes on psychological well-being.</p>
<p><bold>Keywords</bold>
</p>
<p>Shame, emotion regulation, acceptance, decentring, quality of life</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec267"><title>P5 Assessment of social support during deployment in portuguese colonial war veterans</title>
<sec id="Sec268"><title>Teresa Carvalho<sup>1,2</sup>
, Marina Cunha<sup>1,2</sup>
, José Pinto-Gouveia<sup>1</sup>
</title>
<sec id="Sec269"><title><sup>1</sup>
Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal; <sup>2</sup>
Instituto Superior Miguel Torga, Coimbra, 3000-132, Portugal</title>
<sec id="Sec270"><title><bold>Correspondence:</bold>
Teresa Carvalho (teresacarvalho.psi@gmail.com) – Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Support social during deployment has proved to be a protective factor for psychopathology developed by war Veterans. The Deployment Social Support Scale (DSSS) of the Deployment Risk and Resilience Inventory (DRRI) has been used to evaluate the perception of assistance and encouragement received in the theatre of military operations from fellow unit members and unit leaders. Objectives: This study aimed to translate and adapt to Portuguese the DSSS and explore its factor structure.</p>
<p><bold>Methods</bold>
</p>
<p>Translation and adaptation of the scale were carried out by clinical psychologists, army officers and an English native speaker. Items adequacy and comprehensibility were first tested in a sample of 30 war veterans. Subsequently, 306 Portuguese colonial war veterans completed the DSSS. Test-retest reliability was assessed in a subset of 115 participants. This subgroup completed the DSSS for a second time approximately three weeks after the first administration.</p>
<p><bold>Results</bold>
</p>
<p>Exploratory Factor Analysis (EFA) indicated that the DSSS presented a single-component structure composed by 12 items (the same of the original version). Factor loadings ranged between .67 and .83. Adequate values of internal consistency (α = .92), corrected item-total correlations (ranged from r = .59 to r = .79) and temporal reliability (r = .88) were obtained.</p>
<p><bold>Conclusions</bold>
</p>
<p>The Portuguese version of the DSSS shows adequate psychometric properties. The results corroborated the structure of the DSSS found in the original version. The scale is internally consistent and has a good temporal stability.</p>
<p><bold>Keywords</bold>
</p>
<p>Assessment of social support, Deployment Social Support Scale (DSSS), DRRI, Exploratory factor Analysis, Portuguese Colonial War Veterans</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec271"><title>P6 Hospitalization for acute viral bronchiolitis of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014</title>
<sec id="Sec272"><title>Morgana C. Fernandes, Roger S. Rosa, Rita C. Nugem, Luís F. Kranz, Mariana S. Siqueira, Ronaldo Bordin</title>
<sec id="Sec273"><title>Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 90050-170, Brasil</title>
<sec id="Sec274"><title><bold>Correspondence:</bold>
Roger S. Rosa (roger.rosa@ufrgs.br) – Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 90050-170, Brasil</title>
<p><bold>Background</bold>
</p>
<p>Acute viral bronchiolitis (AVB) is a disease characterized by acute inflammation of the bronchioles and increased production and secretion of mucus that may be associated with bronchospasm. It mainly affects infants being the most common cause of paediatric hospitalization in the first year of life. Objective: To describe the characteristics of hospitalizations for BVA in the public health system (SUS) of residents 0 to 2 years-old of the Greater Porto Alegre (GPA) region, in southern Brazil, 2012-2014.</p>
<p><bold>Methods</bold>
</p>
<p>Analysis of hospitalizations with first-listed diagnosis ICD-10 J21.0 and J21.8 from the Hospital Information System (HIS)/SUS publicly available. Calculation of indicators by sex, age groups, stay, mortality and spending.</p>
<p><bold>Results</bold>
</p>
<p>There were 7,091 admissions (2,364/year) in SUS for BVA of GPA residents (153.6/10,000 inhabitants/year). Males predominated (4,246 or 59.9 % vs. 2,845 or 40.1 % of females). Admissions of patients up to 1 year-old accounted for 99.2 %. Bronchiolitis by respiratory syncytial virus (ICD-10 J21.0) accounted for 2,226 (31.4 %) hospitalizations. The average length of stay was brief (5.3 days) and the mortality rate was low (0.2 %) having 12 deceased patients (4/year) (5 males and 7 females). The average annual expenditure was $955.7 thousand PPP (Purchasing Power Parity) and the average value per hospitalization $404.33 PPP.</p>
<p><bold>Conclusions</bold>
</p>
<p>As hospitalizations for BVA conditions are sensitive to primary health care interventions, these data can serve as a basis to identify weaknesses in the basic local network of health services.</p>
<p><bold>Keywords</bold>
</p>
<p>Acute viral bronchiolitis, hospitalization, public health system, children, primary care sensitive conditions</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec275"><title>P7 Falls-risk screening – an opportunity for preventing falls in the elderly from Nordeste</title>
<sec id="Sec276"><title>Anabela C. Martins<sup>1</sup>
, Anabela Medeiros<sup>2</sup>
, Rafaela Pimentel<sup>2</sup>
, Andreia Fernandes<sup>2</sup>
, Carlos Mendonça<sup>2</sup>
, Isabel Andrade<sup>1</sup>
, Susana Andrade<sup>1</sup>
, Ruth L. Menezes<sup>3</sup>
</title>
<sec id="Sec277"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; <sup>2</sup>
Municipality of Nordeste, Azores, 9630 – Nordeste, Azores, Portugal; <sup>3</sup>
University of Brasilia, Brasília – Distrito Federal, 70910-900, Brasil</title>
<sec id="Sec278"><title><bold>Correspondence:</bold>
Anabela C. Martins (anabelacmartins@estescoimbra.pt) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) issued several key documents for launching and implementing a collaborative partnership aiming to increase the average healthy lifespan of Europeans by 2 years by 2020. Through cooperation between all EU countries, evidence-based programmes for the prevention, early detection, risk minimization and management of falls must be implemented. Objective. To identify the population at risk of falling (and of fractures) which may benefit from effective individual interventions.</p>
<p><bold>Methods</bold>
</p>
<p>A descriptive, exploratory study was conducted with 213 participants of a home-dwelling population (72.5 % female), with an average age of 75.85 years, SD = 6.94.</p>
<p><bold>Results</bold>
</p>
<p>The population from Nordeste evidenced a probability of limited mobility within the community, with a mean value of 13.45 sec in the walking speed test. A mean value of 12.43 sec in the Timed Up & Go test indicated a moderate risk of falling. Up to 36 % participants reported having fallen in the last 12 months.</p>
<p><bold>Conclusions</bold>
</p>
<p>All together these results are an opportunity for the development of a programme for fall prevention in the community, in a partnership joining local health and social organizations. This will contribute to the implementation of programmes adapted to the functional and psychological demands of these older people from Nordeste, and also to their daily life activities, in order to enhance strength, walking speed, flexibility, balance and resistance, under the framework of the collaborative initiative “<italic>Dar Vida aos Anos</italic>
” of the municipality of Nordeste dedicated to those over 65.</p>
<p><bold>Keywords</bold>
</p>
<p>Falls-risk screening, Home-dwelling, Older adults</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec279"><title>P8 Aging provokes chronodisruption in mature people in temperature circadian rhythm</title>
<sec id="Sec280"><title>Rafael Bravo<sup>1</sup>
, Marta Miranda<sup>2</sup>
, Lierni Ugartemendia<sup>2</sup>
, José Mª Tena<sup>3</sup>
, Francisco L. Pérez-Caballero<sup>4</sup>
, Lorena Fuentes-Broto<sup>5</sup>
, Ana B. Rodríguez<sup>2</sup>
, Barriga Carmen<sup>2</sup>
</title>
<sec id="Sec281"><title><sup>1</sup>
Universidad de Extremadura, Badajoz, 06071 Badajoz, España; <sup>2</sup>
Chrononutrition Laboratory, Department of Physiology, Faculty of Science, University of Extremadura, Badajoz, 06071 Badajoz, España; <sup>3</sup>
Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España; <sup>4</sup>
Centro de Salud La Paz, Badajoz, 06011 Badajoz, España; <sup>5</sup>
Aragon Institute for Health Research, Zaragoza, 50009 Zaragoza, España</title>
<sec id="Sec282"><title><bold>Correspondence:</bold>
Rafael Bravo (rbravo@unex.es) – Universidad de Extremadura, Badajoz, 06071 Badajoz, España</title>
<p>Most physiological functions in the body follow a circadian rhythm. There are several pathologies and biological processes like obesity or aging, among others, that provokes chronodisruption in these rhythms. It is well known that elderly people suffer from chronodisruption in most of their circadian rhythms. Our aim was to elucidate if this trend may begin in earlier stages. Thirty-two 32 people (aged between 40 and 65) participated in this assay. Volunteers wore a wrist temperature logger on their non-dominant hand for 3 days. Data were read in a computer and analysed through Circadianware software. Chronobiological parameters MESOR (the average value around which the variable oscillates), amplitude (difference between the peak and the mean value of the wave) and acrophases (the time at which the peak of a rhythm occurs) were calculated and correlated with age. Our results showed that MESOR (p < 0.05; R = 0.4586), amplitude (p < 0.05; R = - 0.5178) changed with age but not acrophase. We conclude from the present assay that chronodisruption symptoms in temperature circadian rhythm in the elderly begin to be expressed in a mature stage in humans.</p>
<p><bold>Keywords</bold>
</p>
<p>Chronobiology, Chronodisruption, Aging, Temperature, Circadian rhythm</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec283"><title>P9 The influence of climate and pollution factors in dengue cases of great ABC region, São Paulo</title>
<sec id="Sec284"><title>M. A. Carneiro<sup>1</sup>
, J. N. Domingues<sup>2</sup>
, S. Paixão<sup>2</sup>
, J. Figueiredo<sup>2</sup>
, V. B. Nascimento<sup>1</sup>
, C. Jesus<sup>3</sup>
, F Mendes<sup>3</sup>
, F. Gehrke<sup>4</sup>
, B. Alves<sup>1</sup>
, L. Azzalis<sup>5</sup>
, F. Fonseca<sup>1</sup>
</title>
<sec id="Sec285"><title><sup>1</sup>
ABC Medical School, Santo André, São Paulo, 09210-180, Brazil; <sup>2</sup>
Department of Complementary Sciences, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; <sup>3</sup>
Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; <sup>4</sup>
Biomedical Sciences Department, Paulista University, São Paulo, 04026-002, Brazil; <sup>5</sup>
Federal University of São Paulo, Diadema campus, Diadema, São Paulo, 09913-030, Brazil</title>
<sec id="Sec286"><title><bold>Correspondence:</bold>
C. Jesus (gaspar_c94@hotmail.com) – Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Dengue is considered a major public health problem in the world. It is estimated that 80 million people are infected annually in 100 countries on all continents. The global changes that have taken place directly interfere with the natural environment; relating them to the climate and tropical diseases, it can be seen that changes in temperature alter the ecosystem, directly influencing the growth in transmission of diseases caused by vectors, which includes dengue. Objectives: To understand the consequences of temporal variability of climate conditions on the occurrence of dengue in the population of the Greater ABC metropolitan region of São Paulo and characterize the temporal trend of dengue in the region in the period 2010-2013.</p>
<p><bold>Methods</bold>
</p>
<p>Analysis of numbers of dengue cases reported in the years under review, complemented by the meteorological data (temperature and humidity) and pollutant concentration data (PM10). Dengue in the region had a higher incidence in 2010 and lower incidence in 2012.</p>
<p><bold>Results</bold>
</p>
<p>It was found that there is a statistical association between moisture and PM10 with dengue cases reported. Though the temperature does not statistically assume an association with reported dengue cases, it was found that the temperature peaks coincided with the epidemic peak of dengue.</p>
<p><bold>Conclusions</bold>
</p>
<p>High pollutant concentration (PM10) is associated with a decrease in the number of dengue cases. It would be interesting to carry out future studies related to environmental pollution and its influence on the mosquito <italic>Aedes aegypti</italic>
development in all phases of its life cycle and developing strategies for better monitoring, campaigns and surveillance.</p>
<p><bold>Keywords</bold>
</p>
<p>Reported Dengue Cases, Vectors, Climatic and Environmental Factors, Particulate Pollutants</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec287"><title>P10 Visual function and impact of visual therapy in children with learning disabilities: a pilot study</title>
<sec id="Sec288"><title>Ana R. Martins<sup>1</sup>
, Amélia Nunes<sup>1</sup>
, Arminda Jorge<sup>2</sup>
</title>
<sec id="Sec289"><title><sup>1</sup>
Universidade da Beira Interior, Covilhã, 6201-001, Portugal; <sup>2</sup>
Centro Hospitalar Cova da Beira, Covilhã, 6200-251, Portugal</title>
<sec id="Sec290"><title><bold>Correspondence:</bold>
Ana R. Martins (anarita.m91@gmail.com) – Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Undetected visual dysfunctions affect academic performance. Thus it's essential the implementation of programs for visual evaluation/intervention in schoolchildren. Given that children with learning disabilities in reading (LDR) can benefit from early intervention with visual therapy (VT), this study aims to estimate the frequency and distribution of visual impairment in children with LDR, assess the impact of visual disturbances and the influence of VT on their quality of life.</p>
<p><bold>Methods</bold>
</p>
<p>Seventeen children with LDR (9 ± 1 years), followed in speech therapy/educational intervention in the paediatric service of "Centro Hospitalar Cova da Beira" (Portugal), participated in this study. The control group included 103 children without learning disabilities (10 ± 1 years). The visual function evaluation included the application of the Inventory of Visual Efficiency (COVD-QoL questionnaire), and optometric measurement of various parameters of visual function. All children with LDR with altered visual function were advised to conduct a VT plan.</p>
<p><bold>Results</bold>
</p>
<p>Children with LDR showed a higher percentage of visual function alterations (vergencial function, accommodation and ocular motility) and reported more symptoms compared to control group. After a VT plan was registered a significant improvement in most visual parameters assessed, and observed a significant reduction of visual symptoms.</p>
<p><bold>Conclusions</bold>
</p>
<p>This study shows that improvement of objective/subjective parameters of visual function reduce visual symptoms, increasing comfort while carrying out schoolwork, improving the quality of life in LDR children. This study suggests the importance of evaluation of visual function in LDR children, as well as the benefits of VT and the importance of a multidisciplinary approach.</p>
<p><bold>Keywords</bold>
</p>
<p>Learning disabilities, visual function, visual symptoms, visual therapy, school performance</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec291"><title>P11 Edentulism and the need of oral rehabilitation among institutionalized elderly</title>
<sec id="Sec292"><title>Nélio Veiga<sup>1,2</sup>
, Ana Amorim<sup>1</sup>
, André Silva<sup>1</sup>
, Liliana Martinho<sup>1</sup>
, Luís Monteiro<sup>1</sup>
, Rafael Silva<sup>1</sup>
, Carina Coelho<sup>1</sup>
, Odete Amaral<sup>3,5</sup>
, Inês Coelho<sup>4</sup>
, Carlos Pereira<sup>3,5</sup>
, André Correia<sup>1,2</sup>
</title>
<sec id="Sec293"><title><sup>1</sup>
Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505, Portugal; <sup>2</sup>
Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal; <sup>3</sup>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; <sup>4</sup>
Unidade de Saúde Familiar Grão Vasco, Viseu, 3500-177, Portugal; <sup>5</sup>
Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<sec id="Sec294"><title><bold>Correspondence:</bold>
Nélio Veiga (nelioveiga@gmail.com) – Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505, Portugal</title>
<p><bold>Background</bold>
</p>
<p>An adequate dentition is important for well-being and increase of quality of life. Despite advances in preventive dentistry, edentulism is still a major public health issue in Portugal. Objectives: Determine the prevalence of edentulism and assess the oral rehabilitation and oral/prosthetic hygiene habits in a sample of institutionalized elderly.</p>
<p><bold>Methods</bold>
</p>
<p>We conducted a cross-sectional study in a sample of 68 institutionalized elderly (79.4 % female), in which the average age was 78.3 ± 12.0 years old. Data collection was performed by applying a questionnaire about oral health behaviours and through an intraoral observation in order to determine the oral status and verify the condition of the oral rehabilitation of each participant.</p>
<p><bold>Results</bold>
</p>
<p>In the present study, 58.8 % presented total edentulism with no natural teeth in the oral cavity and 66.7 % had a removable prosthesis. From the elderly that had a removable prosthesis, only 42.9 % presented satisfactory prosthetic retention and stability. Only 44.1 % refer daily oral/prosthetic hygiene at least twice-a-day. From the total sample, 29.0 % refer having toothache, 58.1 % refer dry mouth and 67.7 % refer difficulty in chewing, even in the case of having a removable prosthesis. The educational level of the elderly was associated with dental pain (p = 0.012) and oral/prosthetic hygiene (p = 0.034).</p>
<p><bold>Conclusions</bold>
</p>
<p>A high prevalence of tooth loss was found in the sample studied and also the need of improvement of the removable prosthesis is fundamental. Improvement in oral healthcare and oral hygiene habits is essential to promote better oral health and quality of life among the institutionalized elderly.</p>
<p><bold>Keywords</bold>
</p>
<p>Edentulism, institutionalized elderly, oral rehabilitation, quality of life.</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec295"><title>P12 Therapy adherence of outpatients in the pharmacy services of a hospital unit</title>
<sec id="Sec296"><title>Diana Rodrigues<sup>1</sup>
, Nídia Marante<sup>1</sup>
, Pedro Silva<sup>1</sup>
, Sara Carvalho<sup>1</sup>
, André Rts Araujo<sup>1,2</sup>
, Maximiano Ribeiro<sup>1,2</sup>
, Paula Coutinho<sup>1,2</sup>
, Sandra Ventura<sup>1,2</sup>
, Fátima Roque<sup>1,2</sup>
</title>
<sec id="Sec297"><title><sup>1</sup>
School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal; <sup>2</sup>
Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</title>
<sec id="Sec298"><title><bold>Correspondence:</bold>
Fátima Roque (froque@ipg.pt) – School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal</title>
<p>The low adherence to therapy of chronic patients undergoing long-term treatment has been identified as a major factor responsible for the lack of effectiveness of prescribed treatments.</p>
<p>In the present study, we have conducted interviews to patients over the age of 18 that acquired their medications in a hospital pharmacy of the north region of Portugal. Compliance with the treatment regimen and self-perception of health status were assessed by applying the Morisky Medication Adherence Scale© (MMA-8-Item) and the The Brief Illness Perception Questionnaire© (IPQ-B), respectively.</p>
<p>The association between gender and some types of disease was observed for Psoriatic Arthritis and for the incidence of breast cancer in women and lung cancer in males. Of the 11 patients, 3 reported to have undergo therapeutic changes from the beginning of treatment. These three correspond to patients with Hepatitis B and Psoriatic Arthritis.</p>
<p>The results of therapy adherence show 90.9 % of adherence, in which 5 of the 11 respondents showed a high degree of adherence to therapy and only 1 revealed lower levels of adherence. According to the MMA-8-Item (n = 11) respondents do not associate the non-adherence to oblivion of taking the medicines. However, the limiting factors of adherence most mentioned were adverse effects associated with the medication and depressive states linked with the negative impact that the disease has on society.</p>
<p>Although this is a pilot study, our results have shown to be promising. Patients reported high adherence rates and it was verified a relationship between therapy adherence and the self-perception of health.</p>
<p><bold>Keywords</bold>
</p>
<p>Therapy adherence, health status, effectiveness</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec299"><title>P13 Universal access and comprehensive care of oral health: an availability study</title>
<sec id="Sec300"><title>Cristina Calvo, Manoela Reses</title>
<sec id="Sec301"><title>Centro de Ciências da Saúde, Departamento de Saúde Pública, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, 88040-900 Brasil</title>
<sec id="Sec302"><title><bold>Correspondence:</bold>
Cristina Calvo (cristina.clv@gmail.com) – Centro de Ciências da Saúde, Departamento de Saúde Pública, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, 88040-900 Brasil</title>
<p>The constitutional right to health can be considered as one of the greatest social achievements of the post-democracy period in Brazil. After 25 years of the implementation of the Unified Health System, although undeniable advances have been observed, the guidelines for universal access and comprehensive care in oral health still remain as challenges. In this sense, we performed an availability study (AS) of oral health services with a focus on universal access and comprehensive care.</p>
<p>The EA consists of a set of procedures that precede the stage of evaluation for verifying the extent to which the object can be evaluated. In this study the following steps were taken: (a) description of oral health care by identifying goals and activities; (b) design of the theoretical and logical model; (c) development of an evaluation matrix; (d) identification of stakeholders in the evaluation; and (e) achieving consensus on the evaluation procedures.</p>
<p>The evaluative matrix of oral health care with a focus on universal access and comprehensiveness was composed of five dimensions: accessibility; availability; priority of promotion and prevention actions; articulation of promotion, prevention and recovery; and integral approach of individuals and families. For each dimension indicators were discussed related to the level of dental care: management, primary care, specialized care, urgent and emergency services and hospital care.</p>
<p>The EA proved to be appropriate and allowed the identification of priority areas of oral health care for future evaluations.</p>
<p><bold>Keywords</bold>
</p>
<p>Health services evaluation, access, oral health care services, Integrality in Health, oral health</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec303"><title>P14 Is the respiratory function of children a predictor of air quality? Coimbra as a case study</title>
<sec id="Sec304"><title>Jorge Conde, Ana Ferreira, João Figueiredo</title>
<sec id="Sec305"><title>College of Health Technology, Polytechnic Institute of Coimbra, 340-162 Coimbra, Portugal</title>
<sec id="Sec306"><title><bold>Correspondence:</bold>
Jorge Conde (jconde@estescoimbra.pt) – College of Health Technology, Polytechnic Institute of Coimbra, 340-162 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Respiratory changes are increasingly present, from an early age, either because life is increasingly sedentary, or because city pollution is increasingly present. Knowing that the circuits of the children of the city of Coimbra, are apparently "clean", we assessed two groups of children, using spirometry in the search for respiratory changes denoting disease. Objective: to assess a population of children representing the municipality of Coimbra, in order to understand possible respiratory changes.</p>
<p><bold>Methods</bold>
</p>
<p>We studied children who attend the 1st grade and those who attend the 4th grade, using spirometry. The children were selected among those who had no history of disease, nor evident symptoms and presented adequate collaboration. The results were stratified to be representative of the population of the municipality of Coimbra.</p>
<p><bold>Results</bold>
</p>
<p>The results show a predominantly healthy population, with children of the 1st grade (6-7 years old), presenting alterations to small and medium airways in 7.0 % of the cases, with girls representing 4.3 % of the sample. Only in 0.4 % of the children were we in the presence of respiratory alterations of the obstructive type. In the 4th grade group (9 to 10 years), the results showed 4.0 % of obstructive alterations in peripheral airways and only in 2.0 % was obstructive respiratory alteration observed.</p>
<p><bold>Conclusions</bold>
</p>
<p>We can say that the population between 6 and 10 years old presents a good level of absence of disease, which cannot be unrelated to good air quality of the city and low level of pollution.</p>
<p><bold>Keywords</bold>
</p>
<p>Spirometry, city pollution, children</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec307"><title>P15 Meaning-in-life of college students</title>
<sec id="Sec308"><title>David Silva, Luís Seiça, Raquel Soares, Ricardo Mourão, Teresa Kraus</title>
<sec id="Sec309"><title>School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec310"><title><bold>Correspondence:</bold>
Teresa Kraus (teresa.kraus@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Admission to college and academic life both represent a particularly susceptible period of emotional turmoil. This period can be exacerbated by the organization of the student’s identity, a result of developing maturity. In this context, meaning in life presents itself as a variant with promising effect on the attainment of life goals. Objective: To characterize the sample as to its life goals.</p>
<p><bold>Methods</bold>
</p>
<p>A simple descriptive study, performed during 2015 with students from a college in the centre of Portugal. The sample answered to a survey on Google Docs with open and closed-ended questions, with the study’s goal as its basis. Data processing was accomplished using descriptive statistic means.</p>
<p><bold>Results</bold>
</p>
<p>The sample had 242 subjects, mostly female (78.1 %, n = 189). To the question “More than anything, I want to…”, answers were “be happy” (59.5 %, n = 144); “finish college” (4.1 %, n = 10); “start a family” (2.9 %, n = 7); and “help others” (2.5 %, n = 6). We can point out that a few subjects (12 %, n = 29) referred that they haven’t made any progress in the pursuit of their life goals yet, such as “to be desired”, “to be loved”, “to be happy” and “to enjoy life”.</p>
<p><bold>Conclusions</bold>
</p>
<p>Most of the sample’s subjects recognize they are achieving their goals. Only a minority admits their lack of ability in succeeding. Despite only being a few, they need holistic attention to guide them towards a discovery of a real meaning in life.</p>
<p><bold>Keywords</bold>
</p>
<p>Meaning-in-life, college, students</p>
</sec>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec311"><title>Education & Training of Health Professionals</title>
<sec id="Sec312"><title>O57 Training needs for nurses in palliative care</title>
<sec id="Sec313"><title>Ana C. Abreu<sup>1</sup>
, José M. Padilha<sup>2</sup>
, Júlia M. Alves<sup>3</sup>
</title>
<sec id="Sec314"><title><sup>1</sup>
Oporto Portuguese Institute of Oncology FG, EPE, 4200-072 Porto, Portugal; <sup>2</sup>
Porto Nursing School, 4200-072 Porto, Portugal; <sup>3</sup>
Oporto Central Hospital, 4099-001 Porto, Portugal</title>
<sec id="Sec315"><title><bold>Correspondence:</bold>
Ana C. Abreu (catarina.abreu19@gmail.com) – Oporto Portuguese Institute of Oncology FG, EPE, 4200-072 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Demographic, social and health changes are at the origin of the change in the place of death. The characterization of nursing care needs to be documented in the Nursing Information System (NIS) in use, and may represent an effective strategy to define training policies for nurses, for the organization of care as well as for the definition of areas of focus for research. Objective: To describe the main needs for nursing care of palliative patients referred to the Hospital-Support Team in Palliative Care of a hospital in central Portugal.</p>
<p><bold>Methods</bold>
</p>
<p>We conducted an exploratory, descriptive and cross-sectional study, from the documentation of nursing care in the NIS in use. Our sample comprises the accessible population between September 1, 2012 and September 1, 2013, making a total of 276 patients.</p>
<p><bold>Results</bold>
</p>
<p>In this study, 53.99 % of patients have an oncological pathology, despite the increase of referral of non-oncologic pathologies. Concerning the needs of nursing care documented in the NIS, 68 % of nursing focus is given to the dimension of function and 32 % to the dimension of the person. The management and control of symptoms is one of the main focuses in the available evidence, also found in the study with an emphasis on function.</p>
<p><bold>Conclusions</bold>
</p>
<p>Despite the relevance of the physical dimension, it represents only a part of total care, exposing the opportunity for improving nursing care quality, regarding the psychological, social, cultural and spiritual dimensions. The need emerges for appropriate training in the other key areas of Palliative Care, particularly fatigue, grief, family, communication, comfort and spirituality.</p>
<p><bold>Keywords</bold>
</p>
<p>Palliative Care, Nursing Care, Total Care</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec316"><title>O58 Impact of computerized information systems in the global nurses’ workload: nurses’ perceptions and real-time</title>
<sec id="Sec317"><title>Paulino Sousa<sup>1,2</sup>
, Manuel Oliveira<sup>1</sup>
, Joana Sousa<sup>3</sup>
</title>
<sec id="Sec318"><title><sup>1</sup>
Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal; <sup>2</sup>
Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal; <sup>3</sup>
Centro Hospitalar do Porto, 4099-001 Porto, Portugal</title>
<sec id="Sec319"><title><bold>Correspondence:</bold>
Paulino Sousa (paulino@esenf.pt) – Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>During the last decade, health institutions have been involved in the process of moving away from paper-based and implementing electronic health information to support patient care. The documentation is in fact an essential part of nursing practice, but will undoubtedly be responsible for a substantial portion of the overall workload of nurses. We are confronted too often with opinions that contain a perception that the use of computerized information systems (CIS) have a major impact on the overall workload of nurses. Objective: To explore nurses’ perceptions and the real-time of CIS impact on the global nurses’ workload.</p>
<p><bold>Methods</bold>
</p>
<p>A cross-sectional survey was applied to collect data from 190 nurses that use CIS in a hospital. For the analysis of real-time spent on the CIS usage we collected the automated registered times of medicine ward nursing users.</p>
<p><bold>Results</bold>
</p>
<p>Only a quarter (Q1) of nurses believes that the time spent with the use of CIS is less or equal to 30 % of their global workload and 75 % of the nurses (Q3) consider that is less or equal to 50 %, existing an equal dispersion to the right and left of the median (40 %). The average of the real-time spent on CIS use was 16.7 % of nurses’ workload (median: 17.1 % and standard deviation: 3.4).</p>
<p><bold>Conclusions</bold>
</p>
<p>Nurses have the perception that the time used in CIS has a high impact on the workload. However, the analysis of “real-time” shows that the time spent is overlapping the lowest times referenced in the literature.</p>
<p><bold>Keywords</bold>
</p>
<p>Computerized Information Systems, electronic health information, nursing workload, time spent</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec320"><title>O59 The perspective of health care professionals on self-care in hereditary neurodegenerative disease: a qualitative study</title>
<sec id="Sec321"><title>Sónia Novais<sup>1</sup>
, Felismina Mendes<sup>2</sup>
</title>
<sec id="Sec322"><title><sup>1</sup>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, 1649-023 Lisboa, Portugal; <sup>2</sup>
Escola Superior de Enfermagem de S. João de Deus, Universidade de Évora, 7004-516 Évora, Portugal</title>
<sec id="Sec323"><title><bold>Correspondence:</bold>
Sónia Novais (snovais@gmail.com) – Instituto de Ciências da Saúde, Universidade Católica Portuguesa, 1649-023 Lisboa, Portugal</title>
<p>Familial Amyloidotic Polyneuropathy (FAP) is a rare, irreversible and fatal disease resulting from a genetic mutation with autosomal dominant transmission. This neurodegenerative disorder has late age of onset, after 25 years of age and is a progressive autonomic sensory and motor neuropathy. This disease is characterized by deposition of insoluble amyloid fibrils in connective tissue causing high dependency and premature death. Treatment options for patients with FAP are very limited. Symptomatic treatment can control symptoms and improve the quality of life of these patients.</p>
<p>This work aims to: I) Understand the perspective of health professionals on self-care in FAP; II) Understand which behaviours and self-care needs of patients are perceived by health professionals. This is a part of a larger ethnographic study. A semi-structured interview was conducted with eight privileged witnesses. The collected qualitative data was analysed according to the method proposed by Miles, Huberman and Saldaña.</p>
<p>The results obtained by analysis of the interviews allow us to have two categories, namely self-care needs and self-care behaviours. The needs identified by health professionals primarily relate to the increased level of dependence that occurs with the evolution of this illness.</p>
<p>The self-care behaviours are identified with the completion of presymptomatic testing and the use of medically assisted procreation techniques with pre-implantation testing and selection of free mutation embryos. The health care professionals’ perspective of self-care within the inherited genetic disease is expanded, but is mainly derived from self-care needs and not from self-care behaviours.</p>
<p><bold>Keywords</bold>
</p>
<p>FAP, Self-care, hereditary disease, social illness representation, health care professional</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec324"><title>O60 Contribution for health-related physical fitness reference values in healthy adolescents</title>
<sec id="Sec325"><title>Joana Pinto, Joana Cruz, Alda Marques</title>
<sec id="Sec326"><title>School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec327"><title><bold>Correspondence:</bold>
Alda Marques (amarques@ua.pt) – School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Physiotherapy intervenes in health-related physical fitness (HRPF). However, normative values are lacking for prescribing exercise in healthy and non-healthy populations, namely in adolescents. Objective: The primary aim was to contribute for establishing normative values of the measures most commonly used in physiotherapy to assess HRPF. Secondary aims were to examine gender-specific differences and the relationship between HRPF and physical activity (PA).</p>
<p><bold>Methods</bold>
</p>
<p>A cross-sectional study was conducted with Portuguese adolescents. Socio-demographic, anthropometric data and vital signs were first collected. Then, HRPF was assessed through: body mass index (BMI), incremental shuttle walk test (ISWT), quadriceps muscle strength using hand-held dynamometry (HHD), modified sit-and-reach test (MSRT) and timed up and go (TUG). Participants’ PA levels were assessed using the "Physical Activity Index" (PAI).</p>
<p><bold>Results</bold>
</p>
<p>One hundred forty-one (141) adolescents participated (14.33 ± 1.34 years, 71 males). The proposed normative values for HRPF were: BMI 58.95 ± 2.44 %; ISWT 1251.19 ± 26.25 m; HHD 21.04 ± 0.69 Kgf; MSRT 38.09 ± 1.75 cm; TUG 4.31 ± 0.13 s. Male adolescents were significantly (p < 0.001) faster performing TUG (males: 3.75 ± 0.43 s; females: 4.88 ± 0.87 s), walked a superior distance in the ISWT (males: 1409.00 ± 265.63 m; females: 1111.94 ± 251.10 m) and had more quadriceps muscle strength (males: 23.77 ± 7.13 kgf; females: 18.70 ± 6.28 kgf) than females. Adolescents had moderate PA levels. Higher PA levels were associated with better results in the MSRT (r = 0.592, p < 0.001), TUG (r = -0.543, p < 0.001) and ISWT (r = 0.432, p < 0.001).</p>
<p><bold>Conclusions</bold>
</p>
<p>Findings are a contribution for HRPF normative values of tests most commonly used in physiotherapy assessment of adolescents. The associations between PA and HRPF suggest that future work should encourage adolescents to adopt more active lifestyles in order to improve their HRPF performance.</p>
<p><bold>Keywords</bold>
</p>
<p>Physical fitness, cardiorespiratory, muscular strength, neuromuscular, flexibility, physical activity index, adolescents</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec328"><title>O61 Perception of learning, satisfaction and self-efficacy of nursing students about High-Fidelity Simulation</title>
<sec id="Sec329"><title>Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa</title>
<sec id="Sec330"><title>Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec331"><title><bold>Correspondence:</bold>
Hugo Duarte (hugoduarte2009@gmail.com) – Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Over the last years the teaching of nursing has been progressively directed to the use of new methodologies, among which we highlight the High-Fidelity Simulation (HFS), which allows nursing students to have their first contact with the clinical practice within the academic environment. Objective: To evaluate and correlate the perception of learning, satisfaction and self-efficacy of nursing students about HFS.</p>
<p><bold>Methods</bold>
</p>
<p>A correlational study with 139 nursing students was developed, using the Portuguese version of the Nursing Students’ Perceptions of Learning and Learner Satisfaction with Simulation Tool.</p>
<p><bold>Results</bold>
</p>
<p>Nursing students reveal a moderated perception of learning about the HFS (3.649 ± 0.513 out of 5 points), a good level of satisfaction (7.317 ± 1.065 out of 10 points) and a self-efficacy for the practice of HFS (31.590 ± 3.974 out of 40 points). All correlations between perception of learning, satisfaction and self-efficacy of the students regarding HFS were positive and highly significant (p ≤ 0.001), with values between 0.991 and 0.385.</p>
<p><bold>Conclusions</bold>
</p>
<p>This study reveals that nursing students are satisfied with the practice of HFS, as well as shows a positive perception of learning and self-efficacy about HFS. The fact that the correlations among these three variables are highly significant and positive, demonstrate the importance of the practice of HFS within the school environment, which allows the development of experiences of high value for the nursing students.</p>
<p><bold>Keywords</bold>
</p>
<p>High Fidelity Simulation, nursing students, personal satisfaction, self-efficacy, learning perception</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec332"><title>O62 Analysis of statements of diagnosis about health deviation in self-care requisites customized in a Nursing Practice Support System (SAPE®): Management of therapeutic regimen</title>
<sec id="Sec333"><title>Inês Cruz, Fernanda Bastos, Filipe Pereira</title>
<sec id="Sec334"><title>Escola Superior de Enfermagem do Porto, Porto, 4200-072, Portugal</title>
<sec id="Sec335"><title><bold>Correspondence:</bold>
Inês Cruz (inescruz@esenf.pt) – Escola Superior de Enfermagem do Porto, Porto, 4200-072, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Nowadays chronic diseases are the leading cause of death in Portugal and in the world. Since most of these diseases have behavioural determinants in their origin, and their control depends on self-care behaviours, including an effective management of the therapeutic regimen, this is a key area in nursing. Objective: To identify the terms used by nurses to describe the range of diagnosis customized in the Nursing Practice Support System (SAPE®), focused on the management of the medication regimen.</p>
<p><bold>Methods</bold>
</p>
<p>A qualitative study. A content analysis process of nursing documentation in SAPE® centred on the management of medication regimen was conducted. An a priori analysis model was used – the ISO 18104: 2003 standard – Health informatics: integration of a reference terminology model for nursing.</p>
<p><bold>Results</bold>
</p>
<p>There were 598 statements of nursing diagnosis identified centred on “managing the medication regimen”. After the content analysis process, and after excluding all conceptual redundancy, the statements of nursing diagnosis were reduced to 30 clinically useful syntaxes.</p>
<p>Thirty-two different terms for judgments about the focus were found. After consensus, we reduced these to 2 terms: “impaired” and “potential to enhance”. We found 20 “dimensions” for which the principal focus is put into perspective. After analysis, they were reduced to 6: knowledge; ability; awareness; meaninglessness; support, and family support. Eight judgments associated with dimensions were found.</p>
<p><bold>Conclusions</bold>
</p>
<p>The proliferation of different statements of diagnosis reflect the same reality which makes information management and production of indicators more difficult. Studies that make a conceptual analysis of nursing documentation are necessary.</p>
<p><bold>Keywords</bold>
</p>
<p>Management of therapeutic regimen, Nursing Diagnosis, Nursing Informatics Systems</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec336"><title>O63 Hybrid management and hospital governance: doctors and nurses as managers</title>
<sec id="Sec337"><title>Francisco L. Carvalho, Teresa T. Oliveira, Vítor R. Raposo</title>
<sec id="Sec338"><title>Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal</title>
<sec id="Sec339"><title><bold>Correspondence:</bold>
Francisco L. Carvalho (edinaldo.lira@gmail.com) – Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal</title>
<p><bold>Background</bold>
</p>
<p>Hybrid systems imply multi-tasking as in post Fordist lean production [1-2] and are relevant to complex organisations such as teaching hospitals [3]. Nonetheless, they raise questions concerning levels of leadership and responsibility [4], group working and relational coordination [5-7] across different domains of practice [8]. Moreover, there is a need to better understand how group operational effectiveness is associated with clarity of job roles [9], workloads and motivation [10] and their impact on the climate and quality of care [11].</p>
<p><bold>Methods</bold>
</p>
<p>A case study in a European university hospital based on a grounded theory approach. Longitudinal data (2011 to 2015) from audio-taped and semi-structured interviews (N = 64) with 41 health professionals as managers (28 doctors and 13 nurses). Content analysis on the basis of a newly developed coding system using MAXQDA software. Originality: Locating the concept of hybrid management in terms of the role of doctors as managers in the context of different logics, i.e. distinguishing institutional logic (an NHS) from organizational logic (a hospital) and operational logic (at unit and service levels).</p>
<p><bold>Results and Conclusions</bold>
</p>
<p>Doctors and nurses as managers need relative autonomy at operational levels which should be recognized by hospital administrators</p>
<p><bold>References</bold>
</p>
<p>1. Womack JP, Jones DT. Lean Thinking. New York: Simon and Schuster;1996.</p>
<p>2. Womack JP, Jones DT. Lean Solutions: How Companies and Customers Can Create Wealth Together. New York: Simon Schuster; 2005.</p>
<p>3. Joffe M, MacKenzie‐Davey K. The problem of identity in hybrid managers: who are medical directors?, International Journal of Leadership in Public Services. 2012, 8(3):161 - 174.</p>
<p>4. Guest D, Bos-Nehles A. HRM and Performance: The Role of Effective Implementation. London: Department of Management King´s College London; 2011.</p>
<p>5. Gittell JH. The Southwest Airlines Way - Using the Power of Relationships to Achieve High Performance. M.-H. Companies. New York: McGraw-Hill Companies; 2003.</p>
<p>6. Gittell JH. Relational Coordination: Guidelines for Theory, Measurement and Analysis. USA: Relational Coordination Research Collaborative; 2011.</p>
<p>7. Gittell JH, Weinberg DB, Bennett A, Miller JA. “Is the Doctor In?” A relational approach to job design and the coordination of work. Human Resource Management. 2008; 47(4): 729-755.</p>
<p>8. Mørk BE, Hoholm T, Maaninen-Olsson E, Aanestad M. Changing practice through boundary organizing: A case from medical R&D. Human Relations. 2012; 65(2):263-288.</p>
<p>9. Woodrow C, Guest DE. Public violence, staff harassment and the wellbeing of nursing staff: an analysis of national survey data. Health Services Management Research. 2012; 25(1): 24-30.</p>
<p>10. Gungor P. The Relationship between Reward Management System and Employee Performance with the Mediating Role of Motivation: A quantitative Study on Global Banks 7th International Strategic Management Conference. 2011;1510-1520.</p>
<p>11. Moran C M, Diefendorff JM, Kim TY, & Liu ZQ. A profile approach to self-etermination theory motivations at work. Journal of Vocational Behavior. 2012; 81(3), 354-363.</p>
<p><bold>Keywords</bold>
</p>
<p>Hospital reforms, institutional, organisational and operational logics, hybrid management</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec340"><title>O64 Time management in health professionals</title>
<sec id="Sec341"><title>Conceição Rainho<sup>1</sup>
, José C. Ribeiro<sup>2</sup>
, Isabel Barroso<sup>1</sup>
, Vítor Rodrigues<sup>1</sup>
</title>
<sec id="Sec342"><title><sup>1</sup>
Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal; <sup>2</sup>
Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, 5000-508, Portugal</title>
<sec id="Sec343"><title><bold>Correspondence:</bold>
Conceição Rainho (crainho@utad.pt) – Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Time management affects the productivity and health of workers. At health organizations professionals are exposed to heavy workload and time pressure, labour demand indicators, in a highly competitive and demanding health sector. Therefore, the application of time management techniques is presented as an essential tool, with implications for productivity, well-being of workers and quality of health care. Objective: analyse the dimensions of the Time Management Behaviour (TMB) scale in healthcare professionals.</p>
<p><bold>Methods</bold>
</p>
<p>A descriptive cross-sectional study, the TMB scale was used to evaluate time management dimensions, consisting of 25 items answered on a range varying between 1 and 5, where higher scores correspond to higher levels.</p>
<p><bold>Results</bold>
</p>
<p>Of the 703 health professionals studied, 76.0 % were female with an average of 41 years old. The dimensions of time management showed values close to scale midpoint, with preference for organization presenting the highest average (3.83) and mechanics of time management dimension the lowest average (2.85).</p>
<p><bold>Conclusions</bold>
</p>
<p>The results showed that the time management dimensions: setting goals and priorities, mechanics of time management and preference for organization, have lower average values compared to other studies and other professions, signalling the management of human resources for health organization studied has relevant information to contribute to the implementation of strategies aimed at the effectiveness of time management.</p>
<p><bold>Keywords</bold>
</p>
<p>Time management, Health professionals</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec344"><title>O65 Financial rewards and wellbeing in primary health care</title>
<sec id="Sec345"><title>Carmo Neves, Teresa C. Oliveira</title>
<sec id="Sec346"><title>Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal</title>
<sec id="Sec347"><title><bold>Correspondence:</bold>
Carmo Neves (carmonevespt@gmail.com) – Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal</title>
<p><bold>Background</bold>
</p>
<p>Contractualisation in the private sector may include performance-related pay [1]. But this was not typical of Human Resource Management (HRM) in the National Health Service (NHS) until the New Public Management (NPM)-style reforms [2]. This paper draws on the perceptions of clinical professionals of financial reward systems through contractualisation in Primary Care to explore the links between clarity of job roles [3], workloads and motivation [4] and their impact on the climate and quality of care [5] and employee wellbeing.</p>
<p><bold>Methods</bold>
</p>
<p>Using a case study approach within grounded theory, content analysis was carried out of six fully transcribed audio-taped semi-structured interviews with 2 doctors, 2 nurses and 2 administrators in two Unit Care Services in north of Portugal which were recently subject to NPM-style reforms.</p>
<p><bold>Results</bold>
</p>
<p>Although health professionals may welcome increases in pay, they are not motivated primarily by financial rewards, but rather are committed to health as a public service. When contractualisation is only partial for some rather than all employees, its outcome may be negative. Reward systems based on quantitative performance criteria may compromise the climate and quality of care through lack of the clarity of job roles and employee wellbeing.</p>
<p><bold>Conclusions</bold>
</p>
<p>Motivating health professionals needs a more holistic HRM approach than performance-related pay and involvement of clinical managers in its design and operational implementation.</p>
<p><bold>References</bold>
</p>
<p>1. Mehmood S, Ramzan M, Akbar MT. Managing Performance through Reward System. Journal of Education & Research for Sustainable Development. 2013; 1(1): 1-8.</p>
<p>2. Oliveira TC, Fontes da Costa J, Lira de Carvalho FE. Hierarchies or Holdings? In C. Machado and J. P. Davim, (Eds). 2014. Effective Human Resource Management in Small and Medium Enterprises: Global Perspectives. IGI Global Associates, 342-376.</p>
<p>3. Woodrow C, Guest DE. Public violence, staff harassment and the wellbeing of nursing staff: an analysis of national survey data. Health Services Management Research. 2012; 25(1): 24-30.</p>
<p>4. Güngör P. The Relationship between Reward Management System and Employee Performance with the Mediating Role of Motivation: A Quantitative Study on Global Banks. The Proceedings of 7th International Strategic Management Conference. Procedia - Social and Behavioral Sciences. 2011; 24: 1510-1520.</p>
<p>5. Moran CM, Diefendorff JM, Kim TY, Liu ZQ. A profile approach to self-determination theory motivations at work. Journal of Vocational Behavior. 2012; 81(3): 354-363.</p>
<p><bold>Keywords</bold>
</p>
<p>Contractualisation, Performance related pay, HRM, Motivation, Reward systems, Work roles, Wellbeing, Primary health care</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec348"><title>O66 Patient safety promotion in the operating room</title>
<sec id="Sec349"><title>Bárbara Oliveira<sup>1</sup>
, Mª Carminda Morais<sup>2,3</sup>
, Pilar Baylina<sup>4</sup>
</title>
<sec id="Sec350"><title><sup>1</sup>
Centro Hospitalar do Porto, 4099-001 Porto, Portugal; <sup>2</sup>
Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal; <sup>3</sup>
Centro de Estudos e Investigação em Saúde, Universidade de Coimbra, 3004-512 Coimbra, Portugal; <sup>4</sup>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330, Portugal</title>
<sec id="Sec351"><title><bold>Correspondence:</bold>
Bárbara Oliveira (barbaroliveira@gmail.com) – Centro Hospitalar do Porto, 4099-001 Porto, Portugal</title>
<p>Over recent years, patient safety has gained more importance in the field of public health. Surgical safety is particularly relevant due to the great number of perioperative complications which could be avoided and can cause damage to the patient. This also implies major costs to the healthcare organization, causing a great impact on its budget. Through the analysis of a safety culture, measuring patient safety in a healthcare institution is possible since they are influenced by each other. Hence, the “Hospital Survey on Patient Safety Culture” (HSPSC) arises due to the need for evaluation of patient safety in healthcare.</p>
<p>The aim of this work is to evaluate and promote patient safety in the Operating Rooms (OR) of the Centro Hospitalar do Porto (CHP).</p>
<p>This descriptive study was conducted in the OR of CHP, where the Portuguese version of the HSPSC was applied to the workers, namely doctors, nurses, technicians, health care assistants and secretaries.</p>
<p>The results obtained show that in CHP teamwork within units has great value, as this dimension has the highest percentage of positive answers (63.4 %). The lowest percentage of positive answers is the dimension of frequency of events reported (24.9 %). The workers’ perception of the degree of patient safety is divided between “very good” (47.5 %) and “acceptable” (39.7 %). The strengths in CHP are teamwork within units, efforts for the improvement of patient safety, manager expectations and actions promoting patient safety. The areas requiring intervention in CHP are those related to the system of events reported, staffing and work between units.</p>
<p><bold>Keywords</bold>
</p>
<p>Safety Culture, Healthcare Quality, Patient Safety</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec352"><title>O67 Difficulties and needs of pre-graduate nursing students in the area of Geriatrics/Gerontology</title>
<sec id="Sec353"><title>Rogério Rodrigues<sup>1</sup>
, Zaida Azeredo<sup>2</sup>
, Corália Vicente<sup>3</sup>
</title>
<sec id="Sec354"><title><sup>1</sup>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851, Portugal; <sup>2</sup>
Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia, Portugal; <sup>3</sup>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</title>
<sec id="Sec355"><title><bold>Correspondence:</bold>
Rogério Rodrigues (rogerio@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In an era of global ageing, the increasing proportion of older people has a direct impact on nursing practice, and also on nursing education, presenting unprecedented opportunities and challenges. Objective: To study difficulties and needs of pre-graduate nursing students in the area of Geriatrics/Gerontology.</p>
<p><bold>Methods</bold>
</p>
<p>A quantitative, descriptive study, with a non-probabilistic accidental sample, constituted by 238 undergraduate nursing students of the 4th year of the Nursing School of Coimbra. Application of self-administered questionnaires related to knowledge on ageing issues, difficulties in caring for the elderly person in community and hospital settings, after authorization of the institution and informed consent of students.</p>
<p><bold>Results</bold>
</p>
<p>The study emphasizes the difficulties perceived by students and consequent training needs combined with the reality of the various clinical teaching contexts; notable is the nonexistence of a vision of care that integrates the multidimensional systematic assessment of the elderly, to support and sustain conditions for quality of life of the elderly in community, family and social support.</p>
<p><bold>Conclusions</bold>
</p>
<p>This study presents relevant data about the difficulties experienced by nursing students of the 4th year and their training needs, regarding the care of the elderly, justifying the adequacy of the curricula of the 1st cycle of studies in nursing, specifically the integration in the curricula of the methodology of multidimensional functional assessment of elderly. Their use in graduate nursing training will be an asset for students to have an integrated vision of the elderly in the community.</p>
<p><bold>Keywords</bold>
</p>
<p>Nursing students, Geriatrics, Gerontology</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec356"><title>O68 Teaching and learning sexuality in nursing education</title>
<sec id="Sec357"><title>Hélia Dias<sup>1</sup>
, Margarida Sim-Sim<sup>2</sup>
</title>
<sec id="Sec358"><title><sup>1</sup>
Escola Superior de Saúde, Instituto Politécnico de Santarém, Santarém, 2005-075, Portugal; <sup>2</sup>
Escola Superior de Enfermagem S. João de Deus, Universidade de Évora, 7000-811 Évora, Portugal</title>
<sec id="Sec359"><title><bold>Correspondence:</bold>
Hélia Dias (helia.dias@essaude.ipsantarem.pt) – Escola Superior de Saúde, Instituto Politécnico de Santarém, Santarém, 2005-075, Portugal</title>
<p>Sexuality is recognized as part of holistic nursing care, but its inclusion in clinical practice and nursing training is inconsistent. Based on the question "How students and teachers acknowledge sexuality in teaching and learning?", we developed a study in order to characterize the process of teaching and learning sexuality in a micro perspective of curriculum development.</p>
<p>We used a mixed methods design with a sequential strategy: QUAN → qual of descriptive and explanatory type. 646 students and teachers participated. The quantitative component used questionnaire surveys. Document analysis was used in the additional component.</p>
<p>A curricular dimension of sexuality emerges guided by a behaviourist line and based on a biological vision. The issues considered safe are highlighted and framed in steps of adolescence and adulthood and more attached to female sexuality and the procreative aspect. There is in emergence a hidden curriculum by reference to content from other dimensions of sexuality but less often expressed. Theoretical learning follows a communicational model of reality through abstraction strategies, which infers a deductive method of learning, with a behaviourist approach to assessment. Clinical teaching addresses sexuality in combination with reproductive health nursing. The influencing factors of teaching and learning of sexuality were also explored.</p>
<p>We conclude that the vision of female sexuality taught and learned in relation to women has a projection of care in clinical practice based on the same principles.</p>
<p><bold>Keywords</bold>
</p>
<p>Sexuality, nursing education, teaching and learning process, curricular development, students, teachers</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec360"><title>O69 Entrepreneurial Motivations Questionnaire: AFC and CFA in academy</title>
<sec id="Sec361"><title>Pedro Parreira<sup>1</sup>
, Anabela Salgueiro-Oliveira<sup>1</sup>
, Amélia Castilho<sup>1</sup>
, Rosa Melo<sup>1</sup>
, João Graveto<sup>1</sup>
, José Gomes<sup>1</sup>
, Marina Vaquinhas<sup>1</sup>
, Carla Carvalho<sup>2</sup>
, Lisete Mónico<sup>2</sup>
, Nuno Brito<sup>3</sup>
</title>
<sec id="Sec362"><title><sup>1</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>2</sup>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal; <sup>3</sup>
Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</title>
<sec id="Sec363"><title><bold>Correspondence:</bold>
Pedro Parreira (parreira@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Entrepreneurship has been considered essential to create value, being a powerful driver of economic and social development. Academy must invest in the development of entrepreneurial skills in students (“Entrepreneurial Academy”). Objective: To analyse the psychometric proprieties of the EMQ-Entrepreneurial Motivations Questionnaire.</p>
<p><bold>Methods</bold>
</p>
<p>Sample: 6,532 students from 17 polytechnic Institutes of Portugal. Measure: EMQ, composed by measures of Entrepreneurial motives for the business, Entrepreneurial influences, and Support Services.</p>
<p><bold>Results</bold>
</p>
<p>Exploratory factor analysis (EFA) for Entrepreneurial-Motives-for-the-business (KMO = .921, X<sup>2</sup>
= 54387.94, p < .001) extracted 4 factors, explaining 53.81 % of variance (EV): F1-Family security (19.92 % EV; M = 4.07, SD = 0.67), F2-Prestige (14.60 % EV; M = 3.25, SD = 0.75), F3-Independence (13.13 % EV; M = 3.33, SD = 0.75), and F4-Realization of an opportunity (11.15 % EV; M = 4.08, SD = 0.56). This factorial structure was supported by Confirmatory factor analysis (CFA), with an acceptable fit: RMSEA = .084. EFA of Entrepreneurial-Influences (KMO = .916, X<sup>2</sup>
= 60584.93, p < .001), extracted 4 factors, EV 60.08 %: F1-Resources availability (21.25 % EV; M = 3.86, SD = 0.68), F2-Stable customers and incentives (19.70 % EV; M = 3.82, SD = 0.65), F3-Social and economic instability (11.11 % EV; M = 2.96, SD = 1.06), and F4-Opportunities in the sector and residence area (8.03 % EV; M = 3.29, SD = 0.95). This factorial structure was supported by CFA, with an acceptable fit: RMSEA = .073. EFA of Support-Services (KMO = .995, X<sup>2</sup>
= 57311.43, p < .001) extracted 2 factors, EV 58.43 %: F1-Financial support (32.59 % EV; M = 3.93, SD = 0.69) and F2-Prestige (25.84 % EV; M = 3.95, SD = 0.65). This factorial structure was supported by CFA, with an acceptable fit: RMSEA = .090. The health group showed scores mostly above global average in factors.</p>
<p><bold>Conclusions</bold>
</p>
<p>EMQ showed adequate psychometric properties. The instrument is useful for measuring entrepreneurships motivations in health.</p>
<p><bold>Keywords</bold>
</p>
<p>Entrepreneurship, Entrepreneurial Motivations, Entrepreneurial Motivations Questionnaire, Entrepreneurial Academy</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec364"><title>O70 Nursing intervention to patient with Permanent Pacemakers and Implantable Cardioverter Defibrillators: a qualitative analysis</title>
<sec id="Sec365"><title>Cassilda Sarroeira<sup>1,2,3</sup>
, José Amendoeira<sup>1,2,3,4</sup>
, Fátima Cunha<sup>1,2,3</sup>
, Anabela Cândido<sup>1,2,3</sup>
, Patrícia Fernandes<sup>5</sup>
, Helena R. Silva<sup>5</sup>
, Elsa Silva<sup>5</sup>
</title>
<sec id="Sec366"><title><sup>1</sup>
Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal; <sup>2</sup>
Unidade de Investigação do Instituto Politécnico de Santarém, 2001-904 Santarém, Portugal; <sup>3</sup>
Unidade de Monitorização de Indicadores em Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal; <sup>4</sup>
Life Quality Research Centre, Instituto Politécnico de Santarém, 2001–904 Santarém, Portugal; <sup>5</sup>
Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276, Portugal</title>
<sec id="Sec367"><title><bold>Correspondence:</bold>
Cassilda Sarroeira (cassilda.sarroeira@essaude.ipsantarem.pt) – Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The study stems from a project of the Health Indicator Monitoring Unit (HIMU) of the Health School of Santarém (ESSS), developed in partnership with the Cardiology Service of Nurses of an Urban Hospital in nursing consultation (NC) with patients with Permanent Pacemakers (PPMs) and Implantable Cardioverter Defibrillators (ICDs). Nurses, as members of the multidisciplinary team, meet the needs of the patient with PPMs and ICDs, promoting the ability for self-care, whether in developing strategies to prevent health deviations or integrating new self-care behaviour. It was imperative to know how nurses develop the NC to carry out an assessment of the effectiveness of the results in these patients. Objective: To characterize and describe the nurses’ interventions in NC with patients with PPMs and ICD.</p>
<p><bold>Methods</bold>
</p>
<p>Descriptive, qualitative and cross-sectional, exploratory design, developed with nurses (NC) with patients with PPMs and ICDs. Data from nurses’ narratives of action and recording instruments were analysed with Content Analysis.</p>
<p><bold>Results</bold>
</p>
<p>Three dimensions were identified: Initial Assessment, Nurse Intervention and Intervention Evaluation (outcomes). The categories: Initial assessment - Function; Reason for the action; Intervention action of Nurse - Observe, Manage, Attending; Inform. The result of the intervention evaluation - structural and functional integrity of the person and self-care action.</p>
<p><bold>Conclusions</bold>
</p>
<p>The nursing intervention in the NC shows an orientation to patient-centred-care on their physical dimension and capacity for self-care.</p>
<p>Identified different ways of approach, but the concern for the well-being, knowledge and training of the person, are cross-cutting elements for nurses.</p>
<p><bold>Keywords</bold>
</p>
<p>Nursing intervention, nursing consultation, patient, permanent-pacemaker/ICD, self-care, qualitative analysis</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec368"><title>O71 Alcohol consumption among nursing students: where does education fail?</title>
<sec id="Sec369"><title>Isabel Barroso, Leila Lapa, Cristina Antunes</title>
<sec id="Sec370"><title>Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal</title>
<sec id="Sec371"><title><bold>Correspondence:</bold>
Isabel Barroso (imbarroso@utad.pt) – Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The drinking behaviour of university students has become a cause of concern due to the occurrence of excessive consumption situations during academic festivities, when, hypothetically, nursing students should have better health behaviours than their peers. Objectives: (I) to describe the drinking behaviour of nursing students; (II) to determine the prevalence of regular alcohol consumption among this population; and (III) to relate the regular alcohol consumption to gender and grade year.</p>
<p><bold>Methods</bold>
</p>
<p>Data was collected through self-reported questionnaires. This was a descriptive and correlational study.</p>
<p><bold>Results</bold>
</p>
<p>The participants were 226 students, of whom 219 were female and 40 were male. Alcohol consumption was high; 68.9 % of the students reported usually drinking alcoholic beverages. The majority (96.9 %) already consumed alcohol at some time in their lives, and reported consuming mostly in the company of friends (99.1 %). The majority, 67.3 %, had already been drunk at least once. Also, 27.2 % of the students had consumed more than three alcoholic drinks on a single occasion. Among the students who reported having been drunk at some time, 2.2 % reported having had unprotected sexual intercourse when drunk.</p>
<p><bold>Conclusions</bold>
</p>
<p>The results are discussed within the question that these students, although knowledgeable of the harmful effects that the consumption of alcoholic beverages can cause, have a high prevalence of alcohol consumption. Some dangerous behaviours occur along with alcohol abuse, such as driving under the influence of alcohol, or having unprotected sexual intercourse. Implications for the planning of community nursing interventions within health education are discussed.</p>
<p><bold>Keywords</bold>
</p>
<p>Consumption of alcohol, nursing students, nursing interventions</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec372"><title>O72 Labour stress in nursing</title>
<sec id="Sec373"><title>Ana Gonçalves<sup>1</sup>
, Ana Galvão<sup>1</sup>
, Mª José Gomes<sup>1</sup>
, Susana R. Escanciano<sup>2</sup>
</title>
<sec id="Sec374"><title><sup>1</sup>
Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança, Portugal; <sup>2</sup>
Universidad de León, 24004 León, España</title>
<sec id="Sec375"><title><bold>Correspondence:</bold>
Ana Gonçalves (velosogoncalves@gmail.com) – Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Based on evidence found during the empirical study we can affirm that the nursing profession is affected by work stress. Objective: Evaluate stress and engagement levels among nurses in health units in Portugal and Spain and describe the stress-generating factors among the surveyed nurses.</p>
<p><bold>Methods</bold>
</p>
<p>A comparative study on a transversal level. Sample of 867 nurses (504 Portuguese, 363 Spanish), female 83.6 % (78.6 % in Portugal, 90.6 % in Spain) and average age of 37. 77.2 % of the Portuguese and 39.4 % of the Spanish nurses work on average 40 hours per week. 60.6 % and 57.7 % of the Spanish and Portuguese respectively have exercised their profession for 10 years. Pamela Gray-Toft’s Nursing Stress Scale (1981) [1] and Schaufeli & Bakker’s Utrecht Work Engagement Scale (2003) [2] were used.</p>
<p><bold>Results</bold>
</p>
<p>Globally, Portuguese nurses experience higher stress levels although the difference with Spanish nurses is not statistically significant. There are statistically significant differences between Portugal and Spain in “Lack of help from colleagues” and also in the psychological domain in general. Concerning Engagement, there are statistically significant differences in the three dimensions, the p-value of the Student t-test was under 5 %, highlighting that Spanish nurses are more vigorous, dedicated and absorbed by their work.</p>
<p><bold>Conclusions</bold>
</p>
<p>Portuguese nurses perceive more psychological stress and mention having less help from colleagues. Spanish nurses feel more vigorous, dedicated and absorbed by their work.</p>
<p><bold>References</bold>
</p>
<p>1. Pamela GT, James GA. The Nursing Stress Scale: Development of an Instrument. Journal of Behavioral Assessment. 1981; 3(1): 11-23.</p>
<p>2. Schaufeli B, Bakker A. UWES – Utrecht Work Engagement Scale - Preliminary Manual. Utrecht: Occupational Health Psychology Unit - Utrecht University; 2003.</p>
<p><bold>Keywords</bold>
</p>
<p>Engagement, Nurses, Stress</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec376"><title>O73 The influence of safe staff nursing in patient satisfaction with nursing care</title>
<sec id="Sec377"><title>Maria Freitas<sup>1</sup>
, Pedro Parreira<sup>2</sup>
, João Marôco<sup>3</sup>
</title>
<sec id="Sec378"><title><sup>1</sup>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023, Portugal; <sup>2</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>3</sup>
Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, 1149-041 Lisboa, Portugal</title>
<sec id="Sec379"><title><bold>Correspondence:</bold>
Maria Freitas (mjbsfreitas@gmail.com) – Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal</title>
<p>Safe Staff Nursing emerges as condition for quality nursing care. It integrates a quantitative dimension (number of nurses) and a qualitative dimension (mix of nurses’ competencies). It was intended in this research to analyse the relationship between Safe Staff Nursing and patient satisfaction with nursing care.</p>
<p>A quantitative and correlational study was carried out, with a convenience sample of 1,290 guests, 43 head nurses and 629 nurses. We used the Evaluation of Patient Satisfaction with Nursing Care Scale” (EASCCE18), and to identify patterns of nursing services/staff allocation we used the Cluster Analysis Technique.</p>
<p>Two allocation patterns emerged: the more secure allocation pattern (Pattern A - 55.8 % services) the teams are more developed (nurses with higher age, greater professional experience, more specialist nurses), and the number of nurses observed is equal to or greater than that estimated (by formula in the Normative Circular N.1, MH, 2006); less secure allocation pattern (Pattern B - 44.2 % services) characterized by nursing teams with less developed skills profiles and the number of nurses observed is lower than estimated.</p>
<p>The results showed that patients in Pattern A services have higher overall satisfaction levels (Average AP = 4.53) compared to Pattern B (Average BP = 4.39), and the differences are statistically significant for p ≤ 0.05 (t (41) = 2.502; p = 0.016). We concluded that the safe staff nursing is a factor that positively influences patient satisfaction with nursing care.</p>
<p><bold>Keywords</bold>
</p>
<p>Nursing, patient satisfaction, nursing care, nursing human resources</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec380"><title>O74 Intention to use eHealth strategies with nursing students</title>
<sec id="Sec381"><title>Ana R. Fernandes, Cremilde Cabral, Samuel Alves, Pedro Sousa</title>
<sec id="Sec382"><title>School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec383"><title><bold>Correspondence:</bold>
Pedro Sousa (pedro.sousa@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Information and Communication Technologies have come to facilitate access and efficiency of healthcare, and promote a closer relationship between health professionals and patients.</p>
<p>Objectives: This study aims to assess the intention to use of eHealth with nursing students, and to evaluate the influence of sociodemographic variables, internet user profile and eHealth literacy on the intention to use eHealth.</p>
<p><bold>Methods</bold>
</p>
<p>This correlational and cross-sectional study was applied in a sample of 67 nursing students from a Portuguese School of Health Sciences (85.1 % female and 14.9 % male), using the “eHealth Literacy Scale” and the “Intention to use eHealth questionnaire”, drawn up according to the “Unified Theory of Acceptance and Use of Technology”. Statistical analysis was performed using SPSS software and non-parametric tests were used to verify the statistical significance of data, considering statistical significance for p < 0.05.</p>
<p><bold>Results</bold>
</p>
<p>Moderate scores (from 2.88 to 3.97 out of 5 points) were found in all dimensions of intention to use eHealth (behavioural intention, performance expectancy, effort expectancy, social influence, facilitating conditions and expectancy of difficulties). Significant associations were found between the intention to use eHealth and several sociodemographic variables (age, gender, education), internet user profile and eHealth Literacy index.</p>
<p><bold>Conclusions</bold>
</p>
<p>The intention to use eHealth by nursing students was found to be only moderate, several predictors being found. These findings offer implications for enhancing the nursing curriculum and for continuing education opportunities. Increasing eHealth literacy has the potential to change the adoption of eHealth and support improved patient outcomes.</p>
<p><bold>Keywords</bold>
</p>
<p>eHealth, nursing, Intention to use</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec384"><title>O75 Community Based Mental Health: contributions of an interdisciplinary international program for students in higher health education</title>
<sec id="Sec385"><title>António Ferreira<sup>1</sup>
, Fernanda Príncipe<sup>1</sup>
, Ulla-Maija Seppänen<sup>2</sup>
, Margarida Ferreira<sup>1</sup>
, Maribel Carvalhais<sup>1</sup>
, Marilene Silva<sup>3</sup>
</title>
<sec id="Sec386"><title><sup>1</sup>
Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal; <sup>2</sup>
Oulu University of Applied Sciences, 90250 Oulu, Finlândia; <sup>3</sup>
Unidade de Saúde Familiar - Espaço Saúde, Porto, 4100-503, Portugal</title>
<sec id="Sec387"><title><bold>Correspondence:</bold>
António Ferreira (ferreira.esecvpoa@gmail.com) – Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Current challenges in mental health have led knowledge societies to promote a review and discussion of policies and intervention strategies with a positive impact in promoting the mental health of communities. Community-Based Mental Health (CBMH) is an international joint program between 8 European countries and 9 institutions of higher education, since 2011. Objective: To promote collaborative learning in community-based mental health as well as develop actions and community intervention strategies focused on the client.</p>
<p><bold>Methods</bold>
</p>
<p>The research aimed to evaluate the efficiency of the international program (CBMH) with the use of post-program assessment and collection of data from individual reports and the online questionnaire.</p>
<p><bold>Results</bold>
</p>
<p>The CBMH program was attended by 180 students of undergraduate studies from different disciplines such as nursing (25 %), physiotherapy (20 %), occupational therapy (15 %), social work (15 %), cardiopneumology (12 %), speech therapy (8 %), art (3 %), psychology and other areas (2 %). Students refer as main factors: the "content of keynotes," "diverse and innovative use of teaching-learning methodologies", work in tutorials with multidisciplinary groups "and" thematic workshops".</p>
<p><bold>Conclusions</bold>
</p>
<p>Students who participated in this program state expressively that it had a very positive impact on the understanding of the phenomena inherent to a mental health community-based approach, as well as allowing the appropriation of knowledge and tools that make them more competent in their field and cooperation with other areas. High levels of students’ satisfaction with program, as well as in the development and application of new teaching methods were some of the strong points mentioned.</p>
<p><bold>Keywords</bold>
</p>
<p>Community Based Mental Health, Professional development, interdisciplinary learning, intercultural learning.</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec388"><title>O76 Study of satisfaction at work of graduates in nursing: 2002-2014</title>
<sec id="Sec389"><title>Manuela Ferreira, Joana Silva, Jéssica Neves, Diana Costa, Bruno Santos, Soraia Duarte</title>
<sec id="Sec390"><title>Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</title>
<sec id="Sec391"><title><bold>Correspondence:</bold>
Manuela Ferreira (ferreiramanuela75@gmail.com) – Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The increasing number of graduated nurses, the reduction of employment opportunities in the country and the poor working conditions/salary, causes many graduates to begin their nursing profession finding themselves in a less positive context. This context may negatively interfere with the satisfaction of nurses at work and nursing care given. Objective: Characterize the satisfaction at work of graduates in nursing.</p>
<p><bold>Methods</bold>
</p>
<p>This is a descriptive study in a sample of 141 graduates between 2002 and 2014 in a nursing school of the Northern Region of Portugal. The "Satisfaction Scale with the Professional Status of Nurse" was created and validated based on literature review. It is a Likert scale of 1 to 5 points: 1 – very dissatisfied and 5 – very satisfied. The scale has five dimensions: working conditions, salary, interpersonal relations, and personal and professional fulfilment.</p>
<p><bold>Results</bold>
</p>
<p>It was concluded that nurses feel more satisfied at work in the dimension interpersonal relationships (mean = 3.46, SD = 0.60), followed by degree of personal and professional fulfilment (mean = 3.37; SD = 0.65) and the quality of working conditions (mean = 3.13, SD = 0.51). The dimension that had a lower satisfaction at work was remuneration (mean = 2.85, SD = 0.79).</p>
<p><bold>Conclusions</bold>
</p>
<p>Graduate in Nursing show average values of job satisfaction but dissatisfaction with regard to remuneration. This satisfaction situation at work, for people who are starting their professional career, requires a very special look of the profession and society in general. It also requires conducting more research studies to extend this study, and further study of some aspects relating to minor levels of satisfaction presented and the quality of nursing care provided.</p>
<p><bold>Keywords</bold>
</p>
<p>satisfaction at work, graduates in nursing, quality of nursing care</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec392"><title>O77 Health professionals’ attitudes towards breastfeeding</title>
<sec id="Sec393"><title>Sílvia Marques<sup>1</sup>
, Sónia Ramalho<sup>2</sup>
, Isabel Mendes<sup>3</sup>
</title>
<sec id="Sec394"><title><sup>1</sup>
Administração Regional de Saúde de Lisboa e Vale do Tejo, 1749-096 Lisboa, Portugal; <sup>2</sup>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>3</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<sec id="Sec395"><title><bold>Correspondence:</bold>
Sílvia Marques (silvimarques@gmail.com) – Administração Regional de Saúde de Lisboa e Vale do Tejo, 1749-096 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The National Breastfeeding Policy and Action Plan 2015-2020 recognises the right that all mothers have for receiving clear and impartial information so as to be able to make a fully informed choice on how to feed their baby (WHO, 2015) [1]. Objectives: To identify the sociodemographic, professional and contextual variables influencing the attitudes of health professionals towards breastfeeding and to assess the relation between attitudes of professionals and some sociodemographic, professional and contextual variables.</p>
<p><bold>Methods</bold>
</p>
<p>A quantitative, correlational and cross-sectional study of a sample of 122 health professionals of Portugal. A questionnaire was applied on sociodemographic, professional and contextual data and “Scale of Health professional attitudes to breastfeeding” [2].</p>
<p><bold>Results</bold>
</p>
<p>Health professionals with an average age of 42.75 years (s = 10.2), female (77.9 %), married or in union (79.5 %), working in a Family Health Unit (64.8 %). The majority (88.5 %) did not attend training courses in this area. They showed a positive attitude towards the breastfeeding (X = 183.77). There are differences between attitudes: the profession (χ2 = 8.863, p = 0.031), the nurse's area of expertise (U = 24.00, p = 0.026), the duration of professional experience (r = -0.231, p = 0.011) and that health professionals attended training in this area influenced more favourable attitudes.</p>
<p><bold>Conclusions</bold>
</p>
<p>This study confirms the need for specific training in counselling on breastfeeding for health professionals and implementing repaired promotion strategies for breastfeeding support.</p>
<p><bold>References</bold>
</p>
<p>1. World Health Organization. National Breastfeeding Policy and Action Plan: 2015-2020. Malta: Health Promotion and Disease Prevention Directorate; 2015.</p>
<p>2. Marinho C. Os Profissionais de Saúde e o Aleitamento Materno: Um estudo exploratório sobre as atitudes de médicos e enfermeiros [Dissertação]. Lisboa: Instituto Superior de Psicologia Aplicada; 2003.</p>
<p><bold>Keywords</bold>
</p>
<p>Attitudes, health professionals, breastfeeding</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec396"><title>O78 Continuity of nursing care to person with type 2 diabetes</title>
<sec id="Sec397"><title>Clarisse Louro<sup>1</sup>
, Eva Menino<sup>1</sup>
, Maria Dixe<sup>1</sup>
, Sara S. Dias<sup>1,2</sup>
</title>
<sec id="Sec398"><title><sup>1</sup>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Departamento de Saúde Pública & Centro de Estudos de Doenças Crónicas, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal</title>
<sec id="Sec399"><title><bold>Correspondence:</bold>
Eva Menino (eva.guilherme@ipleiria.pt) – Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Nursing has revealed to provide continuity of care and the necessary structure for the management of chronic disease [1]. Continuity of care in the area diabetes assumes particular importance, once self-care is a cornerstone of an effective treatment and requires a continuous support and supervision by nurses [2]. Objective: To assess the frequency of nursing interventions directed to continuity of care in education to people with diabetes in primary health care.</p>
<p><bold>Methods</bold>
</p>
<p>Cross-sectional study with 104 nurses, in primary health care, using Diabetes Education Process Scale (DEP) [3]. The results were obtained using descriptive statistics. All inherent ethical principles were respected in this study.</p>
<p><bold>Results</bold>
</p>
<p>The intentional sample, included 104 nurses who agreed to participate in the study, and currently provide nursing care to clients with type 2 diabetes in primary health settings. The sample has an average age of 43 years (S.D. = 7.5), with maximum age of 62 years and a minimum of 29 years, the majority (95.9 %) were female. Respondents, on average, develop such interventions in a high frequency, with a mean value of 3.80 (SD = 0.79), (4 corresponds to the maximum frequency and 1 minimum).</p>
<p><bold>Conclusions</bold>
</p>
<p>These nurses, on average, considering the frequency of interventions, have developed therapeutic education respecting the continuity of care. These interventions have major importance in self-care promotion for the proper control of diabetes.</p>
<p><bold>References</bold>
</p>
<p>1. Watts SA, Gee J, O’Day ME, Schaub K, Lawrence R, Aron D, Kirsh S. Nurse practitioner‐led multidisciplinary teams to improve chronic illness care: the unique strengths of nurse practitioners applied to shared medical appointments/group visits. Journal of the American Academy of Nurse Practitioners, 2009: 167-172.</p>
<p>2. Haas L. et al. National standards for diabetes self-management education and support. Diabetes care, 2013, 36.Supplement 1: S100-S108.</p>
<p>3. Menino EG, Dixe MA, Martins MC. Construction and Validation of “Diabetes Education Process (DEP)” Scale. International Journal of Health and Life-Sciences. 2015: 01-12.</p>
<p><bold>Keywords</bold>
</p>
<p>Nursing intervention, community health care, Diabetes</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec400"><title>O79 Stigma toward mental illness among future health professionals</title>
<sec id="Sec401"><title>Marina Cordeiro<sup>1</sup>
, Catarina Tomás<sup>1</sup>
, Ana Querido<sup>1</sup>
, Daniel Carvalho<sup>1,2</sup>
, João Gomes<sup>1,2</sup>
</title>
<sec id="Sec402"><title><sup>1</sup>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</title>
<sec id="Sec403"><title><bold>Correspondence:</bold>
Marina Cordeiro (marina.cordeiro@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Mental health stigma is still a major problem of our society and represents a big source of anguish for patients. This type of stigma is a relatively common phenomenon among health professionals, and represents a big obstacle to provide qualitative health care. Objectives: To acknowledge mental health stigma level among health students, and to know its correlation with the prevalence of diagnosed mental disorder and contact with a mentally ill relative, in this sample.</p>
<p><bold>Methods</bold>
</p>
<p>A cross-sectional study, descriptive and correlational, was performed. The sample, selected by a non-probabilistic of convenience sampling method, is composed by 672 higher health education students of the Leiria’s district. Data was collected by a self-administered questionnaire, composed with sociodemographic questions and the Attribution Questionnaire.</p>
<p><bold>Results</bold>
</p>
<p>Stigma levels in the sample tested were low to moderate. 33 students have a mental disorder diagnose, most of them depression disorder (n = 23), and 224 students have contact with a mentally ill relative. There are no statistically significant differences in stigma level between students that have a mental disorder diagnose or have contact with a mentally ill relative and those not.</p>
<p><bold>Conclusions</bold>
</p>
<p>Low to moderate stigma level in health students is a similar finding when comparing to other studies in this area. Students who have mental disorder diagnose or contact with a mentally ill relative present the same stigma level when compared to those who haven’t. This result shows that pedagogic intervention aiming to reduce this stigma should be a priority in the higher health education to every student.</p>
<p><bold>Keywords</bold>
</p>
<p>Stigma, mental health, mental disorders</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec404"><title>O80 Working with fears and anxieties of medical students in search of a humanized care</title>
<sec id="Sec405"><title>Frederico C. Valim, Joyce O. Costa, Lúcia G. Bernardes</title>
<sec id="Sec406"><title>Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis – Minas Gerais, 35502-634, Brasil</title>
<sec id="Sec407"><title><bold>Correspondence:</bold>
Frederico C. Valim (fred.valim@gmail.com) – Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis – Minas Gerais, 35502-634, Brasil</title>
<p><bold>Background</bold>
</p>
<p>The globalization process has brought with it anxiety and anguish. Greater access and interactivity and increased information exchange replaces the core of the individual’s exposure to fear and discomfort. The new education curriculum policy is in favour of more effective and humane doctor-patient relationships. Humanization can be stimulated with academic approaches. In psycho-pedagogical support services for medical students (PPSS), one of the purposes is to help scholars to manage stress and frustrations and deal with social issues. Objective: To analyse the processes that occurred in PPSS and their possible contributions to the humanization of medical students in the light of a reflexive analysis of the literature.</p>
<p><bold>Methods</bold>
</p>
<p>Qualitative research of interviews, experiments and expressions of medical students that were developed in PPSS activities and discussions, were recorded in a systematic way. A literature review about concepts and processes of humanization guided the analysis.</p>
<p><bold>Results</bold>
</p>
<p>The development of a humanistic individual is a complex process, consisting of experiments, individual psychological factors and social contexts that influence the construction of the "humanized" person. It was observed that the events and challenges have become a rich space of experiences. Experiences, responsibilities, anxieties and successes have been developed between students in context, in the individual or collective mind.</p>
<p><bold>Conclusions</bold>
</p>
<p>Medical education involves a process itself, generating specific fears and anxieties. The sharing of solutions developed by PPSS and students to reduce stress of this stage of life was considered effective by themselves, reinforcing the importance of having a working PPSS approach.</p>
<p><bold>Keywords</bold>
</p>
<p>Humanized care, doctor patient, relationship medical student</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec408"><title>P16 Surgical paediatrics patients’ psycho prophylaxis at a teaching hospital</title>
<sec id="Sec409"><title>Helena Prebianchi</title>
<sec id="Sec410"><title>Pontifícia Universidade Católica de Campinas, Campinas, São Paulo, 13086-900, Brasil</title>
<p><bold>Background</bold>
</p>
<p>Surgical Psychoprophylaxis helps the patient to deal with and to relieve symptoms and other specific problems created by surgical intervention situations. Goal: to get to know the means of hospital psychologists acting with surgical paediatric patients in teaching hospitals, during the preoperative period, as well as the surgery doctors’ perceptions about the surgical psychoprophylaxis.</p>
<p><bold>Methods</bold>
</p>
<p>A qualitative research, with the participations of six psychologists and six surgery doctors who work in teaching hospitals in Brazil. The testimonials content was analysed through three synergic steps: description, inductive analysis and critical analysis, and after that, the convergence points were analysed.</p>
<p><bold>Results</bold>
</p>
<p>Both the description and the inductive analysis indicate that the psychologists’ activities refer to post-surgical appointments requested by the doctors and nurses for the children operated on. Critical analysis stressed that the clarity each professional has about his or her own functions and their ability to communicate with colleagues are determinant for the appropriation of multidisciplinary action. Convergence analysis revealed that psychologists and doctors have similar conceptions about the need of the therapeutics interventions to involve the parents; on the other hand, they differ in the granting of legitimacy to the specialized discourse on surgical prophylaxis for paediatric patients.</p>
<p><bold>Conclusions</bold>
</p>
<p>It is necessary to increase the doctors’ comprehension about how surgical psychoprophylaxis actions at the above mentioned hospital can take into account the needs and wishes of the population served and satisfy the professionals involved.</p>
<p><bold>Keywords</bold>
</p>
<p>Psycho prophylaxis, children, surgery</p>
</sec>
</sec>
</sec>
<sec id="Sec411"><title>P17 Patient-perceived outcomes in physiotherapy – a pilot study</title>
<sec id="Sec412"><title>Marlene Cristina Rosa (marlenerosa@ua.pt)</title>
<sec id="Sec413"><title>Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Patient-perceptions are related to several important health outcomes, being determinant to treatment success and a consequent contribution to physiotherapy evidence. However, this information has not been provided by most physiotherapy studies. Objective: To describe patient-perceived outcomes in physiotherapy.</p>
<p><bold>Methods</bold>
</p>
<p>Patients doing ambulatory physiotherapy in private and public health services were included. Sociodemographic data (age, gender) was collected. At the end of the treatment a questionnaire with 10 topics for physiotherapy outcomes was administered: 3 topics for general function (daily activities independence; general mobility; fatigue and tiredness); 2 topics for pain relief (pain intensity; antialgic medication); 5 topics for psychosocial factors (sleep pattern; self-esteem and confidence; participation in recreational activities; interaction with friends and family members; participation in physical activities). Patients were asked to select maximum of 2 topics that have improved. The frequencies of selected topics (%) were reported, i.e. general function (GF), pain relief (PR), psychosocial factors (PS) and the different combinations between them.</p>
<p><bold>Results</bold>
</p>
<p>Seventy patients (53.63 years ± 16.69; 41 female) were included. Sixty-three patients (90.0 %) referred to general function improvement, 48 (68.6 %) referred to pain relief; 15 (21.4 %) referred to positive psychosocial impact. Moreover, patients reported simultaneous improvement in: P and GF (N = 39; 55.71 %), GF and PS (N = 10; 14.28 %) and P and PS (N = 5; 7.14 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>At discharge from physiotherapy, improvement in GF is frequently perceived by patients and most of the time it is combined with perceived pain relief. Patients’ perceptions of psychosocial improvement corroborate the positive impact of physiotherapy in a wide range of life domains.</p>
<p><bold>Keywords</bold>
</p>
<p>Patient-perceptions, physiotherapy, outcomes</p>
</sec>
</sec>
</sec>
<sec id="Sec414"><title>P18 Building competencies for managers in nursing</title>
<sec id="Sec415"><title>Narcisa Gonçalves<sup>1,2</sup>
, Maria M. Martins<sup>1,2</sup>
, Paulina Kurcgant<sup>3</sup>
</title>
<sec id="Sec416"><title><sup>1</sup>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal; <sup>2</sup>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal; <sup>3</sup>
Universidade de São Paulo, 05403-000, São Paulo, Brasil</title>
<sec id="Sec417"><title><bold>Correspondence:</bold>
Narcisa Gonçalves (mnarcisa@esenf.pt) – Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The changing profile of nursing professionals have been configured historically as a function of a dynamic labour market in health, which in turn is influenced in the economic, social and cultural context. The growing competitiveness of organizations requires a search for health professionals who are more and more qualified and able professionals. The need to increase assistance, management, research and teaching skills, is gradually being incorporated in the professional competencies. Objectives: To analyse competencies expressed by nursing managers and to identify areas of learning need in management.</p>
<p><bold>Methods</bold>
</p>
<p>A descriptive study of qualitative approach, with 20 interviews with nurse managers analysed. We followed the methodological orientations recognized by Bardin (2009) [1].</p>
<p><bold>Results</bold>
</p>
<p>From the analysis of the interviews, the following main categories emerged: professional practices; management of human resources; skills development in nursing; material and equipment resources; training and development of nursing practice and the improvement of quality. The findings lend support to the body of knowledge that recognizes the wide range of financial, operational, clinical, and human resource responsibilities of the nursing manager.</p>
<p><bold>Conclusions</bold>
</p>
<p>Today it is demanded that the manager in nursing should have a combination of knowledge, attitudes and behaviours that are fluid in when applied to different types of organizations. We need to construct a plan of professional development for nursing managers, which is adjusted in competencies and takes technical, ethical-politics, communicative and the development of citizenship dimensions into consideration.</p>
<p><bold>References</bold>
</p>
<p>1. Bardin L. Análise de Conteúdo. Lisboa: Edições 70; 2009.</p>
<p><bold>Keywords</bold>
</p>
<p>Management in nursing, competencies, training and development</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec418"><title>P19 Theoretical basis underlying physiotherapy practice in stroke rehabilitation</title>
<sec id="Sec419"><title>André Vieira (andrevieira@ipcb.pt)</title>
<sec id="Sec420"><title>Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The fundaments used by Portuguese physiotherapists that support the interventions in upper limb rehabilitation are not known. Joining clinical practice with clinical evidence is a current challenge. The goal of this study is to find the state of the art of physiotherapists’ beliefs in rehabilitation of upper limbs in stroke.</p>
<p><bold>Methods</bold>
</p>
<p>A national web-based survey focused in characterizing the professional profile of physiotherapists from Portugal working in upper limb rehabilitation of patients with stroke was conducted in 237 health institutions (n = 462 physiotherapists). The total time of recruitment was from August to December 2014.</p>
<p><bold>Results</bold>
</p>
<p>A total of 179 physiotherapists from 64 different locations in mainland Portugal answered the survey, giving an approximate rate of response of 38.7 %. For this study, 147 responses were eligible for statistical analysis. The average age of respondents was 30.95 (±7.02) years old and had on average 6.91 (±6.54) years of experience. For this sample, the first objective for rehabilitation in acute and chronic stroke was to normalize tonus. In 13 questions about scientific fundaments in rehabilitation of upper limbs post-stroke, the majority of responses in 4 were in disagreement with evidence. Only 3 questions reached a consensus (more than 90 % agreement).</p>
<p><bold>Conclusions</bold>
</p>
<p>The fundaments for rehabilitation are the mirror of clinical practice in physiotherapy. It is hard to find agreement among these professionals, and some have contradictory elements according to scientific evidence. It seems to be necessary to alert professionals and future professionals to interventions with supported scientific results.</p>
<p><bold>Keywords</bold>
</p>
<p>Upper Limb Rehabilitation, stroke, theoretical basis, physiotherapy</p>
</sec>
</sec>
</sec>
<sec id="Sec421"><title>P20 When the life-cycle ends: the nurse’s confrontation with death</title>
<sec id="Sec422"><title>Sandrina Bento, Sérgio Deodato, Isabel Rabiais</title>
<sec id="Sec423"><title>Universidade Católica Portuguesa, Lisboa, 1649-023, Portugal</title>
<sec id="Sec424"><title><bold>Correspondence:</bold>
Isabel Rabiais (raby@ics.lisboa.ucp.pt) – Universidade Católica Portuguesa, Lisboa, 1649-023, Portugal</title>
<p><bold>Background</bold>
</p>
<p>With the shift of death and dying from home to hospital, in the hospital death process, nurses are inevitably faced with death in their professional context. Accompanying someone at the time of death can be a privilege and an opportunity to give meaning to life, but it is also a time of great exhaustion and emotional overload. It involves having the ability to deal with the suffering of people and one’s own emotions, which is not easy at all and for which the nurse was neither professionally nor naturally prepared. Based on this, the question is how the nurse can develop this emotional competence and mobilize it in the context of care, ensuring quality care and a dignified death for patients at the end of life? Objective: To identify and better understand the strategies developed by nurses to deal with the emotional impact of death and dying.</p>
<p><bold>Methods</bold>
</p>
<p>An integrative literature review with research in the Institutional Repository database of the Portuguese Catholic University and the Portuguese Open Access Scientific Repository.</p>
<p><bold>Results</bold>
</p>
<p>Rationalization, the situation of denial, forging ahead, avoidance, false security, projective identification, patient relationship severance, focus on routines and technique, team sharing, outside-work activities and family support strategies were identified during this study.</p>
<p><bold>Conclusions</bold>
</p>
<p>The intense emotional experience of end-of-life care can generate a disproportionate workload and stress with negative consequences, so it is important that nurses develop strategies that help them deal with these experiences and keep their emotional and spiritual health.</p>
<p><bold>Keywords</bold>
</p>
<p>Nurse, end of life, care, emotions</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec425"><title>P21 Nursing students’ opinion about the supervision relationship during their first clinical experience</title>
<sec id="Sec426"><title>Laura Reis (laurareis@esenf.pt)</title>
<sec id="Sec427"><title>Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The first contact with a clinical reality always has a strong impact on students, in so far as it is from this moment that practices developed begin to gain significance. In the context of the relationship that is established between the clinical supervisor and the student it is essential that pedagogical interaction be vested, which is based on a relationship of help in an atmosphere of trust and openness, thus compelling their personal and professional growth. Objective: To identify the skills that Nursing Students most value related to the supervisor-student relationship.</p>
<p><bold>Methods</bold>
</p>
<p>We chose an ethnographic study within the framework of the qualitative paradigm, in a longitudinal approach according to the logic of the case study. As a data collection technique, we made use of the participants’ observations and semi-structured interviews. The study was carried out by a 2<sup>nd</sup>
-year class of a Nursing Course in a Portuguese Nursing Faculty that was undergoing its first clinical experience in a hospital context: 10 weeks in internal medicine and 10 weeks in general surgery.</p>
<p><bold>Results</bold>
</p>
<p>According to the students’ perspective, the supervisory rapport established diverged in relation to the clinical context. It is considered that in the context of medicine, contrary to the context of surgery, the supervisory rapport favoured a relationship of help, listening, trust, respect, commitment, accessibility and development of different areas of know-how.</p>
<p><bold>Conclusions</bold>
</p>
<p>It was ascertained that the students fundamentally valued the clinical supervisors who had relational and socio-effective skills, and who were able to provide development of positive affect.</p>
<p><bold>Keywords</bold>
</p>
<p>Nursing Student, clinical education, supervision process</p>
</sec>
</sec>
</sec>
<sec id="Sec428"><title>P22 Nursing Relational Laboratory: Pedagogical, dialogic and critical project</title>
<sec id="Sec429"><title>Ana Torres<sup>1</sup>
, Sérgio Soares<sup>1</sup>
, Margarida Ferreira<sup>1</sup>
, Pedro Graça<sup>2</sup>
</title>
<sec id="Sec430"><title><sup>1</sup>
Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal; <sup>2</sup>
Academia de Teatro, 4465-095 S. Mamede de Infesta, Portugal</title>
<sec id="Sec431"><title><bold>Correspondence:</bold>
Sérgio Soares (sergiosoares@ua.pt) – Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</title>
<p>The development of relational skills is a complex and demanding process. For the introduction of new teaching and learning strategies in the Nursing Degree Course, the Nursing Relational Laboratory was developed with the support of the Calouste Gulbenkian Foundation: this is a pedagogical, dialogic and critical project, using sign language, drama and analysis of emotions to develop relational skills. It aims to encourage the development of relational skills of students through active pedagogical action and interactional communication.</p>
<p>Methodology of action research in which the actors are 42 students in the 1st year. Autoscopy sessions to perceive relational skills. Use of a control group. Descriptive analysis and content of autoscopy and instruments: Interpersonal Relations Inventory; Emotional thermometers, Patient Health Questionnaire, Assertiveness Questionnaire and Self-Efficacy Perceived Scale.</p>
<p>Students signed a "Letter of Commitment" to defend the ethical principles of research. The first autoscopy was analysed under the light of a defined grid. There are differences between autoscopy of students in the control group and those who started the first year of the course. They also effectively implemented a framework of conceptual activities and, looked for other similar experiences with a visit to Manchester Metropolitan University.</p>
<p>For Abreu (2001), one’s skills are not inborn nor static, but have a strong personal touch and they progress through the course of experiences that occur in the formative period, in comparison with others and with himself, with the expectation that students will develop technical and scientific skills and relational skills.</p>
<p><bold>Keywords</bold>
</p>
<p>Relation and communication skills, sign language, facial emotions analysis, acting</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec432"><title>P23 Job satisfaction of bioscientists at a Lisbon hospital</title>
<sec id="Sec433"><title>Céu Leitão, Renato Abreu, Fernando Bellém, Ana Almeida, Edna Ribeiro-Varandas, Ana Tavares</title>
<sec id="Sec434"><title>Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</title>
<sec id="Sec435"><title><bold>Correspondence:</bold>
Céu Leitão (mcleitao@estesl.ipl.pt) – Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal</title>
<p>Professional satisfaction is an important phenomenon due to its influence on the human mental resources and physical health, on their attitudes and on their behaviour, both professional and social. The purpose of this study is to assess the actual level of professional satisfaction of bioscientists working at a Lisbon hospital.</p>
<p>A modified questionnaire which allowed the data collection was used for each subject, intended to characterize the sample, order the eight dimensions of professional satisfaction as well determining their levels by using a satisfaction scale. A statistical analysis was made by descriptive methods, Friedman test, Student’s t-test for independent samples and one-way ANOVA.</p>
<p>In a sample of 30 technicians (25.42 % of the target-population), the most important dimension was Status/Prestige (7.12) and the least important was Remuneration (3.12). Global satisfaction shows that they are neither satisfied nor dissatisfied, although the dimension Professional-Patient Relation had better results, in opposition to Remuneration, which had the worst outcome.</p>
<p>The study concluded that the sample’s level of professional satisfaction is not affected by gender, qualifications, years of technical experience and remuneration. The results reveal a state of accommodation and lack of interest regarding labour, which might be a consequence of the actual stagnation in their career. The replication of this study in other public and private institutions is of the most relevance, in order to obtain representative outcomes concerning the professional satisfaction of bioscientists at a national level.</p>
<p><bold>Keywords</bold>
</p>
<p>Evaluation, Professional satisfaction, Motivation</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec436"><title>P24 Sociodemographic and professional profile of nurses and its relation with the importance of family in nursing practices</title>
<sec id="Sec437"><title>João G. Frade, Carolina Henriques, Eva Menino, Clarisse Louro, Célia Jordão</title>
<sec id="Sec438"><title>Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec439"><title><bold>Correspondence:</bold>
João G. Frade (joao.frade@ipleiria.pt) – Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Family health care nursing has been influenced by many variables that are derived from both historical and current events within society and the profession of nursing. In these variables are included issues related with nursing theory, practice, education and research [1]. Objective: This study aims to evaluate the relation between the importance of family in nursing care and nurse’s sociodemographic and professional characteristics.</p>
<p><bold>Methods</bold>
</p>
<p>Descriptive and correlational study of Portuguese nurses, through the questionnaire about the importance of families in nursing care (<italic>Importância da Família nos Cuidados de Enfermagem - Atitude dos Enfermeiros,</italic>
IFCE-AE). The results were obtained using non-parametric statistical tests.</p>
<p><bold>Results</bold>
</p>
<p>Respondents were 71 nurses aged 22 to 58 years old. The importance given to the family by nurses surveyed did not vary with age (r = 0.181; p = 0.789) nor with schooling (p = 0.190) or with the specialty of nurses (p = 0.963). Child health and paediatric nurses have assigned greater importance to the family (s = 18.5), and mental health nurses were those who attributed the minor (s = 9.25). Also, the emphasis on family was not associated with the professional category (p = 0.963), the professional exercise time (r = 0.231; p = 0.870), nor the context of the provision of care (p = 0.520). Although primary health care nurses (s = 30.23) gave greater importance to the family presence that differentiated health care nurses (s = 26.32).</p>
<p><bold>Conclusions</bold>
</p>
<p>The sociodemographic and professional characteristics evaluated were not associated with the importance that nurses assign to the family.</p>
<p><bold>References</bold>
</p>
<p>1. Kaakinen, Joanna Rowe, et al. Family health care nursing: Theory, practice, and research. USA: FA Davis, 2014.</p>
<p><bold>Keywords</bold>
</p>
<p>Family, nursing care, health care</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec440"><title>P25 Professional satisfaction of rehabilitation nurses</title>
<sec id="Sec441"><title>Sofia Neco<sup>1</sup>
, Carminda Morais<sup>2</sup>
, Pedro Ferreira<sup>2</sup>
</title>
<sec id="Sec442"><title><sup>1</sup>
Hospital Santa Maria Maior de Barcelos, 4754-909 Barcelos, Portugal; <sup>2</sup>
Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal</title>
<sec id="Sec443"><title><bold>Correspondence:</bold>
Sofia Neco (sofia3rrr@hotmail.com) – Hospital Santa Maria Maior de Barcelos, 4754-909 Barcelos, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Professional satisfaction in nursing constitutes an index of the quality of care provided to the patients, and of the assessment of the organizations’ performance, being of particular relevance the study of the rehabilitation nurses’ satisfaction in the context of renovations in health services. Objective: To know the conditioning factors (positive and negative) of satisfaction; to study the influence of the area of care provided in the professional satisfaction; and to analyse the influence of socio-demographic and professional characteristics in the perceptions of professional satisfaction.</p>
<p><bold>Methods</bold>
</p>
<p>It is a quantitative study, exploratory, descriptive and correlational. The sample is constituted by 60 nurses, exerting functions in hospitals (47) and in ACES (13). For the data collection, the Instrument of Assessment of Professional Satisfaction (IASP, 5th version) was used.</p>
<p><bold>Results</bold>
</p>
<p>No significant differences were found regarding nurses’ professional satisfaction, according to professional category, between specialist nurses and nurses who, being qualified with the specialty, did not accede to this category. Men were the ones who presented more satisfaction, mainly in the quality of the workplace scale (t = -2.26, p < 0.05), and particularly in the human resources policy (t = 2.24, p < 0.05) and moral (t = -2.23, p < 0.05) subscales. Moreover, CSP nurses were also more satisfied with the improvement on the quality of care (F(2, 46) = 4.99, p < 0.01). The non-recognition of specialized education and the underuse of their competencies emerged as dissatisfaction factors, from the open questions.</p>
<p><bold>Conclusions</bold>
</p>
<p>These findings point to an investment in the profitability/recognition of education, crossed by the deconstruction of gender disparities.</p>
<p><bold>Keywords</bold>
</p>
<p>Rehabilitation nurses, Professional satisfaction, health care</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec444"><title>P26 The person living with a stoma: the formalization of knowledge in nursing</title>
<sec id="Sec445"><title>Carla R. Silva<sup>1,2</sup>
, Alice Brito<sup>2</sup>
, Antónia Silva<sup>2</sup>
</title>
<sec id="Sec446"><title><sup>1</sup>
Universidade Católica Portuguesa/Porto, 4202-401 Porto, Portugal; <sup>2</sup>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</title>
<sec id="Sec447"><title><bold>Correspondence:</bold>
Carla R. Silva (enf_carlasilva@hotmail.com) – Universidade Católica Portuguesa/Porto, 4202-401 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Information Systems in Nursing are the support of nursing documentation and constitute data repositories capable of being used as raw material for the formalization of nursing knowledge. The Nursing Practice Support System (SAPE), has an electronic format that integrates the International Classification for Nursing Practice (CIPE) and allows nurses to document their decision-making process at different care levels. Objectives: To identify and specify nursing diagnoses describing the needs and nursing interventions that responds to the needs of people with stoma, as well as specifying a referential integrity relationship between them.</p>
<p><bold>Methods</bold>
</p>
<p>Based on a study of exploratory nature, analysis of content of the active national customizations in SAPE in December 2011 was carried out, subsequently validated by two experts. The final result was submitted to a focus group.</p>
<p><bold>Results</bold>
</p>
<p>Ninety-four (94) diagnoses and 165 nursing interventions were obtained, as well as, 323 links between diagnoses and nursing interventions related to the person living with a stoma. The diagnoses documented by nurses take as their nursing focus knowledge and capacity and, at times, lacked referential integrity between these and the nursing interventions.</p>
<p><bold>Conclusions</bold>
</p>
<p>This analysis contributes to the systematization of the knowledge related to the subject and, therefore, to the formalization of this knowledge, enabling the future construction of a Detail Clinical Model of Nursing related to the person living with a stoma.</p>
<p><bold>Keywords</bold>
</p>
<p>Nursing, Information Systems, Stoma, Formalization of knowledge, Detail Clinical Model</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec448"><title>P27 Validation of the Portuguese versions of the nursing students’ perceptions of learning and learner satisfaction with simulation tool</title>
<sec id="Sec449"><title>Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa</title>
<sec id="Sec450"><title>Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec451"><title><bold>Correspondence:</bold>
Hugo Duarte (hugoduarte2009@gmail.com) – Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>One of the new methodologies applied to the teaching of nursing is High-Fidelity Simulation (HFS). This type of simulation allows the nursing students to develop their clinical practice by using technological and sophisticated simulators. Recent investigations have studied the importance of HFS, through the level of perception of learning and of satisfaction of the students. Since there is a lack of instruments in Portuguese, we felt the necessity to translate and validate two evaluation scales of HFS. Objectives: Translate, validate transculturally and analyse the psychometrics features of two instruments: “<italic>Nursing Students’ Perceptions of Learning using a High-Fidelity Human Patient Simulator”</italic>
and the “<italic>Learner Satisfaction with Simulation Tool”</italic>
.</p>
<p><bold>Methods</bold>
</p>
<p>A linguistic and cultural translation was conducted with 139 Portuguese nursing students. Internal consistency reliability and exploratory factor analysis were performed.</p>
<p><bold>Results</bold>
</p>
<p>The Scale of Perception of Learning of the Nursing Students about HFS (SPLNS-HFS) has a Cronbach's Alpha of 0.942 and the Scale of Satisfaction of the Nursing Students about HFS (SSNS-HFS) of 0.969. Values of correlation of each item with the SPLNS-HFS are over 0.507, and of the SSNS-HFS over 0.633. The SPLNS-HFS shows a satisfactory factorial analysis’, with unifactorial structure, and the SSNS-HFS revealed two factors – Utility of Simulation (α = 0.956) and Functionality of Simulation (α = 0.912).</p>
<p><bold>Conclusions</bold>
</p>
<p>The Portuguese versions of both scales are psychometrically reliable, cross-culturally valid, and useful measurement instruments for assessing the impact of High-Fidelity Simulation in nursing students.</p>
<p><bold>Keywords</bold>
</p>
<p>Validation studies, nursing students, High Fidelity Simulation, personal satisfaction, learning perception</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec452"><title>P28 Physiotherapists’ perceived knowledge on technologies for electronic health records for physiotherapy</title>
<sec id="Sec453"><title>Gabriela Postolache<sup>1</sup>
, Raul Oliveira<sup>2</sup>
, Isabel Moreira<sup>3</sup>
, Luísa Pedro<sup>4</sup>
, Sónia Vicente<sup>5</sup>
, Samuel Domingos<sup>6</sup>
, Octavian Postolache<sup>6</sup>
</title>
<sec id="Sec454"><title><sup>1</sup>
Instituto de Medicina Molecular, Universidade de Lisboa, 1649-028 Lisboa, Portugal; <sup>2</sup>
Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa, Portugal; <sup>3</sup>
Faculdade de Medicina, Universidade de Porto, 4200-319 Porto, Portugal; <sup>4</sup>
Escola Superior de Tecnologias de Saúde, Instituto Politécnico de Lisboa, 1990-096 Lisboa, Portugal; <sup>5</sup>
Escola Superior de Saúde, Universidade Atlântica, 2745-615 Barcarena, Portugal; <sup>6</sup>
Instituto de Telecomunicações, Lisboa, 1049-001, Portugal</title>
<sec id="Sec455"><title><bold>Correspondence:</bold>
Gabriela Postolache (pgpostolache@gmail.com) – Instituto de Medicina Molecular, Universidade de Lisboa, 1649-028 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In the last decade the amount of evidence has increased indicating that stakeholders’ training and education are key to the successful adoption of electronic health records (EHRs). Also, it has been shown that the availability of technical and training support during the initial implementation is essential. Objective: We investigate the perceived knowledge of EHRs and the motivation for adoption of EHRs in physiotherapy practice.</p>
<p><bold>Methods</bold>
</p>
<p>A cross-sectional study was conducted using a questionnaire developed with 27 questions. Among studied variables were: perceived knowledge of technologies for electronic health records, number of training sessions for adoption of EHRs, motivation related to adoption of EHRs.</p>
<p><bold>Results</bold>
</p>
<p>A random sample of 180 physiotherapists [mean(SD) age: 34.7(±10.3); 70.0 % female; mean and range of years of practice: 11.5 (1-40)] from Portugal was surveyed. Perceived knowledge of technologies for EHRs was low and very low for the majority of physiotherapists (72.2 %). Also, most physiotherapists (75.0 %) reported not having any training related to technologies for EHRs for physiotherapy. The lack of training related with technologies for EHRs was perceived by the majority of physiotherapists (82.2 %) as an important barrier to the adoption of EHRs for physiotherapy. 75.0 % physiotherapists (74.1 % with age ≤ 40 years) reported high motivation to learn about technologies related to EHRs for physiotherapy.</p>
<p><bold>Conclusions</bold>
</p>
<p>The findings indicate that overall, physiotherapists’ needs related to training on technologies for EHRs for physiotherapy are generally not met. Physiotherapists with expertise in informatics may help design EHR systems that meet the needs of physiotherapy, and rigorously evaluate the extent to which these technologies improve care.</p>
<p><bold>Keywords</bold>
</p>
<p>Training, physiotherapists, electronic health records</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec456"><title>P29 Quality of life and physical activity of medicine undergraduate students in the University of Southern Santa Catarina, Brazil</title>
<sec id="Sec457"><title>Darlen Silva<sup>1</sup>
, João G. Filho<sup>1</sup>
, Nazare Nazario<sup>1</sup>
, Marcia Kretzer<sup>1</sup>
, Dulcineia Schneider<sup>2</sup>
</title>
<sec id="Sec458"><title><sup>1</sup>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil; <sup>2</sup>
Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, 88040-900 Brasil</title>
<sec id="Sec459"><title><bold>Correspondence:</bold>
Darlen Silva (darlendj@hotmail.com) – Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil</title>
<p><bold>Background</bold>
</p>
<p>The Presence of stressors in medical training interfere with quality of life. Physical Activity improves people's overall quality of life. The learning requirements of a medical degree can interfere with the healthy habits and consequently with the student's quality of life. Objective: To analyse the relationship between standards of Physical Activity and the quality of life of Medicine undergraduate students.</p>
<p><bold>Methods</bold>
</p>
<p>Cross-sectional study, executed in the University of Southern Santa Catarina (UNISUL), Brazil, with students from the 1st and 6th year of medical school. The data was collected from March till July of 2014, using the instruments WHOQOL-bref and of physical activity, the IPAQ. Analysis on SPSS 18.0, compared to averages on T-test, with p ≤ 0.05 and confidence interval 95 %. The project was approved by the Ethics Committee for Human Research from UNISUL.</p>
<p><bold>Results</bold>
</p>
<p>One hundred nineteen (119) medicine undergraduates took part in the study, 72.30 % females between 17 and 34 years of age, 87.40 % single. In terms of physical activity, 36.10 % were active and 34.50 % sporadically active. Better quality of life socially (60.40) and worst (63.76) psychologically. Final year students had better quality of life when it comes to the environment (p = 0.035). The very active had better quality of life scores in all domains, without statistical significance. The sedentary presented the lowest average social quality of life.</p>
<p><bold>Conclusions</bold>
</p>
<p>When we associate the physical activity standard with the various domains quality of life, it stands out that the individuals that are classified as “Very Active” present better average quality of life scores across all domains.</p>
<p><bold>Keywords</bold>
</p>
<p>Quality of Life, physical activity, medicine students</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec460"><title>P30 The curricular skills for decision making education in a Nursing Degree</title>
<sec id="Sec461"><title>Fátima M. Marques (fmarques@esel.pt)</title>
<sec id="Sec462"><title>Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In order for a nursing student to become a qualified professional he needs a diverse set of skills, where decision-making is the cornerstone of nursing care. Teaching skills should structure the curriculum so it is centred on skills acquisition. Objective: To identify the curricular skills for the teaching of decision-making in a Nursing Degree of a school in Lisbon.</p>
<p><bold>Methods</bold>
</p>
<p>An exploratory study of qualitative nature, done with data collection through interviewing teachers and documental analysis of the curriculum. The inclusion criteria for the 10 participants were: being a member of the conceptor group of the school’s syllabus, having experience as a professor of the school’s Nursing Degree and being a course conductor on the school’s Nursing Degree. To analyse the results, Bardin’s content analysis was used. Anonymity and confidentiality of the findings were guaranteed.</p>
<p><bold>Results</bold>
</p>
<p>The order of the structural competences of the analysed curriculum (curriculum and professor’s discourse) begins with the category ‘considering knowledge as a resource to be mobilized’, ‘working through problems’ and ends in the category of ‘guidance for a smaller disciplinary compartmentalization’.</p>
<p><bold>Conclusions</bold>
</p>
<p>The curriculum seems to be focused on the knowledge and the critical thinking that support effective decision-making. However, the course’s structure can attenuate the development of the decision-making apprenticeship in the care process.</p>
<p><bold>Keywords</bold>
</p>
<p>Curricular skills, decision making, nursing degree</p>
</sec>
</sec>
</sec>
<sec id="Sec463"><title>P31 Effect of nurses’ mobilization in satisfaction at work and turnover: An empirical study in the hospital setting</title>
<sec id="Sec464"><title>Pedro Parreira<sup>1</sup>
, Carla Carvalho<sup>2</sup>
, Lisete M. Mónico<sup>2</sup>
, Carlos Pinto<sup>2</sup>
, Sara Vicente<sup>1</sup>
, São João Breda<sup>2</sup>
</title>
<sec id="Sec465"><title><sup>1</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>2</sup>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</title>
<sec id="Sec466"><title><bold>Correspondence:</bold>
Pedro Parreira (parreira@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Health organizations are characterized by a complex work environment, being influenced by the behaviour of those who work there. Management strategies play a key role in human resource management, namely in mobilization behaviours that can promote satisfaction at work and decrease turnover. Objective: To analyse whether nurses’ mobilization at work (collaboration; improvement; organizational loyalty; participation in civic life) influence job satisfaction and turnover.</p>
<p><bold>Methods</bold>
</p>
<p>Sample: 338 nurses from a public hospital (mean = 38.63 years-old; 79.2 % females). Measures: I) Behaviours at work [1]: F1-participation in civic life, F2-Collaboration; F3-Organizational loyalty (37.58 %, 10.10 %, and 8.75 % of explained variance, respectively); II) Work satisfaction [2] – unidimensional, 76.10 % of explained variance; and III) Turnover [3]- unidimensional (67.90 % of explained variance). All scales showed good psychometric properties.</p>
<p><bold>Results</bold>
</p>
<p>The adjusted regression model of behaviour at work explained 20 % of the overall satisfaction and only 3 % of the turnover. The organizational loyalty (β = .29) and participation in civic life (β = .18) were predictors of job satisfaction. Collaboration was not a significant predictor (p > .05). Organizational loyalty negatively predicted the turnover (β = - .12).</p>
<p><bold>Conclusions</bold>
</p>
<p>The results contribute to best practices and improvements in the quality of nursing care. It is important to look at the human resources management taking into account their active role, their involvement at work and their commitment to the organization. This seems to enhance satisfaction at work and decrease of turnover. Nurses’ mobilization at work seems to improve the quality of health care and the safety of the patients.</p>
<p><bold>References</bold>
</p>
<p>1. Tremblay M, Wils T, Guay P. L`engagement organisationel el les comportements discrétionnaires: L’influence des pratiques de gestion des ressources humaines. Actes du 11° Congrès de l’Association Francophone de Gestion des Ressources Humaines. Paris. 2000.</p>
<p>2. Brayfield AH, Rothe HF. An index of job satisfaction. Journal of Applied Psychology. 1951; 35: 307-311.</p>
<p>3. Meyer JP, Allen NJ, Smith CA. Commitment to organization and occupation: extension and test of a three-component conceptualization. Journal of Applied Psychology. 1993; 78(4): 538-551.</p>
<p><bold>Keywords</bold>
</p>
<p>Mobilization behaviours, job satisfaction, turnover, nursing, human resources</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec467"><title>P32 Entrepreneurial skills of students of polytechnic higher education in Portugal: Business influences</title>
<sec id="Sec468"><title>José H. Gomes, Rosa Melo, Pedro Parreira, Anabela Salgueiro, João Graveto, Marina Vaquinhas, Amélia Castilho</title>
<sec id="Sec469"><title>Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851, Portugal</title>
<sec id="Sec470"><title><bold>Correspondence:</bold>
José H. Gomes (herminio@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Most entrepreneurial ideas do not appear ready or finished. Any business opportunity needs to be developed and improved throughout the enterprise process. Educational institutions may facilitate the ability of the students in undertaking, identifying and building business opportunities, enhancing their knowledge and formative experiences along the learning process. Objective: Evaluate business influences on the entrepreneurial ability of students of the Polytechnic.</p>
<p><bold>Methods</bold>
</p>
<p>Correlational quantitative study, conducted with 1,604 students from 18 institutions of the Polytechnic of Portugal.</p>
<p>Data collection took place between July and November/2015, with a questionnaire to assess the entrepreneurial profile, the Carland Entrepreneurship Index (CEI) and sociodemographic variables of students.</p>
<p><bold>Results</bold>
</p>
<p>We found four business factors that influence entrepreneurship: "availability of funds" (4:13, SD = .67); "Having stable customers and incentives" (3.99, SD = .58); "Social and economic instability" (3:08, SD = 1.17) and "Opportunities in the sector and area of residence" (3:36, SD = 1.05). On a scale ranging between 1 and 5, we obtained an overall score of 3.86 (SD = .55), for the corporate influences on entrepreneurship.</p>
<p><bold>Conclusions</bold>
</p>
<p>For students, entrepreneurial influences are important, with a greater sense of fear with regard to economic instability, reinforcing the need for further training and academic investment in business.</p>
<p><bold>Keywords</bold>
</p>
<p>Entrepreneurship, capacity, students, influences</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec471"><title>P33 Design and assessment of e-learning modules for Pharmacology</title>
<sec id="Sec472"><title>Ângelo Jesus<sup>1</sup>
, Nuno Duarte<sup>1,2</sup>
, José C. Lopes<sup>1,3</sup>
, Hélder Nunes<sup>1,4</sup>
, Agostinho Cruz<sup>1</sup>
</title>
<sec id="Sec473"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal; <sup>2</sup>
Farmácia Outeiro do Linho, 4440-762 Valongo, Portugal; <sup>3</sup>
Hospital Militar Regional n.°1, Porto, 4150-113, Portugal; <sup>4</sup>
Centro Hospitalar do Porto, 4099-001 Porto, Portugal</title>
<sec id="Sec474"><title><bold>Correspondence:</bold>
Ângelo Jesus (acj@estsp.ipp.pt) – Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Teaching and Learning through web-based learning platforms is a complementary method of conventional teaching and learning approaches which has the potential to produce meaningful learning experiences. The study of Pharmacology in the Pharmacy Degree of the School of Allied Health Technologies is normally taught face-to-face. With this paper we aim to describe an online approach to the teaching of this subject. Objectives: To develop and assess two e-learning modules for the teaching of Pharmacology.</p>
<p><bold>Methods</bold>
</p>
<p>Using the MIPO Model for instructional design, Moodle as an LMS, and commercial software, we developed several learning objects that make part of two different modules of Pharmacology. The modules were offered as mandatory training for the third-year students. Knowledge retention was assessed 10 weeks later in a written exam.</p>
<p><bold>Results</bold>
</p>
<p>Two modules and five lessons were developed. Quality assurance was assessed by the Web-Based Learning Environment Questionnaire. Students enrolled in both modules and engaged thoroughly in learning activities and learning contents. All students had a good performance in online quizzes. After 10 weeks, knowledge retention was analysed via a written test. Students were grouped according to their final achievement in the discipline. Students with high and medium achievement grades showed greater knowledge retention than other groups. There was no difference between genders.</p>
<p><bold>Conclusions</bold>
</p>
<p>An online environment was successfully designed and implemented for complementing the teaching of Pharmacology. Knowledge retention does not seem to be associated with shifting the paradigm to online learning, but is probably related to student characteristics or motivations for learning.</p>
<p><bold>Keywords</bold>
</p>
<p>Distance Education, Educational Technology, Online Courses, Web Based Instruction, Instructional Design, Pharmacology</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec475"><title>P34 Perspective of nurses involved in an action-research study on the changes observed in care provision: results from a focus group</title>
<sec id="Sec476"><title>Anabela Salgueiro-Oliveira<sup>1</sup>
, Pedro Parreira<sup>1</sup>
, Marta L. Basto<sup>1</sup>
, Luciene M. Braga<sup>2</sup>
</title>
<sec id="Sec477"><title><sup>1</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>2</sup>
Universidade Federal de Viçosa, Viçosa - Minas Gerais, 36570-900, Brasil</title>
<sec id="Sec478"><title><bold>Correspondence:</bold>
Anabela Salgueiro-Oliveira (anabela@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>According to the Nursing Role Effectiveness Model, the structural components (nurses, patients, organizational variables) may directly or indirectly influence the care outcomes through the process (actions developed by the nurses). Objectives: To identify the changes that, from the nurses’ perspective, occurred during the provision of care to patients with peripheral venous catheters (PVCs) between the first and the second phase of the Action-Research (AR) study, and the components that influenced these changes.</p>
<p><bold>Methods</bold>
</p>
<p>During the second phase of the AR study (December, 2011), a focus group composed of six nurses was held at a medicine unit of a central hospital. A script was used with six open-ended questions. All ethical procedures were followed.</p>
<p><bold>Results</bold>
</p>
<p>Positive changes in nursing care provision to patients with PVCs were identified related to the type of dressing used, patient monitoring, aseptic care, and infusion rate. The nurses believed that some variables of the organizational component influenced those changes, such as the centralization of the material used for catheterization or the availability of materials, such as transparent dressings. The nurses also valued the following aspects: knowledge of the research findings of the first phase; training sessions on the topic; and, above all, the nurses’ engagement throughout the process of change in care provision.</p>
<p><bold>Conclusions</bold>
</p>
<p>Considering the model of analysis used, we found that the changes identified in nursing care resulted from several factors, with the engagement of the professionals themselves in the change process being considered a key aspect.</p>
<p><bold>Keywords</bold>
</p>
<p>Nursing Role Effectiveness Model, nursing care, peripheral venous catheters</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec479"><title>P35 Use of peer feedback by nursing students during clinical training: teacher’s perception</title>
<sec id="Sec480"><title>António Ferreira<sup>1</sup>
, Beatriz Araújo<sup>2</sup>
, José M. Alves<sup>2</sup>
, Margarida Ferreira<sup>1</sup>
, Maribel Carvalhais<sup>1</sup>
, Marilene Silva<sup>3</sup>
, Sónia Novais<sup>4</sup>
</title>
<sec id="Sec481"><title><sup>1</sup>
Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal; <sup>2</sup>
Universidade Católica Portuguesa, Porto, 4202-401, Portugal; <sup>3</sup>
Unidade de Saúde Familiar - Espaço Saúde, Porto, 4100-503, Portugal; <sup>4</sup>
Administração Regional de Saúde do Norte, Porto, 4000-447, Portugal</title>
<sec id="Sec482"><title><bold>Correspondence:</bold>
António Ferreira (ferreira.esecvpoa@gmail.com) – Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal</title>
<p>Peer feedback in the field of higher education, has been defined as an advantageous process in the development of soft skills, improving the learning outcomes of students, reflected in the professional skills to be acquired. The implementation of peer feedback, generates by itself a set of individual and group dynamics, actively involving students and teachers in this methodology, which simultaneously achieves the evaluative and learning purpose.</p>
<p>Through a qualitative approach using the method of focus groups, this study aims to present the perception of teachers on the concept of peer feedback, its applicability in clinical training context in nursing, its influence on skills acquisition by students, and the strength and threats during implementation.</p>
<p>The perception of peer feedback is described by teachers (n = 8) involved in a focus group, which set guidelines for carrying out a participatory action research project in nursing clinical training.</p>
<p>We conclude that peer feedback is a complex process which contributes to increased responsibility for the students but also for teachers in a collaborative and integrative approach to learning and its evaluation. It is evident that preparation and planning of implementation are fundamental, suggesting that peer feedback will positively contribute to students’ development, such as self-directed and self-regulated learning, critical and reflective thinking, self-assessment ability, decision-making, involvement, responsibility and autonomy.</p>
<p><bold>Keywords</bold>
</p>
<p>peer feedback, learning, competences, perception of teachers, nursing</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec483"><title>P36 What’s new on endotracheal suctioning recommendations</title>
<sec id="Sec484"><title>Ana S. Sousa<sup>1,2</sup>
, Cândida Ferrito<sup>3</sup>
</title>
<sec id="Sec485"><title><sup>1</sup>
Universidade Católica Portuguesa, Porto, 4202-401, Portugal; <sup>2</sup>
Centro Hospitalar De São João, E.P.E., Porto, 4200–319, Portugal; <sup>3</sup>
Escola Superior de Saúde, Instituto Politécnico de Setúbal, 2910-761 Setúbal, Portugal</title>
<sec id="Sec486"><title><bold>Correspondence:</bold>
Ana S. Sousa (sabrinasousa72@hotmail.com) – Universidade Católica Portuguesa, Porto, 4202-401, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Critically ill intubated patients inevitably need endotracheal suctioning. There are innumerable complications associated with this procedure, including hypoxemia, atelectasis, tissue trauma, hypertension, microbial colonization and bronchospasm. Best practices can reduce endotracheal-suctioning-related adverse events. Objective: The aim of this study is to describe endotracheal suctioning recommendations in adult mechanically ventilated patients.</p>
<p><bold>Methods</bold>
</p>
<p>An integrative review. Research was conducted in B-on, PUBMED, and RCAAP between 28 and 30 December 2015, including guidelines and original articles from the last 5 years. We found 534 documents and after analysing their abstract and methodological quality, five documents were selected. Data were compiled in a chart in terms of grade of evidence, acceptance and applicability.</p>
<p><bold>Results</bold>
</p>
<p>Strong evidence was found in the following recommendations: suction only when necessary, pre-oxygen before suction event, use of a suction catheter half the endotracheal tube lumen size, use of the lowest suction pressure possible, shallow suction, avoiding saline instillation, use of sterile technique, avoiding disconnection from the ventilator, use of closed suction when there is high FiO2 or PEEP or risk of lung derecruitment, suction duration less than 15 s and monitoring.</p>
<p><bold>Conclusions</bold>
</p>
<p>Endotracheal-suctioning-related adverse events are frequent and can be reduced by the implementation of practice guidelines. Nurses need to have to knowledge of current best evidence in order to make informed decisions. This review intends to be a step towards safer practice.</p>
<p><bold>Keywords</bold>
</p>
<p>ICU, Endotracheal suction, Best practice recommendations, Saline instillation, Open suction, Closed suction</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec487"><title>P37 Assessment of the nurses satisfaction on the Central Region of Portugal</title>
<sec id="Sec488"><title>Pedro L. Ferreira<sup>1</sup>
, Alexandre Rodrigues<sup>2</sup>
, Margarida Ferreira<sup>3</sup>
, Isabel Oliveira<sup>4</sup>
</title>
<sec id="Sec489"><title><sup>1</sup>
Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal; <sup>2</sup>
Universidade de Aveiro, 3810-193 Aveiro, Portugal; <sup>3</sup>
Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de Azeméis, 3720-126 Oliveira de Azeméis, Portugal; <sup>4</sup>
Ordem dos Enfermeiros da zona Centro, Coimbra, 3000-076, Portugal</title>
<sec id="Sec490"><title><bold>Correspondence:</bold>
Isabel Oliveira (ijoliveira@sapo.pt) – Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal</title>
<p><bold>Background</bold>
</p>
<p>The changes occurred in labour in the last decades are consuming workers’ physical and mental energy. Nurses’ job satisfaction is of most importance since they have responsibilities within the multidisciplinary team and is far from being a secondary concern because it is directly linked to the quality of care, productivity and personal fulfilment. It is a challenge for safety and health at work, representing a significant impact on health, requiring an active and dynamic involvement of the employer, workers and their representatives in the management of job satisfaction. Objective: Evaluate the level of satisfaction of nurses in the central region of Portugal.</p>
<p><bold>Methods</bold>
</p>
<p>This was a descriptive and transversal study. Nurses from the Central Region of Portugal were asked to fill a staff satisfaction internet questionnaire based on the Professional Satisfaction Assessment Tool (IASP).</p>
<p><bold>Results</bold>
</p>
<p>A sample of 1,126 nurses answered the questionnaire, 71.8 % of them female. On average they were 39.7 ± 9.8 years old, ranging from a minimum of 22 to a maximum of 65. The majority (69.0 %) was married or living together with a partner and working in the public sector (hospital: 59.1 %; primary care: 26.5 %). In general, about half of the nurses were “satisfied” or “very satisfied” with the organization where they work and 28.0 % were “unsatisfied” or “very unsatisfied”. At last, almost 5.0 % of the nurses had already emigrated and returned to Portugal and 15.0 % were planning to emigrate.</p>
<p><bold>Conclusions</bold>
</p>
<p>We evidenced a significant low satisfaction among the nurses and some recommendations were drawn from this study.</p>
<p><bold>Keywords</bold>
</p>
<p>Work, satisfaction, nurses</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec491"><title>P38 Study of graduate’s satisfaction with the school of nursing</title>
<sec id="Sec492"><title>Manuela Ferreira, Jéssica Neves, Diana Costa, Soraia Duarte, Joana Silva, Bruno Santos</title>
<sec id="Sec493"><title>Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</title>
<sec id="Sec494"><title><bold>Correspondence:</bold>
Manuela Ferreira (ferreiramanuela75@gmail.com) – Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira de Azeméis, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The increasing number of graduated nurses, the reduction of employment opportunities in the country and the poor working conditions/salary cause many graduates to begin their nursing profession finding themselves in a less positive context. Schools are a factor that can influence this initiation context in the profession. Objectives: Characterize satisfaction with the nursing school.</p>
<p><bold>Methods</bold>
</p>
<p>This is a descriptive study in a sample of 141 graduates between 2002 and 2014 in a nursing school of the Northern Region of Portugal. The "Satisfaction Scale with the Professional Status of Nurse" was created and validated based on a literature review. It is a Likert scale of 1 to 5 points: 1 – very dissatisfied and 5 – very satisfied. The factor analysis with orthogonal rotation Varimax type scale – composed of 25 items – reveals good value for Kaiser-Meyer-Olkin (0.901) and high internal consistency (α = 0.851). Three dimensions were differentiated: career, professional self-fulfilment and social representation of nursing.</p>
<p><bold>Results</bold>
</p>
<p>All dimensions have a degree of satisfaction with the school: skills development (mean = 4.05, SD =0.46); linking (mean = 4.01, SD = 0.52); centrality of the student (mean = 3.97, SD = 0.94); interpersonal relationships (mean = 4.10, SD = 0.59); and the reference in nursing education (mean = 3.90, SD = 0.60).</p>
<p><bold>Conclusions</bold>
</p>
<p>Graduates Nurses reveal themselves satisfied with the school, which is a promoting factor to mitigate the difficulties in the job market. Schools have to adapt ever more to the current contexts of the learning/education process and work of nurses.</p>
<p><bold>Keywords</bold>
</p>
<p>Scale validation, Satisfaction with the graduated School, Nursing graduates</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec495"><title>P39 Partnership between the school of nursing and the hospital: Supervisors´ perspectives</title>
<sec id="Sec496"><title>Cristina Martins, Ana P. Macedo, Odete Araújo, Cláudia Augusto, Fátima Braga, Lisa Gomes, Maria A. Silva, Rafaela Rosário</title>
<sec id="Sec497"><title>Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057, Portugal</title>
<sec id="Sec498"><title><bold>Correspondence:</bold>
Cristina Martins (cmartins@ese.uminho.pt) – Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Partnership is commonplace in life and is characterized by a relationship and shared goals as well as common purpose. The research into partnership as a phenomenon among organizations is scarce and nowadays this partnership is more urgent than before to work more effectively and with a greater sense of efficacy. Objective: To explore, via a focus group, the supervisors’ representations about the partnership between the school of nursing and the hospital.</p>
<p><bold>Methods</bold>
</p>
<p>Qualitative study. Five sessions following a focus group approach were developed focusing on a discussion about the partnership between the school of nursing and the hospital. Eighteen supervisors (eleven from the local hospital and seven from the academy) participated in this focus group (nine supervisors allocated equally in two groups). Data collection also included interviews and field notes analysed according to qualitative content analysis.</p>
<p><bold>Results</bold>
</p>
<p>Three categories emerged as cornerstones of a framework. These categories are expectations related to clinical supervision, understanding the partnership between the school of nursing and hospital and a collaborative approach as a way to enhance the development of quality references.</p>
<p><bold>Conclusions</bold>
</p>
<p>This study provides further support for the improvement of the partnership between the school of nursing and the hospital. It identifies the need for a partnership between the school and hospital, which includes preparation/joint planning and meetings.</p>
<p><bold>Keywords</bold>
</p>
<p>Partnership, supervision, collaborative supervision, focus group</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec499"><title>P40 Coping strategies of college students</title>
<sec id="Sec500"><title>Luís Pimenta, Diana Carreira, Patrícia Teles, Teresa Barros</title>
<sec id="Sec501"><title>School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec502"><title><bold>Correspondence:</bold>
Teresa Barros (teresa.kraus@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In college, students are faced with potentially disturbing life events, and to adapt to the new context, they need to use coping strategies [1]. Objectives: I) To understand more about the coping strategies that college students use; II) to evaluate the relationship between coping strategies used by students with their age and gender.</p>
<p><bold>Methods</bold>
</p>
<p>Correlational study performed in 2015, with 242 students from a college in the centre of Portugal, who have replied to a survey in Google Docs consisting of the Toulousaine Scale of Coping [2] and a sociodemographic and academic questionnaire. Data was analysed using descriptive statistics and non-parametric inference.</p>
<p><bold>Results</bold>
</p>
<p>The study sample was composed by 242 students with a mean age of 21.78 years old (SD = 4.78), being mostly female (n = 189/78.1 %). The coping strategy used by both genders, but particularly by males, is the “control”, having verified a positive and statistically meaningful relation between the use of this strategy and age (p = 0.004). On the other hand, the female gender uses social support, with statistical significance (p = 0.001).</p>
<p><bold>Conclusions</bold>
</p>
<p>Coping strategies that students most commonly use are “control” and “social support”, where male participants rely more on “control”, and female on “social support”. We could also conclude that older students use “control” more often and it’s verified a positive relation between “control” and age.</p>
<p><bold>References</bold>
</p>
<p>1. Costa E, Leal I. Estratégias de Coping em Estudantes do Ensino Superior. Análise Psicológica. 2006; 2(24): 189-199.</p>
<p>2. Tap P, Costa E, Alves M. Escala Toulousiana de Coping (ETC): Estudo de Adaptação à População Portuguesa. Psicologia, Saúde & Doenças, 2005; 6(1): 47-56.</p>
<p><bold>Keywords</bold>
</p>
<p>Psychological adaptation, students, college</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec503"><title>P41 Emotional intelligence and mental health stigma in health students</title>
<sec id="Sec504"><title>Catarina Tomás<sup>1</sup>
, Ana Querido<sup>1</sup>
, Daniel Carvalho<sup>1,2</sup>
, João Gomes<sup>1,2</sup>
, Marina Cordeiro<sup>1</sup>
</title>
<sec id="Sec505"><title><sup>1</sup>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</title>
<sec id="Sec506"><title><bold>Correspondence:</bold>
Catarina Tomás (catarina.tomas@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Health professionals need good emotional intelligence to deal with patients, and to have effective communication, attending patients’ physical, mental and emotional and needs. Having good emotional intelligence leads to a positive attitude towards mental health patients. Objectives: The aim of this study is to find the relation between mental health stigma and emotional intelligence in students of a Portuguese health college.</p>
<p><bold>Methods</bold>
</p>
<p>This is a quantitative, descriptive and correlational study, with a non-probabilistic sample of 672 students of a Portuguese health college in a central region, which comprises students of Nursing, Dietetics, Physiotherapy, Speech Therapy and Occupational Therapy. To collect data, a questionnaire was used composed of sociodemographic questions, the Portuguese version of the Attribution Questionnaire (AQ-27) and the Emotional Intelligence Scale (WLEIS-P).</p>
<p><bold>Results</bold>
</p>
<p>The sample is mainly composed by female students (82.7 %) with ages between 17 and 56 years old. The mental health stigma was moderate (4.19; SD = 0.732), and emotional intelligence is good (3.62; SD = 0.422). A negative correlation was found (R = -0.081; p = 0.037) between help and emotional intelligence. Help (R = -0.152; p = 0.000) and avoidance (R = -0.121; p = 0.002) have also a negative correlation with the emotional assessment of the other person, and pity is correlated with self-emotional appraisal (R = -0.088; p = 0.022). Dangerousness and use of emotions are positively correlated (R = 0.094; p = 0.015).</p>
<p><bold>Conclusions</bold>
</p>
<p>Emotional intelligence can be negatively related to mental health stigma, although dangerousness seems to engage with the use of emotions. It is important to enhance emotional intelligence in health students, in order to reduce mental health stigma.</p>
<p><bold>Keywords</bold>
</p>
<p>Mental health, stigmatization, emotional Intelligence</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec507"><title>P42 Stigma of mental health assessment: Comparison between health courses</title>
<sec id="Sec508"><title>Daniel Carvalho<sup>1,2</sup>
, Ana Querido<sup>2</sup>
, Catarina Tomás<sup>2</sup>
, João Gomes<sup>1,2</sup>
, Marina Cordeiro<sup>2</sup>
</title>
<sec id="Sec509"><title><sup>1</sup>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal; <sup>2</sup>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec510"><title><bold>Correspondence:</bold>
Daniel Carvalho (drscarvalho@gmail.com) – Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Health workers are among the stigmatizing agents as regards mental health. It is important to look at this issue in future professionals as they may play a role in changes in the future. Some studies on health professionals show slightly higher levels of stigma in women, while the fear factor decreases with age. Objective: This study aimed to evaluate the level of stigma in mental health with health students of a Portuguese health college and the relation to gender, age and course.</p>
<p><bold>Methods</bold>
</p>
<p>A quantitative, descriptive and correlational transversal study was conducted on a non-probabilistic convenience sample of 672 students from dietetic, nursing, physical, speech and occupational therapy courses. For data collection a questionnaire was used consisting of sociodemographic questions and the Portuguese version of the Attribution Questionnaire (AQ27).</p>
<p><bold>Results</bold>
</p>
<p>The study sample consists mostly of female students (82.7 %) with a mean age of 21.16 years (SD = 4.18). The level of mental health stigma of the sample is considered moderate (4.19; SD = 0.73), and equal within gender. With age, there is an increase in the factors responsibility, aid and avoidance (p < 0.05), with a reduction in compassion, dangerousness and fear (p < 0.05). Stigma levels are lower in students of occupational therapy, both in total score and in aid and avoidance. Physiotherapy students had the lowest values of coercion and segregation. All dimensions of stigma decrease during the course (p = < 0.05) with the exception of aid and responsibility, whose value increased (p < 0.05).</p>
<p><bold>Conclusions</bold>
</p>
<p>Factors were found in the sample that may be considered stigmatizing, which raises the need to rethink pedagogical strategies for the reduction of stigma.</p>
<p><bold>Keywords</bold>
</p>
<p>Social Stigma, mental health, students</p>
</sec>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec511"><title>Effectiveness of Health Intervention programmes</title>
<sec id="Sec512"><title>O81 Short- and long-term effects of pulmonary rehabilitation in mild COPD</title>
<sec id="Sec513"><title>Cristina Jácome<sup>1</sup>
, Alda Marques<sup>2</sup>
</title>
<sec id="Sec514"><title><sup>1</sup>
Research Centre in Physical Activity, Health and Leisure, Faculty of Sports, University of Porto, 4200-450 Porto, Portugal; <sup>2</sup>
Lab 3R – Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec515"><title><bold>Correspondence:</bold>
Cristina Jácome (cristinajacome@ua.pt) – Research Centre in Physical Activity, Health and Leisure, Faculty of Sports, University of Porto, 4200-450 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>It is well established that pulmonary rehabilitation (PR) is effective in improving dyspnea and health-related quality of life of patients with moderate-to-very-severe Chronic Obstructive Pulmonary Disease (COPD). However, the effects of PR in patients with mild COPD have been little explored. Thus, this study investigated the short- and long-term effects of PR on patients with mild COPD.</p>
<p><bold>Methods</bold>
</p>
<p>This was a single-arm longitudinal study. A 12-week PR program with exercise training and psychoeducation was conducted in the community. Outcome measures at baseline, post-PR, 3 and 6 months were the 6-minute walk test (6 MWT) for exercise tolerance; the Modified British Medical Research Council questionnaire for dyspnea; 1-repetition maximum on the chest press and leg extension exercises for peripheral muscle strength; the Brief physical activity assessment for self-reported physical activity and the St. George’s Respiratory Questionnaire (SGRQ) for health-related quality of life.</p>
<p><bold>Results</bold>
</p>
<p>Thirty-two patients (65.94 ± 8.95 years, FEV1 86.7 ± 5.17 % predicted) completed the program. After PR, significant improvements were observed in all measures (all p < .004), with the exception of SGRQ symptoms (p = .013) and impact (p = .104) scores. Compared to baseline, significant improvements in the 6 MWT, leg extension exercise, self-reported physical activity and SGRQ total and symptoms scores were still observed 6 months after PR (all p < .002).</p>
<p><bold>Conclusions</bold>
</p>
<p>PR improves exercise tolerance, dyspnea, muscle strength, physical activity and health-related quality of life in patients with mild COPD, and most of these benefits last for at least 6 months. These data suggest that PR should be part of the first-line management of patients with mild COPD. Further work is warranted prior to broader implementation.</p>
<p><bold>Keywords</bold>
</p>
<p>COPD, mild COPD, GOLD 1, pulmonary rehabilitation, exercise training</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec516"><title>O82 Phonological awareness programme for preschool children</title>
<sec id="Sec517"><title>Sylvie Capelas<sup>1</sup>
, Andreia Hall<sup>2</sup>
, Dina Alves<sup>3</sup>
, Marisa Lousada<sup>4</sup>
</title>
<sec id="Sec518"><title><sup>1</sup>
Unidade de Surdos, Escola de Referência para a Educação Bilingue, 3830-195 Ílhavo, Portugal; <sup>2</sup>
Center for Research and Development in Mathematics and Applications & Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal; <sup>3</sup>
School of Health Care, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal & Centro de Linguística da Universidade de Lisboa, Faculdade de Letras, Universidade de Lisboa, 1600-214 Lisboa, Portugal; <sup>4</sup>
Center for Health Technology and Services Research, School of Health Sciences, University of Aveiro, Aveiro, 3810-193, Portugal</title>
<sec id="Sec519"><title><bold>Correspondence:</bold>
Marisa Lousada (marisalousada@ua.pt) – Center for Health Technology and Services Research, School of Health Sciences, University of Aveiro, Aveiro, 3810-193, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In the phonological disorder domain, it is common to observe poor phonological awareness skills and, consequently, a later or deficit literacy learning. As so, it is important that speech and language therapists stimulate early phonological awareness to prevent reading and spelling difficulties in children with phonological disorder. Objective: This study investigated the effectiveness of a phonological awareness programme for preschool children with phonological disorder. Sixty-one Portuguese children, aged 4.0 - 6.2 years participated in this study. Twenty-one children with phonological disorder and 40 typically developing children.</p>
<p><bold>Methods</bold>
</p>
<p>Children received 10 sessions focused on phonological awareness abilities, specifically on syllabic and phonemic awareness (blending, segmentation and manipulation). For ethical reasons, children were not assigned to an intervention control group. Rather, all children from a kindergarten were invited to participate in the programme. Speech-language assessment and diagnostic were performed by a speech and language therapist. Outcome measures of phonological awareness ability (related to syllabic and phonemic units) were taken before and after the intervention.</p>
<p><bold>Results</bold>
</p>
<p>Results revealed that both groups improved significantly after intervention (p = 0.041 for syllabic awareness; p = 0.011 for phonemic awareness). Despite significant differences between groups at pre-treatment assessment, children with phonological disorder showed a more significant improvement for syllabic awareness (p = 0.004).</p>
<p><bold>Conclusions</bold>
</p>
<p>The findings suggest that the phonological awareness programme was effective in the improvement of syllabic and phonemic awareness.</p>
<p><bold>Keywords</bold>
</p>
<p>Syllabic awareness, phonemic awareness, intervention, preschool children, phonological disorder</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec520"><title>O83 REforma ATIVA: An efficient health promotion program to be implemented during retirement</title>
<sec id="Sec521"><title>Mª Helena Loureiro<sup>1</sup>
, Ana Camarneiro<sup>1</sup>
, Margarida Silva<sup>1</sup>
, Aida Mendes<sup>1</sup>
, Ana Pedreiro<sup>2</sup>
</title>
<sec id="Sec522"><title><sup>1</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>2</sup>
Unidade de Investigação em Ciências da Saúde: Enfermagem, Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<sec id="Sec523"><title><bold>Correspondence:</bold>
Mª Helena Loureiro (hloureiro@ua.pt) – Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Retirement is one of the major adult life transitions that can originate different vulnerabilities. Implementation of a health promotion program in this life stage can avoid vulnerabilities and contribute to promoting health benefits. REATIVA, a Portuguese project funded by Fundação para a Ciência e Tecnologia (FCT), has as its goal to create a health promotion program to increase self-efficacy and adaptation perception during the transition to retirement. In this work we present the efficiency of this program, called REforma ATIVA_Program.</p>
<p><bold>Methods</bold>
</p>
<p>Quasi-experimental design study, involving 3 groups: 2 experimental (EG1/EG2) and 1 control group (CG). The target population comprised recent retirees enrolled in the Health Administration Region – Centre/Portugal. The effects of the program implementation have been evaluated by applying an instrument that measured self-efficacy (General Self-Efficacy Scale, GSE) and perception of adaptation to retirement transition (Escala de Posicionamento Face à Adaptação à Reforma, EPFAR). All participants have signed informed consent. Data was processed using SPSS Program.</p>
<p><bold>Results</bold>
</p>
<p>There was a positive change in GSE and EPFAR on average, in all participants who have undergone the REforma ATIVA Program (EG1/EG2). The most notable evidence of its effect has been noted in EPFAR, in which was found, using MANOVA (Greenhouse-Gerssen test), that there was a significant effect of the program in adaptation to retirement over time (F = 17.405, p = 0.001; ƞ2 = 0.554; PO = 0.982).</p>
<p><bold>Conclusions</bold>
</p>
<p>The efficiency of REforma ATIVA Program denoted the added value that an intervention of this nature can have in the promotion of individual and family health during transition to retirement, conducting to an active and healthy aging process.</p>
<p><bold>Keywords</bold>
</p>
<p>Health Promotion Program, retirement, active aging</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec524"><title>O84 Intervention for men who batter women, a case report</title>
<sec id="Sec525"><title>Anne G.Silva, Elza S. Coelho</title>
<sec id="Sec526"><title>Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, 88040-900, Brasil</title>
<sec id="Sec527"><title><bold>Correspondence:</bold>
Anne G.Silva (anne_clg@hotmail.com) – Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, 88040-900, Brasil</title>
<p>Intimate partner violence is one of the most common forms of violence. Although men are the main authors of violence, it is essential to include actions to help them in order to produce a more effective result, because it is believed that they are able to recognize and take responsibility for the violence, using different forms of self-expression. However, it is difficult to assess the results of these actions.</p>
<p>This research aims to analyse the relapse of violence after participation in a batterer intervention programme. It was conducted a case study in a batterer intervention programme, where 86 men agreed to participate. The Centres for Disease Control and Prevention - Follow up questionnaire was used, adapted to be used in Brazil.</p>
<p>Most participants (61 %) were aged between 30 and 40, had studied 11 years (26 %), were employed (89 %), 60 % were separated, 56 % had a new relationship and 19 % had no contact with the ex-wife. About violence perpetration in the last 3 months, one reported committing physical abuse, 9 % psychological and 21 % reported one situation when they felt like hitting their partner.</p>
<p>The majority of participants (84 %) said that nothing would lead them to assault their partner, 31 % described behavioural changes after participation in the programme and one reported no change.</p>
<p>The study concludes that batterer intervention programmes have positive influence on participants; however, despite lower occurrence of physical violence, there were critical situations and psychological violence. Longer follow-ups including women are necessary, but this intervention can be a way to decrease violence against women.</p>
<p><bold>Keywords</bold>
</p>
<p>Violence against women, batterer intervention, men</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec528"><title>O85 Immediate effects of Bowen Therapy on muscle tone and flexibility</title>
<sec id="Sec529"><title>Flávio Melo<sup>1,2</sup>
, Fernando Ribeiro<sup>1,3</sup>
, Rui Torres<sup>4</sup>
, Rui Costa<sup>1,5</sup>
</title>
<sec id="Sec530"><title><sup>1</sup>
School of Health Sciences, University of Aveiro, Aveiro, 3810-193, Portugal; <sup>2</sup>
Peroneo Centro Terapêutico Lda, Amieiro, Montemor-o-velho, 3140-021 Arazede, Portugal; <sup>3</sup>
Institute for Research in Biomedicine, University of Aveiro, Aveiro, 3810-292, Portugal; <sup>4</sup>
Department of Physiotherapy, North Polytechnic Institute of Health, Gandra, 4585-116, Portugal; <sup>5</sup>
Center for Health Technology and Services Research, University of Aveiro, Aveiro, 3810-193, Portugal</title>
<sec id="Sec531"><title><bold>Correspondence:</bold>
Flávio Melo (flavio.melo.2010@gmail.com) – School of Health Sciences, University of Aveiro, Aveiro, 3810-193, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Bowen Therapy is a noninvasive technique that uses a series of gentle hand movements over muscles, tendons, ligaments, joints, nerves and fascia to promote relief from musculoskeletal and related neurological complaints. Although little research-based effectiveness data are available, some studies showed positive effects on pain perception, range of motion, functionality and lymphatic circulation. Objective: To investigate the immediate effects of Bowen Therapy on the mechanical properties – tone, elasticity and stiffness – of the erector spinae and biceps femoris muscles and hamstring flexibility.</p>
<p><bold>Methods</bold>
</p>
<p>Twenty-one healthy individuals (mean age: 21.05 ± 3.79 years old), 9 male and 13 female, participated in a crossover study. They were randomly allocated to a placebo intervention or a Bowen therapy session with 8-day interval period. Before and after the intervention, hamstring flexibility was assessed by the "Sit and Reach test”; and the mechanical properties – tone, elasticity and stiffness – of the erector spinae and biceps femoris muscles were measured bilaterally using a handheld mechanical impulse-based myotonometric device.</p>
<p><bold>Results</bold>
</p>
<p>No significant changes were observed in muscle tone, elasticity or stiffness with the application of the Bowen Therapy session, but a significant improvement was observed in hamstring flexibility (34 to 42 cm, p < 0.001) in comparison with the placebo session.</p>
<p><bold>Conclusions</bold>
</p>
<p>A single session of Bowen Therapy immediately increases hamstring flexibility, but do not change muscle tone, elasticity and stiffness in healthy individuals.</p>
<p><bold>Keywords</bold>
</p>
<p>Bowen therapy, muscle tonus, elasticity, MyotonPRO, fascia</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec532"><title>O86 Predictive equation for incremental shuttle walk test in adolescents</title>
<sec id="Sec533"><title>Tânia Pinho<sup>1</sup>
, Cristina Jácome<sup>2</sup>
, Alda Marques<sup>1</sup>
</title>
<sec id="Sec534"><title><sup>1</sup>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Research Centre in Physical Activity, Health and Leisure, Faculty of Sports, University of Porto, 4200-450 Porto, Portugal</title>
<sec id="Sec535"><title><bold>Correspondence:</bold>
Alda Marques (amarques@ua.pt) – School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The incremental shuttle walk test (ISWT) is one of the most used measures to assess cardiorespiratory fitness in clinical and research settings. Reference equations to predict ISWT distance (ISWD) in different adult populations have been established. However, equations for adolescents have been less explored. Objective: This study developed a reference equation to predict the ISWD for adolescents.</p>
<p><bold>Methods</bold>
</p>
<p>Healthy Portuguese adolescents aged 12–17 years were included. Socio-demographic and anthropometric (body mass index [BMI]) data were first collected. Lung function was assessed with spirometry and quadriceps muscular strength (QMS) with hand-held dynamometry. Physical activity level was evaluated through the Physical Activity Index (PAI). ISWT was performed twice and the best ISWD was used for analysis.</p>
<p><bold>Results</bold>
</p>
<p>A total of 125 participants (56 male; 14.6 ± 1.3 years) with normal lung function (forced expiratory volume in one second 104.8 ± 14.9 % predicted) completed the assessment. According to PAI, 54.4 % (n = 63) of the participants were moderately active and mean QMS was 20.7 ± 6.8 kgf. Participants walked on average 1254.0 ± 280.9 m [760–2250] in the ISWT. A multiple regression model showed that sex, BMI, QMS and PAI were independent contributors to the ISWD, explaining 54 % of the variability (p < 0.05). The reference equation was: ISWD = 814.49 + (286.80 × sex) - (3.05 × BMI) + (8.83 × QMS) + (22.30 × PAI), sex: female = 0, male = 1.</p>
<p><bold>Conclusions</bold>
</p>
<p>Sex, BMI, QMS and PAI were predictors of the ISWD in adolescents, providing a simple reference to assess their cardiorespiratory fitness. This equation is a valuable tool to interpret ISWD obtained from Portuguese adolescents, with or without a health condition.</p>
<p><bold>Keywords</bold>
</p>
<p>Cardiorespiratory fitness, Incremental Shuttle Walk Test, predictive equation, adolescents</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec536"><title>O87 Life satisfaction and psychopathology in institutionalized elderly people: The results of an adapted Mindfulness-Based Stress Reduction program</title>
<sec id="Sec537"><title>Bárbara Cruz<sup>1</sup>
, Daniel Seabra<sup>2</sup>
, Diogo Carreiras<sup>3</sup>
, Maria Ventura<sup>1</sup>
</title>
<sec id="Sec538"><title><sup>1</sup>
Irmandade da Misericórdia de Albergaria-a-Velha, 3850-069 Albergaria-a-Velha, Portugal; <sup>2</sup>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal; <sup>3</sup>
Gabinete de Apoio Psicológico, Instituto Superior Miguel Torga, Coimbra, 3000-132, Portugal</title>
<sec id="Sec539"><title><bold>Correspondence:</bold>
Daniel Seabra (daniel_seabra_@hotmail.com) – Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Elderly people tend to experience higher levels of depression, anxiety, subjective pain and experiential avoidance when compared with younger people. Recently, several studies have been giving empirical support to mindfulness practice as a way to improve well-being and life satisfaction. Objective: The present study aimed to test the benefits of a Mindfulness-Based Stress Reduction (MBSR) program in Portuguese institutionalized elderly people, as a way to improve life satisfaction and reduce psychopathology.</p>
<p><bold>Methods</bold>
</p>
<p>The present sample included 12 institutionalized elderly people, 9 females (75 %) and 3 males (25 %), with ages between 65 and 91 (M = 82.58 years; SD = 7.87), that filled several self-report questionnaires and were assessed with Mini Mental State Examination. Our exclusion criteria were the presence of cognitive or sensorial impairment, illiteracy, and age under 65 years. They attended to an adapted Mindfulness-Based Stress Reduction program, with 48 sessions (16 weeks) and they were evaluated before and after the intervention.</p>
<p><bold>Results</bold>
</p>
<p>The comparative analysis (Wilcoxon rank-sum test) revealed that depression, anxiety, experiential avoidance and subjective pain decreased significantly after the program. On the contrary, life satisfaction increased significantly.</p>
<p><bold>Conclusions</bold>
</p>
<p>The results suggest that the MBSR program is a useful intervention to reduce psychopathology and increase life satisfaction in institutionalized elderly people. The application of these interventions may be very useful in elderly care institutions. Future research should enlarge the sample, include a control group and assess follow-ups.</p>
<p>ClinicalTrials.gov Identifier: <ext-link ext-link-type="uri" xlink:href="https://clinicaltrials.gov/ct2/show/NCT02774018">NCT02774018</ext-link>
.</p>
<p><bold>Keywords</bold>
</p>
<p>Institutionalized elderly, mindfulness, life satisfaction, depression, anxiety, subjective pain</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec540"><title>O88 Outcome changes in COPD rehabilitation: exploring the relationship between physical activity and health-related outcomes</title>
<sec id="Sec541"><title>Joana Cruz<sup>1</sup>
, Dina Brooks<sup>2</sup>
, Alda Marques<sup>1</sup>
</title>
<sec id="Sec542"><title><sup>1</sup>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Rehabilitation Science Institute and Department of Physical Therapy, University of Toronto, Toronto, Ontario M5S 1A1 Canada</title>
<sec id="Sec543"><title><bold>Correspondence:</bold>
Joana Cruz (joana.cruz@ua.pt) – School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Reduced physical activity (PA) levels are associated with poor health-related outcomes in patients with Chronic Obstructive Pulmonary Disease (COPD). PA-focused interventions complementary to pulmonary rehabilitation (PR) have been developed to increase patients’ PA. However, it is unknown whether PA changes are related to health-related outcomes improvement. This study explored the relationship between changes in PA and health-related outcomes in patients with COPD.</p>
<p><bold>Methods</bold>
</p>
<p>Thirteen patients with COPD (65.6 ± 10.6 yrs) participated in a 12-week PR programme plus a PA-focused intervention. Daily PA was measured using accelerometers on weeks (W) 1, 7 and 12 and feedback was given to participants in the following weeks regarding: daily steps; time spent in sedentary, light and moderate-to-vigorous (MVPA) intensity activities. Exercise capacity (6-minute walk test), functional balance (Timed Up-and-Go (TUG) test) and health-related quality of life (St George’s Respiratory Questionnaire (SGRQ) – Symptoms, Activities, Impact) were assessed at W1/W12. Correlations between PA data and health-related outcomes were performed at W1 and using the change scores (W12-W1).</p>
<p><bold>Results</bold>
</p>
<p>At W1, time spent in MVPA was correlated with exercise capacity (r = 0.817, p = 0.001) and TUG (r = -0.692, p = 0.009). Changes in MVPA time were correlated with changes in TUG (r = -0.653, p = 0.016) and SGRQ Symptoms (r = -0.588, p = 0.035). The latter was also correlated with changes in sedentary time (r = 0.760, p = 0.003). No other significant correlations were found.</p>
<p><bold>Conclusions</bold>
</p>
<p>Patients with better exercise capacity and functional balance were also more physically active at W1. Nevertheless, findings suggest that intervention-related improvements in symptoms and functional balance may contribute to PA changes in a greater extent than exercise capacity. More research is needed.</p>
<p><bold>Keywords</bold>
</p>
<p>Active lifestyle, activity monitoring, chronic respiratory disease, COPD</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec544"><title>O89 Assessing the effectiveness of a Complex Nursing Intervention</title>
<sec id="Sec545"><title>M Rosário Pinto<sup>1</sup>
, Pedro Parreira<sup>2</sup>
, Marta Lima-Basto<sup>3</sup>
, Miguel Neves<sup>4</sup>
, Lisete M. Mónico<sup>5</sup>
</title>
<sec id="Sec546"><title><sup>1</sup>
Escola Superior de Saúde de Santarém, Santarém, 2005-075, Portugal; <sup>2</sup>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851, Portugal; <sup>3</sup>
Unidade de Investigação & Desenvolvimento em Enfermagem, Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063, Portugal; <sup>4</sup>
Hospital Distrital de Santarém, EPE, Santarém, 2005-177, Portugal; <sup>5</sup>
Universidade de Coimbra, 3004-504 Coimbra, Portugal</title>
<sec id="Sec547"><title><bold>Correspondence:</bold>
M Rosário Pinto (mrosariopinto.essaude@gmail.com) – Escola Superior de Saúde de Santarém, Santarém, 2005-075, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Nurses are engaged in patient education as an empowering patient-centred approach increases self-management and self-control, making this activity one of the most significant in nursing practice. Objective: To evaluate the effect of a nurses’ lifestyle education programme on type 2 diabetic patients’ metabolic control and self-care behaviours.</p>
<p><bold>Methods</bold>
</p>
<p>A controlled before and after experimental study was conducted to assess the effectiveness of the programme consisting of a sequence of individual, group and telephone educational interventions, applied over 24 weeks. 64 subjects completed the study in the experimental group (EG) and 58 in the comparison group (CG) (CES RLVT process number 039/CES/INV/2014). As it aimed to change self-care behaviours and increase metabolic control, Glycosylated haemoglobin, Body Mass Index (BMC) and self-care activities (Summary of Diabetes Self-Care Activities Scale) were assessed before and after the intervention programme.</p>
<p><bold>Results</bold>
</p>
<p>Mean percentage change in glycosylated haemoglobin was more significant in EG (–0.79 %, SD = 1.3) than in CG (-0.05 %, SD = .65), while BMCs decreased in EC (-0.50 kg/m<sup>2</sup>
, SD = 1.5) and increased in CG (+0.04 kg/m<sup>2</sup>
, SD = 1.2). Self-care activities showed positive changes, more significant in the experimental group. Expected behaviours concerning food increased by a mean of 2 days/week and physical activity 1 day/week in EG while in CG changes were lower (+0.6 days/week and +0.28 days/week, respectively). Daily foot examination increased 1.8 days/week in EG and only 0.14 days/week in CG.</p>
<p><bold>Conclusions</bold>
</p>
<p>The nursing educational programmed designed was effective in people with type 2 diabetes, resulting in higher metabolic control and more frequent self-care behaviours after the intervention was concluded.</p>
<p><bold>Keywords</bold>
</p>
<p>Complex Intervention effectiveness, nursing, <italic>Diabetes mellitus</italic>
, Lifestyle Educational Program</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec548"><title>O90 Psychotherapeutic intervention in addiction disorders: Change in psychopathological symptoms and emotional states</title>
<sec id="Sec549"><title>Carla Bizarro<sup>1</sup>
, Marina Cunha<sup>1</sup>
, Ana Galhardo<sup>1</sup>
, Couto Margarida<sup>1</sup>
, Ana P. Amorim<sup>1</sup>
, Eduardo Silva<sup>2</sup>
</title>
<sec id="Sec550"><title><sup>1</sup>
Instituto Superior Miguel Torga, Coimbra, 3000-132, Portugal; <sup>2</sup>
Centro de Tratamento Internacional VillaRamadas, 2460-355 Cela, Alcobaça, Portugal</title>
<sec id="Sec551"><title><bold>Correspondence:</bold>
Carla Bizarro (bizarro.carla@gmail.com) – Instituto Superior Miguel Torga, Coimbra, 3000-132, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Addiction is considered a complex phenomenon, set within a framework of equal complexity, given the amount of variables which interfere with it and, at the same time, are influenced by it. Objective: This study aims to explore the existence of changes in psychopathological symptoms and in emotional states, in patients undergoing treatment in a therapeutic community (applying the Change & Grow Therapeutic Model), specialized in treating addiction disorders.</p>
<p><bold>Methods</bold>
</p>
<p>The sample consists of 32 patients with ages between 15 and 55 years old of both genders. Patients filled in a sociodemographic questionnaire and the following self-report questionnaires: Depression, Anxiety and Stress Scale, Positive and Negative Affect Schedule, Internalized Shame Scale, Other as Shamer Brief, Aggressive Questionnaire and the Barratt Impulsiveness Scale. These instruments were administered at two distinct moments, with a five-month interval.</p>
<p><bold>Results</bold>
</p>
<p>The results revealed significant differences between in the variables studied when comparing the baseline and the second assessment. After five months of treatment there was a significant improvement in terms of psychopathological symptoms, including fewer depressive anxiety and stress symptoms. There was a decrease in negative affect, internal and external shame, as well as in aggressive and impulsive behaviours. An increase in positive affect was also found.</p>
<p><bold>Conclusions</bold>
</p>
<p>This is a novel study as it addresses and raises awareness of intervention with the Change & Grow Therapeutic Model. This programme shows promising results regarding psychopathological symptoms and in emotional states.</p>
<p><bold>Keywords</bold>
</p>
<p>Addiction disorders, change & grow, therapeutic community</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec552"><title>O91 Economic impact of a nursing intervention program to promote self-management in COPD</title>
<sec id="Sec553"><title>Susana Cruz<sup>1</sup>
, José M. Padilha<sup>2</sup>
, Jorge Valente<sup>3</sup>
</title>
<sec id="Sec554"><title><sup>1</sup>
Administração Regional de Saúde do Norte, Porto, 4000-447, Portugal; <sup>2</sup>
Escola Superior de Enfermagem do Porto, Porto, 4200-072, Portugal; <sup>3</sup>
Faculdade de Economia, Universidade do Porto, 4200-464 Porto, Portugal</title>
<sec id="Sec555"><title><bold>Correspondence:</bold>
Susana Cruz (susanacruz.ermesinde@gmail.com) – Administração Regional de Saúde do Norte, Porto, 4000-447, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Chronic obstructive pulmonary disease (COPD) is one of the main causes for morbidity and death worldwide. Maintaining life quality, autonomy and control over the disease involves the development of self-management skills. Objective: To determine the cost benefit of a nursing intervention program to promote self-management in COPD compared to a conventional treatment.</p>
<p><bold>Methods</bold>
</p>
<p>A quantitative and retrospective study was developed based on a post-factual documental analysis. A descriptive and exploratory analysis and a simulation to assess the robustness of results was performed. Between 2010-2013, 2,469 cases of COPD patients attending a Portuguese central hospital were analysed.</p>
<p><bold>Results</bold>
</p>
<p>This study evidenced that patients with more self-management skills have lower costs and fewer inpatient and emergency episodes. Although an increase in costs and number of nursing consultations is observed, these have minor impact in total care costs. Overall, the group under the intervention program registered a 67 % reduction in hospital costs between 2010-2013. The program is cost-beneficial for the health institution and has positive impact on the opportunity cost related to time saving while searching for health care provision services.</p>
<p><bold>Conclusions</bold>
</p>
<p>The nursing intervention programmes aimed at developing self-management skills show positive impact on patients’ health condition and on health care costs. An increase in advantages deriving from this long-term type of program is to be expected in the forthcoming years.</p>
<p><bold>Keywords</bold>
</p>
<p>COPD, self-management, costs, cost-effectiveness, cost-benefit, economic analysis</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec556"><title>O92 Multimodal acute pain management during uterine artery embolization in treatment of uterine myomas</title>
<sec id="Sec557"><title>José T. Guerrero<sup>1</sup>
, Francisco P. Caballero<sup>2</sup>
, Rafael B. Santos<sup>3</sup>
, Estefania P. Gonzalez<sup>1</sup>
, Fátima M. Monago<sup>4</sup>
, Lierni U. Ugalde<sup>3</sup>
, Marta M. Vélez<sup>1</sup>
, Maria J. Tena<sup>2</sup>
</title>
<sec id="Sec558"><title><sup>1</sup>
Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080, España; <sup>2</sup>
Centro de Salud La Paz, Badajoz, 06011, España; <sup>3</sup>
Universidad de Extremadura, Badajoz, 06071, España; <sup>4</sup>
Centro de Salud San Fernando, Badajoz, 06006, España</title>
<sec id="Sec559"><title><bold>Correspondence:</bold>
José T. Guerrero (tenaguerrero@hotmail.com) – Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080, España</title>
<p><bold>Background</bold>
</p>
<p>Selective uterine arterial embolization can be followed by pain, nausea, vomiting and stress-induced catabolism. Development of improved pain relief with multimodal analgesia and stress reduction by regional anaesthetic techniques has provided important possibilities for enhanced recovery. Objective: To evaluate the effectiveness of a multimodal analgesia protocol for the management of uterine artery embolization in women for the relief of acute pain.</p>
<p><bold>Methods</bold>
</p>
<p>Observational, prospective study of 40 patients who underwent selective uterine arterial embolization, with epidural catheter implanted and intravenous administration of analgesia for postoperative pain management. Pain intensity was measured by visual analogue scale (VAS) during the first 24-48 hours after procedure.</p>
<p><bold>Results</bold>
</p>
<p>The mean age of the patients was 39.1 ± 6.79 years; we used a regional anaesthetic technique with epidural anaesthesia or combined spinal and epidural anaesthesia for perioperative period in combination with Nonsteroidal anti-inflammatory drugs (NSAIDs) and paracetamol. 75 % of patients reported a VAS pain score below 3 point 24 hours after the procedure. 15 % of patients needed bolus administration of morphine and 10 % of patients needed a local anaesthetic bolus of lidocaine 2 % for an adequate pain control. The average length of stay in resuscitation area was 1.07 ± 0.26, with a VAS < 3 to discharge. Degree of patient’s satisfaction after selective uterine artery embolization was 7.8 ± 1.6.</p>
<p><bold>Conclusions</bold>
</p>
<p>Pain is a complex sensation that requires an interdisciplinary approach. Multimodal analgesia includes the association of analgesics and local anaesthetic administered by different routes to achieve effective relief. This approach increases patient satisfaction.</p>
<p><bold>Keywords</bold>
</p>
<p>Pain, analgesia, multimodal</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec560"><title>O93 Fluid administration strategies in major surgery: Goal-directed therapy</title>
<sec id="Sec561"><title>José T. Guerrero<sup>1</sup>
, Rafael Bravo<sup>2</sup>
, Francisco L. Pérez-Caballero<sup>3</sup>
, Isabel A. Becerra<sup>1</sup>
, Mª Elizabeth Agudelo<sup>1</sup>
, Guadalupe Acedo<sup>1</sup>
, Roberto Bajo<sup>1</sup>
</title>
<sec id="Sec562"><title><sup>1</sup>
Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España; <sup>2</sup>
Universidad de Extremadura, Badajoz, 06071, España; <sup>3</sup>
Centro de Salud La Paz, Badajoz, 06011, España</title>
<sec id="Sec563"><title><bold>Correspondence:</bold>
Rafael Bravo (rbravo@unex.es) – Universidad de Extremadura, Badajoz, 06071, España</title>
<p><bold>Background</bold>
</p>
<p>Inappropriate fluid management during major surgery may result in fluid overload or systemic hypoperfusion. Perioperative goal-directed therapy based on hemodynamic parameters in comparison with “liberal” fluid administration appears to have different effects on perioperative outcomes. Objective: We investigated whether individualized goal-directed therapy would decrease fluid administration and improve postoperative outcomes.</p>
<p><bold>Methods</bold>
</p>
<p>Patients undergoing elective intraabdominal surgery were randomly assigned to a control group (CG) with routine intraoperative care and goal-directed therapy fluid administration group (GDT group), where fluid management was guided by hemodynamic measures. The local ethics committee approved the study. A total of 60 patients were included in the study.</p>
<p><bold>Results</bold>
</p>
<p>Groups were similar with respect to demographics and baseline hemodynamic variables. The median duration of resuscitation area stay was significantly reduced in the GDT group (p < 0.05) and fewer patients developed complications than in the control group (p > 0.05). The median amount of intravenous fluids was significantly lower in the GDT group (p < 0.01). The total number of complications was reduced in the GDT group (p > 0.05). There were no significant differences in mortality between the groups.</p>
<p><bold>Conclusions</bold>
</p>
<p>In patients undergoing major abdominal surgery, implementation of intraoperative goal-directed hemodynamic strategies was associated with a reduced length of resuscitation area stay, with a reduced amount of intravenous fluids allowing us to avoid fluid overload and lower the incidence of complications compared to “liberal” fluid administration.</p>
<p><bold>Keywords</bold>
</p>
<p>Goal-directed therapy, fluid therapy, major surgery</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec564"><title>O94 Development and implementation of a self-management educational programme using lay-led’s in adolescents Spina Bifida: A pilot study</title>
<sec id="Sec565"><title>Isabel Malheiro<sup>1</sup>
, Filomena Gaspar<sup>1</sup>
, Luísa Barros<sup>2</sup>
</title>
<sec id="Sec566"><title><sup>1</sup>
Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal; <sup>2</sup>
Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal</title>
<sec id="Sec567"><title><bold>Correspondence:</bold>
Isabel Malheiro (mmalheiro@esel.pt) – Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Development challenges of an adolescent are based on the search for identity and parental independence. For adolescents with Spina Bifida (SB) these challenges become particularly hard to overcome. The development of functional skills in performing daily life activities and self-management are crucial to facilitate their transition to adulthood. The main purpose of this study was to develop an educational programme for self-management for adolescents with SB and evaluate its effect.</p>
<p><bold>Methods</bold>
</p>
<p>Fifty-six (56) adolescents with SB, aged 10 to 18 performed the programme in a Summer Camp environment, with a before and after programme evaluation and 6 months later. The Functional Independence Measure and Self-evaluation functionality scale were used as data collection instruments (quantitative approach) and 12 focus group interviews, 8 with the adolescents on the last day of the programme and 4 with their parents 6 months later (qualitative approach).</p>
<p><bold>Results</bold>
</p>
<p>The results revealed that the programme induced statistically significant differences in self-care, elimination, transfers and social cognition dimensions that persisted 6 months after the programme. Of the psychoeducational strategies used in the programme, they highlighted the problem solving technique, roleplaying, mentoring and modelling by lay-led programmes as those that most contributed to changes in the self-management behaviour of these adolescents.</p>
<p><bold>Conclusions</bold>
</p>
<p>The results suggest clear benefits in improving the functionality and the development of self-management skills and, suggest that the programme was highly effective. These results reinforce the importance of using psychoeducational strategies within the nursing intervention to promote mastery and the self-management competences in young people with SB.</p>
<p><bold>Keywords</bold>
</p>
<p>Adolescents, Spina Bifida, Nursing Intervention, Self-management Educational Program, Psychoeducational Strategies, Lay-Leds</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec568"><title>O95 Influence of chair-based yoga exercises on salivary anti-microbial proteins in institutionalized frail-elderly women: a preliminary study</title>
<sec id="Sec569"><title>Guilherme Furtado<sup>1,2</sup>
, Mateus Uba-Chupel<sup>1,2</sup>
, Mariana Marques<sup>1</sup>
, Luís Rama<sup>1</sup>
, Margarida Braga<sup>1,3</sup>
, José P. Ferreira<sup>1</sup>
, Ana Mª Teixeira<sup>1</sup>
</title>
<sec id="Sec570"><title><sup>1</sup>
Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal; <sup>2</sup>
Fundação Capes, Ministério da Educação, 70.040-020, Brasília, Distrito Federal, Brasil; <sup>3</sup>
Faculty of Medicine, University of Porto, Porto, 4200-450, Portugal</title>
<sec id="Sec571"><title><bold>Correspondence:</bold>
Guilherme Furtado (furts2001@yahoo.com.br) – Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Exercise has been reported as a way of attenuating the effects of immunosenescence. Reductions in salivary anti-microbial proteins (AMP) levels reflect reduced airway mucosal immune protection leading to upper respiratory tract infections. Yoga practice could be used as therapy, as it doesn’t require strenuous effort and it could be easily adaptable to the necessities of the frail elderly. Objective: With this study we propose to analyse whether chair-based yoga practice can be used to attenuate the effects of immunosenescence in pre-frail elderly women.</p>
<p><bold>Methods</bold>
</p>
<p>The final sample consisted of thirty-four elderly individuals (mean age 84.21 ± 6.9 years) that participated in the study and were divided into two groups: an exercise group (EG, n = 22) and a control group (CG, n = 14). All subjects were evaluated before and after the exercise program. The EG practised exercise 2-3 times per week for 14 weeks, and the CG was not involved in any exercise programmes. Saliva samples were collected before and after 28 weeks. Differences between moments were analysed using the Student t-test.</p>
<p><bold>Results</bold>
</p>
<p>According to the results there were no statistical significant differences in the EG individuals after the 14-week exercise program in the AMP concentrations, however the GC participants showed a decrement of IgA and lysozyme levels (p ≥ 0.05).</p>
<p><bold>Conclusions</bold>
</p>
<p>Our results revealed that chair-based yoga practice was able to maintain mucosal immune parameters in frail elderly women, possibly preventing a decrease in quality of life, and that it can be used as a therapy to attenuate the effects of immunosenescence.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, Yoga, Immunology-system</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec572"><title>O96 High intensity interval training vs moderate intensity continuous training impact on diabetes 2</title>
<sec id="Sec573"><title>João Cruz<sup>1,2</sup>
, Tiago Barbosa<sup>1</sup>
, Ângela Simões<sup>1</sup>
, Luís Coelho<sup>1,2</sup>
</title>
<sec id="Sec574"><title><sup>1</sup>
School of Education and Social Sciences, Polytechnic Institute of Leiria, Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Life Quality Research Centre – IPLeiria Branch, Polytechnic Institute of Leiria, Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec575"><title><bold>Correspondence:</bold>
João Cruz (joaocruz@ipleiria.pt) – School of Education and Social Sciences, Polytechnic Institute of Leiria, Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Diabetes is a metabolic disease emerging as a threat to human health. Physical Activity is presented as a strategy for the treatment and control of this disease. Objectives: To compare the benefits of High Intensity Interval Training (HIIT) versus Moderate Intensity Continuous Training (MICT) on several diabetes markers, namely HbA1c.</p>
<p><bold>Methods</bold>
</p>
<p>The sample comprised 10 diabetic individuals, aged 61.7 ± 9.37 years old; with a body mass of 88.39 ± 2.54 kg; 163.7 ± 9.13 cm in height; a body fat mass of 29.84 ± 12.74 kg; lean mass of 55.63 ± 14.47 kg, visceral fat rating 14.4 ± 6.6 and a waist circumference of 109.8 ± 16.92 cm. Group 1 (HIIT, n = 5) performed a walk of 30 minutes at an intensity of HRR60-65 %, and Group 2 (MICT, n = 5) performed a 20-minute walk/run alternating 1 minute run at HRR70-75 % with 1 minute active recovery at HRR50-60 % for seven weeks, two times a week. Fibrinogen, HbA1c, total cholesterol, HDL, LDL, triglycerides, C-reactive protein, homocysteine, waist circumference, and VO<sub>2</sub>
max were determined for the two groups.</p>
<p><bold>Results</bold>
</p>
<p>No differences were found between the type of exercise performed between groups. HbA1c in MICT was significantly reduced (p = 0.043) in post versus pre-testing; Homocysteine and Body Fat Mass was also significantly reduced (p = 0.043) at the end of the HIIT protocol.</p>
<p><bold>Conclusions</bold>
</p>
<p>The type of exercise (HIIT vs. MICT) does not appear to induce different outcomes on markers of diabetes, namely on HbA1c.</p>
<p><bold>Keywords</bold>
</p>
<p>Quality of life, diabetes, metabolic disease, HbA1c, physical exercise</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec576"><title>O97 Family caregiver of people with pressure ulcer: Nursing intervention plan</title>
<sec id="Sec577"><title>Alexandre Rodrigues<sup>1</sup>
, Juan-Fernando Jiménez-Díaz<sup>2</sup>
, Francisco Martinez-Hernandez<sup>2</sup>
, Bienvenida Rodriguez-De-Vera<sup>2</sup>
, Pedro Ferreira<sup>3</sup>
, Alexandrina Rodrigues<sup>4</sup>
</title>
<sec id="Sec578"><title><sup>1</sup>
Universidade de Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, España; <sup>3</sup>
Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal; <sup>4</sup>
Unidade de Cuidados na Comunidade da Ponte da Barca, 4980-620 Ponte da Barca, Portugal</title>
<sec id="Sec579"><title><bold>Correspondence:</bold>
Alexandre Rodrigues (rodriguesalexandr@gmail.com) – Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Daily routines and the specific pressure ulcer (PU) care can cause different needs for the caregiver. This follows results of a study (2015) where the main needs were identified of family caregivers of people with pressure ulcers. In this work the nursing interventions for each need are defined. Objective: To define the nursing interventions associated with the needs of caregivers of people with pressure ulcers.</p>
<p><bold>Methods</bold>
</p>
<p>A qualitative study. Questionnaire with open questions to twelve domiciliary care nurses. Speech analyses with WEBQDA program. All ethical aspects checked.</p>
<p><bold>Results</bold>
</p>
<p>For difficulties in positioning, the nursing interventions are: teach, instruct, demonstrate, train, assist and supervise positioning, provide materials and literary support. When they refuse to contact with PU, it is important to know the reasons, to explain the importance of the treatment, to positively strengthen their performance and ascertain if a secondary caregiver exists with competences to give treatment. The low level of quality of life and the high level of burden require health and social support, the use of scales for assessment, providing a secondary caregiver and defining strategies to rest. When caregivers need to be recognised, nurses may strengthen their importance and encourage them to have time to themselves.</p>
<p><bold>Conclusions</bold>
</p>
<p>Main interventions are integrated into the autonomous nursing area. To obtain health gains for the caregiver, nursing interventions may be direct not only to the caregiver, but also with best care for the patient and to find health and social resources for both.</p>
<p><bold>Keywords</bold>
</p>
<p>Caregiver, Pressure ulcer, Nursing care</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec580"><title>O98 Chronic effects of exercise on motor memory consolidation in elderly people</title>
<sec id="Sec581"><title>André Ramalho<sup>1</sup>
, João Petrica<sup>1,2</sup>
, Pedro Mendes<sup>1</sup>
, João Serrano<sup>1,2</sup>
, Inês Santo<sup>3</sup>
, António Rosado<sup>4</sup>
</title>
<sec id="Sec582"><title><sup>1</sup>
Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal; <sup>2</sup>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; <sup>3</sup>
Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland; <sup>4</sup>
Faculty of Human Kinetics, University of Lisbon, 1649-028 Lisboa, Portugal</title>
<sec id="Sec583"><title><bold>Correspondence:</bold>
André Ramalho (andreramalho361@gmail.com) – Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p>Recent studies have shown that a single bout of aerobic exercise improves motor memory consolidation. However, few studies have explored the chronic effects of exercise on motor memory consolidation in elderly people. The main purpose of this study was to investigate if a six-month period of physical exercise could improve motor memory consolidation in elderly people.</p>
<p>Thirty-eight (38) subjects of both genders, with a mean age of 71 years old participated in the study. Subjects were divided into two groups: a control group and an experimental group. Before the intervention of a physical exercise program, subjects performed a Finger Tapping Sequence to measure baseline performance. After the intervention, the assessment of the impact of exercise on motor memory consolidation was held in three stages: Training, 1 hour after training and 24 hours after training. For the analysis of the results, descriptive and inferential statistics were used.</p>
<p>The Shapiro-Wilk test was applied to the normality distribution of data and one-way ANOVA test for parametric statistics. When compared with the control group, results showed a better performance in motor memory consolidation 1 hour and 24 hours after training in the experimental group. Nevertheless, these differences were not significant (p ≥ 0.05). It seems therefore that regular physical exercise does not significantly improve motor memory consolidation capacity in elderly people.</p>
<p>ClinicalTrials.gov Identifier: <ext-link ext-link-type="uri" xlink:href="https://clinicaltrials.gov/ct2/show/NCT02731261?term=effects+of+exercise+on+motor+memory&rank=1">NCT02731261</ext-link>
.</p>
<p><bold>Keywords</bold>
</p>
<p>Physical Exercise, Motor Memory Consolidation, Finger Tapping Sequence, Learning, Aging</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec584"><title>O99 Impression cytology of the ocular surface: Collection technique and sample processing</title>
<sec id="Sec585"><title>Paula Mendonça, Kátia Freitas</title>
<sec id="Sec586"><title>Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</title>
<sec id="Sec587"><title><bold>Correspondence:</bold>
Paula Mendonça (paula.mendonca@estesl.ipl.pt) – Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The impression cytology of the ocular surface is a minimally invasive technique that allows the analysis of conjunctival and corneal cells, as an alternative to smears, biopsies and punches. Objective: The aim of this study was to present a technique of collecting, fixing and staining for impression cytology of ocular specimens.</p>
<p><bold>Methods</bold>
</p>
<p>Fifty (50) samples of bulbar conjunctiva taken from 50 ESTeSL volunteers were analysed. The material was collected on a strip of cellulose acetate from Millipore, then fixed and stained with Papanicolaou stain. The slides were analysed by three independent evaluators, using an evaluation grid with the following parameters: cell size, detail and nuclear membrane, detail and cytoplasmic membrane, ratio N/C and tinctorial affinity. The final score per slide was obtained through the sum of all considered parameters (scale 0 to 41).</p>
<p><bold>Results</bold>
</p>
<p>The filter paper with apex helped to correctly position the paper in the eye and the procedure that was applied allowed an effective collection of cells with 50-70 % of the filter surface being filled without the need for topical anaesthesia. The SureThin fixative presented quality in cell preservation, in addition to being more economical. The Papanicolaou staining technique proved to be ideal in the colouring of ocular epithelial cells. This developed methodology presented a maximum score of 41 values in a 74 % response.</p>
<p><bold>Conclusions</bold>
</p>
<p>The presented method proved to be very effective in evaluating of ocular cell samples, while simultaneously proving to be a very cheap and comfortable technique for the patient.</p>
<p><bold>Keywords</bold>
</p>
<p>Impression cytology, Collection method, Fixation, SureThin, Papanicolaou staining</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec588"><title>O100 Does sport practice affect the reaction time in neuromuscular activity?</title>
<sec id="Sec589"><title>Dora Ferreira, António Brito, Renato Fernandes</title>
<sec id="Sec590"><title>Escola Superior Desporto De Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</title>
<sec id="Sec591"><title><bold>Correspondence:</bold>
Dora Ferreira (dferreira@esdrm.ipsantarem.pt) – Escola Superior Desporto De Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</title>
<p>Nowadays the regular practice of sport is an important way to preserve the population’s health. One of the benefits of practising sport is related to the maintenance and improvement of neuromuscular functions, especially the capacity to react to external stimuli and to promote movement. The present study aimed to identify the effects of training on Neuromuscular Reaction Time (NRT) in karatekas and non-karate athletes with various ages and level of expertise.</p>
<p>NRT was considered as the time between the application of the auditory stimulus and the onset of electrical activation of the first muscle activated in the inferior limb to perform a front kick against a fixed target (Mae-geri). The data were collected with surface electromyography. The NRT was measured, analysed and compared in n = 46 participants divided into four groups.</p>
<p>The results revealed that the first muscle to be activated in all groups was the Tibialis Anterior (TA). However, there were no significant differences between groups respecting NRT of this muscle. Nevertheless, significant differences were found between groups in NRT in the Biceps Femoris (BF) and Gastrocnemius (GA) muscles. The results show a differentiated neuromuscular time of recruitment in response to the stimulus in some muscles, which could be associated with the benefits of the sport practice on neuromuscular activity. We may assume that the individuals that keep active in daily routine life skills probably don’t decline at the cognitive process level. They change and adapt due to the natural aging process.</p>
<p><bold>Keywords</bold>
</p>
<p>Reaction Time, Neuromuscular, Karate</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec592"><title>O101 Efficiency of the enteral administration of fibbers in the treatment of chronic obstipation</title>
<sec id="Sec593"><title>Sofia Gomes<sup>1</sup>
, Fernando Moreira<sup>1,2</sup>
, Cláudia Pinho<sup>1,3</sup>
, Rita Oliveira<sup>1,3,4</sup>
, Ana I. Oliveira<sup>1,3</sup>
</title>
<sec id="Sec594"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330, Portugal; <sup>2</sup>
Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal & Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129, Portugal; <sup>3</sup>
Núcleo de Investigação e Intervenção em Farmácia, Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330, Portugal; <sup>4</sup>
Secção Autónoma de Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec595"><title><bold>Correspondence:</bold>
Sofia Gomes (sofiasilvagomes93@gmail.com) – Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330, Portugal</title>
<p>It is estimated that constipation affects 20 % of the population in western countries, leading to a significant impact on people’s quality of life. The administration of some types of fibres has significantly improved the symptoms of constipation over 4-week periods of administration, apparently increasing the frequency of defecation and having a protective effect on the intestinal flora. In addition to their effect on this pathology, fibres have been linked to beneficial outcomes in cardiovascular diseases, diabetes, obesity, colorectal cancer and haemorrhoids. This study focuses on the short-term evaluation of the benefits of fibres on intestinal motility in constipated patients.</p>
<p>A quasi-experimental pilot study was performed, consisting of the administration of 6.3 g of a blend supplement of six soluble and insoluble fibres (containing soy polysaccharide, cellulose, resistant starch, gum arabic, oligofructose and inulin) both at lunch and dinner, for 15 days. The sample included 5 patients diagnosed with chronic constipation who frequently use laxatives, aged between 50 and 83, and who did not require a restricted-fibre diet.</p>
<p>Participants obtained stools of type 3 and 4, according to the Bristol stool form scale. The average daily bowel evacuations decreased and all participants ended up taking laxatives after a short initial stop. The supplementation with the fibre-enriched product did not cause any adverse symptoms.</p>
<p>According to this study, the supplementation of chronically constipated patients with fibres is ineffective in the reduction of obstipation, over a short-term period of 15 days. Besides, the dependence generated by the use of laxatives is clearly demonstrated.</p>
<p><bold>Keywords</bold>
</p>
<p>Supplement, inulin, oligosaccharides, bowel, prebiotics</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec596"><title>O102 Fast decalcifier in compact bone and spongy bone</title>
<sec id="Sec597"><title>Paula Mendonça<sup>1</sup>
, Ana P. Casimiro<sup>2</sup>
, Patrícia Martins<sup>1</sup>
, Iryna Silva<sup>3</sup>
</title>
<sec id="Sec598"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal; <sup>2</sup>
Hospital SAMS – Serviços de Assistência Médico-social do Sindicato dos Bancários, 1849-017 Lisboa, Portugal; <sup>3</sup>
North Tyneside General Hospital, Tyne and Wear NE29 8NH, Newcastle, UK</title>
<sec id="Sec599"><title><bold>Correspondence:</bold>
Paula Mendonça (paula.mendonca@estesl.ipl.pt) – Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>This study evaluates the effectiveness of the decalcification process, comparing water decalcifiers – Nitric Acid 10 %, for compact bone, and Surgipath® Decalcifier® II (SD® II), for spongy bone – and the new commercial formula, Fast Decalcifier, for both types. Objective: To compare the effectiveness of decalcifiers through the study of morphology, preservation and quality of bone biological samples.</p>
<p><bold>Methods</bold>
</p>
<p>One hundred and forty (140) blocks of histological samples of compact and spongy bone of swine, previously fixed in 10 % formalin and impregnated in paraffin were used. The decalcification process was evaluated for compact bone by weighing after 24 hours, cutting with a scalpel and by sound, while the spongy bone was evaluated every hour within 24 hours through the evaluation by palpation with forceps. The morphology preservation was evaluated by Hematoxylin-Eosin staining and presence of calcium was checked by Von Kossa and Alizarin Red S staining.</p>
<p><bold>Results</bold>
</p>
<p>The one-way ANOVA test indicates that were no statistically significant differences compared with Fast Decalcifier (p-value > α = 0.05) with SD® II for spongy bones. The Fast Decalcifier bone did not reveal good results in compact bone which means that the decalcifier is aggressive and doesn’t preserve the tissue architecture in the cases with a high calcium level.</p>
<p><bold>Conclusions</bold>
</p>
<p>The new commercial formula, Fast Decalcifier showed a better performance in the removal of calcium, in the preservation of morphology and an adequate time for performance, proving to be the best decalcifier for spongy bone compared with SD® II.</p>
<p><bold>Keywords</bold>
</p>
<p>Nitric acid 10 %, Fast decalcifier, Compact bone, Spongy bone</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec602"><title>O103 Prevention of musculoskeletal disorders through an exercise protocol held in labour context</title>
<sec id="Sec603"><title>Catarina Leitão<sup>1</sup>
, Fábia Velosa<sup>2</sup>
, Nélio Carecho<sup>3</sup>
, Luís Coelho<sup>1,2</sup>
</title>
<sec id="Sec604"><title><sup>1</sup>
Life Quality Research Centre, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal; <sup>2</sup>
School of Education and Social Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal; <sup>3</sup>
Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, 88040-900, Brasil</title>
<sec id="Sec605"><title><bold>Correspondence:</bold>
Catarina Leitão (catarinaleitao.pt@gmail.com) – Life Quality Research Centre, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p>Musculoskeletal disorders (LME) are well recognized as work related diseases (MSDs). Physical Activity can play an important role in preventing MSDs and improving pain symptoms related to labour activity.</p>
<p>This research aimed to analyse the influence of a 10 week (bi-weekly) exercise program (gymnastics and fitness) held in labour context, on the reduction of musculoskeletal symptoms and well-being of factory workers.</p>
<p>An exploratory longitudinal study design was conducted using a sample of 20 factory workers. The Nordic Questionnaire for musculoskeletal symptoms and physical tests of strength and flexibility were used to collect data in two different moments, T0 (before the intervention) and T1 (after the intervention). There was a decrease of pain complaints (25 % in the cervical region, 20.8 % in the shoulders, elbows 16.7 %, 8.4 % wrists, 12.5 % in the lumbar region, 20.8 % in the knees and 8.3 % over the ankles/feet) and an increased sense of well-being (feeling optimistic = 58.3 % and feel active = 66.7 %). There were also statistically significant improvements in flexibility, respectively in the trunk flexion (p = 0.000) and in the Reaching the Left Upper Limb test (p = 0.000).</p>
<p>Exercise has become an essential element in promoting health and improving quality of life, reducing the risk of developing chronic diseases.</p>
<p><bold>Keywords</bold>
</p>
<p>Exercise protocol, musmusculoskeletal disorders, musmusculoskeletal disorders prevention</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec606"><title>O104 Knowledge of teachers and other education agents on diabetes type 1: Effectiveness of an intervention program</title>
<sec id="Sec607"><title>Eva Menino<sup>1</sup>
, Anjos Dixe<sup>1</sup>
, Helena Catarino<sup>1</sup>
, Fátima Soares<sup>2</sup>
, Ester Gama<sup>3</sup>
, Clementina Gordo<sup>1</sup>
</title>
<sec id="Sec608"><title><sup>1</sup>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Unidade de Saúde Pública, ACES Pinhal Litoral, ARS Centro, 3100-462 Pombal, Portugal; <sup>3</sup>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</title>
<sec id="Sec609"><title><bold>Correspondence:</bold>
Eva Menino (eva.guilherme@ipleiria.pt) – Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Type 1 diabetes is one of the most prevalent chronic diseases in school age, needing therefore knowledgeable staff in order to assure a safe school environment. It is recommended that the school health nurse should be the professional to plan, prepare and ensure (coordinate) training to school staff (ADA, 2014) [1]. Objectives: To evaluate the effectiveness of an intervention program focused on the development of knowledge of education staff on type 1 diabetes.</p>
<p><bold>Methods</bold>
</p>
<p>This is a quasi-experimental study, with a pre-post intervention design with no control group, which included 81 educators. It was implemented an intervention program by a school nurse with theoretical and practical components. Before and after intervention, it was applied a questionnaire with socio-economic data and the Portuguese version of the “Diabetes knowledge Questionnaire” scale [2] about type 1 diabetes.</p>
<p><bold>Results</bold>
</p>
<p>The knowledge improved with the intervention. Total score (ranging from 0 -17) obtained before intervention was 11.10 ± 2.69 and after this average rose to 13.84 ± 1.87, having a statistically significant difference (p < 0.001). Less knowledge was identified in healthy eating and monitoring blood glucose, before intervention. After intervention, worst scores were identified in the detection of hypoglycemia signals and in intervention during hypoglycemia.</p>
<p><bold>Conclusions</bold>
</p>
<p>Knowledge is a basic condition for monitoring and for a correct intervention in type 1 diabetes complications, such as severe hypoglycemia. It is, therefore, necessary to develop effective intervention programs towards the acquisition of knowledge by the school staff that supervise students with diabetes.</p>
<p><bold>References</bold>
</p>
<p>1. American Diabetes Association. Diabetes care in the school and day care setting. Diabetes care, 2012; 35. Supplement 1: S76-S80.</p>
<p>2. Menino E, Roque S, Dixe M. Cross-cultural adaptation of the "Test of Diabetes Knowledge for Teachers". 2015.</p>
<p><bold>Keywords</bold>
</p>
<p>Type 1 diabetes mellitus, nursing, knowledge, health school</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec610"><title>O105 Treatment of diabetic peripheral neuropathic pain: a systematic review of clinical trials of phase II and III</title>
<sec id="Sec611"><title>Eliana Moreira, Cristiana Midões, Marlene Santos</title>
<sec id="Sec612"><title>Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</title>
<sec id="Sec613"><title><bold>Correspondence:</bold>
Marlene Santos (mes@estsp.ipp.pt) – Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</title>
<p>Diabetic Peripheral Neuropathic Pain (DPNP) is a common complication of diabetes, which affects a wide fraction of patients, and it’s likely to increase due to the prevalence of Diabetes. Diabetic neuropathy is a complication associated with patient age, illness course and hyperglycaemia severity. DPNP pharmacologic treatment includes antidepressants, anticonvulsants, and opioid drugs, among others. However, and given the different pharmacologic options, pain relief is currently unsatisfactory in most of the cases.</p>
<p>The aim of this study was to systematically review randomized controlled trials of oral and topical pharmacotherapy for DPNP, including studies published in peer-reviewed journals in PUBMED and unpublished trials retrieved from ClinicalTrials.gov, reporting predefined efficacy and safety outcomes, published from 2010 on. Participants in these trials included people with diabetes mellitus and diabetic peripheral neuropathy who were given any treatment for diabetic peripheral neuropathy. Data from the trials were reviewed by two authors independently, and extracted using standardized data extraction sheets.</p>
<p>From the 29 selected trials, 11 were elected after exclusion criteria were applied; these trials included drugs with different pharmacotherapeutic profiles. Significant improvement of pain was only reported for two trials: one with a serotonin and norepinephrine reuptake inhibitor and other with a cholinergic agonist of the nicotinic receptors. Both these drugs present statistically significant differences in the intensity of the pain when compared to placebo.</p>
<p>Further investigation in required to fully explain the mechanisms of the nerve injury in in order to develop a target therapy for DPNP, with more efficient pain control.</p>
<p><bold>Keywords</bold>
</p>
<p>neuropathic pain, diabetic peripheral neuropathic pain, diabetes mellitus, drug, treatment</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec614"><title>O106 New drugs for osteoporosis treatment: Systematic review of clinical trials of phase II and III</title>
<sec id="Sec615"><title>Sara Machado, Vânia P. Oliveira, Marlene Santos</title>
<sec id="Sec616"><title>Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</title>
<sec id="Sec617"><title><bold>Correspondence:</bold>
Marlene Santos (mes@estsp.ipp.pt) – Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</title>
<p>Osteoporosis is a disease characterized by decreased bone mass and deterioration of bone microarchitecture. It is a highly prevalent condition in western countries, and it is estimated to affect 5 % of the Portuguese population. Advances in the research in the pathophysiology of the disease have been used for the development of new molecules. In addition, several clinical trials have been developed in order to determine the effectiveness of new drugs to treat osteoporosis.</p>
<p>The aim of this study was to systematically review randomized controlled trials of oral drugs for osteoporosis treatment. The systematic review was performed in electronic databases, particularly at ClinicalTrials (<ext-link ext-link-type="uri" xlink:href="http://www.clinicaltrials.gov/">www.clinicaltrials.gov</ext-link>
) and PubMed (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/pubmed">http://www.ncbi.nlm.nih.gov/pubmed</ext-link>
), of which were selected only clinical trials of phase II and III, in patients of female gender, published in the last five years, which addressed any drug for the treatment of osteoporosis.</p>
<p>After inclusion and exclusion criteria, of the 132 studies, 34 were selected to be included in the systematic review. These trials included drugs of different pharmacologic profiles. Regarding drugs with anabolic effects, molecules which stimulate bone formation, clinical trials show efficacy for Romosozumab and BA 058, while for MK-5442 the results were unsatisfactory. Regarding bone antiresorptive drugs, Denosumab was reported in several studies to have high efficacy. Other further promising drugs included ONO-5334 and Odanacatib, which showed positive results in several clinical trials.</p>
<p>Despite the wide diversity of drugs under clinical trials, new pharmacological options should be developed to revert bone loss in this highly prevalent chronic disease.</p>
<p><bold>Keywords</bold>
</p>
<p>Osteoporosis, drugs, clinical trials, bone mineral density</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec618"><title>O107 Promoting hope at the end of life: Effectiveness of an Intervention Programme</title>
<sec id="Sec619"><title>Ana Querido<sup>1</sup>
, Anjos Dixe<sup>1</sup>
, Rita Marques<sup>1,2</sup>
, Zaida Charepe<sup>3</sup>
</title>
<sec id="Sec620"><title><sup>1</sup>
Health Research Unit, School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal; <sup>3</sup>
Universidade Católica Portuguesa, Lisboa, 1649-023, Portugal</title>
<sec id="Sec621"><title><bold>Correspondence:</bold>
Ana Querido (ana.querido@ipleiria.pt) – Health Research Unit, School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Hope is essential to life and a coping strategy for people with advanced chronic illness facing the end of life. Objectives: Test the effect of an intervention Programme to Promote Hope (PPH) on hope, quality of life (QOL) and comfort of people in palliative situation.</p>
<p><bold>Methods</bold>
</p>
<p>Fifty-six (56) palliative patients were randomly assigned to an intervention group (n = 28) and a control group (n = 28). The intervention group was provided with 3 PPE sessions (1 hour) for one week, while the control group were submitted to the regular treatment. All patients were assessed with the Portuguese versions of the Herth Hope Index, McGill Quality of Life Questionnaire and Holistic Comfort Questionnaire at pre-test/post-test, at one month follow up. The dropouts resulted in n = 11 in intervention group and 12 in control group. Results were analysed using non-parametric statistics.</p>
<p><bold>Results</bold>
</p>
<p>Patients experienced good levels of hope, QOL and comfort. There was no significant difference at the pre-test of outcome measures (p > 0.05). After the intervention significant differences existed between the 2 groups in Hope and QOL, but no differences in comfort levels. Follow-up hope levels decreased with significant differences between the groups (p < 0.05). Differences in QOL were not found. Comfort levels were significantly different in follow up, with higher levels of comfort experienced by the intervention group.</p>
<p><bold>Conclusions</bold>
</p>
<p>A structural hope intervention programme in palliative patients in a community setting had a positive effect on improving hope, quality of life and comfort. More studies need to be developed to test the intervention on a bigger sample.</p>
<p><bold>Keywords</bold>
</p>
<p>Hope, quality of life, comfort, end of life, intervention program</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec622"><title>P43 Psychomotor therapy effects on adaptive behaviour and motor proficiency of adults with intellectual disability</title>
<sec id="Sec623"><title>Ana Antunes<sup>1</sup>
, Sofia Santos<sup>2</sup>
</title>
<sec id="Sec624"><title><sup>1</sup>
Associação Portuguesa de Pais e Amigos do Cidadão Deficiente Mental, 6200-050 Covilhã, Portugal; <sup>2</sup>
Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa, Portugal</title>
<sec id="Sec625"><title><bold>Correspondence:</bold>
Sofia Santos (sofiasantos@fmh.ulisboa.pt) – Associação Portuguesa de Pais e Amigos do Cidadão Deficiente Mental, 6200-050 Covilhã, Portugal</title>
<p>Persons with intellectual disabilities (ID) usually present limitations in adaptive behaviour and motor skills, which constitute a barrier to their daily independent functioning. Our goal was to analyse the efficacy of a Psychomotor Intervention (PMT) programme on adults with ID, in terms of adaptive behaviour and motor proficiency skills.</p>
<p>The sample comprised 15 participants divided into 3 groups of 5 individuals each (A = ID, B = Down Syndrome and C = typical development). Ages ranged from 22 to 31 years old (26.5 ± 3.76), 6 were females and 9 males. All adults with ID were institutionalized and adults without ID were selected by convenience. Portuguese versions of the Adaptive Behaviour Scale [1] and of the Bruininks-Oseretsky Motor Proficiency Test were applied [2]. After establishing a baseline, a 3-month PMT Programme was designed for participants with ID, focused on balance, global/fine motor skills, economic/vocational activities and academic/verbal skills. A Kruskall-Wallis test comparing pre-, post- and retention test scores of all groups was computed and to compare intra-groups differences a Wilcoxon test was performed.</p>
<p>Results showed statistically significant differences between groups with and without ID, with the latter presenting higher scores after the PMT program. Assessments showed great improvements in motor and adaptive skills, by the participants with ID.</p>
<p>Findings may indicate that PMT could strengthen and improve the areas assessed, although these findings should be interpreted with caution, due to the reduced sample.</p>
<p><bold>References</bold>
</p>
<p>1. Santos S, Morato, P. Comportamento Adaptativo – 10 anos depois. Lisboa: Edições FMH; 2012.</p>
<p>2. Bruininks R, Bruininks B. PMBO 2 Bruininks-Oseretsky Test of Motor Proficiency 2nd edition. San Antonio, USA: Pearson Assessments; 2005.</p>
<p><bold>Keywords</bold>
</p>
<p>Adaptive behaviour, motor proficiency, intellectual and developmental disabilities, psychomotor Intervention</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec626"><title>P44 The effect of exercise therapy in multiple sclerosis – a single study case</title>
<sec id="Sec627"><title>Marlene C. Rosa (marlenerosa@ua.pt)</title>
<sec id="Sec628"><title>Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Multiple sclerosis (MS) is a chronic, often disabling disease of the central nervous system. Disability in MS is related with decline in general functioning (e.g., mobility, gait, balance). The exercise therapy is known to reduce the rate of functional decline in other diseases; however, its effect in the treatment of MS remains relatively unexplored. Objective<bold>:</bold>
To determine the effect of exercise therapy in MS.</p>
<p><bold>Methods</bold>
</p>
<p>One patient with MS was included in a 6-week exercise program (2 sessions/week: progressive muscle strength, balance and aerobic exercises) conducted by a physiotherapist. Anthropometric (height; weight) and sociodemographic (age; gender) data, stage of disease (Abbreviated Expanded Disability status scale - AED) and functional tests (5-meter walking test at comfortable speed– 5mWT; Functional Reach test - FRT; 5 times sit-to-stand test – 5STS) were collected at the beginning (T0) and at the end (T1) of the exercise program. Averages of two trials for each functional test were compared between T0 and T1 and the remaining functional impairment was calculated as a percentage of normative aged adjusted values (%).</p>
<p><bold>Results</bold>
</p>
<p>A female (52 years; 48 kg; 1.59 m) in a stage 4 of AED scale (ambulatory without aid 12 h) participated in this study. From T0 to T1 the participant increased the performance in: 5mWT (0.51 m/s ± 0.08 vs 0.64 m/s ± 0.01; 36.69 % vs 46.04 %); FRT (20.5 cm ± 2.12 vs 25 cm ± 0.71; 47.99 % vs 58.53 %); 5STS (19.45 s ±1.62 vs 16.55 s ± 2.47; 36.5 % vs 42.9 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>The exercise therapy improved general functioning in one patient with MS, getting functional scores close to/above 50 % of the expected value.</p>
<p><bold>Keywords</bold>
</p>
<p>Exercise, therapy, multiple sclerosis</p>
</sec>
</sec>
</sec>
<sec id="Sec629"><title>P45 Physical condition and self-efficacy in people with fall risk – a preliminary study</title>
<sec id="Sec630"><title>Marlene C. Rosa<sup>1</sup>
, Silvana F. Marques<sup>2</sup>
</title>
<sec id="Sec631"><title><sup>1</sup>
Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Unidade de Cuidados na Comunidade, Centro de Saúde de Anadia, 3780-780 Anadia, Portugal</title>
<sec id="Sec632"><title><bold>Correspondence:</bold>
Marlene C. Rosa (marlenerosa@ua.pt) – Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In people with fall risk, the perceived inefficiency in dealing with falls contributes greatly to restrictions in movement and therefore might interfere with physical condition. However, this relationship has been relatively unexplored. Objective: To explore the association between physical condition and self-efficacy in people with fall risk.</p>
<p><bold>Methods</bold>
</p>
<p>People older than 50 years old with moderate fall risk (Morse scale) were included in a fall prevention exercise programme. Age, gender and Body Mass Index (BMI) were collected. At the end of the programme, self-efficacy (SE) was assessed, the physical condition was characterized (% of normative aged adjusted values - % N) and correlations between them were explored (Spearman test, p < 0.05). Four questions (scoring: 0-not confident – 2-very confident) were used to assess self-efficacy in: moving indoors; moving outside; walking on uneven surfaces; and participating in physical activities. Physical condition was assessed considering: (I) mobility (5 metres walking test at comfortable speed – 5mWT), (II) balance (Functional Reach Test – FRT) and (III) endurance (Sit-to-stand test – STS) tests.</p>
<p><bold>Results</bold>
</p>
<p>Six females and one male (66.43 ± 11.70 years; 42.56 ± 4.24 kg/m<sup>2</sup>
) were included. At the end of the programme patients presented: better self-efficacy in moving indoors (1.33 ± 0.81) and in participation in physical activities (1.17 ± 0.75) items; walking speed at 0.66 ± 0.17 m/s (51.10%N); 23.78 ± 4.65 cm in FRT (66.07%N); 14.70 ± 2.04 sec in STS (58.97%N). Correlations were only significant between the STS results and the total SE score (r = 0.87; p = 0.01).</p>
<p><bold>Conclusions</bold>
</p>
<p>High endurance capacity seems to be determinant for the improvement of self-efficacy in people with fall risk.</p>
<p><bold>Trial registration</bold>
</p>
<p>NCT02746835.</p>
<p><bold>Keywords</bold>
</p>
<p>Physical condition, self-efficacy, fall risk</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec633"><title>P46 Shock waves: their effectiveness in improving the symptoms of calcifying tendinitis of the shoulder</title>
<sec id="Sec634"><title>Beatriz Minghelli<sup>1</sup>
, Eulália Caro<sup>1,2</sup>
</title>
<sec id="Sec635"><title><sup>1</sup>
Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025, Portugal; <sup>2</sup>
Fisiatris - Recuperação Física, Lda, Sacavém, 2685-010, Portugal</title>
<sec id="Sec636"><title><bold>Correspondence:</bold>
Beatriz Minghelli (beatriz.minghelli@silves.ipiaget.pt) – Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025, Portugal</title>
<p><bold>Background</bold>
</p>
<p>This paper intends to assess the effectiveness of shock waves in improving shoulder calcifying tendinitis symptoms.</p>
<p><bold>Methods</bold>
</p>
<p>The sample consisted of 6 patients diagnosed with calcific tendinitis of the shoulder, aged between 38 and 70 years of age (55.00 ± 12.93 years), 4 (66.7 %) females. The shoulder’s range of motion (with goniometer), muscle strength (Muscle Testing), pain (Numerical Pain Scale) and shoulder functionality (Disabilities of the Arm, Shoulder and Hand (DASH) scale) were evaluated. Five shock wave sessions were conducted.</p>
<p><bold>Results</bold>
</p>
<p>The start and end values of the motion range were: flexion – 156.67 ± 8.16 and 169.17 ± 5.84 (p = 0.020); extension – 31.67 ± 2.58 and 57.50 ± 42.98 (p = 0.026); abduction – 141.67 ± 28.57 and 160.00 ± 20.00 (p = 0.012); internal rotation – 44.17 ± 10.21 and 65.00 ± 5.48 (p = 0.001); external rotation – 73.33 ± 12.11 and 82.50 ± 12.55 (p = 0.020); horizontal adduction – 65.83 ± 13.57 and 80.00 ± 10.95 (p = 0.03) and horizontal abduction – 29.17 ± 8.01 and 37.50 ± 4.18 (p = 0.105). As regards the Muscle Testing, the initial value was 3.00 ± 0.00 and the final value was 3.83 ± 0.41 (p = 0.025) for all movements. The initial and final values of pain evaluations were, respectively: 6.67 ± 0.82 and 3.17 ± 1.17 (p < 0.001). The initial and final values of DASH were 49.31 ± 15.24 and 20.00 ± 10.13 (p = 0.005).</p>
<p><bold>Conclusions</bold>
</p>
<p>It was found that shock wave therapy improved symptoms in calcific tendonitis patients.</p>
<p><bold>Acknowledgements</bold>
</p>
<p>Authors wish to acknowledge the financial support of the Portuguese Foundation for Science and Technology (FCT), and of the programme COMPETE - Programa Operacional Factores de Competitividade, QREN – Quadro de Referência Estratégico Nacional.</p>
<p><bold>Keywords</bold>
</p>
<p>Shock Waves, calcifying tendinitis, shoulder</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec637"><title>P47 Pacifier – construction and pilot application of a parenting intervention for parents of babies until six months in primary health care</title>
<sec id="Sec638"><title>Mª José Luís, Teresa Brandão</title>
<sec id="Sec639"><title>Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa, Portugal</title>
<sec id="Sec640"><title><bold>Correspondence:</bold>
Mª José Luís (mariaa.pluis@gmail.com) – Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa, Portugal</title>
<p>This work had as its main objective the construction and pilot testing of a preventive and universal parenting programme with ten sessions designated as - Pacifier - for implementation in primary health care, with parents of children aged 0 to 6 months based on a home-visiting format.</p>
<p>Conceptual foundation and design was based on literature review and evidence-based practices related to positive parenting and parental education programmes. In order to explore its applicability and impact we used a qualitative approach based on multiple case studies. Four mothers and two fathers – two couples and two mothers – living in the Castelo de Vide region agreed to participate.</p>
<p>These four families showed great satisfaction with the programme and would recommend it to other families. Parents’ sense of competence also shows improvements for most parents. This intervention seems to have good potential for increasing parents’ level of information and awareness about child development. It needs further analysis and could be an interesting instrument for improving parents’ knowledge and competence in primary health care.</p>
<p><bold>Keywords</bold>
</p>
<p>Parenting Intervention, Primary Health Care, Pacifier</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec641"><title>P48 The influence of Motor Imagery in fine motor skills of individuals with disabilities</title>
<sec id="Sec642"><title>Pedro Mendes<sup>1</sup>
, Daniel Marinho<sup>2</sup>
, João Petrica<sup>1,3</sup>
, Diogo Monteiro<sup>4</sup>
, Rui Paulo<sup>1,5</sup>
, João Serrano<sup>1,3</sup>
, Inês Santo<sup>6</sup>
</title>
<sec id="Sec643"><title><sup>1</sup>
Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal; <sup>2</sup>
Research Centre of Sports Sciences, Health Sciences and Human Development, Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal; <sup>3</sup>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; <sup>4</sup>
Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal; <sup>5</sup>
Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu, Portugal; <sup>6</sup>
Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland</title>
<sec id="Sec644"><title><bold>Correspondence:</bold>
Pedro Mendes (pedromendes@ipcb.pt) – Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p>Imagery is a cognitive process that can play an important role on planning and executing different movements or actions. The main purpose of this study was to ascertain whether the application of Motor Imagery together with normal practice improved fine motor skills in disabled individuals.</p>
<p>Forty-two (42) subjects with disabilities participated in this study, with a mean age of 37.0 (SD = 12.0), and of both genders. Subjects were randomly divided in two groups: a control group and an experimental one. The study procedures were applied on five different tasks of the Psychomotor Battery of fine motor skills (BPM). This instrument was applied on two stages, at the beginning of the study (pre-test) and at the end of 4 weeks (post-test). Both groups performed the tasks twice a week for a month.</p>
<p>Motor imagery sessions were added on in the experimental group. Participants on the experimental group were asked to mentally imagine themselves recreating tasks they had performed earlier on the initial assessment. For the analysis of the results, descriptive and inferential statistics were used. The T-test for independent samples, and the T-test for paired samples were applied.</p>
<p>The results show a significant difference in all 5 tasks performed by the experimental group (p ≤ 0.05) thereby, the subjects in this group improved their fine motor skills. The control group however, just had statistical differences in two tasks. These results, shows that motor imagery, when used together with physical repetition of the movement imagined, can improve fine motor skills in disabled individuals.</p>
<p>ClinicalTrials.gov Identifier: <ext-link ext-link-type="uri" xlink:href="https://clinicaltrials.gov/ct2/show/NCT02725450?term=pedro+mendes&rank=2">NCT02725450</ext-link>
.</p>
<p><bold>Keywords</bold>
</p>
<p>Imagery, motor imagery, fine motor skills, disabled</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec645"><title>P49 Evaluation of the effects of a walking programme on the fall risk factors in older people – a longitudinal pilot study</title>
<sec id="Sec646"><title>Lina Monteiro<sup>1</sup>
, Fátima Ramalho<sup>1,2</sup>
, Rita Santos-Rocha<sup>1,2</sup>
, Sónia Morgado<sup>1,3</sup>
, Teresa Bento<sup>1,4</sup>
</title>
<sec id="Sec647"><title><sup>1</sup>
Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal; <sup>2</sup>
Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade Nova de Lisboa, 1499-002 Cruz Quebrada, Portugal; <sup>3</sup>
Centro de Investigação e Qualidade de Vida, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal; <sup>4</sup>
Research Centre in Sports Sciences, Health and Human Development, University of Trás-os-Montes and Alto Douro, Vila Real, 5001-801, Portugal</title>
<sec id="Sec648"><title><bold>Correspondence:</bold>
Teresa Bento (teresabento@esdrm.ipsantarem.pt) – Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Falls are the main reason for the high mortality and morbidity rate among older people, and are the main cause of immobility and autonomy loss. Walking programmes are a positive way of preventing falls on apparently healthy elders. Objective: The objective of this study was to analyse the effects of a walking programme on the fall risk factors of older people, namely, the strength, balance and agility.</p>
<p><bold>Methods</bold>
</p>
<p>Five elders (63 and 83 years old) integrated an experimental group that participated in a weekly walking activity supervised by an exercise specialist for a sixty minutes’ period, throughout a nine months’ period. The evaluations took place in three moments, consisting of functional fitness and physical activity tests.</p>
<p><bold>Results</bold>
</p>
<p>Results showed an increase in the vigorous activity score, walking score, movement score and standing position score between the first and the second moment of evaluation. There was as also a significant decrease in the sitting position score, which confirmed the decrease in the sedentary behaviour of the participants. The pedometer showed us a significant increase of steps, between the two moments, and the variable related to walking, indicated positive average results in the longitudinal evaluation (0.026 ≤ 0.05).</p>
<p><bold>Conclusions</bold>
</p>
<p>The walking programme induced positive results in some of the fall risk factors in the older people, such as physical activity and cardiorespiratory fitness, therefore we believe that the quality of life of the participants was improved. Finally, the observed decreased in sedentary behaviour can be an important message for interventions with walking activity.</p>
<p><bold>Keywords</bold>
</p>
<p>Walking programme, health, falls, quality of life</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec649"><title>P50 Nursing intervention programme in lifestyles of adolescents</title>
<sec id="Sec650"><title>Gilberta Sousa, Otília Freitas, Isabel Silva, Gregório Freitas, Clementina Morna, Rita Vasconcelos</title>
<sec id="Sec651"><title>Universidade da Madeira, 9000-082 Funchal, Portugal</title>
<sec id="Sec652"><title><bold>Correspondence:</bold>
Gilberta Sousa (gfranca@uma.pt) – Universidade da Madeira, 9000-082 Funchal, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The National Health Plan refers to health promotion throughout the life cycle and during adolescence, the school environment is a reference point for the acquisition and consolidation of healthy behaviours. Interventions related to health education enable the accomplishment and better control of wellness. Objective: Diagnose the lifestyles and implement nursing interventions promoting healthy behaviours.</p>
<p><bold>Methods</bold>
</p>
<p>An action-research perspective developed a descriptive study (2012), in a middle school of Madeira Island (n = 270), utilizing a questionnaire adapted from the “Health behaviour in school-aged children" from WHO (α = 0.72). After prioritization of areas, the nursing intervention programme integrated education sessions; a fair and website with educational and interactive contents about physical exercise; nutrition; oral hygiene habits and knowledge of psychoactive substances. In 2014 we evaluated the effectiveness of intervention.</p>
<p><bold>Results</bold>
</p>
<p>There was a positive variation in percentage changes for healthier behaviours specifically: realization of 5 or more daily meals (22.7 %); water intake several times/day (75.4 %); brushing teeth after a meal (1.6 %); use of dental floss (23.0 %); playing sport outside school hours, 4 to 6 x week (6.5 %) and 2 to 3 x week (3.6 %) and a decrease of 4.6 % in respect of viewing TV 5 or more hours/day. There was also a significant percentage increase in knowledge about psychoactive substances (56.0 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>The results express the importance and contribution of the project to significant gains in knowledge and some healthy behaviours being necessary to prolong the intervention period to increase other behaviour modifications and to extend to similar populations.</p>
<p><bold>Acknowledgements</bold>
</p>
<p>Authors wish to acknowledge the helpful collaboration given to this study by the Nursing students.</p>
<p><bold>Keywords</bold>
</p>
<p>Health behaviors, adolescents, health promotion, nursing intervention</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec653"><title>P51 The person submitted to hip replacement rehabilitation, at home</title>
<sec id="Sec654"><title>Tatiana Azevedo<sup>1</sup>
, Salete Soares<sup>2</sup>
, Jacinta Pisco<sup>3</sup>
</title>
<sec id="Sec655"><title><sup>1</sup>
Lar Cantinho dos Avós - Santa Casa da Misericórdia de Melgaço, 4960-570 Melgaço, Portugal; <sup>2</sup>
Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal; <sup>3</sup>
Unidade Local de Saúde do Alto Minho, EPE, 4904-858 Viana do Castelo, Portugal</title>
<sec id="Sec656"><title><bold>Correspondence:</bold>
Tatiana Azevedo (tatiana.azevedo@scmmelgaco.pt) – Lar Cantinho dos Avós - Santa Casa da Misericórdia de Melgaço, 4960-570 Melgaço, Portugal</title>
<p><bold>Background</bold>
</p>
<p>A person submitted to hip replacement, following hospital discharge to his home, faces some difficulties related to the ability to do daily activities, mobility and balance. Objectives: Evaluate the dependency level in daily activities; mobility and balance grade; quality of life perception and the effect of the rehabilitation programme.</p>
<p><bold>Methods</bold>
</p>
<p>A quasi-experimental study, with evaluations before/after programme implementation, during one month. Thirty participants. Data collection tools: sociodemographic/clinical questionnaire; Barthel Index; Tinetti Test; WHOQOL-bref.</p>
<p><bold>Results</bold>
</p>
<p>The participants have a similar distribution regarding the sex variable; the average age was 69.67 years and the BMI was above the normal level on most cases. The dependency level was higher for the following activities: having a shower; getting dressed; using the stairs and moving to a bed/chair; lower mobility and quality of life perception levels before the rehabilitation programme implementation. After the implementation, there was significant evidence that the functional independency level for all the daily activities, mobility and balance and quality of life perception increased.</p>
<p><bold>Conclusions</bold>
</p>
<p>After the programme’s implementation most of the participants were independent in their daily activities; they had a positive evolution concerning balance and mobility and they had a positive perception of their quality of life evolution. The only variable that had interference in the functional dependency level and quality of life social relations domain was the pain level. Implementing a rehabilitation programme with people with hip replacement, at their home, increases their capability to do daily activities, improves their mobility and balance and their quality of life perception.</p>
<p><bold>Keywords</bold>
</p>
<p>Hip replacement, hip arthroplasty</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec657"><title>P52 Effects of Melatonin use in the treatment of neurovegetative diseases</title>
<sec id="Sec658"><title>Paulo P. Ferreira<sup>1</sup>
, Efrain O. Olszewer<sup>2</sup>
, Michelle T. Oliveira<sup>3</sup>
, Anderson R. Sousa<sup>4</sup>
, Ana S. Maia<sup>4</sup>
, Sebastião T. Oliveira<sup>4</sup>
</title>
<sec id="Sec659"><title><sup>1</sup>
Secretaria de Saúde do Estado da Bahia, Salvador, Bahia, 41745-900, Brasil; <sup>2</sup>
Fundação de amparo à pesquisa e inovação do Espírito Santo, Vitória, Esprito Santo, 29066-380, Brasil; <sup>3</sup>
Universidade Estadual de Feira de Santana, Feira de Santana, Bahia, 44036-900, Brasil; <sup>4</sup>
Faculdade Nobre, Feira de Santana, Bahia, 44001-008, Brasil</title>
<sec id="Sec660"><title><bold>Correspondence:</bold>
Paulo P. Ferreira (paulopanelli@gmail.com) – Secretaria de Saúde do Estado da Bahia, Salvador, Bahia, 41745-900, Brasil</title>
<p>Population aging is one of the greatest contemporary public health challenges. With the change of demographic and population profile, effective therapies should be evaluated to provide better monitoring and modulation of therapeutic approaches aiming to minimize the effects of degenerative diseases.</p>
<p>This article studies the effects of melatonin in neurodegenerative disease and new possibilities for professional performance. It is a descriptive study, based on a literature review, using a qualitative approach and of an exploratory character. The literature review was based on the inclusion criteria: articles related to the subject, published between 2004 and 2014, containing the descriptors: melatonin, neurodegenerative diseases, Alzheimer's and Parkinson's. We opted for the content analysis technique for data analysis.</p>
<p>The study showed the effectiveness of the use of melatonin in the treatment of neurodegenerative diseases and its capacity to minimize the neurological effects of Alzheimer's and Parkinson’s. Melatonin is able to interact with nuclear receptors, exerting direct genomic action, by altering the expression of apoptotic genes and thereby inhibiting cell death. It has further potential neuroprotective activity, with findings suggesting the effectiveness of this therapy.</p>
<p>The cellular and molecular mechanisms for this activity remain poorly understood. Melatonin administration within this new professional approach seems a viable practice to minimize the aggressiveness of neurodegenerative diseases. In conclusion, it was noted there are few professionals who have knowledge of the diversity of these existing therapeutic methods, and there is a lack of studies to establish this therapy practice.</p>
<p><bold>Keywords</bold>
</p>
<p>Melatonin, neurodegenerative diseases, Alzheimer, Parkinson</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec661"><title>P53 Review of Phytotherapy and other natural substances in alcohol abuse and alcoholism</title>
<sec id="Sec662"><title>Erica Santos<sup>1</sup>
, Ana I. Oliveira<sup>1,2</sup>
, Carla Maia<sup>1,3</sup>
, Fernando Moreira<sup>1,4</sup>
, Joana Santos<sup>1,5</sup>
, Maria F. Mendes<sup>1,3</sup>
, Rita F. Oliveira<sup>1,2</sup>
, Cláudia Pinho<sup>1,2</sup>
</title>
<sec id="Sec663"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330, Portugal; <sup>2</sup>
Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330, Portugal; <sup>3</sup>
Hospital de Santo Antonio, Centro Hospitalar do Porto, EPE, 4099-001 Porto, Portugal; <sup>4</sup>
Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal & Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129, Portugal; <sup>5</sup>
Centro Hospitalar de São João, EPE, Porto, 4200-319, Portugal</title>
<sec id="Sec664"><title><bold>Correspondence:</bold>
Cláudia Pinho (clp@estsp.ipp.pt) – Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Alcoholism and alcohol abuse represent a worldwide problem, associated with considerable morbidity and mortality. A number of medicinal plants are reported to have preventive and therapeutic effects on alcoholism and alcohol abuse. The present review summarizes the most common natural substances used in alcohol use disorders.</p>
<p><bold>Methods</bold>
</p>
<p>All relevant literature databases were searched up to March 2015. The search terms were 'alcohol abuse', 'alcoholism', 'herbal medicine', 'natural products', 'phytomedicine'. Human, animal studies and reviews were included.</p>
<p><bold>Results</bold>
</p>
<p>Recently, some plants drew the attention of researchers, namely, danshen (<italic>Salvia miltiorrhiza</italic>
Bge.), ginseng (<italic>Panax ginseng</italic>
C.A. Mey.), ibogaine (<italic>Tabernanthe iboga</italic>
Baill.), kudzu [<italic>Pueraria lobata</italic>
(Willd.) Ohwi], and St. John’s wort (<italic>Hypericum perforatum</italic>
L.). Reduction of alcohol absorption appears to be a common feature among most of the cited plants. A standardized formulation of kudzu produced minimal side effects, and resulted in a modest reduction in alcohol consumption in young non-treatment-seeking heavy drinkers. Hypericum extract also reduced voluntary alcohol intake to a significant degree in rat models. Danshen has no efficacy data, but can reduce alcohol intake in animal models. Other plants like Banisteriopsis caapi (Spruce ex Griseb.) Morton, Lophophora williamsii (Lem. ex Salm-Dyck) J.M. Coult., and Thymus vulgaris L. are also suggested to have beneficial effects in alcohol use disorders. Carnosine, a natural dipeptide, seems to be a promising compound for the therapy of alcoholism.</p>
<p><bold>Conclusions</bold>
</p>
<p>Data suggest that some plants and other natural substances may constitute novel and effective approaches for treatment of alcohol use disorders.</p>
<p><bold>Keywords</bold>
</p>
<p>Alcohol abuse, alcoholism, herbal medicine, medicinal plants, natural products, phytomedicine</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec665"><title>P54 Dietary programme impact on biochemical markers in diabetics: systematic review</title>
<sec id="Sec666"><title>Eduarda Barreira, Ana Pereira, Josiana A. Vaz, André Novo</title>
<sec id="Sec667"><title>Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253, Portugal</title>
<sec id="Sec668"><title><bold>Correspondence:</bold>
Eduarda Barreira (edubarreira4@hotmail.com) – Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Given the high prevalence of diabetes in the population and in the elderly, it’s crucial to raise awareness of the need for people to change their eating habits and adopt healthier lifestyles. Nutrition interventions emphasizing the promotion of healthy eating have been shown to be an important point in Diabetes Mellitus treatment since it fosters a better glycaemic control. Objectives: To determine the effectiveness of the implementation of a dietary programme in the amounts of glucose and the lipid profile in patients with <italic>Diabetes mellitus</italic>
.</p>
<p><bold>Methods</bold>
</p>
<p>A systematic review of the literature published in 2015 in PubMed/Medline database. It is intended to answer the research question: "What is the effectiveness of implementing a dietary programme on the blood glucose values and on the lipid profile of Diabetes Mellitus elderly subjects?" After applying the inclusion criteria 6 articles were selected from a total of 622.</p>
<p><bold>Results</bold>
</p>
<p>The implementation of a programme based on a higher dietary intake of polyunsaturated fatty acids, caloric restriction and intake of probiotics significantly improves glycaemic levels as well as the lipid profile in patients with Diabetes Mellitus.</p>
<p><bold>Conclusions</bold>
</p>
<p>It was found that the implementation of dietary programmes that aimed for a healthy and balanced diet are fundamental pillars in the treatment of diabetes mellitus, and its implementation should be fostered.</p>
<p><bold>Keywords</bold>
</p>
<p>Nutrition, diabetes mellitus, dyslipidaemia</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec669"><title>P55 Biological approaches to knee osteoarthritis: platelet-rich plasma and hyaluronic acid</title>
<sec id="Sec670"><title>Luís D. Silva<sup>1,2</sup>
, Bruno Maia<sup>1</sup>
, Eduardo Ferreira<sup>1</sup>
, Filipa Pires<sup>1</sup>
, Renato Andrade<sup>2,3</sup>
, Luís Camarinha<sup>1</sup>
</title>
<sec id="Sec671"><title><sup>1</sup>
Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal; <sup>2</sup>
Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence; 4350-415 Porto, Portugal; <sup>3</sup>
Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</title>
<sec id="Sec672"><title><bold>Correspondence:</bold>
Luís D. Silva (luisduartesilva1985@gmail.com) – Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The increasing prevalence of knee osteoarthritis has become a worldwide concern. Furthermore, the articular cartilage lesions, due to lack of self-repair, represent a clinical challenge yet to overcome. In this sense, several biological approaches have emerged as an alternative treatment. Objective: Summarize the current scientific literature in which concerns the autologous platelet-rich plasma (PRP) and hyaluronic acid (HA) effectiveness in the clinical, radiological and functional outcomes in patients with knee osteoarthritis.</p>
<p><bold>Methods</bold>
</p>
<p>A comprehensive literature review was made to search for level I and II human studies that assessed that assessed the clinical, radiological or functional effectiveness of PRP or HA intra-articular injections on the knee osteoarthritis. The search was made from 2005 to 2015 and the databases used were: PubMed, Cochrane Library, Scopus, CINAHL and SPORTDiscus.</p>
<p><bold>Results</bold>
</p>
<p>Overall, the most of the studies reported that the autologous PRP intra-articular injections provided better results when compared to the HA intra-articular injections. Both biological approaches showed superior results when compared to placebo. However, when compared to each other, the autologous PRP showed better results concerning the reduction of pain and nonsteroidal anti-inflammatory medication intake, improving the quality of life and the knee functionality. Both biological approaches showed to be safe, without significant side effects.</p>
<p><bold>Conclusions</bold>
</p>
<p>These presented biological approaches showed to be safe and effective in reducing the symptomatology and increasing the quality of life in patients with knee osteoarthritis. Hence, it is suggested the implementation of intra-articular injections of autologous PRP and HA in the current clinical practice.</p>
<p><bold>Keywords</bold>
</p>
<p>Biological approaches, Knee, Osteoarthritis, Hyaluronic Acid, Platelet-Rich Plasma, Complementary Medicine</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec673"><title>P56 Platelet-rich plasma and hyaluronic acid intra-articular injections for the treatment of ankle osteoarthritis</title>
<sec id="Sec674"><title>Luís D. Silva<sup>1,2</sup>
, Bruno Maia<sup>1</sup>
, Eduardo Ferreira<sup>1</sup>
, Filipa Pires<sup>1</sup>
, Renato Andrade<sup>2,3</sup>
, Luís Camarinha<sup>1</sup>
</title>
<sec id="Sec675"><title><sup>1</sup>
Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal; <sup>2</sup>
Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence; 4350-415 Porto, Portugal; <sup>3</sup>
Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</title>
<sec id="Sec676"><title><bold>Correspondence:</bold>
Luís D. Silva (luisduartesilva1985@gmail.com) – Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The burden associated with ankle osteoarthritis has been increasing in the elderly community. Several biological therapies have been suggested as an effective treatment to this pathological condition. Objectives: This study’s aim was to assess the effectiveness of autologous platelet-rich plasma (PRP) and hyaluronic acid (HA) intra-articular injections in patients with ankle osteoarthritis.</p>
<p><bold>Methods</bold>
</p>
<p>A computerized database search from 2005 to 2015 was carried out on PubMed, Cochrane Library, Scopus, CINAHL and SPORTDiscus databases. It included human studies that assessed the effectiveness of autologous PRP or HA intra-articular injections in patients with ankle osteoarthritis. The exclusion criteria were as follows: reviews and meta-analyses; clinical commentaries or technical notes; single study cases; animal studies. The reference lists of the most relevant papers were screened for additional studies.</p>
<p><bold>Results</bold>
</p>
<p>Both therapies were shown to be safe and effective in reducing pain and improving clinical and functional outcomes when compared to control or placebo groups. There was a slight superiority of the autologous PRP intra-articular injections over HA, regarding pain reduction and improving ankle functionality. Several methodological limitations across the literature were pointed out, such as: different timing, concertation and preparation modes of the injections; different outcome scores used; different follow-up timings; lack of control groups or randomized allocation.</p>
<p><bold>Conclusions</bold>
</p>
<p>Autologous PRP and HA injections showed promising results in patients with ankle osteoarthritis. High evidence level studies (randomized controlled trials) are needed to assess clinical superiority between PRP and HA intra-articular injections to treat ankle osteoarthritis.</p>
<p><bold>Keywords</bold>
</p>
<p>Ankle, Osteoarthritis, Hyaluronic Acid, Platelet-Rich Plasma, Complementary biological medicines</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec677"><title>P57 The impact of preventive measures in the incidence of diabetic foot ulcers: a systematic review</title>
<sec id="Sec678"><title>Ana F. César<sup>1</sup>
, Mariana Poço<sup>2</sup>
, David Ventura<sup>3</sup>
, Raquel Loura<sup>4</sup>
, Pedro Gomes<sup>5</sup>
, Catarina Gomes<sup>6</sup>
, Cláudia Silva<sup>7</sup>
, Elsa Melo<sup>8</sup>
, João Lindo<sup>8</sup>
</title>
<sec id="Sec679"><title><sup>1</sup>
Centro de Ação Social do Concelho de Ílhavo, 3830-201 Ílhavo, Portugal; <sup>2</sup>
Zelar, Serviços de Apoio Domiciliário, 3810-232 Aveiro, Portugal; <sup>3</sup>
Walk'In Clinics, Esgueira, 3800-042 Aveiro, Portugal; <sup>4</sup>
São João de Deus Clinic, 1749-098, Lisboa, Portugal; <sup>5</sup>
Arrabida Hospital, 4400-346 Vila Nova de Gaia, Portugal; <sup>6</sup>
Yasmin Residence<sup>,</sup>
2500 – 064 Caldas da Rainha; <sup>7</sup>
Faro unit, Algarve Hospital, 8000-386 Faro, Portugal; <sup>8</sup>
School of Health Sciences, University of Aveiro, Aveiro, 3810-193, Portugal</title>
<sec id="Sec680"><title><bold>Correspondence:</bold>
Ana F. César (afilipacesar@gmail.com) – Centro de Ação Social do Concelho de Ílhavo, 3830-201 Ílhavo, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Diabetes Mellitus is a chronic disease with repercussions at a global level. The diabetic foot ulcer is one of the major complications of the diabetic foot, and that with bigger repercussions on a social-economic level. The action of nursing along with the multidisciplinary team is essential to obtain health gains. Objective: Analyse the impact of primary prevention measures in diabetic foot ulcer incidence in patients with Diabetes Mellitus.</p>
<p><bold>Methods</bold>
</p>
<p>This study is a systematic literature review, which follows the Cochrane method, reviewing articles published 2004-2014.</p>
<p><bold>Results</bold>
</p>
<p>There were three randomized studies, one non randomized study and three cross quantitative studies included. They highlighted foot self-care and health education as a practice of primary prevention of the diabetic foot ulcer. The method of temperature evaluation is a simple procedure with extreme importance. Although nurses guide their patients for prevention, there are still non-studied subjects. It is fundamental to evaluate all strategies of health education, as well as the nursing records. The patient and family should be trained to self-care and for the surveillance of the lower limbs.</p>
<p><bold>Conclusions</bold>
</p>
<p>There are biopsychosocial factors affecting the incidence of diabetic foot ulcers in patients. The knowledge acquired by the patients does not always translate into the practice of self-care. Nursing records are key to ensuring the continuity of care.</p>
<p><bold>Keywords</bold>
</p>
<p>Diabetes Mellitus, Foot ulcer, Diabetic foot, Primary prevention.</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec681"><title>P58 Dating violence among young adolescents</title>
<sec id="Sec682"><title>Joana Domingos<sup>1</sup>
, Zaida Mendes<sup>1</sup>
, Susana Poeta<sup>1</sup>
, Tiago Carvalho<sup>1</sup>
, Catarina Tomás<sup>1,2</sup>
, Helena Catarino<sup>1,2</sup>
, Mª Anjos Dixe<sup>1,2</sup>
</title>
<sec id="Sec683"><title><sup>1</sup>
School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901, Portugal; <sup>2</sup>
Health Research Unit, Polytechnic institute of Leiria, Leiria, 2411-901, Portugal</title>
<sec id="Sec684"><title><bold>Correspondence:</bold>
Mª Anjos Dixe (maria.dixe@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901, Portugal</title>
<p>Violence is a complex phenomenon and the adoption of acceptable behaviours or not is influenced by culture and society, therefore, an early intervention is extremely important. This study is a quantitative, longitudinal and quasi-experimental, pre-test and post-test type, without control group. We aimed at: I) evaluating the knowledge that students have about dating violence; II) evaluating existing conflicts in dating relationships between young adolescents; and III) evaluating the effectiveness of intervention by peers using the theatre of the oppressed in knowledge about dating violence.</p>
<p>In the first moment (M1), a research protocol was applied composed by: Group I - Conflict in Adolescent Dating Relationships Inventory (CADRI) [1] and Group II - Knowledge about violence in dating relationships. Group II was evaluated in the second moment (M2). A non-probabilistic convenience sample consisted of 49 students, 17 females and 32 males, aged between 14 and 21 years old. Generally, students do not have affective-sexual relations ruled by violence, either as victim or as a perpetrator.</p>
<p>The level of knowledge about dating violence increased after the completion of the intervention by the oppressed theatre (M1 = 32.8, SD = 6.1 and M2 = 37.1, SD = 6.1) and there are statistically significant differences, proving the effectiveness of it (t = 4.265, p < 0.005). The study results highlight the relevance of this intervention and the importance of becoming aware of the phenomenon of dating violence.</p>
<p><bold>References</bold>
</p>
<p>1. Saavedra, RMM Prevenir antes de remediar: prevenção da violência nos relacionamentos íntimos juvenis. Tese de Doutoramento em Psicologia. 2010; Braga: Universidade do Minho.</p>
<p><bold>Keywords</bold>
</p>
<p>Violence, dating, teenagers</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec685"><title>P59 Physical activity and motor memory in pedal dexterity</title>
<sec id="Sec686"><title>André Ramalho<sup>1</sup>
, António Rosado<sup>2</sup>
, Pedro Mendes<sup>1</sup>
, Rui Paulo<sup>1,3</sup>
, Inês Garcia<sup>4</sup>
, João Petrica<sup>1,5</sup>
</title>
<sec id="Sec687"><title><sup>1</sup>
Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal; <sup>2</sup>
Faculty of Human Kinetics, University of Lisbon, 1649-028 Lisboa, Portugal; <sup>3</sup>
Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu, Portugal; <sup>4</sup>
Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland; <sup>5</sup>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<sec id="Sec688"><title><bold>Correspondence:</bold>
André Ramalho (andreramalho361@gmail.com) – Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p>Regular physical activity has a positive impact on cognition and brain function. Recent studies have shown that even a single bout of aerobic exercise can improve memory and declarative learning. The main purpose of this study was to investigate if a six-month period of physical exercise could improve motor memory consolidation in elderly people in pedal dexterity. 34 subjects of both genders, with a mean age of 71 years old participated in the study. Subjects were divided in two groups: a control group and an experimental one. Before the intervention of the physical exercise programme, subjects performed a Tapping Pedal Test to measure baseline performance. After the intervention, the assessment of the impact of exercise on motor memory consolidation was held in three stages: Training, 1 hour after training and 24 hours after training. For the analysis of the results, descriptive and inferential statistics were used. The Shapiro-Wilk test was applied to the normality distribution of data and one-way ANOVA test for parametric statistics. When compared with the control group, results showed better performance in motor memory consolidation 1 hour and 24 hours after training in the experimental group. Nevertheless, these differences were not significant (p ≥ 0.05). It seems therefore that the regular physical exercise does not significantly improve motor memory consolidation capacity in pedal dexterity of elderly people.</p>
<p>ISRCTN Study record 31900.</p>
<p>ClinicalTrials.gov Identifier: <ext-link ext-link-type="uri" xlink:href="https://clinicaltrials.gov/ct2/show/NCT02731274?term=physical+activity+and+motor+memory&rank=1">NCT02731274</ext-link>
.</p>
<p><bold>Keywords</bold>
</p>
<p>Physical Exercise, Motor Memory Consolidation, Tapping Pedal Test, Learning, Aging</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec689"><title>P60 The effects of whole body vibration on the electromyographic activity of thigh muscles</title>
<sec id="Sec690"><title>Sandra Rodrigues, Rui Meneses, Carlos Afonso, Luís Faria, Adérito Seixas</title>
<sec id="Sec691"><title>Universidade Fernando Pessoa, Porto, 4249-004, Portugal</title>
<sec id="Sec692"><title><bold>Correspondence:</bold>
Sandra Rodrigues (sandrar@ufp.edu.pt) – Universidade Fernando Pessoa, Porto, 4249-004, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Whole body vibration exercises consist in performing exercise on a platform which transmits mechanical stimuli (vibration) to the anatomic area in contact with the platform and which propagate throughout the body. Objective: The aim of the present study is to analyse the electromyographic response of the thigh muscles exposed to different vibrational frequencies, when compared to a non-vibration condition.</p>
<p><bold>Methods</bold>
</p>
<p>Eight male participants (mean age 24.13 ± 1.55) were randomly exposed to two synchronous vibration frequencies (25 Hz and 50 Hz) and a non-vibration control procedure during squatting, while monitored with surface EMG.</p>
<p><bold>Results</bold>
</p>
<p>For the dominant and non-dominant semitendinosus muscles there is significant increase in muscle activity at 50 Hz exposure. For the dominant biceps femoris muscle, the myoelectric activity significantly increased during both 25 and 50 Hz conditions, when compared to control. There was no statistically significant influence of vibration on vastus medialis oblique and vastus lateralis muscle activity, both for dominant and non-dominant sites and for the non-dominant biceps femoris muscle.</p>
<p><bold>Conclusions</bold>
</p>
<p>Exposure to vibration has no influence on quadriceps muscles (both vastus medialis and lateralis) and the non-dominant biceps femoris muscles. However, increase in hamstring activity was found for the dominant side and for the semitendinosus muscle of the non-dominant side. The primary finding in this investigation is that isometric squatting in a vibrational condition did not change agonist muscle activity, but had some degree of change in antagonist or synergist muscle activity.</p>
<p><bold>Trial registration</bold>
</p>
<p>Australian New Zeland Clinical Trials Registry: 370389.</p>
<p>ANZCTR.org.au Identifier: <ext-link ext-link-type="uri" xlink:href="https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370389">ACTRN12616000580471</ext-link>
.</p>
<p><bold>Keywords</bold>
</p>
<p>Whole Body Vibration, Electromyography, Muscle activity</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec693"><title>P61 Mental health promotion in the workplace</title>
<sec id="Sec694"><title>Marina Cordeiro<sup>1</sup>
, Paulo Granjo<sup>2</sup>
, José C. Gomes<sup>1</sup>
</title>
<sec id="Sec695"><title><sup>1</sup>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Instituto de Ciências Sociais da Universidade de Lisboa, Universidade de Lisboa, 1600-189 Lisboa, Portugal</title>
<sec id="Sec696"><title><bold>Correspondence:</bold>
Marina Cordeiro (marina.cordeiro@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Work can contribute to positive mental health, providing financial support, a life goal and a feeling of usefulness, or for its deterioration, due to poor work conditions. This means that work, which mostly involves stressful tasks, can cause mental health disturbance or worsen pre-existent mental health diseases. There are various policies and entities that argue the need for mental health promotion programmes, which empower people to deal with work distress and improve workplace conditions. Objective: To identify effective workplace mental health promotion interventions.</p>
<p><bold>Methods</bold>
</p>
<p>This systematic review was performed according to the Joanna Briggs Institute orientations, using the main descriptors “mental health”, “mental health promotion”, “occupational health”, “employee health” and “workplace”, at the MEDLINE, CINAHL and Cochrane databases. Only publications between February of 2009 and February of 2014 were considered. After meeting inclusion and exclusion criteria, six articles were selected and a narrative synthesis of the data was made.</p>
<p><bold>Results</bold>
</p>
<p>All the effective interventions performed were developed in a group setting, using a range of psychotherapeutic and psychoeducational techniques (mainly cognitive-behaviour therapy, stress management techniques, coping strategies and problem resolution techniques). None of the interventions were developed considering the employees’ exposure of their own needs, and some studies emphasized possible constraints when considering different settings.</p>
<p><bold>Conclusions</bold>
</p>
<p>Evidence shows that there are effective workplace interventions to promote mental health; however, there’s a gap in considering the real employee needs in their development. It’s necessary to develop personalized interventions to promote mental health based on employees’ opinions and their own needs.</p>
<p><bold>Keywords</bold>
</p>
<p>Mental Health Promotion, workplace, occupational health</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec697"><title>P62 Influence of physical exercise on the self-perception of body image in elderly women: A systematic review of qualitative studies</title>
<sec id="Sec698"><title>Nelba R. Souza<sup>1</sup>
, Guilherme E. Furtado<sup>1</sup>
, Saulo V. Rocha<sup>2</sup>
, Paula Silva<sup>3</sup>
, Joana Carvalho<sup>3</sup>
</title>
<sec id="Sec699"><title><sup>1</sup>
Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal; <sup>2</sup>
Núcleo de Estudos em Saúde da População, Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia, 45700-000, Brasil; <sup>3</sup>
Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal</title>
<sec id="Sec700"><title><bold>Correspondence:</bold>
Nelba R. Souza (nelbaef@yahoo.com.br) – Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, 3040-156 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The perception of body image in older people seems to be carried in a special way. However, the aspects linked to 'physical and functional' health and the psychological well-being associated with mental health seem to be more preponderant. Objective: This systematic review aims at reporting the effectiveness of participation in exercise programmes on the self-perception of body image in elderly women.</p>
<p><bold>Methods</bold>
</p>
<p>A systematic literature search of qualitative research (QR) studies was conducted using main electronic database and specialized sources such PubMed, SciELO, SPORTDiscus and PsycoINFO, articles published between 2006 and 2016. The following were used as descriptors in the English language: ‘Elderly OR Older adults’, ‘Physical activity or Motor activity’ or Physical Exercise, ‘Body Image’, ‘Qualitative research OR Qualitative study OR Qualitative’. PRISMA and TREND statement positioning were used to obtain and assess the quality of information. From the 58 articles found, 6 were included because they fulfilled the inclusion criteria. An inductive content analysis was performed on the extracted findings to identify emerging elements on the self-perception of body image in elderly women.</p>
<p><bold>Results</bold>
</p>
<p>Three themes related to the self-perception of body image in elderly women emerged: empowerment, social contacts, self-esteem.</p>
<p><bold>Conclusions</bold>
</p>
<p>Adherence to exercise programmes seem to be effective for a positive self-perception of body image assessment in the elderly. Findings showed that qualitative research can provide in-depth information about the elements that influence the assessment of body image of in older women. Multidisciplinary mixed-methods studies are recommended to establish quantitative relationships complemented with in-depth qualitative information.</p>
<p><bold>Keywords</bold>
</p>
<p>Older adults, physical exercise, body image</p>
</sec>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec701"><title>Health in & out: Taking Care Within Diversity</title>
<sec id="Sec702"><title>O109 <bold>Psychometric properties of the Portuguese version of the Éxamen Geronto-Psychomoteur (P-EGP)</bold>
</title>
<sec id="Sec703"><title>Marina Ana Morais<sup>1</sup>
, Sofia Santos<sup>1</sup>
, Paula Lebre<sup>1</sup>
, Ana Antunes<sup>2</sup>
</title>
<sec id="Sec704"><title><sup>1</sup>
Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa, Portugal; <sup>2</sup>
Casa de Saúde da Idanha, Instituto das Irmãs Hospitaleiras, 2605-077 Belas, Portugal</title>
<sec id="Sec705"><title><bold>Correspondence:</bold>
Marina Ana Morais (arodriguesmorais@gmail.com) – Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Aging involves changes in psychomotor performance such as balance and fine/gross motor skills. Few studies are focused on psychomotor skills among the elderly population due to the absence of valid psychomotor instruments. Objective: This paper aims to describe the translation and validation procedures of the Portuguese version of Éxamen Geronto-Psychomoteur (P-EGP), [1].</p>
<p><bold>Methods</bold>
</p>
<p>The P-EGP was applied to 497 participants, with and without dementia, according with original guidelines: all applicants were psychomotor therapists specifically trained for P-EGP administration. Socio-demographic data were collected between January 2013 and September 2014.</p>
<p><bold>Results</bold>
</p>
<p>Results demonstrated excellent internal consistency (α > .90) and total P-EGP score (α = .92) was superior to the original (α = .83). Stability coefficients (test-retest), were above .60, showing strong stability. Factor analysis revealed three main component structures (physical constraints, motor and cognitive prevalence) accounting for 48 % of the overall variance. All domains were strongly correlated. P-EGP differentiated between people with and without dementia across the different domains, except on Joint Mobilization of Upper and Lower Limbs. Participants’ psychomotor profiles are presented, focusing on the skills most influenced by the dementia process and which may be the goal of psychomotor therapy.</p>
<p><bold>Conclusions</bold>
</p>
<p>The P-EGP demonstrated adequate scores of reliability and validity. It was necessary to make specific changes in some items to clarify instructions and adapt it to the Portuguese context. P-EGP domains are highly correlated, which reinforces the “psychomotor construct” and sensitivity to the presence of dementia. Further research should be conducted on this area. Practical recommendations will be given.</p>
<p><bold>References</bold>
</p>
<p>1. Michel S, Soppelsa R, Albaret, J. Examen Géronto Psychomoteur-Manuel D'Aplication. Paris: Hogrefe, 2011.</p>
<p><bold>Keywords</bold>
</p>
<p>Aging, geriatric evaluation, psychomotor performance, dementia</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec706"><title>O110 Symptoms of depression in the elderly population of Portugal, Spain and Italy</title>
<sec id="Sec707"><title>António Calha</title>
<sec id="Sec708"><title>Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal</title>
<p>Depression is one of the most common mental disorders affecting the quality of life of individuals. Due to their specificity, the elderly population is particularly vulnerable. The aim of this communication is to assess the prevalence of depressive symptoms in the elderly population of three southern European countries: Portugal (PT) Spain (ES) and Italy (IT).</p>
<p>In the present study we use a shorter version of the test from the Centre for Epidemiologic Studies - Depression Scale (CES-D8), using data from the elderly Portuguese, Spanish and Italian samples from the sixth round of the European Social Survey: PT (N. = 647); ES (N. = 371); IT (N. = 188).</p>
<p>The CES-D8 is a scale aimed at evaluating the frequency of depressive symptoms experienced during the week preceding interview and consists of eight items measured on a Likert scale with ranging from 0 to 3 points.</p>
<p>The analysis focused on two indicators drawn from the scale: I) number of “high depressive symptoms” accounted for in situations where 5 or more symptoms on the survey manifested “all or almost all of the time” during the week before the interview; II) scale score, determined by the sum of the results in each of the responses, varying between 0 and 24.</p>
<p>Results reveal a relatively high percentage of the elderly population with “high depressive symptoms” (PT = 2.2 %; ES = 3.4 %; IT = 4.4 %). The average values of the scores obtained in CES-D8 were the following: PT (M = 7.66; SD = 4.69) ES (M = 7.28; SD = 5.07) IT (M = 7.37; SD = 5.16). The observed differences are not statistically significant F (2, 2374) = 0.509; p = 0.601).</p>
<p><bold>Keywords</bold>
</p>
<p>Depressive symptoms, aging, quality of life</p>
</sec>
</sec>
</sec>
<sec id="Sec709"><title>O111 Emotion regulation strategies and psychopathology symptoms: A comparison between adolescents with and without deliberate self-harm</title>
<sec id="Sec710"><title>Ana Xavier<sup>1</sup>
, Marina Cunha<sup>2</sup>
, José Pinto-Gouveia<sup>1</sup>
</title>
<sec id="Sec711"><title><sup>1</sup>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal; <sup>2</sup>
Instituto Superior Miguel Torga, Coimbra, 3000-132, Portugal</title>
<sec id="Sec712"><title><bold>Correspondence:</bold>
Ana Xavier (ana.mj.xavier@gmail.com) – Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Deliberate self-harm (DSH) is a serious public health problem due to its high prevalence during adolescence and its link to psychological impairments. Despite the theoretical emphasis on the role of emotion dysregulation in DSH, few studies have analysed this relationship among a community sample of adolescents. Objective: The current study aims to compare adolescents with and without DSH in emotion regulation processes and psychopathological symptoms, and to examine the contribution of maladaptive emotion regulation processes to predict DSH.</p>
<p><bold>Methods</bold>
</p>
<p>The sample consists of 180 adolescents with DSH and 180 adolescents without a history of DSH. The total sample is aged between 12 and 18 years old (M = 14.98, SD = 1.77) and was recruited in middle and secondary schools (mean of years of education = 9.54, SD = 1.63).</p>
<p><bold>Results</bold>
</p>
<p>A one-way ANOVA showed that adolescents with DSH reported higher levels of maladaptive emotion regulation processes, such as dissociation, rumination, experiential avoidance and self-criticism than adolescents without DSH. Adolescents with DSH also experience higher levels of depression, anxiety and stress symptoms than adolescents without DSH. Results from logistic regression analyses showed that the full model accounted for between 26 % and 35 % of DSH. The best predictors of DSH are depressive symptoms, being female and the most severe form of self-criticism (self-hate). When this form of self-criticism was not included in the equation analysis, other risk emotional factors for DSH emerged, namely dissociation and lower levels of self-compassion.</p>
<p><bold>Conclusions</bold>
</p>
<p>These findings unveil the emotional risk factors for DSH in adolescence.</p>
<p><bold>Keywords</bold>
</p>
<p>Adolescence, Deliberate self-harm, emotion regulation processes</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec713"><title>O112 Prevalence of physical disability in people with leprosy</title>
<sec id="Sec714"><title>Liana Alencar<sup>1,2</sup>
, Madalena Cunha<sup>1,2</sup>
, António Madureira<sup>2</sup>
</title>
<sec id="Sec715"><title><sup>1</sup>
Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; <sup>2</sup>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<sec id="Sec716"><title><bold>Correspondence:</bold>
Madalena Cunha (madalenacunhanunes@gmail.com) – Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Hansen’s disease is a curable nosologic entity caused by Mycobacterium Leprae with a predilection for the peripheral nervous system which is associated with incapacities, with higher prevalence among men. Given that it is an infectious-contagious disease, the following are useful strategies for diminishing its sequels: early diagnosis, monitoring patients and household contacts, promoting educational campaigns. Objective: To assess the degree of disability in people with Hansen’s disease.</p>
<p><bold>Methods</bold>
</p>
<p>An observational study conducted in 104 Brazilians diagnosed with Hansen’s disease. Most were male (60.6 %) with an average age of 37 years, dark-skinned (49.0 %) and had completed basic education (34.6 %). Data collection was authorized and supported in the Notifiable Diseases Information System.</p>
<p><bold>Results</bold>
</p>
<p>The operational and clinical classification of Hansen’s disease revealed that 47.1 % were paucibacillary and 52.9 % were multibacillary. 32.0 % were diagnosed with the borderline type and 26.0 % with the tuberculoid type. At the time of the diagnosis 25.0 % had a physical disability. The level of physical disability (LPD) was the following: Level 0 - 73 (70.19 %); level I - 17 (16.35 %) and 9 (8.65 %) had level II deformities. LPD was not registered in 5 cases.</p>
<p><bold>Conclusions</bold>
</p>
<p>Physical disability associated with Hansen’s disease is significant and a public health problem in Brazil. Thus, it is urgent to implement measures for the eradication of this endemic disease and for the control of its sequels.</p>
<p><bold>Keywords</bold>
</p>
<p>Physical, Disability, Leprosy</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec717"><title>O113 Quality of life and self-esteem in type 1 and type 2 diabetes mellitus patients</title>
<sec id="Sec718"><title>Ilda Cardoso<sup>1,2</sup>
, Ana Galhardo<sup>1,3</sup>
, Fernanda Daniel<sup>1,4</sup>
, Vítor Rodrigues<sup>1,2</sup>
</title>
<sec id="Sec719"><title><sup>1</sup>
Instituto Superior Miguel Torga, Coimbra, 3000-132, Portugal; <sup>2</sup>
Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal; <sup>3</sup>
Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, 3001-802 Coimbra, Portugal; <sup>4</sup>
Centre for Health Studies and Research, University of Coimbra, 3004-512 Coimbra, Portugal</title>
<sec id="Sec720"><title><bold>Correspondence:</bold>
Ilda Cardoso (ildamassano@ismt.pt) – Instituto Superior Miguel Torga, Coimbra, 3000-132, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Diabetes mellitus (DM) is one of the most prevalent chronic diseases, being responsible for high rates of morbidity and mortality. In Portugal its prevalence is about 12.7 %. Quality of life (Qol) can be influenced by the individual physical and mental health, social environment and personal beliefs. Self-esteem is related to the sense of personal value or self-worth and may be a relevant aspect of coping with chronic disease. Objectives: To explore the existence of differences between type 1 and type 2 diabetes patients regarding Qol and self-esteem. Gender differences in these two groups of patients were also investigated.</p>
<p><bold>Methods</bold>
</p>
<p>Participants were 333 with a DM diagnosis for over a year who completed World Health Organization Quality of Life (WHOQOL-Bref) and the Rosenberg Self-Esteem (RSE]. The study had a cross-sectional design.</p>
<p><bold>Results</bold>
</p>
<p>Patients with type 1 DM show significant higher scores in all Qol dimensions as well as in self-esteem (p < 0.05) when compared to type 2 DM patients. Concerning gender differences type 1 male patients and type 1 female patients do not differ. When considering type 2 DM, men score significantly higher than women in self-esteem (p = 0.002) and in general Qol (p = 0.036), physical (p = 0.008), psychological (p < 0.001) and environment (p = 0.001) dimensions.</p>
<p><bold>Conclusions</bold>
</p>
<p>Independently of being male or female type 1 DM patients show better Qol and higher self-esteem. Regarding type 2 DM it seems important to integrate Qol and self-esteem in the overall treatment approach, particularly with women.</p>
<p><bold>Keywords</bold>
</p>
<p>Diabetes mellitus, self-esteem, quality of life, gender differences</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec721"><title>O114 Cross-cultural comparison of gross motor coordination in children from Brazil and Portugal</title>
<sec id="Sec722"><title>Leonardo Luz<sup>1</sup>
, Tatiana Luz<sup>1</sup>
, Maurício R. Ramos<sup>2</sup>
, Dayse C. Medeiros<sup>3</sup>
, Bruno M. Carmo<sup>1</sup>
, André Seabra<sup>4</sup>
, Cristina Padez<sup>5</sup>
, Manuel C. Silva<sup>5</sup>
</title>
<sec id="Sec723"><title><sup>1</sup>
Universidade Federal de Alagoas, Maceió, 57072-900, Alagoas, Brasil; <sup>2</sup>
Instituto Federal de Alagoas, Maceió, 57035-660, Alagoas, Brasil; <sup>3</sup>
Centro Universitário Cesmac, Maceió, 57051-160, Alagoas, Brasil; <sup>4</sup>
Universidade do Porto, Porto, 4099-002, Portugal; <sup>5</sup>
Universidade de Coimbra, Coimbra, 3004-504, Portugal</title>
<sec id="Sec724"><title><bold>Correspondence:</bold>
Leonardo Luz (ltluz@ig.com.br) – Universidade Federal de Alagoas, Maceió, 57072-900, Alagoas, Brasil</title>
<p><bold>Background</bold>
</p>
<p>Motor coordination is an important predictor of physical activity and health in childhood. However, childhood competence levels in many countries are lower than desired. Due to the many different motor skill instruments in use, children’s motor coordination across countries is rarely compared. Objective: This study aimed to examine the gross motor coordination of children from Brazil and Portugal.</p>
<p><bold>Methods</bold>
</p>
<p>The cross-sectional sample included 121 boys (61 from Brazil) aged 8 years old from schools in Brazil and Portugal. The subjects completed morphological measurements. Motor coordination was evaluated using a 4-item battery (<italic>Körperkoordinationstest für Kinder-KTK</italic>
): walking backward on balance beams (WB), moving sideways on boxes (MS), jumping sideways across a wooden slat (JS), and hopping for height on one leg (HH). The percentage of predicted mature stature was used to assess the somatic maturation. MANOVA and MANCOVA (with waist circumference as covariate) were used to examine the independent effect of country on morphological variables, somatic maturation and KTK items. Significance level was set at 5 % for all inferential statistics.</p>
<p><bold>Results</bold>
</p>
<p>Our results showed a significant country effect (Wilks’λ = 0.547; F = 23.993; p < 0.05) and suggested that Portuguese boys attained better performance compared to Brazilian boys in JS and HH. The current results suggested that they are country-related and not substantially explained by biological maturation.</p>
<p><bold>Conclusions</bold>
</p>
<p>The low levels reported by Brazilian boys in JS and HH may be the result of maturity status and cultural differences in physical activity contexts such as physical education and sports participation.</p>
<p><bold>Keywords</bold>
</p>
<p>Motor coordination, KTK, children, cross-cultural comparison</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec725"><title>O115 Electrocardiographic differences between African and Caucasian people</title>
<sec id="Sec726"><title>António Rodrigues, Patrícia Coelho, Alexandre Coelho</title>
<sec id="Sec727"><title>Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco 6000-767, Portugal</title>
<sec id="Sec728"><title><bold>Correspondence:</bold>
António Rodrigues (afrodrigues6@gmail.com) – Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco 6000-767, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In the second half of the 20th century, life expectancy of African people was considerably lower than Caucasians, identifying the need to study the differences between racial and ethnic groups so that health measures can be taken. Objective: To verify if there are electrocardiographic differences between African and Caucasian individuals.</p>
<p><bold>Methods</bold>
</p>
<p>The sample includes a total of 122 individuals, collected between October 2011 and January 2012. All the individuals answered a personal questionnaire and did a conventional 12-lead electrocardiogram. The study included individuals from both races and genders, with a sedentary life style, without alcoholic habits, non-smokers, non-obese, with similar sociodemographic conditions, with no kind of disease associated, with ages between 19 and 35 years, and who had agreed to take part in the study by signing an informed agreement.</p>
<p><bold>Results</bold>
</p>
<p>With this study, we were able to confirm that individuals of African race have more prevalence of negative T waves and/or biphasic in V1 (p < 0.001), V2 (p = 0.014) and V3 (p = 0.043), higher prevalence of ST-segment elevation in V1 (p < 0.001), V2 (p = 0.001), V3 (p = 0.010) and V4 (p = 0.027), a higher dispersion of QT interval (p = 0.001) and higher prevalence of left ventricular hypertrophy (Sokolow-Lyon index – p < 0.001).</p>
<p><bold>Conclusions</bold>
</p>
<p>Although we found statistical differences in the average values and in the prevalence, we did not actually verify electrocardiographic differences between the racial groups. In spite of all the study results, we conclude that they have no pathological value, and are therefore considered as normal variations.</p>
<p><bold>Keywords</bold>
</p>
<p>Eletrocardiography, African, Caucasian</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec729"><title>O116 Factors associated with domestic, sexual and other types of violence in the city of Palhoça - Brazil</title>
<sec id="Sec730"><title>Madson Caminha<sup>1</sup>
, Filipe Matheus<sup>1</sup>
, Elenice Mendes<sup>2</sup>
, Jony Correia<sup>2</sup>
, Marcia Kretzer<sup>1</sup>
</title>
<sec id="Sec731"><title><sup>1</sup>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil; <sup>2</sup>
Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina, 88132-149, Brasil</title>
<sec id="Sec732"><title><bold>Correspondence:</bold>
Madson Caminha (madsoncaminha@hotmail.com) – Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil</title>
<p><bold>Background</bold>
</p>
<p>Violence is intentional use of force or power in the form of a threat or effectively, against oneself, another person, group or community, which leads to or is most likely to result in injury, death, psychological harm or developmental disorders. Brazil displays an increased tendency of the notifications in all kinds of violence. Objective: Analyse the factors related to types of violence notified in the city of Palhoça, Brazil, during the period 2010-2015.</p>
<p><bold>Methods</bold>
</p>
<p>Cross-sectional study, with analysis of 890 records of notification/personal investigation of domestic violence, sexual and/or other types of violence. Data obtained from Notifiable Diseases Information System. Analyses in SPSS 20.0, Chi-square test with p ≤ 0.05. Approved by the Research Ethics Committee of University of Southern Santa Catarina No 1.370.313.</p>
<p><bold>Results</bold>
</p>
<p>Prevalent in females (53.1 %), older than 18 years (99.7 %), white (66.2 %), low educational level (38.7 %), single (40.5 %), urban zone (98.2 %) occurrence in the home (54.0 %), have suffered violence other times (32.2 %), have disabilities/disorders (13.7 %), pregnant women (2.7 %). Male aggressor (75.7 %), partner/boyfriend (20.3 %), alcohol use (24.5 %). Higher incidence of physical violence (83.1 %), followed by sexual (10.8 %) and psychological (9.4 %) violence. Physical force as a means of aggression (58.7 %), cut injury/blunt trauma (58.2 %), self-harm by 19.7 %. Death in 1.4 %. Significant correlation (p ≤ 0.05) between physical violence with physical/mental disability and mental illness, suffering violence other times, male sex and alcohol abuse.</p>
<p><bold>Conclusions</bold>
</p>
<p>There was a higher report of physical violence on female adults performed by family members, associated with male aggressors and alcohol abuse.</p>
<p><bold>Keywords</bold>
</p>
<p>Violence, Domestic violence, Social violence</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec733"><title>O117 Tinnitus prevalence study of users of a hospital of public management - Spain</title>
<sec id="Sec734"><title>Francisco J. Hernandez-Martinez<sup>1</sup>
, Juan F. Jimenez-Diaz<sup>2</sup>
, Bienvendida C. Rodriguez-De-Vera<sup>2</sup>
, Carla Jimenez-Rodriguez<sup>2</sup>
, Yadira Armas-Gonzalez<sup>3</sup>
</title>
<sec id="Sec735"><title><sup>1</sup>
Cabildo de Lanzarote, 35500, Arrecife, Lanzarote, Las Palmas, España; <sup>2</sup>
Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas, España; <sup>3</sup>
Servicio Canario de la Salud, 35500, Arrecife, Lanzarote, Las Palmas, España</title>
<sec id="Sec736"><title><bold>Correspondence:</bold>
Francisco J. Hernandez-Martinez (fjhernandez@denf.ulpgc.es) – Cabildo de Lanzarote, 35500, Arrecife, Lanzarote, Las Palmas, España</title>
<p><bold>Background</bold>
</p>
<p>The tinnitus or Tinnitus is the subjective perception of a continuous noise in the ears or head in the absence of noise to justify it. It affects 25 % of the general population and in most cases is associated with hearing loss. Objective: To determine the prevalence of tinnitus in users attending otolaryngology consultations and examine the sociodemographic characteristics of the study population.</p>
<p><bold>Methods</bold>
</p>
<p>A descriptive observational, cross-sectional and quantitative study among users of the Canary Health Service (Spain), who are undergoing a "total audiometry or pure tone" after referral to ENT Hospital Jose Molina Orosa. Data collection period was from January to April 2015, respecting the right to confidentiality, privacy and freedom, as well as the voluntary nature of participation.</p>
<p><bold>Results</bold>
</p>
<p>Of 412 patients who attended the consultation of Otolaryngology, 84 patients with tinnitus were included in the sample. The study determined that the prevalence is 20.3 %, with a predominance of women among the group aged 41-60 years. 77.3 % of patients had hearing loss associated with tinnitus, and, on average, adaptation to symptoms in patients was associated with hypertension, depression and insomnia.</p>
<p><bold>Conclusions</bold>
</p>
<p>The degree of adaptation of the patient with tinnitus needs an acceptance of living with it. Health education programmes for the prevention and improved quality of life for people who suffer from this symptom are recommended.</p>
<p><bold>Keywords</bold>
</p>
<p>Tinnitus, prevalence, public hospital, Spain</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec737"><title>O118 Difficulties experienced by parents of children with diabetes mellitus of preschool age in therapeutic and nutritional management</title>
<sec id="Sec738"><title>Cátia Rodrigues, Rosa Pedroso</title>
<sec id="Sec739"><title>Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra, Portugal</title>
<sec id="Sec740"><title><bold>Correspondence:</bold>
Cátia Rodrigues (catialexrodrig@gmail.com) – Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The national and international literature has shown that the incidence of type 1 Diabetes Mellitus (DM1) in children has increased significantly, becoming the chronic disease with the highest incidence in children and adolescents in Portugal. Objective: To describe the difficulties parents experience in the management of therapy and nutrition, evaluate the difficulties in the management of the disease of their children, describe the strategies used by parents in the management of therapy and feeding their children.</p>
<p><bold>Methods</bold>
</p>
<p>A descriptive exploratory study of qualitative nature was developed, conducted through semi-structured interviews. An intentional sample consisting of ten parents was used, followed in endocrinology consultation of the Paediatric Hospital of Coimbra from July to August 2014. Data were analysed using the content analysis technique, according to Bardin (2009) [1].</p>
<p><bold>Results</bold>
</p>
<p>Through the analysis made of the parents’ discourse, five main categories emerged corresponding to the difficulties experienced in the therapeutic and nutrition management of their children: nutrition control and calculation of units of insulin in the day nursery, negative feelings that the children associated with the illness, negative feelings experienced by parents, complexity of the calculations and, finally, parents’ opinions and suggestions.</p>
<p><bold>Conclusions</bold>
</p>
<p>The difficulty of parents in the calculations inherent in this process was evident. Parents rarely delegate functions associated with therapeutic and nutrition management to childcare professionals, claiming insecurity and lack of knowledge. It was also remarkable to experience negative feelings both by children and by parents associated with the disease.</p>
<p><bold>References</bold>
</p>
<p>1. Bardin L. Análise de Conteúdo. Lisboa: Edições 70; 2009.</p>
<p><bold>Keywords</bold>
</p>
<p>Diabetes mellitus type 1, preschool children, difficulties, nutrition, therapeutic</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec741"><title>O119 E-mental health - “nice to have” or “must have”? Exploring the attitudes towards e-mental health in the general population</title>
<sec id="Sec742"><title>Jennifer Apolinário-Hagen, Viktor Vehreschild</title>
<sec id="Sec743"><title>Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</title>
<sec id="Sec744"><title><bold>Correspondence:</bold>
Jennifer Apolinário-Hagen (jennifer.apolinario-hagen@fernuni-hagen.de) – Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</title>
<p><bold>Background</bold>
</p>
<p>In the present research literature, e-mental-health is associated with benefits such as improved access to mental health care including online self-help services and psychotherapy [1]. However, the evidence base on attitudes towards e-therapies from the users´ perspective is very limited [2]. Objective: The aim of the study was to explore attitudes towards e-mental health in the general population. A further goal was to identify the utilisation of publicly available online health services.</p>
<p><bold>Methods</bold>
</p>
<p>To measure attitudes towards standardised guided e-therapy, 436 German-speaking persons (M = 29 years, SD = 10.13; 78 % female) completed a 17-item-questionnaire that contains items on different aspects of e-therapies, including statements that reflect commonly proposed benefits and risks. Factor analysis (extraction method: Promax) resulted in a two-dimension-structure of the measure, i.e. “usefulness (of e-therapies)” and “comparability (to face-to-face- therapies)”. The feasibility of the measure was confirmed by a recent pilot study (n = 1.546). Besides, online habits regarding health issues were examined.</p>
<p><bold>Results</bold>
</p>
<p>Attitudes towards guided e-therapies were overall neutral (“usefulness”) or tended to be rather pessimistic (“comparability”). The majority of participants reported not having heard of e-therapies before (57 %), whereas e-counselling was attended by 11 %. Additionally, 57 % reported searching online for health information only rarely or occasionally. Websites of physicians or psychologists were viewed as the most trustworthy resources.</p>
<p><bold>Conclusions</bold>
</p>
<p>Research with the scope on attitudes towards e-mental health is at an early stage. The results could be biased due to the selective sample. The further development and validation of measures is strongly recommended.</p>
<p><bold>References</bold>
</p>
<p>1. Musiat P, Goldstone P, Tarrier N. Understanding the acceptability of e-mental health - attitudes and expectations towards computerised self-help treatments for mental health problems. BMC Psychiatry, 2014; 14:109. doi: 10.1186/1471-244X-14-109.</p>
<p>2. Casey LM, Joy A, Clough BA. The Impact of Information on Attitudes Toward E-Mental Health Services. Cyberpsychology, Behavior, and Social Networking. 2013; 16(8): 593-598.</p>
<p><bold>Keywords</bold>
</p>
<p>Attitudes, e-therapy, online self-help, e-mental health, health literacy, mental health care, access to care, online psychotherapy, e-counselling, self-report measure</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec745"><title>O120 Violence against children and adolescents and the role of health professionals: Knowing how to identify and care</title>
<sec id="Sec746"><title>Milene Veloso, Celina Magalhães, Isabel Cabral, Maira Ferraz</title>
<sec id="Sec747"><title>Universidade Federal do Pará, Belém, Pará, 66075-110, Brasil</title>
<sec id="Sec748"><title><bold>Correspondence:</bold>
Milene Veloso (mveloso@ufpa.br) –Universidade Federal do Pará, Belém, Pará, 66075-110, Brasil</title>
<p>Violence against children and adolescents is a serious public health problem worldwide and health professionals have an important role in the identification and treatment of cases. This work investigated the perception of health professionals about violence against children and adolescents, to propose possibilities for action and the drafting of a pamphlet to be used in the training of these professionals.</p>
<p>The study was developed in Belém-Pará-Brazil in the period 2011 to 2014, from the application of two structured questionnaires with 174 health professionals. The data were analysed via the BioEstat 5.3 programme.</p>
<p>The results pointed out that about 30.00 % of health professionals never identified child or adolescent victims of violence. Neglect was perceived by 60.74 % of professionals; however, only 19.05 % of these reported having it notified. Sexual violence was the least referred to (24.14 %), but exhibited a higher rate of notification (50.00 %). Physical violence was notified by 39.47 % of professionals who identified it, and psychological violence by 34.88 %. Among the upper level professionals, 50.00 % said they did not know the means of notification and 86.11 % never used it. The main doubts described by health professionals were: how to identify signs and symptoms of violence (48.61 %), the process of notification of cases (27.77 %) and how to deal with the victims and the families (25 %).</p>
<p>The results demonstrated the urgent need for a policy of continued education focused on health professionals, thus ensuring full protection for children and adolescents. The guide is in the wrap-up phase and application.</p>
<p><bold>Keywords</bold>
</p>
<p>Violence, children and adolescents, Health professionals</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec749"><title>O121 Marital violence. A study in the Algarve population</title>
<sec id="Sec750"><title>Filipe Nave, Emília Costa, Filomena Matos, José Pacheco</title>
<sec id="Sec751"><title>Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510, Portugal</title>
<sec id="Sec752"><title><bold>Correspondence:</bold>
Filipe Nave (fnave@ualg.pt) – Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510, Portugal</title>
<p>Marital violence may be included in domestic violence (DV), since this is a type of violence that occurs in an intimate relationship between two partners or spouses and which, because it happened in an intimate space, is not easily identifiable. It affects multiple dimensions of health in all members of a family.</p>
<p>This study aims to evaluate and characterize marital violence in the population of the Algarve. It is an exploratory, descriptive, correlational and transversal study using a quantitative methodology. Apart from a sociodemographic questionnaire, we used the Inventory of Marital Violence (IVC).</p>
<p>Among the 504 men and women respondents in the Algarve region, statistically significant differences were not found in any of the types of violence suffered. In terms of incidence of domestic violence in this sample we found that 49.4 % had experienced psychological violence, 10.1 % reported having experienced some episode of major physical violence, 30.8 % reported having experienced minor physical violence, 42.9 % said they had been abused in the socio-economic context and 42.9 % had never been a victim of sexual violence.</p>
<p>About 60 % of the participants stated that they had already been victims of some form of violence. Psychological violence and socio-economic violence are those with higher values, exceeding 40 % of respondents. Minor physical violence and sexual violence also had poor values, having both been reported by more than 30 % of respondents. Major physical violence is the least reported with an approximate value of 10 % of the participants.</p>
<p><bold>Keywords</bold>
</p>
<p>Domestic violence, marital violence, Inventory of Marital Violence (IVC).</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec753"><title>O122 Clinical factors and adherence to treatment in ischemic heart disease</title>
<sec id="Sec754"><title>António Dias, Carlos Pereira, João Duarte, Madalena Cunha, Daniel Silva</title>
<sec id="Sec755"><title>Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<sec id="Sec756"><title><bold>Correspondence:</bold>
António Dias (madureiradias@gmail.com) – Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Non-adherence to treatment is a motive of concern by the scientific community, since it is considered as an important problem of public health. Approximately 50 % of patients with ischemic heart disease (IHD) do not get a clinical benefit, due to low adherence to treatment (AT). Objectives: Determine the prevalence of AT and relate the influence of several clinical factors in AT.</p>
<p><bold>Methods</bold>
</p>
<p>A cross-sectional study, involving 254 patients with IHD, attending follow-up consultation at the hospital. Patients had a mean age of 66.9 ± 11.6 years; 74.0 % were male; 73.2 % were “married”; 69.3 % had education up to the “4<sup>th</sup>
grade”. We used socio-demographic and clinic questionnaire and Measure Treatment Adherence.</p>
<p><bold>Results</bold>
</p>
<p>The prevalence of non-adherence of patients with IHD was 50.4 %. Patients who adhered more to treatment were those who: I) were diagnosed with “acute myocardial infarction with ST elevation” compared to those who had “unstable angina”; II)had the disease “1 year ago” compared to those who had “4 years ago”; III) had the first episode of acute coronary syndrome compared to those who relapsed; IV) had “1 risk factor” compared to those who had “4 and 5 risk factors”; V) were treated with “primary angioplasty” compared to those that enjoyed “conservative” treatment; VI) were asymptomatic compared to those that reported “limitation or severe limitation to activities”.</p>
<p><bold>Conclusions</bold>
</p>
<p>The results are consistent with previous studies, confirming the low prevalence to AT regarding the cardioprotective medication. Some clinical factors in AT proved to be predictors of adherence.</p>
<p><bold>Keywords</bold>
</p>
<p>Adherence to treatment, ischemic heart disease, clinical factors</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec757"><title>O123 Can religiosity improve optimism in participants in states of illness, when controlling for life satisfaction?</title>
<sec id="Sec758"><title>Lisete M. Mónico<sup>1</sup>
, Valentim R. Alferes<sup>1</sup>
, Mª São João Brêda<sup>1</sup>
, Carla Carvalho<sup>1</sup>
, Pedro M. Parreira<sup>2</sup>
</title>
<sec id="Sec759"><title><sup>1</sup>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal; <sup>2</sup>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851, Portugal</title>
<sec id="Sec760"><title><bold>Correspondence:</bold>
Lisete M. Mónico (lisete_monico@fpce.uc.pt) – Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Considering the classic literature on the effects of religiosity on health, well-being, and risk behaviours, the issue of the influence of religiosity on optimism has been less studied, especially when controlling for life satisfaction. In states of illness, variables such as optimism and life satisfaction assume an important role. Objectives: To analyse the role of religiosity in optimism factors (externality vs. internality) in groups characterized by states of illness or health, controlling for life satisfaction.</p>
<p><bold>Methods</bold>
</p>
<p>The sample consists of 264 patients with chronic diseases or hospitalized due to a given pathology (M = 52.49; SD = 17.69 years old; 64.4 % female), and a comparison group composed of 315 healthy individuals (M = 40.63; SD = 16.63 years old; 78.8 % female). All participants answered the CRSV Questionnaire (2011) composed of several measures of religiosity, optimism and life satisfaction (with good psychometric properties).</p>
<p><bold>Results</bold>
</p>
<p>For ill participants, we didn’t find an association between religiosity and optimism measures when controlling for life satisfaction, both for externality (β = .02) and internality optimism (β = .00); in these patients, life satisfaction predicted internality (β = .65) more than externality optimism (β = .25). For healthy participants, religiosity predicted life satisfaction (β = .19) and optimism (β = .16 for externality optimism; β = .14 for internality optimism); both internality (β = .86) and externality optimism (β = .88) were associated with life satisfaction.</p>
<p><bold>Conclusions</bold>
</p>
<p>Religiosity only influences optimism in healthy individuals. For ill participants, optimism was only anchored in life satisfaction, and internality optimism was promoted more by life satisfaction than optimism based on external causes. For healthy individuals, life satisfaction equally promotes internality and externality optimism.</p>
<p><bold>Keywords</bold>
</p>
<p>Religiosity, optimism, life satisfaction, internality, externality</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec761"><title>O124 Empowerment, knowledge and quality of life of people with diabetes type 2 in the Alto Minho Health Local Unit</title>
<sec id="Sec762"><title>Mª Carminda Morais<sup>1,2</sup>
, Pedro Ferreira<sup>1</sup>
, Rui Pimenta<sup>1</sup>
, José Boavida<sup>3</sup>
</title>
<sec id="Sec763"><title><sup>1</sup>
Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal; <sup>2</sup>
Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal; <sup>3</sup>
Direção geral de Saúde (DGS), 1049-005 Lisboa, Portugal</title>
<sec id="Sec764"><title><bold>Correspondence:</bold>
Mª Carminda Morais (carmindamorais@ess.ipvc.pt) – Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal</title>
<p><bold>Background</bold>
</p>
<p>Diabetes mellitus type 2 is one of the non-communicable diseases with increasing prevalence, associated with strong physical, emotional and socio-economic repercussions. Therefore, it requires new integrated approaches to prevent and combat the disease, based on the evidence already being produced. Objective: This study aimed at assessing knowledge, empowerment and quality of life of people with type 2 diabetes, being followed in Alto Minho Region of Portugal.</p>
<p><bold>Methods</bold>
</p>
<p>This correlational descriptive study was conducted on a random sample of 537 individuals, 277 of them in primary care (clusters of health care centres, ACES). The questionnaire encompassed a sociodemographic and clinical characterization part, together with the DES-SF (empowerment), DKT (knowledge) and EQ-5D (quality of life) scales.</p>
<p><bold>Results</bold>
</p>
<p>Individuals’ mean age was 64.7 ± 11.7 (ACES) and 62.3 ± 12.9 (hospital). Concerning empowerment and quality of life we found similar mean scores in both settings 3.7 ± 0.9 and 0.6 ± 0.3 in ACES, and 3.7 ± 0.7 and 0.6 ± 0.3 in hospital. On the other hand, knowledge was higher in the hospital (66.7 ± 12.4) vs. primary care (59.7 ± 16.3), especially in non-insulin treated individuals. Men followed in hospital also showed higher empowerment than women although having similar knowledge. The highest knowledge deficits were related to hypoglycaemia handling, meaning of haemoglobin HbA1C, ketoacidosis signs among the insulin treated, and the care of the feet. Younger and less educated individuals showed higher knowledge of quality of life and empowerment.</p>
<p><bold>Conclusions</bold>
</p>
<p>There is lack of knowledge in fundamental aspects of the disease’s management, followed by an unrealistic feeling of empowerment, taking into account the evidence produced. Local intervention strategies should consider these findings.</p>
<p><bold>Keywords</bold>
</p>
<p>Type 2 diabetes, empowerment, knowledge, quality of life</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec765"><title>O125 Antihypertensive therapy adherence among hypertensive patients from Bragança county, Portugal</title>
<sec id="Sec766"><title>Isabel C. Pinto<sup>1</sup>
, Tânia Pires<sup>1,2</sup>
, Catarina Silva<sup>1</sup>
</title>
<sec id="Sec767"><title><sup>1</sup>
Instituto Politécnico de Bragança, Bragança, 5300-253, Portugal; <sup>2</sup>
Centro de Investigação de Montanha, Escola Superior Agrária, 5300-253 Bragança, Portugal</title>
<sec id="Sec768"><title><bold>Correspondence:</bold>
Isabel C. Pinto (isabel.pinto@ipb.pt) – Instituto Politécnico de Bragança, Bragança, 5300-253, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Hypertension increases the risk of cardiovascular diseases and is highly prevalent worldwide, reaching more than a quarter of the Portuguese population. Poor antihypertensive therapy adherence has been identified as the main cause of failure to control hypertension. Objective: To estimate the prevalence of antihypertensive therapy adherence and related factors.</p>
<p><bold>Methods</bold>
</p>
<p>This cross-sectional study was based on a questionnaire, with MAT scale (measure of adherence to therapy) validated for the Portuguese population [1], applied to 122 hypertensive patients from Bragança county, in northern Portugal. To assess therapy adherence, those whose average adherence levels were ≥ 5 were called adherent. Descriptive statistics were used, correlations were accessed using qui-square test, with a significance level of 5 %.</p>
<p><bold>Results</bold>
</p>
<p>The sample consisted mainly of females (59.1 % vs. 40.9 %), aged between 31 and 92 years old (mean 69.8). The participants show high antihypertensive therapy adherence level (82.8 %). Only marital status is related to therapy adherence, with married or widowed people being those who least adhered to antihypertensive treatment (p = 0.04).</p>
<p><bold>Conclusions</bold>
</p>
<p>This study shows that a high prevalence of hypertensive patients adhered to the antihypertensive therapy prescribed, the married or widowed being those who least adhered to treatment.</p>
<p><bold>References</bold>
</p>
<p>1. Delgado AB, Lima ML. Contributo para validação concorrente de uma medida de adesão aos tratamentos. Psicologia, Saúde & Doenças. 2001; 2(2): 81-100.</p>
<p><bold>Keywords</bold>
</p>
<p>Antihypertensive therapy adherence, hypertensive patients, therapy adherence, therapy non-adherence</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec769"><title>O126 Subjective perception of sexual achievement - An exploratory study on people with overweight</title>
<sec id="Sec770"><title>Maria Ribeiro<sup>1,2</sup>
, Maria Viega-Branco<sup>3</sup>
, Filomena Pereira<sup>4</sup>
, Ana Mª Pereira<sup>3</sup>
</title>
<sec id="Sec771"><title><sup>1</sup>
Escola Superior Agrária, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal; <sup>2</sup>
Centro de Estudos Transdisciplinares para o Desenvolvimento, Universidade de Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal; <sup>3</sup>
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal; <sup>4</sup>
Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</title>
<sec id="Sec772"><title><bold>Correspondence:</bold>
Maria Ribeiro (xilote@ipb.pt) – Escola Superior Agrária, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</title>
<p>The literature reports that Body Mass Index (BMI) changes are directly related to sexual interest. Individuals with overweight and obesity self-report fewer sexual partners and are less likely to have a romantic relationship compared to their non-obese counterparts.</p>
<p>The objectives of this work are to know the level of perceived sexual achievement, in overweight people with the Binge Eating Scale (BES) and to study the association between age and the perception of quality of sex in people with overweight are the objectives of this work.</p>
<p>An exploratory and quantitative study was developed, based on a sample of 218 patients of both genders, aged between 18 and 65 years. Data was collected in various hospitals of northern and central Portugal with the Sexual Satisfaction Index (SSI) being used for this purpose.</p>
<p>Of all participants, 64.5 % expressed overweight. On a scale of 0 to 100, the SSI was, on average, 26.7 (SD = 14.6). On average, Individuals with severe poor scores on the BES registered the highest level of sexual dissatisfaction. There were, statistically, significant differences in the SSI, among individuals with and without overweight. Dissatisfaction is greater the more advanced the age of participants. Contrary to what is reported in the literature, there was no difference between individuals with and without overweight according to the number of sexual partners.</p>
<p>The results obtained with this research are consistent with the literature, except for those concerning the number of sexual partners.</p>
<p><bold>Keywords</bold>
</p>
<p>Perception, sexual achievement, overweight, Portugal</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec773"><title>O127 Physical activity level and associated factors in hypertensive individuals registered in the family health strategy of a basic health unit from the city of Palhoça, Santa Catarina, Brazil</title>
<sec id="Sec774"><title>Fabrícia M. Almeida, Gustavo L. Estevez, Sandra Ribeiro, Marcia R. Kretzer</title>
<sec id="Sec775"><title>Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil</title>
<sec id="Sec776"><title><bold>Correspondence:</bold>
Marcia R. Kretzer (marcia.kretzer1@gmail.com) – Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil</title>
<p><bold>Background</bold>
</p>
<p>Hypertension is a major risk factor for cardiovascular disease, while physical activity is associated with decreased risk of developing hypertension. Objective: To assess the level of physical activity and associated factors in hypertensive individuals registered in the Family Health Strategy in a Basic Health Unit (BHU) in the city of Palhoça, Santa Catarina, Brazil.</p>
<p><bold>Methods</bold>
</p>
<p>A transversal study with 134 hypertensive patients in a BHU in the period of June to November, 2015. The International Physical Activity Questionnaire (IPAQ) was applied. Analyses were carried out in SPSS 18.0, the averages were compared with the t-test (p ≤ 0.05) and a 95 % confidence interval was established. It was approved by the Unisul Research Ethics Committee.</p>
<p><bold>Results</bold>
</p>
<p>Women (59.8 %), medium age of 64.94 years old (SD 12.7), not working (78.4 %), smoking (16.4 %), of which 68.2 % smoke more than 20 cigarettes a day. Active in physical activity (42.6 %), irregularly active (41.5 %) and 6.2 % sedentary. Hypertension lower than 159/99 mmHg (78.8 %), diabetics (38.8 %), obesity (32.8 %), kidney disease (20.9 %), heart disease (17.9 %). 76.8 % use up to 2 antihypertensives. In smokers, the highest level of physical activity is associated with a consumption of less than 20 cigarettes a day (p = 0.008).</p>
<p><bold>Conclusions</bold>
</p>
<p>The hypertensives accompanied by the Family Health Strategy in the City of Palhoça, Brazil, perform regular physical activity, maintain low blood pressure and use up to two antihypertensive drugs. Smokers with a consumption of more than 20 cigarettes a day are more sedentary.</p>
<p><bold>Keywords</bold>
</p>
<p>Physical activity level, hypertension, associated factors</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec777"><title>O128 Perception of functional fitness and health in non-institutionalised elderly from rural areas</title>
<sec id="Sec778"><title>Paulo V. João<sup>1</sup>
, Paulo Nogueira<sup>2</sup>
, Sandra Novais<sup>2</sup>
, Ana Pereira<sup>1,3</sup>
, Lara Carneiro<sup>2</sup>
, Maria Mota<sup>1</sup>
</title>
<sec id="Sec779"><title><sup>1</sup>
Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal; <sup>2</sup>
Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal; <sup>3</sup>
Polytechnic Institute of Setúbal, 2910-761, Portugal</title>
<sec id="Sec780"><title><bold>Correspondence:</bold>
Paulo V. João (pvicente@utad.pt) – Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal</title>
<p>Exercise is an important way of promoting health and quality of life of the elderly, retarding functional decline associated with aging which tends to be related to a more positive health perception. This study aimed to examine how some functionality indicators are associated with perception of health of the elderly living in rural areas involved in a municipal programme.</p>
<p>The sample was composed by two hundred and seventy-nine (279) subjects (237 females and 42 males, 72.0 ± 7.6 years; 28.8 ± 4.3 kg/m<sup>2</sup>
), participating in the "Celorico a Mexer" municipal programme. Waist-hip ratio (WHR), blood pressure (BP), functional fitness and health status perception ("Current health" and "Health compared to others of the same age") was measured.</p>
<p>WHR was 0.96 ± 0.06, with women presenting the highest values (t = 10.902; p = 0.000). BP average was 136.7 ± 9.7 mmHg for SBP and 76.5 ± 10.4 mmHg in DBP. Considering Health Perception, 13.6 % of seniors feel that they have bad health, 29.0 % have poor health, 45.5 % reasonable health, 11.1 % good health and 0.7 % think it is very good.</p>
<p>Men consider their health significantly more positive than women (U = 3577.5, p = 0.002). Compared to other individuals of the same age, 17.6 % do not know, 17.6 % consider their health to be poorer, 48.2 % think their health identical and 16.5 % say they have better health. Men perceive their health better than women (U = 3821.5, p = 0.010). In functional capacity, women showed a better physical performance than men. It is necessary to develop campaigns for me for the maintenance of regular medical consulting, as well as the adoption of a better lifestyle.</p>
<p><bold>Keywords</bold>
</p>
<p>Autarchy, Functional capacity, Exercise, Elderly, Men, Women</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec781"><title>O129 Medication adherence in patients with type 2 diabetes mellitus treated at primary health care in Coimbra</title>
<sec id="Sec782"><title>Rui Cruz<sup>1</sup>
, Luiz Santiago<sup>2</sup>
, Carlos Fontes-Ribeiro<sup>3</sup>
</title>
<sec id="Sec783"><title><sup>1</sup>
College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; <sup>2</sup>
Universidade da Beira Interior, Covilhã, 6201-001, Portugal; <sup>3</sup>
Departamento de Farmacologia e Terapêutica, Faculdade de Medicina, Universidade de Coimbra, Coimbra, 3000-548, Portugal</title>
<sec id="Sec784"><title><bold>Correspondence:</bold>
Rui Cruz (ruic@estescoimbra.pt) – College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The prevalence of diabetes mellitus is increasing globally and has become a major public health problem. In Portugal, the latest prevalence indicates more than 1 million people living with diabetes with aged between 20 and 79 years. Type 2 diabetes mellitus is more prevalent in 80 % to 90 % of cases. To prevent the complications associated with type 2 diabetes, therapy frequently also includes medications for control of blood pressure, dyslipidaemia and other disorders and it is essential that there is good adherence to the treatment regimen. Objective: To characterize the adherence to medication of patients with type 2 diabetes.</p>
<p><bold>Methods</bold>
</p>
<p>We developed a cross-sectional study in a sample of 357 patients from primary care centres in Coimbra. Data collection was conducted through the Morisky Green adapted questionnaire.</p>
<p><bold>Results</bold>
</p>
<p>In total, 160 men (44.8 %) and 197 women (55.2 %) participated in the study. The mean age was 67.48 (SD ± 9.5). We obtained good results of participation, with 88 % of people having high adherence, 10 % intermediate adherence and only 2 % poor adherence.</p>
<p><bold>Conclusions</bold>
</p>
<p>Our sample of diabetics has a high adherence to therapy. Despite these results we found some factors that interfere with adherence to therapy, including age, employment status and gender.</p>
<p><bold>Keywords</bold>
</p>
<p>Type 2 diabetes mellitus, adherence to medication, primary care</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec785"><title>O130 Multivariate association between body mass index and multi-comorbidities in elderly people living in low socio-economic status context</title>
<sec id="Sec786"><title>Guilherme Furtado<sup>1,2</sup>
, Saulo V. Rocha<sup>3</sup>
, André P. Coutinho<sup>4</sup>
, João S. Neto<sup>4</sup>
, Lélia R. Vasconcelos<sup>3</sup>
, Nelba R. Souza<sup>2</sup>
, Estélio Dantas<sup>5</sup>
</title>
<sec id="Sec787"><title><sup>1</sup>
Fundação Capes, Ministério da Educação, 70.040-020, Brasília, Distrito Federal, Brasil; <sup>2</sup>
Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal; <sup>3</sup>
Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia, 45700-000, Brasil; <sup>4</sup>
Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, 88040-900 Brasil; <sup>5</sup>
Universidade Tiradentes, Aracaju, Sergipe & Laboratório de Biociências da Motricidade Humana, 49030-620 Aracaju, Brazil</title>
<sec id="Sec788"><title><bold>Correspondence:</bold>
Guilherme Furtado (furts2001@yahoo.com.br) – Fundação Capes, Ministério da Educação, 70.040-020, Brasília, Distrito Federal, Brasil</title>
<p><bold>Background</bold>
</p>
<p>The increase in life expectancy has been accompanied by increased incidence of chronic diseases. The multi-comorbidity (MC) appears as a frequent condition in the population, especially in the elderly people. The epidemic of obesity seems to be the most significant aggravating factor of this population. Objective: To investigate the association between body mass index (BMI) and multi-comorbidities (MC) in elderly people living in rural and urban areas.</p>
<p><bold>Methods</bold>
</p>
<p>This is a cross-sectional study conducted in the city of Ibicuí-Bahia, Brazil. The sample consisted of n = 310 elderly participants (≥60 years), registered by the Family Health Strategy Program, living in the urban and rural contexts of the city, randomly selected, 56.5 % female and 43.5 % male (71.62 SD = 8.15 years). BMI was calculated through the standard formula. MC were identified by the individual's self-report and by consulting the medical file. In addition, we applied a biosocial questionnaire to obtain information about gender, age, marital status, family conditions and use of medication.</p>
<p><bold>Results</bold>
</p>
<p>Multiple linear regression analysis by gender revealed that only statistically significant associations emerged between “BMI”, “hypertension”, “coronary heart disease” and “hypercholesterolemia” in women (p ≤ 0.001). For the male gender, only “hypertension” is associated significantly with BMI (p ≤ 0.005).</p>
<p><bold>Conclusions</bold>
</p>
<p>Evidence suggests that the “BMI” has statistically significant associations with “cardio-metabolic diseases”, reinforcing its role as a predictor of cardiovascular risk and its association with MC’s, especially in elderly women of low socioeconomic status.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, multi-comorbidities, body fat mass, BMI</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec789"><title>O131 Metacognition, rumination and experiential avoidance in Borderline Personality Disorder</title>
<sec id="Sec790"><title>Alexandra Dinis, Sérgio Carvalho, Paula Castilho, José Pinto-Gouveia</title>
<sec id="Sec791"><title>Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</title>
<sec id="Sec792"><title><bold>Correspondence:</bold>
Alexandra Dinis (alexandra.m.b.dinis@gmail.com) – Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Borderline Personality Disorder (BPD) is essentially conceptualized as an emotion dysregulation disorder characterized by a persistent pattern of volatile interpersonal relationships, unstable self-identity, intense and labile affect, impulsivity and self-damaging behaviours. Many of the pervasive and severe behaviours present in BPD have been recently conceptualized as forms of experiential avoidance. Objectives: I) Explore if individuals with BPD are significantly different from individuals with Generalized Social Phobia (GSP) and individuals from the general population in several psychological processes (metacognition and rumination) and in negative affect. II) Test whether the impact of these psychological processes on negative affect occurs through experiential avoidance in the three samples under study.</p>
<p><bold>Methods</bold>
</p>
<p>The BPD sample consisted of 73 psychiatric outpatients with a mean age of 28.99 (SD = 7.61), GSP comprised 69 psychiatric outpatients with a mean age of 27.51 (SD = 7.79) and non-clinical sample included 49 individuals with a mean age of 31.31 (SD = 10.61).</p>
<p><bold>Results</bold>
</p>
<p>Multivariate analysis of variance showed that there is at least one significant difference between two or more samples in all studied variables. Path Analysis showed: a) an indirect effect of rumination on negative affect through experiential avoidance, both in BPD and GSP; b) an indirect effect of metacognition on negative affect through experiential avoidance in the three samples under study. Multi-group analysis indicated the invariance of the structural models analysed.</p>
<p><bold>Conclusions</bold>
</p>
<p>Rumination, metacognition and experiential avoidance are present in a higher degree in BPD. It is possible that experiential avoidance represents an emotional regulation function that might incorporate different pervasive cognitive processes, such as rumination and metacognition.</p>
<p><bold>Keywords</bold>
</p>
<p>Rumination, Metacognition, Experiential Avoidance, Borderline Personality Disorder, Generalized Social Phobia, Multivariate analysis of variance, Path Analysis</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec793"><title>O132 Health issues in a vulnerable population: nursing consultation in a public bathhouse in Lisbon</title>
<sec id="Sec794"><title>Alexandra Sarreira-Santos<sup>1,2</sup>
, Amélia Figueiredo<sup>1,2</sup>
, Lurdes Medeiros-Garcia<sup>1,2</sup>
, Paulo Seabra<sup>1,2</sup>
</title>
<sec id="Sec795"><title><sup>1</sup>
Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063, Portugal; <sup>2</sup>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023, Portugal</title>
<sec id="Sec796"><title><bold>Correspondence:</bold>
Alexandra Sarreira-Santos (alexantos@ics.lisboa.ucp.pt) – Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The vulnerability, social exclusion, and mental disorder status identified in an exploratory study conducted in 2014, which characterized the public bathhouse users in the city of Lisbon, as well as their health status, led to the need for the creation, in March 2015, of a communitarian mental health nursing consultation. Objective: To analyse the needs for nursing care in the population that uses public bathhouse.</p>
<p><bold>Methods</bold>
</p>
<p>This is an exploratory, retrospective, descriptive and documental study. Documental analysis of clinical records from patients who were consulted from March 2015 to January 2016 (starting from one of the researcher’s analysis model).</p>
<p><bold>Results</bold>
</p>
<p>Twenty-seven patients are in clinical records and 47 consultations were carried out. We are dealing with a population with an average age of 52 years [26-84]; Gender – 16 (59.0 %) male and 11 (41.0 %) female; Marital status – 13 (48.0 %) single, 6 divorced, 4 married/consensual union, 2 widowers and 2 unknown; Employment status – 16 (59.0 %) unemployed, 6 retired, 3 (11.1 %) employees and 2 unknown; 12 (44.4 %) are homeless. In this nursing consultation the nursing diagnoses of greatest frequency in descending order were the following: Decreased psychological well-being, 17 (63.0 %); Hypertension, 14 (52.0 %); Reduced self-esteem and inefficient health behaviour, 11 (41.0 %); Use of substances, 8 (29.6 %); Anxiety, 8 (29.6 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>The overview of nursing diagnoses confirms, as a result of vulnerability and social exclusion, evidence of mental suffering and difficulty to develop adaptive strategies.</p>
<p><bold>Keywords</bold>
</p>
<p>Vulnerability, nursing diagnosis, nursing consultation, mental suffering</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec797"><title>O133 The perception of quality of life in people with multiple sclerosis accompanied in External Consultation of the Local Health Unit of Alto Minho</title>
<sec id="Sec798"><title>Rosa Rodrigues<sup>1</sup>
, Mª Carminda Morais<sup>1</sup>
, Paula O. Fernandes<sup>2</sup>
</title>
<sec id="Sec799"><title><sup>1</sup>
Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal; <sup>2</sup>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</title>
<sec id="Sec800"><title><bold>Correspondence:</bold>
Rosa Rodrigues (rmilir@hotmail.com) – Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Multiple Sclerosis (MS) is a chronic demyelinating, autoimmune, inflammatory and degenerative disease with an unpredictable development. Objectives: This study aims to assess the Quality of Life (QoL) of people with MS, analyse their sociodemographic and clinical profile and the relationship between these variables and QoL.</p>
<p><bold>Methods</bold>
</p>
<p>This is a cross-sectional study of correlational type, using quantitative methods. It presents perceived QoL as dependent variable and as independent variables sociodemographic and clinical profiles were considered. Data collection was done using a sociodemographic form and a QoL assessment tool related to health – MOS SF-36v2.</p>
<p><bold>Results</bold>
</p>
<p>Sixt-seven persons with MS are involved In this work, of both genders (82 % females) with a mean age ± standard deviation (SD) of 42.0 ± 11.7 years (between 20 and 71). The results show that the participants obtained higher scores of QoL is the Mental Health dimension (M = 58.96) and lowest in Vitality dimension (M = 42.07) of the SF-36v2. Statistically significant, moderate and negative differences between age and QoL were found in Physical Function (r = - .568, p ≤ .05) and Physical Performance (r = - .438, p ≤ .05).</p>
<p><bold>Conclusions</bold>
</p>
<p>The results show that older people have lower QoL scores in Physical Function and Physical Performance dimensions and that people with feelings of fatigue and loss of balance present low QoL, significantly lower in all the dimensions of the SF-36v2. Taken as a whole, the results of this study seem promising in terms of understanding the perception of QoL in people with MS.</p>
<p><bold>Keywords</bold>
</p>
<p>Aromatic and medicinal plants, Herbal drugs, Herbal products, Use</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec801"><title>O134 Representation of interaction established between immigrant women and nurse during pregnancy to postpartum, from the perspective of immigrant women</title>
<sec id="Sec802"><title>Conceição Santiago<sup>1</sup>
, Mª Henriqueta Figueiredo<sup>2</sup>
, Marta L. Basto<sup>3</sup>
</title>
<sec id="Sec803"><title><sup>1</sup>
Escola Superior de Saúde de Santarém, Santarém, 2005-075, Portugal; <sup>2</sup>
Escola Superior de Enfermagem do Porto, Porto, 4200-072, Portugal; <sup>3</sup>
Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063, Portugal</title>
<sec id="Sec804"><title><bold>Correspondence:</bold>
Conceição Santiago (cfs65@gmail.com) – Escola Superior de Saúde de Santarém, Santarém, 2005-075, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Health care in pregnancy/maternity in the host country tends not meet the expectations and health needs of immigrant women, justifying the need for more adjusted nursing care practices for the needs of this target group. Objective: To identify elements which characterize the interaction between immigrant women and nurses during prenatal care to postpartum, from the perspective of migrant women.</p>
<p><bold>Methods</bold>
</p>
<p>In an interpretative paradigm, using Grounded Theory, 30 semi-structured interviews were conducted with pregnant immigrant women (from several countries) to 6 months postpartum in Health Units, from February to March 2015, after approval by the Ethics Commission for Health ARSLVT.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>From the results of the focused coding five categories emerged: the established communication between nurse-immigrant woman; the meaning attributed to nursing information/orientation about pregnancy/maternity; the emotional response to the behaviour and nursing interventions; the trust built between immigrant women and nurses; putting the nursing guidelines into practice. From a comprehensive analysis of the interrelation of these categories arose the recognition and safety of women in attitudes, and nursing interventions in relation to maternal and foetal well-being, information and adherence to health behaviours. But the host also needs acceptance, to be respected and understood during the interaction with the nurse. Regarding that this interaction is influenced by the situation of the pregnant woman/mother, with cultural characteristics and personality changes, adjustments and difficulties, these results will allow the continuation of this study, in order to build a comprehensive theory on the interaction between the nurses and migrant women.</p>
<p><bold>Keywords</bold>
</p>
<p>Migrant women, nursing care in pregnancy and postpartum, interaction</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec805"><title>O135 Illness perceptions and medication adherence in hypertension</title>
<sec id="Sec806"><title>Teresa Guimarães, André Coelho, Anabela Graça, Ana M. Silva, Ana R. Fonseca</title>
<sec id="Sec807"><title>Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</title>
<sec id="Sec808"><title><bold>Correspondence:</bold>
Teresa Guimarães (tguimaraes@estesl.ipl.pt) – Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Arterial hypertension constitutes a major risk factor for the development of cardiovascular disease and cognitive impairment, which antihypertensive medication can prevent or minimize. Patients’ beliefs about their illness play an important role in blood pressure control, as they can determine behaviours that patients adopt to cope with their illness, namely adherence to antihypertensive medication. Objective: To identify patients’ perceptions of hypertension and assess associations between those beliefs and medication adherence.</p>
<p><bold>Methods</bold>
</p>
<p>63 hypertensive patients, 69.8 % females, aged 54-95 years (M = 69.02; SD = 10.07), 96.8 % of whom were diagnosed over a year previously and prescribed with antihypertensive medication completed the Revised Illness Perception Questionnaire (IPQ-R) and a 7-item medication adherence measure (<italic>Medida de Adesão aos Tratamentos</italic>
– MAT).</p>
<p><bold>Results</bold>
</p>
<p>Most patients perceived their hypertension as a chronic and cyclical condition that can be controlled by their own behaviour and medication intake, and that elicits negative affective responses. Patients reported a high level of medication adherence (M = 5.41; SD = 0.55, with 7 as highest possible score) and a low frequency of non-adherent behaviours, with 20.6 % stating that they did not take medication because they forgot it. We found significant negative correlations between adherence and hypertension timeline (cyclical) (rs(63) = -0.27; p < 0.05), hypertension consequences (rs(63) = -0.50; p < 0.01) and emotional representations (rs(62) = -0.37; p < 0.01).</p>
<p><bold>Conclusions</bold>
</p>
<p>These findings, suggesting an association between illness perceptions and non-adherence behaviours in hypertension, strengthen the importance of patient-centred interventions starting from patients’ beliefs, preferences and needs, could lead to a better understanding of illness and enhancing patients’ active engagement in blood pressure control.</p>
<p><bold>Keywords</bold>
</p>
<p>Illness perceptions, medication adherence, hypertension, ageing</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec809"><title>O136 A Portuguese study on adults’ intimate partner violence, interpersonal trust and hope</title>
<sec id="Sec810"><title>Luz Vale-Dias, Bárbara Minas, Graciete Franco-Borges</title>
<sec id="Sec811"><title>Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</title>
<sec id="Sec812"><title><bold>Correspondence:</bold>
Luz Vale-Dias (valedias@fpce.uc.pt) – Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>According to results from the World Health Organization (2002), violence in intimate relationships is a phenomenon whose incidence covers the most diverse populations on a universal scale, with severe health consequences, including death. Being a complex problem, there is an increased need for research and prevention/intervention. Objectives: Considering previous research, this exploratory study aims to examine the relationship between intimate partner violence, interpersonal trust in the intimate partner and hope for the future. Also, the prevalence of violence in intimate relationships will be addressed.</p>
<p><bold>Methods</bold>
</p>
<p>The sample includes 302 subjects (202 women and 100 men), aged 18 to 63 years (M = 29, SD = 10.78). Data collection was performed through a sociodemographic questionnaire, the Portuguese adaptation of the Rotenberg´s Specific Trust Scale-Adults, Scale of Beliefs about Marital Violence, the Inventory of Marital Violence, and the Scale of the Future.</p>
<p><bold>Results</bold>
</p>
<p>Results show the existence of weak negative associations between interpersonal trust and violence. Although modest, some significant positive relationships between certain factors of hope and interpersonal trust were found. Age, gender and socioeconomic status play an interesting role. Results also reveal a worrying prevalence of violence in intimate relationships, whether in present or in past relationships.</p>
<p><bold>Conclusions</bold>
</p>
<p>In sum, the study characterizes the quality of intimate relationships, showing some negative associations of interpersonal trust with violence and positive associations of interpersonal trust with hope. Interpretation of these findings and limitations of the results as well as suggestions of its possible use in future research are also presented and discussed.</p>
<p><bold>Keywords</bold>
</p>
<p>Interpersonal trust, Hope, Intimate partner, Violence</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec813"><title>P63 QOL’ predictors of people with intellectual disability and general population</title>
<sec id="Sec814"><title>Cristina Simões, Sofia Santos</title>
<sec id="Sec815"><title>Universidade de Lisboa, 1649-003 Lisboa, Portugal</title>
<sec id="Sec816"><title><bold>Correspondence:</bold>
Cristina Simões (cristina-ferreira@iol.pt) – Universidade de Lisboa, 1649-003 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Quality of life (QOL) is a key outcome measure and is progressively being used in the intellectual disability (ID) field. There is an emerging body of evidence concerning personal-environmental characteristics influencing QOL. Personal factors with impact on QOL were identified as demographic (e.g., gender, age) and human functioning (e.g., IQ, adaptive behaviour) variables. Environmental factors involve perceived social supports, residential settings, inclusion, employment status, community interactions, geographical location, and organization culture. Identify predictors of QOL is crucial to know how these determinants can be used by practitioners to enhance personal outcomes and focus on personal-environmental interactions that influence the QOL of each individual. Our goal was to examine factors that influence QOL on people with and without ID. This information is important to meet challenges and overcome barriers that people with ID face. Two groups of characteristics were analysed, namely: personal (gender, diagnosis, age, health status) and environmental determinants (living arrangement, employment status, education level).</p>
<p><bold>Methods</bold>
</p>
<p>Data were collected from 1,929 Portuguese adults: 1,264 individuals with ID and 665 participants without ID. QOL was assessed by the “<italic>Escala Pessoal de Resultados</italic>
(EPR”), the Portuguese version of the Personal Outcomes Scale (POS).</p>
<p><bold>Results</bold>
</p>
<p>Results supported that QOL is influenced by individual and environmental factors and the health status was the highest QOL’ predictor among all participants.</p>
<p><bold>Conclusions</bold>
</p>
<p>Findings encourage a strong work in Portugal, highlighting changes in policies and services based on the QOL framework. Furthermore, supports should enable the participation of adults with ID in community-based settings, recognising their personal talents.</p>
<p><bold>Keywords</bold>
</p>
<p>Quality of life, intellectual disability, general population, predictors</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec817"><title>P64 Content validation of the Communication Disability Profile (CDP) - Portuguese Version</title>
<sec id="Sec818"><title>Ana Serra, Maria Matos, Luís Jesus</title>
<sec id="Sec819"><title>Universidade de Aveiro, Aveiro, 3810-193, Portugal</title>
<sec id="Sec820"><title><bold>Correspondence:</bold>
Ana Serra (acserra@ua.pt) – Universidade de Aveiro, Aveiro, 3810-193, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The assessment of people with aphasia (PWA) should include the evaluation of specific disorders of language and the aphasia impact on their activities and their participation in the society. The Communication Disability Profile (CDP) has thus been translated and adapted to European Portuguese. Objective: CDP – Portuguese Version content validation.</p>
<p><bold>Methods</bold>
</p>
<p>An expert panel of eleven PWA was consulted. The adopted methodology (participatory workshops) fostered panel group integration, so that critical spirit and discussion could be enhanced. Data have been processed by a qualitative analysis programme.</p>
<p><bold>Results</bold>
</p>
<p>Concerning the Form, the expert panel was unanimous to consider that CDP is not suitable for Portuguese PWA and so part of the suggestions refer to adapting it to the Portuguese society and culture. In terms of Content, the panel considered the CDP’s Ambiguity and Relevance categories as valid, constituted by important items that reflect PWA’s reality, covering their needs. In the category of Clarity, CDP was considered clear but incomplete in the areas of Activities and Participation.</p>
<p><bold>Conclusions</bold>
</p>
<p>The CDP – Portuguese Version is incomplete in the areas mentioned above. However, the consequences of aphasia in terms of Activity, Participation, Context Factors and Emotions can be measured with it. The suggestions proposed by the expert panel have complemented the instrument gaps, having been integrated in a new version of the CDP.</p>
<p><bold>Keywords</bold>
</p>
<p>Communication Disability Profile, CDP, aphasia, aphasia assessment, people with aphasia</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec821"><title>P65 Study of biochemical and haematological changes in football players</title>
<sec id="Sec822"><title>Ana S. Tavares, Ana Almeida, Céu Leitão, Edna Varandas, Renato Abreu, Fernando Bellém</title>
<sec id="Sec823"><title>Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</title>
<sec id="Sec824"><title><bold>Correspondence:</bold>
Ana Almeida (ana.almeida@estesl.ipl.pt) – Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Football players develop throughout their practice, an endurance-type exercise. This type of practice is known to cause changes both at the cellular level as well as on muscle enzymes. Modifications are also seen in terms of lipid profile, caused by the faster rate of metabolism of these molecules. The aim of this paper was to study the variation of biochemical and haematological parameters on football players.</p>
<p><bold>Methods</bold>
</p>
<p>Blood samples were drawn from 18 football players undergoing an 8 hour-a-week training program. The following parameters were tested: lipid profile, creatine kinase (CK), lactate dehydrogenase (LDH), aspartate aminotransferase (AST); red blood cells (RBC) and their indices, haemoglobin and haematocrit.</p>
<p><bold>Results</bold>
</p>
<p>The lipid profile showed that the HDL-Cholesterol mean (=53.33 mg/dL) was above the value determined as target (37.00 mg/dL). The LDL-Cholesterol mean was below the target-value, as it was for the triglycerides. There were no significant differences between the real mean and the target value for total cholesterol. All creatine kinase (CK) values were above the target-value of 77 UI/L. The values obtained for lactate dehydrogenase (LDH) and aspartate aminotransferase (AST) tests did not show any significant difference from target-values. No major differences from the target values were seen in terms of the haematological parameters.</p>
<p><bold>Conclusions</bold>
</p>
<p>The results of this study have shown that the practice of physical exercise has caused a modification in the subject's lipid profile, especially on the HDL-C values. Concerning muscle enzymes, the only altered value found was for creatine kinase (CK). The so called sports anaemia was not confirmed.</p>
<p><bold>Keywords</bold>
</p>
<p>Lipid profile, muscle damage, sports anaemia, athletes, football</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec825"><title>P66 Body image dissatisfaction in inflammatory bowel disease: exploring the role of chronic illness-related shame</title>
<sec id="Sec826"><title>Inês A. Trindade, Cláudia Ferreira, José Pinto-Gouveia, Joana Marta-Simões</title>
<sec id="Sec827"><title>Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</title>
<sec id="Sec828"><title><bold>Correspondence:</bold>
Joana Marta-Simões (joana_simoes_@hotmail.com) – Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Inflammatory bowel disease (IBD) is characterized by a chronic, relapsing inflammation of the intestinal system which causes symptoms such as abdominal pain, bloating, diarrhoea, and weight loss. Although the majority of IBD patients experience body image dissatisfaction, which presents substantial implications for patients’ quality of life, the mechanisms associated with this link are not clearly understood. Objectives: The aim of this study was thus to explore the role of chronic illness-related shame in the association between IBD symptomatology and body image dissatisfaction, while controlling for age, BMI and surgery.</p>
<p><bold>Methods</bold>
</p>
<p>Participants included 161 adult IBD patients (52 males and 109 females), that reported demographic and medical data and completed self-report measures.</p>
<p><bold>Results</bold>
</p>
<p>Results from path analyses revealed that age and IBD symptomatology significantly predicted illness-related shame with effects of -.23 (p < .01) and .43 (p < .001), respectively. Further, IBD symptomatology presented a total effect of .43 on body image dissatisfaction: a direct effect of .23 (p < .001) and an indirect effect through the mechanisms of illness-related shame of .20 (C.I. from .13 to .29). The model explained 22 % of chronic illness-related shame and 38 % of body image dissatisfaction, and revealed an excellent model fit.</p>
<p><bold>Conclusions</bold>
</p>
<p>These findings suggest that higher IBD symptomatology leads to higher levels of body image dissatisfaction in IBD patients. Further, part of this effect seems to be mediated by the experience of chronic illness-related shame. Therefore, it seems that, to diminish IBD patients’ body image dissatisfaction, treatment programmes should address shame feelings and promote self-compassion abilities.</p>
<p><bold>Keywords</bold>
</p>
<p>Inflammatory Bowel Disease, chronic illness, body image dissatisfaction, chronic illness-related shame</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec829"><title>P67 Obesity and sleep in the adult population - a systematic review</title>
<sec id="Sec830"><title>Odete Amaral<sup>1</sup>
, Cristiana Miranda<sup>1</sup>
, Pedro Guimarães<sup>1</sup>
, Rodrigo Gonçalves<sup>1</sup>
, Nélio Veiga<sup>2</sup>
, Carlos Pereira<sup>1</sup>
</title>
<sec id="Sec831"><title><sup>1</sup>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; <sup>2</sup>
Universidade Católica Portuguesa, Viseu, 3504-505, Portugal</title>
<sec id="Sec832"><title><bold>Correspondence:</bold>
Odete Amaral (mopamaral@gmail.com) – Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Current scientific evidence has reported associations between inadequate sleep patterns and overweight/obesity. Epidemiological studies show a curvilinear relationship in "U-shape" between inadequate sleep and obesity, resulting in consequences on individual and public health levels. Objectives: To identify the association between overweight/obesity and inadequate sleep patterns among adults.</p>
<p><bold>Methods</bold>
</p>
<p>We conducted a systematic review of the literature, using a search in PubMed, Cochrane Library, SciELO and Google Scholar. We identified studies published between January 2008 and November 2015. Inclusion criteria were previously defined, then the selected studies were assessed for their quality and later analysed. By applying the "Scale to critically assess a paper describing a prospective, randomized and controlled clinical trial" in the included studies, it was found that of the four studies that formed the textual corpus, three were considered of quality (final grade ≥ 75 %).</p>
<p><bold>Results</bold>
</p>
<p>Inadequate sleep patterns increase the risk of weight gain and consequently of overweight and obesity in adults. This was a result supported by the data presented in the studies analysed (systematic literature review, longitudinal studies of clinical intervention, randomized and controlled trials, cross-sectional analytic studies). Overweight/obesity are associated with inadequate sleep-wake patterns, namely the "short" duration of sleep in adults.</p>
<p><bold>Conclusions</bold>
</p>
<p>An association is suggested between decreased sleep duration and increase in weight. Longitudinal and experimental studies, using objective and repeated measures of sleep, are important to define a causal relationship between sleep deprivation and obesity.</p>
<p><bold>Keywords</bold>
</p>
<p>Sleep, sleep deprivation, obesity, overweight, adults</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec833"><title>P68 Frequency of daytime sleepiness and obstructive sleep apnea risk in COPD patients</title>
<sec id="Sec834"><title>Tânia C. Fleig, Elisabete A. San-Martin, Cássia L. Goulart, Paloma B. Schneiders, Natacha F. Miranda, Lisiane L. Carvalho, Andrea G. Silva</title>
<sec id="Sec835"><title>Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul, 96815-900, Brasil</title>
<sec id="Sec836"><title><bold>Correspondence:</bold>
Tânia C. Fleig (tcmfleig@gmail.com) – Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul, 96815-900, Brasil</title>
<p><bold>Background</bold>
</p>
<p>Chronic Obstructive Pulmonary Disease (COPD) is characterized by persistent and progressive airflow limitation associated with multisystem manifestations and comorbidities resulting in poor sleep quality or Obstructive Sleep Apnoea (OSA) with a prevalence of around 10 %. Objective: To identify the frequency of disorders sleep in COPD patients.</p>
<p><bold>Methods</bold>
</p>
<p>Cross-sectional study that evaluated 23 patients with COPD in the Programme of Santa Cruz Hospital. All were submitted to the Berlin questionnaire (BQ) to assess the probability of OSA and the Epworth Sleepiness Scale (ESS) that evaluates the possibility of dozing in eight everyday situations and establishes diagnosis of excessive daytime sleepiness (EDS). The results were expressed as mean ± standard deviation and analysed with Student’s t-test.</p>
<p><bold>Results</bold>
</p>
<p>Average age was 63.22 ± 8.4 years, body mass index (BMI) 26.3 ± 5.7 Kg/m<sup>2</sup>
, 57 % male, expiratory volume forced in the 1st second 36.46 ± 16.12 % predicted and the classification of COPD as very severe (43.5 %). Frequency of EDS was 8.7 % (n = 02) and 22 % presented high probability of OSA (n = 05). The analysis of clinical variables in COPD stratified by high probability of OSA and absence of OSA showed no significant difference between groups, but there was an overweight trend in COPD with high probability of OSA (BMI 30.16 ± 6.31 Kg/m<sup>2</sup>
vs. 25.24 ± 5.24 Kg/m<sup>2</sup>
, p = 0.08).</p>
<p><bold>Conclusions</bold>
</p>
<p>COPD patients presented a high probability of OSA compared to the literature, where the prevalence of this sleep disorder is around 10 %.</p>
<p><bold>Keywords</bold>
</p>
<p>COPD, Obstructive Sleep Apnea, Excessive daytime sleepiness</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec837"><title>P69 Working with immigrant-origin clients: discourses and practices of health professionals</title>
<sec id="Sec838"><title>Joana Topa<sup>1,2</sup>
, Conceição Nogueira<sup>3</sup>
, Sofia Neves<sup>1,2</sup>
</title>
<sec id="Sec839"><title><sup>1</sup>
Instituto Superior da Maia, 4475-690 Avioso São Pedro, Portugal; <sup>2</sup>
Centro Interdisciplinar de Estudos de Género, Instituto Superior de Ciências Sociais e Políticas, 1300-663 Lisboa, Portugal; <sup>3</sup>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</title>
<sec id="Sec840"><title><bold>Correspondence:</bold>
Joana Topa (joana.topas.07@hotmail.com) – Instituto Superior da Maia, 4475-690 Avioso São Pedro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In Portugal there is a lack of scientific reflection on the maternal health care advocated for immigrant women [1]. Knowing that in 2009 were born 1,0350 children of resident foreign women in our country [2], emerges the need to understand not only the difficulties of immigrant populations on the access and use of services, but also the speeches, practices and challenges that health professionals face on provision of maternity care to these women.</p>
<p><bold>Methods</bold>
</p>
<p>The present study adopted a qualitative methodology for collecting (semi-structured interviews) and analysing the data (thematic analysis). This study was based on privileged information obtained from fourteen health professionals that provide care to pregnant immigrant women.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>The data shows that health care professionals had misinformation about the immigrant legal rights and free access to maternal health services, they face many dilemmas in providing care to women who follow their cultural values, beliefs and perceptions especially if the behaviour portrayed does not conform to the norms of the health care system. When facing this situation, they know that they need to respond using a culturally sensitive approach by incorporating cultural competency into their practice but many times they don’t know how to do it. They also face communication difficulties specially when the immigrant women don’t speak or understand Portuguese language. Some of the interviewed showed discourses of stigmatization and regulation of knowledge in favour of biomedical knowledge. These speeches, practices and challenges can enhance the vulnerability of these women.</p>
<p><bold>References</bold>
</p>
<p>1. Dias S, Gama A, Silva A, Cargaleiro H, Martins M. Barriers in access and utilization of health services among immigrants: the perspective of health professionals. Acta Med Port. 2011; 24(4): 511-516.</p>
<p>2. Instituto Nacional de Estatística. Estatísticas demográficas 2010. Lisboa: INE; 2011.</p>
<p><bold>Keywords</bold>
</p>
<p>Immigration, Maternal Health Services, Health Professionals</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec841"><title>P70 Systemic Lupus Erythematosus – what are audiovestibular changes?</title>
<sec id="Sec842"><title>Rita Ventura, Cristina Nazaré</title>
<sec id="Sec843"><title>College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec844"><title><bold>Correspondence:</bold>
Rita Ventura (ritaventura_91@hotmail.com) – College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Systemic Lupus Erythematosus (SLE) is an autoimmune disease that can develop auditory and vestibular disorders, explained by a change associated with the autoimmune disease and justified by vasculitis in the cochlea which may involve the striavascularis, the spiral ligament, or internal auditory artery, or immune complexes, which instead of vasculitis, are the cause of minor stroke of the capillaries or arterioles in the temporal bone. Objective: To study auditory and vestibular disorders in individuals with SLE and identify the variables in SLE disease that could justify possible audiovestibular changes.</p>
<p><bold>Methods</bold>
</p>
<p>A literature review of articles since 2007 was performed with a search made in scientific databases as Elsevier, B-on, Medline, PubMed and Google Scholar using the keywords “autoimmune disease, lupus, systemic lupus erythematous, auditory system, vestibular system, hearing loss, vertigo, dizziness” in English and in Portuguese. After the search strategies, five articles in accordance with pre-established inclusion criteria were selected.</p>
<p><bold>Results</bold>
</p>
<p>Audiovestibular tests performed in patients with SLE indicated bilateral sensorineural hearing loss with the highest incidence in the high frequencies and unilateral vestibular disorders. It should be noted that vertigo and tinnitus were the most commonly reported symptoms and duration of the disease appears to influence the integrity of the auditory and vestibular system.</p>
<p><bold>Conclusions</bold>
</p>
<p>By the analysis of articles was possible to conclude that the involvement of the auditory and vestibular system should be considered as one of the elements of the clinical picture of SLE, and the matter should be explored by the scientific community.</p>
<p><bold>Keywords</bold>
</p>
<p>Systemic Lupus Erythematosus (SLE), Autoimmune disease, Auditory system, Vestibular system, hearing loss, vertigo</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec845"><title>P71 Mental disorders in the oldest old: findings from the Portuguese national hospitalization database</title>
<sec id="Sec846"><title>Daniela Brandão<sup>1,2</sup>
, Alberto Freitas<sup>2,3</sup>
, Óscar Ribeiro<sup>1,4</sup>
, Constança Paúl<sup>1,3</sup>
</title>
<sec id="Sec847"><title><sup>1</sup>
Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal; <sup>2</sup>
Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal; <sup>3</sup>
Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal; <sup>4</sup>
Universidade de Aveiro, 3810-193 Aveiro, Portugal e Instituto Superior De Serviço Social Do Porto, 44600-362 Sra. da Hora, Portugal</title>
<sec id="Sec848"><title><bold>Correspondence:</bold>
Daniela Brandão (daniela.brandao@unifai.eu) – Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Mental health problems have been reported as one of the principal causes of incapacity and morbidity. According to the World Health Organization, approximately 15 % of adults aged 60 and over at a global level suffer from a mental disorder, and dementia and depression are the most common neuropsychiatric disorders in this age group. In the oldest old population, a higher deterioration is expected, which is thought to increase the risk of incidence of mental problems. Objectives: The aim of this study is to examine inpatient episodes with a mental disorder as primary diagnosis between 2000 and 2014 in very old patients in mainland Portugal.</p>
<p><bold>Methods</bold>
</p>
<p>All inpatient episodes of hospital admissions by patients aged 80 years and older due to mental disorders during the study period were considered. Exploratory descriptive analyses of data regarding the number and kind of mental disorder diagnosis on admission were performed.</p>
<p><bold>Results</bold>
</p>
<p>A total of 16,430 inpatient episodes were analysed. Delirium, dementia and amnestic and other cognitive disorders (60.1 %), alcohol-related disorders (17.7 %) and mood disorders (8.6 %) were the most common diagnoses. An analysis by age group revealed that in octogenarians and nonagenarians, delirium, dementia and amnestic and other cognitive disorders were the most common diagnoses, but in centenarians these were outweighed by alcohol-related disorders.</p>
<p><bold>Conclusions</bold>
</p>
<p>Findings from this study document the high rate of dementia as a primary reason for hospitalization in the oldest old and corroborate previous data regarding mental health in the older population in general. Further studies should examine the prevalence of medical comorbidities in patients with mental disorders.</p>
<p><bold>Keywords</bold>
</p>
<p>oldest old, mental disorders, inpatient episodes</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec849"><title>P72 Recurrence analysis in postural control in children with cerebral palsy</title>
<sec id="Sec850"><title>Cristiana Mercê, Marco Branco, Pedro Almeida, Daniela Nascimento, Juliana Pereira, David Catela</title>
<sec id="Sec851"><title>Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</title>
<sec id="Sec852"><title><bold>Correspondence:</bold>
Cristiana Mercê (cristianamerce@esdrm.ipsantarem.pt) – Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Cerebral palsy (CP) is the most common motor disorder among children [1]. The aim of the study consists of analysing and comparing the postural control in children with CP during sitting position in the following tasks: I) simply sitting (baseline); II) observing the modelling of a plasticine ball; III) molding a plasticine ball; and IV) idem III) with closed eyes.</p>
<p><bold>Methods</bold>
</p>
<p>Five children of both sexes were analysed, with 12 ± 1 years old, and CP levels I and II [2]. Data were obtained by filming at 240 Hz in vertex and C7 points, for kinematic (Kinovea) and recurrence analysis [3].</p>
<p><bold>Results and conclusions</bold>
</p>
<p>Compared to the condition I), in condition II) children were more deterministic, periodic and complex but less stable. The focus on movements implied a reorganization of postural control. In conditions III) and IV) children were less deterministic, periodic, stable and complete at C7, but more periodic, stable and complex at vertex, probably due to the need to stabilize the head. When performing a functional motor task (conditions III and IV), children changed their pattern of postural control, with likely increase in degrees of freedom, anchored in stabilizing the head.</p>
<p>The introduction of a visual focus (condition II) caused a postural adjustment probably resulting from the activity of mirror neurons. When performing a functional task (conditions III and IV) the postural adjustment was anchored in fixing the head and trunk release.</p>
<p><bold>References</bold>
</p>
<p>1. Herskind A, Greisen G, Nielsen JB. Early identification and intervention in cerebral palsy. Dev Med Child Neurol. 2015; 57(1): 29-36.</p>
<p>2. Eliasson A, Krumlinde-Sundholm L, Rosblad B, Beckung E, Arner M, Ohrvall A, Rosenbaum P. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006; 48(7): 549-554.</p>
<p>3. Webber C, Zbilut J. Recurrence Quantification Analysis of Nonlinear Dynamical Systems. In: Tutorials in Contemporary Nonlinear Methods for the Behavioral Sciences. Arlington: National Science Foundation. 2005. p. 26-94.</p>
<p><bold>Keywords</bold>
</p>
<p>Recurrence analysis, Postural control, Children, Cerebral Palsy</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec853"><title>P73 The experience of self-care in the elderly with COPD: contributions to reflect proximity care</title>
<sec id="Sec854"><title>Helga Rafael (hrafael@esel.pt)</title>
<sec id="Sec855"><title>Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Chronic Obstructive Pulmonary Disease (COPD) leads to changes in different areas of life and poses several challenges in self-care. It presents a resource for elderly people to remain in their own homes, while containing an important source of knowledge of personal identity. We aim to understand the importance of the home in self-care management in elderly patients living with COPD and to put proximity care in perspective.</p>
<p><bold>Methods</bold>
</p>
<p>It follows a phenomenological-hermeneutic approach, based on 16 interviews conducted with persons between 65 and 100 years old. The narratives were interpreted in accordance with Paul Ricoeur’s Interpretation Theory, following the stages of naive understanding, structural analysis and comprehensive understanding.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>One of the themes that emerged was "Limiting the living space to home". Through this experience, elderly people lived in discontinuity and continuity. Home is linked to the experience of discontinuity of self-care when it is felt like a limited space, of closure. Home is linked to the experience of continuity when it means (re)construction of personal identity, ability to preserve, acquire or adapt self-care habits, maintaining integrity. The elderly interact dynamically with their houses, in a movement between opposing feelings.</p>
<p>For these participants home is a very important place of care. Policy guidelines should include proximity care, patient-centred care or care in their homes, for as long as possible, giving priority to the preservation of identity elements of each. Self-care experience must be lived with congruence with the individual health design and continuity with integrity, personal identity and human dignity.</p>
<p><bold>Keywords</bold>
</p>
<p>Self-care, Elderly, Patient-Centred Care, Chronic Obstructive Pulmonary Disease</p>
</sec>
</sec>
</sec>
<sec id="Sec856"><title>P74 Culturally competent nurses: managing unpredictability in clinical practice with immigrants</title>
<sec id="Sec857"><title>Alcinda C. Reis (alcinda.reis22@gmail.com)</title>
<sec id="Sec858"><title>Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075 Santarém, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In this presentation we will feature the process of building cultural competence in nursing, from the study of the clinical practice with immigrants in primary health care contexts, in Portugal.</p>
<p><bold>Methods</bold>
</p>
<p>We developed an inductive study of ethnographic orientation, with participant observation; analysis was developed of discursive material of ethnobiographical interviews and narratives of 52 nurses and immigrants, and two focus groups with these different types of participants – at different moments.</p>
<p><bold>Results</bold>
</p>
<p>We identified difficulties in cultural contextualization of people cared for by nurses, more visible at the level of knowledge of particularities in the communication process, in the use of family members as interpreters, diversity of religious beliefs and about health and illness, roles and socio-familial control.</p>
<p><bold>Conclusions</bold>
</p>
<p>Regardless of the individual motivation of nurses to care for immigrants, they have the capacity for adequate management of unpredictability in cultural encounters. This management emerges as a central element of the professional development and of the construction of cultural skills – in a gradual distancing of nurses from their own ethnocentrism. However, the management of unpredictability is made especially with an "advance” for initial assessment and care planning, in accordance with the professional standards and dominant organizational culture, and sometimes there is a cultural misfit. The management of unpredictability in successive moments promotes adjustments in clinical practice with immigrants; it occurs together with a process of awareness by professionals, exploring how to experience the health-illness transitions in different ways.</p>
<p><bold>Keywords</bold>
</p>
<p>Cultural competency, Nurses, Immigrants, Clinical practice</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec859"><title>Health Instruments & Indicators</title>
<sec id="Sec860"><title>O137 <bold>Paediatric speech and language screening: An instrument for health professionals</bold>
</title>
<sec id="Sec861"><title>Ana Mendes<sup>1,2</sup>
, Ana R. Valente<sup>2,3</sup>
, Marisa Lousada<sup>4</sup>
</title>
<sec id="Sec862"><title><sup>1</sup>
School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal; <sup>2</sup>
Institute of Electronics and Informatics Engineering of Aveiro, 3810-193 Aveiro, Portugal; <sup>3</sup>
Department of Education, University of Aveiro, 3810-193 Aveiro, Portugal; <sup>4</sup>
Center for Health Technology and Services Research & School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec863"><title><bold>Correspondence:</bold>
Marisa Lousada (marisalousada@ua.pt) – Center for Health Technology and Services Research & School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>To develop and validate a speech and language screening instrument (<italic>Rastreio de Linguagem e Fala</italic>
, RALF), which aims to quickly identify children who may be at risk of a speech-language disorder and need to be referred to a detailed speech and language assessment.</p>
<p><bold>Methods</bold>
</p>
<p>A sample of 203 Portuguese children (n = 109 males, 94 females) aged 3.0 to 5.11 were recruited. 133 presented a typical language development and 70 a primary language disorder. Speech-language assessments and diagnostics were performed by a licensed and certified speech and language therapist. Subject selection criteria for disordered children included: I) language score below -1.5 SD, the mean of the Language Test-ALPE (<italic>Teste de Linguagem</italic>
– TL-ALPE), a standardized language instrument; II) speech sound disorder identified through a spontaneous speech sample; III) absence of another condition such as hearing impairment, emotional or behavioural difficulties, autism, neurological impairment or general developmental difficulties. RALF and TL-ALPE’s scores were crossover. Sensibility as well as specificity were calculated for three age groups (3, 4 and 5 years).</p>
<p><bold>Results</bold>
</p>
<p>Sensibility values were 95 %, 96 %, 83 % and specificity values were 85 %, 84 % 71 % (for 3, 4 and 5 age groups, respectively). Results revealed that RALF was able to discriminate typically developing children from disordered speech-language developing children.</p>
<p><bold>Conclusions</bold>
</p>
<p>RALF is a valid instrument that can be used by health professionals to assist on the screening and identification of children who may need a speech and language detailed assessment.</p>
<p><bold>Keywords</bold>
</p>
<p>Screening, speech and language development, validity, children</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec864"><title>O138 Anthropometric and nutritional assessment in bodybuilders</title>
<sec id="Sec865"><title>Diana Sousa, Ana L. Baltazar, Mª Helena Loureiro</title>
<sec id="Sec866"><title>Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec867"><title><bold>Correspondence:</bold>
Diana Sousa (dianasousa18@hotmail.com) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In sport, nutrition must ensure a supply of nutritional requirements, to provide sufficient calories to supply the high energy costs associated with daily sports, either in training or in competition. They must deal with the high nutritional requirements of the athletes, promoting and maintaining a high level of physical and mental welfare, so that the athlete can engage in his sports discipline.</p>
<p>The aim of this study is to characterize the nutritional habits and body composition of bodybuilding practitioners in order to obtain muscle hypertrophy.</p>
<p><bold>Methods</bold>
</p>
<p>These individuals were selected from the gyms of São Martinho do Bispo, in Coimbra. The sample was composed by 17 male athletes, aged between 19 and 39 years. Nutritional assessment was performed using the food frequency questionnaire (FFQ), supplied by the Department of Hygiene and Epidemiology, Faculty of Medicine of Porto, and also by the 24-hour questionnaire. Body composition was determined through skin folds, weight, waist circumference and height of the individual.</p>
<p>Statistical analyses were performed using the SPSS statistical programme (Statistical Package for the Sciences), version 19.0.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>Data analysis concluded that athletes have a high protein intake with a low consumption of carbohydrates. However, they have an energy and fat intake within the range recommended by the literature.</p>
<p><bold>Keywords</bold>
</p>
<p>Nutrition, sports, bodybuilding, hypertrophy</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec868"><title>O139 Computerized adventitious respiratory sounds in children with lower respiratory tract infections</title>
<sec id="Sec869"><title>Ana Oliveira<sup>1</sup>
, José Aparício<sup>2</sup>
, Alda Marques<sup>1</sup>
</title>
<sec id="Sec870"><title><sup>1</sup>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Pediatrics Emergency Department, Hospital Lusíadas, Porto, 4050 113 Porto, Portugal</title>
<sec id="Sec871"><title><bold>Correspondence:</bold>
Alda Marques (amarques@ua.pt) – School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The objective assessment of lower respiratory tract infections (LRTI) in children is challenging. Computerized adventitious respiratory sounds (ARS) are valuable to assess adult respiratory diseases; however, its application in children with LRTI is unknown. Objective: This cross-sectional study explored ARS potential to identify a LRTI and monitor its severity in children aged less than years.</p>
<p><bold>Methods</bold>
</p>
<p>Twenty-two (22) children aged ≤ 2 years (G1: 11 healthy; G2: 11 LRTI) and 18 aged 3-5 years (G3: 9 healthy; G4: 9 LRTI) were recruited from three healthcare institutions. Respiratory distress was assessed with the modified Wang Score. Computerized respiratory sounds were recorded following the international guidelines. Wheeze (occupation rate and frequency) and crackle (mean number and two cycle duration -2CD) parameters were analysed per respiratory phase using developed algorithms. Comparisons were established using Mann-Whitney and correlations with Spearman’s tests.</p>
<p><bold>Results</bold>
</p>
<p>Children with LRTI presented a higher expiratory wheeze occupation rate [G1: 2.15 (1.67-3.11) vs. G2: 4.73 (2.59-9.31) p = 0.001; G3: 2.80 (1.89-5.16) vs. G4: 5.17 (2.64-18.63) p = 0.07] and more inspiratory crackles [G1: 0.25 (0.14-0.44) vs. G2: 0.52 (0.22-0.92); p < 0.001; G3: 0.50 (0.25-0.72) vs. G4: 0.70 (0.33-1.55) p = 0.03] than healthy children. No differences were found for other ARS parameters. Moderate to strong correlations were found between ARS and children’s respiratory distress (0.35 < r < 0.51; p < 0.05).</p>
<p><bold>Conclusions</bold>
</p>
<p>Wheeze occupation rate and mean number of crackles were the parameters that most differed between healthy children and children with LRTI and that most correlated with the respiratory distress score. Those parameters may be useful to objectively diagnose and monitor children with LRTI.</p>
<p><bold>Keywords</bold>
</p>
<p>Lower respiratory tract infections, computerized respiratory sounds, paediatrics</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec872"><title>O140 Role of computerized respiratory sounds as a marker in LRTI</title>
<sec id="Sec873"><title>Alda Marques<sup>1</sup>
, Ana Oliveira<sup>1</sup>
, Joana Neves<sup>2</sup>
, Rodrigo Ayoub<sup>2</sup>
</title>
<sec id="Sec874"><title><sup>1</sup>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501, Portugal</title>
<sec id="Sec875"><title><bold>Correspondence:</bold>
Alda Marques (amarques@ua.pt) – School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Computerized respiratory sounds, especially adventitious respiratory sounds (ARS), have been increasingly used to monitor lower respiratory tract infections (LRTI). Although this measure has shown to be reliable in patients with stable chronic diseases, its variability and reliability in acute conditions is unknown. This cross-sectional study assessed the variability and reliability of computerized respiratory sounds in patients with LRTI.</p>
<p><bold>Methods</bold>
</p>
<p>Ninety-seven patients with LRTI (57 females; 54.82 ± 17.18 years) were recruited from one central hospital. Three repeated respiratory sound recordings were taken simultaneously from seven anatomical locations. Normal respiratory sound (NRS) intensity, mean number of crackles and wheeze occupation rate (Wh%) were analysed with validated algorithms. Intra-subject reliability was assessed with the intraclass correlation coefficient (ICC 1.3) and Bland-Altman plots. Inter-subject variability was assessed with the coefficient of variation (CV).</p>
<p><bold>Results</bold>
</p>
<p>Relative reliability was moderate to excellent for NRS intensity and mean number of crackles (0.42 < ICC < 0.80), except at trachea (0.29 < ICC < 0.74), and poor to excellent for Wh% (0.18 < ICC < 0.86). Absolute reliability demonstrated no systematic bias between measures. Inter-subject variability was acceptable for NRS intensity (14 % < CV < 25 %) and high for crackle and wheeze parameters (49 % < CV < 211 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>NRS intensity seems to be the most reliable marker to monitor patients with LRTI. More research is needed with controlled flows and volumes to confirm these results since NRS are always produced during breathing whilst ARS are superimposed events on NRS hence, timing may not be perfectly repeatable from breath to breath.</p>
<p><bold>Keywords</bold>
</p>
<p>Computerized respiratory sounds, lower respiratory tract infections, variability, reliability</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec876"><title>O141 Confirmatory factor analysis of the Personal Wellbeing Index in people with chronic kidney disease</title>
<sec id="Sec877"><title>Luís Sousa<sup>1</sup>
, Cristina Marques-Vieira<sup>2</sup>
, Sandy Severino<sup>1</sup>
, Helena José<sup>3</sup>
</title>
<sec id="Sec878"><title><sup>1</sup>
Hospital Curry Cabral, Centro Hospitalar Lisboa Central, 1069-166 Lisboa, Portugal; <sup>2</sup>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023, Portugal; <sup>3</sup>
Centro de Formação Multiperfil, Luanda, PR - 56Q, Angola</title>
<sec id="Sec879"><title><bold>Correspondence:</bold>
Luís Sousa (luismmsousa@gmail.com) – Hospital Curry Cabral, Centro Hospitalar Lisboa Central, 1069-166 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The Personal Wellness Index/Satisfaction with life in general (PWI/SLG) is a questionnaire designed to measure subjective well-being (SWB). The PWI was based on the Comprehensive Quality of Life Scale [1] and is validated for the Portuguese population [2]. Objective: To confirm the unifactorial structure of the "Personal Wellbeing Index" in people with chronic kidney disease (CKD) on hemodialysis.</p>
<p><bold>Methods</bold>
</p>
<p>The random sample included 159 people with CKD on hemodialysis in a Nephrology Service and two clinics in the region of Lisbon, Portugal. Data collection was carried out between March and June 2015. The AMOS software was used for a confirmatory factor analysis (CFA), with the maximum likelihood method. The adjustment ratios were used: ratio Chi Square and the degrees of freedom (X<sup>2</sup>
/gl); goodness-of-fit index (GFI); comparative fit index (CFI), Tucker-Lewis index (TLI) and root mean square error of approximation (RMSEA) [3-4].</p>
<p><bold>Results</bold>
</p>
<p>The results of this study [X<sup>2</sup>
/df = 1.871; GFI = 0.96; CFI = 0.97; TLI = 0.95; RMSEA = 0.07] show a good fit to the hypothesis of the solution of a factor, which confirms the solution proposed in the original version [1] and the Portuguese version [2].</p>
<p><bold>Conclusions</bold>
</p>
<p>The Portuguese version of "Personal Wellbeing Index in people with CKD has a single factor. The personal well-being Index or satisfaction with life in general is suitable for measuring the impact of interventions in nursing in people with CKD.</p>
<p><bold>References</bold>
</p>
<p>1. Cummins RA, McCabe MP, Romeo Y, Gullone E. The Comprehensive Quality of Life Scale: Instrument development and psychometric evaluation on tertiary staff and students. Educ psychol measur. 1994; 54: 372-382.</p>
<p>2. Ribeiro JP, Cummins R. O bem-estar pessoal: estudo de validação da versão portuguesa da escala. In: Leal I, Pais-Ribeiro J, Silva I, Marques S, Editors. Actas do 7° Congresso Nacional de Psicologia da Saúde. Lisboa: ISPA; 2008. 505-508.</p>
<p>3. Marôco J. Análise de equações estruturais: fundamentos teóricos, software e aplicações. Pero Pinheiro: ReportNumber. 2010</p>
<p>4. Sousa LMM, Marques-Vieira CMA, Carvalho ML, Veludo F, José, HMG. Fidelidade e validade na construção e adequação de instrumentos de medida. Enformação. 2015; 5:25-32.</p>
<p><bold>Keywords</bold>
</p>
<p>Renal Insufficiency Chronic, Renal Dialysis, Quality of life, Validation studies, Psychometry</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec880"><title>O142 Phonological awareness skills in school aged children</title>
<sec id="Sec881"><title>Inês Cadorio<sup>1</sup>
, Marisa Lousada<sup>1,2</sup>
</title>
<sec id="Sec882"><title><sup>1</sup>
Center for Health Technology and Services Research, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal<sup>; 2</sup>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec883"><title><bold>Correspondence:</bold>
Inês Cadorio (inescadorio@ua.pt) – Center for Health Technology and Services Research, University of Aveiro, Aveiro, 3810-193, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Phonological awareness development is crucial in the beginning of the schooling process, as it is a key precursor of reading and writing skills. However, data on phonological awareness development of European Portuguese (EP) school aged children are scarce. Objective: The current study aimed to determine which phonological skills are acquired in school aged children (6.00 - 6.11 years) and whether there are differences between phonological awareness levels or not.</p>
<p><bold>Methods</bold>
</p>
<p>A total of 80 EP typically developing children aged between 6.00 and 6.11 years participated in this study. We used a valid and standardized instrument – Language Test: Pre-school Language Assessment (TL-ALPE) to collect data on phonological awareness skills. Descriptive statistics were used to determine which skills were acquired in the age range considered. Furthermore, Wilcoxon test for paired samples was performed to detect differences between syllabic awareness and phonemic awareness performance, as the sample data did not follow a normal distribution.</p>
<p><bold>Results</bold>
</p>
<p>Syllable identity is considered an acquired and established skill, as children showed 86.88 % accuracy in this task. Syllabic segmentation as well as phoneme identity are acquired but not established, with 68.75 % and 71.25 % accuracy, respectively. The lowest scores were achieved in phonemic segmentation (15.25 % accuracy) and this skill was considered non-acquired by the age of 6 years old. Significant differences were found between syllabic awareness and phonemic awareness levels (p = 0.000), the first presenting advantage over the second.</p>
<p><bold>Conclusions</bold>
</p>
<p>The present study is a valuable contribution, as it expands the literature on school aged children’s phonological awareness development.</p>
<p><bold>Keywords</bold>
</p>
<p>Syllabic awareness, phonemic awareness, typical development, children</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec884"><title>O143 Assessment of early memories of warmth and safeness in interaction with peers: its relationship with psychopathology in adolescence</title>
<sec id="Sec885"><title>Marina Cunha, Diogo Andrade, Ana Galhardo, Margarida Couto</title>
<sec id="Sec886"><title>Instituto Superior Miguel Torga, Coimbra, 3000-132, Portugal</title>
<sec id="Sec887"><title><bold>Correspondence:</bold>
Marina Cunha (marina_cunha@ismt.pt) – Instituto Superior Miguel Torga, Coimbra, 3000-132, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Given that the growing autonomy towards parents and the interaction with peers are particularly important aspects concerning the development of self-identity, it is crucial to assess early memories associated with feelings of safeness or threat in the interaction with peers. Objectives: I) To examine the psychometric characteristics of the Early Memories of Warmth and Safeness Scale in interaction with peers (EMWSS- Peers); II) to explore the relationship between EMWSS-Peers and the global measure of early positive memories with attachment figures (EMWSS); III) to investigate the impact of positive emotional memories in depressive and anxiety symptoms.</p>
<p><bold>Methods</bold>
</p>
<p>Three hundred fifty-five (355) adolescents (152 boys), aged between 12 and 18 years old, completed the Early Memories of Warmth and Safeness Scale (EMWSS – global measure), EMWSS in interactions with peers, and the Depression, Anxiety and Stress Scales (DASS-21).</p>
<p><bold>Results</bold>
</p>
<p>The EMWSS-Peers showed a single-factor structure, excellent internal consistency (α = .93), and test-retest reliability (r = .86). Memories of warmth and safeness regarding interaction with peers showed moderate negative correlations with anxiety and depressive symptoms, and a moderate positive association with warmth and safeness memories concerning the interaction with attachment figures. Additionally, early positive memories revealed a significant and independent contribution for the prediction of anxiety and depressive symptoms.</p>
<p><bold>Conclusions</bold>
</p>
<p>The EMWSS-Peers proved to be a reliable and valid instrument for the assessment of warmth and safeness feelings in the interaction with peers’ context. These results suggest that positive emotional memories can act as protective factors regarding psychopathological symptoms.</p>
<p><bold>Keywords</bold>
</p>
<p>Adolescence, self-report instrument, early emotional memories within peers</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec888"><title>O144 The molecular effects induced by single shot irradiation on a diffuse large B cell lymphoma cell line</title>
<sec id="Sec889"><title>Fernando Mendes<sup>1</sup>
, Cátia Domingues<sup>2</sup>
, Susann Schukg<sup>3</sup>
, Ana M. Abrantes<sup>4</sup>
, Ana C. Gonçalves<sup>5</sup>
, Tiago Sales<sup>4</sup>
, Ricardo Teixo<sup>4</sup>
, Rita Silva<sup>4</sup>
, Jéssica Estrela<sup>1</sup>
, Mafalda Laranjo<sup>4</sup>
, João Casalta-Lopes<sup>6</sup>
, Clara Rocha<sup>1</sup>
, Paulo C. Simões<sup>6</sup>
, Ana B. Sarmento-Ribeiro<sup>7</sup>
, Mª Filomena Botelho<sup>4</sup>
, Manuel S. Rosa<sup>8</sup>
</title>
<sec id="Sec890"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; <sup>2</sup>
Centre of Investigation in Environment, Genetics and Oncobiology, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal; <sup>3</sup>
Biomedical Laboratory Sciences Department, University of Gothenburg, S-405 30 Gothenburg, Sweden; <sup>4</sup>
Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal; <sup>5</sup>
Oncobiology and Haematology Laboratory of Applied Molecular Biology & Clinical University of Hematology, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal; <sup>6</sup>
Radiation Oncology Department, Coimbra Hospital and Universitary Centre, 3000-075 Coimbra, Portugal; <sup>7</sup>
Clinical University of Hematology, Coimbra Hospital and Universitary Centre, 3000-075 Coimbra, Portugal; <sup>8</sup>
Imunology Institute, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</title>
<sec id="Sec891"><title><bold>Correspondence:</bold>
Fernando Mendes (fjmendes@estescoimbra.pt) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>An estimate of 386,000 cases of non-Hodgkin Lymphoma (NHL) occurred in 2012 (2.7 % of all cancers). Diffuse large B cell lymphoma (DLBCL) is a heterogeneous group of haematological malignancies and forms the most common type of aggressive non-Hodgkin lymphoma. Objective: To evaluate cellular and molecular effects of high doses X radiation in DLBCL cells.</p>
<p><bold>Methods</bold>
</p>
<p>Farage cells were exposed to 0.5-60 Gy of Ionizing Radiation (IR). Cell viability and proliferation were assessed by trypan blue assay and cell survival by clonogenic assay. Cell death was assessed by flow cytometry (FC) and optical microscopy. Cell cycle, mitochondrial membrane potential, reactive oxygen species, GSH and BAX/BCL-2 were measured by FC. DNA damage was evaluated using comet assay. Total and phosphorylated P53 was assessed by western blot.</p>
<p><bold>Results</bold>
</p>
<p>IR induced cytotoxic and cytostatic effects in Farage cells in a dose and time dependent manner with an LD50 of 1.73 Gy. Cell death occurs mainly by apoptosis with an increase in BAX/BCL-2 ratio and significant increase in Reactive Oxygen Species (ROS) production. We observed cell cycle arrest at G2/M phase and significant increase in DNA damage and in P53 total and phosphorylated expression levels.</p>
<p><bold>Conclusions</bold>
</p>
<p>High doses of IR induce a time dose dependent response which leads to increased ROS production, DNA damage with increased P53 expression and activation expressed by elevated pP53 levels, resulting in G2/M cell cycle arrest and increased later apoptosis/necrosis cell death. Our results showed that single shot IR induces effects in different cell components and its comprehension is essential to choose treatment planning.</p>
<p><bold>Keywords</bold>
</p>
<p>Large diffuse B cell lymphoma, Radiotherapy, Genotoxicity, Oxidative stress, Cell death, P53</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec892"><title>O145 Morpho-functional characterization of cardiac chambers by Transthoracic Echocardiography, in young athletes of gymnastics competition</title>
<sec id="Sec893"><title>Virgínia Fonseca, Diogo Colaço, Vanessa Neves</title>
<sec id="Sec894"><title>Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisboa, 1549-020 Lisboa, Portugal</title>
<sec id="Sec895"><title><bold>Correspondence:</bold>
Virgínia Fonseca (virginia.fonseca@estesl.ipl.pt) – Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisboa, 1549-020 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Prolonged intensive physical training causes structural and functional cardiovascular adaptations, however these modifications can be misinterpreted as pathological. The aim of this study was to describe the cardiovascular structure and functionality, by transthoracic echocardiography, in young competitive artistic gymnastics athletes.</p>
<p><bold>Methods</bold>
</p>
<p>This study was conducted in a population of feminine artistic gymnastics athletes, with ages between 12 and 15 years old. All individuals underwent transthoracic echocardiography, following the defined study protocol. Statistical analysis of the study variables was made using descriptive statistics, Shapiro-Wilk test, T-test, Wilcoxon's test and Pearson's correlation. The results were considered statistically significant when p value < 0.05.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>With regard to left cardiac structure and functionality, there were no statistically significant changes, however the athletes had larger left atrial area (15.35 cm<sup>2</sup>
), which is common due to pressure increase during exercise practice, especially in a combined isometric and isotonic training.</p>
<p>In the diastolic function, the mitral E wave velocity (1.08 m/s) and the mitral E/A ratio (2.31) were significantly higher. There was a correlation between years of practice and both mitral A wave velocity and mitral E/A ratio. These findings suggest a supernormal diastolic function as a consequence of the left ventricular relaxation and compliance enhancement.</p>
<p>With this study it was possible to verify, that all variables used to analyse structural and cardiovascular functional adaptations, measured by transthoracic echocardiogram, were within normal values, taking in consideration the paediatric and adult Guidelines. There were found statistically significant differences for the left atrial area and left diastolic function.</p>
<p><bold>Keywords</bold>
</p>
<p>Transthoracic echocardiography, athlete's heart, isometric training, isotonic training</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec896"><title>O146 Prevalence of the antibodies of the new histo-blood system – FORS system</title>
<sec id="Sec897"><title>Carlos Jesus<sup>1</sup>
, Camilla Hesse<sup>2</sup>
, Clara Rocha<sup>3</sup>
, Nádia Osório<sup>1</sup>
, Ana Valado<sup>1</sup>
, Armando Caseiro<sup>1</sup>
, António Gabriel<sup>1</sup>
, Lola Svensson<sup>2</sup>
, Fernando Mendes<sup>1</sup>
, Wafa A. Siba<sup>4</sup>
, Cristina Pereira<sup>5</sup>
, Jorge Tomaz<sup>5</sup>
</title>
<sec id="Sec898"><title><sup>1</sup>
Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; <sup>2</sup>
Department of Clinical Chemistry and Transfusion Medicine, Sahlgrenska University Hospital, Göteborg, 413 45 Göteborg, Switzerland; <sup>3</sup>
Complementary Sciences Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; <sup>4</sup>
Medical Laboratory Sciences Department, Al-Quds University, Abu Dis, P.O Box 89 Abu Dis, Palestinian National Authority; <sup>5</sup>
Blood Bank Service, Coimbra Hospital and Universitary Center, 3000-075 Coimbra, Portugal</title>
<sec id="Sec899"><title><bold>Correspondence:</bold>
Fernando Mendes (fjmendes@estescoimbra.pt) – Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In 1987 three unrelated English families were reported with an alleged subgroup called Apae. The Apae positive family members showed a divergent antibody and lectin reaction pattern of erythrocytes. The lectin Helix Pomatia had strong reaction, polyclonal antibodies (Ab) anti-A had weak response and monoclonal Ab anti-A had no reaction, suggesting a controversy. Swedish researchers found evidences leading to abolish the subgroup Apae and establishing instead the FORS blood group system (accepted by ISBT 2012 as blood group system 31). It’s important to know the prevalence of the Ab to make the right decisions in transfusion medicine. For that reason, are needed cells containing the Fs saccharide, such as sheep erythrocytes, to search the Ab. Objective: Study the anti-Forssman (anti-Fs) antibody frequency.</p>
<p><bold>Methods</bold>
</p>
<p>Plasma from a total of 800 blood donors was included in the study. Sheep erythrocytes were crossed with blood donor plasma using the tube technique. Plasma from Apae individual was used as negative control and anti-Fs (M1/22.25.8HL cell line supernatant) was used as positive control.</p>
<p><bold>Results</bold>
</p>
<p>In 800 blood donors, one was negative for the presence of anti-Fs Ab.</p>
<p><bold>Conclusions</bold>
</p>
<p>Sheep erythrocytes are suitable to search the human anti-Fs. In this blood donor population (n = 811) we found one individual lacking the anti-Fs. Those results contribute to the data of being a rare blood group. It would be interesting to study the cells of the individual lacking the anti-Fs to understand if it is a FORS+ individual and if can have impact in transfusion medicine.</p>
<p><bold>Keywords</bold>
</p>
<p>Blood Group, New Histoblood System, FORS System, Forssman Antigen, Anti-Forssman</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec900"><title>O147 Assessment of the war-related perceived threat in Portuguese Colonial War Veterans</title>
<sec id="Sec901"><title>Teresa Carvalho<sup>1,2</sup>
, José Pinto-Gouveia<sup>1</sup>
, Marina Cunha<sup>1,2</sup>
</title>
<sec id="Sec902"><title><sup>1</sup>
Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal; <sup>2</sup>
Instituto Superior Miguel Torga, Coimbra, 3000-132, Portugal</title>
<sec id="Sec903"><title><bold>Correspondence:</bold>
Teresa Carvalho (teresacarvalho.psi@gmail.com) – Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The perception of threat (the fear for one’s safety and well-being) during exposure to war proved to be a major risk factor for development of psychopathology developed by war Veterans. The Perceived Threat Scale (PTS) of the Deployment Risk and Resilience Inventory (DRRI) is one the most widely used self-report instrument to assess this construct. Objective: This study aimed to test the two-factorial latent structure (Threats Combat and Non-Threats Combat) of the PTS adapted to Portuguese Colonial War Veterans (modified version), previously found through Exploratory Factor Analysis (EFA). The internal consistency and discriminant validity of this scale were also analysed.</p>
<p><bold>Methods</bold>
</p>
<p>Three hundred and ten (310) males from the general population of Portuguese Colonial War Veterans completed the PTS-MV (PTS-Modified Version), PTSD Checklist-Military Version (PCL-M), Beck Depression Inventory (BDI) and the Anxiety and Stress Scales of DASS-21.</p>
<p><bold>Results</bold>
</p>
<p>Confirmatory Factor Analysis (CFA) showed that the re-specified first–order two factor model has a good fit to the data (GFI = .92; TLI = .93; CFI = .94; RMSEA = .06; PCFI = .79) and adequate factorial validity. Also an adequate internal consistency was obtained (Treats Combat: α = .82; Non-Treats Combat: α = .83) and a good discriminant capacity regarding PTSD, depression, anxiety and stress symptoms.</p>
<p><bold>Conclusions</bold>
</p>
<p>CFA corroborates the two-factorial structure of the Portuguese Version of PTS previously found by the authors. The scale is internally consistent and has a good discriminant capacity.</p>
<p><bold>Keywords</bold>
</p>
<p>Assessment of perceived threat, Perceived Threat Scale (PTS), DRRI, Confirmatory factor Analysis, Portuguese Colonial War Veterans</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec904"><title>O148 Pulse transit time estimation for continuous blood pressure measurement: A comparative study</title>
<sec id="Sec905"><title>Diana Duarte<sup>1</sup>
, Nuno V. Lopes<sup>1,2</sup>
, Rui Fonseca-Pinto<sup>1,3</sup>
</title>
<sec id="Sec906"><title><sup>1</sup>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal; <sup>3</sup>
Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec907"><title><bold>Correspondence:</bold>
Diana Duarte (rui.pinto@ipleiria.pt) – Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Continuous blood pressure (BP) monitoring provides important information about the cardiovascular system condition. Invasive methods are accurate but denote increased risk. Non-invasive methods are safe but less reliable and don´t provide continuous information. An alternative approach for a continuous, non-invasive measurement of BP is based on changes in pulse transit time (PTT). PTT is defined as the time delay between the R-wave of the electrocardiogram (ECG) and the peak value of the photoplethysmogram (PPG) signal acquired in the patient finger on the same cardiac cycle.</p>
<p>The main goal of this work is to estimate the PTT using different methodologies found in the literature, such as derivative based approaches and Discrete Wavelet (DWT) and Hilbert-Huang (HHT) transforms, and compare the results with ground truth values obtained manually.</p>
<p><bold>Methods</bold>
</p>
<p>Several ECG and PPG signals were obtained from a public physiologic signals database and from real data using in vivo patients. A derivative based approach to find the R waves and the PPG peak values was implemented to estimate the PTT. Then, a previous signal processing using DWT and HHT was applied. Results provided from each methodology were compared with ground truth values.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>Globally all methods had similar results when using the database signals. However, using real data, the derivative based approach performed poorly. Due to noise, non-stationary and non-linearity nature of physiologic signals, methodologies that incorporate DWT or HHT provide accurate results.</p>
<p><bold>Keywords</bold>
</p>
<p>Blood Pressure, Pulse Transit Time, Wavelet Transform, Hilbert-Huang Transform</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec908"><title>O149 Blood pressure assessment during standard clinical manoeuvres: A non-invasive PPT based approach</title>
<sec id="Sec909"><title>Diana Duarte<sup>1</sup>
, Nuno V. Lopes<sup>1,2</sup>
, Rui Fonseca-Pinto<sup>1,3</sup>
</title>
<sec id="Sec910"><title><sup>1</sup>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal; <sup>3</sup>
Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec911"><title><bold>Correspondence:</bold>
Rui Fonseca-Pinto (rui.pinto@ipleiria.pt) – Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Continuous and reliable blood pressure (BP) monitoring during standard clinical manoeuvres provides important information about the cardiovascular system condition. Common invasive methods are accurate but denote increased risk. An alternative approach is based on changes in pulse transit time (PTT) defined as the time delay between the R-wave of the electrocardiogram (ECG) and the peak value of the photoplethysmogram (PPG) signal at the same cardiac cycle.</p>
<p>The main goal of this work is to estimate BP variations derived from PTT changes during typical clinical autonomic manoeuvers associated with BP variations (e.g. lower limb elevation, orthostatic changes, and Valsalva). Furthermore, the validation of these blood pressure variations was also addressed.</p>
<p><bold>Methods</bold>
</p>
<p>Using the commercial equipment BIOPAC MP35, a set of ECG and PPG signals were acquired from healthy individuals during the manoeuvers, and PTT is calculated. Afterwards, the variations of BP were computed using a mathematical relationship and a blood pressure variation curve was obtained.</p>
<p>To validate the accuracy of this method, BP curves derived from PTT were compared with well-known pressure variation changes associated with the autonomic manoeuvres, from which the pressure profile is well documented in physiological studies. BP variations behave accordingly to responses from feedback mechanisms to maintain homeostasis.</p>
<p><bold>Conclusions</bold>
</p>
<p>This work establishes a diverse approach to assess BP changes, which proved to be reliable and accurate. The use of this methodology is an alternative to invasive and uncomfortable methods.</p>
<p><bold>Keywords</bold>
</p>
<p>Blood Pressure, Pulse Transit Time, Clinical autonomic manoeuvres</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec912"><title>O150 Development and initial validation of the Activities and Participation Profile related to Mobility (APPM)</title>
<sec id="Sec913"><title>Anabela C. Martins (anabelacmartins@estescoimbra.pt)</title>
<sec id="Sec914"><title>Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Social participation has been extensively used in research and policy reports in health and social care as an outcome, since the World Health Organization published the International Classification of Functioning, Disability and Health (ICF) in 2001. Objective: To describe the development and validation of a questionnaire to measure participation of adults (Activities and Participation Profile related to Mobility; APPM) in their everyday activities.</p>
<p><bold>Methods</bold>
</p>
<p>The instrument was constructed within the frames of the ICF; the items are supported by results from previous studies and focus groups. The instrument’s internal consistency was assessed using Cronbach’s alpha coefficient. The content validity of the questionnaire was evaluated by linking the 18 items to the ICF. For construct validity, it was conjectured that the need for assistive technologies (AT) help of the arms to stand up from a chair, being sedentary and presence of falls were a mirror for more severely impaired performance, leading to a major limitation of activities and restrictions on participation relating to mobility. Criterion validity was investigated by correlation with FES.</p>
<p><bold>Results</bold>
</p>
<p>One hundred and fifty community dwelling adults (mean age 68.71 +/- 9.09 years old) participated in the study. The APPM demonstrated good internal reliability (alpha 0.90), indicating good homogeneity. All predefined hypotheses involving expected differences between groups and significant correlations between FES and APPM were confirmed.</p>
<p><bold>Conclusions</bold>
</p>
<p>The APPM demonstrated good psychometric properties and can be used as a reliable and valid measure to assess community dwelling adults' social participation over the age of 55 years.</p>
<p><bold>Keywords</bold>
</p>
<p>Activities and Participation, community dwelling adults, outcome measures, validation study</p>
</sec>
</sec>
</sec>
<sec id="Sec915"><title>O151 MEASYCare-2010 Standard–A geriatric evaluation system in primary health care: Reliability and validity of the latest version in Portugal</title>
<sec id="Sec916"><title>Piedade Brandão<sup>1,2</sup>
, Laura Martins<sup>1</sup>
, Margarida Cardoso<sup>3,4</sup>
</title>
<sec id="Sec917"><title><sup>1</sup>
Escola Superior de Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Center for Health Technology and Services Research, Universidade do Porto, 4200-450 Porto, Portugal; <sup>3</sup>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, 4050-313 Porto, Portugal; <sup>4</sup>
Interdisciplinary Centre of Marine and Environmental Research, Universidade do Porto, 4050-123 Porto, Portugal</title>
<sec id="Sec918"><title><bold>Correspondence:</bold>
Laura Martins (laura.martins@ua.pt) – Escola Superior de Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>EASYCare is a multidimensional instrument for assessing self-perception of the health care needs of the elderly population in primary health care. The latest version of this tool is the EASYCare-2010 Standard. Objective: This study aimed to validate the EASYCare-2010 Standard in older Portuguese people.</p>
<p><bold>Methods</bold>
</p>
<p>The sample comprises 244 participants with 65 years old or over recruited at Primary Health Care Centres from the Portuguese National Health Service. The World Health Organization Quality of Life Assessment Instrument-Short and the Tinetti test were considered for construct validity.</p>
<p><bold>Results</bold>
</p>
<p>Results from this study revealed a two-factor model through Categorical Data Principal Component Analysis. The internal consistency of this instrument had highly acceptable levels. The results also showed that in the polytomous items of EASYCare-2010 Standard some of the categories were not considered at all or only by a small number of participants.</p>
<p><bold>Results</bold>
</p>
<p>The EASYCare-2010 Standard factors were named <italic>“mobility and activities of daily life</italic>
” and “<italic>general well-being and safety</italic>
” and were associated with measures of quality of life with a moderate correlation with balance and gait. The instrument could be simplified, replacing polytomous with dichotomous items.</p>
<p><bold>Conclusions</bold>
</p>
<p>This study showed that the EASYCare-2010 Standard in Portugal is a valid and reliable comprehensive geriatric assessment tool for older community-dwelling people. However, the reduction and simplification of items should be equated in a new revised version. More studies are needed in other countries using EASYCare-2010 Standard to certify the results obtained.</p>
<p><bold>Keywords</bold>
</p>
<p>Geriatric assessment, Primary health care, Questionnaires, Reliability and validity</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec919"><title>O152 Interrater and intrarater reliability and agreement of the range of shoulder flexion in the standing upright position through photographic assessment</title>
<sec id="Sec920"><title>Nuno Morais<sup>1</sup>
, Joana Cruz<sup>2</sup>
</title>
<sec id="Sec921"><title><sup>1</sup>
School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec922"><title><bold>Correspondence:</bold>
Nuno Morais (nuno.morais@ipleiria.pt) – School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The assessment of range of shoulder flexion in clinical settings is usually performed in supine position. However, this assessment position may not accurately reflect the impairments in shoulder mobility observed in several real-life situations that involve sitting or standing upright positions. This study aimed to assess the interrater and intrarater reliability and agreement of range of shoulder flexion in the upright position through photographic assessment.</p>
<p><bold>Methods</bold>
</p>
<p>Ten asymptomatic volunteers (4 males, 70.50 ± 10.29 years) participated in the study. They were photographed in the sagittal plane while performing maximal shoulder flexion. Shoulder flexion angle was then determined with computer-assisted digitising software. Raters 1 and 2 independently performed the measurements once and twice (respectively) using the standard goniometry landmarks: lateral epicondyle of the humerus, lateral midline of the thorax, and the centroid of the virtual glenohumeral joint region. Interrater and intrarater reliability were calculated using Intraclass Correlation Coefficients (ICC2,1) and agreement parameters using the 95 % limits of agreement (LoA), standard error of the measurement (SEM) and minimal detectable change (MDC95).</p>
<p><bold>Results</bold>
</p>
<p>Excellent interrater (ICC2,1 = 0.98 95 % confidence intervals [95%CI] = 0.93–0.99, SEM = 1.54°, MDC95 = 4.28°) and intrarater (ICC2,1 = 0.99, 95%CI = 0.98–0.99, SEM = 0.85°, MDC95 = 2.36°) reliability and agreement results were found. The LoA followed the same trend (intrarater LoA: -2.80°–1.91°; interrater LoA: -2.04°–6.51°).</p>
<p><bold>Conclusions</bold>
</p>
<p>Assessment of range of shoulder flexion in the upright position using photographic analysis is highly reliable and provides acceptable measurement error to be used in clinical practice. Further research is necessary to validate this measurement against ’gold standard’ measures (e.g., 3D motion tracking device).</p>
<p><bold>Keywords</bold>
</p>
<p>angular displacement, measurement properties, mobility, upper limb</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec923"><title>O153 Three-dimensional biofabrication techniques for tissue regeneration</title>
<sec id="Sec924"><title>Nuno Alves, Paula Faria, Artur Mateus, Pedro Morouço</title>
<sec id="Sec925"><title>Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 – Marinha Grande, Portugal</title>
<sec id="Sec926"><title><bold>Correspondence:</bold>
Nuno Alves (nuno.alves@ipleiria.pt) – Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 – Marinha Grande, Portugal</title>
<p>Human tissue loss or end-stage organ failure resulting from an injury or a disease is a major health care problem in the world as the transplantation of tissues or organs in these patients is severely limited by availability of compatible donors. In this context, three-dimensional biofabrication techniques have emerged as powerful tools to produce functional homogeneous/heterogeneous substitutes (scaffolds), which have a huge potential to fulfil biological and mechanical requirements in order to achieve the full tissue regeneration.</p>
<p>Accordingly, several 3D biofabrication techniques have been developed and tested to produce anatomically correct biological substitutes through the use of computer-controlled 3D devices to accurately deposit biomaterials, drugs/growth factors/cells into precise geometries.</p>
<p>Given the multitude of 3D scaffolds applications, ranging from in vitro studies using a combination of 3D biocompatible and biodegradable structures with drugs/growth factors/living cells to in vivo implantation in order to pursue the full tissue regeneration, 3D biofabrication techniques can have a significant impact on the future of health care and well-being.</p>
<p>Advantages, drawbacks, results and capabilities of these kind of 3D scaffolds, techniques, ex vivo and in vivo studies are detailed. New directions in research on biofabrication for full tissue regeneration are also pointed out.</p>
<p><bold>Keywords</bold>
</p>
<p>Biological substitutes, 3D Biofabrication techniques, Tissue regeneration, In vitro studies</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec927"><title>O154 A new computer tool for biofabrication applied to tissue engineering</title>
<sec id="Sec928"><title>Nuno Alves, Nelson Ferreira, Artur Mateus, Paula Faria, Pedro Morouço</title>
<sec id="Sec929"><title>Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 – Marinha Grande, Portugal</title>
<sec id="Sec930"><title><bold>Correspondence:</bold>
Nuno Alves (nuno.alves@ipleiria.pt) – Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 – Marinha Grande, Portugal</title>
<p>Traditionally, additive manufacturing (AM) uses digital information from a computer-aided design (CAD) file that is later converted to a stereo-lithography (STL) file format in order to produce a physical part. The surfaces of a 3D computer model are approximated by a set of triangular facets and then sliced to generate a series of layers for fabrication. The STL file format has become the standard for the data input of AM systems.</p>
<p>Digital information contained in the STL standard format is related to the vertex co-ordinates, which define each triangle and its outer normal. Despite of some STL file improvements focused on solving overlapping surfaces, gaps, and intersections between facets, this is not suitable for multimaterial additive biomanufacturing. Despite others approaches have also been developed, mainly focused in biofabrication processes, they are not able to deal with multimaterial scaffolds.</p>
<p>To overcome the above mentioned drawbacks, a novel multidimensional computer approach for biofabrication is presented, allowing the production of biological multimaterial substitutes with tailored properties improving mechanical and biological performance in tissue engineering applications.</p>
<p><bold>Keywords</bold>
</p>
<p>Biofabrication, computational tools, multimaterial scaffolds, tissue engineering</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec931"><title>O155 Development and psychometric qualities of a scale to measure the functional independence of adolescents with motor impairment</title>
<sec id="Sec932"><title>Isabel Malheiro<sup>1</sup>
, Filomena Gaspar<sup>1</sup>
, Luísa Barros<sup>2</sup>
</title>
<sec id="Sec933"><title><sup>1</sup>
Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal; <sup>2</sup>
Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal</title>
<sec id="Sec934"><title><bold>Correspondence:</bold>
Isabel Malheiro (mmalheiro@esel.pt) – Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>There is a shortage of a validated instruments to evaluate the effectiveness of rehabilitation interventions in adolescents with motor impairment. The purpose of this study was to develop an instrument to measure functional independence perceived by adolescents with motor impairment, and evaluate its psychometric qualities.</p>
<p><bold>Methods</bold>
</p>
<p>Based on the Functional Independence Measure scale (FIM) we developed a self-report multidimensional instrument, to assess functional independence in adolescents. Ratings are made on an oriented format with five points, 1 (I can’t), 2 (I can with much help), to 5 (I can without help). The final version of the instrument (16 items), were tested on a convenience sample of 101 adolescents with motor impairment. The pilot test served not only to test their understandability, but also to evaluate their psychometric qualities (sensitivity, reliability and validity).</p>
<p><bold>Results</bold>
</p>
<p>The final version of SSFIA 16 items (Motor Domain) psychometric qualities was assessed by Internal consistency (Cronbach’s α = 0.938, split-half using Spearman & Brown correction α = 0.869). Construct validity was evaluated using principal factor analysis method with varimax orthogonal rotations, and revealed a tridimensional structure and explained 74.6 % of the variance (elimination, self-care and transfers). We found good support for convergent (FIM scale rp = 0.83 and rp > 0.5 between items) and discriminant validity (average variance extracted analysis).</p>
<p><bold>Conclusions</bold>
</p>
<p>The good psychometric qualities showed a clear evidence that the newly developed instrument provides a sensitive, reliable and valid tool to assess the functionality (motor domain) in adolescents with motor impairment.</p>
<p><bold>Keywords</bold>
</p>
<p>Adolescents, Self-rating multidimensional Instrument, Functional Independence, Psychometric qualities, Validity</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec935"><title>O156 Organizational Trust in Health services: Exploratory and Confirmatory factor analysis of the Organizational Trust Inventory- Short Form (OTI-SF)</title>
<sec id="Sec936"><title>Pedro Parreira<sup>1</sup>
, Andreia Cardoso<sup>2</sup>
, Lisete Mónico<sup>3</sup>
, Carla Carvalho<sup>3</sup>
, Albino Lopes<sup>4</sup>
, Anabela Salgueiro-Oliveira<sup>1</sup>
</title>
<sec id="Sec937"><title><sup>1</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>2</sup>
Birmingham Hospitals, Birmingham B15 2GW, UK; <sup>3</sup>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal; <sup>4</sup>
Instituto Superior de Ciências Sociais e Políticas, 1300-663 Lisboa, Portugal</title>
<sec id="Sec938"><title><bold>Correspondence:</bold>
Pedro Parreira (parreira@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Organizational Trust is a core concept for the effectiveness of Health services organizations. The concept has a great importance for the dynamic of professionals when working in groups, influencing the quality of health care. Instruments with god validity and reliability are useful for Portuguese health care services. Objective: To analyse the psychometric proprieties of the Organizational Trust Inventory-Short Form (OTI-SF) in Portuguese health services.</p>
<p><bold>Methods</bold>
</p>
<p>Quantitative study with a sample of N = 687 (89.2 % nurses and 10.8 % physicians of 50 units of medical and surgery services from Portuguese hospitals, age > 35 years, 75.8 % female). Measure: Organizational Trust Inventory- Short Form (OTI-SF), 7-point Likert scale.</p>
<p><bold>Results</bold>
</p>
<p>According to eigenvalue >1, two factors were extracted with Exploratory factor analysis (EFA) for Organizational Trust (KMO = .891, X<sup>2</sup>
(66) = 2424.11, p < .001) explaining 60.87 % of variance (EV): F1-Honesty (33.70 % EV; M = 4.62, SD = 0.90), F2-Avoid opportunism (27.17 % EV; M = 3.52, SD = 1.10). Reliability was good (Cronbach’s α = .88 and α = .85 for F1 and F2, respectively). The item-factor correlations showed values greater than 0.74, consistent with construct validity. This factorial structure was supported by Confirmatory factor analysis (CFA), with a good fit: CMIN/50 = 1.92, RMSEA = .047 (LO90 = .033, HI90 = .061), NFI = .955, CFI = .978. Both “Honesty” (F1) and “Avoid opportunism” (F2) were equal across gender, F(1, 397) = 0.39 and 0.52, respectively, p > .40, and also across nurses and physicians, F(1, 322) = 1.72 and 0.25, p > .25. “Honesty” and “Avoid opportunism” shared 28 % of the variance and were not influenced by years of work.</p>
<p><bold>Conclusions</bold>
</p>
<p>The Organizational Trust Inventory-Short Form (OTI-SF) in health services showed adequate psychometric properties. The instrument is useful to measure organizational trust in health services.</p>
<p><bold>Keywords</bold>
</p>
<p>Organizational trust, health services, organizational trust inventory, health professionals</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec939"><title>O157 Thermal symmetry: An indicator of occupational task asymmetries in physiotherapy</title>
<sec id="Sec940"><title>Adérito Seixas<sup>1</sup>
, Valter Soares<sup>1</sup>
, Tiago Dias<sup>1</sup>
, Ricardo Vardasca<sup>2</sup>
, Joaquim Gabriel<sup>2</sup>
, Sandra Rodrigues<sup>1</sup>
</title>
<sec id="Sec941"><title><sup>1</sup>
Universidade Fernando Pessoa, Porto, 4249-004 Porto, Portugal; <sup>2</sup>
Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</title>
<sec id="Sec942"><title><bold>Correspondence:</bold>
Adérito Seixas (aderito@ufp.edu.pt) – Universidade Fernando Pessoa, Porto, 4249-004 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The burden associated to work-related musculoskeletal disorders is increasing and the need for research about technologies that allow a better understanding of this problem is well identified. The use of thermal imaging in occupational health research has been increasing but not to assess physiotherapy related tasks. Thermal symmetry reflects normal physiology and is defined as the degree of similarity between the skin temperature of two regions of interest mirrored across the human body longitudinal axis.</p>
<p><bold>Methods</bold>
</p>
<p>Fifteen (15) physiotherapy final year graduation students (age: 25.5 ± 5.4 years; BMI: 22.9 ± 2.8 Kg.m<sup>-2</sup>
) underwent thermographic evaluation before, immediately after and 5 minutes after a passive hip hyper-extension mobilization task performed at a rate of 20 mobilizations per minute, during 4 minutes. The region of interest selected for analysis was located in the area of both upper trapezius muscles. Thermal images were obtained using a calibrated FLIR A325 camera with 320 x 240 resolution, 70 mK sensitivity and ± 2 % accuracy. Previously published recommendations were followed to capture thermal images.</p>
<p><bold>Results</bold>
</p>
<p>The passive mobilization task induced statistically significant changes in skin temperature. Thermal symmetry values increased from 0.1 ± 0.1 °C before the mobilization task to 0.4 ± 0.2 °C immediately after the task and 0.5 °C 5 minutes after. Statistically significant differences were found between thermal symmetry values before and 5 minutes after the task (p < 0.01).</p>
<p><bold>Conclusions</bold>
</p>
<p>The findings of this study provided interesting data regarding task asymmetry. Thermal symmetry values reflected the increase in skin temperature observed in the dominant side as a result of the mobilization task.</p>
<p><bold>Keywords</bold>
</p>
<p>Thermal imaging, thermal symmetry, passive mobilization, physiotherapy</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec943"><title>O158 A study of ICT active monitoring adoption in stroke rehabilitation</title>
<sec id="Sec944"><title>Hugo Paredes<sup>1,2</sup>
, Arsénio Reis<sup>1</sup>
, Sara Marinho<sup>1</sup>
, Jorge Lains<sup>3</sup>
, Vítor Filipe<sup>1,2</sup>
, João Barroso<sup>1,2</sup>
</title>
<sec id="Sec945"><title><sup>1</sup>
Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal; <sup>2</sup>
Instituto de Engenharia de Sistemas e Computadores, Tecnologia e Ciência, 4200 - 465 Porto, Portugal; <sup>3</sup>
Centro de Medicina de Reabilitação da Região Centro - Rovisco Pais, 3064-908 Tocha, Portugal</title>
<sec id="Sec946"><title><bold>Correspondence:</bold>
Hugo Paredes (hparedes@utad.pt) – Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Every year 15 million people suffer an episode of stroke, worldwide. During the recovery therapy, the evaluation of patients' progress is carried out by doctors and specialized therapists. The application of technology in health care has attracted the attention of engineering for the support of recovery therapy practices. Nowadays, advances in information and communication technologies allow the creation of systems to support and evaluate the physical recovery of people that help health professionals evaluating the recovery of their patients. Objectives: The main objective of this work is to gather the requirements to implement a system focused on monitoring the upper limb rehabilitation of post stroke patients, establishing a link between main hospitals and patients when they are recovering at home or in proximity centres.</p>
<p><bold>Methods</bold>
</p>
<p>We used ethnographic methodology to examine the daily routines of patients in the recovery process. The information gathered was combined with interviews with therapists and medical doctors about the monitoring of the recovery process and therapy practices.</p>
<p><bold>Results</bold>
</p>
<p>The characterization of patients’ daily routines in the rehabilitation process, the exercises performed and the major physiological data required for monitoring rehabilitation recovery instruments was carried out. A combined perspective and analysis of the rehabilitation process is in an engineering-ready format for prototype implementation and pilot deployment.</p>
<p><bold>Conclusions</bold>
</p>
<p>The results of this study allow the specification of an innovative digital platform for stroke rehabilitation and patient monitoring, using pervasive technologies embedded with patients’ daily life without requiring explicit interaction of the patients or changes in daily routines.</p>
<p><bold>Keywords</bold>
</p>
<p>Stroke rehabilitation, ICT, active monitoring, technology in health care</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec947"><title>O159 Paranoia Checklist (Portuguese Version): Preliminary studies in a mixed sample of patients and healthy controls</title>
<sec id="Sec948"><title>Carolina Da Motta<sup>1,2</sup>
, Célia B. Carvalho<sup>1,2</sup>
, José Pinto-Gouveia<sup>1</sup>
, Ermelindo Peixoto<sup>2</sup>
</title>
<sec id="Sec949"><title><sup>1</sup>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal; <sup>2</sup>
Azores University, São Miguel, 9501-855 Ponta Delgada, Portugal</title>
<sec id="Sec950"><title><bold>Correspondence:</bold>
Carolina Da Motta (carolina.d.motta@uac.pt) – Azores University, São Miguel, 9501-855 Ponta Delgada, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Paranoid ideation is consistently found to be a thought process that is present across the population continuum, and a theme that most people find in their everyday thoughts. However, it is important to be able to distinguish subclinical or less severe forms of this phenomena from more clinical manifestations of paranoid beliefs. Objective: To provide preliminary data on the psychometric properties of the Portuguese version of the Paranoia Checklist in a mixed sample (47 patients and 157 healthy controls).</p>
<p><bold>Methods</bold>
</p>
<p>Self-report questionnaires were completed by 202 participants, with the aid of a psychologist when necessary.</p>
<p><bold>Results</bold>
</p>
<p>The PC has shown excellent internal consistency (frequency, conviction and distress subscales α > .96) and is a brief and simple measure capable of distinguishing between a clinical and non-clinical group of participants regarding the dimensions of frequency and conviction of paranoid thoughts. Participants from the clinical and non-clinical groups did not present statistically significant differences regarding the distress resulting from the paranoid thoughts.</p>
<p><bold>Conclusions</bold>
</p>
<p>Overall, the clinical population presented increased scores in all dimensions of paranoia in comparison to the healthy controls, similarly to the original studies with the English version of the checklist. The assessment of paranoia has been shown to be a continuum process common to clinical and non-clinical groups. The PC is a psychometrically sound measure to assess different paranoid thoughts on a multidimensional perspective and with sensitivity to distinguish groups of patients and healthy individuals, being suitable for use both in clinical and research settings.</p>
<p><bold>Keywords</bold>
</p>
<p>Paranoia, schizophrenia, assessment</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec951"><title>O160 Reliability and validity of the Composite Scale on Morningness: European Portuguese version, in adolescents and young adults</title>
<sec id="Sec952"><title>Ana A. Gomes<sup>1,2</sup>
, Vanessa Costa<sup>3,4</sup>
, Diana Couto<sup>1,4</sup>
, Daniel R. Marques<sup>1,5</sup>
, José A. Leitão<sup>3,6</sup>
, José Tavares<sup>1</sup>
, Maria H. Azevedo<sup>5</sup>
, Carlos F. Silva<sup>1,2</sup>
</title>
<sec id="Sec953"><title><sup>1</sup>
Department of Education and Psychology, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto, Portugal; <sup>3</sup>
Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra, Portugal; <sup>4</sup>
Centro de investigação em educação e ciências do comportamento, Universidade de Aveiro, Aveiro, 3810-193 Aveiro, Portugal; <sup>5</sup>
Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, Coimbra, 3000-548 Coimbra, Portugal; <sup>6</sup>
Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, Coimbra, 3001 - 802 Coimbra, Portugal</title>
<sec id="Sec954"><title><bold>Correspondence:</bold>
Ana A. Gomes (ana.allen@ua.pt) – Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Morningness-eveningness, also known as chronotype, reflects demonstrable inter-individual differences in the peak timings (but not in the amount) of several circadian rhythms. The Composite Scale of Morningness (CSM) by Smith et al. (1989) [1] is one of the most widely used tools to access it. It has been long used in research in Portugal, but very few detailed reports exist about its psychometric properties in younger ages and student samples in our country. Objective: to report reliability and validity data about the Portuguese version (Pt) of the CSM in high school and university students.</p>
<p><bold>Methods</bold>
</p>
<p>Three hundred eighty-seven (387) high school students (7th to 12th grades, 51.5 %F) and 1654 undergraduates (1st to 3rd grades, 55.0%F) completed the CMS-Pt version [2], plus a set of self-report questions on sleep patterns in order to examine the questionnaire validity.</p>
<p><bold>Results</bold>
</p>
<p>As to internal consistency, Cronbach alpha coefficients were 0.81 in each sample (high school and undergraduate students). Corrected item-total correlations ranged from .27 to .55 (high schoolers) and from .31 to .59 (undergraduates). As to validity, lower morningness scores were associated, as expected, with later sleep-wake schedules and mid-points of sleep. Correlations between morningness-eveningness scores and sleep patterns were generally larger for sleep schedules variables than for time in bed or sleep durations, suggesting convergent and discriminant validity, respectively. Scale structure agreed with previous literature reports.</p>
<p><bold>Conclusions</bold>
</p>
<p>The CSM-Pt version is a reliable and valid tool to measure morningness-eveningness in adolescents and young adults’ students with ages ranging from 12 to 25 years old.</p>
<p><bold>References</bold>
</p>
<p>1. Smith CS, Reilly C, Midkiff K. Evaluation of three circadian rhythm questionnaires with suggestions for an improved measure of morningness. J Appl Psychol. 1989; 74: 728-738.</p>
<p>2. Silva CF, Azevedo MHP, Dias MRVC. Estudo padronizado do trabalho por turnos - versão portuguesa do SSI. [Standard Shiftwork Index - Portuguese version of the SSI]. Psychologica. 1995; 13: 27-36.</p>
<p><bold>Keywords</bold>
</p>
<p>Morningness-eveningness, chronotype, composite scale, CSM, adolescents, young adults, interindividual differences</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec955"><title>O161 Evaluation scale of patient satisfaction with nursing care: Psychometric properties evaluation</title>
<sec id="Sec956"><title>João Freitas<sup>1</sup>
, Pedro Parreira<sup>2</sup>
, João Marôco<sup>3</sup>
</title>
<sec id="Sec957"><title><sup>1</sup>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal; <sup>2</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>3</sup>
Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, 1149-041 Lisboa, Portugal</title>
<sec id="Sec958"><title><bold>Correspondence:</bold>
João Freitas (mjbsfreitas@gmail.com) – Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Patient satisfaction with nursing care appears as an important indicator for the evaluation of Structure factors – allocation of nurses, and Process factors – providing nursing care. The research aimed to evaluate the psychometric properties of the Patient Satisfaction with Nursing Care Scale (SUCEH21) in a Hospital, and also the reconstruction and validation of the scale’s new version.</p>
<p><bold>Methods</bold>
</p>
<p>We carried out a quantitative study, cross-sectional, sample of 1,290 patients admitted in 43 services, from 8 Portuguese hospitals. Confirmatory factor analysis (CFA) did not allow the confirmation of factorial structure.</p>
<p>The original model was composed by 6 factors and 21 items and revealed an unacceptable quality of adjustment (χ2(176) = 5050.132; p = 0.000; χ2/gl = 28.694; GFI = 0.765; PGFI = 0.583; RMSEA = 0.147). The model is valid only with 3 factors, ending up with a total of 13 items (χ2/gl = 6.017; p = 0.000; GFI = 0.958; PGFI = 0.600; RMSEA = 0.062).</p>
<p><bold>Results</bold>
</p>
<p>The exploratory factor analysis (EFA) studies confirm the number of factors found (Quality of Care, Quality of Information, Quality of Nursing Care) and 18 items. We found that the 3 factors are individually more extensive, covering the aspects that included the 6 initial factors. The final version of the Evaluation of Patient Satisfaction with Nursing Care Scale (EASCCE18) has an index of reliability (α = 0.875) and validity (total variance explained of 71.5 %) higher than those presented by SUCEH21.</p>
<p><bold>Conclusions</bold>
</p>
<p>Psychometric studies demonstrate this is a potential tool for the research and monitoring of patient satisfaction with nursing care.</p>
<p><bold>Keywords</bold>
</p>
<p>Nursing, nursing care, evaluation patient satisfaction</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec959"><title>O162 Impact of fibromyalgia on quality of life: Comparing results from generic instruments and FIQR</title>
<sec id="Sec960"><title>Miguel A. Garcia-Gordillo<sup>1</sup>
, Daniel Collado-Mateo<sup>1</sup>
, Gang Chen<sup>2</sup>
, Angelo Iezzi<sup>3</sup>
, José A. Sala<sup>1</sup>
, José A. Parraça<sup>4</sup>
, Narcis Gusi<sup>1</sup>
</title>
<sec id="Sec961"><title><sup>1</sup>
University of Extremadura, Badajoz, 06071 Badajoz, España; <sup>2</sup>
Flinders Health Economics Group, Flinders University, Adelaide 5001, Australia; <sup>3</sup>
Centre for Health Economics, Monash University, Victoria, 3800, Australia; <sup>4</sup>
Universidade de Évora, 7004-516 Évora, Portugal</title>
<sec id="Sec962"><title><bold>Correspondence:</bold>
Miguel A. Garcia-Gordillo (miguelgarciagordillo@gmail.com) – University of Extremadura, Badajoz, 06071 Badajoz, España</title>
<p><bold>Background</bold>
</p>
<p>Cost-utility analysis (CUA) cannot be developed when the condition-specific measures do not allow calculation of quality-adjusted life-years (QALYs), as they do not provide utility scores. The revised version of the fibromyalgia impact questionnaire (FIQR) is the most common fibromyalgia specific questionnaire. The main aim of the current study was to develop a mapping algorithm which enables FIQR scores to be transformed into utility scores that can be used in economic analyses.</p>
<p><bold>Methods</bold>
</p>
<p>Data was obtained from 192 Spanish women with fibromyalgia aged between 23 and 83 years old. Several multi-attribute utility (MAU) instruments (EQ-5D-5 L, AQoL-8D, 15D and SF-6D) were selected to develop a mapping algorithm from FIQR. The “transfer to utility regression approach” was the technique selected for mapping analysis. Two models were calculated: I) using the total score of FIQR as independent variable and II) using the score in the three domains of FIQR. Age was included in both models.</p>
<p><bold>Results</bold>
</p>
<p>There were relevant differences between utility scores of the four analysed MAU instruments. All FIQR sub-scales were significantly correlated with the utility score of all MAU questionnaires (p < 0.0001). The predicted mean utilities using ordinary least squares (OLS) or generalized linear model (GLM) were always identical (up to three decimals) to the observed means. Both OLS and GLM showed good performance, with relatively low error values. The best model for estimation of FIQR utilities from MAU instruments differs depending on the MAU questionnaire.</p>
<p><bold>Conclusions</bold>
</p>
<p>The current study enables CUA using data from the most used fibromyalgia specific disease questionnaire.</p>
<p><bold>Keywords</bold>
</p>
<p>HRQoL, Multi attribute utility, Health, Mapping algorithm</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec963"><title>O163 Preliminary study of the adaptation and validation of the Rating Scale of Resilient Self: Resilience, self-harm and suicidal ideation in adolescents</title>
<sec id="Sec964"><title>Jani Sousa<sup>1</sup>
, Mariana Marques<sup>1,2</sup>
, Jacinto Jardim<sup>3</sup>
, Anabela Pereira<sup>4</sup>
, Sónia Simões<sup>1</sup>
, Marina Cunha<sup>1</sup>
</title>
<sec id="Sec965"><title><sup>1</sup>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra, Portugal; <sup>2</sup>
Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal; <sup>3</sup>
Centro de Literaturas e Culturas Lusófonas e Europeias, Universidade de Lisboa, 1600-214 Lisboa, Portugal; <sup>4</sup>
Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec966"><title><bold>Correspondence:</bold>
Jani Sousa (janims@live.com.pt) – Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In Portugal, there are few validated instruments to assess resilience in the adolescent population. Our main objective was a preliminary adaptation and validation of the Rating Scale of Resilient Self (RSRS) to Portuguese adolescents. Additionally, in the same sample, we explored the associations between resilience, self-harm and suicidal ideation in adolescence.</p>
<p><bold>Methods</bold>
</p>
<p>226 adolescents (male, n = 139, 61.5 %; age range = 12-18 years) filled in a protocol consisting of a sociodemographic questionnaire, the Rating Scale of Resilient Self (RSRS), the Impulse, Self-harm and Suicide Ideation Questionnaire for Adolescents and the Self-concept Scale.</p>
<p><bold>Results</bold>
</p>
<p>The RSRS showed good internal consistency (α = 0.857) and good temporal stability (r = 0.720). A principal component analysis showed that RSRS has three factors: external support; internal personal strengths; coping strategies. Resilience was negatively correlated with self-harm and suicidal ideation and positively correlated with self-concept, confirming the divergent and convergent validity of RSRS. There were high levels of resilience in this sample (M = 58.69, SD = 6.67). In the total sample, 61.5 % (n = 139) presented suicidal ideation and 26.5 % (n = 60) self-harm behaviours.</p>
<p><bold>Conclusions</bold>
</p>
<p>The RSRS presented good psychometric properties. It can be considered a valid and useful instrument, and can be safely used in the evaluation of resilience in Portuguese adolescents. With this study we extended the range of valid instruments for the measurement of resilience in adolescents and contributed to the advance of research in the area of adolescence in Portugal.</p>
<p><bold>Keywords</bold>
</p>
<p>Resilience, RSRS, self-harm, suicidal ideation, adolescence, assessment</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec967"><title>O164 Development of the first pressure ulcer in inpatient setting: Focus on length of stay</title>
<sec id="Sec968"><title>Pedro Sardo<sup>1</sup>
, Jenifer Guedes<sup>2</sup>
, João Lindo<sup>1</sup>
, Paulo Machado<sup>3</sup>
, Elsa Melo<sup>1</sup>
</title>
<sec id="Sec969"><title><sup>1</sup>
School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Aveiro, Portugal; <sup>3</sup>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto, Portugal</title>
<sec id="Sec970"><title><bold>Correspondence:</bold>
Pedro Sardo (pedro.sardo@ua.pt) – School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Pressure ulcer incidence represents an indicator of healthcare quality. Several instruments are used in clinical practice to assess and identify patients at risk of developing pressure ulcers, however the preventive interventions were not always fully implemented and the incidence of pressure ulcer in inpatient setting is still high. Some studies reported a correlation between pressure ulcer development and the length of stay. Objectives: To identify the day of the first pressure ulcer development in inpatient setting.</p>
<p><bold>Methods</bold>
</p>
<p>Retrospective cohort analysis of electronic health record database from adult patients, admitted to medical and surgical areas in a Portuguese hospital during 2012, without any pressure ulcer at the admission. The development of the first pressure ulcer was associated with the length of inpatient stay.</p>
<p><bold>Results</bold>
</p>
<p>From a sample of 6,572 participants, 153 (2.3 %) developed their first pressure ulcer during the length of inpatient stay. The median length of stay was 6 days (Q25 = 3 days; Q75 = 10 days), being the maximum 134 days. During the first week, 80 participants (52.3 %) developed their first pressure ulcer. The highest frequency of participants that developed their first pressure ulcer occurred on the 5th day (minimum 2nd day; maximum 82nd day) and the median was on the 7th day.</p>
<p><bold>Conclusions</bold>
</p>
<p>Our study showed that the first week was particularly critical for pressure ulcer development and should be a period of highest nursing surveillance and preventive interventions. However, more studies are needed to better understand the correlation between time and pressure ulcer development.</p>
<p><bold>Keywords</bold>
</p>
<p>Length of stay, nursing assessment, pressure Ulcer, risk assessment</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec971"><title>O165 Forms of Self-Criticizing and Self-Reassuring Scale: Adaptation and early findings in a sample of Portuguese children</title>
<sec id="Sec972"><title>Célia B. Carvalho<sup>1,2</sup>
, Joana Benevides<sup>1</sup>
, Marina Sousa<sup>1</sup>
, Joana Cabral<sup>1</sup>
, Carolina Da Motta<sup>1,2</sup>
</title>
<sec id="Sec973"><title><sup>1</sup>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal; <sup>2</sup>
Azores University, São Miguel, 9501-855 Ponta Delgada, Portugal</title>
<sec id="Sec974"><title><bold>Correspondence:</bold>
Célia B. Carvalho (celia.mo.carvalho@uac.pt) – Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Self-criticism is characterized by self-blame and negative self-judgements, often associated with the onset of psychopathology and interpersonal difficulties. Two forms of self-criticism were conceptualized: the inadequate self (feelings of inadequacy or deficiency), and the hated self (more intense feelings of self-disgust and aggressiveness directed towards the self). On the other hand, the reassured self was conceptualized as the acceptance of past failure and mistakes, which is believed to be a protective factor against psychological problems. Objective: This study is aimed at adapting and presenting preliminary findings on the Forms of Self-Criticizing and Self-Reassuring Scale for Portuguese children (FSCSR-C).</p>
<p><bold>Methods</bold>
</p>
<p>A sample of 127 children participated in this study and were administered a research protocol including the FSCSR-C. Results: after deleting items that presented reliability and saturation problems, exploratory factor analysis with orthogonal rotation yielded a 3-factor solution that explained 49.33 % of the total FSCRS-C scores. The measure revealed a good internal consistency of the 3 factors found in the exploratory analysis: Inadequate self (α = 0.66), hated self (α = 0.73), reassured self (α = 0.69). Convergent and divergent validity were established with measures of shame and emotional intelligence.</p>
<p><bold>Conclusions</bold>
</p>
<p>Self-criticism can make individuals more vulnerable to psychopathology in adult life, and that such internal relationship models may arise early in childhood. Findings indicate that the FSCRS-C is and adequate measure to assess self-criticizing and self-reassuring in children with 8 years old or above. The FSCRS-C may constitute an important contribution for future research and in the development of preventive and intervention strategies for children.</p>
<p><bold>Keywords</bold>
</p>
<p>Self-criticism, psychometric properties, children</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec975"><title>O166 Predictive ability of the Perinatal Depression Screening and Prevention Tool – Preliminary results of the dimensional approach</title>
<sec id="Sec976"><title>Ana T. Pereira<sup>1</sup>
, Sandra Xavier<sup>1</sup>
, Julieta Azevedo<sup>1</sup>
, Elisabete Bento<sup>1</sup>
, Cristiana Marques<sup>1</sup>
, Rosa Carvalho<sup>2</sup>
, Mariana Marques<sup>3</sup>
, António Macedo<sup>1</sup>
</title>
<sec id="Sec977"><title><sup>1</sup>
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal; <sup>2</sup>
Unidade de Saúde Familiar – Topázio, Eiras, 3020-171 Coimbra, Portugal; <sup>3</sup>
Instituto Superior Miguel Torga, Coimbra, 3000 Coimbra, Portugal</title>
<sec id="Sec978"><title><bold>Correspondence:</bold>
Ana T. Pereira (bemestarperinatal.fmuc@gmail.com) – Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Experts recommend that the perinatal depression screening should combine the evaluation of depressive symptoms and of psychosocial risk factors. Objective: To analyse the predictive ability of the Perinatal Depression Screening and Prevention Tool (PDSP Tool) assessing both PD symptoms and risk factors previously identified by our team (lifetime history of depression/LtHD, prenatal insomnia, increased depressive symptoms and negative affect/NA at pregnancy) to identify clinical relevant postpartum depression.</p>
<p><bold>Methods</bold>
</p>
<p>Ninety-two (92) pregnant women (Mean age: 32.64 ± 4.59 years) in their second trimester of pregnancy (21.38 ± 2.41 weeks of gestation) completed the PDSP Tool; at six (6.34 ± 1.66) weeks postpartum they completed the Postpartum Depression Screening Scale (PDSS-21), in order to determine if they scored above or below the PDSS-21 cut off point for clinical depression (>40).</p>
<p><bold>Results</bold>
</p>
<p>Eighteen women (19.6 %) presented PDSS-21 scores > 40. The global correct classification rate of the PDSP Tool was 65.2 %. The false-negative rate was 4.3 %, the false-positive rate was 35.9 %, the true-negative rate was 44.6 % and the true-positive rate was 15.2 %. Considering the PDSP Tool components, 61.0 % of the women scoring PDSS-24 > 43 at pregnancy (X2 = 14.24, OR = 7.37); 38.9 % of women with LtHD (X2 = 14.24, OR = 7.37) and 66.7 % of women with high NA at pregnancy (X2 = 17.64, OR = 9.38) (all p < .001) presented PDSS-21 > 40 in the postpartum.</p>
<p><bold>Conclusions</bold>
</p>
<p>Clinically it is a very difficult task to identify the pregnant women who will have significant depressive symptoms in the postpartum. Our preliminary results are encouraging, by showing that using the PDS Tool can help we identify approximately two-thirds of these women.</p>
<p><bold>Keywords</bold>
</p>
<p>Perinatal depression, health assessment, screening</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec979"><title>O167 Psychometric properties of the BaSIQS-Basic Scale on insomnia symptoms and quality of sleep, in adults and in the elderly</title>
<sec id="Sec980"><title>Ana M. Silva<sup>1</sup>
, Juliana Alves<sup>1</sup>
, Ana A. Gomes<sup>1,2</sup>
, Daniel R. Marques<sup>1,3</sup>
, Mª Helena Azevedo<sup>3</sup>
, Carlos Silva<sup>1,2</sup>
</title>
<sec id="Sec981"><title><sup>1</sup>
University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto, Portugal; <sup>3</sup>
Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina, Universidade de Coimbra, 3000-548 Coimbra, Portugal</title>
<sec id="Sec982"><title><bold>Correspondence:</bold>
Ana A. Gomes (ana.allen@ua.pt) – Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4200-450 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Poor sleep and insomnia symptoms (e.g., difficulties in initiating or maintaining sleep, early morning awakenings, light sleep) are amongst the most common sleep complaints in adult’s populations, and especially in older ages. The Basic Scale on Insomnia complaints and Quality of Sleep (BaSIQS) [1] was developed as a brief tool to access sleep quality and insomnia complaints, in alternative either to longer questionnaires (such as the PSQI, the Pittsburgh Sleep Quality Index) or to single item assessments, and has already shown appropriate psychometric properties in higher-education samples. Objective: To assess the reliability and validity of the BaSIQS in non-student adults with varying age ranges and in the elderly.</p>
<p><bold>Methods</bold>
</p>
<p>Sample 1 comprised exclusively 60 elderly people (65 % women) from 66 to 89 years old, 30 institutionalized and 30 non-institutionalized. Sample 2 comprised 227 participants (52.2 % men) from 20 to 79 years old. Participants completed the BaSIQS and two questionnaires relevant for insomnia in order to examine scale validity (GSES-Glasgow Sleep Effort Scale and GCTI-Glasgow Contents of Thought Inventory).</p>
<p><bold>Results</bold>
</p>
<p>As to internal consistency, Cronbach alpha coefficients were 0.73 (sample 1) and 0.84 (sample 2). Corrected item-total correlations ranged from .28 to .61 (sample 1) and from .52 to .69 (sample 2). Moderate to large associations were found between the BaSIQS, GSES and GCTI, supporting construct validity. As expectable, women and older individuals had higher sleep difficulties in all scales.</p>
<p><bold>Conclusions</bold>
</p>
<p>BaSIQS shows suitable reliability and validity in young, middle-aged and elderly adults, so that it may constitute a practical tool to briefly assess perceived sleep quality and insomnia complaints.</p>
<p><bold>References</bold>
</p>
<p>1. Allen Gomes A, Ruivo Marques D, Meia-Via AM, Meia-Via M, Tavares J, Fernandes da Silva C, Pinto de Azevedo MH. Basic Scale on Insomnia complaints and Quality of Sleep (BaSIQS): reliability, initial validity and normative scores in higher education students. Chronobiol Int. 2015; 32(3):428-440.</p>
<p><bold>Keywords</bold>
</p>
<p>Sleep quality, insomnia symptoms, questionnaire, adult, elderly, BaSIQS, scale reliability and validity</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec983"><title>O168 Enlightening the human decision in health: The skin melanocytic classification challenge</title>
<sec id="Sec984"><title>Ana Mendes<sup>1</sup>
, Huei D. Lee<sup>2,3</sup>
, Newton Spolaôr<sup>2</sup>
, Jefferson T. Oliva<sup>2</sup>
, Wu F. Chung<sup>2,3</sup>
, Rui Fonseca-Pinto<sup>1,4</sup>
</title>
<sec id="Sec985"><title><sup>1</sup>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Laboratory of Bioinformatics, Graduate Program in Engineering and Computing, West Paraná State University, Cascavel, Paraná, 85819-110, Brasil; <sup>3</sup>
Universidade Estadual de Campinas, Campinas – São Paulo, 13083-970, Brasil; <sup>4</sup>
Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec986"><title><bold>Correspondence:</bold>
Ana Mendes (aimendes@ipleiria.pt) – Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Skin cancer is becoming increasingly relevant due to its high rates of incidence and mortality, being early detection of skin markers the key for successful treatment. Digital image processing (DIP) techniques can quantitatively describe dermoscopic images, reducing the effects of inter and intra individual differences in classification, resulting from the subjectivity of human eye assessments. Moreover, quantitative markers enable the use of automatic classifiers, which should be regarded as an additional tool in diagnosis. Objectives: This work employs image descriptors and classification algorithms, aimed to describe and differentiate cancerous from non-cancerous skin images.</p>
<p><bold>Methods</bold>
</p>
<p>Texture and shape characteristics from 104 images were extracted, representing 166 features. Subsequently, four groups were defined: Texture, Shape and Local binary patterns (TSL); Texture and Shape (TS); Texture and Local binary patterns (TL); and Texture (T). Next, the ReliefF feature selection algorithm was employed to rank features. For each group, the 10 %, 20 %, 40 % and 80 % of the best features were selected. All subsets were used to construct models using four machine learning (ML) methods implemented in the Weka framework: J48 Decision Tree, Support Vector Machines, Nearest Neighbour and Random Forest.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>Among the ML used algorithms, J48 classifiers were considered promising after reaching the higher score in a sensitivity derived metric (14.01 in 16.00) when compared with the others.</p>
<p>Once the obtained ML classification reveals to be competitive, when comparing with other related works, the results strengthen the idea that DIP can be useful to provide a second opinion regarding skin cancer diagnosis.</p>
<p><bold>Keywords</bold>
</p>
<p>Skin Cancer, Dermoscopy, Digital Image Processing, Machine Learning Algorithms</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec987"><title>O169 Test-retest reliability household life study and health questionnaire Pomerode (SHIP-BRAZIL)</title>
<sec id="Sec988"><title>Keila Bairros, Cláudia D. Silva, Clóvis A. Souza, Silvana S. Schroeder</title>
<sec id="Sec989"><title>Fundação Universidade Regional de Blumenau, Blumenau - Santa Catarina, 89012-900, Brasil</title>
<sec id="Sec990"><title><bold>Correspondence:</bold>
Keila Bairros (ship.keila@gmail.com) – Fundação Universidade Regional de Blumenau, Blumenau - Santa Catarina, 89012-900, Brasil</title>
<p><bold>Background</bold>
</p>
<p>Population health research primarily aims to find answers to various health issues and the integrity of the results is largely determined by the quality of the information produced. Objectives: To assess the test-retest reliability of the data collected during home interviews conducted by field interviewers in the Study of Health In Pomerode (SHIP-BRAZIL) in partnership with the University Ernst-Moritz-Arndt University of Greifswald in Germany.</p>
<p><bold>Methods</bold>
</p>
<p>Eight questions in the household questionnaire SHIP - BRAZIL study were administered twice with an interval of 15 to 20 days, from May to August 2015, with 85 participants. Test-retest reliability of the responses was estimated by the kappa statistic.</p>
<p><bold>Results</bold>
</p>
<p>Kappa coefficients ranged from 0.59 to 0.90. The Kappa values for stratification by gender ranged from 0.71 to 0.92 in females and 0.64 to 0.94 for men. For ages they ranged between 0.54 and 0.90 in participants aged 40 years or more and 0.77 to 1.0 in participants of 39 years old or less. By level of education they ranged from 0.48 to 0.88 in participants with primary education and 0.82 to 0.92 in participants with high school and college. There was no significant variation in agreement among sociodemographic subgroups.</p>
<p><bold>Conclusions</bold>
</p>
<p>The high Kappa values indicate good reliability and reproducibility of the data collected with the household questionnaire SHIP - BRAZIL study between May-August 2015 ranging from moderate to perfect agreement, ensuring the applicability of these data in future actions of promotion and prevention of health.</p>
<p><bold>Keywords</bold>
</p>
<p>Reliability, Reproducibility of results, Questionnaire, Epidemiology</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec991"><title>O170 Characterization of sun exposure behaviours among medical students from Nova Medical School</title>
<sec id="Sec992"><title>Elsa Araújo<sup>1</sup>
, Helena Monteiro<sup>1</sup>
, Ricardo Costa<sup>1</sup>
, Sara S. Dias<sup>1,2,3</sup>
, Jorge Torgal<sup>1</sup>
</title>
<sec id="Sec993"><title><sup>1</sup>
Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal; <sup>2</sup>
Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa 1150-082 Lisboa, Portugal; <sup>3</sup>
Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec994"><title><bold>Correspondence:</bold>
Sara S. Dias (sara.dias@fcm.unl.pt) – Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The exposure to sun ultraviolet radiation has important implications on public health. The intensive and intermittent solar exposure is associated with well reported complications and the younger population is a target due to the increase of malignant pathology of skin. The aim of this study was to characterize sun protection and sun exposure behaviour among medical students from Nova Medical School (Lisbon).</p>
<p><bold>Methods</bold>
</p>
<p>We performed an exploratory, descriptive and cross-sectional study. This study included 186 students from the Faculty of Medical Sciences of the Nova Medical School, Universidade Nova de Lisboa, between the ages of 17 and 39. The information was acquired by self-administered questionnaires that collected information about sociodemographic and behaviour variables including sun exposition and the used methods to protect from sun exposition.</p>
<p><bold>Results</bold>
</p>
<p>High prevalence of solar exposure has been verified among the students. The association between sociodemographic variables and the use of sunscreen has not been proven, except when it comes to “age”. There has been evidence of association between lower phototype and the anuse of Sun Protection Factor (SPF) 6-10. The practice more used was “to find a shadow” and the less used was “use of hat, cap or scarf on the head”.</p>
<p><bold>Conclusions</bold>
</p>
<p>This study revealed a high prevalence of solar exposure in the summer, sunburns and low adherence to protective measures, except for the use of sunscreen. However, the pattern of use is unsatisfactory when compared to the recommended guidelines, foreshadowing a potential risk of development of associated complications. Hereupon, the necessity of change in the behaviour of solar exposure and protection of students stands out.</p>
<p><bold>Keywords</bold>
</p>
<p>Sun exposure, sun protection, sunscreen, students</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec995"><title>O171 Spirituality in pregnant women</title>
<sec id="Sec996"><title>Carolina G. Henriques<sup>1,2</sup>
, Luísa Santos<sup>2</sup>
, Elisa F. Caceiro<sup>2</sup>
, Sónia A. Ramalho<sup>1,2</sup>
</title>
<sec id="Sec997"><title><sup>1</sup>
Health Research Unit, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec998"><title><bold>Correspondence:</bold>
Carolina G. Henriques (carolina.henriques@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Spirituality is used by pregnant women as a coping strategy and includes: the need for respect; the individual’s quest for individual fulfilment; and the meaning of life and the experiences to which they are subject. Objectives: To identify the sociodemographic characteristics of pregnant women; determine the level of spirituality of pregnant women and to assess the relation between the level of spirituality and some sociodemographic, obstetric and clinical variables.</p>
<p><bold>Methods</bold>
</p>
<p>A quantitative, correlational and cross-sectional study, with a sample of 143 pregnant women in prenatal consultation in the central region of Portugal. A questionnaire was applied on sociodemographic, obstetric and clinical data and the "Scale for the assessment of spirituality in the health settings" Pinto and Pais-Ribeiro (2007) was used.</p>
<p><bold>Results</bold>
</p>
<p>Participants/pregnant women had an average age of 32.13 years (s = 4.93), are married/have partners (74.1 %), Portuguese (95.8 %), catholic (86.0 %), with secondary education (42.7 %) and live with the father of the unborn child (93.0 %). The sample included women in their first pregnancy (31.5 %), who desired the pregnancy (98.6 %), with a diagnosed disease (18.2 %) and previous abortion (16.1 %). Their spirituality level is 14.94 (s = 3.0), above the average range value (X<sub>med</sub>
= 12.5). It was verified that there are significant differences between the level of spirituality and: nationality (U = 203.0; p = 0.035) and education (X<sup>2</sup>
= 7.89; p = 0.019).</p>
<p><bold>Conclusions</bold>
</p>
<p>This study showed the need for spirituality as the focus of nursing care, the importance of this in the transition process, justifying the need to include assessment tools of spiritual well-being in clinical settings.</p>
<p><bold>References</bold>
</p>
<p>1. Pinto C, Pais-Ribeiro J. Construção de uma escala de avaliação da espiritualidade em contextos de saúde. ArquiMed. 2007; 21 (2): 47-53.</p>
<p><bold>Keywords</bold>
</p>
<p>Pregnancy, Spirituality, Nursing</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec999"><title>O172 Polypharmacy in older patients with cancer</title>
<sec id="Sec1000"><title>Rita Oliveira<sup>1,2</sup>
, Vera Afreixo<sup>2</sup>
, João Santos<sup>1</sup>
, Priscilla Mota<sup>1</sup>
, Agostinho Cruz<sup>1</sup>
, Francisco Pimentel<sup>2</sup>
</title>
<sec id="Sec1001"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal; <sup>2</sup>
Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec1002"><title><bold>Correspondence:</bold>
Rita Oliveira (rfo@estsp.ipp.pt) – Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Polypharmacy is associated with drug–drug interactions, adverse drug events, hospitalization, increased mortality and rising costs. Older cancer patients are potentially vulnerable to polypharmacy because cancer treatment often involves exposure to chemotherapy and other adjunctive or supportive medication. Furthermore, the majority of elderly patients with cancer have pre-existing medical conditions requiring pharmacotherapy. This study allowed us to characterize the drugs administered to elderly patients undergoing chemotherapy treatments and to investigate the prevalence of polypharmacy.</p>
<p><bold>Method</bold>
</p>
<p>This was an observational and transversal study of older cancer patients admitted to three different medical centres of both genders aged > 65 years old undergoing chemotherapy treatments. The medication review included patient self-report and medical records. This study included 559 elderly patients. Mean age was 71.9 years (SD = 0.2). 44 % were women. Mean number of medications reported was 5.</p>
<p>The total number of medications used for the 559 patients was 2699, 58 % of them corresponding to drugs administered out of cancer treatment contexts.</p>
<p><bold>Results</bold>
</p>
<p>When analysed individually, the most prescribed drugs were Proton Pump Inhibitors (261/559; 47 %); HMG CoA reductase inhibitors (161/559; 29 %); Anxiolytics, Benzodiazepine derivatives (149; 27 %); Drugs for Functional Gastrointestinal Disorders, Propulsives (106/559; 19 %) and Analgesics and Antipyretics, Anilides (96/559; 17 %). The prevalence of polypharmacy (> = 5 medications) was 48 %.</p>
<p><bold>Conclusions</bold>
</p>
<p>Polypharmacy is prevalent in older people with cancer. A careful assessment of the medication used in older patients needs to be part of the routine evaluation to minimize risks associated with polypharmacy. However, more research is needed to identify strategies to simplify patients’ medication regimens.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly patients, older patients, polypharmacy, cancer, chemotherapy</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1003"><title>O173 Quality of life of caregivers of people with advanced chronic disease: Translation and validation of the quality of life in life threatening illness - family carer version (QOLLTI-C-PT)</title>
<sec id="Sec1004"><title>Rita Marques<sup>1</sup>
, Mª Anjos Dixe<sup>2</sup>
, Ana Querido<sup>2</sup>
, Patrícia Sousa<sup>3</sup>
</title>
<sec id="Sec1005"><title><sup>1</sup>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal; <sup>2</sup>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>3</sup>
Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal</title>
<sec id="Sec1006"><title><bold>Correspondence:</bold>
Rita Marques (ritamdmarques@gmail.com) – Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Caregivers are often subject of huge physical, emotional, psychological, spiritual, social and financial demands, which can seriously compromise their quality of life (QOL). Objective: To translate, adapt and validate the Quality of life in life threatening illness-family carer version (QOLLTI-C) of Cohen et al (2006) [1], to the Portuguese culture, for caregivers of people with chronic and advanced disease.</p>
<p><bold>Methods</bold>
</p>
<p>We applied a questionnaire consisting of demographic data and the QOLLTI-C to 314 caregivers of patients with palliative needs. The sample is predominantly female (84.1 %; 264), with an average age of 63 years old (±11). Through the process of validation and cultural adaptation, we followed the methodological steps recommended by international guidelines. The study of the items and respective reliability was done according to two criteria: determining the Pearson correlation coefficient and the Cronbach's alpha (α). The construct validation was done by factorial analysis. Throughout the study, Helsinki Declaration Principles were followed.</p>
<p><bold>Results</bold>
</p>
<p>The QOLLTI-C-PT has an internal consistency with 13 items, α = 0.780, a 0.736 KMO, and a Bartlett's sphericity test of 1189.967 (p < 0.001). Using the Kaiser criterion, we obtained four factors that explain 61.89 % of the total variance: Factor 1 – social domain (items 1, 12, 13, 14, 15); Factor 2 – Spiritual domain (items 9, 10, 11); Factor 3 – Psychological domain (items 3, 4, 5) and Factor 4 – Physical and emotional domain (items 7, 8).</p>
<p><bold>Conclusions</bold>
</p>
<p>The instrument showed an adequate factorial validity and reliability, in the sample under study, and can be used to access QOL in Portuguese caregivers.</p>
<p><bold>References</bold>
</p>
<p>1. Cohen R, Leis A, Kuhl D, Charbonneau C, Ritvo P, Ashbury F. QOLLTI-F: Measuring Family Carer Quality of Life. Palliative Medicine. 2006; 20:755-767.</p>
<p><bold>Keywords</bold>
</p>
<p>Quality of life, caregivers, people with advanced chronic disease, validation, scale</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1007"><title>O174 The psychometric properties of the brief Other as Shamer Scale for Children (OAS-C): preliminary validation studies in a sample of Portuguese children</title>
<sec id="Sec1008"><title>Joana Benevides<sup>1</sup>
, Carolina Da Motta<sup>1,2</sup>
, Marina Sousa<sup>1</sup>
, Suzana N. Caldeira<sup>1,3</sup>
, Célia B. Carvalho<sup>1,2</sup>
</title>
<sec id="Sec1009"><title><sup>1</sup>
Azores University, São Miguel, 9501-855 Ponta Delgada, Portugal; <sup>2</sup>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, 3001-802 Coimbra, Portugal; <sup>3</sup>
Centro Interdisciplinar de Ciências Sociais, Universidade dos Açores, São Miguel, 9501-855 Ponta Delgada, Região Autónoma dos Açores, Portugal</title>
<sec id="Sec1010"><title><bold>Correspondence:</bold>
Joana Benevides (joana.c.benevides@uac.pt) – Azores University, São Miguel, 9501-855 Ponta Delgada, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Shame is a social emotion with specific and adaptive functions, involved in complex human behaviour and social interactions. The study of shame gained increased interest in several research fields, particularly in mental health, as an involuntary response associated with self-consciousness, loss of status and self-devaluation. Early shame experiences have been consistently reported as an important factor in the development of psychopathology, emphasizing the importance of evaluating shame and the negative representations of the self from an early age. Aims: This study’s goal is to adapt and present preliminary psychometric data on the Other as Shamer Scale to Portuguese children (8 years or over), a scale devised to assess external shame (how one believes one appears in the eyes of others).</p>
<p><bold>Methods</bold>
</p>
<p>A sample of 127 children participated in this study and a research protocol was administered including the OAS adapted for children (OAS-C).</p>
<p><bold>Results</bold>
</p>
<p>Exploratory Factor Analysis (EFA) was computed and the one-factor solution explained 48.85 % of the total variance of the scale. The measure also showed good internal consistency (α = .84). Convergent and divergent validity was found with measures of self-criticism and self-reassurance, and emotional intelligence.</p>
<p><bold>Conclusions</bold>
</p>
<p>The OAS-C is a brief and adequate measure of external shame in children, with the potential to be used by professionals in clinical and research settings. Moreover, the availability of a widely used measure of external shame will also facilitate transnational and cross-cultural studies by warranting score comparability across several countries and also across the lifespan.</p>
<p><bold>Keywords</bold>
</p>
<p>external shame, psychometric properties, children</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1011"><title>O175 Measuring emotional intelligence in health care students – Revalidation of WLEIS-P</title>
<sec id="Sec1012"><title>Ana Querido<sup>1</sup>
, Catarina Tomás<sup>1</sup>
, Daniel Carvalho<sup>1,2</sup>
, João Gomes<sup>1,2</sup>
, Marina Cordeiro<sup>1</sup>
</title>
<sec id="Sec1013"><title><sup>1</sup>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</title>
<sec id="Sec1014"><title><bold>Correspondence:</bold>
Ana Querido (ana.querido@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Emotional intelligence (EI) has been linked to effective communication in education environments, better study skills, stress and conflict management, and academic and workplace success. Measuring EI could provide information to access and monitoring emotional skills. Objective: To test psychometric properties of the Portuguese version of Wong and Low Emotional Intelligence Scale (WLEIS-P) in a sample of Health care students.</p>
<p><bold>Methods</bold>
</p>
<p>We applied a questionnaire consisting of demographic data and WLEIS-P to a sample of 672 health care students in Dietetics, Nursing, Physiotherapy, Speech Therapy and Occupational Therapy, mostly females (85.4 %), M = 21.6 years old (±4.17). The process of validation followed the methodological steps recommended by international guidelines. The study of the items and respective reliability was done by determination of Pearson correlation coefficient and the Cronbach's alpha(α). Construct validation was done by factorial analysis. Helsinki Declaration Principles were attended.</p>
<p><bold>Results</bold>
</p>
<p>The WLEIS-P applies to students has a good internal consistency with 16 items, α = 0.825, a 0.825 KMO, and a Bartlett's sphericity test of 3691.523 (p < 0.001). Using the Kaiser criterion, we obtained four factors that explain 61.52 % of the total variance: Factor 1- Self-emotional appraisal (items 1,2,3,4); Factor 2- Emotional appraisal of others (items 5,6, 7, 8); Factor 3 – Use of emotion (items 9,10,11,12) and Factor 4 – Regulation of emotion (items 13, 14, 15, 16).</p>
<p><bold>Conclusions</bold>
</p>
<p>WLEIS-P revealed an adequate factorial validity and reliability in the sample of health students, better than previous Portuguese validation, therefore it can be used to access Emotional Intelligence in Portuguese students.</p>
<p><bold>Keywords</bold>
</p>
<p>Emotional intelligence, students, validation, scale</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1015"><title>O176 Health indicators in prenatal assistance: The impact of computerization and of under-production in basic health centres</title>
<sec id="Sec1016"><title>Joyce O. Costa, Frederico C. Valim, Lígia C. Ribeiro</title>
<sec id="Sec1017"><title>Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis – Minas Gerais, 35502-634, Brasil</title>
<sec id="Sec1018"><title><bold>Correspondence:</bold>
Joyce O. Costa (joyceoliveiramed@gmail.com) – Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis – Minas Gerais, 35502-634, Brasil</title>
<p><bold>Background</bold>
</p>
<p>The innovative and transformative use of information technology improves professional practice, helps in the management and establishment of public policy and in knowledge creation. The platform SISREDE, created in 2002, stores the medical card of citizens of the public system, and was considered the most advanced platform in the country. Besides the monitoring and reporting of prevalent diseases, like hypertension, it even allows access to SISPRENATAL, part of the system that receives the data of pregnant women. Objectives: To compare the assistance indicators of prenatal from SISREDE/SISPRENATAL data and the whole volume of attendance registered on computers managed by professionals for the use of such resources in Etelvina Carneiro Health Centre, located in the North of Belo Horizonte.</p>
<p><bold>Methods</bold>
</p>
<p>Technicians from Belo Horizonte Council and researchers have created specific training for doctors and nurses involved in the unit’s prenatal assistance. After such preparation, the productivity of a quarter year was compared from national and state prenatal assistance.</p>
<p><bold>Results</bold>
</p>
<p>The minority of professionals received previous training to use the system and/or were unaware of what was needed within the protocol for prenatal assistance and generating trusted indicators. The numbers after the intervention demonstrated an exponential improvement of prenatal assistance indicators.</p>
<p><bold>Conclusions</bold>
</p>
<p>The making of health indicators contributes to public policy and resource management.</p>
<p>There are several limitations for such data effectively reflecting Health Care Centre assistance. The professional specialization for the system’s management and the intrinsic delays for such this relate to a lower index than the actual number of assistances.</p>
<p><bold>Keywords</bold>
</p>
<p>Computerization, health indicators, prenatal care</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1019"><title>O177 Hope genogram: Assessment of resources and interaction patterns in the family of the child with cerebral palsy</title>
<sec id="Sec1020"><title>Zaida Charepe<sup>1</sup>
, Ana Querido<sup>2</sup>
, Mª Henriqueta Figueiredo<sup>3</sup>
</title>
<sec id="Sec1021"><title><sup>1</sup>
Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal; <sup>2</sup>
Health Research Unit, School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>3</sup>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto, Portugal</title>
<sec id="Sec1022"><title><bold>Correspondence:</bold>
Zaida Charepe (zaidacharepe@ics.lisboa.ucp.pt) – Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Hope has been defined as a dynamic life force, an important phenomenon in the promotion, maintenance and sustenance of life. At this level there are several strategies that promote hope that have been described in the literature, including the involvement of the extended family, especially in its relationship with the anguish of experiences in parents of children with special health care needs. Objective: To identify the resources and hope interactions in an inter-generational perspective on child family with cerebral palsy.</p>
<p><bold>Methods</bold>
</p>
<p>This qualitative study was conducted with a sample of parents of children with cerebral palsy in the area of influence of <italic>Administração Regional de Saúde</italic>
(ARS) of Lisboa and Vale do Tejo. For data collection and treatment, semi-structured interviews and content analysis were used, respectively.</p>
<p><bold>Results</bold>
</p>
<p>From the parents' perspective the Hope genogram was co-constructed. They identified the family as a network of support and encouragement. Optimism, self-efficacy of mothers in caring for their children and the acceptance of their health condition were valued as positive psychological factors. From the analysis of indicators emerged personal attributes, relationships and bond established with other family members. Hope was valued in the coping process, playing a significant role in the adjustment of mothers to children's health.</p>
<p><bold>Conclusions</bold>
</p>
<p>Hope genogram is an instrument that facilitates the assessment of the internal and external structure of the family of children with cerebral palsy. It allowed the identification of stories of hope as well as personal attributes and patterns of hope promoters as interactions established among members.</p>
<p><bold>Keywords</bold>
</p>
<p>Cerebral Palsy, child, family relations, hope</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1023"><title>O178 The influence of childbirth type in postpartum quality of life</title>
<sec id="Sec1024"><title>Priscila S. Aquino<sup>1</sup>
, Samila G. Ribeiro<sup>2</sup>
, Ana B. Pinheiro<sup>1</sup>
, Paula A. Lessa<sup>3</sup>
, Mirna F. Oliveira<sup>4</sup>
, Luísa S. Brito<sup>2</sup>
, Ítalo N. Pinto<sup>2</sup>
, Alessandra S. Furtado<sup>2</sup>
, Régia B. Castro<sup>1</sup>
, Caroline Q. Aquino<sup>1</sup>
, Eveliny S. Martins<sup>1</sup>
</title>
<sec id="Sec1025"><title><sup>1</sup>
Federal University of Ceará, Fortaleza - Ceará, 60020-181, Brazil; <sup>2</sup>
Federal University of Piauí, Teresina - Piauí, 64049-550, Brazil; <sup>3</sup>
Federal Institute of Education, Science and Technology of Ceará, Fortaleza – Ceará, 60040-531, Brazil; <sup>4</sup>
Federal University of Cariri, Juazeiro do Norte - Ceará, 63048-080, Brazil</title>
<sec id="Sec1026"><title><bold>Correspondence:</bold>
Priscila S. Aquino (priscilapetenf@gmail.com) – Federal University of Ceará, Fortaleza - Ceará, 60020-181, Brazil</title>
<p><bold>Background</bold>
</p>
<p>The quality of life related to postpartum health is influenced by several factors. Purpose: The aim is to analyse the quality of life related to the health of women immediately postpartum.</p>
<p><bold>Methods</bold>
</p>
<p>It is a cross-sectional, correlational study, performed in a public hospital of reference in Piauí, Brazil. Two hundred and seventy-two (272) women in immediate postpartum were interviewed between February and June 2015. A questionnaire with clinical data and the scale for the evaluation quality of life - Short Form Health Survey (SF-36) were used.</p>
<p><bold>Results</bold>
</p>
<p>The sample was composed by young mothers, living with a partner (76.8 %); with an average of 10 years of study; 74.3 % didn't follow gainful occupation. In assessing the quality of life related to health from the SF-36, the average total score was 69.94. The association between type of delivery, attending professionals and the mean scores of the Short Form Health Survey (SF-36) showed that the domains of physical limitations (41.37), pain (67.53), vitality (62.75), social issues (74.78), limitations due to emotional problems (58.05) and mental health (75.86) had higher mean scores for vaginal delivery performed by a nurse, in which the statistically significant domains were pain, vitality and mental health. There was a significant association with age and the domains of functional capacity and general health, as well as education and the "functioning" domain.</p>
<p><bold>Conclusions</bold>
</p>
<p>The results indicated that vaginal delivery performed by the nurse promotes better scores in quality of life related to health of mothers.</p>
<p><bold>Keywords</bold>
</p>
<p>Postpartum Period, nursing, quality of life</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1027"><title>O179 Women’s beliefs about pap smear test and cervical cancer: influence of social determinants</title>
<sec id="Sec1028"><title>Ana B Pinheiro<sup>1</sup>
, Priscila S. Aquino<sup>1</sup>
, Lara L. Oliveira<sup>1</sup>
, Patrícia C. Pinheiro<sup>1</sup>
, Caroline R. Sousa<sup>1</sup>
, Vívien A. Freitas<sup>1</sup>
, Tatiane M. Silva<sup>1</sup>
, Adman S. Lima<sup>1</sup>
, Caroline Q. Aquino<sup>1</sup>
, Karizia V. Andrade<sup>1</sup>
, Camila A. Oliveira<sup>1</sup>
, Eglidia F. Vidal<sup>2</sup>
</title>
<sec id="Sec1029"><title><sup>1</sup>
Federal University of Ceará, Fortaleza - Ceará, 60020-181, Brazil; <sup>2</sup>
Federal University of Cariri, Juazeiro do Norte - Ceará, 63048-080, Brazil</title>
<sec id="Sec1030"><title><bold>Correspondence:</bold>
Priscila S. Aquino (priscilapetenf@gmail.com) – Federal University of Ceará, Fortaleza - Ceará, 60020-181, Brazil</title>
<p><bold>Background</bold>
</p>
<p>Cervical cancer is considered a serious public health problem. Objective: To analyse the influence between social determinants and women’s beliefs regarding Pap smear and cervical cancer by using the scale Health Belief Model Scale for Cervical Cancer and Pap Smear Test.</p>
<p><bold>Methods</bold>
</p>
<p>Cross-sectional study conducted in a primary care unit in Fortaleza, Brazil, with 175 women. For data collection, it was used the socio-demographic and gynaecological characterization form based on the Model of Social Determinants of Health involving individual, proximal, intermediate determinants and influence of social networks, beyond the scale. Data was collected in May 2015.</p>
<p><bold>Results</bold>
</p>
<p>Women over 30 years old had better perception regarding cervical cancer seriousness (p = 0.024); women with menarche over 11 years old had high health motivation (p = 0.052); women with less education had many barriers to realize the preventive exam (p = 0.000) and better perception of cervical cancer seriousness (p = 0.000). Concerning the perception of cervical cancer seriousness, stood out women with a partner (p = 0.030), pregnant women (p = 0.010), those who have sex currently (p =0.029) and those who currently owned partner (p = 0.020). Those with income less than one salary had lot of barriers to realize the preventive exam (p = 0.000).</p>
<p><bold>Conclusions</bold>
</p>
<p>The social determinants of health influenced health beliefs for cervical cancer. Therefore, to intervene in such determinants may contribute to decrease the morbidity and mortality caused by this disease.</p>
<p><bold>Keywords</bold>
</p>
<p>Colonic Neoplasms, Health Promotion, Papanicolaou Test</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1031"><title>O180 Validity of the Portuguese version of the ASI-3: Is anxiety sensitivity a unidimensional or multidimensional construct?</title>
<sec id="Sec1032"><title>Ana Ganho-Ávila<sup>1</sup>
, Mariana Moura-Ramos<sup>2</sup>
, Óscar Gonçalves<sup>1</sup>
, Jorge Almeida<sup>2,3</sup>
</title>
<sec id="Sec1033"><title><sup>1</sup>
Centro de Investigação em Psicologia, Escola de Psicologia, Universidade do Minho, 4710-057 Braga, Portugal; <sup>2</sup>
Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal; <sup>3</sup>
PROACTION Laboratory, 3001-802 Coimbra, Portugal</title>
<sec id="Sec1034"><title><bold>Correspondence:</bold>
Ana Ganho-Ávila (anaganho@gmail.com) – Centro de Investigação em Psicologia, Escola de Psicologia, Universidade do Minho, 4710-057 Braga, Portugal</title>
<p><bold>Background</bold>
</p>
<p>We aimed to test the Portuguese version of the Anxiety Sensitivity Scale 3 – ASI-3-PT factor structure, by comparing the fit of the data for a unidimensional and a multidimensional hierarchical approach.</p>
<p><bold>Methods</bold>
</p>
<p>We recruited a sample of 322 college students (mean age = 22.26; SD = 5.75) of which 76.3 % were women. We tested the goodness of fit of two models, conducting a confirmatory factor analysis (CFA). In Model 1, we proposed that Anxiety Sensitivity should be understood as a unidimensional construct, with the items directly contributing to a global score. In Model 2 we proposed that Anxiety Sensitivity is organized into different domains (social concerns, cognitive concerns and physical concerns), with the items contributing to the global construct but also, and to some extent, operating as independent.</p>
<p><bold>Results</bold>
</p>
<p>Results showed Model 2 to be the best fitting, where items loaded onto a first-order factor which in turn loaded onto a second-order factor which represents anxiety sensitivity. Model 1 had a poor fit to the data (χ2 135 = 787.08, p < 0.001, CFI = 0.79; RMSEA = .12 (90 %, CI = .11; .13), while the fit indices of Model 2 were satisfactory (χ2 132 = 402.26, p < 0.001) CFI = .91, RMSEA = .08; (90 % CI = .07; .09).</p>
<p><bold>Conclusions</bold>
</p>
<p>In sum, the ASI-3-PT is an instrument aiming to measure the Anxiety Sensitivity construct. Factorial analysis suggests it can be used as a screening tool, assessing an Anxiety Sensitivity Global Index as well as the Anxiety Sensitivity subscales of Physical, Social and Cognitive Concerns.</p>
<p><bold>Keywords</bold>
</p>
<p>Anxiety Sensitivity Index-3-PT, Confirmatory Factor Analysis, Assessment</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1035"><title>O181 <bold>Lifestyles of higher education students: the influence of self-esteem and psychological well-being</bold>
</title>
<sec id="Sec1036"><title>Armando Silva<sup>1</sup>
, Irma Brito<sup>1</sup>
, João Amado<sup>2</sup>
</title>
<sec id="Sec1037"><title><sup>1</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>2</sup>
Universidade Católica Portuguesa – Porto, 4202-401 Porto, Portugal</title>
<sec id="Sec1038"><title><bold>Correspondence:</bold>
Armando Silva (armandos@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The transition to higher education can affect lifestyle-related factors. Objectives: To identify lifestyles of higher education students and analyse the influence of self-esteem and psychological well-being.</p>
<p><bold>Methods</bold>
</p>
<p>Correlational cross-sectional study. A total of 4,314 students participated in the study. Online questionnaires were used: Estilo de Vida Fantástico (Fantastic Lifestyle Assessment) [1]; Questionário de Bem-estar Psicológico (Psychological General Well-Being Questionnaire) [2], and Escala de auto-estima de Rosenberg (Rosenberg Self-Esteem Scale [3].</p>
<p><bold>Results</bold>
</p>
<p>Most students (85.3 %) have a healthy lifestyle. Lifestyle is strongly correlated with self-esteem and psychological well-being (p < 0.001). While analysing the association between self-esteem and psychological well-being and the various lifestyle domains according to gender, a positive and significant correlation (p < 0.001) was found among female students, except for the Smoking domain (p = 0.393); in relation to psychological well-being, positive correlations were found in all domains. Among male students, positive and significant correlations (p < 0.001) were found in most lifestyle domains and self-esteem, except for the Smoking (p = 0.992), Alcohol and other drugs (p = 0.181) and Other behaviours (p = 0.442) domains; in relation to psychological well-being, positive and significant correlations (p < 0.001) were found in most lifestyle domains, except for the Smoking (p = 0.458) and Other behaviours (p = 0.128) domains.</p>
<p><bold>Conclusions</bold>
</p>
<p>Based on the results, higher education institutions should support intervention projects to maintain high levels of psychological well-being and self-esteem, promoting healthy lifestyles.</p>
<p><bold>References</bold>
</p>
<p>1. Silva A, Brito I, Amado J. Tradução, adaptação e validação do questionário Fantas¬tic Lifestyle Assessment em estudantes do ensino superior. Ciência & Saúde Coletiva. 2014; 19(6): 1901-1909.</p>
<p>2. Rainho M, Antunes M, Carvalho A, Barroso I, Monteiro M, Mateus S. Bem--estar psicológico e perceção de saúde geral em estudantes do ensino superior. Revista de Enfermagem Referência. 2012; 3(Supl.): 344.</p>
<p>3. Santos PJ, Maia J. Análise factorial confirmatória e validação preliminar de uma versão portuguesa da escala de auto-estima de Rosenberg. Psicologia: Teoria, Investigação e Prática. 2003; 2: 253-28.</p>
<p><bold>Keywords:</bold>
lifestyle, self-esteem, students</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1039"><title>P75 Assessing the quality of life of persons with significant intellectual disability: Portuguese version of Escala de San Martín</title>
<sec id="Sec1040"><title>António Rodrigo, Sofia Santos, Fernando Gomes</title>
<sec id="Sec1041"><title>Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa, Portugal</title>
<sec id="Sec1042"><title><bold>Correspondence:</bold>
Sofia Santos (sofiasantos@fmh.ulisboa.pt) – Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-002 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Recognized as an important measure of outcome of health intervention, the assessment of quality of life (QOL) is only now being used in Portugal in the field of intellectual disability (ID) and has never been addressed to persons with permanent support needs/significant disabilities. Therefore, and with the author’s permission, the Escala of San Martin [1] was translated into Portuguese and a psychometric study was initiated.</p>
<p><bold>Method</bold>
</p>
<p>Measuring the content validity of the instruments was one of the first steps to accomplish, which was studied using descriptive (literature review) and empirical evidence (experts’ quantitative analysis). After the processes of translation and back-translation, products were compared and discussed by 10 experts who agreed (after doubts and language clarification) on a pre-final version, which was pre-tested with a sample of 50 institutionalized adults (over 18 years in age) with severe/profound intellectual disability/permanent support needs. 2-3 weeks after, the scale was re-administered to the same participants. Data obtained from the expert committee were analysed.</p>
<p>The Content Validity Index (CVI) was determined for each item, as well as for the entire scale and its average. A minimum of 0.75 was used.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>Results pointed out the relevance of all items, with a moderate/strong agreement between experts. The study’s results are also discussed in terms of reliability and validity. Further research on psychometric properties is being carried out.</p>
<p><bold>References</bold>
</p>
<p>1. Verdugo M, Gomez L, Arias B, Santamaría M, Navallas E, Fernandez S, Hierro, I. Escala San Martín Evaluación de la Calidad de Vida de Personas con Discapacidades Significativas. Santander, España: Fundación Obra San Martin/INICO; 2014.</p>
<p><bold>Keywords</bold>
</p>
<p>Quality of life, severe intellectual disability, cross-cultural adaptation, psychometric properties</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1043"><title>P76 Childhood obesity and breastfeeding - A systematic review</title>
<sec id="Sec1044"><title>Marlene C. Rosa<sup>1</sup>
, Silvana F. Marques<sup>2</sup>
</title>
<sec id="Sec1045"><title><sup>1</sup>
Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Unidade de Cuidados na Comunidade, Centro de Saúde de Anadia, 3780-780 Anadia, Portugal</title>
<sec id="Sec1046"><title><bold>Correspondence:</bold>
Marlene C. Rosa (marlenerosa@ua.pt) – Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Obesity is considered by the World Health Organization as the global epidemic of 21th century and is very common among children. Obesity affects the quality of life of children and related specific interventions are very costly and ineffective. Therefore, there is an urgent need to further understand the determinants of obesity in childhood. The hypothesis that breastfeeding has a protective effect against obesity has been discussed and needs to be further clarified. Objective: To systematize and discuss the most recent research on childhood obesity and breastfeeding.</p>
<p><bold>Methods</bold>
</p>
<p>The following keywords “breastfeeding” AND “early weaning” AND “obesity” were searched on Web of Knowledge, B-On, CINAHL, Nursing Centre, EBSCO-HOST, PubMed, Web of Science, Medline and Lilacs databases. Only literature published between 2004 and 2014 was considered.</p>
<p><bold>Results</bold>
</p>
<p>A total of 158 studies were screened but only six correlated breastfeeding with childhood obesity (<18 years) and therefore were included. These six studies demonstrated that there is an association between breastfeeding and childhood obesity (i.e., early weaning increases the child chances of being obese), despite the high importance of other multifactorial risk factors (e.g., genetic, physiological, environmental, behavioural, cultural and psychological).</p>
<p><bold>Conclusions</bold>
</p>
<p>This systematic review demonstrated the importance of breastfeeding for childhood obesity prevention, but also highlights the relevance of exploring multifactorial obesity etiologic models in future related research.</p>
<p><bold>Keywords</bold>
</p>
<p>Breastfeeding, early weaning, obesity</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1047"><title>P77 Cross-cultural adaptation of the Foot and Ankle Ability Measure (FAAM) for the Portuguese population</title>
<sec id="Sec1048"><title>Sara Luís<sup>1,2</sup>
, Luís Cavalheiro<sup>2,4</sup>
, Pedro Ferreira<sup>3,4</sup>
, Rui Gonçalves<sup>2,4</sup>
</title>
<sec id="Sec1049"><title><sup>1</sup>
Cáritas Diocesana de Coimbra - Centro Rainha Santa Isabel, 3030-382 Coimbra, Portugal; <sup>2</sup>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; <sup>3</sup>
Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal; <sup>4</sup>
Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</title>
<sec id="Sec1050"><title><bold>Correspondence:</bold>
Sara Luís (sararluis@gmail.com) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Patient-reported outcome measures are unique instruments to assess the impact of a condition on a patient, as well as the efficacy of a treatment. The Foot and Ankle Ability Measure (FAAM) is a specific self-reported measure of the foot/ankle region that measures physical function in musculoskeletal conditions. To our knowledge, there is only one other self-reported measure of this region adapted to Portugal. Objective: To culturally and linguistically adapt the FAAM to the Portuguese population.</p>
<p><bold>Methods</bold>
</p>
<p>The cultural and linguistic adaptation of the FAAM followed a sequential methodology. After gaining authorization of the original author, a sequence of translations and back translations were made and consensus versions were obtained. The last consensus version, similar to the original version with respect to semantics, was delivered to a committee of two experts in the area, who analysed the target version for semantic, idiomatic, experiential and conceptual equivalences, producing a pre-final version. This pre-final version was used on a 10-patient committee with foot/ankle problems, to assess the contents’ equivalence in an applied situation.</p>
<p><bold>Results</bold>
</p>
<p>Semantic equivalence was obtained by the translations, back translation and clinical review. Content equivalence was obtained by the patient committee, with 10 subjects (37.5 years [27-52], 60 % men, with different conditions, occupations and academic qualifications), who described the instrument as “appropriate” and “easy to understand”. The average completion time was 5 minutes.</p>
<p><bold>Conclusions</bold>
</p>
<p>The Portuguese version of FAAM was obtained, with semantic equivalence and content validity with the original version. The remaining psychometric properties are being analysed.</p>
<p><bold>Keywords</bold>
</p>
<p>FAAM, cross-cultural adaptation, foot, ankle, patient-reported outcomes</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1051"><title>P78 Cross-cultural adaptation of the Patient-Rated Wrist Evaluation score (PRWE) for the Portuguese population</title>
<sec id="Sec1052"><title>Rui S. Lopes<sup>1,2</sup>
, Luís Cavalheiro<sup>2,3</sup>
, Pedro Ferreira<sup>3</sup>
, Rui Gonçalves<sup>2,3</sup>
</title>
<sec id="Sec1053"><title><sup>1</sup>
Cáritas Diocesana de Coimbra - Centro Rainha Santa Isabel, 3030-382 Coimbra, Portugal & Fundação Mário da Cunha Brito, 3360-908 S. Pedro de Alva, Portugal; <sup>2</sup>
Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; <sup>3</sup>
Centro de Estudos e Investigação em Saúde da Universidade Coimbra, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal</title>
<sec id="Sec1054"><title><bold>Correspondence:</bold>
Rui S. Lopes (ftruisousa@gmail.com) – Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The importance of patient-reported outcomes (PRO) in assessing the health status of individuals is recognized. The Patient-Rated Wrist Evaluation Score (PRWE) is a specific PRO to assess the impact of pain and functionality relating to problems in the wrist/hand joint complex. Objective: To translate and linguistically validate the PRWE for the Portuguese population.</p>
<p><bold>Methods</bold>
</p>
<p>The cultural adaptation of PRWE followed the sequential methodology. With the authorization of the author of the original measure, we proceeded with translations, back translation and reached consensus of the different versions produced in order to obtain an identical measure to the original from the semantic point of view. The final consensus version, created in this process, was subjected to a clinical review panel (2 experts in the field) to verify the technical and semi-technical terms of the questionnaire. Subsequently, the final version was analysed in a cognitive debriefing that included 9 patients with problems in the wrist/hand joints.</p>
<p><bold>Results</bold>
</p>
<p>Semantic equivalence was obtained by the consensus obtained in translations, back translations and clinical review. The content validity resulted from analysis and consensus of the panel of patients (43.8 ± 22.3 years; 55.5 % male, with several clinical conditions of the wrist/hand, and different professions and qualifications) who described the measure as "accessible", "adequate", "easy to fill out and understand", taking on average 3 minutes to complete.</p>
<p><bold>Conclusions</bold>
</p>
<p>The Portuguese version of PRWE was obtained, with semantic equivalence and content validity to the original measure. The remaining psychometric characteristics must be analysed.</p>
<p><bold>Keywords</bold>
</p>
<p>PRWE, hand, wrist, assessment, cross-cultural adaptation</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1055"><title>P79 Cross-cultural adaptation of the Myocardial Infraction Dimensional Assessment Scale (MIDAS) for Brazilian Portuguese language</title>
<sec id="Sec1056"><title>Bruno H. Fiorin<sup>1,2,3</sup>
, Marina S. Santos<sup>3</sup>
, Edmar S. Oliveira<sup>3</sup>
, Rita L. Moreira<sup>1</sup>
, Elizabete A. Oliveira<sup>3</sup>
, Braulio L. Filho<sup>1</sup>
</title>
<sec id="Sec1057"><title><sup>1</sup>
Universidade Federal de São Paulo, São Paulo, 04021-001, Brasil; <sup>2</sup>
Escola superior de Ciências da Santa Casa de Misericórdia de Vitória, Vitória- Esprito Santo, 29045-402 Brasil; <sup>3</sup>
Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo, 29017-950, Brasil</title>
<sec id="Sec1058"><title><bold>Correspondence:</bold>
Bruno H. Fiorin (bfiorin@salesiano.br) – Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo, 29017-950, Brasil</title>
<p><bold>Background</bold>
</p>
<p>Quality of life is an important issue for public health, especially because it involves aspects inherent to the individual. MIDAS consists of 35 questions, which feature seven distinct domains associated with patients with AMI. Objectives: To conduct the cross-cultural adaptation of the instrument "Myocardial Infarction Dimensional Assessment Scale" (MIDAS) for the Brazilian Portuguese language.</p>
<p><bold>Methods</bold>
</p>
<p>This is a methodological study, according to Guillemin methodology, concerning the translation and cultural adaptation of the MIDAS instrument. Steps: translation, reverse translation, unification evaluation of authors, a panel of judges and pre-test were used to test the technique for face validity in the pre-test. This study was approved by the CEP UFES (191425/2012).</p>
<p><bold>Results</bold>
</p>
<p>In the translation two translations were obtained, and in comparing them there was agreement in over 90 % of the terms, eleven terms were discussed and evaluated again. The back-translation was sent to the authors, after this assessment, the latest version was referred to a panel of judges to check the semantic, conceptual, cultural and idiomatic features. Seven items were discussed by the judges. The pre-test involved 20 patients, none of whom questioned any of the issues. In addition to the equivalence stated by the judges, it had face validity.</p>
<p><bold>Conclusions</bold>
</p>
<p>It can be said that the MIDAS is culturally adapted to be applied to the population of Brazilian Portuguese language, being an instrument of easy application, useful for clinical and good understanding by the population, with coverage of several fields that permeate the quality of life of the patient after infarction.</p>
<p><bold>Keywords</bold>
</p>
<p>Quality of life, validation studies, questionnaire</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1059"><title>P80 The revised Portuguese version of the Three-Factor Eating Questionnaire: A confirmatory factor analysis</title>
<sec id="Sec1060"><title>Lara Palmeira<sup>1</sup>
, Teresa Garcia<sup>1</sup>
, José Pinto-Gouveia<sup>1</sup>
, Marina Cunha<sup>2</sup>
</title>
<sec id="Sec1061"><title><sup>1</sup>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra, Portugal; <sup>2</sup>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra, Portugal</title>
<sec id="Sec1062"><title><bold>Correspondence:</bold>
Lara Palmeira (larapalmeira@gmail.com) – Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The Three-Factor Eating Questionnaire (TFEQ) is one of the most widely used instruments to assess unhealthy eating behaviours. Although the TFEQ original version comprised 51-items, the exploratory factor analysis of the Portuguese version revealed that several items were problematic. In 2000 Karlsoon [1] and collaborators developed a shorter version comprising 18 items (TFEQ-18) that significantly improved the instrument’s psychometric properties. The TFEQ-18 comprises three subscales: cognitive restraint –tendency to restrict food intake; uncontrolled eating – tendency to overeat as a result of a loss of control over the intake and subjective feelings of hunger; emotional eating - tendency to overeat in response to negative emotional states. Objective: The current study aims at performing a confirmatory factor analysis (CFA) of the Portuguese version of the TFEQ-R18 and analyse its psychometric properties.</p>
<p><bold>Methods</bold>
</p>
<p>The sample included 282 women with overweight and obesity seeking nutritional treatment with a mean age of 44 years old (SD = 11.30) and 11.54 (SD = 3.92) years of education. Mean Body Mass Index (BMI) was 31.40 (SD = 4.53).</p>
<p><bold>Results</bold>
</p>
<p>The CFA confirmed the three-factor structure of TFEQ. Three items from the cognitive restraint dimension presented poorer local adjustment and were excluded. The final model revealed an acceptable model fit to the data (GFI = .90, CFI = .93, TLI = .91, RMSEA = .075). Furthermore, all three dimensions presented good psychometric properties.</p>
<p><bold>Conclusions</bold>
</p>
<p>The Portuguese version of the TFEQ comprises 15 items and is a useful, reliable and robust instrument to assess distinct patterns of unhealthy eating behaviours in individuals seeking nutritional treatment.</p>
<p><bold>References</bold>
</p>
<p>1. Karlsson J, Persson LO, Sjöström L, Sullivan M. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study. International Journal of Obesity and Related Metabolic Disorders: Journal of the International Association for the Study of Obesity. 2000; 24(12), 1715–1725.</p>
<p><bold>Keywords</bold>
</p>
<p>TFEQ-R18, emotional eating, uncontrolled eating, cognitive restraint, Confirmatory Factor Analysis (CFA)</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1063"><title>P81 Assessing weight-related psychological inflexibility: An exploratory factor analysis of the AAQW’s Portuguese version</title>
<sec id="Sec1064"><title>Sara Cardoso<sup>1</sup>
, Lara Palmeira<sup>1</sup>
, Marina Cunha<sup>2</sup>
, José Pinto-Gouveia<sup>1</sup>
</title>
<sec id="Sec1065"><title><sup>1</sup>
Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra, Portugal; <sup>2</sup>
Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra, Portugal</title>
<sec id="Sec1066"><title><bold>Correspondence:</bold>
Lara Palmeira (larapalmeira@gmail.com) – Cognitive-Behavioural Research Centre, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Experiential avoidance is widely associated with mental and health problems and diminished quality-of-life. Nevertheless, weight-related experiential avoidance patterns are yet little explored. In addition, research suggests the importance of developing content-specific measures to capture relevant contents for specific populations. The Acceptance and Action Questionnaire for Weight-Related Difficulties (AAQW) was developed to target experiential avoidance patterns related to weight thoughts, feelings and actions. Preliminary data suggested a five-factor structure and adequate psychometric properties. Nevertheless, AAQW factor structure still requires further examination. Objective: This study aims to explore the factor structure of the Portuguese version of the AAQW and analyse its psychometric properties.</p>
<p><bold>Methods</bold>
</p>
<p>The sample comprised 249 overweight and obese adult women seeking nutritional treatment, with a mean Body Mass Index (BMI) of 30.88 (SD = 4.22). Sample mean age was 44.45 (SD = 11.03), with a mean of 11.87 years of education (SD = 3.89).</p>
<p><bold>Results</bold>
</p>
<p>The original five-factor structure was not replicated. In fact, a three-factor structure was the better solution explaining 50.94 % of AAQW’s total variance. The Portuguese version of AAQW comprised 15 items distributed in three factors (food as control, emotional avoidance and self-stigma), identical to the ones found in the original study. Furthermore, AAQW showed good internal consistency (α = .81) and convergent validity. In fact, AAQW was related to general psychopathology and psychological inflexibility, eating psychopathological symptoms, including binge eating and decreased obesity-related quality-of-life.</p>
<p><bold>Conclusions</bold>
</p>
<p>Taken together, our findings suggest that the Portuguese version of AAQW seems to be useful and reliable instrument to assess weight-related experiential avoidance.</p>
<p><bold>Keywords</bold>
</p>
<p>Weight-related experiential avoidance, overweight and obesity, exploratory factor analysis, psychometric properties</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1067"><title>P82 Validation of the Body Appreciation Scale-2 for Portuguese women</title>
<sec id="Sec1068"><title>Joana Marta-Simões, Ana L. Mendes, Inês A. Trindade, Sara Oliveira, Cláudia Ferreira</title>
<sec id="Sec2001"><title>Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</title>
<sec id="Sec2002"><title><bold>Correspondence:</bold>
Joana Marta-Simões (joana_simoes_@hotmail.com) – Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The concept of positive body image marks a shift on the study of body image. Based on holistic love and respect for the body, this concept involves accepting one’s body’s unique features, attending to body needs in a health-promoting manner, and resisting to the internalization of societally-prescribed beauty ideals. Objectives: Given the lack of Portuguese validated instruments of positive body image, this study aimed to validate the Portuguese version of the Body Appreciation Scale-2 (BAS-2).</p>
<p><bold>Methods</bold>
</p>
<p>The present study used a large female sample, with ages between 18 and 50 years old. An Exploratory Factor Analysis (EFA) and a Confirmatory Factor Analysis (CFA) were conducted to analyse BAS-2’s structure.</p>
<p><bold>Results</bold>
</p>
<p>Results from the EFA demonstrated the BAS-2 to be a unifactorial 10-item scale, which explained approximately 70 % of the variance. Also, all items revealed good factor loadings and the scale showed excellent internal consistency. The BAS-2 also presented temporal reliability, and good convergent (with self-compassion) and divergent validities (with BMI, self-judgment, body image-related experiential avoidance, eating psychopathology, and depression). Moreover, the CFA revealed good local and global adjustments.</p>
<p><bold>Conclusions</bold>
</p>
<p>The BAS-2 was revealed as a short and reliable measure of positive body image, that is, the ability to love and accept one's own body (including the aspects inconsistent with societally-prescribed ideals) and to appreciate its uniqueness. This measure seems to provide an important contribution for research and the development of interventions focused on the cultivation of a balanced, comfortable, confident and happy relationship with one’s own body.</p>
<p><bold>Keywords</bold>
</p>
<p>Body Appreciation Scale, positive body image, scale validation, confirmatory factor analysis, CFA</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1069"><title>P83 The Portuguese validation of the Dietary Intent Scale</title>
<sec id="Sec1070"><title>Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira</title>
<sec id="Sec1071"><title>Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra, Portugal</title>
<sec id="Sec1072"><title><bold>Correspondence:</bold>
Ana L. Mendes (analauramendes@live.com.pt) – Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Dietary restraint, the intentional restriction of caloric intake for the purpose of weight loss, is assumed of particular concern due to its association with eating disorders, and due to its detrimental effect on health and psychological well-being, even at subclinical levels. Objectives: This study aimed to validate for the Portuguese population the Dietary Intent Scale (DIS), a measure of dietary restraint.</p>
<p><bold>Methods</bold>
</p>
<p>The sample comprised 1,077 participants (415 males and 662 females), aged between 14 and 34 years old.</p>
<p><bold>Results</bold>
</p>
<p>Results revealed that DIS presented a Cronbach’s alpha of .92 and that three items did not contribute for the scale’s internal consistency. Therefore, and since their content was similar to other items, these items were excluded. A confirmatory factor analysis revealed the adequacy of the final 6-item DIS, showing good local (SRWs between .64 and .94) and global adjustments (χ2(8) = 12.07, p = .148; CFI = 1.00; TLI = 1.00; RMSEA = .03, p = .876). Furthermore, the model showed invariance between genders. Finally, DIS revealed and temporal validity (r = .82) and good convergent validity (eating psychopathology, eating restraint, inflexible eating, body image-related experiential avoidance and cognitive fusion, depression, anxiety, and stress)</p>
<p><bold>Conclusions</bold>
</p>
<p>DIS seems to be a valid measure of eating restraint, highly correlated (r = .73) with the instrument that is considered the “golden” measure for eating psychopathology screening and diagnosis (EDE-Q). Moreover, since the DIS only presents 6 items, enabling fast administrations, it may represent an advantage in relation to other existing measures for community research in the field of eating difficulties.</p>
<p><bold>Keywords</bold>
</p>
<p>Dietary Intent Scale, dietary restraint, scale validation, confirmatory factor analysis</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1073"><title>P84 Construction and validation of the Inventory of Marital Violence (IVC)</title>
<sec id="Sec1074"><title>Filipe Nave (fnave@ualg.pt)</title>
<sec id="Sec1075"><title>Centro de Estudos em Saúde, Escola Superior de Saúde, Universidade do Algarve, 8000-510 Faro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Marital violence is probably one of the most frequent specific forms of domestic violence. Its impact on the functionality, relationship and affectionateness of families is unquestionable, as well as their repercussions. The main objective of this study is to construct and validate an instrument to assess the type and intensity of marital violence, through brief measures, with objective and easy answers for the general population.</p>
<p><bold>Methods</bold>
</p>
<p>The marital violence inventory (MVI) is the result of a triangulation of methods, in the first qualitative stage in the collection of significant units through interviewing people with and without a history of violence and in the second stage with the use of quantitative methods and transforming these units into 39 items distributed on a Likert-type scale of frequency, on six response levels spread over four scales (domains): psychological, physical, socio-economic and sexual.</p>
<p><bold>Results</bold>
</p>
<p>From the factorial analysis of the results of 504 participants (183 men and 321 women) from the general population, 32 items were kept for study and obtained a five-factor structure with the emergence of the separation of the physical domain into two factors we named Physical Major and Minor; these showed good psychometric capabilities with a KMO between 0.759 and 0.921. In the analysis of reliability (internal consistency, Cronbach's alpha), we obtained values between 0.82 and 9.25.</p>
<p><bold>Results</bold>
</p>
<p>The results of the development and validation test inventory indicate this is an easy response instrument, with evaluative diagnostic capabilities in the health context and which can be applied to Primary and/or Differentiated Health care, or even by social and law enforcement agencies.</p>
<p><bold>Keywords</bold>
</p>
<p>Marital violence, construction and validation, inventory</p>
</sec>
</sec>
</sec>
<sec id="Sec1076"><title>P85 Portable continuous blood pressure monitor system</title>
<sec id="Sec1077"><title>Mariana Campos<sup>1</sup>
, Iris Gaudêncio<sup>1</sup>
, Fernando Martins<sup>1</sup>
, Lino Ferreira<sup>1,2</sup>
, Nuno Lopes<sup>1,3</sup>
, Rui Fonseca-Pinto<sup>1,2</sup>
</title>
<sec id="Sec1078"><title><sup>1</sup>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; <sup>3</sup>
Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal</title>
<sec id="Sec1079"><title><bold>Correspondence:</bold>
Rui Fonseca-Pinto (rui.pinto@ipleiria.pt) – Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Non-invasive assessments of continuous blood pressure variations, imposed by homeostatic mechanisms, establish a major challenge in medical instrumentation. The use of portable and low cost devices, joined with the ability to integrate physiological signals enables continuous monitoring during daily tasks. Objective: This work aims to present a device to measure blood pressure variations by means of electrocardiogram (ECG) and photoplethysmogram (PPG) signals. Moreover, the validation of the derived blood pressure values, were also addressed.</p>
<p><bold>Methods</bold>
</p>
<p>The prototype, based on a low cost development platform (Arduino), acquires the patient ECG and PPG signals to automatically calculate the PTT (pulse transit time). Blood pressure signal is influenced by thickness, diameter and elasticity of the vessel wall and blood density, whose variations are sensed by PTT. The instantaneous heart beat and pressure values can be shown on the prototype display or sent to a remote mobile device. All this information is stored in a standard memory card, in a format that allows subsequent reading and analysis by several software applications.</p>
<p><bold>Results</bold>
</p>
<p>To validate the acquisition system, the device was tested in a set of healthy individuals during daily tasks. The robustness of the system was compared with a commercial equipment BIOPAC MP35, and both results match.</p>
<p><bold>Conclusions</bold>
</p>
<p>According to the results, this system could be a low cost and portable alternative to assess continuous blood pressure variations to be used in several clinical evaluations related with blood pressure changes.</p>
<p><bold>Keywords</bold>
</p>
<p>Blood pressure monitor, PTT, non-invasive assessments, Low Cost Device, Portable Medical Device</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1080"><title>P86 Construction and validation of the Scale of Perception of the Difficulties in Caring for the Elderly (SPDCE)</title>
<sec id="Sec1081"><title>Rogério Rodrigues<sup>1</sup>
, Zaida Azeredo<sup>2</sup>
, Corália Vicente<sup>3</sup>
</title>
<sec id="Sec1082"><title><sup>1</sup>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra, Portugal; <sup>2</sup>
Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia, Portugal; <sup>3</sup>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</title>
<sec id="Sec1083"><title><bold>Correspondence:</bold>
Rogério Rodrigues (rogerio@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Clinical practice influences the perceptions of nursing students about the needs of the elderly and also difficulties in the care of elderly persons. Objective: To develop a self-administered questionnaire exploring nursing students’ perceptions of the difficulties in caring for the elderly (SPDCE).</p>
<p><bold>Methods</bold>
</p>
<p>The development of the scale proceeded through three phases: the first phase was a literature review and exploratory interview with students after clinical training. The second phase was related to the definition of theoretical dimensions and design of the tool; the review of instruments by a panel of specialists and the pre-test were part of the third phase. The study was designed to select items, identify dimensions, measure reliability, content and construct validity.</p>
<p><bold>Results</bold>
</p>
<p>The SPDCE consisted of 34 items. Factorial analysis grouped the items into three categories that define areas in for the elderly: a) physical health, mental health and activities of daily living subscale, b) social and economic resources subscale c) services use subscale. Cronbach’s alpha was 0.98 for the entire questionnaire. The factor solution explained 75.8 % of the variance.</p>
<p><bold>Conclusions</bold>
</p>
<p>The SPDCE appears to measure with adequate reliability and validity the attributes of exploring nursing students’ perception of the difficulties in caring for the elderly within the clinical setting. The instrument is easy to complete, making it a suitable instrument for nursing teachers to evaluate nursing students’ self-perceived difficulties in nursing care for the elderly as a means to support and sustain conditions for quality of the care provided to the elderly.</p>
<p><bold>Keywords</bold>
</p>
<p>Nursing students, Geriatrics, Gerontology</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1084"><title>P87 Development and validation of a comfort rating scale for the elderly hospitalized with chronic illness</title>
<sec id="Sec1085"><title>Joana Silva<sup>1</sup>
, Patrícia Sousa<sup>1</sup>
, Rita Marques<sup>1,2</sup>
</title>
<sec id="Sec1086"><title><sup>1</sup>
Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal; <sup>2</sup>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</title>
<sec id="Sec1087"><title><bold>Correspondence:</bold>
Joana Silva (jo.cunhaesilva@gmail.com) – Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The growing demand of older people to health services and the increasing number of elderly people living with chronic illness makes us reflect on the importance of providing nursing care that responds to the real needs of the elderly in hospital context. The Comfort is one of the needs of the elderly hospitalized with chronic disease [1] and the lack of an instrument to measure comfort level, was the main motivation for the development of this study. Objectives: To develop and validate an instrument able to measure the comfort of elderly hospitalized patients with chronic illness.</p>
<p><bold>Methods</bold>
</p>
<p>There has been conducted a methodological research study. The sample has 70 hospitalized patients with at least one chronic disease. Data collection was performed by using a questionnaire outlining demographic and social health issues and the application of the comfort rating scale built by us.</p>
<p><bold>Results</bold>
</p>
<p>Patients were aged between 65 and 99 years; 54.3 % were women and 45.7 % were men. The majority of the patients (65 %) had heart disease and 37.1 % felt that their health situation is bad. The fear of remaining sick and becoming a burden for the family decreased the comfort level of the patients. On the other hand, the hope of getting better and the opportunity to talk with other patients were factors that had a positive effect on comfort level.</p>
<p><bold>Conclusions</bold>
</p>
<p>The results highlight that elderly hospitalized patients with chronic disease have several comfort needs, and that it is crucial to measure them with the appropriate scale.</p>
<p><bold>References</bold>
</p>
<p>1. Sousa P. O Conforto da Pessoa Idosa. Lisboa. Lisboa: Universidade Católica Editora; 2014.</p>
<p><bold>Keywords</bold>
</p>
<p>Comfort, Chronic Disease, Validation Scale, Elderly, Hospitalized</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1088"><title>P88 Construction and validation of the Postpartum Paternal Quality of Life Questionnaire (PP-QOL)</title>
<sec id="Sec1089"><title>Isabel Mendes<sup>1</sup>
, Rogério Rodrigues<sup>1</sup>
, Zaida Azeredo<sup>2</sup>
, Corália Vicente<sup>3</sup>
</title>
<sec id="Sec1090"><title><sup>1</sup>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra, Portugal; <sup>2</sup>
Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia, Portugal; <sup>3</sup>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, 4050-313 Porto, Portugal</title>
<sec id="Sec1091"><title><bold>Correspondence:</bold>
Isabel Mendes (isabelmendes@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Paternal quality of life in postpartum is at present a priority in studies of the family cycle, with the purpose of defining and facilitating integrative interventions for their adjustment to the parental role. Objective: to develop a self-administered questionnaire to assess the quality of paternal life postpartum.</p>
<p><bold>Methods</bold>
</p>
<p>The development of the scale proceeded in three phases: I) literature review and exploratory interview to students after clinical training; II) definition of theoretical dimensions and design of the tool; II) review of instruments by a panel of specialists and the pre-test made the third phase. The study was designed to select items, identify dimensions, measure reliability, content and construct validity.</p>
<p><bold>Results</bold>
</p>
<p>The Postpartum Paternal Quality of Life Questionnaire (PP-QOL) consisted of 35 items. A factorial analysis grouped the items into five categories of paternal quality of life: a) psychological/baby; b) socioeconomic; c) relational/partner; d) family/friends relational; e) health/functional status. Cronbach’s alpha was 0.74 for the entire questionnaire. The factor solution explained 51.8 % of the variance.</p>
<p><bold>Conclusions</bold>
</p>
<p>Results emerging from the preliminary study validate the instrument of postpartum paternal quality of life questionnaire (PP-QOL) and allow its use in the context of clinical practice, specifically in the context of primary health care, in order to identify the real needs of fathers and the allocation of services to this particular group of care in the area of reproductive health, with implications for their quality of life after the birth of their offspring.</p>
<p><bold>Keywords</bold>
</p>
<p>Quality of life, postpartum, paternal status, validation</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1092"><title>P89 Infrared thermal imaging: A tool for assessing diabetic foot ulcers</title>
<sec id="Sec1093"><title>Ricardo Vardasca<sup>1</sup>
, Ana R. Marques<sup>1</sup>
, Adérito Seixas<sup>2</sup>
, Rui Carvalho<sup>3</sup>
, Joaquim Gabriel<sup>1</sup>
</title>
<sec id="Sec1094"><title><sup>1</sup>
Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal; <sup>2</sup>
Universidade Fernando Pessoa, Porto, 4249-004 Porto, Portugal; <sup>3</sup>
Centro Hospitalar do Porto, Porto, 4099-001 Porto, Portugal</title>
<sec id="Sec1095"><title><bold>Correspondence:</bold>
Ricardo Vardasca (ricardo.vardasca@fe.up.pt) – Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Diabetes Mellitus is a condition that affects 14 % of the Portuguese population. One in every 4 patients develops diabetic foot ulcers (DFU) due to poor blood flow, which can lead to cell death and consequent amputations. This severely affects the quality of life of patients and contributes to significant costs to health systems. Objective monitoring methods are needed to predict their occurrence and assess treatments.</p>
<p><bold>Methods</bold>
</p>
<p>Infrared thermal imaging is a modality for capturing and recording skin surface temperature (SST) in a non-contact, non-invasive, non-ionizing, inexpensive and fast manner. SST is associated with peripheral blood flow, which is controlled by the autonomous nervous system. Planar foot incidences were taken from 40 healthy controls and 80 patients with different types of diabetic foot ulcers: ischemic, neuropathic and neuroischemic. Regions of interest (ROI) were measured and thermal symmetries calculated against the non-affected limb.</p>
<p><bold>Results</bold>
</p>
<p>Results demonstrated that in patients developing and with DFU there is a higher value of thermal symmetry than in healthy controls at same ROIs location (p < 0.05).</p>
<p><bold>Conclusions</bold>
</p>
<p>The findings of this study provide valuable indicative information to use this method for screening patients at risk of developing diabetic foot ulcers, since there is an inflammatory process that increases SST before the occurrence of the wound and for treatment assessment, since the SST decreases significantly when there is no neuropathic and vascular activity in a necrotic situation. This method can be used to reduce the occurrence of diabetic foot ulcers and consequent decrease in the collateral costs to health care systems.</p>
<p><bold>Keywords</bold>
</p>
<p>Diabetes, Foot Ulcers, Infrared Thermal Imaging, Skin Temperature</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1096"><title>P90 Pressure ulcers in an intensive care unit: An experience report</title>
<sec id="Sec1097"><title>Paulo P. Ferreira<sup>1</sup>
, Michelle T. Oliveira<sup>2</sup>
, Anderson R. Sousa<sup>3</sup>
, Ana S. Maia<sup>3</sup>
, Sebastião T. Oliveira<sup>3</sup>
, Pablo O. Costa<sup>3</sup>
, Maiza M. Silva<sup>3</sup>
</title>
<sec id="Sec1098"><title><sup>1</sup>
Secretaria de Saúde do Estado da Bahia, Salvador - Bahia, 41745-900, Brasil; <sup>2</sup>
Universidade Estadual de Feira de Santana, Feira de Santana - Bahia, 44036-900, Brasil; <sup>3</sup>
Faculdade Nobre, Feira de Santana - Bahia, 44001-008, Brasil</title>
<sec id="Sec1099"><title><bold>Correspondence:</bold>
Paulo P. Ferreira (paulopanelli@gmail.com) – Secretaria de Saúde do Estado da Bahia, Salvador - Bahia, 41745-900, Brasil</title>
<p><bold>Background</bold>
</p>
<p>Pressure ulcers (PU) are developed due to pathological changes in blood perfusion of the skin and underlying tissues. The risk of developing ulcers becomes higher in patients in the ICU, because besides the mobility limitations imposed on patients for their clinical condition, the need for more stringent controls, associated with more complex therapies, there are other risk factors in addition, such as sedatives, level of consciousness changes, use of vasoactive drugs and hemodynamic instability.</p>
<p>The aim of this study is to report the experience in handling PU in an ICU of a public hospital in the interior of Bahia.</p>
<p><bold>Methods</bold>
</p>
<p>This is a descriptive study-type experience report, about the professional experience of intensive care in an ICU of the General Hospital, Feira de Santana, Bahia. The report relates the experiences of the year 2015.</p>
<p><bold>Results</bold>
</p>
<p>It observed a high rate of incidence and prevalence of PU in the ICU, with the regions most affected being the sacral and trochanter. Also it has been identified as occurring in sites with low prevalence in population studies, such as the occipital region and calves.</p>
<p><bold>Conclusions</bold>
</p>
<p>These alarming data refer to a sense of duty that the provider has to be aware of the consequences that the PU can trigger for the patient, his family and the institution. It prolongs hospital stays, make recovery difficult, increases the risk of development of complications and represents an increase in the physical and emotional suffering of patients by reducing their independence in carrying out daily activities.</p>
<p><bold>Keywords</bold>
</p>
<p>Pressure ulcers, intensive care unit, prevalence</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1100"><title>P91 Validation of figures used in evocations: instrument to capture representations</title>
<sec id="Sec1101"><title>Cristina Arreguy-Sena<sup>1</sup>
, Nathália Alvarenga-Martins<sup>1</sup>
, Paulo F. Pinto<sup>1</sup>
, Denize C. Oliveira<sup>2</sup>
, Pedro D. Parreira<sup>3</sup>
, Antônio T. Gomes<sup>2</sup>
, Luciene M. Braga<sup>4</sup>
</title>
<sec id="Sec1102"><title><sup>1</sup>
Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais, 36036-330, Brasil; <sup>2</sup>
Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 20550-900, Brasil; <sup>3</sup>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851, Portugal; <sup>4</sup>
Universidade Federal de Viçosa, Viçosa, Minas Gerais, 36570-900, Brasil</title>
<sec id="Sec1103"><title><bold>Correspondence:</bold>
Cristina Arreguy-Sena (cristina.arreguy@ufjf.edu.br) – Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais, 36036-330, Brasil</title>
<p><bold>Background</bold>
</p>
<p>The difficulty of implementation of the association technique, using the inductive term (word or phrase) activated by speech, can derail a deal, when there is impoverishment or disagreement on the vocabulary/understanding of the term used, or temporary or permanent cognitive restriction, from the one evoking. Objectives: To create and culturally adapt images to support the preparation of the free word association technique, validating them for use among low-educated elderly people from the perspective of urinary incontinence in the aging process.</p>
<p><bold>Methods</bold>
</p>
<p>Cultural validation of images for contextual reality, operationalized in: I) creation of images to portray the chosen everyday situations; II) obtaining consensus for these images by a committee of experts and people from the community, using the Delphi technique and III) Technical application of the free word association with and without image support (Technique of Free Word Association Initiated by Images- “TALPDI”).</p>
<p><bold>Results</bold>
</p>
<p>Five slides were designed with images covering thematic diversity after a ≥ 90 % consensus to ensure full agreement among evaluators. Fifty (50) elderly people participated. The comparison of the non-use/use of images between participants improved evocation of 93.2 %.</p>
<p><bold>Conclusions</bold>
</p>
<p>The creation and cultural validation of images favoured the capture of representational content using the TALPDI.</p>
<p><bold>Keywords</bold>
</p>
<p>Aged, methods, nursing, urinary incontinence, social Representation, validation</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1104"><title>P92 Telephone assistance to decrease burden in informal caregivers of stroke older people: Monitoring and diagnostic evaluation</title>
<sec id="Sec1105"><title>Odete Araújo<sup>1</sup>
, Isabel Lage<sup>1</sup>
, José Cabrita<sup>2</sup>
, Laetitia Teixeira<sup>3</sup>
</title>
<sec id="Sec1106"><title><sup>1</sup>
Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga, Portugal; <sup>2</sup>
Faculdade de Farmácia, Universidade de Lisboa, 1649-003 Lisboa, Portugal; <sup>3</sup>
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal</title>
<sec id="Sec1107"><title><bold>Correspondence:</bold>
Odete Araújo (odete.araujo@ese.uminho.pt) – Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga, Portugal</title>
<p><bold>Background</bold>
</p>
<p>After hospital discharge many stroke survivors return home and need support with at least one activity of daily living. Most of them require help from informal caregivers who are often unprepared for the demands of providing care. Evidence has shown that combining enhanced informal caregivers’ practical skills, face-to-face interventions and telephone support can reduce negative consequences for caregivers, such as burden or depression. Objective: To evaluate the impact of an intervention to reduce burden by using telephone support delivered to informal caregivers, who take care of older people after a stroke, at home.</p>
<p><bold>Methods</bold>
</p>
<p>A quasi-experimental method, which included 3 months of follow-up, was conducted with 174 patients. The Control group (n = 89) received usual care available provided by healthcare units and the InCARE programme was implemented in the experimental group (n = 85), 1 week, 1 and 3 months, telephone support, counselling caregivers on the 3rd, 6th, 8th and 10th weeks at home. It aimed to facilitate the caregiver’s adjustment to stroke demands, increasing knowledge and practical skills to support their decision-making. Data collection took place between February 2014 and December 2014.</p>
<p><bold>Results</bold>
</p>
<p>The experimental group had a significant lower level of burden in comparison with the control group 1 and 3 months after InCARE intervention.</p>
<p><bold>Conclusions</bold>
</p>
<p>Telephone support does not replace face-to-face interventions implemented based on structured programs, however, they are an aid for diagnosis and an important complement to all types of interventions that promote health gains of this group of informal caregivers and stroke survivors.</p>
<p><bold>Trial registration</bold>
</p>
<p>Current Controlled Trials NCT02074501</p>
<p><bold>Keywords</bold>
</p>
<p>Stroke survivors, elderly, informal caregivers, burden, pilot study</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1108"><title>P93 Hope of informal caregivers of people with chronic and advanced disease</title>
<sec id="Sec1109"><title>Rita Marques<sup>1</sup>
, Mª Anjos Dixe<sup>2</sup>
, Ana Querido<sup>2</sup>
, Patrícia Sousa<sup>3</sup>
</title>
<sec id="Sec1110"><title><sup>1</sup>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal; <sup>2</sup>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>3</sup>
Universidade Católica Portuguesa, Lisboa, 1649-023, Portugal</title>
<sec id="Sec1111"><title><bold>Correspondence:</bold>
Rita Marques (ritamdmarques@gmail.com) – Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Hope is a crucial factor in the lives of those who care for people with chronic and advanced disease. Therefore, the main objective of this study was to identify the predictors of hope of informal caregivers of people with chronic and advanced disease.</p>
<p><bold>Methods</bold>
</p>
<p>This is a correlational study conducted with 314 caregivers of people with advanced and chronic disease who were admitted in medical services or on an outpatient regime in Portuguese hospitals. We conducted a structured interview to collect demographic data, caring experience and health of patient and caregiver, hope (Hope Herth Index, HHI-C) comfort (Holistic Comfort Questionnaire, HCQ-C) and quality of life (Quality of Life in Life Threatening Illness, QOLLTI-C). Throughout the study, Helsinki Declaration Principles were followed.</p>
<p><bold>Results</bold>
</p>
<p>The 314 caregivers, mostly female (84.1 %) with an average of 63 years old (±11) had good levels of hope (3.06 ± 0.49), comfort (4.23 ± 0.83) and quality of life (6.15 ± 1.12). The caregivers interviewed took care of patients mainly with neoplasms (85.0 %) and severe dependence, for about 17.2 months (±16.25) and they spent about 6.2 (±3.79) hours a day taking care of them. They considered their health as poor (7.83 ± 1.8) and felt quite tired (7.75 ± 1.79). After performing a multiple linear regression, we verified that the explanatory variables of caregivers’ hope were: comfort, quality of life, time spent on caring, health status, fatigue and self-perception of their own health.</p>
<p><bold>Conclusion</bold>
</p>
<p>Nursing interventions should be focused on caregivers' comfort, quality of life and health status in order to maintain their hope while caring for their relatives.</p>
<p><bold>Keywords</bold>
</p>
<p>Hope, informal caregivers, person with advanced and chronic disease, influencing variables</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1112"><title>P94 Functionality and quality information from the Portuguese National Epidemiological Surveillance System</title>
<sec id="Sec1113"><title>Sara Silva, Eugénio Cordeiro, João Pimentel</title>
<sec id="Sec1114"><title>Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501, Portugal</title>
<sec id="Sec1115"><title><bold>Correspondence:</bold>
Sara Silva (sararebelo.silva@gmail.com) – Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501, Portugal</title>
<p><bold>Background</bold>
</p>
<p>In Portugal, the National System of Communicable Diseases Surveillance is a health information system for the monitoring of a number of communicable diseases and other risks to public health. The existence of a list of communicable diseases, now updated, dates back to 1949. With the introduction of a new communicable diseases information system in June 2014, it would be appropriate to evaluate its functionality and quality. Objective: The aim of this study was identify the quality of the information recorded into the National System of Communicable Diseases Surveillance.</p>
<p><bold>Methods</bold>
</p>
<p>The evaluation of filling data was made based on attributes adapted from the rules used for evaluating surveillance systems in Public Health of the Centres for Disease Control and Prevention.</p>
<p><bold>Results</bold>
</p>
<p>Based on the attributes "Simplicity/Acceptability" and "Completeness" it was found that full information was filled in 77.4 % of the cases; in relation to the "Data Quality” it was found that in 65.0 % of the cases the information was properly filled. In 90.5 % of the cases was observed "Information Consistency" and in 51.8 % of the cases "Information Conformity". As to "Transmission Timely" information, it has been found that, depending on the user input, it should be faster.</p>
<p><bold>Conclusions</bold>
</p>
<p>It can be concluded that it is an innovative system with great potential for improving and very useful for the rapid transmission of information, communication between the different levels and quality validation and upcoming reviews and system upgrades are expected.</p>
<p><bold>Keywords</bold>
</p>
<p>Attributes, communicable diseases, health information system</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1116"><title>P95 Resting metabolic rate objectively measured vs. Harris and Benedict formula</title>
<sec id="Sec1117"><title>Vera Ferro-Lebres, Juliana A. Souza, Mariline Tavares</title>
<sec id="Sec1118"><title>Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253, Portugal</title>
<sec id="Sec1119"><title><bold>Correspondence:</bold>
Vera Ferro-Lebres (vferrolebres@gmail.com) – Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Resting Metabolic Rate (RMR) is the energy spent in activities necessary to maintain normal homeostasis and body functions. In the XX century, Harris and Benedict conducted a study using calorimetry to the measurement of basal metabolic rate. This study analysed physical variables (age, weight, height) and physiological data expressing the results in two formulas, one for males and another for females. Studies indicate that the data obtained in the equations are the same as those obtained by indirect calorimetry, however other studies question these results. Objective: Study the correlation between the RMR using indirect calorimetry and Harris-Benedict formula in a group of workers of granite industry.</p>
<p><bold>Methods</bold>
</p>
<p>A quantitative cross-sectional study was developed. Data collection was performed using a sample of 30 men from two companies of granite industry. Data collection was done using anthropometric measurements and the RMR assessed using the Fitmate, Cosmed®. Statistical analysis of the data was performed using the statistical software Statistical Package for Social Sciences version 22.</p>
<p><bold>Results</bold>
</p>
<p>The sample comprised 30 men, with a mean age of 39.8 (SD = 13.9) years. The RMR measured was in average of 1,741.0 (SD = 281.7) Kcal, and the Harris and Benedict Formula resulted in an average of 1,785.0 (SD = 229.2) Kcal. RMRs objectively measured and calculated varied on average 4.1 (SD = 14.6) % and were significantly correlated (=0.539; p-value = 0.01).</p>
<p><bold>Conclusions</bold>
</p>
<p>The Harris-Benedict formula overestimates the RMR value at around 4.1 %, as previously mentioned.</p>
<p><bold>Keywords</bold>
</p>
<p>Resting metabolic rate, Fitmate, Harris and Benedict formula</p>
</sec>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1120"><title>Sustainable integrated user-centred care</title>
<sec id="Sec1121"><title>O182 Characteristics of non-urgent patients: Cross-sectional study of an emergency department</title>
<sec id="Sec1122"><title>Mª Anjos Dixe<sup>1</sup>
, Pedro Sousa<sup>1</sup>
, Rui Passadouro<sup>2</sup>
, Teresa Peralta<sup>2</sup>
, Carlos Ferreira<sup>2</sup>
, Georgina Lourenço<sup>2</sup>
</title>
<sec id="Sec1123"><title><sup>1</sup>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</title>
<sec id="Sec1124"><title><bold>Correspondence:</bold>
Pedro Sousa (pedro.sousa@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The use of Emergency Departments (ED) by non-urgent patients has shown a significant increase, creating major challenges for the health system, as well as political and financial constraints. Objectives: a) to characterize the profile of non-urgent ED users; b) to identify the determinants of non-urgent ED use.</p>
<p><bold>Methods</bold>
</p>
<p>This cross-sectional study included 357 non-urgent users of a Portuguese ED. Data collection was conducted through questionnaire and electronic medical records. Results were analysed using descriptive statistics and parametric tests. This study has been approved by the ethics committee of the hospital.</p>
<p><bold>Results</bold>
</p>
<p>Data analysis showed that non-urgent users are mostly female, retired, with lower education levels and with an average age of 54.51 years. Most users visited the ED by their own initiative, and only 18.3 % sought previously the primary healthcare. Most of them had access to a family doctor and the clinical motivations for the ED visit lasted for 18.8 days. Patients who considered the ED as the most appropriate service to treat their situation, had a higher number of previous ED admissions (p < 0.05). Abusive ED use seems to be associated with a high consumption pattern of global healthcare. Several reasons for the non-urgent ED use were identified.</p>
<p><bold>Conclusions</bold>
</p>
<p>A public discussion involving clinical, political and community stakeholders is imperative. Non-urgent users’ characteristics should be taken into account when designing a program against the misuse of ED, namely regarding the timely identification of hyperusers and the adequacy of the healthcare accessibility.</p>
<p><bold>Keywords</bold>
</p>
<p>Non-urgent patients, Emergency Department, Healthcare</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1125"><title>O183 Physical fitness and health in children of the 1st Cycle of Education</title>
<sec id="Sec1126"><title>João Serrano, João Petrica, Rui Paulo, Samuel Honório, Pedro Mendes</title>
<sec id="Sec1127"><title>Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<sec id="Sec1128"><title><bold>Correspondence:</bold>
João Serrano (j.serrano@ipcb.pt) – Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The interest of researchers on the assessment of physical fitness of children is crucial in a society where the activity/motion constraints are higher and may affect their health. Objectives: I) to study the impact of an oriented programme of physical activity through “Curricular Enrichment Activities” on the physical fitness of children and II) to observe if the results are within healthy regular parameters.</p>
<p><bold>Methods</bold>
</p>
<p>We used as measuring instrument the battery of tests of Fitnessgram©, with methodological procedures according to The Cooper Institute's Application Manual for Aerobics Research [1]. The sample consisted of seventy children attending the 1st Cycle of Education, aged between 6 and 9 years old, with data collected in 2 separate moments with a time interval of three months. Statistical procedures used in the comparison of variables were performed through the chi-square and McNemar tests.</p>
<p><bold>Results</bold>
</p>
<p>In both moments of evaluation most children obtained test results that may be considered appropriate, in terms of healthy and good organic functions. The test results evidenced a statistically significant improvement between the two moments of evaluation.</p>
<p><bold>Conclusions</bold>
</p>
<p>Children improved their physical fitness levels from the 1st to the 2nd moment of evaluation. Thus, this leads us to conclude that the intervention developed during the programme of “Curricular Enrichment Activities” brought benefits and a positive impact on their health levels.</p>
<p><bold>References</bold>
</p>
<p>1. The Cooper Institute for Aerobics Research. Fitnessgram. Manual de aplicação de testes. Lisboa: Faculdade de Motricidade Humana Ed. 2002.</p>
<p><bold>Keywords</bold>
</p>
<p>Physical Fitness, motricity child, physical activity and health, studies of the child</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1129"><title>O184 The impact of physical activity on sleep quality, in children</title>
<sec id="Sec1130"><title>Alexandra Simões, Lucinda Carvalho, Alexandre Pereira</title>
<sec id="Sec1131"><title>Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<sec id="Sec1132"><title><bold>Correspondence:</bold>
Alexandra Simões (alexandraalsimoes@hotmail.com) – Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Several factors contribute, positively or negatively, for the quality of sleep. One of the positive factors is regular physical activity. Physical activity should be perceived as having multiple benefits and not be reduced to the evident and proved results for the body and heart. Objective: To estimate the impact of physical activity in the quality of sleep in school-age children from 7 to 9 years old.</p>
<p><bold>Methods</bold>
</p>
<p>The sample was collected in the several existing learning centres of the city of Almeirim, consisting of 128 individuals (55.5 % feminine and 44.5 % masculine) in 2014. The data collection for the study consisted in the use of two questionnaires: Children Sleep Habits Questionnaire and Sleep Self Report.</p>
<p><bold>Results</bold>
</p>
<p>90.6 % of the sample practices weekly physical activity and 60.9 % shows a sleep disorder, being more prevalent among the female gender. It was possible to infer that the older the children were, the less probability they had for having a sleep disorder.</p>
<p><bold>Conclusions</bold>
</p>
<p>There isn’t any positive relationship between the weekly practice of physical activity and a sleep disorder. Children who practice light, moderate or vigorous physical activity can show a reduction in the quality of their sleeping patterns. Nevertheless, the results highlight a considerable percentage of children with some kind of disorder, which may signal a possible underreporting of the lack of quality sleep of this population.</p>
<p><bold>Keywords</bold>
</p>
<p>Quality of sleep, physical activity, school-aged children, learning centres, questionnaire</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1133"><title>O185 What is the potential for using Information and Communication Technologies in Arterial Hypertension self-management?</title>
<sec id="Sec1134"><title>Sara Silva<sup>1</sup>
, Paulino Sousa<sup>2,3</sup>
, José M. Padilha<sup>2</sup>
</title>
<sec id="Sec1135"><title><sup>1</sup>
Centro Hospitalar do Porto, Porto, 4099-001, Portugal; <sup>2</sup>
Escola Superior de Enfermagem do Porto, Porto, 4200-072, Portugal; <sup>3</sup>
Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, 4099-002, Portugal</title>
<sec id="Sec1136"><title><bold>Correspondence:</bold>
Sara Silva (sara_pereira_s@hotmail.com) – Centro Hospitalar do Porto, Porto, 4099-001, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Arterial Hypertension (HTA) is a chronic disease with high morbidity, mortality and a socio-economic impact. Information and Communication Technologies (ICT) facilitate the access to the necessary information for HTA self-management. Nowadays, there is a lack of knowledge of the utility, ease and interest expressed by people with HTA for the use of ICTs in accessing the information for the disease’s self-management. Objective: to characterize both ICT’s potential and HTA patients’ global needs for information.</p>
<p><bold>Methods</bold>
</p>
<p>Quantitative, exploratory, descriptive and cross-sectional study using phone interviews and a stratified random probability sample of 391 patients on the National Program of Cardiovascular Disease Prevention list within a Local Portuguese Healthcare Unit.</p>
<p><bold>Results</bold>
</p>
<p>People with HTA manifest a higher information need not only to integrate self-management in their everyday life, but also to motivate the significant people to help them in their daily life and to increase their knowledge on the available resources within the community. People with a lower education level ultimately display a lower technological literacy, lower access, lower use and more difficulty in the use of information resources, preferring the use of voice and image devices. People with a higher education level and technological literacy are younger and admit to use and value more Web-Based technologies.</p>
<p><bold>Conclusions</bold>
</p>
<p>Younger and higher educated people present a higher potential use of ICTs. Although displaying a higher intent towards the use of voice devices, older and less educated people mention having significant people that may help them in accessing the health information through ICTs.</p>
<p><bold>Keywords</bold>
</p>
<p>Arterial Hypertension, eHealth, technological literacy, health literacy, Information and Communication Technologies, Self-management</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1137"><title>O186 Exploring psychosocial factors associated with risk of falling in older patients undergoing haemodialysis</title>
<sec id="Sec1138"><title>Daniela Figueiredo, Carolina Valente, Alda Marques</title>
<sec id="Sec1139"><title>School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec1140"><title><bold>Correspondence:</bold>
Daniela Figueiredo (daniela.figueiredo@ua.pt) – School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Fall rates have been found to be higher in haemodialysis (HD) patients than in the general older population. Post-dialysis fatigue, polypharmacy, dialysis related hypotension, chronic kidney disease-mineral and bone disorder, have been recognised as risk factors for falls peculiar to HD. However, little attention has been paid to the psychosocial factors related to falls risk in this population. Objectives: This study aimed to analyse the association between falls risk and psychosocial variables (anxiety, depression and social isolation) among older adults undergoing HD.</p>
<p><bold>Methods</bold>
</p>
<p>A cross-sectional study was conducted. Sociodemographic and health-related data were collected through a structured questionnaire. Risk of falling was assessed with the Five Times Sit to Stand (FTSS) test and isometric muscle force (IMF). Anxiety and depression were assessed with The Hospital Anxiety and Depression Scale. Social isolation was measured with The Lubben Social Network Scale-6 (LSNS-6). Descriptive and inferential analyses were performed.</p>
<p><bold>Results</bold>
</p>
<p>Seventy-two HD patients (mean age: 62.29 ± 14.5; 69.4 % male) have participated. Falls risk varied according to age, education, self-rated physical and mental health, visual and hearing impairment, and history of falls. Significant statistical differences were found between anxiety and IMF (p = 0.011) and between depression and FTSS (p < 0.01) and IMF (p = 0.033) scores (i.e., falls risk increase with anxiety and depressive symptoms). A significant correlation was observed between IMF and LSNS-6 (rs = 0.368; p < 0.01).</p>
<p><bold>Conclusions</bold>
</p>
<p>The findings suggested that psychosocial factors are related with increased risk of falling among HD older patients. Fall preventive strategies should also include psychological and social support to patients undergoing HD.</p>
<p><bold>Keywords</bold>
</p>
<p>Risk of falling, haemodialysis, older adults, anxiety, depression, social isolation</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1141"><title>O187 Development of pressure ulcers on the face in patients undergoing non-invasive ventilation</title>
<sec id="Sec1142"><title>Patrícia Ribas<sup>1</sup>
, Joana Sousa<sup>1</sup>
, Frederico Brandão<sup>2</sup>
, Cesar Sousa<sup>2</sup>
, Matilde Martins<sup>1,3</sup>
</title>
<sec id="Sec1143"><title><sup>1</sup>
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal; <sup>2</sup>
Centro Hospitalar Tâmega e Sousa, Penafiel, 4564-007 Penafiel, Portugal; <sup>3</sup>
Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano, Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Bragança, Portugal</title>
<sec id="Sec1144"><title><bold>Correspondence:</bold>
Patrícia Ribas (patriciasofiaribas@gmail.com) – Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The use of Non-Invasive Ventilation (NIV) has been increasing in clinical practice, however, the evidence has shown that its implementation may lead to development of ulcers of the face. Objective: to determine the prevalence of face ulcers on the face of patients admitted in an Intermediate Care Unit (ICU) submitted to NIV and to identify the factors associated to its development.</p>
<p><bold>Methods</bold>
</p>
<p>A prospective study conducted in a ICU between September and December 2015. Inclusion criteria of: age ≥ 18 years, patients admitted to the ICU, submitted to NIV and without ulcers of the face at the time of admission, lead us to a sample of 30 participants. Data were collected through a questionnaire, the Braden and Glasgow scale.</p>
<p><bold>Results</bold>
</p>
<p>The prevalence of ulcers on the face was of 26.7 % with a mean onset time of 3.3 ± 1.1 days. Participants were mostly males (70 %), with a mean age of 74.2 ± 10.3 years. Those who have developed an ulcer showed an older average age of 76.5 years, 16.7 % were changing sensitivity, 16.7 % had the facial skin intact and dry, 26.7 % used reused masks and 16.7 % had an ulcer Grade II. There was a statistically significant positive correlation between the development of an ulcer with the number of hours of daily NIV, the number of days of NIV, days of hospitalization, and a negative correlation with the level of consciousness.</p>
<p><bold>Conclusions</bold>
</p>
<p>We observed a high prevalence of ulcers. Thus, this emphasizes the need for further research to increase knowledge to subsidize ulcer prevention interventions in patients with NIV.</p>
<p><bold>Keywords</bold>
</p>
<p>Non-invasive ventilation, nose ulcers, facial ulcers, pressure ulcers</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1145"><title>O188 The elder hospitalized: Limiting factors of comfort</title>
<sec id="Sec1146"><title>Patrícia Sousa<sup>1</sup>
, Rita Marques<sup>2</sup>
</title>
<sec id="Sec1147"><title><sup>1</sup>
Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal; <sup>2</sup>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</title>
<sec id="Sec1148"><title><bold>Correspondence:</bold>
Patrícia Sousa (patriciapontificesousa@gmail.com) – Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Hospitalization causes significant changes in the lives of the eldery, due to factors such as the environment, changes in routines, loss of functional capacity, among others. Therefore, it is crucial to identify the contextual factors that emerge as discomforting. Objectives: To identify the limiting factors for comfort on hospitalized elderly.</p>
<p><bold>Methods</bold>
</p>
<p>It is a descriptive study using qualitative methods of data gathering, guided by the ethnographic method. Semi-structured interviews were conducted with 20 elderly patients, audio-recorded and submitted for content analysis [1]. The patients were selected from admissions to the medical services of a Central Hospital, in Lisbon. There was participant observation in order to understand the situational experiences, based on previously structured scripts [2].</p>
<p><bold>Results</bold>
</p>
<p>Regarding the action context, the factors that emerged, that cause discomfort included environmental conditions (light, noise, equipment, colour, temperature, natural or artificial elements of the environment); quality of food; the absence of activities as well as the lack of human resources and time to care.</p>
<p><bold>Conclusions</bold>
</p>
<p>Comfort nursing care is challenged by the unpredictability of circumstances surrounding the satisfaction of multiple health needs and resources for caring. The action context, related to all its elements, can be limitative of the humanization and completeness in geriatric comfort care, which has a negative impact on the comforting experience of the elderly in hospital.</p>
<p><bold>References</bold>
</p>
<p>1. Huberman M, Miles, M. Analyse des donnés qualitative. Recueil de nouvelles méthodes. Bruxeles: De Beock; 1991.</p>
<p>2. Spradley JP. The participant observation. New York: Holt Rinehart and Winston; 1980.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, hospitalization, limiting factors, comfort</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1149"><title>O189 Physical activity and health state self-perception by Portuguese adults</title>
<sec id="Sec1150"><title>Francisco Mendes<sup>1</sup>
, Rosina Fernandes<sup>1</sup>
, Emília Martins<sup>1</sup>
, Cátia Magalhães<sup>1</sup>
, Patrícia Araújo<sup>2</sup>
</title>
<sec id="Sec1151"><title><sup>1</sup>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal; <sup>2</sup>
Universidade Católica Portuguesa – Porto, 4202-401 Porto, Portugal</title>
<sec id="Sec1152"><title><bold>Correspondence:</bold>
Rosina Fernandes (rosina@esev.ipv.pt) – Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>According to the World Health Organization (2015) [1], physical activity translates into significant health benefits and the lack of its practice constitutes a fundamental risk factor in non-transmitted diseases. Objectives: to determine physical activity levels in adults that go (N = 150) or do not go (N = 206) to a gym and relate them with health self-perception (from mediocre to very good).</p>
<p><bold>Methods</bold>
</p>
<p>Data was collected through the International physical activity questionnaire (IPAQ) and analysed using SPSS 23 for Windows.</p>
<p><bold>Results</bold>
</p>
<p>In accordance with the minimal weekly referential of vigorous (75`) and moderate (150`) practice recommended by WHO, we found that 98.6 % of practitioners achieved the recommendations, against the 54.8 % of non-practitioners. Only 27.6 % of non-practitioners against 63.3 % of practitioners achieves or surpasses the weekly moderate activity referential recommended by WHO for additional health benefits (300`).</p>
<p>In contrast with different health states of participants, some significant differences manifest (p < .05) in frequency and duration of diverse physical activity types, but not in the sitting time. Also, in the same analysis, divided in practitioners and non-practitioner’s subgroups, no significant differences where observed (p < .05)</p>
<p>Health states Good and Very Good revealed themselves statistically in contrast (p > .05) of frequency and duration of moderate and vigorous activities, between practitioners and non-practitioners, with the first having advantage, the same not happening in light activities and in sitting time.</p>
<p><bold>Conclusions</bold>
</p>
<p>Results confirm recent studies [2, 3] and highlight the urgent necessity of promoting physical activity as a health and well-being promoting factor in populations.</p>
<p><bold>References</bold>
</p>
<p>1. World Health Organization. Health topics physical activity. WHO: 2015.</p>
<p>2. Carvalho ED, Valadares AL, da Costa-Paiva LH, Pedro AO, Morais SS, Pinto-Neto AM. Physical activity and quality of life in women aged 60 or older: associated factors. Rev Bras Ginecol Obstet. 2010; 32(9): 433-440.</p>
<p>3. Ogwumike OO, Kaka B, Adegbemigun O, Abiona T. Health-related and socio-demographic correlates of physical activity level amongst urban menopausal women in Nigeria. Maturitas. 2012; 73(4): 349-353.</p>
<p><bold>Keywords</bold>
</p>
<p>Health state, physical activity, IPAQ</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1153"><title>O190 <bold>Satisfaction with social support in the elderly of the district of Bragança</bold>
</title>
<sec id="Sec1154"><title>Carla Grande<sup>1</sup>
, Mª Augusta Mata<sup>2</sup>
, Juan G. Vieitez<sup>3</sup>
</title>
<sec id="Sec1155"><title><sup>1</sup>
Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Bragança, Portugal; <sup>2</sup>
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal; <sup>3</sup>
Universidad de León, 24004 León, España</title>
<sec id="Sec1156"><title><bold>Correspondence:</bold>
Carla Grande (carlagrande1@sapo.pt) – Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Bragança, Portugal</title>
<p><bold>Background</bold>
</p>
<p>This is a demographic transition scenario with implications in all areas of social life: it is unacceptable to face aging without reflecting on the problems around opportunities for older people, including satisfaction with social support. Social support is particularly important to facilitate an independent and fulfilling life in the community for the elderly. Objectives: To assess the satisfaction of elderly people with social support (individuals aged over 65 years) living in the district of Bragança, by applying a sociodemographic questionnaire and the Satisfaction Scale with Social Support (ESSS) of Ribeiro (2011) [1].</p>
<p><bold>Methods</bold>
</p>
<p>Starting from the elderly population living in Bragança district, we developed an observational, analytical and cross-sectional study with a quantitative approach, with a sample of 517 subjects, mostly females (54.9 %; n = 284); aged between 65 and 74 years old (45.3 %; n = 234); married or living in consensual union (61.9 %; n = 320); residents in rural areas (69.8 %; n = 361); with sons and daughters (89.0 %; n = 460); and illiterate (50.7 %; n = 262).</p>
<p><bold>Results and conclusions</bold>
</p>
<p>The sample under study has average social support, which allows us to infer that the elderly is, in general, satisfied with the social support which they have, and the support received from friends is that which gives them more satisfaction, expressing less satisfaction with family support. It is observed that most of the variables are, in the case of the elderly, determinants of their satisfaction with social support.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, Social Support, Satisfaction</p>
<p><bold>References</bold>
</p>
<p>1. Ribeiro JLP. Escala de Satisfação com o Suporte Social. 2011; Lisboa: Placebo Editora.</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1157"><title>O191 Prevalence of death by traumatic brain injury and associated factors in intensive care unit of a general hospital, Brazil</title>
<sec id="Sec1158"><title>Bruna Bianchini, Nazare Nazario, João G. Filho, Marcia Kretzer</title>
<sec id="Sec1159"><title>Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil</title>
<sec id="Sec1160"><title><bold>Correspondence:</bold>
Nazare Nazario (nazare.nazario@unisul.br) – Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil</title>
<p><bold>Background</bold>
</p>
<p>Traumatic brain injury is a major cause of acute brain injury and the leading cause of death among persons aged less than 50 years. Brain Injury is a public health concern that demands ongoing an epidemiological study, increased efforts to prevent occurring injuries, and research to advance medical options and therapeutic interventions. Objective: To assess the factors associated with death by Traumatic Brain Injury in a General Hospital.</p>
<p><bold>Methods</bold>
</p>
<p>Cross-sectional study, conducted at the Regional Hospital of St. Joseph, Brazil, with 75 patients diagnosed with traumatic brain injury admitted to the Intensive Care Unit from January/2010 to December/2011. Analysis by SPSS 20.0, Chi-square test with p ≤ 0.05 and a confidence interval of 95 %. Approved by the Research Ethics Committee of University of Southern Santa Catarina, No 855.750.</p>
<p><bold>Results</bold>
</p>
<p>Prevalence in men (81.3 %), average age of 36.09 years (SD 15.35). The major cause of accidents were traffic accidents (54.1 %). The length of stay in the intensive care unit was 6-15 days (35.8 %), with severe classification in the Glasgow Coma Scale (77.1 %), pneumonia complications (16.0 %), and death in 37.1 %. Significant associations were found between death and severe classification (p = 0.022), period of time in the intensive care unit of 1 to 15 days (p = 0.051), use of a catheter to evaluate intracranial pressure (p = 0.002) and tracheostomy (p = 0.044).</p>
<p><bold>Conclusions</bold>
</p>
<p>Death by traumatic brain injury is associated with aspects related to the severity of the condition, use of catheter to evaluate intracranial pressure and tracheostomy.</p>
<p><bold>Keywords</bold>
</p>
<p>Traumatic brain injury, death, craniocerebral trauma</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1161"><title>O192 Relation between family caregivers burden and health status of elderly dependents</title>
<sec id="Sec1162"><title>Tânia Costa<sup>1,2</sup>
, Armando Almeida<sup>1,2</sup>
, Gabriel Baffour<sup>1,2</sup>
</title>
<sec id="Sec1163"><title><sup>1</sup>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto, Portugal; <sup>2</sup>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</title>
<sec id="Sec1164"><title><bold>Correspondence:</bold>
Tânia Costa (tcosta@porto.ucp.pt) – Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The inability of the National Health Service and sociodemographic changes have contributed to increase the number of elderly who are beneficiaries of informal care at home. However, the literature reveals association between exercising the role of caregiver and burden, which in turn is influenced by the health status of receptor. Objective: To assess the burden of family caregivers of dependent elderly in self-care and correlate the burden of family caregivers with health status of the receptor.</p>
<p><bold>Methods</bold>
</p>
<p>Cross-sectional analytical study. Were eligible 30 dyads of care composed by family caregivers and the dependent elderly in self-care. Collection of data was held by structured interviews and analysis by SPSS.</p>
<p><bold>Results</bold>
</p>
<p>Most of caregivers are female (77 %), in average with 74 years, married (73 %), with education below 4th year (76 %). Predominated the lower middle class (73 %). With regard to burden, 63 % had moderate, 30 % severe and 7 % extreme high. The Pearson coefficient revealed a statistically significant correlation between the burden caregivers and many variables of receptors like number of wounds (r = -0.499; p = 0.009); number of health complication (r = -0.645; p =0.003); drug complex (r = 0.326; p = 0.035); dependence in AVDS (r = 0.355; p = 0.021); AIVDs (r = -0.349; p = 0.025); pressure ulcer risk (r = 0.292; p = 0.041) and cognitive impairment (r = 0.578; p = 0.011).</p>
<p><bold>Conclusions</bold>
</p>
<p>Family caregivers with higher levels of burden care for receptors with less number of wounds, less number of health complications, lower risk of pressure ulcers, lower dependence on Activities of Daily Living/Instrumental Activities of Daily Living (ADLs/IADLs) more complex drug regimens and cognitive impairment. These data revealed the need to elaborate assessment tools and customized/efficient intervention programs.</p>
<p><bold>Keywords</bold>
</p>
<p>Family Caregiver, Burden, Elderly, Health Status</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1165"><title>O193 Phenomena sensitive to nursing care in day centre</title>
<sec id="Sec1166"><title>Armando Almeida<sup>1,2</sup>
, Tânia Costa<sup>1,2</sup>
, Gabriel Baffour<sup>1,2</sup>
</title>
<sec id="Sec1167"><title><sup>1</sup>
Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto, Portugal; <sup>2</sup>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</title>
<sec id="Sec1168"><title><bold>Correspondence:</bold>
Armando Almeida (enfarmandoalmeida@gmail.com) – Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, 4202-401 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Day centres receive the elderly with self-care problems but usually do not have nursing care. For this reason, it is unknown what are the needs/problems potentially sensitive to nursing care. Objective: To conduct a multidimensional health diagnosis, centred in the elderly that attend day centres.</p>
<p><bold>Methods</bold>
</p>
<p>Quantitative study, observational, cross-sectional which focused on 68 users, with more than 65 years, from three day centres of Oporto.</p>
<p><bold>Results</bold>
</p>
<p>It is a very old population (mean 80 years), predominantly female (86.8 %), low educated and socially isolated. Dominated by situations of suspected cognitive impairment (51.5 %) dependence in instrumental activities of daily living (91.2 %), basic activities (41.2 %) and mobility (17.6 %). However, the phenomena considered most relevant for nursing practice were: the presence of pain (66.9 %); the risk of falling associated with loss of balance (64.7 %), direct relationship with the number of falls in six months (n = 59); the fear of falling associated with physical inactivity (70.6 %); polypharmacy (75.0 %) and the inability to manage the drug regimen associated with loss of cognitive ability and mobility, as well as vulnerability of social and financial character.</p>
<p><bold>Conclusions</bold>
</p>
<p>We observed a set of phenomena sensitive to nursing care that should be seen as opportunities to develop intervention projects and contractually new health indicators targeted to these social facilities.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, day centre, nursing indicators</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1169"><title>O194 Frailty: what do the elderly think?</title>
<sec id="Sec1170"><title>Zaida Azeredo, Carlos Laranjeira, Magda Guerra, Ana P. Barbeiro</title>
<sec id="Sec1171"><title>Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia, Portugal</title>
<sec id="Sec1172"><title><bold>Correspondence:</bold>
Zaida Azeredo (zaida.azeredo@gmail.com) – Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia, Portugal</title>
<p><bold>Background</bold>
</p>
<p>With the demographic ageing and the increase of very old persons, a new concept appears with greater importance in elderly health and family care: frailty. Among old persons (with or without pathology) ageing may decrease their biologic and psychological reserves to cope with stress, or some events. The elderly frail need more social and health support because the danger of institutionalization or death is high. Objective: To study how the elderly understand frailty.</p>
<p><bold>Methods</bold>
</p>
<p>This is an exploratory study in a sample of 113 persons of 65 years or over of both sexes who want to and were able to participate. We interviewed to data saturation.</p>
<p><bold>Results</bold>
</p>
<p>The majority (93.8 %) are 80 years old or over. 65.5 % were female, 54.0 % considered themselves a frail person. Age, mobility constrains, health problems, loss of abilities, loneliness, weakness, less ability to cope with stress, grief and losses are mentioned as situations involved in the definition of frailty.</p>
<p><bold>Conclusions</bold>
</p>
<p>Fifty-four (54 %) of the elderly felt they were frail. The reasons why they think a person is frail are in agreement with the literature concept of frailty and expressed in some scales to measure frailty. It will be interesting to go on with this study and survey the elderly living in other situations (e.g. at home).</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, frailty, prevention</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1173"><title>O195 The therapeutic self-care as a nursing-sensitive outcome: A correlational study</title>
<sec id="Sec1174"><title>Regina Ferreira</title>
<sec id="Sec1175"><title>Escola Superior de Saúde, Instituto Politécnico de Santarém, Santarém, 2005-075 Santarém, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The theory of self-care is a reference to the practice of nursing care. A change in the person's health status compromises their ability to care for themselves. Self-care is a nursing-sensitive outcome. Objective: To assess therapeutic self-care as a nursing-sensitive outcome.</p>
<p><bold>Methods</bold>
</p>
<p>Correlational study; simple random sample with application of a therapeutic self-care scale.</p>
<p><bold>Results</bold>
</p>
<p>Two hundred and eighty-eight (288) clients participated in the study, 53.8 % females, aged between 19 and 95 years old and only 18.4 % having higher education. By factor analysis we obtained two factors (managing medications and symptoms and performing daily life activities) with 52.8 % of the total variance explained and with good internal consistency (α = .87). The younger (F = 5.27; sp ≤ .006) and more highly educated (F = 4.91; p ≤ .000) evaluate "managing medications and symptoms" more positively. Those who have the 2nd cycle or higher education have higher average values (F = 3.88; p ≤ .002) for "activities of daily living". The lower number of hours required for client care corresponds to highest average value in both dimensions obtained (F = 2.41; p ≤ .02 and F = 3.32; p ≤ .001). Using multiple linear regression, it was found that the centrality of care explains 19.0 % of the variance of therapeutic self-care (R2 = .19; F = 58.20; gl = 248; p = .000).</p>
<p><bold>Conclusions</bold>
</p>
<p>Therapeutic self-care is a nursing-sensitive outcome. The results of the socio-demographic variables seem to be related to quality of care, from which the clients focus emerges and which, we believe, not only depends on the hours of nursing care. Centred care predicts therapeutic self-care.</p>
<p><bold>Keywords</bold>
</p>
<p>Therapeutic self-care, nursing-sensitive outcomes, centred care</p>
</sec>
</sec>
</sec>
<sec id="Sec1176"><title>O196 Phonetic-phonological acquisition for the European Portuguese from 18 months to 6 years and 12 months</title>
<sec id="Sec1177"><title>Sara Lopes, Liliana Nunes, Ana Mendes</title>
<sec id="Sec1178"><title>School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</title>
<sec id="Sec1179"><title><bold>Correspondence:</bold>
Sara Lopes (sara.rf.lopes@gmail.com) – School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Phonetic-phonological acquisition varies according to the spoken language. For the European Portuguese (EP), the phonemes’ majority is acquired before the age of 3 years (Y) and the phonological processes decrease progressively throughout the development until 5-6 years. Objectives: The present study defined the phoneme acquisition, the phonological processes used and determined if there were differences between genders and among ages, from 18 months (M) to 6Y 12 M, divided into 11 age groups, of 6 M each.</p>
<p><bold>Methods</bold>
</p>
<p>Nine hundred three (963) children participated, 469 males and 494 females, EP speakers, ages between 18 M and 6Y 12 M, with kindergarten attendance and Portugal’s mainland or islands residency. They named 67 images of Phonetic-Phonological Test (Teste Fonético-Fonológico, TFF-ALPE). Productions were transcribed using the International Phonetic Alphabet. Frequency of occurrence of phonemes and phonological processes were calculated with Microsoft Office Excel 2013.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>Acquisition order of the phonemes was: oral vowels < nasal vowels < oral occlusive < nasal occlusive < fricative < liquid and the frequency of occurrence of phonemes increased with age growth. The frequency of phonological processes decreased with age growth. Syllabic structure processes were more frequent than substitution processes. Inferential statistical results will be presented at the Convention of Health.</p>
<p><bold>Keywords</bold>
</p>
<p>Phonetic-phonological acquisition, European Portuguese, 18 months to 6 years and 12 months</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1180"><title>O197 Quality of life of patients undergoing liver transplant surgery</title>
<sec id="Sec1181"><title>Julian Martins<sup>1</sup>
, Dulcineia Schneider<sup>2</sup>
, Marcia Kretzer<sup>1</sup>
, Flávio Magajewski<sup>1</sup>
</title>
<sec id="Sec1182"><title><sup>1</sup>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil; <sup>2</sup>
Universidade Federal de Santa Catarina, Florianópolis – Santa Catarina, 88040-900 Brasil</title>
<sec id="Sec1183"><title><bold>Correspondence:</bold>
Julian Martins (julianrodrigues1@hotmail.com) – Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil</title>
<p><bold>Background</bold>
</p>
<p>Liver transplantation is indicated worldwide for the treatment of liver diseases in advanced stages and most successful solid organ transplantation with one-year survival 83-91 %. After transplantation, an improvement in the patient's perception regarding their health and quality of life (QOL) occurs. Objective: To evaluate the quality of life of patients undergoing liver transplant surgery at a specialized hospital in Santa Catarina in 2009, compared with patients who are on the waiting list for the same type of transplant.</p>
<p><bold>Methods</bold>
</p>
<p>Case-control study with 38 cases and 54 controls. Data collected on Santa Catarina SC transplants, Brazil, in December 2013. Excluded patients who underwent liver transplantation intervivo; Double liver-kidney transplant; transplanted or queued with positive HIV test. Specific instrument Liver Disease Quality of Life (LDQOL). Analyses in SPSS 20.0, Chi-square test and Student's t-test with p ≤ 0.05, Odds ratios and Confidence Interval 95 %. Approved by the Research Ethics Committee of University of Southern Santa Catarina No 384.389.</p>
<p><bold>Results</bold>
</p>
<p>Frequency in male cases (89.5 %), age above 50 years (65.8 %) and retired (72.4 %). Statistical significance (p ≤ 0.05) in almost all domains of quality of life in transplant: liver symptoms, sleep, memory, sexual function, hope, social interaction, concentration, concern about the disease, effects of the disease and hepatic stigmata. <bold>Conclusions</bold>
</p>
<p>The quality of life in patients undergoing liver transplantation was high in all aspects compared to patients on the waiting list for transplantation.</p>
<p><bold>Keywords</bold>
</p>
<p>Liver Transplantation, Quality of Life, Transplantation</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1184"><title>O198 Professional competences in health: views of older people from different European Countries</title>
<sec id="Sec1185"><title>Célia Soares, António Marques</title>
<sec id="Sec1186"><title>School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</title>
<sec id="Sec1187"><title><bold>Correspondence:</bold>
Célia Soares (celia.soares@ess.ips.pt) – School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Innovative expertise related to the promotion of positive ageing is crucial to deal with the rapid growth of the ageing population in modern societies. Higher education plays an essential role in the development of new models of training in health professions. Nevertheless, the perspectives and the diversity of needs of the recipients of care can enrich the (re)conceptualization of education on ageing and health. Objectives: The main aim of this study was to explore older people’s views on the competences of health professionals working with elderly populations in different European countries.</p>
<p><bold>Methods</bold>
</p>
<p>A qualitative study was conducted in Austria, Finland, Lithuania, Portugal, Turkey, and the U.K. A convenience sample of 16 participants was selected in each country (N = 96). Semi-structured interviews were used for data collection according to a common interview script. Thematic analysis was performed throughout the 96 interviews.</p>
<p><bold>Results</bold>
</p>
<p>Older people’s views are structured around four major themes. These emphasize individuality and dignity of service users, as well as their personal and social background; effective communication and relational orientation of professionals are also highlighted. Technical expertise, training in gerontology and ageing, vocation, commitment and ethical recommendations are also part of participant’s discourses.</p>
<p><bold>Conclusions</bold>
</p>
<p>Despite the cultural differences that can be found in European countries, interpersonal sensitivity, and person-centred care represent a relevant aspect for older people when they focus on the competences of health professionals. Hence, some changes may in fact be necessary to improve in European health education and training within the near future.</p>
<p><bold>Keywords</bold>
</p>
<p>Ageing, Professional Competences, Europe</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1188"><title>O199 Life satisfaction of working adults due to the number of hours of weekly exercise</title>
<sec id="Sec1189"><title>Marco Batista<sup>1,2</sup>
, Ruth J. Castuera<sup>3</sup>
, Helena Mesquita<sup>1</sup>
, António Faustino<sup>1</sup>
, Jorge Santos<sup>1</sup>
, Samuel Honório<sup>1,2</sup>
</title>
<sec id="Sec1190"><title><sup>1</sup>
Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal; <sup>2</sup>
Research in Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu, Portugal; <sup>3</sup>
Universidad de Extremadura, 10003 Cáceres, España</title>
<sec id="Sec1191"><title><bold>Correspondence:</bold>
Marco Batista (marco.batista@ipcb.pt) – Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The wellness construct, as measured by satisfaction with life is understood as a trial process in which individuals generally estimate the quality of their respective lives based on their own criteria. For the assessment of satisfaction with life, it is inseparable from the evaluation of positive and negative feelings of each individual. Objective: The objective was to analyse the differences and correlations depending on the number of hours of exercise and practice context, satisfaction with life and feelings of active Portuguese adults.</p>
<p><bold>Methods</bold>
</p>
<p>The study sample consisted of 560 Portuguese adults of both genders, aged between 30 and 64 years. The Satisfaction with Life Scale (SWLS) and the Scale of Positive and Negative Affect were used. The parametric tests one-way ANOVA and the coefficient of linear Pearson correlation were used.</p>
<p><bold>Results</bold>
</p>
<p>The results revealed a growing trend in the levels of life satisfaction and positive feelings with the increased volume of hours of weekly exercise, yielding an inverse relationship in the face of negative feelings. There were also significant differences when compared between groups in levels of life satisfaction and positive and negative feelings.</p>
<p><bold>Conclusions</bold>
</p>
<p>Apparently the increase in the volume of hours of weekly exercise promotes an increase in life satisfaction and positive feelings, with benefits for individuals who practise exercise in both group and individual contexts.</p>
<p><bold>Keywords</bold>
</p>
<p>Satisfaction with life, Exercise, Wellbeing</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1192"><title>O200 Therapeutic itinerary of women with breast cancer in Santa Maria City/RS</title>
<sec id="Sec1193"><title>Betina P. Vizzotto<sup>1</sup>
, Leticia Frigo<sup>1</sup>
, Hedioneia F. Pivetta<sup>2</sup>
</title>
<sec id="Sec1194"><title><sup>1</sup>
Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul, 97010-032 Brasil; <sup>2</sup>
Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, 97105-900, Brasil</title>
<sec id="Sec1195"><title><bold>Correspondence:</bold>
Betina P. Vizzotto (be_vizzotto@hotmail.com) – Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul, 97010-032 Brasil</title>
<p>The incidence of new cases of breast cancer increases every year in Brazil, as well as mortality rates that are higher possibly because this disease is diagnosed in advanced stages. The objective of this study was to investigate the therapeutic itinerary of women diagnosed with breast cancer in the city of Santa Maria- RS.</p>
<p>This is a retrospective cross-sectional documentary study in which medical records of women diagnosed with breast cancer were analysed.</p>
<p>Data collection was conducted from August 2013 to January 2015 in two public referral centres in the diagnosis and treatment for municipal breast cancer. Four hundred seventy-five (475) records were analysed, and of these 91 contained all the necessary information.</p>
<p>It was observed that the predominant therapeutic itinerary diagnosis was followed by surgery, chemotherapy and radiotherapy. The time between the procedures mostly followed the deadline established by the Ministry of Health and histological types of higher prevalence in the current study was invasive ductal and invasive lobular.</p>
<p>It was observed that patients’ therapeutic itinerary confirms the findings in the literature of better disease prognosis and the time elapsed between diagnosis and treatment initiation is in accordance with the public policy recommendations.</p>
<p><bold>Keywords</bold>
</p>
<p>Breast neoplasms, therapeutic itinerary, public health</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1196"><title>O201 The breastfeeding prevalence at 4 months: Maternal experience as a determining factor</title>
<sec id="Sec1197"><title>Dolores Sardo</title>
<sec id="Sec1198"><title>Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The protection, promotion and support of breastfeeding (BF) is a public health priority, taking into account the benefits for the child, mother and society. BF prevalence depends on psychological, cultural and social factors of the mother [1]. Knowledge and the mother's previous experience is critical for the BF success. Objectives: To identify the prevalence of BF at 4 months and to evaluate the effect of the prior maternal experience in BF prevalence.</p>
<p><bold>Methods</bold>
</p>
<p>We performed a quantitative, descriptive and cross-sectional study in a Portuguese population. The sample was non-probabilistic, intentional (n = 286) of mothers who were married or with a partner (86.7 %) and average age was 31 years old. Data was collected with a self-report questionnaire at 4 months after delivery.</p>
<p><bold>Results</bold>
</p>
<p>The BF prevalence at 4 months is 72.7 %, but only 51.0 % do so exclusively. 20.3 % of mothers have previous experience of BF. Women with previous breastfeeding experience tend to breastfeed longer now, with statistically significant differences (U = 19.500, p = 0.000). However, the variables studied only previous experiences and BF duration was statistically significant (U = 19.500, p = 0.000).</p>
<p><bold>Conclusions</bold>
</p>
<p>Previous maternal experience positively influences breastfeeding prevalence at 4 months, although this is still low according to WHO guidelines [2]. As health professionals, we should be able to identify difficulties early and support lactating mothers, whatever their decision.</p>
<p><bold>References</bold>
</p>
<p>1. Pak-Gorstein S, Haq A, Graham E. Cultural influences on infant feeding practices. Pediatrics Revue. 2009; 30:11-21.</p>
<p>2. World Health Organization. Global Strategy on infant and young child feeding. WHO: 2002.</p>
<p><bold>Keywords</bold>
</p>
<p>Breastfeeding, prevalence, maternal experience</p>
</sec>
</sec>
</sec>
<sec id="Sec1199"><title>O202 The impact of the transition to parenthood in health and well-being</title>
<sec id="Sec1200"><title>Cristina Martins<sup>1</sup>
, Wilson Abreu<sup>2</sup>
, Mª Céu Figueiredo<sup>2</sup>
</title>
<sec id="Sec1201"><title><sup>1</sup>
Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga, Portugal; <sup>2</sup>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</title>
<sec id="Sec1202"><title><bold>Correspondence:</bold>
Cristina Martins (cmartins@ese.uminho.pt) – Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Even though it is common, normative, predictable and usually desired, parenthood is one of the most dramatic developmental transitions in the family life cycle, likely to cause imbalance and vulnerability. Objective: This study aimed to explore the influences on the health and well-being of parents during the first 6 months of transition to the exercise of the parental role.</p>
<p><bold>Methods</bold>
</p>
<p>Grounded Theory. Data collection from semi-structured interviews (total of 60 interviews). Use of constant comparative method and theoretical sampling in the process of data collection and data analysis, undertaken in a simultaneous and recursive manner. Participation of five fathers and five mothers (couples).</p>
<p><bold>Results</bold>
</p>
<p>They describe the category of living on the edge of one’s capacities, which is composed by the subcategories of feeling exhaustion and weariness, perceiving exhaustion and weariness in the wife, releasing emotions and feeling less exhaustion and weariness, that explain the consequences of the discovery of the impact that the birth of the child has on the parents' lives, and upon realizing all the tasks and responsibilities of parenthood.</p>
<p><bold>Conclusions</bold>
</p>
<p>The adaptation to parenthood is not easy, linear and fast. It involves numerous situations that generate stress and emotional disturbance, tied to tiredness, sleep disturbance, work overload and readjustments of the dynamics of life, which affect the mother especially. The antenatal and postnatal preparation for this impact should, therefore, be encouraged and effective, as a focus of nursing intervention.</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1203"><title>P96 Self-determined motivation and well-being in Portuguese active adults of both genders</title>
<sec id="Sec1204"><title>Marco Batista<sup>1</sup>
, Ruth Jimenez-Castuera<sup>2</sup>
, João Petrica<sup>1</sup>
, João Serrano<sup>1</sup>
, Samuel Honório<sup>1</sup>
, Rui Paulo<sup>1</sup>
, Pedro Mendes<sup>1</sup>
</title>
<sec id="Sec1205"><title><sup>1</sup>
Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal; <sup>2</sup>
Universidad de Extremadura, 10003 Cáceres, España</title>
<sec id="Sec1206"><title><bold>Correspondence:</bold>
Marco Batista (marco.batista@ipcb.pt) – Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The self-determination theory suggests that humans have several basic psychological needs that are innate, universal and essential to health and well-being, namely autonomy, competence and relation perception. The wellness construct, measured by satisfaction with life is understood as a judgment process in which individuals generally estimate the quality of their lives based on their own criteria. Objective: The objective was to analyse the differences by gender, of the self-determined and wellbeing levels of Portuguese active adults’ motivation.</p>
<p><bold>Methods</bold>
</p>
<p>The study sample consisted of 560 Portuguese active adults of both genders, aged between 30 and 64 years. The instruments used were the Behavioural Regulation in Sport Questionnaire (BRSQ), the Basic Psychological Needs Scale Exercise (BPNES) and also the Satisfaction with Life Scale (SWLS).</p>
<p><bold>Results</bold>
</p>
<p>The descriptive analysis revealed that female gender individuals had higher average levels of external regulation, identified regulation and integrated regulation, as well as autonomy, competence, relation perception and satisfaction with life. Men had higher average values of demotivation, introjected regulation and intrinsic motivation.</p>
<p><bold>Conclusions</bold>
</p>
<p>We did not identify significant gender differences in motivation dimensions. However, when comparing the dimensions of basic psychological needs and life satisfaction between genders, women showed significantly higher levels of autonomy perception, competence and relation perception, as well as well-being, when compared to men.</p>
<p><bold>Keywords</bold>
</p>
<p>Self-determination, exercise, well-being</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1207"><title>P97 The geriatric care: ways and means of comforting</title>
<sec id="Sec1208"><title>Patrícia Sousa<sup>1</sup>
, Rita Marques<sup>2</sup>
</title>
<sec id="Sec1209"><title><sup>1</sup>
Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal; <sup>2</sup>
Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa, Portugal</title>
<sec id="Sec1210"><title><bold>Correspondence:</bold>
Patrícia Sousa (patriciapontificesousa@gmail.com) – Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Thought needs to be given to ways that lead to understanding and practising geriatric care as well as identifying the actions of health professionals, requiring an understanding of the meaning/significance of care. Objective: to know the ways and means of giving comfort as perceived by the hospitalized elderly.</p>
<p><bold>Methods</bold>
</p>
<p>A descriptive study with a qualitative approach, guided by the ethnographic method. Semi-structured interviews were conducted with 20 elderly patients, audio-recorded and submitted to content analysis. The patients were deliberately chosen, having been admitted to a medical service of a hospital in Lisbon. There was participant observation in order to understand the situational experiences, based on previously structured scripts [1].</p>
<p><bold>Results</bold>
</p>
<p>The ways and means of giving comfort are contextualized within the person’s resilience and help to maintain and restore capabilities, allowing better support in moments of discomfort. Among the ways and means of giving comfort used by nurses, emerged aspects related to communication (touch, smiles, humour, silence/unconditional presence), information/clarification; relationship of empathy/complicity; respecting the decision/will of the individual; relief of discomfort through massage. This study also highlights particular moments of comfort such as family visits, the initial contact and hygiene and personal arrangements.</p>
<p><bold>Conclusions</bold>
</p>
<p>Geriatric care is based on the meeting/interaction between the actors under the influence of the context in which it arises. The purpose of the different ways and forms of seeking comfort is to facilitate/enhance comfort, relieve discomfort and/or invest in potential comfort.</p>
<p><bold>References</bold>
</p>
<p>1. Spradley JP. The participant observation. New York: Holt Rinehart and Winston; 1980.</p>
<p><bold>Keywords</bold>
</p>
<p>Geriatric Care, elderly patient, hospitalization, ways and forms of comforting</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1211"><title>P98 The influence of relative age, subcutaneous adiposity and physical growth on Castelo Branco under-15 soccer players 2015</title>
<sec id="Sec1212"><title>António Faustino, Paulo Silveira, João Serrano, Rui Paulo, Pedro Mendes, Samuel Honório</title>
<sec id="Sec1213"><title>Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<sec id="Sec1214"><title><bold>Correspondence:</bold>
António Faustino (a.faustino@ipcb.pt) – Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p>The aim of our study was to analyse the influence of Relative Age (RA), Subcutaneous Adiposity and Physical Growth of Castelo Branco soccer players. To characterize the sample of 49 soccer players, born in 2000 and 2001 [ARC Bairro do Valongo (11), CD Alcains (16) CD Castelo Branco (11) and SB Castelo Branco (11)], dates of birth were framed in quarters.</p>
<p>Data collected were: (i) Relative Age; (ii) Morphological variables - Anthropometric [H- Height, W-Weight, WS- Wingspan, Skinfolds (TRISK- triceps, SBSSK- subscapularis, SILSK- suprailiac, CSK- crural and GMLSK- geminal), Muscular Perimeters (forearm, brachial with contraction, crural and geminal) Bone Diameters (BCHD- bi-condyle humeral, BCFD- bi-condyle femoral, BAD- biacromial, BCD- bicristal, WD- Wrist and AD- Ankle)] and Somatic (BMI).</p>
<p>For the study we used descriptive statistics and the Pearson correlation coefficient.</p>
<p>Results show: (I) Correlation for H, W, WS and BMI is negative, the higher the year/quarter of birth, the lower these measures are; (II) Correlations between RA and Skinfolds are weak and not significant for TRISK, SBSSK, SISKL and CSK. But the GMLSK is superior to the previous one and though not strong, is statistically significant; (III) Correlation between RA and Perimeters are moderate and all statistically significant. The younger the player, the smaller is every one of the perimeters; (IV) Correlations between RA and Bone Diameters are weak and not significant for BCUD, BCFD, BAD and BCD, but with the WD and AD it is greater than the previous ones and, although not strong, it is statistically significant.</p>
<p><bold>Keywords</bold>
</p>
<p>Relative age, Subcutaneous Adiposity, Physical Growth, Under-15 soccer players</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1215"><title>P99 Data for the diagnostic process focused on self-care – managing medication regime: An integrative literature review</title>
<sec id="Sec1216"><title>Catarina Oliveira<sup>1</sup>
, Fernanda Bastos<sup>2</sup>
, Inês Cruz<sup>2</sup>
</title>
<sec id="Sec1217"><title><sup>1</sup>
Unidade de Transplante Hepático e Pancreático, Centro Hospitalar do Porto, 4099-001 Porto, Portugal; <sup>2</sup>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</title>
<sec id="Sec1218"><title><bold>Correspondence:</bold>
Catarina Oliveira (olive.enf@gmail.com) – Unidade de Transplante Hepático e Pancreático, Centro Hospitalar do Porto, 4099-001 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Nursing diagnostic activity involves obtaining a set of data that is necessary to interpret, arrange, systematize, and assign meaning to constitute useful information. This approach is important in the beginning of the clinical decision-making process. It is important for nurses to better understand the complexity of the phenomenon “managing therapeutic regimen”, particularly, the medication regime. Objective: Identify the necessary data for description of Nursing Diagnoses about "Self -Care: managing the medication regime”.</p>
<p><bold>Methods</bold>
</p>
<p>Integrative literature review using the EBSCOhost databases with the following keywords: “Medication” and “Therapeutic” from a previous research universe. Inclusion criteria: language; full text; publication date from 2007-01-01 to 2012-12-31; descriptors in at least one of the parties (TI), (AB), (MM), (MH), (SU); peer reviewed articles.</p>
<p><bold>Results</bold>
</p>
<p>Of the 408 articles analysed it was possible to identify data that are essential to the diagnostic process. After a content analysis process, this data assumed different statuses: data that are manifestations, i.e. data which arise as a premise and are indispensable to diagnosis identification (e.g.: doesn´t take medication) and data that are competing factors for the diagnosis. These data are those which often have a causal relationship with the diagnosis (e.g. person, illness and medication regime characteristics).</p>
<p>We also find that many of the dates are more related with adherence than with managing therapeutic regime.</p>
<p><bold>Conclusions</bold>
</p>
<p>Since data collection is the first step of the nursing diagnosis process, nurses must improve their knowledge based on scientific evidence, to better identify the needs in nursing care in this area.</p>
<p><bold>Keywords</bold>
</p>
<p>Diagnostic process, self-care – managing medication regime, integrative literature review</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1219"><title>P100 Art therapy as mental health promotion for children</title>
<sec id="Sec1220"><title>Cláudia K. Rodriguez<sup>1</sup>
, Márcia R. Kretzer<sup>2</sup>
, Nazaré O. Nazário<sup>2</sup>
</title>
<sec id="Sec1221"><title><sup>1</sup>
Universidade Estadual Paulista 'Júlio de Mesquita Filho", 01049-010, São Paulo, Brazil; <sup>2</sup>
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brazil</title>
<sec id="Sec1222"><title><bold>Correspondence:</bold>
Nazaré O. Nazário (nazare.nazario@unisul.br) – Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brazil</title>
<p><bold>Background</bold>
</p>
<p>The contemporary world instigated by new technologies is resulting in changes in our perceptions and thus in society. This fact predisposes rising fears and mental conflicts, especially in children. Carl G. and Maurice Merleau-Ponty’s grounded work reflects this today, with its concerns about being in its totality. The psychological, cultural and social make art a therapeutic experience, where the child can deal with their social and personal skills. Objective: To allow therapeutic experiences in art therapy that promotes mental health of children and can be used as a tool for social rehabilitation.</p>
<p><bold>Methods</bold>
</p>
<p>A phenomenological qualitative study, applied to a group of 27 children 09-10 years in the State public school from São Paulo, Brazil, in 2013. Registration and understanding through camera recordings of interviews and reports. The artistic techniques and materials were varied in accordance with the engagement established with each child. Ethical aspects were respected.</p>
<p><bold>Results</bold>
</p>
<p>Relations with perception and space were key concepts to art therapeutic activities collaborating in their cognitive and affective connection. The expansion of the concept of expressive therapies using techniques and materials collaborated with the externalization of being symbolic. The process developed led to union and group trust, helping the children to share their fears, anxieties and stored feelings and position themselves positively in regard to their conflicts.</p>
<p><bold>Conclusions</bold>
</p>
<p>Therapeutic art activities experienced by the children enabled the significance of the symbols preventing and promoting mental health.</p>
<p><bold>Keywords</bold>
</p>
<p>Art therapy, mental health, children, cultural</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1223"><title>P101 Chemical characterization of fungal chitosan for industrial applications</title>
<sec id="Sec1224"><title>Pedro Cruz<sup>1</sup>
, Daniela C. Vaz<sup>1,2</sup>
, Rui B. Ruben<sup>3</sup>
, Francisco Avelelas<sup>4</sup>
, Susana Silva<sup>4</sup>
, Mª Jorge Campos<sup>4</sup>
</title>
<sec id="Sec1225"><title><sup>1</sup>
Coimbra Chemistry Centre, Chemistry Department, University of Coimbra, 3004-535 Coimbra, Portugal; <sup>2</sup>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>3</sup>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; <sup>4</sup>
MARE, Instituto Politécnico de Leiria, Peniche, 2520–641 Peniche, Portugal</title>
<sec id="Sec1226"><title><bold>Correspondence:</bold>
Daniela C. Vaz (dvaz@ci.uc.pt) – Coimbra Chemistry Centre, Chemistry Department, University of Coimbra, 3004-535 Coimbra, Portugal</title>
<p>Chitosan biofilms have been object of study and of application to several industrial and research fields, such as to winemaking, food science, tissue engineering, drug delivery and clinical rehabilitation, among others. Chitosan can be obtained by deacetylation of chitin, naturally present in the exoskeletons of crustaceans, invertebrates, insects and cell walls of some fungi. The use of chitosan from different sources presents not only important advantages in terms of extraction and purification of this polysaccharide, but also in terms of the different chemical and biomechanical properties exhibited by chitosan biofilms.</p>
<p>In order to evaluate the properties of fungi-extracted chitosan and to compare them with the features presented by chitosan obtained from crustacean sources, we have analysed the chemical properties presented by chitosan extracted from two fungi, namely, from <italic>Absidia coerulea</italic>
and <italic>Cunninghamella</italic>
sp., grown in different culture media (YM and PDB). Chitosan solutions were analysed by refractometry, circular dichroism (CD), UV-visible spectroscopy and solution <sup>1</sup>
H NMR, while chitosan biofilms were analysed by differential scanning calorimetry (DSC) and optical microscopy.</p>
<p>Fungal chitosan presents exclusive chemical and physical properties, in what concerns the degree of deacetylation of the polymeric chains, viscosity, thermal resistance and structural conformation in solution. Features that are also influenced by the composition of the growth media used for cell culture, and that can be used industrially as advantages.</p>
<p><bold>Keywords</bold>
</p>
<p>Chitosan, fungi, biofilms, chemical characterization</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1227"><title>P102 The impact of caring older people at home</title>
<sec id="Sec1228"><title>Maria Almeida<sup>1</sup>
, Liliana Gonçalves<sup>2</sup>
, Lígia Antunes<sup>3</sup>
</title>
<sec id="Sec1229"><title><sup>1</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>2</sup>
Hospital Arcebispo João Crisóstomo, Cantanhede, 3060 Cantanhede, Portugal; <sup>3</sup>
Hospital José Luciano de Castro, Anadia, 3780-226 Anadia, Portugal</title>
<sec id="Sec1230"><title><bold>Correspondence:</bold>
Maria Almeida (mlurdes@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The progressive aging of the population and the families’ increasing difficulty in being available to provide care are creating a new reality: older people as caregivers of dependent older people. The increase in the number of these caregivers, the consequences for their own health and the importance of their role have turned informal care into a highly relevant area for nursing, particularly regarding family education in home care provision. Objective: This study aims at identifying the reasons why informal caregivers undertake the provision of care to dependent older people at home, as well as the impact of care provision on informal caregivers.</p>
<p><bold>Methods</bold>
</p>
<p>A qualitative design was used, combined with phenomenographic research processes. The study was conducted in the district of Coimbra with nine informal elderly caregivers of dependent older people. Data were collected through semi-structured interviews and observation. Ethical aspects were followed and formal authorizations were obtained.</p>
<p><bold>Results</bold>
</p>
<p>In most cases, home care is provided by women in the 71-80 age group. The following dimensions emerged from interview analysis: motivation to care for the family member and caring task: perceived needs. Caregivers highlighted the physical, social, economic, and emotional burden. However, they also pointed out positive aspects, such as personal satisfaction, sense of duty, and family and social recognition.</p>
<p><bold>Conclusions</bold>
</p>
<p>This study reveals that women are the ones who usually provide care to the dependent elderly. The caring task has a negative impact on the life of the caregivers due to its overburden.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, dependent elderly, informal caregiver, caring task</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1231"><title>P103 Development of the first pressure ulcer in an inpatient setting: Focus on patients’ characteristics</title>
<sec id="Sec1232"><title>Pedro Sardo<sup>1</sup>
, Jenifer Guedes<sup>2</sup>
, João Simões<sup>1</sup>
, Paulo Machado<sup>3</sup>
, Elsa Melo<sup>1</sup>
</title>
<sec id="Sec1233"><title><sup>1</sup>
School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Hospital de Aveiro, Centro Hospitalar do Baixo Vouga E.P.E., Aveiro, 3814-501 Aveiro, Portugal; <sup>3</sup>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto, Portugal</title>
<sec id="Sec1234"><title><bold>Correspondence:</bold>
Pedro Sardo (pedro.sardo@ua.pt) – School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Pressure ulcers continue to be a challenge and represent an indicator of healthcare quality. Objectives: To analyse the incidence of the participants who developed their first pressure ulcer during the length of stay in association with their demographic and clinical characteristics.</p>
<p><bold>Methods</bold>
</p>
<p>A retrospective cohort analysis of electronic health record databases of adult patients, admitted to medical and surgical areas in a Portuguese hospital during 2012, without any pressure ulcer on admission. The development of the first pressure ulcer was associated with age, gender, type of admission, specialty units, first Braden Scale score, length of inpatient stay and ICD-9 diagnosis.</p>
<p><bold>Results</bold>
</p>
<p>From a sample of 6,572 participants, 153 (2.3 %) developed their first pressure ulcer and the odds were significantly higher for those admitted through the emergency service [OR = 3.64 (95 % CI, 2.20-6.05)], with Braden Scale scores ≤ 16 [OR = 4.82 (95 % CI, 3.45-6.73)] and/or with length of inpatient stay longer than 20 days [OR = 8.35 (95 % CI, 5.92-11.78)]. Older participants, in the age group 70-79 [OR = 9.87 (95 % CI, 1.35-71.84)] and ≥ 80 [OR = 17.75 (95 % CI, 2.46-128.19)] also had higher odds. Participants with “traumatisms and fractures” and “infectious diseases” had a higher incidence (6.6 % and 5.3 % respectively).</p>
<p><bold>Conclusions</bold>
</p>
<p>The participants that developed the first pressure ulcer during the length of stay differ from those that remain without pressure ulcers in the variables “admission”, “Braden Scale score”, “length of inpatient stay” and “age”. There were no differences between “gender” and “specialty units”. The ICD-9 diagnosis could be an important risk factor for pressure ulcer development.</p>
<p><bold>Keywords</bold>
</p>
<p>Incidence, International Classification of Diseases, Nursing, Nursing Assessment, Pressure Ulcer, Risk Assessment</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1235"><title>P104 Association between General Self-efficacy and Physical Activity among Adolescents</title>
<sec id="Sec1236"><title>Susana Cardoso<sup>1</sup>
, Osvaldo Santos<sup>2</sup>
, Carla Nunes<sup>1</sup>
, Isabel Loureiro<sup>1</sup>
</title>
<sec id="Sec1237"><title><sup>1</sup>
Escola Nacional de Saúde Pública, Lisboa, 1600-560 Lisboa, Portugal; <sup>2</sup>
Instituto de Medicina Preventiva, Faculdade de Medicina de Lisboa, Universidade de Lisboa, 1649-028 Lisboa, Portugal</title>
<sec id="Sec1238"><title><bold>Correspondence:</bold>
Susana Cardoso (suscardoso@yahoo.com.br) – Escola Nacional de Saúde Pública, Lisboa, 1600-560 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Technological society often carries an increased sedentarism among adolescents. These can integrate exercise into their free time, with clear health benefits. Self-efficacy, first described by Bandura (1982) can be described as feelings of adequacy, efficiency and competence to tackle the problems and underlies the choices and effort spent in activities or accomplishments. Objective: to investigate associations between self-efficacy and physical activity in adolescents.</p>
<p><bold>Methods</bold>
</p>
<p>This is a cross-sectional survey, with data collected through self-administered IPAQ (International Physical Activity Questionnaire) and General Self-Efficacy Questionnaire (GSQ - General Self Efficacy Questionnaire, adapted by Ribeiro (2011)) [1]. Two schools participated in the survey (convenience sample). It was possible to distribute the students (n = 358, aged 14 to 18) into three groups: with sedentary behaviours, with a moderate physical activity and presenting intense physical activity. The scores obtained from the General Self-efficacy scale, allowed to evaluate this parameter, specifically in such areas as resistance to adversity, initiative and persistence and social effectiveness.</p>
<p><bold>Results</bold>
</p>
<p>A statistically significant difference in self-efficacy was found between the sedentary adolescents (GSQ: 38-101, mean 73.7) and adolescents with intense physical activity (GSQ: 33-105, mean 80.4). Adolescents with intense physical activity have a higher self-efficacy (ANOVA with Bonferroni correction = .02).</p>
<p><bold>Conclusions</bold>
</p>
<p>Higher self-efficacy may be associated with more physical activity. Health promoting strategies which promotes self-efficacy may be appropriate to boost up healthy habits.</p>
<p><bold>References</bold>
</p>
<p>1. Ribeiro JP. Adaptação de uma Escala de Avaliação da Auto-eficácia Geral. Porto, Universidade do Porto; 2011.</p>
<p><bold>Keywords</bold>
</p>
<p>physical activity, adolescents, self-efficacy</p>
</sec>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1239"><title>The health safety culture</title>
<sec id="Sec1240"><title>O203 Characterization of the habits of online acquisition of medicinal products in Portugal</title>
<sec id="Sec1241"><title>Flávia Santos<sup>1</sup>
, Gilberto Alves<sup>1,2,3</sup>
</title>
<sec id="Sec1242"><title><sup>1</sup>
Faculty of Health Sciences, University of Beira Interior, Covilhã, 6200-506 Covilhã, Portugal; <sup>2</sup>
Health Sciences Research Centre, University of Beira Interior, Covilhã, 6200-506 Covilhã, Portugal; <sup>3</sup>
Centre for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal</title>
<sec id="Sec1243"><title><bold>Correspondence:</bold>
Flávia Santos (flaviapasantos@sapo.pt) – Faculty of Health Sciences, University of Beira Interior, Covilhã, 6200-506 Covilhã, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Technology has progressively changed many conventional processes from patient registration and monitoring to the acquisition of medicines. Indeed, the purchase of medical products online is now an emerging reality, including prescription medicines without restrictions. Although it may bring advantages (convenience, saving time and money), the acquisition of medical products online has also important risks (e.g. counterfeit medicines). Objective: This work intends to characterize the habits of online customers of medicines/medical supplements in Portugal.</p>
<p><bold>Methods</bold>
</p>
<p>A structured inquiry was applied to 872 people with questions regarding the knowledge and the practices of online medicinal products acquisition.</p>
<p><bold>Results</bold>
</p>
<p>The majority of respondents (75.5 %) knew about this possibility, but only 8.4 % had online purchasing activities. The respondents who never bought medications online pointed out reasons like preference for the community pharmacy and lack of trust in virtual pharmacies. Among those who have resorted to the online acquisition of medicinal products, the better prices and convenience were the main reasons cited. The slimming preparations and products for enhancement of physical abilities were the most frequently acquired. A particular concern is the fact that many respondents did not take any precaution when choosing a website (43.8 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>According to these findings the Portuguese population has great confidence in healthcare professionals and still has a small adherence to the acquisition of medicinal products online. However, people need to be educated for this new paradigm since the Internet and social networking sites have an increasing impact in the marketing of medicinal products.</p>
<p><bold>Keywords</bold>
</p>
<p>Medicinal products, online purchase, public health, safety concerns</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1244"><title>O204 Waiting room – A space for health education</title>
<sec id="Sec1245"><title>Cláudia Soar, Teresa O. Marsi</title>
<sec id="Sec1246"><title>Universidade do Vale do Paraíba, São José dos Campos, São Paulo, 12244-000, Brasil</title>
<sec id="Sec1247"><title><bold>Correspondence:</bold>
Cláudia Soar (claudiasoar@hotmail.com) – Universidade do Vale do Paraíba, São José dos Campos, São Paulo, 12244-000, Brasil</title>
<p>In order to promote actions that encourage healthy eating practices, autonomy and self-care, nutrition/cooking workshops were developed in the outpatient waiting room of a college hospital. They included an oral presentation by the Nutrition students, using a flip chart as a visual aid. The benefits of various ingredients used in the recipes were discussed, as well as preparation methods and storage. The oral presentation was followed by a tasting of the food made that day. Fifty-four (54) workshops took place between 2014 and 2015, totalling 1,775 participants.</p>
<p>Several topics were approached, such as homemade energy supplements, how to use leguminous plants, healthy and flavoured olive oils, and organic produce.</p>
<p>The audience comprised patients and their family members, professors, students and employees. Participants indicated that the tasting was their preferred portion of the workshop (40 %), followed by the lectures (32 %) and the brochures (28 %). An average of 99 % of the participants considered that the information was relevant and stimulating for adopting healthier habits. All participants of all workshops, would recommend the workshops to other people.</p>
<p>Finally, 96 % of the participants declared they were highly satisfied with the activity. Students got to exchange experiences with the participants, and broaden their skills as educators. For the participants, it was a time for building healthier habits in a casual environment that favoured closer integration between all those involved.</p>
<p><bold>Keywords</bold>
</p>
<p>Health education, nutrition, waiting room</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1248"><title>O205 Safey culture evaluation in hospitalized children</title>
<sec id="Sec1249"><title>Ernestina Silva<sup>1</sup>
, Dora Pedrosa<sup>2</sup>
, Andrea Leça<sup>3</sup>
, Daniel Silva<sup>1</sup>
</title>
<sec id="Sec1250"><title><sup>1</sup>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; <sup>2</sup>
Maternidade Daniel de Matos, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal; <sup>3</sup>
Hospital Dr. Nélio Mendonça, Região Autónoma da Madeira, Funchal, 9004-514 Funchal, Portugal</title>
<sec id="Sec1251"><title><bold>Correspondence:</bold>
Ernestina Silva (ernestinabatoca@sapo.pt) – Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Safety culture of an organization holds special meaning for patients, payers, managers and caregivers, being a phenomenon likely to be assessed in the various dimensions that integrates. Objective: To assess the safety culture of the paediatric patient perceived by health professionals.</p>
<p><bold>Methods</bold>
</p>
<p>Quantitative study of descriptive nature. A non-probabilistic sample was made up of 258 health professionals in functions in paediatric and neonatal services of Centro Hospitalar e Universitário de Coimbra and Hospital Dr. Nélio Mendonça, Região Autónoma da Madeira (RAM). The instrument was based on the Hospital Survey on Patient Safety Culture.</p>
<p><bold>Results</bold>
</p>
<p>Most professionals consider the patient safety “good” or “very good”. The dimension "teamwork" stood out positively, being the "patient safety support by management" and "response to the non-punitive error" considered problematic. More than 79 % of the professionals did not notify events/occurrences in the last 12 months.</p>
<p><bold>Conclusions</bold>
</p>
<p>These data suggest that it is necessary to invest in a safety culture that promotes voluntary reporting and non-punitive error and adverse events.</p>
<p><bold>Keywords</bold>
</p>
<p>Patient safety, Quality of health care, Medical errors, Child health services</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1252"><title>O206 Sexual Self-awareness and Body Image</title>
<sec id="Sec1253"><title>Ana Galvão<sup>1</sup>
, Maria Gomes<sup>1</sup>
, Paula Fernandes<sup>2</sup>
, Ana Noné<sup>1</sup>
</title>
<sec id="Sec1254"><title><sup>1</sup>
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal; <sup>2</sup>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</title>
<sec id="Sec1255"><title><bold>Correspondence:</bold>
Maria Gomes (mgomes16mgomes@gmail.com) – Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal; Ana Galvão – Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Body image is understood as a multidimensional construction that broadly describes the internal representations of the body structure and the physical appearance of the individual in regards him/herself and others. Sexual self-awareness (ACS) can be understood as the evaluation that each of us makes of his/her feelings and actions related to his/her sexuality and sexual behaviour, describing what each of us thinks about sex and what we feel about behaviours. Objective: Identify dimensions of sexual self-awareness and body image in sexual satisfaction of the young.</p>
<p><bold>Methods</bold>
</p>
<p>Correlational descriptive study, a convenience sample of 84 students of a health school (29.8 % male, 20.2 % female), with ages between 19 and 34 years. As data collection instrument a poll through questionnaire, incorporating a Body Image Satisfaction and a Multidimensional Sexual Self-awareness scale, was used.</p>
<p><bold>Results</bold>
</p>
<p>The majority of the sample subjects indicate having a partner (59.5 %), perceive themselves as having the ideal weight (75.0 %), the ideal height (65.5 %) and a normal appearance (76.2 %). Globally a high and statistically significant ACS was observed (t-Student = 12.520; GL = 83; p-value < 0.001) and significant statistical differences exist between having/not having a partner and the ACS (Student t = 2,965; GL = 82; p-value = 0.004) showing that those who mention having a partner have a higher average ACS (average = 3.812; SD = 0.412) compared to those without (average = 3.496; SD = 0.563). No statistically significant correlations were observed between ACS and Body Image.</p>
<p><bold>Conclusions</bold>
</p>
<p>The Body Image Satisfaction and the Sexual Self-awareness prove positive.</p>
<p><bold>Keywords</bold>
</p>
<p>Sexual self-awareness, body image, young</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1256"><title>O207 Perception of a Portuguese population regarding the acquisition and consumption of functional foods</title>
<sec id="Sec1257"><title>Jaime Combadão, Cátia Ramalhete, Paulo Figueiredo, Patrícia Caeiro</title>
<sec id="Sec1258"><title>Universidade New Atlântica, 2745-615 Barcarena, Portugal</title>
<sec id="Sec1259"><title><bold>Correspondence:</bold>
Jaime Combadão (jcombadao@uatlantica.pt) – Universidade New Atlântica, 2745-615 Barcarena, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Foods are no longer only recognized for their role in providing essential nutrients for normal body activity and function. Since from the late 1980s, emphasis has been credited to their content in substances capable to promote health and wellbeing. Those functional foods (FF) can benefit body functions beyond nutritional effects, in a way that improves the state of health and wellbeing. To improve interventions, it is advantageous to understand the consumer’s perception, namely at regional level, towards FF. Objectives: To assess consumers' attitudes regarding FF, as well as to characterise social, demographic and economic aspects associated with the consumption of FF, in a Portuguese population.</p>
<p><bold>Methods</bold>
</p>
<p>A survey was carried out, among a Portuguese population (N = 120), in order to collect information on their socio-economic profile and on the constructs knowledge, motivation and attitude related to FF. The constructs were modelled as latent variables, divided in its factors, with the statistical assessment done by factorial analysis (FA).</p>
<p><bold>Results</bold>
</p>
<p>The FA validated two different constructs, the attitudinal and the motivational. Those constructs were factorized as follows: one focused in foods, a second with the degree of knowledge in health benefits and the third concerning the fortification and supplementation of food.</p>
<p><bold>Conclusions</bold>
</p>
<p>These results can be used as a basis to improve communication efforts regarding consumption of FF as a means to improve health and wellbeing.</p>
<p><bold>Keywords</bold>
</p>
<p>Functional food, consumer knowledge, wellbeing, factorial analysis</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1260"><title>O208 The work process in primary health care: evaluation in municipalities of southern Brazil</title>
<sec id="Sec1261"><title>Karine C. Fontana, Josimari T. Lacerda, Patrícia O. Machado</title>
<sec id="Sec1262"><title>Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</title>
<sec id="Sec1263"><title><bold>Correspondence:</bold>
Josimari T. Lacerda (jtelino@gmail.com) – Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</title>
<p>The work process of primary care in Brazil must be based on completeness, longitude and coordination of care in health care networks. In Brazil, the municipal management guarantees structural and procedural conditions for the implementation of coordinated actions, based on these principles.</p>
<p>This research evaluated the work process of primary health care of 271 municipalities and 1,399 health care teams of a state in southern Brazil. A model consisting of 22 indicators was developed, aggregated into two dimensions. The Structural Conditions dimension covers Infrastructure, Personnel and Technological and Logistical Support so that the teams can carry out their activities. The Procedural Conditions analyses: Link and Territorialisation, organization of work and Coordination of Care. The model validated and agreed on by experts in the area allowed the identification of strengths and weaknesses subject to intervention. Data was used from the External Evaluation of the National Programme for Improving Access and Quality of Primary Health Care (known as PMAQ-AB), phase 2.</p>
<p>The evaluated universe represented 91.9 % of the municipalities of the Brazilian state. The study identified management advances in structural conditions, especially in permanent education and in the technological and specialized supply. About the procedural conditions, barriers were observed on the continuity of care and work organization with a highlight on: popular participation, intersectorial and shared actions, monitoring and accountability of the user. Efforts must be made on awareness and training of professionals in the exercise of their duties guided by the principles of Primary Health Care.</p>
<p><bold>Keywords</bold>
</p>
<p>Primary Health Care, Health Evaluation, Process Assessment (Health Care)</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1264"><title>O209 Exploration and evaluation of potential probiotic lactic acid bacteria isolated from Amazon buffalo milk</title>
<sec id="Sec1265"><title>Raphaelle Borges<sup>1</sup>
, Flávio Barbosa<sup>2</sup>
, Dayse Sá<sup>1</sup>
</title>
<sec id="Sec1266"><title><sup>1</sup>
Universidade Federal do Amapá, Macapá - Amapá, 68903-419, Brasil; <sup>2</sup>
Universidade Federal do Sergipe, São Cristóvão - Sergipe, 49100-000, Brasil</title>
<sec id="Sec1267"><title><bold>Correspondence:</bold>
Raphaelle Borges (raphaellebio@yahoo.com.br) – Universidade Federal do Amapá, Macapá - Amapá, 68903-419, Brasil</title>
<p><bold>Background</bold>
</p>
<p>Human intestinal tract presents important non-pathogenic microorganisms relevant for health. Dysregulation of this microbiota can cause diseases and poor nutritional status. Probiotics are used for intestinal regulation and disease prevention, either as supplements or as food components. Objectives: The purposes of this study were to isolate, select and characterize the lactobacillus present in the milk of Amazonian buffalo. This aimed at the production and evaluation of the probiotic potential of this product, in order to produce a Probiotic food in the future.</p>
<p><bold>Methods</bold>
</p>
<p>Samples of milk from two female buffalos were used in this study, in Macapá-AP, Brazil. Lactobacillus were isolated in Merck Research laboratories, and were characterized by breathing tests, Gram and Catalase tests, and identified by Polymerase chain reaction (PCR). They were submitted to stockpiling simulation, to viability, curves of growth, sensibility to antimicrobials, cellular surface adhesion tests and antagonism in vitro.</p>
<p><bold>Results</bold>
</p>
<p>Based on the samples of buffalo milk, 21 microorganisms of six species of lactobacillus were isolated: <italic>Lactobacillus acidophilus</italic>
(33.33 %), <italic>Lactobacillus ruminis</italic>
(23.80 %), <italic>Lactobacillus reuteri</italic>
(14.28 %), <italic>Lactobacillus johnsonii</italic>
(9.53 %), <italic>Lactobacillus mucosae</italic>
(9.53 %) and <italic>Lactobacillus. salivarius</italic>
(9.53 %). All species showed satisfactory results in terms of growth curves and sensibility tests. In the adhesion tests, stockpiling simulation and antagonism, the presence of <italic>L. acidophilus</italic>
was more pronounced when compared to other species.</p>
<p><bold>Conclusions</bold>
</p>
<p><italic>L. acidophilus</italic>
is considered a probiotic microorganism and is widely used in dairy products industry. This fact supports the possibility of producing a Probiotic food, made from the milk of Amazonian buffalo, in the near future.</p>
<p><bold>Keywords</bold>
</p>
<p>Lactobacillus, probiotic foods, buffaloes</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1268"><title>O210 Road safety for children: Using children’s observation, as a passenger</title>
<sec id="Sec1269"><title>Germana Brunhoso<sup>1</sup>
, Graça Aparício<sup>2</sup>
, Amâncio Carvalho<sup>3</sup>
</title>
<sec id="Sec1270"><title><sup>1</sup>
Centro Hospitalar de Trás –os-Montes e Alto Douro, Vila Real, 5000-508 Vila Real, Portugal; <sup>2</sup>
Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; <sup>3</sup>
Escola Superior de Enfermagem de Vila Real, Universidade de Trás –os-Montes e Alto Douro, Vila Real, 5000-232 Lordelo, Vila Real, Portugal</title>
<sec id="Sec1271"><title><bold>Correspondence:</bold>
Graça Aparício (gaparicio5@hotmail.com) – Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Road accidents are a leading cause of death of Portuguese children. The correct use of restraint systems for car transportation can contribute to a reduction of up to 90 % of injuries in the case of traffic accidents. Objective: To analyse whether sociodemographic characteristics and the driver behaviour influences the protection of the child, as a passenger.</p>
<p><bold>Methods</bold>
</p>
<p>Observational and cross-sectional study achieved in a sample of 119 drivers and 152 school children. We made up a STOP operation in partnership with police officers, resorting to a record of socio demographic characterization and a check-list to observe the children's carriage conditions to, and from school in a surrounding area of a school centre in a Portuguese city.</p>
<p><bold>Results</bold>
</p>
<p>The transport was done in 92.8 % of the cases by mothers who mostly assumed to have safety road knowledge (66.4 %). The observation of the children's transport conditions revealed that 70.4 % used restraint system for children, 27.6 % seat belt and that 2.0 % were traveling loosened in the car. With adequate protection were traveling 51.3 % of children. The inferential analysis showed that the mother, drivers aged < = 40 years, with intellectual and scientific occupations and higher education, influences significantly the proper protection of children in road transport.</p>
<p><bold>Conclusions</bold>
</p>
<p>The use of restraint road systems for children is high, but the intention of protection proved to be higher than the proper protection, highlighting the need to keep the nursing counselling in this priority area of child safety promotion, especially among the most disadvantaged Portuguese families.</p>
<p><bold>Keywords</bold>
</p>
<p>Road safety, children as passengers, children restraint systems</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1272"><title>O211 Perception and application of quality-by-design by the Pharmaceutical industry in Portugal</title>
<sec id="Sec1273"><title>Ana P. Garcia<sup>1</sup>
, Paula O. Fernandes<sup>2</sup>
, Adriana Santos<sup>1</sup>
</title>
<sec id="Sec1274"><title><sup>1</sup>
Health Sciences Research Centre, Faculty of Health Sciences, University of Beira Interior, Covilhã, 6201-001, Portugal; <sup>2</sup>
Unidade de Investigação Aplicada em Gestão, Instituto Politécnico de Bragança, Bragança, 5300-253 Bragança, Portugal & Research Unit in Business Sciences, University of Beira Interior, Covilhã, 6201-001 Covilhã, Portugal</title>
<sec id="Sec1275"><title><bold>Correspondence:</bold>
Ana P. Garcia (acatarinagarcia@gmail.com) – Health Sciences Research Centre, Faculty of Health Sciences, University of Beira Interior, Covilhã, 6201-001 Covilhã, Portugal</title>
<p><bold>Background</bold>
</p>
<p>A Quality-by-Design (QbD) approach is mandatory in generics development for the USA and encouraged elsewhere. How pharmaceutical companies in Portugal are integrating it is unknown. Objective: The aim of this study was to assess the Portuguese pharmaceutical industries’ perception and experience with QbD.</p>
<p><bold>Methods</bold>
</p>
<p>A structured survey was validated by three specialists and sent to 27 pharmaceutical companies producing active substances or medicines (exception of medicinal gases) in Portugal between 16/12/2013 and 1/06/2014.</p>
<p><bold>Results</bold>
</p>
<p>Twelve companies answered the survey. Eleven have implemented QbD, which is considered of greater importance among the industries having R&D activities (p-value = 0.024). Implementation has increased in recent years, and 36 % used it already in a systematic and continuous way. The most used QbD tool was “Quality Risk Assessment and Quality Risk Management” (27 %), and the most frequent scopes of implementation were “<italic>development and improvement of analytical methods</italic>
” and “<italic>process improvements</italic>
” (28 %). 32 % of the companies indicated “<italic>greater robustness in the final product quality and reduction of the risks of non-compliance and costs</italic>
” as benefit of QbD and the main obstacle towards QbD implementation was “<italic>inability/difficulty of allocating time and qualified staff</italic>
” (43 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>In Portugal there are companies with long experience in QbD and its implementation is increasing. An important obstacle to QbD implementation is the requirement of skilled staff, therefore it is essential that the Portuguese academy keeps pace with the professional demands and provides students the skills needed for working with the concept and tools of QbD.</p>
<p><bold>Keywords</bold>
</p>
<p>Quality-by-design, survey, pharmaceutical industry</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1276"><title>O212 Oral health among Portuguese children and adolescents: a public health issue</title>
<sec id="Sec1277"><title>Nélio Veiga<sup>1,2</sup>
, Carina Brás<sup>1</sup>
, Inês Carvalho<sup>1</sup>
, Joana Batalha<sup>1</sup>
, Margarida Glória<sup>1</sup>
, Filipa Bexiga<sup>1,2</sup>
, Inês Coelho<sup>3</sup>
, Odete Amaral<sup>4</sup>
, Carlos Pereira<sup>4</sup>
</title>
<sec id="Sec1278"><title><sup>1</sup>
Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Viseu, Portugal; <sup>2</sup>
Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal; <sup>3</sup>
Unidade de Saúde Familiar Grão Vasco, Viseu, 3500-177 Viseu Portugal; <sup>4</sup>
Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504 - 510 Viseu, Portugal</title>
<sec id="Sec1279"><title><bold>Correspondence:</bold>
Nélio Veiga (nelioveiga@gmail.com) – Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Oral hygiene habits such as tooth brushing, dental flossing and dental appointments are important factors in determining good oral health. Objectives: To determine the prevalence of dental caries and assess oral health behaviours among a sample of Portuguese children and adolescents.</p>
<p><bold>Methods</bold>
</p>
<p>A cross-sectional study was conducted with a sample of 1,575 children and adolescents (50.3 % female) aged 2 to 18 years old from Viseu, Portugal. Data collection was performed by applying a questionnaire about oral health behaviours (answered by parents and adolescents) and through an intraoral observation for determination of the decayed, missing and filled permanent teeth index (DMFT) and deciduous teeth index (dmft).</p>
<p><bold>Results</bold>
</p>
<p>In this study, we obtained a DMFT index of 1.80 ± 2.47 with a decayed component of 1.26 ± 1.94 and a dmft index of 2.46 ± 3.23, with a decayed component of 2.01 ± 2.88. About 79.2 % of the sample revealed tooth brushing at least twice a day. With regard to dental appointments, 60.9 % referred to visiting the dentist in the last 12 months and 48.6 % to the consumption of sugary snacks between meals. A statistically significant association was found between the prevalence of dental caries and the amount of daily tooth brushing (p = 0.033) and consumption of sugary snacks between meals (p = 0.037).</p>
<p><bold>Conclusions</bold>
</p>
<p>The presence of oral diseases and inadequate oral health behaviours among children and adolescents is still an important public health issue in Portugal. Improvement has been verified in the last years; however, it continues to be essential to carry out primary preventive measures in oral healthcare among children and adolescents.</p>
<p><bold>Keywords</bold>
</p>
<p>Dental caries, oral health, children, adolescents, primary prevention, DMFT index</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1280"><title>O213 Plant species as a medicinal resource in Igatu-Chapada Diamantina (Bahia, Brazil)</title>
<sec id="Sec1281"><title>Cláudia Pinho<sup>1†,3</sup>
, Nilson Paraíso<sup>2†</sup>
, Ana I. Oliveira<sup>1</sup>
, Cristóvão F. Lima<sup>1</sup>
, Alberto P. Dias<sup>1</sup>
</title>
<sec id="Sec1282"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal; <sup>2</sup>
Universidade Federal da Bahia, Salvador da Bahia, 0170-115, Brazil; <sup>3</sup>
Centro de Investigação e de Tecnologias Agro-Ambientais e Biológicas, Universidade de Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal & Universidade do Minho, 4704-553 Braga, Portugal</title>
<sec id="Sec1283"><title><bold>Correspondence:</bold>
Cláudia Pinho (clp@estsp.ipp.pt) – Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Thnobotanical and ethnopharmacological studies are important for documenting traditional knowledge and have contributed to the discovery of many plant-derived drugs. Objectives: This study aims to document the medicinal plant use in the community of Igatu (Bahia, Brazil), as well as determining species with bioprospecting potential.</p>
<p><bold>Methods</bold>
</p>
<p>The ethnobotanical data were collected using semi-structured interviews. Recorded plants are listed along with their popular name, traditional use, part used, method of preparation and use value (UV). The informant consensus factor (ICF) and fidelity level (FL) of the plants were also determined.</p>
<p><bold>Results</bold>
</p>
<p>A total of 80 species belonging to 73 genera and 36 families were cited. Lamiaceae (27.8 %), Fabaceae (25.0 %), and Asteraceae (19.4 %) families are of greater importance. Leaves were found to be the most frequently used plant part, while infusion was the major form of preparation. The largest number of medicinal species was indicated for diseases of the digestive system. According to UV the most important species were Lantana camara L. (2.88) and Polygala multiceps Mart. ex A.W. Benn. (2.75). ICF values obtained reflect the agreement on the use of plants for the treatment of diseases of eye and adnexa, neoplasm-tumours, and endocrine, nutritional and metabolic diseases.</p>
<p><bold>Conclusions</bold>
</p>
<p>Plants with high UV, ICF and FL values are good candidates for further pharmacological and phytochemical investigations in the search for new drugs. A comparison of the results in plants with high UV with other studies showed that some of the traditional indications are supported by available data from scientific literature.</p>
<p><bold>Keywords</bold>
</p>
<p>Traditional knowledge, Ethnobotany, Ethnopharmacology, Chapada Diamantina</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1284"><title>O214 Characterization of cognitive and functional performance in everyday tasks: Implications for health in institutionalised older adults</title>
<sec id="Sec1285"><title>Pedro Silva<sup>1,2</sup>
, Mário Espada<sup>3,4</sup>
, Mário Marques<sup>1,5</sup>
, Ana Pereira<sup>1,5</sup>
</title>
<sec id="Sec1286"><title><sup>1</sup>
Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal; <sup>2</sup>
Associação de Melhoramentos Pró Outeiro, Oliveira de Azeméis, 3720-514 Santiago de Riba-Ul, Portugal; <sup>3</sup>
School of Education, Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal; <sup>4</sup>
Centro Interdisciplinar da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Cruz Quebrada, Portugal; <sup>5</sup>
Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</title>
<sec id="Sec1287"><title><bold>Correspondence:</bold>
Ana Pereira (anapereiraphd@gmail.com) – Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</title>
<p>Functional and cognitive difficulties have been associated with early cognitive decline in older adults and increased risk for conversion to dementia in cognitive impairment, but our understanding of this decline has been limited by a dearth of objective methods. The primary purpose of this study was to investigate functional and cognitive performance in institutionalized older adults.</p>
<p>Ten subjects [(78.1 years (9.5), 158.4 cm (9.6), 68.2 kg (13.2), 27 BMI (3.9)] performed a battery of functional ability tests. These tests included functional measures such as the chair stand test (CTS), 6-minute walking test (6MWT) and get-up and go test (GUG). Cognitive impairment was evaluated by mini-mental state examination test (MMSE), activities of daily living using Barthel’s index (BI) and balance assessment with Tineti Test (TT). Results showed lower performance in all tests (p ≤ 0.05): the chair stand test (9.8 ± 3.0 repetitions), 6MWT (226.4 ± 114 meters), GUG (14.0 ± 10.9 seconds), MMSE (21.4 ± 5.9 total score) BI (95 ± 5.5 total score) and TT (21.9 ± 5.0 total score) at baseline of the study. Results suggest that the effectiveness of dual-task health intervention programmes seems to be the new strategic way to improve functional capacity and cognitive performance and can be useful in decreasing functional decline in institutionalized older adults. Activities targeting episodic memory may be most effective in addressing early functional impairment in older age.</p>
<p><bold>Keywords</bold>
</p>
<p>Cognition, dual-task, gait, muscular performance, institution, health promotion</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1288"><title>O215 BMI and the perception of the importance given to sexuality in obese and overweight people</title>
<sec id="Sec1289"><title>Ana Mª Pereira<sup>1</sup>
, Mª Veiga-Branco<sup>1</sup>
, Filomena Pereira<sup>2</sup>
, Maria Ribeiro<sup>1</sup>
</title>
<sec id="Sec1290"><title><sup>1</sup>
Escola Superior de Saúde de Bragança, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal; <sup>2</sup>
Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</title>
<sec id="Sec1291"><title><bold>Correspondence:</bold>
Ana Mª Pereira (amgpereira@ipb.pt) – Escola Superior de Saúde de Bragança, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Literature has been pointing towards obesity as the moderating variable of a depressive vicious cycle of self-esteem and self-image, with social isolation, anxiety and depression. This in turn drives people to channel sexual pleasure into the pleasure of food, thus aggravating their condition of obesity even more and consequently causing a major negative impact on the individual’s sexual life. Ojective: To assess the importance given to sexuality in obese and overweight individuals as well as assessing the existence of a correlation between these variables.</p>
<p><bold>Methods</bold>
</p>
<p>A quantitative exploratory study was conducted on 218 patients of both genders (68.3 % female and 31.7 % male) aged between 18 and 65. Data collection was carried out in several hospitals in the centre and north of the country. The data was collected by using the Index of Sexual Satisfaction (ISS).</p>
<p><bold>Results</bold>
</p>
<p>Among participants, 82.2 % were obese or overweight. Among the obese, 38.1 % registered a type I obesity; 16.4 % had type II obesity (severe); and 8.7 % had type III obesity (morbid). The obese revealed to be the ones who gave the most importance to sexuality, despite also being the ones who present the highest sexual dissatisfaction. Finally, the results show that there is a positive correlation, though weak, between sexual dissatisfaction and BMI.</p>
<p><bold>Conclusions</bold>
</p>
<p>Obese individuals are the ones who revealed the highest sexual dissatisfaction. Therefore, the cause of such dissatisfaction must be sought and valued as an issue related to obesity.</p>
<p><bold>Keywords</bold>
</p>
<p>Sexuality, obese, body mass index</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1292"><title>O216 <bold>Analysis and comparison of microbiological contaminations of two different composition pacifiers</bold>
</title>
<sec id="Sec1293"><title>Vera Lima<sup>1</sup>
, Ana I. Oliveira<sup>1,2</sup>
, Cláudia Pinho<sup>1,2</sup>
, Graça Cruz<sup>1</sup>
, Rita F. Oliveira<sup>1,2,3</sup>
, Luísa Barreiros<sup>4</sup>
, Fernando Moreira<sup>1,5</sup>
</title>
<sec id="Sec1294"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal; <sup>2</sup>
Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal; <sup>3</sup>
Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-193 Aveiro, Portugal; <sup>4</sup>
UCBIO-REQUIMTE Rede de Química e Tecnologia<sup>,</sup>
4051-401 Porto, Portugal & Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Porto, 4050-313 Porto, Portugal; <sup>5</sup>
Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, Porto, 4200-319 Porto, Portugal & Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Vila Nova de Gaia, Portugal</title>
<sec id="Sec1295"><title><bold>Correspondence:</bold>
Fernando Moreira (ffm@estsp.ipp.pt) – Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, Porto, 4200-319 Porto, Portugal & Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Vila Nova de Gaia, Portugal</title>
<p>Pacifiers are important devices during the development and growth of babies and young children, mainly owing to possible prevention of sudden instant death syndrome and provision of a comfort feeling towards stress and anxiety. However, permanent contact between pacifier and oral microflora leads to the creation of a biofilm in the pacifier’s surface. Besides, the contamination of pacifier’s outsides toddlers’ mouth cannot be disregarded by being dropped and immediately used by infants, enabling the entrance of pathogenic bacteria that might generate relevant and eventual systemic infections.</p>
<p>The main objectives of this study were to develop a method to quantitatively analyse the contamination of pacifiers used by infants and to compare the contamination susceptibility of two different materials: natural rubber and silicon. Ten samples were collected in a nursery in North of Portugal and properly kept in sterile bags during its transportation to the laboratory. Subsequently, a microbiological collection was performed from the pacifiers into Petri dishes previously filled with nutrient agar. Following incubation for 48 h, bacterial colonies were counted.</p>
<p>It was possible to confirm the presence of several colonies in the studied samples and, according to the obtained results, there was a tendency to a greater contamination in silicon than in rubber pacifiers.</p>
<p>The present study demonstrates that it’s important to define strategies to ensure the convenient cleaning and sterilization of pacifiers, owing to their massive contamination. Further studies, with larger number of samples, would be important to conclude about the most suitable composition of pacifiers, regarding the contamination prevention.</p>
<p><bold>Keywords</bold>
</p>
<p>Silicon, rubber, childcare, biofilm, measurement</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1296"><title>O217 Experiences of couple relationships in the transition to retirement</title>
<sec id="Sec1297"><title>Ana Camarneiro<sup>1</sup>
, Mª Helena Loureiro<sup>2</sup>
, Margarida Silva<sup>1</sup>
</title>
<sec id="Sec1298"><title><sup>1</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>2</sup>
University of Aveiro, Aveiro, 3810-193 Aveiro, Portugal</title>
<sec id="Sec1299"><title><bold>Correspondence:</bold>
Ana Camarneiro (pcamarneiro@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Transition to retirement requires an effective adaptation to the new roles and functions in individuals and their partners. The couple lives special moments in this transition, maybe with a new marital dynamic. Objectives: To analyse the experiences of couple relationships in the process of adaptation to retirement and the strategies adopted to address it.</p>
<p><bold>Methods</bold>
</p>
<p>This is a qualitative and descriptive study. The sample consisted of 32 couples in which at least one spouse was retired for less than five years. The subjects were registered in health units of a Regional Health Administration of the central region of Portugal. Semi-structured interviews and thematic analysis using the NVivo10® program were used.</p>
<p><bold>Results</bold>
</p>
<p>The experiences of couple relationships in transition to retirement showed the following topics: Resources; Vulnerabilities; Expectations and future idealizations. Resources of conjugality and marital idealization in the future proved to be strategies of adaptation to retirement. Positive couple relationships are assumed as an important condition in the transition to retirement which is reflected in health and well-being. Couples have different vulnerabilities and marital resources. The spouse seems to be a key resource for the retired individual. Couples idealize happy times but also expect future difficulties.</p>
<p><bold>Conclusions</bold>
</p>
<p>The transition to retirement is a moment which, due to its marital and social importance, needs more investment in terms of psychological and physical health care.</p>
<p><bold>Keywords</bold>
</p>
<p>Couple, retirement, transition</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1300"><title>O218 Preventive and corrective treatment of drug-induced calcium deficiency: an analysis in a community pharmacy setting</title>
<sec id="Sec1301"><title>Catarina Duarte, Ângelo Jesus, Agostinho Cruz</title>
<sec id="Sec1302"><title>Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</title>
<sec id="Sec1303"><title><bold>Correspondence:</bold>
Ângelo Jesus (acj@estsp.ipp.pt) – Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Drug-nutrient interactions are not always valued in clinical practice. These interactions may result in drug-induced nutrient deficiency and therefore preventive and corrective treatments may be necessary. Pharmacy Technicians play an important role in identifying patients at risk. Objectives: To determine and characterise the values of the bone mineral density of patients using quantitative ultrasonic measurements of the calcaneus; to analyse the use of preventive or corrective treatment of drug-induced nutritional deficiencies and their consequences.</p>
<p><bold>Methods</bold>
</p>
<p>Observational analytic cross-sectional study performed in a Community Pharmacy in Porto with 103 individuals (82.5 % female) over the age of 40. Data collection was obtained through a structured questionnaire. Bone mineral density of the participants was quantitatively assessed by ultrasound of the calcaneus. Data were analysed using SPSS.</p>
<p><bold>Results</bold>
</p>
<p>Bone mineral density values were significantly lower in women (0.405 ± 1.07 g/cm<sup>3</sup>
vs. 0.510 ± 0.142 g/cm<sup>3</sup>
). There was also a more pronounced decrease with age. Sixty-six per cent of the patients were being medicated with at least one drug that could induce calcium deficiency. Of the patients at risk, only 24.5 % take any sort of oral supplementation. About 30%of patients at risk were never screened or treated for osteoporosis.</p>
<p><bold>Conclusions</bold>
</p>
<p>The quantitative assessment of bone mineral density by ultrasound of the calcaneus in the pharmacy, allows the tracking of high-risk individuals. Pharmacy Technicians and other health professionals must provide a greater awareness of drug-induced nutritional deficiencies and adopt measures to prevent and avoid negative effects on patient health.</p>
<p><bold>Keywords</bold>
</p>
<p>Food-Drug Interactions, osteoporosis, calcium, community pharmacy services</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1304"><title>O219 Profile of mood states in physically active elderly subjects: Is there a relation with health perception?</title>
<sec id="Sec1305"><title>Maria Mota<sup>1</sup>
, Sandra Novais<sup>2</sup>
, Paulo Nogueira<sup>2</sup>
, Ana Pereira<sup>1,3</sup>
, Lara Carneiro<sup>2</sup>
, Paulo V. João<sup>1</sup>
</title>
<sec id="Sec1306"><title><sup>1</sup>
Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal; <sup>2</sup>
Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal; <sup>3</sup>
Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal</title>
<sec id="Sec1307"><title><bold>Correspondence:</bold>
Maria Mota (mpmota@utad.pt) – Research Centre for Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</title>
<p>Age-related psychological changes frequently express an increase in depressive symptoms and loss of vigour. A wide literature describes the benefits of regular physical exercise in mental health. However, concerning the elderly, the results are scarce. This study aimed to characterize the Profile of Mood States (POMS) in regular physically active elderly people. Moreover, we also intended to verify how the perception of health status was associated with POMS and whether there are differences between the sexes.</p>
<p>The survey sample was composed by 279 elderly people (237 females and 42 males), aged between 65 and 92 years, practitioners of physical exercise. The POMS questionnaire was used to measure positive (vigour) and negative (tension, depression, hostility, fatigue and confusion) variables. A case history questionnaire was used to measure the perception of their state of health. The t-test and Mann-Whitney test were used to compare variables by sex. A Spearman test was used to test association of variables. The significance level was set at 0.05.</p>
<p>According to POMS, the results revealed that the typical positive iceberg profile exists in this sample, with higher values obtained in vigour and lower values in negative variables. This profile was even better in men compared to women (p < 0.05). The perception of health was higher in men and was positively associated with the vigour scale of POMS and negatively associated with negative variables of POMS.</p>
<p>These results suggest that regular physical activity may contribute to maintaining elderly psychological well-being which proved to be related with health perception.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, physical exercise, POMS, health</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1308"><title>O220 (Un)Safety behaviour at work: the role of education towards a health and safety culture</title>
<sec id="Sec1309"><title>Teresa Maneca Lima (tmaneca@gmail.com)</title>
<sec id="Sec1310"><title>Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra, Portugal</title>
<p>Work accidents are a constant and fatal reality in all countries. The main causes are related to precarious working conditions and to workers’ inadequate behaviour. There is an obvious connection between behaviour and risk prevention at work. However, behaviour is not always the most important element in preventing labour accidents. Therefore, to promote a culture of health and safety among workers, it is fundamental to understand not only the role of education in fostering a conscientious behaviour prone to following safety procedures, but also the individual characteristics of each employee. In Portugal, work related accidents occur frequently among workers with low levels of education and training.</p>
<p>The objective of this paper is to explore the correlation between education and training programmes and the prevention strategy regarding labour risks in Portugal. Since the early 1990s, several national plans have been designed and implemented in order to assure the effective integration into school curricula of contents related to labour risks and health and safety at work. The National Programme for Education on Safety and Health at Work (PNESST) implemented in 2000 is the main example of the national strategy for education and training towards a culture of health and safety.</p>
<p>By examining the implementation of the PNESST and analysing the statistics of occupational accidents in Portugal, it is possible to determine that safety behaviour at work is related to the workers’ level of information and training in safety and health. Undoubtedly, this approach can contribute to reduce the number of labour accidents.</p>
<p><bold>Keywords</bold>
</p>
<p>work accidents, workers’ behaviours, education and training, health and safety culture</p>
</sec>
</sec>
</sec>
<sec id="Sec1311"><title>O221 Analysis of the entrepreneurial profile of students attending higher education in Portugal: the Carland Entrepreneurship Index application</title>
<sec id="Sec1312"><title>Anabela Salgueiro-Oliveira, Marina Vaquinhas, Pedro Parreira, Rosa Melo, João Graveto, Amélia Castilho, José H. Gomes</title>
<sec id="Sec1313"><title>Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<sec id="Sec1314"><title><bold>Correspondence:</bold>
Anabela Salgueiro-Oliveira (anabela@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The societal changes have created new necessities in terms of health care and of professionals with diverse skills. The institutions of higher education should promote the development of an entrepreneurial profile in students which may boost the exploration of new opportunities. Objectives: To identify the entrepreneurial profile in the students in higher education and its relationship to some personal characteristics and training.</p>
<p><bold>Methods</bold>
</p>
<p>Correlational quantitative study, accomplished with 1,604 students from 18 institutions of polytechnic Institutes of Portugal. The collection of data occurred between July and November/2015. The Carland Entrepreneurship Index (CEI) entrepreneurial skills questionnaire was applied, along with the acquisition of socio-demographic variables of the students. Data was analysed with the SPSS 23.0. The study followed the ethical requirements.</p>
<p><bold>Results</bold>
</p>
<p>The (CEI) application, allowed us to note that 75.7 % of the students presented an entrepreneurial profile, 20.8 % a Micro entrepreneurial profile and 3.4 % a Macro entrepreneurial. Additionally, we verified that older students (r = 0.193, p < = 0.000), of the male gender (Female = 0.55; Male, M = 0.580 p < 0.000), that had already worked or would like to work for others, showed the greatest entrepreneurial potential (Yes M = 0.60; No 0.54; p < 0.000), along with those who participated in entrepreneurial contents during their training (Did not participate M = 0.53; Participated 0.58; p < 0.000).</p>
<p><bold>Conclusions</bold>
</p>
<p>The entrepreneurial profile is related with some social demographic characteristics of the students; however, the educational institutions may have a preponderant role in the development of that profile, which may contribute to a greater contribution in the wellbeing of the populations.</p>
<p><bold>Keywords</bold>
</p>
<p>entrepreneurial profile, students, higher education</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1315"><title>O222 Evaluation of welfare and quality of life of pregnant working women regarding the age of the pregnant</title>
<sec id="Sec1316"><title>María S. Medina<sup>1</sup>
, Valeriana G. Blanco<sup>2</sup>
</title>
<sec id="Sec1317"><title><sup>1</sup>
GyM Prevención, Burgos, 09007 Burgos, España; <sup>2</sup>
Universidad de Burgos, 09001 Burgos, España</title>
<sec id="Sec1318"><title><bold>Correspondence:</bold>
María S. Medina (mariasierra3@hotmail.com) – GyM Prevención, Burgos, 09007 Burgos, España</title>
<p>The working situation of pregnant women has special connotations, both in the physical and psychological situation and this may influence their welfare. Aware of this, the present work has as objective to evaluate the perceived quality of life for pregnant working women at different times of pregnancy.</p>
<p>This work had a convenience sample of 165 pregnant women living in Burgos (Spain) and workers from different weeks of gestation and a wide range of ages.</p>
<p>The study has a cross-cutting nature and the data collection was carried out with the WHOQOL-BREF questionnaire and an ad hoc questionnaire to collect identification data and the weeks of gestation.</p>
<p>The criteria variables were: perceived quality of life, satisfaction with the health and quality of life in physical dimensions, health, psychological health, social relationships and environment. The predictor variables were weeks of pregnancy and age.</p>
<p>The results show that in general women are quite satisfied with their quality of life and health. The relationship between the variables that measure the quality of life and stage of pregnancy does not become significant although a trend to higher scores is observed in the overall assessment and the different dimensions in women who are in the category between 31 and 35 years.</p>
<p><bold>Keywords</bold>
</p>
<p>Pregnant, Quality of life, Working women</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1319"><title>O223 Psychological wellbeing protection among unemployed and temporary workers: Uncovering effective community-based interventions with a Delphi panel</title>
<sec id="Sec1320"><title>Osvaldo Santos<sup>1,2</sup>
, Elisa Lopes<sup>1,2</sup>
, Ana Virgolino<sup>1,2</sup>
, Alexandra Dinis<sup>3</sup>
, Sara Ambrósio<sup>3</sup>
, Inês Almeida<sup>3</sup>
, Tatiana Marques<sup>3</sup>
, Mª João Heitor<sup>3,4</sup>
</title>
<sec id="Sec1321"><title><sup>1</sup>
Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal; <sup>2</sup>
Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal; <sup>3</sup>
Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa, Portugal; <sup>4</sup>
Hospital Beatriz Ângelo, Loures, 2674-514 Loures, Portugal</title>
<sec id="Sec1322"><title><bold>Correspondence:</bold>
Osvaldo Santos (osvaldorsantos@gmail.com) – Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Economic crises have a deleterious impact on mental health. Unemployment and precarious work conditions pose an increased risk to psychological wellbeing. Effective community-based interventions need to be developed within the context of mental health equity-oriented programmes. Objectives: To identify effective short-term community-based interventions for psychological wellbeing protection among unemployed and temporary agency workers. More specifically, we aimed to identify which psychosocial competences, therapeutic reference-models and intervention formats should be used in these interventions.</p>
<p><bold>Methods</bold>
</p>
<p>We did a scoping review to map conceptually-driven interventions (through PubMed and SciELO). Results of this review were submitted to the opinion of a Delphi panel of experts, selected by intentional sampling, in the areas of: mental health promotion, public health, psychological intervention and human-resources management. Consensus criteria were set as 90 % of the scores per-item higher than 3 (5-point Likert scale) and average higher than 3.5 (variation coefficient lower than 0.35).</p>
<p><bold>Results</bold>
</p>
<p>The Delphi panel involved 46 experts (participation-rate at the end of 2 rounds: 90 %). Consensus was achieved for 5 intervention sessions with medium-size groups (15-20 people). Experts proposed different therapeutic-driven models (e.g., psychodynamic-inspired, systemic, cognitive-behavioural) as adequate for the indicated purposes. Cognitive-behavioural and psycho-educational strategies for mental health literacy promotion, psychosocial competences and emotional regulation were considered as maximizing the possibility of positive effects.</p>
<p><bold>Conclusions</bold>
</p>
<p>Irrespective of the conceptual framework, increased knowledge about mental health and basic psychosocial (empathy, active listening, assertiveness) and emotional-regulation competences emerged as necessary for wellbeing protection and to enhance resilience among vulnerable populations.</p>
<p><bold>Keywords</bold>
</p>
<p>Psychological wellbeing, Mental health promotion, Community intervention, Unemployment health, Delphi study</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1323"><title>O224 Chilean population norms derived from the Health-related quality of life SF-6D</title>
<sec id="Sec1324"><title>Miguel A. Garcia-Gordillo<sup>1</sup>
, Daniel Collado-Mateo<sup>1</sup>
, Pedro R. Olivares<sup>2</sup>
, José A. Parraça<sup>3</sup>
, José A. Sala<sup>1</sup>
</title>
<sec id="Sec1325"><title><sup>1</sup>
University of Extremadura, Badajoz, 06071 Badajoz, España; <sup>2</sup>
Universidad Autonoma de Chile, Talca, 1670 Talca, Chile; <sup>3</sup>
Universidade de Évora, 7004-516 Évora, Portugal</title>
<sec id="Sec1326"><title><bold>Correspondence:</bold>
Miguel A. Garcia-Gordillo (miguelgarciagordillo@gmail.com) – University of Extremadura, Badajoz, 06071 Badajoz, España</title>
<p><bold>Background</bold>
</p>
<p>The SF-6D classification provides utility values for health status. Utilities generated have a number of potentially valuable applications in economic evaluations and not only to ensure comparability between studies. Reference values can be useful to estimate the effect of interventions on patients’ HRQoL in the absence of control groups. Thus, the purpose would be to provide the SF-6D normative values in the Chilean population.</p>
<p><bold>Methods</bold>
</p>
<p>A cross-sectional study was conducted. A total of 5,293 people agreed to participate in the study. SF-6D utilities were derived from SF-12 questions.</p>
<p><bold>Results</bold>
</p>
<p>Mean SF-6D utility index for the whole sample was 0.74. It was better for men (0.78) than for women (0.71). The ceiling effect was much higher for men (11.16 %) than for women (5.31 %). Women were more likely to show problems in any dimension than men.</p>
<p><bold>Conclusions</bold>
</p>
<p>Chilean population norms for the SF-6D are shown in this paper to help in decision-making in health policies. Men reported a higher state of health than women in all sub-categories analysed. Likewise, men also reported higher scores than women in all dimensions of SF-6D in overall.</p>
<p><bold>Keywords</bold>
</p>
<p>Reference values, HRQoL, Utility, Health</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1327"><title>O225 Motivation of college students toward Entrepreneurship: The influence of social and economic instability</title>
<sec id="Sec1328"><title>Amélia Castilho, João Graveto, Pedro Parreira, Anabela Oliveira, José H. Gomes, Rosa Melo, Marina Vaquinhas</title>
<sec id="Sec1329"><title>Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<sec id="Sec1330"><title><bold>Correspondence:</bold>
Amélia Castilho (afilomena@esenfc.pt) – Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The concept of entrepreneurship is subdivided into entrepreneurship of opportunity and entrepreneurship of necessity, evidencing that labour-market instability has an important role in the decision to pursue it (Global Entrepreneurship Monitor, 2013). The recent world financial crisis led to social and employment instability in Portugal, with potential influence on the motivation to partake in business ventures. Objectives: To analyse the relationship between the Perception of Social and Economic Instability (PSEI) and select contextual and socio-demographic variables in polytechnic college students.</p>
<p><bold>Methods</bold>
</p>
<p>A correlational quantitative study made with 1,604 students from 18 different Portuguese Superior-Polytechnic institutions (mainland Portugal). A survey on business motivation from Parreira, Pereira and Brito (2011) was applied. The sample consists of female students (65.2 %), married students (11.1 %) and worker-students (19.7 %). The data were analysed through SPSS.</p>
<p><bold>Results</bold>
</p>
<p>Students with entrepreneur aspirations felt able to start a business and contrast with worker-students, who have less PSEI, respectively (Midea = 2.97, SD = 1.20; Mwithout_idea s = 3.21, SD = 1.12, t(1601) = 4.10, p < .000); (Mable_create = 3.01, SD = 1.16; Mnot_able_create = 3.19, SD = 1.17, t(1601) = 2.97, p < .003); (Mstudent = 3.12, SD = 1.17; Mstudent_worker = 2.92, SD = 1.17, t(1599) = 2.74 p < .006), relation between aspiration to the international market and PSEI (Minternacional = 2.95, SD = 1.24; Mnot_international = 3.11, SD = 1.15, t(1601) = 2.31, p < .021); women demonstrate more PSEI (Mmale = 2.93, SD = 1,13; Mfemale = 3.16, SD = 1.18, t(1601) = 3.17 p < .000); married students show less PSEI (Mmarried/joint = 2.91, SD = 1.17; Mother = 3.10, SD = 1.17, t(1601) = 2.11 p < .035).</p>
<p><bold>Conclusions</bold>
</p>
<p>Some sociodemographic variables are revealed to have influence on this process. Socioeconomic reality and the perception of instability in different contexts conditions the student’s perception as an entrepreneur.</p>
<p><bold>Keywords</bold>
</p>
<p>Entrepreneurship profile, Motivation of college students, Social and economic instability</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1331"><title>O226 Use of aromatic and medicinal plants, drugs and herbal products in Bragança city</title>
<sec id="Sec1332"><title>Mónica Cheio<sup>1</sup>
, Agostinho Cruz<sup>1</sup>
, Olívia R. Pereira<sup>2</sup>
</title>
<sec id="Sec1333"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal; <sup>2</sup>
Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança, Portugal</title>
<sec id="Sec1334"><title><bold>Correspondence:</bold>
Olívia R. Pereira (oliviapereira@ipb.pt) – Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança, Portugal</title>
<p>Herbal therapy is characterized by the use of aromatic and medicinal plants (AMP) in different pharmaceutical forms for therapeutic purposes. The present study aims to characterize the use of AMP, drugs and herbal products in Bragança city.</p>
<p>A cross-sectional study was conducted through application of a questionnaire to 404 subjects of both gender and aged between 18 and 89 years.</p>
<p>AMP were therapeutically used by 53.7 % mainly due “<italic>to be natural</italic>
” (43.9 %) while 33.8 % use drugs and/or herbal products mainly “<italic>because it is good for health</italic>
” (53.5 %). The AMP most used were Cidreira (n = 149) and Camomila (n = 117) and concerning drugs and/or herbal products Valdispert® (n = 48) and Daflon® 500 (n = 41) were the most reported.</p>
<p>Overall, the reported uses of AMP, drugs and herbal products were correct, according to the reported in literature. The use of AMP is motivated by self-knowledge (55.4 %) while drugs and/or herbal products are used mostly by medical prescription (44.1 %). AMP were obtained by own cultivation (44.1 %) and drug and/or herbal products in pharmacies (89.0 %). Of all users, about 90 % did not combined these products with conventional drugs and it was identified just one potential occurrence of drug interactions related with the use of Hipericão. The occurrence of adverse effects was noted after the use of AMP Sene (11.8 %), Hipericão (9.1 %) and Ginkgo Biloba (8.3 %). The use of these products is a common practice among the residents of Bragança city, which use a wide diversity of AMP and plant-based products.</p>
<p><bold>Keywords</bold>
</p>
<p>Aromatic and medicinal plants, herbal drugs, herbal products</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1335"><title>O227 Edible flowers as new novel foods concept for health promotion</title>
<sec id="Sec1336"><title>Sara Pinto<sup>1</sup>
, Adriana Oliveira<sup>1</sup>
, M. Conceição Manso<sup>1,2</sup>
, Carla Sousa<sup>1</sup>
, Ana F. Vinha<sup>1,2</sup>
</title>
<sec id="Sec1337"><title><sup>1</sup>
Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos em Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto, Portugal; <sup>2</sup>
REQUIMTE/LAQV, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, 4050-313 Porto, Portugal</title>
<sec id="Sec1338"><title><bold>Correspondence:</bold>
Ana F. Vinha (acvinha@ufp.edu.pt) – REQUIMTE/LAQV, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, 4050-313 Porto, Portugal</title>
<p>Edible flowers are commonly used in human nutrition and their consumption has increased in the last years. In Europe, the most common application of flower petals in human nutrition is in the preparation of hot beverages (tisane or infusion), providing wellness due to the medicinal properties already recognized. Thus, it is paramount to know their nutritional composition as well as other functional and beneficial properties often related to their bioactive compounds and antioxidant properties.</p>
<p>Rose (<italic>Rosa canina</italic>
L.), marigold (<italic>Calendula officinalis</italic>
L.) and camellia (<italic>Camellia</italic>
L.) were compared for their contents in total phenolics, flavonoids and carotenoids. Moreover, their antioxidant capacity was assessed.</p>
<p>In what concerns bioactive compounds and antioxidant activity (DPPH•), promising levels were obtained, showing significant differences among samples (p < 0.001). <italic>C. officinalis</italic>
presented the highest levels of total phenolics and carotenoids contents (35.4 mg GAE/g, 15.6 mg/g, respectively). Herein, the best results for flavonoids content were obtained in rose petals (~95 mg ECE/g) potentially indicating the presence of high percentage of glycosylated polyphenolics which are readily soluble in water. Since the antioxidant activity is often correlated with the contents in total bioactive compounds the correlation coefficients among bioactive compounds and antioxidant activity were also studied.</p>
<p>The antioxidant activity was found to be positively and significantly highly correlated with total phenolics (rs = 0.917, p = 0.001) and carotenoids (rs = 0.900, p = 0.001). These findings might have practical applications regarding the enhancement of edible flowers, either for prompt consumption as well as to develop food supplements or pharmaceutics related products.</p>
<p><bold>Keywords</bold>
</p>
<p>Rose (Rosa canina L.), Marigold (Calendula officinalis L.), Camellia (Camellia L.), bioactive compounds, antioxidant activity (DPPH), health promotion</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1339"><title>O228 The influence of leisure activities on the health and welfare of older people living in nursing homes</title>
<sec id="Sec1340"><title>Mª Manuela Machado<sup>1</sup>
, Margarida Vieira<sup>2</sup>
</title>
<sec id="Sec1341"><title><sup>1</sup>
Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga, Portugal; <sup>2</sup>
Universidade Católica Portuguesa – Porto, 4202-401 Porto, Portugal</title>
<sec id="Sec1342"><title><bold>Correspondence:</bold>
Mª Manuela Machado (mmachado@ese.uminho.pt) – Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Leisure activities, often left in the background throughout life, play an important role for older persons. They are activities that they like to accomplish, according to individual preferences that make it easier to maintain an active life, on a physical, mental and social level, improving their health. Objectives: I) Identify the leisure habits of older people living in nursing homes; II) Describe the nursing homes’ offer of leisure activities; III) Identify relationships between leisure activities and the seniors’ health condition.</p>
<p><bold>Methods</bold>
</p>
<p>A cross-sectional descriptive correlational study, in 12 nursing homes in the north of Portugal with a sample of 1,131 seniors. We performed a descriptive and inferential statistical data analysis using SPSS/PC for Windows, version 22.</p>
<p><bold>Results</bold>
</p>
<p>Participants were mostly female, widows, with an average age of 84 years. The most common leisure activity is watching TV. Impaired sight and illiteracy are the most frequent causes of elderly people’s non-adherence to leisure activities. Leisure activities: card/board games, crafts and reading are associated with better cognitive performance; sightseeing and reading are associated with greater independence in self-care; watching television is associated with greater compromise of bodily processes and greater dependence on self-care; performing manual work is associated with less depression; walking is associated with a lower compromise of bodily processes and lower risk of falling.</p>
<p><bold>Conclusions</bold>
</p>
<p>Leisure habits are important in maintaining the health of older people living in nursing homes.</p>
<p><bold>Keywords</bold>
</p>
<p>Elderly, Leisure habits, Nursing homes, Health status</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1343"><title>O229 Risk of falling, fear of falling and functionality in community-dwelling older adults</title>
<sec id="Sec1344"><title>Beatriz Fernandes, Teresa Tomás, Diogo Quirino</title>
<sec id="Sec1345"><title>Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</title>
<sec id="Sec1346"><title><bold>Correspondence:</bold>
Beatriz Fernandes (beatriz.fernandes@estesl.ipl.pt) – Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Ageing among Portuguese population is leading to an increase in the proportion of elderly people. Age-related changes are responsible for high levels of disability, balance problems and high risk of falls, Physiotherapy can identify elderly in risk of falling and provide strategies to prevent falls in this population contributing to maintain functionality. The purpose of this study was to characterise the risk of falling in a sample of community-dwelling older adults and investigate the associations between functionality and balance. Objective: To identify the risk of failing in community-dwelling older adults and ifs relations with fear of falling and functional capacity.</p>
<p><bold>Methods</bold>
</p>
<p>Cross-sectional study. Sixty-one (61) subjects participated in the study, 40 (65.6 %) females and 21 (34.4 %) males, aged 74 ± 7.5 years. Outcome measures were balance assessed with Berg Balance Scale (BBS); fear of falling with Falls Efficacy Scale (FES); functionality with Composite Physical Function (CPF).</p>
<p><bold>Results</bold>
</p>
<p>The results of our study showed that for BBS the median was 54, for FES was 96 and for CPF was 20 points. The risk of falling for this sample was 11 %. Positive associations were found between BBS and FES (R = 0.589; p = 0.00), CPF and BBS (R = 0.723; p = 0.00) and CPF and FES (R = 0.613; p = 0.00).</p>
<p><bold>Conclusions</bold>
</p>
<p>Risk of falling is present among the participants in our study. The positive associations between balance, confidence and functionality indicate that balance and confidence in performing activities of daily living are important for having high levels of function, suggesting that physiotherapy focused on balance training can contribute to enhance independence.</p>
<p><bold>Keywords</bold>
</p>
<p>Ageing, balance, risk of falling, function, physiotherapy</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1347"><title>O230 Musculoskeletal pain and postural habits in children and teenage students</title>
<sec id="Sec1348"><title>Gustavo Desouzart<sup>1</sup>
, Rui Matos<sup>2</sup>
, Magali Bordini<sup>1</sup>
, Pedro Mouroço<sup>3</sup>
</title>
<sec id="Sec1349"><title><sup>1</sup>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Life Quality Research Centre, Polytechnic Institute of Santarém, 2001–904 Santarém, Portugal & Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal; <sup>3</sup>
Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 – Marinha Grande, Portugal</title>
<sec id="Sec1350"><title><bold>Correspondence:</bold>
Gustavo Desouzart (gustavodesouzart@gmail.com) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p>The study of the relationship between the musculoskeletal pain and postural habits in children and teenagers of the 2nd and 3rd cycles of basic education (107 male and 97 female) can establish criteria in health care in individuals during growth. A body part discomfort scale was adopted to check the references of pain level and localization. The results indicated ranged from 0 (no pain) and 5 (maximum pain), with an average of 2.40 ± 0.96 (moderate to severe pain), and longer time of the presence of pain (39.2 % of chronic pain) the greater the average intensity of pain (2.59 ± 0.87). 67.3 % (148) of the participants indicated musculoskeletal pain, 53.4 % reported pain in at least two different locations and 27 % referred to pain in three or more places. The 5th grade participants indicated chronic pain with 27.3 % as being 25 % (subacute) and 47.7 % (acute). In contrast, the amount of 9th grade participants who referred to pain in the body decreased (58.8 %), but the average pain (2.50 ± 0.89) and its duration increased (56.7 % of chronic pain). The average value of greater pain among women (2.57 ± 0.93) in both years of schooling was greater compared to males who had a mean value of pain 2.18 ± 0.97. This study aimed to present the 1st phase of a study developed in the school environment, in order to contribute to the deepening of the discussion on postural education. These results showed a prevalence of moderate/severe pain, the largest level of pain in females and in higher grade students.</p>
<p><bold>Trial registration</bold>
</p>
<p>Current Controlled Trials ANZCTR370295</p>
<p><bold>Keywords</bold>
</p>
<p>Musculoskeletal pain, Postural habits in students, Postural education</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1351"><title>O231 What's different in Southern Europe? The question of citizens’ participation in health systems</title>
<sec id="Sec1352"><title>Ana R. Matos, Mauro Serapioni</title>
<sec id="Sec1353"><title>Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra, Portugal</title>
<sec id="Sec1354"><title><bold>Correspondence:</bold>
Ana R. Matos (amatos@ces.uc.pt) – Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra, Portugal</title>
<p>Contemporary governance demands mutual interdependence of actors through participatory devices in order to competently address public problems and improve the quality of decisions. This debate is actively present within the health system where several international organizations have been exhorting national governments to develop public spaces within civil society as the proper locations for the improvement of their health systems. To date, several initiatives have been put forward and substantial resources have been invested in the design and implementation of citizens’ participation exercises in the health domain.</p>
<p>The main focus of this paper is civil society's involvement with health systems. It analyses the characteristics of the Greek, Italian, Portuguese, and Spanish health systems and the main steps in their reform processes. The most relevant initiatives of citizen participation are identified, highlighting their key features and potential, as well as the main critical issues raised.</p>
<p>The evolution of the national health services in the countries analysed shares a common history, as well as similar models for the provision of health services in the case of Italy, Portugal, and Spain.</p>
<p>With the exception of Greece, where participation is in an early stage, the participatory activities implemented in the other three countries revealed common features: I) a gap between the discourse on the importance of citizens' participation that permeated the reform processes and the practices implemented within health services; II) most of the experiments only take place at a local or regional level; III) the changes of governments have been negatively affecting the consolidation of participatory experiences.</p>
<p><bold>Keywords</bold>
</p>
<p>National Health Service, Citizen participation, Southern European countries</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1355"><title>O232 Occupational stress in Portuguese police officers</title>
<sec id="Sec1356"><title>Teresa Guimarães, Virgínia Fonseca, André Costa, João Ribeiro, João Lobato</title>
<sec id="Sec1357"><title>Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</title>
<sec id="Sec1358"><title><bold>Correspondence:</bold>
Teresa Guimarães (tguimaraes@estesl.ipl.pt) – Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Occupational stress occurs when individuals perceive work demands as exceeding their resources and abilities to cope with them, inducing a set of physical and emotional responses and affecting job satisfaction. Policing is often associated with high levels of occupational stress, resulting from stressors found in the work environment and in the individual’s family life. Objectives: To assess perceived occupational stress levels in police officers and to identify the most relevant stressors.</p>
<p><bold>Methods</bold>
</p>
<p>Fifteen (15) police officers (from a police station with 45 professionals), 93.3 % males, 24 - 46 years (M = 33.27; SD = 6.24), with an average of 9.07 years of experience (SD = 6.72), 66.7 % working more than 40 hours/week and 86.7 % doing shift work, completed the “Operational Police Stress Questionnaire” (PSQ-Op) and the “Organizational Police Stress Questionnaire” (PSQ-Org).</p>
<p><bold>Results</bold>
</p>
<p>Participants presented moderate stress levels for PSQ-Org (M = 3.45; SD = 1.18) and PSQ-Op (M = 3.62; SD = 1.01), with no significant differences between scores. No significant differences were found in stress levels regarding demographic or job variables. Main sources of stress are related to lack of resources, bureaucracy, working hours, shift work, the risk of being injured or witnessing traumatic events.</p>
<p><bold>Conclusions</bold>
</p>
<p>Our findings suggest a perception of moderate level of occupational stress in police officers, both at organizational and operational level. The fact that even moderate-intensity stressors affect individuals in a chronic way and may elicit physical and emotional responses, affecting health and well-being, strengthens the importance of interventions that enhance police officers’ ability to cope with stressors, helping to preserve job satisfaction and quality of life.</p>
<p><bold>Keywords</bold>
</p>
<p>Occupational stress, Police stress, Occupational health</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1359"><title>O233 Is occupational therapy culturally relevant to promote mental health in Burkina Faso?</title>
<sec id="Sec1360"><title>Inmaculada Z. Martin, Anita Björklund</title>
<sec id="Sec1361"><title>Jönköping University Foundation, 551 11 Jönköping, Sweden</title>
<sec id="Sec1362"><title><bold>Correspondence:</bold>
Inmaculada Z. Martin (zainma@ju.se) – Jönköping University Foundation, 551 11 Jönköping, Sweden</title>
<p><bold>Background</bold>
</p>
<p>The processes of globalization have a clear impact on occupational therapy. Consequently, there is a growing interest in aspects relating to health and culture in many societies. The development of an occupational therapy centre to promote mental health in Houndé, Burkina Faso (West Africa), must to go beyond the usual terminological questions, and to deepen and refine new guidelines in relation to the construction and consolidation of knowledge and also to the practical aspects in the country. Objectives: The main objective of this qualitative study was to analyse the occupational therapy professional culture and its impact on practice having the development of the occupational therapy centre to promote mental health in Burkina Faso as reference.</p>
<p><bold>Methods</bold>
</p>
<p>A qualitative design was used and it was based on a doubly reflexive ethnography, a heuristic three-dimensional model consisting of syntactic, pragmatic and semantic dimensions. Accordingly, the methodology is based on ten semi-structured interviews with professionals and local leaders who were involved in the pilot phase of this project.</p>
<p><bold>Results</bold>
</p>
<p>The results show that it’s necessary and urgent to develop consciousness and responsibility for the power relations that are implicit but also explicit in the theory and practice of occupational therapy.</p>
<p><bold>Conclusions</bold>
</p>
<p>This presentation will highlight the need of co-reflexion among the different actors involved in occupational therapy, because it is conclusive for the development of an intercultural perspective of occupational therapy that may be therapeutically effective. The ethnoccupation approach may be proposed as an alternative to the ethnocentric occupation intervention.</p>
<p><bold>Keywords</bold>
</p>
<p>Ethnoccupation approach, Reflexivity, Mental Health, Culture, Ethnography</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1363"><title>P105 Pay-for-performance satisfaction and quality in primary care</title>
<sec id="Sec1364"><title>Aida I. Tavares<sup>1</sup>
, Pedro Ferreira<sup>1,2</sup>
, Rui Passadouro<sup>3</sup>
</title>
<sec id="Sec1365"><title><sup>1</sup>
Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal; <sup>2</sup>
Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal; <sup>3</sup>
ACES Pinhal Litoral, ARS Centro, Coimbra, 3001-553 Coimbra, Portugal</title>
<sec id="Sec1366"><title><bold>Correspondence:</bold>
Aida I. Tavares (aitavar@gmail.com) – Centro de Estudos e Investigação em Saúde, Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra Portugal</title>
<p><bold>Background</bold>
</p>
<p>Pay-for-performance has been increasingly used in health systems. The reform of primary care in Portugal introduced health professionals to the possibility of pay-for-performance. Thus, two types of payment co-exist: the fixed salary, and pay-for-performance. This work sets out to test if the type of payment scheme determines payment satisfaction, to identify factors explaining the payment satisfaction and also to test if the type of payment scheme influences the self-perceived quality of health care provided in primary health care units.</p>
<p><bold>Methods</bold>
</p>
<p>A quantitative approach is adopted. Data from a survey is analysed by estimating tobit regressions.</p>
<p><bold>Results</bold>
</p>
<p>Payment satisfaction is explained by the type of incentives paid; being nurse decreases the payment satisfaction; the quality of health care unit has a positive relation with the type of incentives paid.</p>
<p><bold>Conclusions</bold>
</p>
<p>This is the first work of this kind for the Portuguese primary health care and it contributes to the ongoing discussion about pay-for-performance in the health sector.</p>
<p><bold>Keywords</bold>
</p>
<p>Incentives, pay-for-performance, primary care, tobit</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1367"><title>P106 Economic development through life expectancy lenses</title>
<sec id="Sec1368"><title>Sónia Morgado (soniamorgado2006@gmail.com)</title>
<sec id="Sec1369"><title>Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, 2040-413 Rio Maior, Portugal & Instituto Superior de Ciências Policiais e Segurança Interna, 1349-040 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The paper aims to define the association between health development, measured by life expectancy, and economic development, focusing on Portugal, measured by Gross Domestic Product (GDP). We wish to test if causality between growth and health measured by life expectancy is possible, thus attesting to the adequacy of health policies, concerning the increase in quality and years of life of the population.</p>
<p><bold>Methods</bold>
</p>
<p>To perform the test a Vector Autoregressive Model Analysis – VAR model is used, and Granjer’s [1] causality test, applied to Portuguese time-series data from 6 decades. Alongside this, a univariate and bivariate analysis is applied.</p>
<p><bold>Results</bold>
</p>
<p>The positive evolution of GDP, over the years until 2010, before the beginning of economic crisis, at a positive rate of 14.0 %, has been followed by an increase in life expectancy. Even though the linear regression evidences a significant direct relation between variables (p-value = 0.002), the causality is not sustained.</p>
<p><bold>Conclusions</bold>
</p>
<p>Even though the results in the period show no interdependence of variables, health conditions are supported by growth [2], and health contributes to economic development [3-7]. Therefore, policies concerning productive aging should be considered.</p>
<p><bold>References</bold>
</p>
<p>1. Granjer, CWJ. Some Recent Developments in a Concept of Casuality. Journal of econometrics. 1988; 39:199-211.</p>
<p>2. Egger, G. Health “Iilth”, and Economic Growth: Medicine, Environment and Economics at the Crossroads. American Journal of Preventive Medicine. 2009; 37(1):78-83.</p>
<p>3. Ashraf, QH, Weil, DN. When Does Improving Health Raise GDP?. National Bureau of Economic Research. 2012; 14449:1-46.</p>
<p>4. Bloom, DE, Canning, D, Sevilla, J. The Effect of Health on Economic Growth: A production Function Approach. World Development. 2004; 32(1):1-13.</p>
<p>5. Deaton, AS, Paxson. CH. Aging and Inequality in Income and Health. The American Economic Review. 2005; 88:248-253.</p>
<p>6. Morgado, SMA. Does health promote economic growth? Portuguese case study: from dictatorship to full democracy. The European Journal of Health Economics. 2014; 15(6):591-598.</p>
<p>7. Morgado, SMA. Is Infant Mortality an Evidence of Economic Development. Revista de Saúde Pública. 2014; 48(n.esp):239.</p>
<p><bold>Keywords</bold>
</p>
<p>Life expectancy, economic growth, VAR model, Gross Domestic Product, Portugal</p>
</sec>
</sec>
</sec>
<sec id="Sec1370"><title>P107 What is the effectiveness of exercise on smoking cessation to prevent clinical complications of smoking?</title>
<sec id="Sec1371"><title>Nuno Tavares, João Valente, Anabela C. Martins</title>
<sec id="Sec1372"><title>Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec1373"><title><bold>Correspondence:</bold>
Nuno Tavares (ftnunotavares@gmail.com) – Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Cigarette smoking is one of the main risk factors for the occurrence of clinical complications such as cardiovascular diseases, cancer or hypertension. Currently the most common methods to quit smoking are behavioural counselling and pharmacological therapy, however their success rate remains quite low. Objectives: To analyse what is the effectiveness of exercise on smoking cessation and to discover what is the type of exercise and its characteristics that lead to better outcomes.</p>
<p><bold>Methods</bold>
</p>
<p>Pubmed, Cochrane Library, PEDro and ScienceDirect were consulted during the months of March and April 2015. The research was limited to guidelines, meta-analyses, systematic reviews and randomized controlled trials, written in English and published in scientific journals over the past 5 years. To be valid, the article should have as population smokers that performed an exercise program as intervention in comparison to its non-application. The wanted outcome was the percentage of subjects who stopped smoking on a long-term basis.</p>
<p><bold>Results</bold>
</p>
<p>It was considered valid to analysis eight randomized controlled trials that tested the effectiveness of aerobic exercise programs, muscular resistance and yoga.</p>
<p><bold>Conclusions</bold>
</p>
<p>Exercise tends to improve the percentage of long-term smoking cessation. The application of an aerobic exercise program of moderate intensity, 100 to 150 minutes per week, over 12 weeks of smoking abstinence is recommended.</p>
<p><bold>Keywords</bold>
</p>
<p>Exercise, Smoking cessation, Cigarrete smoking, Primary prevention</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1374"><title>P108 A systematic review of the effects of yoga on mental health</title>
<sec id="Sec1375"><title>Patrícia Araújo<sup>1</sup>
, Rosina Fernandes<sup>2</sup>
, Francisco Mendes<sup>2</sup>
, Cátia Magalhães<sup>2</sup>
, Emília Martins<sup>2</sup>
</title>
<sec id="Sec1376"><title><sup>1</sup>
Universidade Católica Portuguesa – Porto, 4202-401 Porto, Portugal; <sup>2</sup>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</title>
<sec id="Sec1377"><title><bold>Correspondence:</bold>
Rosina Fernandes (rosina@esev.ipv.pt) – Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Positive psychology is changing the way we research mental health in western society, bringing a focus to practices more than 5,000 years old in eastern culture, specifically with roots in India, such as yoga. Objectives: The aim of this paper is to explore documented effects of yoga on mental health, through a systematic review of literature (independently of year of publication, country or language).</p>
<p><bold>Methods</bold>
</p>
<p>The Scopus database was used and 29 publications were retrieved, 10 were excluded (such as theoretical articles, books and research that didn’t report mental health effects).</p>
<p><bold>Results</bold>
</p>
<p>Forty-eight (48) effects of yoga in mental health were found in the 19 publications analysed, which were systematized in three major categories. Personality and life style impacts (11), the first category, included decreases in neuroticism and psychoticism traits, changes in life style and increased quality of life, among others. Increased spatial memory and attention span, as well as decreased rumination negative affect are examples of the 15 effects included in the second category, named cognitive-perceptual impacts. Finally, 22 emotional effects (third category) were found, such as decreased anger levels, depression and anxiety. Overall, positive effects were predominant and only one effect can be interpreted as somehow negative (obsessive passion for yoga).</p>
<p><bold>Conclusions</bold>
</p>
<p>Since there are several types of yoga and diverse yoga techniques, further studies should analyse its specific impacts on mental health. Nevertheless, we hope this study allows a better comprehension of the benefits of yoga and, possibly, integration of yoga strategies in mental health interventions.</p>
<p><bold>Keywords</bold>
</p>
<p>Yoga, mental health, systematic review</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1378"><title>P109 Healthy lifestyle: comparison between higher education students that lived until adult age in rural and urban environment</title>
<sec id="Sec1379"><title>Pedro Mendes<sup>1</sup>
, Rui Paulo<sup>1,2</sup>
, António Faustino<sup>1</sup>
, Helena Mesquita<sup>1</sup>
, Samuel Honório<sup>1,2</sup>
, Marco Batista<sup>1,2</sup>
</title>
<sec id="Sec1380"><title><sup>1</sup>
Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal; <sup>2</sup>
Research, Education and Community Intervention, Instituto Piaget, 3515-776 Galifonge, Viseu, Portugal</title>
<sec id="Sec1381"><title><bold>Correspondence:</bold>
Pedro Mendes (pedromendes@ipcb.pt) – Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal</title>
<p>Environment and lifestyle have been recognized as important determinants of health problems of populations of economically developed countries. In particular, these two factors seem to play a role on chronic degenerative diseases, sudden illness and accidents. The aim of our study is to compare lifestyles among higher education students that lived in rural and urban environments until adult age.</p>
<p>One hundred and thirty-two (132) students of both genders (85 males; 47 females) participated in the study. The mean age was of 21.81 years old (SD = 3.78). Subjects were divided in two groups (group 1 - those that lived until adult age in a rural environment and group 2 - the students that lived in an urban environment until adult age). To characterize the sample an adaptation of the Telama et al.’s [1] questionnaire was applied. The Fantastic Lifestyle Assessment Questionnaire - Portuguese version was applied to evaluate the lifestyle. For the study analysis, descriptive and inferential statistics were used. A Kolmogorov-Smirnov test was applied for normal distribution of data and a Mann-Whitney test for non-parametric statistics.</p>
<p>Results show a significant difference in only one dimension (insight) of the questionnaire (p ≤ 0.05). The remaining dimensions and the total scores of the questionnaire show no statistically significant differences. These results show that the type of environment (rural or urban) lived in until adult age doesn’t seem to reveal significant differences in a healthy lifestyle.</p>
<p>Overall the evaluated subjects presented results of “Good” and "Very Good" in the total score of the questionnaire revealing healthy lifestyles.</p>
<p><bold>References</bold>
</p>
<p>1. Telama R, Yang X, Laakso L,Viikari J. Physical activity in childhood and adolescence as predictor of physical activity in young adulthood. American Journal of Preventive Medicine.1997; 13(4): 317-323</p>
<p><bold>Keywords</bold>
</p>
<p>Lifestyle, environment, Fantastic Lifestyle Assessment</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1382"><title>P110 Evaluation of the Mobile Emergency Care Service (SAMU) in Brazil</title>
<sec id="Sec1383"><title>Josimari T. Lacerda<sup>1</sup>
, Angela B. Ortiga<sup>2</sup>
, Mª Cristina Calvo<sup>1</sup>
, Sônia Natal<sup>1</sup>
</title>
<sec id="Sec1384"><title><sup>1</sup>
Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil; <sup>2</sup>
Secretaria de estado da saúde de Santa Catarina, Florianópolis – Santa Catarina, 88015-130, Brasil</title>
<sec id="Sec1385"><title><bold>Correspondence:</bold>
Josimari T. Lacerda (jtelino@gmail.com) – Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil</title>
<p>The Mobile Emergency Care Service (SAMU) in Brazil carries out pre-hospital care in seeking harm reduction, deaths and increased survival. It acts as an originator of network attention to the urgency and link between different services.</p>
<p>This is an evaluative research of mobile emergency care service with analysis of 80 central regulations and 87 municipalities of a Brazilian state that host units of basic and advanced support. It used a theoretical and logical model and evaluative matrix, validated through workshops with experts. The model included two dimensions. The emergency management dimension analyses infrastructure, financing, regulatory process and joins SAMU with the entire system. Attention is paid to urgent infrastructure analyses, diagnostic and therapeutic support and appropriateness of care. We used different collection strategies: document and literature review; interviews with key informants and direct observation.</p>
<p>The analysis allowed the identification of strengths, and also weaknesses that can be prevented. No region performed well, all dimensions were classified as regular and nearly half of the emergency management units require urgent attention. The SAMU partially organises the network which must evolve towards greater internal integration of its units and regulation of so-called fire and rescue services. It is recognized as a fast and quality service, but there was resistance to the acceptance once the patients had been referred.</p>
<p>Coordination mechanisms and internal and external communication need to be implemented. The quality of the units is a matter of concern. The model was considered feasible to contemplate municipal, regional and state assignments can be replicated in other contexts.</p>
<p><bold>Keywords</bold>
</p>
<p>Health Services Evaluation, Emergency Relief, Emergency Medical Services, Pre-hospital care.</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1386"><title>P111 Bioactive compounds - antioxidant activity of tropical fruits</title>
<sec id="Sec1387"><title>Marta Pereira (msofpereira@gmail.com)</title>
<sec id="Sec1388"><title>Instituto Politécnico de Leiria; 2411-901 Leiria, Portugal</title>
<p>The consumption of fruits has become a way to improve our health. Bioactive compounds have an important role in antioxidant activity, since they are responsible for the protection of the cells by stabilizing or deactivating free-radicals. The evaluation and quantification of the bioactive compounds of dozens of tropical fruits allowed to stand out three fruits with a significant antioxidant activity: camu camu, acerola and açai. However, by-products also showed stunning amounts of bioactive compounds, which may be useful for developing of new products.</p>
<p>Further, the correlation identified phenolic compounds as major contributors for the antioxidant activity, although it was inconclusive about which specific phenolic compound had more influence.</p>
<p><bold>Keywords</bold>
</p>
<p>bioactive compounds, antioxidants, antioxidant activity, tropical fruits</p>
</sec>
</sec>
</sec>
<sec id="Sec1389"><title>P112 Use of non-pharmacological methods to relieve pain in labour</title>
<sec id="Sec1390"><title>Manuela Ferreira<sup>1</sup>
, Ana R. Prata<sup>2</sup>
, Paula Nelas<sup>1</sup>
, João Duarte<sup>1</sup>
</title>
<sec id="Sec1391"><title><sup>1</sup>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; <sup>2</sup>
Hospital Pêro da Covilhã, Centro Hospitalar Cova da Beira EPE, 6200-251 Covilhã, Portugal</title>
<sec id="Sec1392"><title><bold>Correspondence:</bold>
Manuela Ferreira (mmcferreira@gmail.com) – Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Labour pain is the result of complex interactions, similar to acute pain, but with specific characteristics of neurophysiological, obstetric, psychological and sociological nature involved in its threshold. In this sense, non-pharmacological methods can help the mother in relieving pain, reduce stress and anxiety levels and thus foster greater satisfaction. Objectives: Determining contextual variables of pregnancy and childbirth that interfere with the use of non-pharmacological methods to relieve pain.</p>
<p><bold>Methods</bold>
</p>
<p>A systematic literature review followed by a quantitative and simple descriptive, cross-sectional study, according to a non-probability analysis of 382 clinic records of post-partum mothers.</p>
<p><bold>Results</bold>
</p>
<p>The non-pharmacological methods used for pain relief during labour are more effective compared to not using any method, placebo or any other method. In a sample of 382 women with an average age of 30.95 years (±5.45 years), in 34.6 % of cases non-pharmacological methods for pain relief were applied in labour, highlighting breathing and relaxation (86.3 %). In some cases, although to a lesser extent, hydrotherapy was applied, isolated (6.9 %) or associated with breathing and relaxation (5.3 %) and hypnosis (0.8 %) and the association between breathing and massage (0.8 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>According to the results obtained and on the basis of scientific evidence available, it should be noted that it is essential that non-pharmacological care relief in childbirth pain is exploited because it is safer and tends to carry fewer interventions and arguably a greater humanization of childbirth and safer motherhood.</p>
<p><bold>Keywords</bold>
</p>
<p>Labour, pain, complementary therapies,</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1393"><title>P113 Mechanical safety of pacifiers sold in Portuguese pharmacies and childcare stores</title>
<sec id="Sec1394"><title>Juliana Carneiro<sup>1</sup>
, Ana I. Oliveira<sup>1,2</sup>
, Cláudia Pinho<sup>1,2</sup>
, Cristina Couto<sup>1,3</sup>
, Rita F. Oliveira<sup>1,2</sup>
, Fernando Moreira<sup>1,4</sup>
</title>
<sec id="Sec1395"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal; <sup>2</sup>
Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal; <sup>3</sup>
Serviços farmacêuticos, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, EPE, 4454 509 Senhora da Hora, Portugal; <sup>4</sup>
Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal & Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Vila Nova de Gaia, Portugal</title>
<sec id="Sec1396"><title><bold>Correspondence:</bold>
Fernando Moreira (ffm@estsp.ipp.pt) – Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal & Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, 4400-129 Vila Nova de Gaia, Portugal</title>
<p>Potential dangers that arise from the use of pacifiers by children have been reported for the past few decades. The repeated cases of injuries and even fatalities possibly due to poorly designed pacifiers justified the elaboration of guidelines that ensured the mechanical safety of those devices in United States of America, Brazil and European Union.</p>
<p>This experimental study is the first one to describe the submission of a group of pacifiers sold in a European country to a group of tests and determinations that enable the evaluation of its mechanical safety, after EN1400 came into force. Adopted methods included determinations of nipple resistance, total size of the device, presence and size of ventilation holes, performance of a swallowing risk test and label analysis.</p>
<p>All 13 samples were bought in pharmacies and childcare stores in the north of Portugal and belonged to five different brands. The obtained results revealed that all analysed samples presented the minimum required ventilation holes with adequate sizes and correct placement. Also all samples proved to have nipples with adequate resistance to stretch and never exceeded the maximum permitted size. None of the samples went by the polytetrafluoroethylene (PTFE) device that mimicked the mouth of a child. It is quite clear that pacifiers sold in Portuguese pharmacies and childcare stores present high standards of mechanical security, probably owing to the implementation of EN1400. However, it would be important to perform similar tests on pacifiers sold in internet websites.</p>
<p><bold>Keywords</bold>
</p>
<p>Toddlers, EN1400, asphyxiation prevention</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1397"><title>P114 The importance of prenatal consultation: Information to pregnant women given on a unit of primary care</title>
<sec id="Sec1398"><title>Ana S. Maia<sup>1</sup>
, Michelle T. Oliveira<sup>1</sup>
, Anderson R. Sousa<sup>1</sup>
, Paulo P. Ferreira<sup>2</sup>
, Géssica M. Souza<sup>1</sup>
, Lívia F. Almada<sup>1</sup>
, Milena A. Conceição<sup>1</sup>
, Eujcely C. Santiago<sup>3</sup>
</title>
<sec id="Sec1399"><title><sup>1</sup>
Faculdade Nobre, Feira de Santana - Bahia, 44001-008, Brasil; <sup>2</sup>
Secretaria de Saúde do Estado da Bahia, Salvador - Bahia, 41745-900, Brasil; <sup>3</sup>
Hospital Estadual da Criança, Vila Valqueire, Rio de Janeiro, Brasil</title>
<sec id="Sec1400"><title><bold>Correspondence:</bold>
Ana S. Maia (anamargarette@yahoo.com.br) – Faculdade Nobre, Feira de Santana - Bahia, 44001-008, Brasil</title>
<p><bold>Background</bold>
</p>
<p>The development of prenatal care requires multi-disciplinary actions focused on women's health. Humanization and quality care are crucial for the health of the mother-infant pair. The study aimed to analyse the knowledge of pregnant women about the importance of prenatal consultation</p>
<p><bold>Methods</bold>
</p>
<p>It is a field study, descriptive with a qualitative approach. It was held at the Family Health Unit of Jussara neighbourhood in the city of Feira de Santana, Bahia, Brazil. The research subjects were 18 pregnant women undergoing prenatal follow up in the unit. Semi-structured interviews were used for this study. Interviews were subjected to thematic content analysis.</p>
<p><bold>Results</bold>
</p>
<p>Most women reported that the importance of completing the prenatal follow up was mainly based on the detection of some diseases and also to care for the health of the child. The first prenatal consultation should take place in the first twelve weeks of pregnancy, as recommended by the Ministry of Health, and this period was respected by most of the pregnant women.</p>
<p><bold>Conclusions</bold>
</p>
<p>Prenatal influences directly the gestational process, and such assistance should be carried out properly, by professionals who have the knowledge that must be transmitted to pregnant women. The positive role of prenatal care during pregnancy was recognized by all respondents. However, it is important to stress out the need to carry out a quality prenatal care, because when conducted improperly, it can bring numerous health losses to both mother and child.</p>
<p><bold>Keywords</bold>
</p>
<p>Prenatal, pregnant women, query</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1401"><title>P115 Influence of different backpack loading conditions on neck and lumbar muscles activity of elementary school children</title>
<sec id="Sec1402"><title>Sandra Rodrigues, Gabriela Domingues, Irina Ferreira, Luís Faria, Adérito Seixas</title>
<sec id="Sec1403"><title>Universidade Fernando Pessoa, Porto, 4249-004 Porto, Portugal</title>
<sec id="Sec1404"><title><bold>Correspondence:</bold>
Sandra Rodrigues (sandrar@ufp.edu.pt) – Universidade Fernando Pessoa, Porto, 4249-004 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The purpose of the present study is to analyse the influence of four backpack loading conditions (0, 10, 15 and 20 % of body weight) on the electromyographic activity of the neck and lumbar muscles of elementary school children.</p>
<p><bold>Methods</bold>
</p>
<p>Fourteen (14) school children participated in the present study, 5 males and 9 females, between the ages of 8 and 10. Bilateral sternocleidomastoid, rectus abdominis and erector spinae muscles were recorded using surface electromyography (SEMG), while tested for the effect of four randomized backpack loading conditions.</p>
<p><bold>Results</bold>
</p>
<p>The results showed an increase in the activity of the cervical erector spinae muscle, while erector lumbar spinae decreased in the presence of heavy loading. Rectus abdominis activity also increased and esternocleidomastoid muscle did not change its activity in the presence of loading. There seems to be an asymmetrical activation of the axial muscles, with preference towards the right side of the body, in a loading condition. A 20 % body weight backpack causes the most significant muscular changes; however, statistically significant differences were also found at 15 % body weight conditions.</p>
<p><bold>Conclusions</bold>
</p>
<p>Analysis of the present findings suggests the choice of 10 % body weight as the upper limit recommended for backpack load for schoolchildren.</p>
<p>ClinicalTrials.gov Identifier: NCT02725645.</p>
<p><bold>Keywords</bold>
</p>
<p>Surface electromyography, children, backpack</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1405"><title>P116 Efficacy and safety of dry extract Hedera helix in the treatment of productive cough</title>
<sec id="Sec1406"><title>Ana R. Costa<sup>1</sup>
, Ângelo Jesus<sup>1</sup>
, Américo Cardoso<sup>1,2</sup>
, Alexandra Meireles<sup>1,3</sup>
, Armanda Colaço<sup>1,4</sup>
, Agostinho Cruz<sup>1</sup>
</title>
<sec id="Sec1407"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal; <sup>2</sup>
Instituto Português de Oncologia do Porto FG, EPE, Porto, 4200-072 Porto, Portugal; <sup>3</sup>
Centro Hospitalar do Porto, Porto, 4099-001 Porto, Portugal; <sup>4</sup>
Centro Hospitalar São João, Porto, 4200–319 Porto, Portugal</title>
<sec id="Sec1408"><title><bold>Correspondence:</bold>
Ângelo Jesus (acj@estsp.ipp.pt) – Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal</title>
<p><bold>Background</bold>
</p>
<p>One of the most frequent symptoms in medical practice is cough. Consequently, there is a wide range of products available for its treatment, not only drugs but also some herbal products. This work focuses on the dry extract of Hedera helix, which increasingly gains popularity. Objective: Systematize the scientific evidence on the efficacy and safety of Hedera helix extract in the treatment of productive cough.</p>
<p><bold>Methods</bold>
</p>
<p>Systematic review, using databases Pubmed, EBSCO and Science Direct. Articles were selected in English, Spanish and Portuguese and with no more than twenty years since publication.</p>
<p><bold>Results</bold>
</p>
<p>Ten studies were selected, consisting of 69310 individuals with varying ages. One study was placebo controlled. Four studies compared different formulations with extract. One study analysed differences between the treatment with the dry extract of Hedera helix compared with the conventional therapy. Three open non-comparative multi-centre trials were also included as well as a retrospective study.</p>
<p><bold>Results</bold>
</p>
<p>All studies show evidence of the efficacy and tolerability of Hedera helix extract in the treatment of productive cough. Due to the minimal incidence of adverse effects, the authors were able to admit a good tolerability of ivy extract.</p>
<p><bold>Conclusions</bold>
</p>
<p>The studies included in this review indicate that Hedera helix dry extract preparations have positive effects in productive cough, showing improvement in terms of respiratory function in patients with diseases of the respiratory tract. However, more robust studies are required for a structured evaluation of the safety and tolerability of this extract in productive cough.</p>
<p><bold>Keywords</bold>
</p>
<p>Hedera helix, cough, ivy, alpha-hederin</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1409"><title>P117 A portrait of the evaluation processes of education groups in primary health care</title>
<sec id="Sec1410"><title>Viviane L. Vieira, Kellem R. Vincha, Ana Mª Cervato-Mancuso</title>
<sec id="Sec1411"><title>Universidade de São Paulo, São Paulo, 05403-000, Brasil</title>
<sec id="Sec1412"><title><bold>Correspondence:</bold>
Viviane L. Vieira (vivianevieira26@gmail.com) – Universidade de São Paulo, São Paulo, 05403-000, Brasil</title>
<p><bold>Background</bold>
</p>
<p>The development of educational actions in groups has been recommended by public health policies due the construction of knowledge and for the transformation of health care. However, the evaluation of the educational process in order to obtain a critical analysis of the group and its effects is a challenge for professionals. Objective: To analyse the perception of professionals – workers in Primary Health Care – about the evaluation processes of the groups linked with food and nutrition.</p>
<p><bold>Methods</bold>
</p>
<p>A qualitative research with 48 professionals was conducted in Sao Paulo, Brazil, (2012-2014) through semi-structured interviews. For the evaluation processes the Discourse of the Collective Subject was used and eight Central Ideas were identified.</p>
<p><bold>Results</bold>
</p>
<p>The presence of characteristics that promote the educational process was found in the groups, such as participation, links, empowerment and health autonomy. On the other hand, obstacles were found in the realization and systematization of the evaluation of the educational process of the groups, due to naturalization of quantitative variables (changes in weight and in biochemistry parameters), related to acquisition of knowledge and of individual approaches.</p>
<p><bold>Conclusions</bold>
</p>
<p>There is the need for further reflection on analysis criteria of coherent groups with health education assumptions in order to encourage professional development and qualification of care.</p>
<p><bold>Keywords</bold>
</p>
<p>education groups, primary health care, evaluation, food and nutrition education</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1413"><title>P118 Benefits of vitamins C and E in sensorineural hearing loss: a review</title>
<sec id="Sec1414"><title>Melissa Faria, Cláudia Reis</title>
<sec id="Sec1415"><title>Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec1416"><title><bold>Correspondence:</bold>
Cláudia Reis (creis@estescoimbra.pt) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p>Sensorineural hearing loss is a tendentiously growing problem and has been associated with toxic effects of free radicals such as reactive oxygen species (ROS) and nitric oxide (NO) in the auditory system. With this in mind, studies have shown that the administration of vitamins has positive effects and may decrease the sensorineural hearing loss.</p>
<p>In this sense, through a systematic review we intend to examine the scientific literature available about the effectiveness of the use of vitamins C and E in the improvement of the auditory system performance in individuals with sensorineural hearing loss.</p>
<p>Keywords were defined and a research was conducted of scientific articles in electronic databases and four studies were selected according to defined criteria and centred on the issue under study. The comparison of the results from the articles chosen reveals concrete evidence of a decrease in hearing thresholds provided by taking vitamins C and E, reaching a hearing gain of 30 dB.</p>
<p><bold>Keywords</bold>
</p>
<p>Vitamin C, vitamin E, hearing loss treatment, sensorineural hearing loss</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1417"><title>P119 BODY SNAPSHOT – a web-integrated anthropometric evaluation system</title>
<sec id="Sec1418"><title>Marco P. Cova<sup>1</sup>
, Rita T. Ascenso<sup>2,3</sup>
, Henrique A. Almeida<sup>3</sup>
, Eunice G. Oliveira<sup>3,4</sup>
</title>
<sec id="Sec1419"><title><sup>1</sup>
VOID – Software Development, 2415-767 Leiria, Portugal; <sup>2</sup>
Centre for Research in Informatics and Communications, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal; <sup>3</sup>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; <sup>4</sup>
Instituto de Engenharia de Sistemas e Computadores de Coimbra, 3000 - 033 Coimbra, Portugal</title>
<sec id="Sec1420"><title><bold>Correspondence:</bold>
Marco P. Cova (mc@void.pt) – VOID – Software Development, 2415-767 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Anthropometry refers to the characterisation of the human individual which involves the systematic measurement of the physical properties of the human body for the description of the individual’s body composition and morphology. Today, anthropometry plays an important role in industrial design, clothing design, ergonomics and architecture where statistical data about the distribution of body dimensions in the population are used to optimize products. Changes in lifestyles, nutrition, and ethnic composition of populations lead to changes in the distribution of body dimensions (e.g. the obesity epidemic), and require regular updating of anthropometric data collections. Objectives: This project aims to develop a web application with the intent of aiding and organizing the anthropometric study and follow up of patients regarding the evaluation of their body composition and morphology by professionals and researchers in several areas such as health, sports and body aesthetics.</p>
<p><bold>Methods</bold>
</p>
<p>This evaluation is performed using the calculation of various indexes: Body Mass Index, Conicity Index, Waist-to-Hip Ratio, Body Density, Fat Mass Percentage, Muscle Mass, Bone Mass, and also the calculation of the Somatotype, which is the most complete method to characterize individuals regarding their physical appearance, morphology and body composition.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>The developed application is a fully anthropometric integrated system available on the web, allowing a global utilization worldwide. As a result, the continuous usage of the application will reflect on the amount of data available on the platform, increasing a valuable impact on future studies and research worldwide (<ext-link ext-link-type="uri" xlink:href="http://bodysnapshot.dei.estg.ipleiria.pt/">http://bodysnapshot.dei.estg.ipleiria.pt</ext-link>
).</p>
<p><bold>Keywords</bold>
</p>
<p>Anthropometrics, body morphology and composition, integrated evaluation system, user-friendly, Web application</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1421"><title>P120 Anthropometric evaluation and variation during pregnancy</title>
<sec id="Sec1422"><title>Miguel Santana<sup>1</sup>
, Rafael Pereira<sup>1</sup>
, Eunice G. Oliveira<sup>1,2</sup>
, Henrique A. Almeida<sup>1</sup>
, Rita T. Ascenso<sup>1,3</sup>
</title>
<sec id="Sec1423"><title><sup>1</sup>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Instituto de Engenharia de Sistemas e Computadores de Coimbra, 3000 - 033 Coimbra, Portugal; <sup>3</sup>
Centre for Research in Informatics and Communications, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec1424"><title><bold>Correspondence:</bold>
Rita T. Ascenso (rita.ascenso@ipleiria.pt) – Centre for Research in Informatics and Communications, Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Although pregnancy is one of the most common life events, surprisingly little scientific information is available in the literature when considering anthropometrics. Studies regarding the pregnant woman’s body size variation, namely for the design of clothes during gestation are quite common. But anthropometrics is a lot more than this: it is also a science that aids in characterizing body morphology and composition. Objectives: Currently, there are standard data of anthropometric parameters for specific groups such as children, seniors and athletes. However, specific values or data for pregnant women don’t seem to exist, nor any indication to whether or not it is possible to use the values from other data given. Therefore, the main objective of this study is to evaluate if the default data and the current anthropometric tools are appropriate to be used on pregnant women.</p>
<p><bold>Methods</bold>
</p>
<p>In this study, we analysed and evaluated the morphologic characterization and the body composition of seven pregnant women using existing anthropometric restricted profile methods. The tools considered in this study were: Body Mass Index, Somatotype, Conicity Index, Abdominal-Hip Ratio and Waist-Height Ratio.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>Some tools do not demonstrate efficiency in the anthropometric evaluation such as Body Mass Index by placing the pregnant women within risk levels that do not correspond to reality. However, other methods are plausible to be used, such as Conicity, Index Abdominal-Hip and Waist-Height Ratios where the values obtained are within the expected range. In conclusion, the existing anthropometric tools need further study when characterizing pregnant women.</p>
<p><bold>Keywords</bold>
</p>
<p>Anthropometry, Pregnant, Somatotype, Anthropometric restricted profile, Body morphology and composition</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1425"><title>P121 Knowledge of college students on the amendments of their eating habits and physical activity index in the transition to higher education</title>
<sec id="Sec1426"><title>Rita Jesus<sup>1</sup>
, Rodrigo Tapadas<sup>1</sup>
, Carolina Tim-Tim<sup>1</sup>
, Catarina Cezanne<sup>1</sup>
, Matilde Lagoa<sup>1</sup>
, Sara S. Dias<sup>2</sup>
, Jorge Torgal<sup>1</sup>
</title>
<sec id="Sec1427"><title><sup>1</sup>
Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal; <sup>2</sup>
Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa 1150-082 Lisboa, Portugal e Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec1428"><title><bold>Correspondence:</bold>
Sara S. Dias (sara.dias@ipleiria.pt) – Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa 1150-082 Lisboa, Portugal e Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The transition period from high school to university is critical as the students suffer big changes in their life patterns, frequently adopting risk behaviour attitudes like unbalanced diets and physical inactivity that may have repercussions in their long term health. This research aims to study the perception of first year undergraduate students regarding their eating habits and physical activity indices in comparison with their habits at high school.</p>
<p><bold>Methods</bold>
</p>
<p>A cross sectional descriptive study of first year undergraduates (first enrolment) of Lisbon universities was performed. The information was gathered through on-line questionnaires. The data collected was analysed considering a 5.0 % significant level.</p>
<p><bold>Results</bold>
</p>
<p>From the final sample of 223 students from the Lisbon faculties 65.0 % (n = 145) were female and 35.0 % (n = 78) were male with ages between 18 and 21. The whole sample admits having decreased their indices of physical activity and 50.7 % has worsened their eating habits. 61.0 % of the sample is apparently satisfied with their current weight but wants to improve their eating habits and physical activity.</p>
<p><bold>Conclusions</bold>
</p>
<p>Living away from family is strictly related to stricter and harder to manage schedules, leading to worse food and exercise habits. Male students have more risk behaviours although they are the ones who most easily adopt behaviours considered healthy when it comes to physical activity. Health students are more conscious about their own health and are the most penalized by the lack of time. Prevention strategies undergo increasing awareness of these issues and the providing means to implement changes.</p>
<p><bold>Keywords</bold>
</p>
<p>University students, physical activity, food habits, perception, health</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1429"><title>P122 Muscular activity of a rally race car driver</title>
<sec id="Sec1430"><title>João Lopes<sup>1</sup>
, Henrique Almeida<sup>1</sup>
, Sandra Amado<sup>2</sup>
, Luís Carrão<sup>2</sup>
</title>
<sec id="Sec1431"><title><sup>1</sup>
Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec1432"><title><bold>Correspondence:</bold>
Luís Carrão (luis.carrao@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Rally is a form of motorsport that takes place on public or private roads with specially built cars. It is distinguished by racing not on a circuit, but instead in a point-to-point format in which participants and their co-drivers drive between a set of control points (special stages), leaving at regular intervals from one or more start points. This type of sporting events has a huge physical load on the drivers where the levels of fatigue are very high. Objectives: The present project main’s purpose is to measure the muscular activation of a rally driver during a race. The study consists of evaluating the hand-force before and after a driving exercise and evaluating the muscular activity during driving.</p>
<p><bold>Methods</bold>
</p>
<p>Two methods were used to in order obtain the data. The first step consisted of obtaining the hand-force data with the use of a dynamometer, after which electromyography was used for evaluating the muscular activity during driving. The study was composed of 5 tasks, firstly the hand-force test, then a vertical vibration, lateral oscillation, a driving test and finally another hand-force test.</p>
<p><bold>Results and conclusions</bold>
</p>
<p>From the results, it is possible to conclude that the key muscles during driving activity are the anterior deltoid since this activity requires many rotations and movements of the upper limbs. This activity is most obvious during turns while driving. By undergoing this type of evaluation, it is possible to have a better understanding of the demands to which rally drivers are subjected.</p>
<p><bold>Keywords</bold>
</p>
<p>Electromyography, muscular activity, biomechanics, rally</p>
</sec>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1433"><title>Therapeutic Education/Health literacy</title>
<sec id="Sec1434"><title>O234 <bold>Literacy and results in health</bold>
</title>
<sec id="Sec1435"><title>Madalena Cunha<sup>1</sup>
, Luís Saboga-Nunes<sup>2</sup>
, Carlos Albuquerque<sup>1</sup>
, Olivério Ribeiro<sup>3</sup>
</title>
<sec id="Sec1436"><title><sup>1</sup>
Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; <sup>2</sup>
Escola Nacional de Saúde Publica, Lisboa, 1600-560 Lisboa, Portugal; <sup>3</sup>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<sec id="Sec1437"><title><bold>Correspondence:</bold>
Madalena Cunha (madalenacunhanunes@gmail.com) – Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Health Literacy (HL), considered as a mediator of clinical results which can be associated with health promotion campaigns focusing on education, is a current focus for research on behavioural management of individual health. Differences in the levels of health literacy are associated with both a lesser capacity to interpret medication labels and health messages and also with worse health indicators. Objectives: To determine the correlation between HL and the Abdominal Perimeter (AP), the Circumferential Perimeter of the Neck (CPN), the blood glucose level and the Body Mass Index (BMI) in healthy individuals.</p>
<p><bold>Methods</bold>
</p>
<p>A study with observational focus on a sample of 508 people, with an average age of 44.48 years. Health literacy was assessed through the European Health Literacy Survey [1] and the AP, the CPN, the blood glucose level and the BMI were determined.</p>
<p><bold>Results</bold>
</p>
<p>Most participants (73.62 %) revealed a health literacy deficit. The risk of cardiovascular disease proved to be correlated with health literacy. Patients with inadequate literacy had a larger abdominal perimeter (AP χ2 = 101.65; p = 0.000), a larger neck perimeter (CPN χ2 = 10.34; p = 0.016), worse nutritional status/higher BMI (χ2 = 78.09; p = 0.000) and higher blood glucose levels. Contrarily, excellent literacy was linked to lower glucose levels (χ2 = 112.038; p = 0,000).</p>
<p><bold>Conclusions</bold>
</p>
<p>The priority is to consistently monitor the health variables previously mentioned and the significance of the evidence examined, determining the cost-effectiveness and the effects of policies and educational practices on clinical outcomes.</p>
<p><bold>References</bold>
</p>
<p>1. Saboga-Nunes L. Hermenêutica da Literacia em Saúde e sua avaliação em Portugal (HLS-EU-PT). in 40 anos de democracia(s): progressos, contradições e prospetivas. Atas do VIII Congresso Português de Sociologia. Lisboa: Associação Portuguesa de Sociologia; 2014.</p>
<p><bold>Keywords</bold>
</p>
<p>Literacy, results, health</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1438"><title>O235 Literacy promotion and empowerment of type 2 diabetics elderly in four family health units of the group of health centers of Dão Lafões</title>
<sec id="Sec1439"><title>Suzete Oliveira<sup>1</sup>
, Mª Carminda Morais<sup>2</sup>
</title>
<sec id="Sec1440"><title><sup>1</sup>
Escola Superior de Tecnologia e Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal; <sup>2</sup>
Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal</title>
<sec id="Sec1441"><title><bold>Correspondence:</bold>
Suzete Oliveira (suzt.oliveira@gmail.com) – Escola Superior de Tecnologia e Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Type 2 Diabetes Mellitus (DM) is a serious public health problem that affects mostly elderly people. This disease has a huge human, social and economic cost, some of which could be prevented. Objective: The aim of this study was to analyse the capacity of self-control, the knowledge and the Quality of Life (QoL), of people with type 2 diabetes, aged 65 or older, enrolled in four Family Health Units, belonging to the Group of Health Centers of Dão Lafões.</p>
<p><bold>Methods</bold>
</p>
<p>An exploratory and descriptive-correlational study was applied to 137 sample subjects, that responded a sociodemographic and clinical characterization questionnaire and to the Portuguese version of the Diabetes Empowerment Scale - Short Form (DES-SF), Diabetes Knowledge Test (DKT) and of the EQ-5D.</p>
<p><bold>Results</bold>
</p>
<p>Results point to: high perception of capacity for self-management of DM; poor knowledge about the disease, with no statistical differences among diabetes non-insulin-treated individuals and insulin-treated; with mean ± SD scores of 3.52 ± 0.69 of DES-SF, 54.34 ± 17.72 of DKT and 0.63 ± 0.30 of EQ-5D. We detected, a positive and significant correlation between the ability to control DM, knowledge and the QoL. In addition, we also found some statistically significant differences in DES-SF, DKT and EQ-5D before educational attainment (t = -3.688, p < .001; t = -5.835, p < .001; t = -2.302, p < .05, respectively) and DM complications (t = -2.355, p < .05; t = -2.578, p < .05; t = -2.261, p < .05).</p>
<p><bold>Conclusions</bold>
</p>
<p>The evidence provided is crucial for a better adaption of the processes that promote health literacy and empowerment of people with diabetes.</p>
<p><bold>Keywords</bold>
</p>
<p>Empowerment, Knowledge, Quality of life, Individuals with type 2 diabetes</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1442"><title>O236 Mediterranean diet, health and life quality among Portuguese children</title>
<sec id="Sec1443"><title>Emília Martins<sup>1</sup>
, Francisco Mendes<sup>1</sup>
, Rosina Fernandes<sup>1</sup>
, Cátia Magalhães<sup>1</sup>
, Patrícia Araújo<sup>2</sup>
</title>
<sec id="Sec1444"><title><sup>1</sup>
Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal; <sup>2</sup>
Universidade Católica Portuguesa – Porto, 4202-401 Porto, Portugal</title>
<sec id="Sec1445"><title><bold>Correspondence:</bold>
Emília Martins (emiliamartins@esev.ipv.pt) – Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The Chronic Diseases Global Action Plan 2013-2020, from WHO (2013) [1], denotes the relevance of urgent implementation of strategies promoting a healthy diet. The Mediterranean Diet (MD), recognized in 2013 by UNESCO as Humanity Immaterial Cultural Heritage, is increasingly considered in the literature as a fundamental eating pattern in the prevention of non-transmittable diseases and with a positive impact on life quality. Objectives: To understand the adhesion levels to MD in 230 Portuguese children with ages averaging 10.09 ± 1.32, and also analyse their relation to the perception of health state (very bad to very good) and life quality (including physical and psychological health dimensions, self-concept, and relationships with peers and family).</p>
<p><bold>Methods</bold>
</p>
<p>General characterization questionnaires, KIDMED and KINDL were used as instruments for data collection, with later SPSS analysis (IBM 23).</p>
<p><bold>Results</bold>
</p>
<p>Only 1.7 % revealed low adhesion levels to MD, in contrast to 34.8 % at an average level, and 62.6 % at a high level. We found statistically significant positive correlations (p < .05) between the adhesion to MD and the perception of health state (r = .29), physical health (r = .48), psychological health (r = .35), self-concept (r = .36), peer relationships (r = .33) and general life quality (r = .54).</p>
<p><bold>Conclusions</bold>
</p>
<p>Results reinforce the relevance of this eating pattern in childhood life quality, as well in health indicators. The implementation of promoting eating education strategies based on this heritage, also characteristic of Portuguese culture, is revealed as fundamental.</p>
<p><bold>References</bold>
</p>
<p>1. World Health Organization. Global action plan for the prevention and control of non communicable diseases. WHO: 2013.</p>
<p><bold>Keywords</bold>
</p>
<p>Mediterranean Diet, Health, Life quality, Children</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1446"><title>O237 Health literacy, from data to action - translation, validation and application of the European Health Literacy Survey in Portugal (HLS-EU-PT)</title>
<sec id="Sec1447"><title>Ana R. Pedro<sup>1</sup>
, Odete Amaral<sup>2</sup>
, Ana Escoval<sup>1</sup>
</title>
<sec id="Sec1448"><title><sup>1</sup>
Escola Nacional de Saúde Pública, Lisboa, 1600-560 Lisboa, Portugal; <sup>2</sup>
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<sec id="Sec1449"><title><bold>Correspondence:</bold>
Ana R. Pedro (rita.pedro@ensp.unl.pt) – Escola Nacional de Saúde Pública, Lisboa, 1600-560 Lisboa, Portugal</title>
<p>In the last few years, several studies have shown that inadequate health literacy levels can have significant implications in health outcomes, in the use of health care services and consequently, in health costs. The concept of health literacy has changed from a purely cognitive definition to a definition that includes the personal and social components of the individual, assuming the ability to make informed decisions in their everyday life.</p>
<p>This analytical cross-sectional study aims to validate and use the European Health Literacy Survey (HLS-EU) for the Portuguese population (HLS-EU-PT).</p>
<p>The HLS-EU-PT has been applied throughout the country, including autonomous regions, by an academic network. Data collection was conducted by personal interview. The final sample was composed of 1,004 individuals aged ≥ 16 years.</p>
<p>The HLS-EU-PT is an adequate instrument to measure the health literacy levels of the Portuguese population and shows comparable psychometric properties to versions used in the other countries.</p>
<p>In Portugal, 61.0 % of the surveyed population has problematic or inadequate general health literacy level, considering that the average of the nine countries tested with HLS-EU is 49.2 %. Concerning the Healthcare dimension, only 44.2 % have a sufficient or excellent level of health literacy. In terms of disease prevention, about 45.0 % of respondents reveal a sufficient or excellent level of health literacy, and the average stands at 54.5 %.</p>
<p>In the Health Promotion dimension about 60.2 % of the auscultated population has problematic or inappropriate health literacy level, and the average stands at 52.1 %. Therefore, it is fundamental to implement a National Strategy for Health Literacy.</p>
<p><bold>Keywords</bold>
</p>
<p>Health Literacy, health education, validation studies, surveys</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1450"><title>O238 Oral health literacy evaluation in a Portuguese military population</title>
<sec id="Sec1451"><title>Victor Assunção<sup>1</sup>
, Henrique Luís<sup>2</sup>
, Luís Luís<sup>3</sup>
</title>
<sec id="Sec1452"><title><sup>1</sup>
Escola Superior de Saúde, Instituto Politécnico de Portalegre, Portalegre, 7301-901 Portalegre, Portugal; <sup>2</sup>
Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, 1649-003 Lisboa, Portugal; <sup>3</sup>
Escola Superior de Saúde, Instituto Politécnico de Leiria; 2411-901 Leiria, Portugal</title>
<sec id="Sec1453"><title><bold>Correspondence:</bold>
Victor Assunção (victorassuncao@essp.pt) – Escola Superior de Saúde, Instituto Politécnico de Portalegre, Portalegre, 7301-901 Portalegre, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Oral health literacy is crucial for the empowerment of patients. This literacy is fundamental in order for people to understand the procedures and the instructions provided by health professionals. It is also important to provide the individuals with skills to participate in the choice of treatments. In a community setting it is crucial to evaluate oral health literacy levels before the implementation of a health promotion programme, in order for it to become effective in the transmission of educational themes. Objectives: The main goal of this study is to evaluate the oral health literacy and oral health knowledge of students enlisted at a military police force school and military officials.</p>
<p><bold>Methods</bold>
</p>
<p>To achieve this goal, the Portuguese version of the Oral Health Literacy Instrument (OHLI-POR) was used with 274 enlisted students and 12 military officials.</p>
<p><bold>Results</bold>
</p>
<p>The percentage of students with adequate oral health literacy is 54 %; 38 % have marginal literacy and 7.3 % have inadequate literacy. In relation to the military officials, 58.3 % have adequate literacy, 33.3 % marginal and 8.4 % inadequate literacy. When analysing oral health knowledge on a scale from 0 to 100, students and military officials have a positive average of 63.81 and 75.98 respectively.</p>
<p><bold>Conclusions</bold>
</p>
<p>Oral health literacy belongs to a field of science in oral health that needs urgent intervention. The results from this study show that there is a need to develop educational strategies and work in order to increase the oral health literacy of this population.</p>
<p><bold>Keywords</bold>
</p>
<p>Oral health, oral health literacy, health literacy, military, health education</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1454"><title>O239 Preferences to Internet-based cognitive behavioural therapy – do attachment orientations matter?</title>
<sec id="Sec1455"><title>Jennifer Apolinário-Hagen, Viktor Vehreschild</title>
<sec id="Sec1456"><title>Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</title>
<sec id="Sec1457"><title><bold>Correspondence:</bold>
Jennifer Apolinário-Hagen (jennifer.apolinario-hagen@fernuni-hagen.de) – Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen, Germany</title>
<p><bold>Background</bold>
</p>
<p>Attachment representations were found to be relatively stable predictors for health behaviour and related attitudes, e.g. adherence to psychotherapy, and the relationship to be mediated by perceived stress [1-2]. Nonetheless, the role of attachment in e-therapies is not well understood. Objective: The study aims to identify predictors for preferences to guided Internet-based CBT (ICBT) and to assess associations between preferences on ICBT, attachment orientations and stress.</p>
<p><bold>Methods</bold>
</p>
<p>A total of 436 healthy participants were provided with descriptions of three most common types of e-therapies to indicate their preference. The types varied in the involved guidance by a therapist (i.e. unguided versus guided ICBT versus videoconference setting). Attitudes towards ICBT were determined via a 17-item self-report measure. Furthermore, stress within the past four weeks was measured with the Perceived Stress Questionnaire (PSQ-20) [3]. To assess attachment orientations, a 9-item global version of the ECR–Relationship Structures (ECR-RS) [4] was used.</p>
<p><bold>Results</bold>
</p>
<p>Most respondents (39 %) preferred guided ICBT to unguided ICBT (20 %), videoconference psychotherapy (23 %) or none of them (18 %). Half of the respondents had experience with conventional psychotherapy, whereas 12 % were currently undergoing treatment and 7 % were seeking for help. Preferences corresponded to overall attitudes on ICBT. Regression analyses did not indicate that either attachment or stress was significantly predicting attitudes towards ICBT. Both, attachment anxiety and avoidance were positively correlated with perceived stress (medium effect sizes).</p>
<p><bold>Conclusions</bold>
</p>
<p>Most respondents preferred guided ICBT. Defining specific predictors for the utilization and acceptance of ICBT remains a challenge.</p>
<p><bold>References</bold>
</p>
<p>1. Vogel DL, Wei M. Adult attachment and help-seeking intent: the mediating roles of psychological distress and perceived social support. Journal of Counseling Psychology, 2005; 52(3):347-357.</p>
<p>2. Petronzi GJ, Masciale JN. Using personality traits and attachment styles to predict people’s preference of psychotherapeutic orientation. Counselling and Psychotherapy Research, 2015; 15(4):298–308.</p>
<p>3. Fliege H, Rose M, Arck P, Levenstein S, Klapp BF. Validierung des "Perceived Stress Questionnaire" (PSQ) an einer deutschen Stichprobe. Diagnostica, 2011; 47(3):142-152.</p>
<p>4. Fraley RC, Heffernan ME, Vicary AM, Brumbaugh CC. The Experiences in Close Relationships-Relationship Structures questionnaire: A method for assessing attachment orientations across relationships. Psychological Assessment, 2011; 23:615-625.</p>
<p><bold>Keywords</bold>
</p>
<p>Preferences, attitudes, e-therapy, e-mental health, ICBT, attachment orientations, perceived stress, mental health care, psychotherapy</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1458"><title>O240 A comparative transnational study in health literacy between Austria and Portugal</title>
<sec id="Sec1459"><title>Ulrike Fotschl<sup>1</sup>
, Gerald Lirk<sup>2</sup>
, Anabela C. Martins<sup>3</sup>
, Isabel Andrade<sup>3</sup>
, Fernando Mendes<sup>3</sup>
</title>
<sec id="Sec1460"><title><sup>1</sup>
Department of Biomedical Sciences, University of Applied Sciences Salzburg, A-5412 Puch/Salzburg, Austria; <sup>2</sup>
Department of Medical and Bioinformatics, University of Applied Sciences Upper Austria, Hagenberg A-4232 Hagenberg, Austria; <sup>3</sup>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec1461"><title><bold>Correspondence:</bold>
Fernando Mendes (fjmendes@estescoimbra.pt) – Department of Biomedical Sciences, University of Applied Sciences Salzburg, A-5412 Puch/Salzburg, Austria</title>
<p><bold>Background</bold>
</p>
<p>Limited health literacy (HL) is associated with lower health outcomes, higher healthcare costs and lead to impaired student success. Objective. The study aimed at gaining knowledge about the English HL level of non-native students from Health Science studies, to assess their comprehension of medical related information.</p>
<p><bold>Methods</bold>
</p>
<p>An ERASMUS joint research project was conducted to compare the HL level of students from two non-native English speaking countries (N = 185): Austria, University of Applied Sciences, Salzburg (FHS) and Portugal, ESTeSC-Coimbra Health School (CHS). A validated HL assessment tool (Pfizer, The Newest Vital Sign) was used along with a questionnaire to find out if there are any correlations between lifestyle factors and HL.</p>
<p><bold>Results</bold>
</p>
<p>A total of 140 students completed the questionnaire. Reliability was acceptable with Cronbach’s alpha equal to 0.656. FHS and CHS students showed an HL average score of 5.18 and 3.45 (out of 6), respectively (T = 6.68; df = 111; p < 0.001). Better lifestyle habits were related with higher HL scores. There is an intermediate positive correlation between HL score and English education (ρ = 0.37, p < 0.001). Male students have a significant higher level of HL (5.09) (T = 2.1; df = 135; p = 0.04). Up to 86 % of students were capable of understanding/interpreting an information regarding health issues correctly, but only up to 50 % could resolve right all mathematic and analytical-logical tasks.</p>
<p><bold>Conclusions</bold>
</p>
<p>The questionnaire can be used as a reliable and additional as-assessment tool in application procedures for international student’s exchange programs (e.g. Erasmus) or European Master Degree programme in Biomedical Sciences.</p>
<p><bold>Keywords</bold>
</p>
<p>Health literacy, health science students, transnational</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1462"><title>O241 Health literacy and social behaviours: relationship with sexually transmitted diseases?</title>
<sec id="Sec1463"><title>Verónica Mendonça, Sandra Antunes, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes</title>
<sec id="Sec1464"><title>Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<sec id="Sec1465"><title><bold>Correspondence:</bold>
Fernando Mendes (fjmendes@estescoimbra.pt) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Health Literacy (HL) encodes the capacity to obtain, process and understand basic health information and act appropriately. An adequate level of HL can empower higher education students in the process of decision-making regarding their own health. Furthermore, social behaviours influence the increasing rate of Sexually Transmitted Diseases (STD) in this population. Objective. The aim of this study was to evaluate the relationship between HL, social behaviours and STD in higher education students attending the first year of health sciences (HSc) and non-health sciences (NHSc) courses.</p>
<p><bold>Methods</bold>
</p>
<p>Participants (N = 50 HSc; N = 33 NHSc) filled out a questionnaire to assess sexual history, satisfaction, self-esteem/efficacy; attitude/intention of condom use; control over sexual events; parental relationship; HIV heuristics; alcohol consumption; plus, the level of HL (Newest Vital Sign-PT). Additionally, a blood sample was collected for STD screening.</p>
<p><bold>Results</bold>
</p>
<p>HSc students tend to have a higher level of HL, use more condoms and consume less alcohol before a sexual encounter in comparison to NHSc students. The use of condom is reduced in the case of pill contraception and when the sexual partnership is stable. A prevalence of 2.4 % for HSV 2 was found in this population, along with an association between positive cases and lower HL level, less use of condoms and higher alcohol intake before a sexual encounter.</p>
<p><bold>Conclusions</bold>
</p>
<p>A trend was observed in this population of higher education students showing an association between higher level of HL, fewer social risk behaviours and a lower prevalence of STD.</p>
<p><bold>Keywords</bold>
</p>
<p>Health literacy, Sexually transmitted diseases, Social behaviours, Higher education students</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1466"><title>O242 Parenting styles and attachment to parents: what relationships?</title>
<sec id="Sec1467"><title>Paula A. Silva<sup>1</sup>
, Lisete M. Mónico<sup>2</sup>
, Pedro M. Parreira<sup>3</sup>
, Carla Carvalho<sup>2</sup>
</title>
<sec id="Sec1468"><title><sup>1</sup>
Universidad de Extremadura, 10003 Cáceres, España; <sup>2</sup>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal; <sup>3</sup>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra, Portugal</title>
<sec id="Sec1469"><title><bold>Correspondence:</bold>
Paula A. Silva (paula.almeida.silva0209@gmail.com) – Universidad de Extremadura, 10003 Cáceres, España</title>
<p><bold>Background</bold>
</p>
<p>Parenting and Attachment styles have implications for interpersonal relationships and adult psychopathology, being determinant for internal working models. Objectives: To explore the associations between parenting styles and attachment to parents.</p>
<p><bold>Methods</bold>
</p>
<p>Sample: 600 participants (M = 27.0; SD = 10.6 years-old, 68.7 % female). Measures: I) ECR-RS – The Experiences in Close Relationships – Relationships Structures Questionnaire to evaluate dysfunctional attachment (F1-Avoidance in attachment to mother and father; F2-Anxiety in attachment to mother and father); II) EMBU – the Egna Minnen av Barndoms Uppfostran self-report questionnaire for measuring one's memory of parental rearing experiences (F1-Emotional mother and father support, F2-mother and father Rejection, F3-mother and father overprotection). Both measures showed good psychometric properties.</p>
<p><bold>Results</bold>
</p>
<p>Regarding the mother, attachment avoidance (M = 2.69, SD = 1.14) was negatively correlated with emotional support (M = 2.98, SD = 0.63; r = -.55), rejection (M = 1.40, SD = 0.44; r = .41) and overprotection (M = 1.95, SD = 0.54; r = .14) parenting styles. Considering the father, attachment avoidance (M = 3.33, SD = 1.42) was negatively correlated with emotional support (M = 2.65, SD = 0.73), rejection (M = 1.31; SD = 0.46), and overprotection (M = 1.78; SD = 0.51) parenting styles. Anxiety in the attachment to the mother (M = 2.41, SD = 1.65) was negatively correlated with emotional support (r = -.15) and positively correlated with rejection (r = .26) and overprotection (r = .16). Anxiety in the attachment to the father (M = 2.46, SD = 1.67) was negatively correlated with emotional support (r = -.16) and positively correlated with rejection (r = .18) and overprotection (r = .20).</p>
<p><bold>Conclusions</bold>
</p>
<p>Negative parenting styles (overprotection and rejection) were positively associated with the attachment anxiety and avoidance types. Emotional support of the mother and father was negatively associated with the attachment anxiety and avoidance types.</p>
<p><bold>Keywords</bold>
</p>
<p>Parenting styles, attachment, attachment to parents, attachment styles, ECR-RS, EMBU</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1470"><title>O243 Work-life balance in health professionals and professors: comparative study of workers with shift work and fixed schedule</title>
<sec id="Sec1471"><title>Carla Carvalho<sup>1</sup>
, Pedro M. Parreira<sup>2</sup>
, Lisete M. Mónico<sup>1</sup>
, Joana Ruivo<sup>1</sup>
</title>
<sec id="Sec1472"><title><sup>1</sup>
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal; <sup>2</sup>
Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra, Portugal</title>
<sec id="Sec1473"><title><bold>Correspondence:</bold>
Carla Carvalho (ccarvalho@fpce.uc.pt) – Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Shift work is usually mentioned in the literature as a factor of weight when it comes to the perception of conflict or facilitation in family and work management, especially in health professionals. Objective: To evaluate the extent to which working hours (fixed/shift) interfere with work-life balance.</p>
<p><bold>Methods</bold>
</p>
<p>We used T-F scale to evaluate the conflict and facilitation in work-family and family-work. The instrument was translated and adapted by Carvalho and Peralta (2009). It was applied to 96 health professionals (time shift) and 594 University Teachers (fixed schedule). The following were tested: the construct validity and reliability (subscales conflict, facilitation and consequences); if the three subscales have equivalent representations in the two samples; the effect of the schedule (fixed/variable) in the three dimensions.</p>
<p><bold>Results</bold>
</p>
<p>The subscales showed adequate psychometric properties (explained variance > 50 %; s > .40; .77 < α < .91), being invariant in the two samples (congruence coefficients from .936 to .976). Contrary to the hypothesis that shift work interferes negatively in work-life balance, schedule (fixed/shift) does not seem to influence the perception of interference (positive and/or negative) between family and work (Wilk's lambda = .99, p > .05; univariate F(6, 683) < 1:50, p > .05).</p>
<p><bold>Conclusions</bold>
</p>
<p>The results highlight the importance of continuing research, given the complexity of intervening variables in work-life balance and considering the samples in analysis. Given that there is life beyond work and because satisfied/happy people produce more, with higher quality, well-being and health, it is important to promote work-life balance.</p>
<p><bold>Keywords</bold>
</p>
<p>Work-life balance, Work-family conciliation, Work-family conflict, Work-family facilitation, Shift work</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1474"><title>O244 Technology literacy in self-management of diabetes</title>
<sec id="Sec1475"><title>Vânia Silva<sup>1</sup>
, Paulino Sousa<sup>1,2</sup>
, José M. Padilha<sup>1</sup>
</title>
<sec id="Sec1476"><title><sup>1</sup>
Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal; <sup>2</sup>
Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal</title>
<sec id="Sec1477"><title><bold>Correspondence:</bold>
José M. Padilha (miguelpadilha@esenf.pt) – Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Diabetes is a serious global public health problem with high mortality and morbidity. Living and controlling the disease implies developing self-management skills. However, little is known about the potential of use of ICT in this population. Objective: Describe and analyse the potential use of Information and communications technology (ICT) in the development of self-management skills.</p>
<p><bold>Methods</bold>
</p>
<p>A quantitative, exploratory, descriptive and correlational study, using a probabilistic stratified random sample of people enrolled in the National Diabetes Control Programme in Health Centres of a Local Health Unit. Data were collected with a form based on Davis and Venkatesh’s theoretical models, applied through telephone contact.</p>
<p><bold>Results</bold>
</p>
<p>The sample consists of 388 users, 53.4 % female, with a mean age of 65.7 years; 6.2 % of participants have no schooling, more than half of the participants (52.3 %) completed only the first cycle of basic education, and only 9.8 % completed higher education. People of higher age and less education are those with less technological literacy, limited access to information resources, as well as less use and a higher difficulty of use. They also present a lower intention of using ICT and make fewer demands of health information on the Internet. At the same time these participants showed more information needs and less health literacy. Already, younger participants and the more educated preferred the use of electronic resources as a source of health information.</p>
<p><bold>Conclusions</bold>
</p>
<p>The evaluation the potential user proves to be a highly useful tool for the development of informational resources available in line with technological literacy and appropriate to the informational needs of people.</p>
<p><bold>Keywords</bold>
</p>
<p>Information and Communication Technologies, Technology Literacy, Health Literacy, Diabetes</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1478"><title>O245 Satisfaction with therapeutic education and its relationship with clinical variables in children with type 1 diabetes</title>
<sec id="Sec1479"><title>Vera Ferraz<sup>1</sup>
, Graça Aparício<sup>2</sup>
, João Duarte<sup>2</sup>
</title>
<sec id="Sec1480"><title><sup>1</sup>
Centro Hospitalar de Trás–os-Montes e Alto Douro, Vila Real, 5000-508 Vila Real, Portugal; <sup>2</sup>
Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<sec id="Sec1481"><title><bold>Correspondence:</bold>
Graça Aparício (gaparicio5@hotmail.com) – Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Type 1 diabetes is a chronic illness that requires therapeutic education for empowering children/adolescents in managing their health-disease process. The relationship established and the level of satisfaction with the care provided sustains adherence to the treatment, improving metabolic control. Objectives: To analyse the level of satisfaction of children/youths with therapeutic education appointments and their relationship to the clinical variables.</p>
<p><bold>Methods</bold>
</p>
<p>Cross-sectional and descriptive-correlational study with a non-probabilistic sample of 135 children/adolescents between 8-18 years old (Mean: 13:45; SD = 2.83), with Type 1 diabetes. A survey comprising socio-demographic and clinical characterization was used, as well an adaptation of the “Survey on Patient Satisfaction with therapeutic education in Diabetes”.</p>
<p><bold>Results</bold>
</p>
<p>In the sample 54.1 % were boys, 36.3 % aged less than 12 years, the average of diagnosis was 4.15 years (SD = 46.19 months), ranging from 1 month to 15 years, and 83.0 % reported the mother as the main caregiver. For each subscale, higher rates of satisfaction were found in the "guidance" dimension (mean = 93.55 %; SD = 9.47), and less satisfaction in the "relationship/communication" dimension (Mean = 79.55 %; SD = 19.17). Relative to clinical variables, children/youths monitored in a central hospital, with fewer episodes of hypoglycaemia and less diagnostic time have higher satisfaction with therapeutic education (p < 0.05).</p>
<p><bold>Conclusions</bold>
</p>
<p>Identifying the level of satisfaction of children/youths with therapeutic education and the clinical situations that affect their satisfaction, can contribute to a better understanding of their expectations and needs, allowing adjustment of therapeutic education.</p>
<p><bold>Keywords</bold>
</p>
<p>Children/adolescents, Type 1 Diabetes, Therapeutic education, Satisfaction</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1482"><title>O246 Nutrition-related knowledge in middle-age and older patients with type 2 diabetes</title>
<sec id="Sec1483"><title>Carlos Vasconcelos<sup>1,2</sup>
, António Almeida<sup>2,3</sup>
, Joel Neves<sup>2</sup>
, Telma Correia<sup>2</sup>
, Helena Amorim<sup>2</sup>
, Romeu Mendes<sup>2,3,4</sup>
</title>
<sec id="Sec1484"><title><sup>1</sup>
Polytechnic Institute of Viseu, Viseu, 3504-510 Viseu, Portugal; <sup>2</sup>
University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal; <sup>3</sup>
Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal; <sup>4</sup>
Unidade de Saúde Pública, ACES Douro I, Marão e Douro Norte, Administração Regional de Saúde do Norte, 5000-524 Vila Real, Portugal</title>
<sec id="Sec1485"><title><bold>Correspondence:</bold>
Carlos Vasconcelos (romeuduartemendes@gmail.com) – University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Understanding the impact of food choices on our health is a basic condition to have a healthy eating pattern – a cornerstone of type 2 diabetes treatment and control. Objectives: This study aimed to assess nutrition-related knowledge in middle-age and older patients with type 2 diabetes (T2D) and to analyse its determinants.</p>
<p><bold>Methods</bold>
</p>
<p>Nutrition-related knowledge was assessed using the Portuguese reduced version of the Nutritional Knowledge Questionnaire [1] in 46 individuals with T2D (29 women; 62.96 ± 7.15 years of age; literate [47.8 % to 4th grade; 28.3 % between the 5th-9th grade; and 23.9 % above the 9th grade]) candidates to <italic>Diabetes em Movimento</italic>
®, a community-based lifestyle intervention programme developed in Vila Real, Portugal (NCT02631902). This version of the questionnaire consists of three sections (dietary recommendations [DR, 0-6 points]; sources of nutrients [SN, 0-34 points]; diet-disease relationship [DDR, 0-16 points]), totalling a maximum score of 56 points.</p>
<p><bold>Results</bold>
</p>
<p>Total score was 25.89 ± 7.21 points (58.7 % with a score lower than 28 points); DR 4.59 ± 1.11 points; SN 15.30 ± 5.37 points; and DDR 6.04 ± 2.22 points. No significant differences between genders were observed in the total score, nor any association with age. Significant differences were found between the less and the more educated individuals.</p>
<p><bold>Conclusions</bold>
</p>
<p>These patients present deficits on nutrition-related knowledge, particularly in SN and DDR fields. Gender and age does not appear to determine this knowledge, contrary to education level.</p>
<p><bold>References</bold>
</p>
<p>1. Parmenter K, Wardle J. Development of a general nutrition knowledge questionnaire for adults. Eur J Clin Nutr. 1999; 53:198-308.</p>
<p><bold>Keywords</bold>
</p>
<p>Nutrition-Related Knowledge, Health Literacy, Type 2 Diabetes</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1486"><title>O247 Validating the HLS-EU-(PT) questionnaire to measure health literacy in adolescents (CrAdLiSa project: HLS-EU-PT)</title>
<sec id="Sec1487"><title>Luís Saboga-Nunes<sup>1</sup>
, Madalena Cunha<sup>2</sup>
, Carlos Albuquerque<sup>2</sup>
</title>
<sec id="Sec1488"><title><sup>1</sup>
Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Publica, 1600-560 Lisboa, Portugal; <sup>2</sup>
Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal</title>
<sec id="Sec1489"><title><bold>Correspondence:</bold>
Luís Saboga-Nunes (saboga@hotmail.com) – Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Publica, 1600-560 Lisboa, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Educators and the education settings can play a major role in promoting Health literacy (HL) as a direct outcome. New perspectives are being opened, such as the question of whether HL can be considered as a buffer variable at early ages (e.g. adolescence). The HLS-EU questionnaire has emphasized the dimensions of health care, health prevention and health promotion covering a wide range of perspectives in an integrated approach. Objective: The purpose of this research is to evaluate how health literacy can be measured in the age group of adolescents.</p>
<p><bold>Methods</bold>
</p>
<p>A quantitative and qualitative explanatory cross-correlated study based on a sample of 215 adolescents from the VFX region of Portugal was collected in a school setting. Measurement of adolescents’ HL (CrAdLiSa project) was implemented with the HLS-EU-PT survey, the Portuguese version of the European Health Literacy Survey instrument (<ext-link ext-link-type="uri" xlink:href="http://www.literacia-saude.info/">www.literacia-saude.info</ext-link>
).</p>
<p><bold>Results</bold>
</p>
<p>Reliability analysis of HLS-EU-PT dimensions show an internal consistence (Cronbach's alpha coefficient) of 0.946 (Health Care), 0.947 (Disease Prevention) and 0.958 (Health Promotion), while the global instrument presents a value of 0.98. Inadequate HL (4.2 %) and problematic HL (25.6 %) show that about 30.0 % of respondents have limited HL.</p>
<p><bold>Conclusions</bold>
</p>
<p>The results enhance the reliability, validity, internal validity, statistical validity longitudinal and linguistic validity, as land marks of the translation and validation process to Portuguese of the HLS-EU survey and applied to evaluate adolescents HL. Further research must investigate HL potential at this age range and how it should be developed in school curricula.</p>
<p><bold>Keywords</bold>
</p>
<p>health literacy, adolescents, HLS-EU-PT</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1490"><title>O248 Health education in people with coronary heart disease: Experience of the cardiology department of a hospital on the outskirts of Lisbon</title>
<sec id="Sec1491"><title>Elsa S. Pereira, Leonino S. Santos, Ana S. Reis, Helena R. Silva, João Rombo, Jorge C. Fernandes, Patrícia Fernandes</title>
<sec id="Sec1492"><title>Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Amadora, Portugal</title>
<sec id="Sec1493"><title><bold>Correspondence:</bold>
Elsa S. Pereira (elsa.m.silva@hff.min-saude.pt) – Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Amadora, Portugal</title>
<p><bold>Background</bold>
</p>
<p>This study takes place via a partnership between a Nursing School and the cardiology department of a hospital on the outskirts of Lisbon. Nursing interventions in the acute phase of Acute Coronary Syndrome (ACS) should be started early through a process of recognition of the need for behavioural change, health education and planning the treatment regimen. For the early development of a therapeutic intervention, the nurse acts by focusing the attention of the person on the need for management of a therapeutic regimen (self-care). The department has implemented an education programme. Knowledge of the impact of this intervention is needed for its continued development. Objectives: To characterize and evaluate the education strategy for health undertaken and to understand this intervention through the eyes of those to whom it is addressed.</p>
<p><bold>Methods</bold>
</p>
<p>An exploratory, analytical cross-sectional study of qualitative dimension, developed with the persons’ subject to the education sessions. Retrospective analysis of hospital processes with biopsychosocial characterization of individuals and identification of risk factors. Semi-structured telephone interviews were made one year after discharge.</p>
<p><bold>Results</bold>
</p>
<p>Modification occurred in identified risk factors, an evaluation of sessions in changing these factors was performed, and other educational support was identified.</p>
<p><bold>Conclusions</bold>
</p>
<p>Data was obtained on the impact of health education, given the knowledge of the disease, control of health risk factors and adherence to lifestyle and therapy. Contributions were collected for the reorganization of the sessions, and also for the development of a protocol to standardize the practice of education favouring improvement and guaranteed health gains.</p>
<p><bold>Keywords</bold>
</p>
<p>health education, coronary heart disease, nursing</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1494"><title>O249 Information and training needs of informal caregivers of individuals with stroke sequelae: a qualitative survey</title>
<sec id="Sec1495"><title>Jaime Ribeiro<sup>1</sup>
, Catarina Mangas<sup>2</sup>
, Ana Freire<sup>3</sup>
</title>
<sec id="Sec1496"><title><sup>1</sup>
Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal; <sup>2</sup>
Unidade de Investigação Inclusão e Acessibilidade em Acção “iACT” e Escola Superior Educação e Ciências Sociais, Instituto Politécnico de Leiria; 2411-901 Leiria, Portugal; <sup>3</sup>
Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec1497"><title><bold>Correspondence:</bold>
Jaime Ribeiro (jaime.ribeiro@ipleiria.pt) – Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal</title>
<p>An adequate offer of information and training is undoubtedly a decisive step to endow the informal caregiver with the competences to safeguard the wellbeing of both the caregiver and the person to whom he/she provides care. There is a known insufficiency of information and training making it necessary to fill these lacks on those who take care of elderly people with stroke sequelae. The difficulty of finding an adjusted training is owed to the little knowledge of their real needs as well as to the fact that there isn’t a systematic plan addressed to these needs.</p>
<p>Focusing an area still to be explored in Portugal, this descriptive-exploratory study attempted to identify the information and training needs of informal caregivers of people with stroke sequelae, envisaging the design of a training programme. We endeavoured to conceptualize a training program starting from that which should be the starting point of any educative action - the identification of needs. Using a qualitative approach, we conducted an enquiry through a semi-structured interview with the informal caregivers, as well with key informants such as the formal caregivers and individuals with stroke sequelae, with subsequent content analysis according to Bardin.</p>
<p>It was observed in different dimensions the perceived importance of information and the need for a formal training structure. The results suggest the training must be geared towards supporting the process of rehabilitation and mediation, as well to the basic learning for the act of caring for a person with stroke sequelae, requiring a practical component.</p>
<p><bold>Keywords</bold>
</p>
<p>Informal caregivers, information and training needs, training programme</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1498"><title>O250 Prevention of psychoactive substances consumption in students from 6th grade of Albergaria-a-Velha´s School Group</title>
<sec id="Sec1499"><title>Sara Silva, Irene Francisco, Ana Oliveira</title>
<sec id="Sec1500"><title>Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Aveiro, Portugal</title>
<sec id="Sec1501"><title><bold>Correspondence:</bold>
Sara Silva (sararebelo.silva@gmail.com) – Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Aveiro, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Teenagers are considered a vulnerable group for several risk behaviours, which include the use of psychoactive substances. The better you know the risk factors and protection, as well as the risks associated with consumption of these substances, the better you can define and identify intervention strategies.</p>
<p>Objectives: The overall aim of this intervention study was to empower students from the 6th grade, from the Albergaria-a-Velha School Group, in 2014, with personal and social skills for prevention of psychoactive substance consumption.</p>
<p><bold>Methods</bold>
</p>
<p>This study consisted of two groups, one subjected to intervention and one control group not submitted to intervention, each encompassing four classes. Five sessions were held, addressed to students on personal and social skills, in particular, about taking part in the decision and resolution of problems, of resistance to social influence and peer pressure and information. The evaluation is based on self-administered questionnaires before and after the intervention.</p>
<p><bold>Results</bold>
</p>
<p>In the intervention group there was an increase in the proportion of components of decision-making and problem solving and also in information, whereas in the resistance component of the social influence and peer pressure, there was a decrease. In the control group there was a rate of decrease for the three components.</p>
<p><bold>Conclusions</bold>
</p>
<p>After the completion of this work it is considered appropriate to continue this kind of intervention, not only to make use of the available material already applied/tested but also because more interventions on this issue are invaluable.</p>
<p><bold>Keywords</bold>
</p>
<p>Intervention, personal and social skills, psychoactive substances</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1502"><title>O251 Promoting healthy sexuality: shared responsibility for family, youth and educators</title>
<sec id="Sec1503"><title>Helena Catarino, Mª Anjos Dixe, Mª Clarisse Louro</title>
<sec id="Sec1504"><title>Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec1505"><title><bold>Correspondence:</bold>
Helena Catarino (helena.catarino@ipleiria.pt) – Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The study aimed to identify the knowledge and information of young people and parents concerning sexuality and to identify the needs and difficulties in sexual education of youths.</p>
<p><bold>Methods</bold>
</p>
<p>This quantitative study was conducted on a non-probabilistic convenience sample which was composed by 285 young people aged between 14 and 20 years and their parents (257). A questionnaire comprising questions of open, closed and mixed responses was used.</p>
<p><bold>Results</bold>
</p>
<p>It was found that young people feel they have good information (57.4 %) on sexuality, have doubts about topics such as pleasure and orgasm (16.9 %) and sexually transmitted diseases (12.1 %) and that the issue continues to be a taboo on a family, school and social level. The information is acquired at school (24.9 %) and Internet (20.4 %). They talk with friends (39.1 %) about the subject, but do not talk to health professionals, or resort to family planning, and have risk behaviours. Most parents (73.3 %) had already talked to the child about the issue of sexuality, giving it much importance and considering that the issue should be addressed by 12 years of age. They feel less difficulty in talking to their children about boyfriends (57.6 %) and most difficulties in talking about their sexual behaviour (7.4 %). To overcome the difficulties, most parents resort to books (36.2 %) and Internet (29.6 %), considering the implementation a sexual education programme relevant (67.3 %).</p>
<p><bold>Conclusions</bold>
</p>
<p>The results show the importance of intervention for the prevention of risk behaviours and to promote healthy attitudes and sexual behaviour in young people.</p>
<p><bold>Keywords</bold>
</p>
<p>Sexual education, shared responsibility, youth, parents, educators</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1506"><title>O252 Sexual risk behaviour in adolescents and young people</title>
<sec id="Sec1507"><title>Saudade Lopes, Anjos Dixe</title>
<sec id="Sec1508"><title>Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec1509"><title><bold>Correspondence:</bold>
Saudade Lopes (saudade.lopes@ipleiria.pt) – Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Young people have risky sexual behaviour for disease transmission. These increase with the early onset of sexual activity. According to the 3rd EU Health Programme 2014-2020 [1], it is necessary to identify and combat this. Objective: This study aimed to describe the sexual risk behaviour of young people by gender and age and its relationship with the age of onset of sexual activity.</p>
<p><bold>Methods</bold>
</p>
<p>This correlational study resulted from the application of a range of risky sexual behaviour, with four items in a sample of 128 adolescents and young people (12-24 years of age). They were 72 boys (M = 18.23 ± 2.99 years) and 56 girls (M = 17.93 ± 2.45 years). The scale was Likert-type with values from 1 to 5. The lowest values correspond to the worst behaviours.</p>
<p><bold>Results</bold>
</p>
<p>The results were grouped into four age groups (12-13; 14-16; 17-19 and 20 and over). The boys had worse behaviours (M = 3.82 ± 0.77) than girls (M = 4.38 ± 0.59) in the set of items and the total of age groups. This difference was statistically significant (p ≤ 0.01). The coefficient of Spearman showed no relationship between these behaviours and the age of onset of sexual activity. The boys report first sexual intercourse at 12 years old (M = 14.77 ± 1.49 years) and girls at 13 years old (M = 15.56 ± 1.36).</p>
<p><bold>Conclusions</bold>
</p>
<p>Young people are at risk from behaviours that differ by gender and age, but are unrelated to the age of onset of sexual activity.</p>
<p><bold>References</bold>
</p>
<p>1. Third health programme (2014-2020). Funding Health Initiatives. Brussels, Belgium: European Commission; 2013.</p>
<p><bold>Keywords</bold>
</p>
<p>Adolescents, young people, sexual behaviour</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1510"><title>O253 Knowledge of school staff on type 1 diabetes</title>
<sec id="Sec1511"><title>Mª Anjos Dixe<sup>1</sup>
, Eva Menino<sup>1</sup>
, Helena Catarino<sup>1</sup>
, Fátima Soares<sup>2</sup>
, Ana P. Oliveira<sup>3</sup>
, Sara Gordo<sup>1</sup>
, Teresa Kraus<sup>1</sup>
</title>
<sec id="Sec1512"><title><sup>1</sup>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Unidade de Saúde Pública - ACES Pinhal Litoral, ARS Centro, 3100-462 Pombal, Portugal; <sup>3</sup>
Consulta Externa de Pediatria, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal</title>
<sec id="Sec1513"><title><bold>Correspondence:</bold>
Mª Anjos Dixe (maria.dixe@ipleiria.pt) – Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Considering the increasing incidence of type 1 diabetes and the fact most of these children attend school, school staff needs to be knowledgeable about providing a safe environment. Objectives: To evaluate the knowledge of school staff on type 1 diabetes and to relate it to the profession, years of professional practice in the institution and the perception about the level of preparation about type 1 diabetes.</p>
<p><bold>Methods</bold>
</p>
<p>A correlational study was conducted on 81 school staff elements, to whom a questionnaire was applied composed of socio-economic data, scale of knowledge about type 1 diabetes and level of perception about their preparation about it.</p>
<p><bold>Results</bold>
</p>
<p>Participants had an average knowledge of 11.1 ± 2.69 (maximum 17 points). Most of participants (63 %) were wrong on the issue "Cori has vomited. Your best initial response would be: call his parents", but most of them (95.1 %) hit the question "Today, Cory is requesting trips to the bathroom and fountain. You would: allow him to go to the bathroom and fountain”. Teachers hold a higher level of knowledge in relation to other professional groups (p < 0.01) and perceive a greater need for training and preparation (p < 0.01) about type 1 diabetes. The level of knowledge is not related to years of professional practice in the institution (p > 0.05).</p>
<p><bold>Conclusions</bold>
</p>
<p>The results show the importance of having prepared and knowledgeable school staff to follow these students. Thus, it is important to assess the level of knowledge and associated variables, in order to develop adjusted intervention programmes.</p>
<p><bold>Keywords</bold>
</p>
<p>Diabetes, school staff, nursing, knowledge</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1514"><title>O254 Sexual health in adolescents: the impact of information search in literacy</title>
<sec id="Sec1515"><title>Catarina Tomás<sup>1</sup>
, Paulo Queirós<sup>2</sup>
, Teresa Rodrigues<sup>3</sup>
</title>
<sec id="Sec1516"><title><sup>1</sup>
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal; <sup>2</sup>
Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; <sup>3</sup>
Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal</title>
<sec id="Sec1517"><title><bold>Correspondence:</bold>
Catarina Tomás (catarina.tomas@ipleiria.pt) – Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Adolescents face numerous challenges searching for health information, and this search is essential to develop an adequate health literacy, that can enhance healthy choices. Objectives: The aim of this study is to analyse the impact of health information sources use and the search for sexual health information in sexual health literacy in a group of Portuguese adolescents.</p>
<p><bold>Methods</bold>
</p>
<p>To reach the aim it was developed a quantitative descriptive and correlational study, with a non-probabilistic sample of 1,215 adolescents that attend two secondary schools of the central region of the country. Data were collected with a questionnaire with sociodemographic questions, the Health Literacy Assessment Tool and the Portuguese version of the Health Literacy Questionnaire for Children.</p>
<p><bold>Results</bold>
</p>
<p>The sample was composed by female (47.08 %) and male (52.92 %) adolescents, aged between 14 and 20 years old (16.32; SD = 1.11), attending the three years of the secondary school (from 10th to 12th grade). Sexual health literacy was found to be good (0.65; SD = 0.18), being lower in males (p = 0.000) and in adolescents attending the 10th grade (p = 0.005). Sexual health literacy was found to correlate negatively with age (R = -0.105; p = 0.000). Results have shown that sexual health literacy is influenced by the use of health information sources, namely “doctor”, “television”, “pharmaceutics” and “leaflets” (R2 = 0.032; p = 0.000; Z = 9.087) and through receiving sexual health information (R2 = 0.045; p = 0.000; Z = 52.387).</p>
<p><bold>Conclusions</bold>
</p>
<p>There is an influence of the use of some health information sources and the increase of sexual health literacy. To increase this type of literacy it is important to increase the amount of sexual health information available, in order to improve its use.</p>
<p><bold>Keywords</bold>
</p>
<p>Sexuality, mental health, information resources</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1518"><title>P123 Improving basic life support skills in adolescents through a training programme</title>
<sec id="Sec1519"><title>Pedro Sousa, João G. Frade, Catarina Lobão</title>
<sec id="Sec1520"><title>Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<sec id="Sec1521"><title><bold>Correspondence:</bold>
Pedro Sousa (pedro.sousa@ipleiria.pt) – Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Basic life support (BLS) is the basis for saving lives following cardiac arrest. Previous studies support the need to train bystanders in BLS to reduce mortality and morbidity rates in situations of accident and sudden illness in extra-hospital settings. Objective: This study aimed to evaluate the impact of a training programme directed towards the BLS skills of adolescents.</p>
<p><bold>Methods</bold>
</p>
<p>This quasi-experimental study surveyed 176 adolescents from a Public Portuguese School aged between 11 and 17 years old, 55.1 % female and 44.9 % male. The intervention comprised a training programme directed towards the BLS skills of adolescents. The assessment instrument was applied before and after the intervention, including a 20-item questionnaire on BLS skills. The results were obtained using descriptive statistics and nonparametric tests. All ethical and formal procedures were respected.</p>
<p><bold>Results</bold>
</p>
<p>The BLS skills index before the intervention was 15.70 (SD = 2.02) (95 % CI: 15.35 to 16.06), out of a maximum of 20 points. At the end of the intervention the BLS skills index increased (p < 0.001) to 17.31 (SD = 4.58) (95 % CI: 16.93 to 17.68). Regarding the BLS skills determinants, we found a significant influence of parents’ qualifications (father: p = 0.037; χ2 = 8.456; mother: p = 0.001; χ2 = 16.131). Teens whose parents had higher qualifications presented increased skills in airway permeabilization.</p>
<p><bold>Conclusions</bold>
</p>
<p>The BLS training programme improved adolescents’ skills and knowledge. Special attention should be given to the determinants identified as influencing BLS skills in the design of future interventions and policies.</p>
<p><bold>Keywords</bold>
</p>
<p>Basic Life Support, skills, adolescents</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1522"><title>P124 Difficulties in sexual education reported by basic education teachers in the city of Foz do Iguaçu - Brazil</title>
<sec id="Sec1523"><title>Cynthia B. Moura, Laysa C. Dreyer, Vanize Meneghetti, Priscila P. Cabral</title>
<sec id="Sec1524"><title>Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná, 85851-100, Brasil</title>
<sec id="Sec1525"><title><bold>Correspondence:</bold>
Cynthia B. Moura (cynthia-moura@hotmail.com) – Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná, 85851-100, Brasil</title>
<p>Sexual education is a curricular component present in Brazilian schools, set by the National Curriculum Parameters (PCNs) drawn up by the Ministry of Education and Culture (MEC). However, unprepared teachers talking about this issue can lead to a simplified and just biological approach of sexuality.</p>
<p>The aim of this study was to conduct a survey about the 5 th grade teachers’ difficulties of public schools in Foz do Iguaçu - Paraná - Brazil, regarding sexual education. We chose to study this school grade since sexuality and human reproduction appear for the first time as a subject.</p>
<p>Participants were 82 teachers of 5th grade of fundamental education from 48 municipal schools of Foz do Iguaçu, Paraná, Brazil, representing 94 % of the total number schools in town and 60 % of the total of teachers of the grade. The data collection instrument was a form with questions about teachers’ difficulties, challenges of sexual education in schools and themes that should be addressed.</p>
<p>The difficulties reported by the teachers were mainly about talking about homosexuality, masturbation and sexual violence. The very permissive or neglecting families were pointed as the biggest challenges. The topics indicated as required in sexual education were: "teaching about the typical changes of puberty", "advising the risks and how to protect of abuse and paedophilia" and "informing about contraceptive methods and prevention of STDs/AIDS”.</p>
<p>The conclusion is that the data found in this survey can contribute to justify and better direct and train teachers in sexual education.</p>
<p><bold>Keywords</bold>
</p>
<p>Sexual education, sexuality, teenagers, teachers training</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1526"><title>P125 Breast cancer survivors: subjects and resources for information. A qualitative systematic review</title>
<sec id="Sec1527"><title>Francisca Pinto<sup>1,2</sup>
, Paulino Sousa<sup>3</sup>
, Mª Raquel Esteves<sup>2</sup>
</title>
<sec id="Sec1528"><title><sup>1</sup>
Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa/Porto, 4202-401 Porto, Portugal; <sup>2</sup>
Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Cooperativa De Ensino Superior Politécnico Universitário, Instituto Politécnico de Saúde do Norte, 4585-116 Gandra, Portugal; <sup>3</sup>
Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto, Portugal & Centre for Health Technology and Services Research, Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal</title>
<sec id="Sec1529"><title><bold>Correspondence:</bold>
Francisca Pinto (franciscampinto@gmail.com) – Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa/Porto, 4202-401 Porto, Portugal</title>
<p><bold>Background</bold>
</p>
<p>The increase in survival for breast cancer (BC), problems in transition to a post-treatment phase that BC women face and a decrease in communication between patients and healthcare system justifies exploring the literature on information needs and sources for information used by breast cancer survivors (BCS) in this phase of cancer experience. The objective is to describe information needs and information resources used by BCS after primary treatment that emerged from qualitative evidence.</p>
<p><bold>Methods</bold>
</p>
<p>A qualitative systematic review. Eight databases were systematically searched for studies using an expression resulting from a combination of terms (breast cancer, survivor, information, literacy). Original articles which focused on information needs and information resources used by BCS, based on their cancer experience, were included.</p>
<p><bold>Results</bold>
</p>
<p>Thirty studies were select. Most of them were exploratory and used focus group methodology to collect data. BCS need information that: I) helps them to be effective in the self-management of the disease (references to information about side effects of BC treatment; II) helps them to learn to live with cancer (more references about supportive resources). Health professionals, support groups and written materials are the information resources of first preference for BCS, despite using others. There is some evidence about the approach of BCS in using the web as an information resource (young women and those who live in rural areas).</p>
<p><bold>Conclusions</bold>
</p>
<p>The information needs of BCS after primary treatment are multiple and characterised by the experience of living with BC. BCS use different information resources. This evidence seems to be the core of needs in BC survival and justifies thorough research on these topics.</p>
<p><bold>Keywords</bold>
</p>
<p>Breast cancer survivor, information needs, information resources, systematic review</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1530"><title>P126 Relationship between health literacy and prevalence of STI in Biomedical Laboratory Science students</title>
<sec id="Sec1531"><title>Sofia Galvão<sup>1</sup>
, Ite Tytgat<sup>2</sup>
, Isabel Andrade<sup>1</sup>
, Nádia Osório<sup>1</sup>
, Ana Valado<sup>1</sup>
, Armando Caseiro<sup>1</sup>
, António Gabriel<sup>1</sup>
, Anabela C. Martins<sup>1</sup>
, Fernando Mendes<sup>1</sup>
</title>
<sec id="Sec1532"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; <sup>2</sup>
University Thomas More, B - 2800 Mechelen, Belgium</title>
<sec id="Sec1533"><title><bold>Correspondence:</bold>
Fernando Mendes (fjmendes@estescoimbra.pt) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Despite the continuum development in technology that facilitates patient access to health information and services, the level of health literacy (HL) and electronic health literacy (eHL) influences individuals’ full participation in their own healthcare management. Although many campaigns have been implemented to raise awareness of young people to sexual risk behaviours, there is still an increasing number of cases of sexually transmitted diseases (STD) worldwide. Besides there is still a communication gap between health professionals and patients. Objective: The main goal of this joint research project is to study the relationship between HL, sexual behaviours and prevalence of STD in students of the Biomedical Laboratory Sciences, comparing students from Belgium, University of Thomas More (UTM) and Portugal, ESTeSC-Coimbra Health School (CHS).</p>
<p><bold>Methods</bold>
</p>
<p>The methodology includes the collection of a venous blood sample for the screening of STD and application of a validated HL assessment tool (Pfizer, The Newest Vital Sign) along with a questionnaire to find out if there are any correlations between sexual behaviours and HL.</p>
<p><bold>Results</bold>
</p>
<p>It is expected that higher education students frequenting health science studies will show an adequate level of HL and of risk behaviours, and a low prevalence of STD.</p>
<p><bold>Conclusions</bold>
</p>
<p>Depending on the results, this study could be a valuable asset to entities responsible for awareness campaigns on sexual risk behaviours, translating into a new approach for the prevention of STD.</p>
<p><bold>Keywords</bold>
</p>
<p>Health literacy, Sexual behaviours, Sexually transmitted diseases, Students</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1534"><title>P127 Health literacy, risk behaviours and sexually transmitted diseases among blood donors</title>
<sec id="Sec1535"><title>Mónica Casas-Novas<sup>1</sup>
, Helena Bernardo<sup>1</sup>
, Isabel Andrade<sup>1</sup>
, Gracinda Sousa<sup>2</sup>
, Ana P. Sousa<sup>2</sup>
, Clara Rocha<sup>1</sup>
, Pedro Belo<sup>1</sup>
, Nádia Osório<sup>1</sup>
, Ana Valado<sup>1</sup>
, Armando Caseiro<sup>1</sup>
, António Gabriel<sup>1</sup>
, Anabela C. Martins<sup>1</sup>
, Fernando Mendes<sup>1</sup>
</title>
<sec id="Sec1536"><title><sup>1</sup>
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; <sup>2</sup>
Instituto Português do Sangue e da Transplantação, Lisboa, 1000-208 Lisboa, Portugal</title>
<sec id="Sec1537"><title><bold>Correspondence:</bold>
Fernando Mendes (fjmendes@estescoimbra.pt) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal</title>
<p><bold>Background</bold>
</p>
<p>An adequate level of health literacy (HL) and electronic health literacy (eHL) is paramount to understand health risks and take action to change behaviours. Having in mind the prevalence of sexually transmitted diseases (STD) it is fundamental to evaluate the level of HL/eHL and its association with risk behaviours, especially in restricted groups of socio-cultural and clinical interest, such as the blood donors. For the blood donation at the IPST, a blood sample is taken for screening tests and at the same time an e-mail is sent to the blood donor. This e-mail contains the online form for donor eligibility and this provides a unique opportunity to associate a questionnaire for the assessment of HL/eHL. Objective. The aim of this study is to characterize the level of functional HL and eHL of blood donors.</p>
<p><bold>Methods</bold>
</p>
<p>A questionnaire addressing demographic data, level of knowledge on risk behaviours and STD, the Portuguese version of the scales Newest Vital Sign (NVS-PT) and e-HEALS (e-Health Literacy Scale) will be used in a representative sample of the nationwide population of blood donors.</p>
<p><bold>Results</bold>
</p>
<p>It is expected that blood donors raise their level of confidence and safety in the donation procedure in Portugal, calling more and new donors, increasing the blood supplies.</p>
<p><bold>Conclusions</bold>
</p>
<p>This innovative research project will be the foundation for a model for the IPST’ to develop effective evidence-based strategies to empower citizens for the blood donation.</p>
<p><bold>Keywords</bold>
</p>
<p>Health literacy, e-health literacy, risk behaviours, blood donors</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1538"><title>P128 Promoting literacy in pregnancy health-care</title>
<sec id="Sec1539"><title>Fátima Martins<sup>1</sup>
, Montserrat Pulido-Fuentes<sup>2</sup>
</title>
<sec id="Sec1540"><title><sup>1</sup>
Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga, Portugal; <sup>2</sup>
Facultad de Terapia Ocupacional, Logopedia y Enfermería, Universidad de Castilla-La Mancha, 45600 Talavera de la Reina, Toledo, España</title>
<sec id="Sec1541"><title><bold>Correspondence:</bold>
Fátima Martins (fmartins@ese.uminho.pt) – Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga, Portugal</title>
<p>Adequate literacy in pregnancy is critical to providing the pregnant woman with the adoption of healthy lifestyles. In order to know the perspective of the midwife about health literacy in prenatal surveillance, we developed a descriptive exploratory study of a qualitative approach in which we conducted semi-structured interviews with 8 midwives who played roles in health centres in rural and urban areas.</p>
<p>The data were subjected to content analysis according to Bardin. "<italic>To satisfy the information requirements</italic>
", "<italic>to promote the well-being of the pregnant woman and child</italic>
", "<italic>to educate towards motherhood</italic>
" and "<italic>to promote family well-being</italic>
" are the purposes of Health Education.</p>
<p>The results demonstrated that literacy allows one to qualify the pregnant woman with knowledge, skills and attitudes in order to promote responsibility and autonomy. The "<italic>level of education</italic>
" associated with the social environment were conditional factors for its promotion. It should be noted that the knowledge of the pregnant woman was transmitted by different agents, with a highlight on healthcare providers (n = 38), the family (n = 30) and information technologies (n = 26) (internet, television, books and magazines).</p>
<p>Women with a High School and Licentiate degree primarily seek new information technologies. Those who have a lesser degree of literacy have less knowledge about pregnancy and inadequate self-management of the problems that may arise. It is confirmed that the prenatal surveillance check-up is an adequate space to prepare the woman positively and comprehensively for pregnancy, childbirth and motherhood, as well as to transmit knowledge that will lead her to the performance of an informed citizenship.</p>
<p><bold>Keywords</bold>
</p>
<p>Health literacy, pregnancy, health promotion</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1542"><title>P129 The lifestyles of the operating assistants of education</title>
<sec id="Sec1543"><title>Isabel Barroso<sup>1</sup>
, Gil Cabral<sup>2</sup>
, M. João Monteiro<sup>1</sup>
, Conceição Rainho<sup>1</sup>
</title>
<sec id="Sec1544"><title><sup>1</sup>
Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal; <sup>2</sup>
Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, 5000-508 Vila Real, Portugal</title>
<sec id="Sec1545"><title><bold>Correspondence:</bold>
Isabel Barroso (imbarroso@utad.pt) – Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal</title>
<p><bold>Background</bold>
</p>
<p>Operating Assistants (OA) who work in schools should embrace healthy lifestyles due to the active role they play within the educational community. Objective: To measure lifestyles of the Operating Assistants in secondary schools in the north of the Portugal.</p>
<p><bold>Methods</bold>
</p>
<p>A descriptive study was used as well as a questionnaire on the physical, psychological and social components of lifestyles, consisting of ten domains which are identified with the "FANTASTICO”. The Portuguese version, consisting of 30 items, each with three answer options, with values ranging from 0 to 2, and the total score of 0 to 120 points, categorized by: “<italic>need to improve</italic>
” (0-46); “<italic>regular</italic>
” (47-72); “<italic>good”</italic>
(73-84); “<italic>very good</italic>
” (85-102) and “<italic>excellent lifestyle</italic>
” (103-120).</p>
<p><bold>Results</bold>
</p>
<p>Of the 49 OA participating in the study, most were females 35 (71.4 %), with the average age of 50.6 years old (SD = 6.6) having 19.1 years of work experience (SD = 7.6). The lifestyles of the Operational Assistants were classified as following: excellent 7 (14.3 %); very good 29 (59.1 %); good 11 (22.4 %) and a regular lifestyle 2 (4.1 %). The ten domains that presented the lowest scores were: tobacco use, physical activity and association commitments, family and friends. Tobacco consumption had the lowest score (mean = 6.61; SD = 2.49), which indicates the poorest lifestyle.</p>
<p><bold>Conclusions</bold>
</p>
<p>The characterization of the OA’s lifestyles will allow the planning of interventions in order to promote healthy lifestyles for the areas that presented the lowest scores.</p>
<p><bold>Keywords</bold>
</p>
<p>Lifestyles, Fantastic, Operating Assistants of education</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1546"><title>P130 Experiences of service-learning health and the literary art: reflections about the health education</title>
<sec id="Sec1547"><title>Alessandro Prado, Yara M. Carvalho</title>
<sec id="Sec1548"><title>Universidade de São Paulo, São Paulo, 05403-000, Brasil.</title>
<sec id="Sec1549"><title><bold>Correspondence:</bold>
Alessandro Prado (yaramc@usp.br) – Universidade de São Paulo, São Paulo, 05403-000, Brasil; Yara M. Carvalho – Universidade de São Paulo, São Paulo, 05403-000, Brasil</title>
<p><bold>Background</bold>
</p>
<p>The programme “Educação Pelo Trabalho para a Saúde (PET-Saúde”) at the University of Sao Paulo (USP), has provided for students in the health field that participated in the activities, different experiences of teaching-service integration that has contributed the training process in health as it responds to the principles of the Sistema Único de Saúde (SUS). Teamwork, multidisciplinarity and attention to the health needs of populations are the principles that guide the PET-Saúde, complementing curricular activities in basic attention/primary health care. Objective: To investigate the experiences of the integration of service learning in interventions of the PET-Saúde at USP-Capital.</p>
<p><bold>Methods</bold>
</p>
<p>We developed a case study research with interventions of the PET-Saúde, with conversation wheels and field diaries. For theoretical and conceptual design, we adopted José Saramago’s Blindness and the Philosophical Writing of Martinich, aiming to discuss and describe the experience.</p>
<p><bold>Results</bold>
</p>
<p>Service-learning integration happened with the PET-Saúde and contributed to broadening perspectives about the health-disease process and supplementing training in health in order to qualify the performance of the professional in the field, considering above all social determinants as inseparable components of health practices.</p>
<p><bold>Conclusions</bold>
</p>
<p>Diversity and plurality are ways of thinking and carrying out health training is critical to experience teaching strategies that instigate and produce more connection between students, users and services and more commitment in defence of life.</p>
<p><bold>Keywords</bold>
</p>
<p>Health Education, primary health care, health practices</p>
</sec>
</sec>
</sec>
</sec>
<sec id="Sec1550"><title>P131 Life long swimming – a European Erasmus + project</title>
<sec id="Sec1551"><title>Maria Campos, Liliana Moreira, José Ferreira, Ana Teixeira, Luís Rama</title>
<sec id="Sec1552"><title>Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</title>
<sec id="Sec1553"><title><bold>Correspondence:</bold>
Maria Campos (mjcampos@fcdef.uc.pt) – Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal</title>
<p>Senior exercise is a valuable tool for people, because it leads to a long, healthy life, and for governments, because it could significantly reduce health expenditure. The goal of reducing health costs, promotes policies of active and healthy aging, aiming at controlling the increase in health care expenses predicted for the senior population. In this context, the emergence of social risk prevention policies, including the promotion of exercise, make sense. Exercising in water provides many benefits for senior citizens, and can be used to increase recovery from surgeries and other problems, to gain strength, stamina and balance for performance of daily activities. Therefore, Life Long Swimming (LLS) is a project sponsored and funded by Erasmus + European Union, and developed by the Italian, Spanish and Turkish Swimming Federations, under the scientific supervision of the Faculty of Sport Science and Physical Education, University of Coimbra (Portugal). The LLS Project aims to develop: I) an organization model: adapting the sport centres to the needs of seniors; II) a teaching model: a swimming educational programme for adults and seniors; III) a swimmers certification standard: The Swimmer’s book; IV) a clubs and institutional certification standard: the quality certificate LLS partner club.</p>
<p>The project is the result of an innovative cultural process to produce guidelines aiming to develop senior-friendly swimming centres, with special interest for active people over 60. The desired impacts are to spread awareness of the importance of health enhancing exercise through swimming and enthuse a sustainable number of new senior swimmers.</p>
<p><bold>Keywords</bold>
</p>
<p>Life Long Swimming project, seniors, swimming, European project</p>
</sec>
</sec>
</sec>
</sec>
</sec>
</sec>
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