Publications by authors named "Rita Camara"

Poor medication adherence is a major challenge in asthma and objective assessment of inhaler adherence is needed. InspirerMundi app aims to monitor inhaler adherence while turning it into a positive experience through gamification and social support. We assessed the medium-term feasibility of the InspirerMundi app to monitor inhaler adherence in real-world patients with persistent asthma (treated with daily inhaled medication).

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Background: Health and fitness apps have potential benefits to improve self-management and disease control among patients with asthma. However, inconsistent use rates have been reported across studies, regions, and health systems. A better understanding of the characteristics of users and nonusers is critical to design solutions that are effectively integrated in patients' daily lives, and to ensure that these equitably reach out to different groups of patients, thus improving rather than entrenching health inequities.

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Background: Poor medication adherence is a major challenge in asthma, and objective assessment of inhaler adherence is needed. The InspirerMundi app aims to monitor adherence while providing a positive experience through gamification and social support.

Objective: This study aimed to evaluate the feasibility and acceptability of the InspirerMundi app to monitor medication adherence in adolescents and adults with persistent asthma (treated with daily inhaled medication).

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Background: Anaphylaxis is increasing at pediatric age; however, its characterization is hampered by underdiagnosis and underreporting. The aim of this study was to identify the causes of anaphylaxis in children and adolescents in Portugal, thus contributing to a better knowledge of its etiology, clinical manifestations, and management.

Methods: During a 10-year period, a nationwide notification system for anaphylaxis was implemented, with voluntary reporting by allergists.

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Article Synopsis
  • - Gastric carcinoma (GC) is a leading cause of death for patients with common variable immunodeficiency (CVID), but only a few cases have been studied in detail.
  • - This research involved analyzing nine CVID patients with GC, focusing on their immune cell types and infections, finding that GC in these individuals typically occurs at a younger age and earlier stage compared to non-CVID patients.
  • - The immune microenvironment in CVID patients showed significant dysfunction, with a higher presence of specific immune cells and a lack of certain B-lymphocytes, indicating a strong link between immune system issues and gastric cancer development in this population.
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Article Synopsis
  • The study aimed to compare how patients and their physicians rate adherence to inhaled medications for asthma, as well as to identify factors that lead to differences in those ratings.
  • Conducted across 29 outpatient clinics in Portugal, the study included 395 patients aged 13 and older, gathering data on demographics, asthma control, and treatment from both patients and physicians.
  • Results showed a moderate correlation in adherence ratings, with 56% of cases experiencing discordance; factors like the patient's asthma control and the type of medication prescribed influenced whether physicians overestimated or underestimated adherence.
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Leukotrienes and prostaglandins are arachidonic acid bioactive derived eicosanoids and key mediators of bronchial inflammation and response modulation in the airways contributing to the pathophysiology of asthma. An easy-to-use ultra-high pressure liquid chromatography (UHPLC)-based strategy was developed to characterize biomarkers of lipid peroxidation: leukotrienes E (LTE) and B (LTB) and 11β-prostaglandin F (11βPGF), present in urine of asthmatic patients (N = 27) and healthy individuals (N = 17). A semi-automatic eVol®-microextraction by packed sorbent (MEPS) was used to isolate the target analytes.

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Background: Asthma is a complex disease influenced by multiple genetic and environmental factors. While Madeira has the highest prevalence of asthma in Portugal (14.6%), the effect of both genetic and environmental factors in this population has never been assessed.

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Bronchial asthma is related to a high morbidity rate, leading to an increasing frequency of emergency room visits and hospital admissions. The aim of this study was to identify severity risk factors for childhood asthma related to hospitalization. The authors studied 124 children admitted to the hospital for asthma, during a 2-year period, correlating the obtained data with a sample of outpatients with asthma matched by age, gender, and socioeconomic status.

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