What exactly Portuguese respiratory professionals aim for their scientific Society: Findings from the VOICE online survey

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(A) Chloride<30mEq/L: (age: ≤12 months) N=1178; Spearman's coefficient rank correlation (rho)=−0.159, 95%CI=−0.214 to −0.103; p<0.001. Coefficient of determination R2=0.025; y=17.9905+(−)0.1643x; p<0.001. (Age: >1 year to ≤18 years) N=1827; rho=0.192, 95%CI=0.148–0.236; p<0.001. R2=0.039; y=17.1432+0.2749x; p<0.001. (Age: >18 years) N=230; rho=−0.048, 95%CI=−0.176 to 0.082; p=0.469. R2=0.002; y=23.7087+(−)0.01622x; p=0.538. (B) Chloride≥30mEq/L to <40mEq/L: (age: ≤12 months) N=52; rho=0.097, 95%CI=−0.181 to 0.360; p=0.495. R2=0.013; y=32.8243+0.07205x; p=0.427. (Age: >1 year to ≤18 years) N=340; rho=0.151, 95%CI=0.045–0.253; p=0.005. R2=0.021; y=33.4949+0.09905x; p=0.007. (Age: >18 years) N=244; rho=0.026, 95%CI=−0.100 to 0.151; p=0.692. R2<0.001; y=34.6330+0.003532x; p=0.758. (C) Chloride≥40mEq/L to <60mEq/L: (Age: ≤12 months) N=33; rho=0.025, 95%CI=−0.321 to 0.365; p=0.892. R2<0.001; y=48.4653+(−)0.09778x; p=0.748. (Age: >1 year to ≤18 years) N=278; rho=0.134, 95%CI=0.016–0.248; p=0.026. R2=0.018; y=46.4328+0.1699x; p=0.026. (Age: >18 years) N=343; rho=0.117, 95%CI=0.011–0.220; p=0.031. R2=0.014; y=46.9588+0.03910x; p=0.031. (D) Chloride≥30mEq/L to <60mEq/L: (Age: ≤12 months) N=85; rho=−0.049, 95%CI=−0.259 to 0.166; p=0.656. R2=0.005; y=39.4291+(−)0.1577x; p=0.5224. (Age: >1 year to ≤18 years) N=618; rho=0.210, 95%CI=0.134–0.285; p<0.001. R2=0.042; y=37.2303+0.3772x; p<0.001. (Age: >18 years) N=587; rho=0.017, 95%CI=−0.064 to 0.098; p=0.678. R2<0.001; y=42.3785+0.01182x; p=0.565. (E) Chloride<60mEq/L: (Age: ≤12 months) N=1263; rho=−0.246, 95%CI=−0.297 to −0.193; p<0.001. R2=0.078; y=21.5579+(−)0.4503x; p<0.001. (Age: >1 year to ≤18 years) N=2445; rho=0.336, 95%CI=0.300–0.370; p<0.001. R2=0.127; y=17.9823+0.968.9x; p<0.001. (Age: >18 years) N=817; rho=−0.01, 95%CI=−0.078 to 0.0586; p=0.775. R2<0.001; y=37.6153+(−)0.007263x; p=0.776. (F) Chloride≥60mEq/L: (Age: ≤12 months) N=179; rho=0.134, 95%CI=−0.013 to 0.275; p=0.073. R2=0.021; y=99.9960+0.8686x; p=0.058. (Age: >1 year to ≤18 years) N=238; rho=−0.287, 95%CI=−0.400 to −0.166; p<0.001. R2=0.085; y=107.6871+(−)1.6094x; p<0.001. (Age: >18 years) N=254; rho=−0.190, 95%CI=−0.306 to −0.068; p=0.002. R2=0.056; y= 98.6663+(−)0.3083x; p<0.001. (G) All samples: (Age: ≤12 months) N=1442; rho=−0.352, 95%CI=−0.396 to −0.306; p<0.001. R2=0.1032; y=42.6550+(−)2.0145x; p<0.001. (Age: >1 year to ≤18 years) N=2683; rho=0.348, 95%CI=0.315–0.381; p<0.001. R2=0.066; y=20.8087+1.4323x; p<0.001. (Age: >18 years) N=1071; rho=−0.052, 95%CI=−0.111 to 0.008; p=0.09. R2=0.003; y=52.1251+(−)0.07962x; p=0.090. α=0.05. Statistical analysis was made with linear regression test and Spearman's rank correlation test." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A.G. Faria, F.A.L. Marson, A.F. Ribeiro, J.D. Ribeiro" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A.G." 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"apellidos" => "Reis-Ferreira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "f" "identificador" => "aff0030" ] ] ] ] "afiliaciones" => array:6 [ 0 => array:3 [ "entidad" => "Faculdade de Medicina, Universidade do Porto, Porto, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Faculdade Ciências Médicas, Universidade Nova de Lisboa, Lisboa, Portugal" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Clínica de Doenças Pulmonares Lda, Lisboa, Portugal" "etiqueta" => "f" "identificador" => "aff0030" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1509 "Ancho" => 1584 "Tamanyo" => 78326 ] ] "descripcion" => array:1 [ "en" => "Most important topics." ] ] ] "textoCompleto" => "The Portuguese Society of Pulmonology (Sociedade Portuguesa de Pneumologia – SPP), an organization founded in 1974, currently has around 850 members. Its primary objectives are to promote and protect health, education and professional training, by stimulating the study and dissemination of all topics related to respiratory health and respiratory pathology.There is no current knowledge about the views and aims of Portuguese respiratory professionals for the future role and initiatives of the Portuguese Society of Pulmonology. Therefore, in September 2015, we decided to conduct an anonymous online survey about preferred initiatives, topics and learning formats for the future of SPP by creating a 10-item questionnaire to obtain information about these topics (using the Survey Monkey software). This initiative was disseminated via email and social media. Participants were asked to rate the strength of agreement with proposed statements using a 0–10 Likert scale (from not-important to highly-important). Mean scores for corresponding separate statements were calculated and compared according to professional status.The survey was completed by 200 professionals: 58.5% pulmonologists, 24% Pulmonology residents, and 17.5% other medical professionals (lung physiologists 11% and respiratory physiotherapists 4%). Forty-eight percent were under 40 years of age. Thirty eight percent were working in National Health System (NHS) Hospitals with more than 500 beds and 23% worked in university hospitals.Most of the respondents were consultants working for medium sized NHS hospitals or University hospitals, a good match with the official profile of the Portuguese pulmonologists.<a class="elsevierStyleCrossRef" href="#bib0015">1</a> Sixty-one percent of the respondents were registered in SPP working groups (15.7% were registered in more than two working groups). Surprisingly, respondents working in smaller NHS hospitals (less than 500 beds) had higher levels of participation in SPP working groups compared to respondents from large NHS hospitals or university hospitals. Looking at stratification by professional groups, there were lower levels of involvement among residents.As to the topics that respondents wanted to be reinforced, the three most voted were: Ventilatory Support, Lung Function and Sleep Disordered Breathing (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Residents had a different view, preferring other topics, apart from Ventilatory Support (their number one), such as Oncology and Interstitial Lung Disease.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>According to the respondents, the top three areas for future development were: first, creation of a Clinical Research Support Department; second, Coordination of Multicenter studies; and third, innovation and potentiating of the official web page (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). If we only analyzed the residents reply, their preferred areas were Continuing Medical Education, Foreign Exchange programs and Grants.<elsevierMultimedia ident="fig0010"></elsevierMultimedia>Concerning the preferred learning formats, the respondents ranked, as their favorite, accredited practical courses.In conclusion, this was one of the first and largest surveys to analyze how the Portuguese respiratory professionals want to see their Society in the future. This survey highlights that there are differences between topics and more valued initiatives according to the pulmonologists’ age group.Almost 40% of the respondents do not belong to any working group of the SPP, a gap that the Society needs to fill in the immediate future, to make it more active.The three most voted topics (Ventilatory Support, Lung Function and Sleep Disordered Breathing) are core areas that have evolved very fast in recent years and where the need for continuous update is highly valued.<a class="elsevierStyleCrossRef" href="#bib0020">2</a>The creation of a Clinical Research Support Department committed to the Coordination of national Multicentre studies is suggested.Accreditation although still not officially recognized in Portugal should be planned.Moreover, simulation-based learning seems an important goal in post-graduate courses.To monitor, engage and better understand the needs of our Society, follow-up is highly recommended. So we propose that periodic initiatives like this one should be carried out to understand the expectations and needs of SPP members.Conflicts of interestThe authors have no conflicts of interest to declare." 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Artigas" 1 => "J.-L. Noël" 2 => "L. Brochard" 3 => "J.O. Busari" 4 => "D. Dellweg" 5 => "M. Ferrer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Breathe" "fecha" => "2014" "volumen" => "10" "paginaInicial" => "15" "paginaFinal" => "22" ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack301292" "titulo" => "Acknowledgments" "texto" => "We thank, all the professionals that participated in the survey and particularly JP Boleo-Tomé, Adelino Leite-Moreira, Pedro Santos, Abel Afonso and Nelson Marçal for their useful comments and input." "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735115/0000002300000004/v2_201709220246/S2173511517300441/v2_201709220246/en/main.assets" "Apartado" => array:4 [ "identificador" => "47902" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Research Letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735115/0000002300000004/v2_201709220246/S2173511517300441/v2_201709220246/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511517300441?idApp=UINPBA00004E"]

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Research Letter

What exactly Portuguese respiratory professionals aim for their scientific Society: Findings from the VOICE online survey

J.C. Wincka,

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jcwinck@mail.telepac.pt

Corresponding author.

, S. Moreirab, A. Bugalhoc, M. Drummonda, A.J. Ferreirad, M. Guimarãese, J.M. Reis-Ferreiraf

a Faculdade de Medicina, Universidade do Porto, Porto, Portugal

b Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal

c Faculdade Ciências Médicas, Universidade Nova de Lisboa, Lisboa, Portugal

d Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal

e Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal

f Clínica de Doenças Pulmonares Lda, Lisboa, Portugal

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Coefficient of determination <span class="elsevierStyleItalic">R</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;025&#59; <span class="elsevierStyleItalic">y</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>17&#46;9905<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&#40;&#8722;&#41;0&#46;1643<span class="elsevierStyleItalic">x</span>&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#46; &#40;Age&#58; &#62;1 year to &#8804;18 years&#41; <span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1827&#59; rho<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;192&#44; 95&#37;CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;148&#8211;0&#46;236&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#46; <span class="elsevierStyleItalic">R</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;039&#59; <span class="elsevierStyleItalic">y</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>17&#46;1432<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>0&#46;2749<span class="elsevierStyleItalic">x</span>&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#46; &#40;Age&#58; &#62;18 years&#41; <span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>230&#59; 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<span class="elsevierStyleItalic">y</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>32&#46;8243<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>0&#46;07205<span class="elsevierStyleItalic">x</span>&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;427&#46; &#40;Age&#58; &#62;1 year to &#8804;18 years&#41; <span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>340&#59; rho<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;151&#44; 95&#37;CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;045&#8211;0&#46;253&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;005&#46; 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&#40;Age&#58; &#8804;12 months&#41; <span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1263&#59; rho<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#46;246&#44; 95&#37;CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#46;297 to &#8722;0&#46;193&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#46; <span class="elsevierStyleItalic">R</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;078&#59; <span class="elsevierStyleItalic">y</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21&#46;5579<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&#40;&#8722;&#41;0&#46;4503<span class="elsevierStyleItalic">x</span>&#59; 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This initiative was disseminated via email and social media&#46; Participants were asked to rate the strength of agreement with proposed statements using a 0&#8211;10 Likert scale &#40;from not-important to highly-important&#41;&#46; Mean scores for corresponding separate statements were calculated and compared according to professional status&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The survey was completed by 200 professionals&#58; 58&#46;5&#37; pulmonologists&#44; 24&#37; Pulmonology residents&#44; and 17&#46;5&#37; other medical professionals &#40;lung physiologists 11&#37; and respiratory physiotherapists 4&#37;&#41;&#46; Forty-eight percent were under 40 years of age&#46; Thirty eight percent were working in National Health System &#40;NHS&#41; Hospitals with more than 500 beds and 23&#37; worked in university hospitals&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Most of the respondents were consultants working for medium sized NHS hospitals or University hospitals&#44; a good match with the official profile of the Portuguese pulmonologists&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Sixty-one percent of the respondents were registered in SPP working groups &#40;15&#46;7&#37; were registered in more than two working groups&#41;&#46; Surprisingly&#44; respondents working in smaller NHS hospitals &#40;less than 500 beds&#41; had higher levels of participation in SPP working groups compared to respondents from large NHS hospitals or university hospitals&#46; Looking at stratification by professional groups&#44; there were lower levels of involvement among residents&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">As to the topics that respondents wanted to be reinforced&#44; the three most voted were&#58; Ventilatory Support&#44; Lung Function and Sleep Disordered Breathing &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Residents had a different view&#44; preferring other topics&#44; apart from Ventilatory Support &#40;their number one&#41;&#44; such as Oncology and Interstitial Lung Disease&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">According to the respondents&#44; the top three areas for future development were&#58; first&#44; creation of a Clinical Research Support Department&#59; second&#44; Coordination of Multicenter studies&#59; and third&#44; innovation and potentiating of the official web page &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; If we only analyzed the residents reply&#44; their preferred areas were Continuing Medical Education&#44; Foreign Exchange programs and Grants&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">Concerning the preferred learning formats&#44; the respondents ranked&#44; as their favorite&#44; accredited practical courses&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">In conclusion&#44; this was one of the first and largest surveys to analyze how the Portuguese respiratory professionals want to see their Society in the future&#46; This survey highlights that there are differences between topics and more valued initiatives according to the pulmonologists&#8217; age group&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Almost 40&#37; of the respondents do not belong to any working group of the SPP&#44; a gap that the Society needs to fill in the immediate future&#44; to make it more active&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The three most voted topics &#40;Ventilatory Support&#44; Lung Function and Sleep Disordered Breathing&#41; are core areas that have evolved very fast in recent years and where the need for continuous update is highly valued&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">The creation of a Clinical Research Support Department committed to the Coordination of national Multicentre studies is suggested&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Accreditation although still not officially recognized in Portugal should be planned&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Moreover&#44; 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          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Most important future initiatives&#46;</p>"
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                  "referenciaCompleta" => "Invent&#225;rio de Pessoal do Setor da Sa&#250;de&#44; ACSS&#59; 2014&#46; <a href="http://www.acss.min-saude.pt/wp-content/uploads/2016/09/Inventario_Pessoal_Profissionais_Setor_Saude_2014.pdf">http&#58;&#47;&#47;www&#46;acss&#46;min-saude&#46;pt&#47;wp-content&#47;uploads&#47;2016&#47;09&#47;Inventario&#95;Pessoal&#95;Profissionais&#95;Setor&#95;Saude&#95;2014&#46;pdf</a>"
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                    0 => array:2 [
                      "titulo" => "Respiratory critical care HERMES&#58; European curriculum recommendations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Artigas"
                            1 => "J&#46;-L&#46; No&#235;l"
                            2 => "L&#46; Brochard"
                            3 => "J&#46;O&#46; Busari"
                            4 => "D&#46; Dellweg"
                            5 => "M&#46; Ferrer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Breathe"
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                        "paginaFinal" => "22"
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        "identificador" => "xack301292"
        "titulo" => "Acknowledgments"
        "texto" => "<p id="par0080" class="elsevierStylePara elsevierViewall">We thank&#44; all the professionals that participated in the survey and particularly JP Boleo-Tom&#233;&#44; Adelino Leite-Moreira&#44; Pedro Santos&#44; Abel Afonso and Nelson Mar&#231;al for their useful comments and input&#46;</p>"
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Article information

ISSN: 21735115
Original language: English

DOI:10.1016/j.rppnen.2017.02.008

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