Percorrer por autor "Melo, Filipe"
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- Consensus must be found on intravenous fluid therapy management in trauma patientsPublication . Mota, Mauro Neves; Santos, M. R.; Cunha, M.; Melo, Filipe; Neves, H.; Abrantes, T.Introduction: Trauma is an important cause of death among young people and 30-40% of this mortality rate is due to hypovolemic shock, intensified by trauma's lethal triad: Hypothermia, Acidosis, and Coagulopathy. Nurses are responsible for managing fluid therapy administration in trauma victims. The purpose of this study is to analyse the reasons why intravenous fluid therapy is recommended for trauma patients' hemodynamic stabilization. Methods: This narrative literature review included published and unpublished studies in English, Spanish or Portuguese between 1994 and January 2019. The search results were analyzed by two independent reviewers. Inclusion criteria encompasses quantitative studies involving trauma victims aged over 18 who underwent fluid therapy in a prehospital assessment context. Results&Discussion: 11 quantitative studies were included. 9 involved the use of fluid therapy for hypotension treatment and 2 of the studies analyzed involved the use of warmed fluid therapy for hypothermia treatment. The analysis performed reveals that the administration of aggressive fluid therapy seems to be responsible for the worsening of the lethal triad. In the presence of traumatic brain injury, permissive hypotension is not allowed due to the negative impact on cerebral perfusion pressure. Used as warming measure, warmed fluid therapy does not seem to have a significant impact on body temperature. Conclusions: There is no consensus regarding the administration of fluid therapy to trauma patients. This conclusion clearly supports the need to develop more randomized controlled trials in order to understand the effectiveness of such measure when it comes to control hypovolemia and hypothermia.
- Impact of yoga training on heart rate variability and pilot performance: a randomized controlled trialPublication . Santos, Sara; Melo, Filipe; Fernandes, Orlando; Parraca, José AlbertoBackground Piloting military aircraft demands precise execution of maneuvers under high-stress conditions. Yoga has been proposed as a potential intervention to enhance stress management, operational performance, and flight safety in pilots. However, its effects on stress resilience and performance metrics need further investigation. Methods In this randomized controlled trial, 18 pilots were randomly assigned to either a Yoga intervention group (n=10) or a control group (n=8). Heart rate variability (HRV) measures were analyzed to evaluate physiological stress responses. Performance variables, including completion times for flight maneuvers and number of errors during emergency protocol, were also assessed before and after a 12-week intervention period. Results HRV analysis showed improvements in stress resilience, indicated by changes in heart rate variability (HRV) parameters such as standard deviation of NN intervals (SDNN), root mean square of successive differences (RMSSD), low frequency (LF), and high frequency (HF). The Wilcoxon rank test revealed significant results regarding performance variables within the Yoga group, particularly for the Touch & Go maneuver (p=0.016) and the emergency maneuver (p=0.039), with large effect sizes (0.9444 and 0.8333, respectively). While completion times were longer for the Yoga group, indicating a more careful approach, the number of errors significantly decreased (p=0.025, effect size=0.917), with a notable reduction observed in the Yoga group compared to controls. Conclusion Incorporating yoga into pilot training protocols holds promise for better executive/cognitive functions, enhancing stress management and operational performance, reducing the number of errors, and leading to increased flight safety. While yoga may lead to longer completion times for maneuvers, the significant reduction in errors and improvements in stress resilience highlight its potential benefits. However, careful consideration is needed to balance improved precision with operational efficiency.
- The influence of a 12-week yoga program on military aviation pilots' decision-making capacity for operational effectivenessPublication . Santos, Sara; Fernandes, Orlando; Cabo, Carolina A.; Parraca, José A.; Melo, FilipeMilitary aviation demands cognitive performance, emotional stability, and resilience under pressure. Portuguese Airforce pilots face additional challenges: maintaining fitness and readiness independently, without structured exercise regimens. Yoga’s capacity to enhance mindfulness makes it a promising intervention. Despite potential benefits, research on yoga’s impact in military aviation remains limited. This study investigates incorporation of yoga into the training regimen of Portuguese Airforce to verify decision-making effectiveness and performance. A randomized controlled trial was conducted with 18 Portuguese Air Force pilots: Control Group (n = 8) followed standard military training, and Intervention Group (n = 10) received aditional yoga training twice a week, for 12 weeks. Assessments included Five Facet Mindfulness Questionnaire (FFMQ), Multidimensional Assessment of Interoceptive Awareness (MAIA), Aviation Safety Attitude Scale (ASAS), Risk Perception To Self (RPTS), Trail Making Test (TMT) and aviation simulator performance. Data analysis used Jamovi v2.6.13. The yoga group showed significant improvements in mindfulness (FFMQ), interoceptive awareness (MAIA), self-confidence and safety attitudes (ASAS), cognitive flexibility (TMT-B), and simulator performance (fewer flight errors). Enhancements in attention regulation, body awareness, and emotional self-regulation reflect greater readiness for stress management. Improvements in decision-making, calculated risk-taking, and operational safety suggest yoga’s potential to reinforce psychophysiological resilience in high-demand environments. Yoga contributes meaningfully to enhanced performance and safety in high-pressure aviation environments. These findings may inform policy-level decisions toward integrating mandatory mind-body training programs that are cost-effective and time-efficient. The benefits observed may be applicable to Air Force teams globally, as well as commercial aviation, civil aviation, and other high-stress, high-performance domains, including elite sports. Clinical Trial Registry number and website where it was obtained: ClinicalTrials.gov identifier NCT05821270.
- Medronho: produtos diretos com fileira estabelecidaPublication . Botelho, Goreti; Gomes, Filomena; Melo, Filipe; Rodrigues, Ivo; Oliveira, Jorge André; Varejão, Jorge; Franco, Justina; Vidal, Maria Manuel; Pato, Rosinda Leonor; Santos, Sandra; Ressurreição, Sandrine; Canhoto, Jorge; Martins, João; Figueiredo, Patrícia; Duarte, Filomena L.; Machado, Helena; Caldeira, Ilda; Baleiras-Couto, M. Margarida; Guerreiro, Adriana; Gago, Custódia; Galego, Ludovina; Antunes, Maria Dulce; Miguel, Maria da Graça; Pereira, Afonso; Patrício, Márcia; Gama, João; Guilherme, Rosa; Fonseca, CarlosO medronho é utilizado tradicionalmente para a produção de aguardente, com particular incidência no Algarve, no Alentejo e na Região Centro, nesta última nos distritos de Coimbra, Guarda e Castelo Branco. A Associação de Produtores de Aguardente de Medronho do Barlavento Algarvio (APAGARBE) foi a primeira Associação que se constituiu com os produtores para a venda de aguardente ao público. Sucederam-se outras, nomeadamente a Associação para a Promoção do Medronho (Arbutus) com sede em Odemira e que conta com mais de 60 associados de todo o país. Existem diversos produtos no mercado nacional, desde produtos fermentados ou que envolvem fermentação de matéria-prima (cerveja, chocolate com recheio, pão de medronho, vinagre), produtos que envolvem fermentação/ destilação (aguardente, licor, melosa e gin) a produtos não fermentados (compota, doce, geleia, entre outros).
- Sources of discomfort and treatment strategies for trauma patients in the pre-hospital setting: a scoping reviewPublication . Melo, Filipe; Santos, Margarida Reis; Sousa, Miguel Castelo-Branco; Mota, Cátia; Mota, MauroIntroduction: Trauma remains a leading cause of mortality and long-term disability worldwide, often causing significant discomfort during prehospital care. Addressing these discomforts effectively is crucial for improving patient outcomes. This scoping review aimed to identify and categorize the types of discomforts experienced by adult trauma victims in prehospital settings and map the pharmacologic and nonpharmacologic interventions used to mitigate them. Methods: This scoping review followed the Joanna Briggs Institute framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. A comprehensive search was performed in databases including MEDLINE, CINAHL, Scopus, Embase, PsycINFO, Joanna Briggs Institute Evidence Synthesis, Cochrane Database, and relevant gray literature sources. Studiesinvolving adult trauma patients(>_18 years) in prehospital care that reported on discomfort and interventions were included without restrictions on publication date. Results: Seventeen studies met the inclusion criteria, covering various international contexts. Acute pain was the most frequently reported discomfort, followed by anxiety, fear, cold-induced discomfort, and discomfort caused by immobilization. Pharmacologic interventions predominantly included opioids, nonsteroidal anti-inflammatory drugs, paracetamol, ketamine, and methoxyflurane, whereas nonpharmacologic interventions comprised acupressure, transcutaneous electrical nerve stimulation, cryotherapy, warming measures, communication strategies, and emotional support. Nonpharmacologic interventions, especially acupressure and communication techniques, showed promising results in reducing pain and anxiety. Discussion: The findings underline the multidimensional nature of discomfort in prehospital trauma care and highlight effective interventions, including pharmacologic and complementary nonpharmacologic strategies. However, significant gaps remain regarding standardized assessment tools for non–pain-related discomforts and combined interventions. This review underscores the necessity for comprehensive management protocols and further research to optimize patient comfort and care outcomes in trauma settings.