<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532020000200032</article-id>
<article-id pub-id-type="doi">10.31252/rpso.03.10.2020</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[O QUE SIGNIFICA &#8220;MÃO DIABÉTICA&#8221; E QUAL O PAPEL DA SAÚDE OCUPACIONAL?]]></article-title>
<article-title xml:lang="en"><![CDATA[WHAT IS THE DIABETIC HAND AND WHAT IS IT&#8217;S ROLE IN OCCUPATIONAL HEALTH SERVICES?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Vila Nova de Gaia  ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>31</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>10</volume>
<fpage>32</fpage>
<lpage>50</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532020000200032&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532020000200032&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532020000200032&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução/ enquadramento/ objetivo À medida que a força de trabalho envelhece e as taxas de doenças metabólicas aumentam, é provável que surjam cada vez mais manifestações de &#8220;mão diabética&#8221; nos serviços de Saúde Ocupacional. Enquanto alguns profissionais de saúde sabem rapidamente rastrear o &#8220;pé diabético&#8221;, a &#8220;mão diabética&#8221; é muitas vezes subvalorizada, diagnosticada de forma isolada, sem reconhecimento ou associação à elevada prevalência de síndrome metabólica no mundo, especialmente no ocidental. Estas manifestações têm impacto na funcionalidade e, inevitavelmente, afetam a performance laboral, devendo ser alvo de rastreio, acompanhamento e intervenção por parte das equipas de saúde ocupacional, de modo a potencializar a função e minimizar os impactos negativos que acarretam quer a nível individual, quer coletivamente. Assim, o principal objetivo deste trabalho consiste na elaboração de uma revisão sobre o conceito de &#8220;mão diabética&#8221; e qual a implicação que pode ter na saúde do trabalhador e prática da Saúde Ocupacional.  Metodologia Trata-se de uma Scoping Review, iniciada através de uma pesquisa realizada nas bases de dados PUBMED (Medline), EBSCO (Cinahl; Medline; Cochrane; Library Information Science &amp; Technology Abstracts; Nursing Allied Health Collection; MedicLatina) e RCAAP, nos meses de julho e agosto de 2020, englobando todos os artigos (em português e inglês), sem limite temporal, que pudessem esclarecer sobre o conceito de mão diabética. As palavras de pesquisa utilizadas foram: &#8220;mão diabética&#8221;, &#8220;queiroartropatia&#8221;, &#8220;diabetic hand&#8221; ou &#8220;cheiroarthropathy&#8221;.  Resultados Foram encontradas várias condições que representam o conceito de mão diabética, nomeadamente queiroartropatia (limitação da mobilidade articular ou síndrome das mãos rígidas), contractura de Dupuytren, dedo em gatilho (dedo em mola ou tenossinovite flexora) e síndrome do túnel cárpico.  Conclusões Estas alterações compartilham etiologias com as complicações clássicas da diabetes e o reconhecimento de que ocorrem concomitantemente alterações microvasculares poderá propiciar o rastreio precoce dos seus marcadores, o que contribuirá, além da redução da incapacidade (atraso na progressão), para a redução da morbilidade futura dos trabalhadores (minimizando os riscos das doenças metabólicas), auxiliando na manutenção de uma força de trabalho mais capaz e produtiva, ao poderem ser implementadas medidas corretivas e tratamentos de forma precoce. A mão diabética poderá ser um conceito a ser mais abordado num futuro próximo, à medida que as complicações de síndrome metabólica (e comorbilidades associadas) aumentam no mundo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction / background / objective As the workforce ages and rates of metabolic diseases increase, it is likely that more cases of &#8220;diabetic hand&#8221; manifestations will appear in Occupational Health services. While some health professionals know how to quickly track the &#8220;diabetic foot&#8221;, the &#8220;diabetic hand&#8221; is often undervalued, diagnosed in isolation, without recognition or association with the high prevalence of metabolic syndrome, especially in the Western world. These manifestations have an impact on functionality, and inevitably affect work performance, and should be subject to screening, monitoring and intervention by occupational health teams, in order to enhance the function and minimize the negative impacts that they cause both individually and collectively. Thus, the main objective of this work is to elaborate a review on the concept of &#8220;diabetic hand&#8221; and what is the implication that it can have in the worker's health and Occupational Health practice.  Methodology It is a Scoping Review, initiated through a search in the PUBMED (Medline), EBSCO (Cinahl; Medline; Cochrane; Library Information Science &amp; Technology Abstracts; Nursing Allied Health Collection; MedicLatina) and RCAAP databases, conducted in the months of July and August of 2020, covering all articles (in Portuguese and English languages), with no limit of time, that could explain the concept of diabetic hand. The search words used were: &#8220;diabetic hand&#8221; ou &#8220;cheiroarthropathy&#8221;.  Results Several conditions have been linked to the concept of diabetic hand, namely cheiroarthropathy (limited joint mobility and stiffness), Dupuytren's contracture, trigger finger (flexor stenosing tenosynovitis), and carpal tunnel syndrome.  Conclusions These manifestations share mechanisms with the classic complications of diabetes, and the recognition that microvascular changes occur concomitantly may provide insights for early screening of metabolic biomarkers. Acknowledging so can contribute to reduce disability (delay hand and fist related manifestations&#8217; progression), and also to reduce future morbidity of workers (minimizing the risks of metabolic diseases), helping to maintain a more capable and productive workforce, where corrective measures and early treatments can be implemented. The diabetic hand may be a concept of interest, then can be further addressed soon, as the complications of metabolic syndrome (and associated comorbidities) increase worldwide.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Mão Diabética]]></kwd>
<kwd lng="pt"><![CDATA[Saúde Ocupacional]]></kwd>
<kwd lng="pt"><![CDATA[Prevenção de Doença]]></kwd>
<kwd lng="pt"><![CDATA[Promoção da Saúde]]></kwd>
<kwd lng="en"><![CDATA[Diabetic Hand]]></kwd>
<kwd lng="en"><![CDATA[Occupational Health]]></kwd>
<kwd lng="en"><![CDATA[Disease Prevention]]></kwd>
<kwd lng="en"><![CDATA[Health Promotion]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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