<?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>S2183-84532022000100073</article-id>
<article-id pub-id-type="doi">10.31252/rpso.05.03.2022</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[SAÚDE OCUPACIONAL APLICADA AOS PAVIMENTADORES DE ESTRADAS]]></article-title>
<article-title xml:lang="en"><![CDATA[OCCUPATIONAL HEALHT APPLIED TO ROAD PAVERS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Escola Superior de Saúde do Vale do Sousa  ]]></institution>
<addr-line><![CDATA[Penafiel ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>13</volume>
<fpage>73</fpage>
<lpage>77</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532022000100073&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532022000100073&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532022000100073&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução/enquadramento/objetivos Não é raro as equipas de Saúde Ocupacional terem algum cliente do setor da pavimentação de estradas; contudo, a literatura para esta área é escassa. Pretendeu-se com este artigo resumir o que de mais pertinente e recente se publicou sobre o tema.  Metodologia Trata-se de uma Revisão Bibliográfica, iniciada através de uma pesquisa realizada em agosto de 2021 nas bases de dados &#8220;CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina e RCAAP&#8221;.  Conteúdo A IARC (International Agency for Research on Cancer) classificou o asfalto utilizado na pavimentação de estradas como eventualmente cancerígeno para humanos (grupo 2b), devido aos hidrocarbonetos aromáticos policíclicos. Contudo, estudos epidemiológicos não apresentam evidência clara de maior incidência/prevalência de doenças desse foro, ainda que o risco possa ser diferente, consoante a via de entrada (inalatória versus cutânea) e a composição específica. Existem ainda hidrocarbonetos alifáticos, alcanos cíclicos e compostos heterocíclicos. A associação a diversos tipos de cancros é inconclusiva mas, ainda assim, mais forte para o pulmão versus pele. Algumas destas substâncias podem originar instabilidade cromossómica que, por sua vez, alguns defendem que poderá levar a patologia oncológica.  Discussão e Conclusões Na pesquisa efetuada encontram-se dados relativos aos agentes químicos inseridos no asfalto, não se tendo constatado qualquer referência a outros Fatores de Risco/Riscos Ocupacionais, como outros agentes químicos, poeiras; ruido, corte, vibrações associadas a diversas máquinas; cargas/esforços físicos, posturas mantidas/forçadas, queda ao mesmo nível, a níveis diferentes e eventual soterramento; radiação ultravioleta e desconforto térmico ou atropelamento. Quanto ao risco químico, a generalidade dos autores considera que algumas substâncias inseridas na composição do asfalto, sobretudo em determinadas condições técnicas (equipamento, temperatura, subtipos de asfalto) poderão ser cancerígenas para humanos. Contudo, mesmo a este nível não são mencionadas medidas de proteção coletiva ou individual, de forma a proporcionar orientações concretas para quem tem clientes neste setor. Em contexto das primeiras poder-se-á supor que seria pertinente promover a rotatividade de tarefas, escolher os tipos de asfalto considerados menos tóxicos (sempre que possível) e os equipamentos que trabalhassem com temperaturas menores, com menos ruido e vibrações; promover uma boa manutenção das máquinas e adquirir modelos mais seguros e modernos; bem como organizar formação e acesso a serviços de Saúde Ocupacionais adequados. Por sua vez, a nível de Equipamentos de Proteção individual, poder-se-iam usar máscara/viseira, chapéu/gorro, farda, óculos (para a radiação ultravioleta e entrada de corpos estranhos), creme de proteção solar, proteção auricular, luvas (para corte/abrasão e/ou vibrações), joelheiras e/ou cintas de contenção abdominal. Seria relevante que algumas equipas de Saúde Ocupacional a exercer na área estudassem melhor o setor e desenvolvessem conhecimento válido sobre as lacunas mencionadas, divulgado o mesmo através da publicação em revistas da área.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction/framework/objectives It is not uncommon for Occupational Health teams to have a client in the road paving sector; however, literature for this area is sparse. The aim of this article is to summarize the most pertinent and recent articles published on the subject.  Methodology This is a Bibliographic Review, initiated through a search carried out in August 2021 in the databases &#8220;CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP&#8221;.  Contents The IARC (International Agency for Research on Cancer) classified the asphalt used for paving roads as possibly carcinogenic to humans (group 2b), due to polycyclic aromatic hydrocarbons. However, epidemiological studies do not show clear evidence of a higher incidence/prevalence of diseases of this type, although the risk may be different, depending on the route of entry (inhaled versus cutaneous) and the specific composition. There are also aliphatic hydrocarbons, cyclic alkanes and heterocyclic compounds. The association with different types of cancers is inconclusive but still stronger for lung versus skin. Some of these substances can cause chromosomal instability which, in turn, some argue that it can lead to cancer pathology.  Discussion and Conclusions In the research carried out there was only data related to the chemical agents inserted in the asphalt; no references were found to other Occupational Risk/Risks Factors, such as other chemical agents, dust; noise, cut, vibrations associated with different machines; physical loads/efforts, forced/maintained postures, falling to the same level or at different levels, and eventual burial; ultraviolet radiation and thermal discomfort or trampling. As for the chemical risk, most authors consider that some substances included in the composition of the asphalt, especially under certain technical conditions (equipment, temperature, asphalt subtypes), may be carcinogenic to humans. However, even at this level, collective or individual protection measures are not mentioned, in order to provide concrete guidance for those who have clients in this sector. In the context of the former, it can be assumed that it would be pertinent to promote the rotation of tasks, to choose the types of asphalt considered less toxic (whenever possible) and the equipment that worked at lower temperatures, with less noise and vibrations; promote good maintenance of machines and purchase safer models; as well as organizing training and access to adequate Occupational Health services. In turn, at the level of Personal Protective Equipment, one could use mask/visor, hat/cap, uniform, glasses (for ultraviolet radiation and entry of foreign bodies), sun protection cream, ear protection, gloves (for cutting/abrasion and/or vibration), knee braces and/or abdominal restraint straps. It would be important for some Occupational Health teams working in the area to better study the sector and develop valid knowledge about the gaps mentioned, disseminated through publication in journals of the area.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[pavimentação de estrada]]></kwd>
<kwd lng="pt"><![CDATA[pavimentadores]]></kwd>
<kwd lng="pt"><![CDATA[saúde ocupacional]]></kwd>
<kwd lng="pt"><![CDATA[medicina do trabalho]]></kwd>
<kwd lng="pt"><![CDATA[fatores de risco e riscos laborais.]]></kwd>
<kwd lng="en"><![CDATA[road paving]]></kwd>
<kwd lng="en"><![CDATA[road pavers]]></kwd>
<kwd lng="en"><![CDATA[occupational health]]></kwd>
<kwd lng="en"><![CDATA[occupational medicine and occupational risks.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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