<?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>S2183-84532025000100703</article-id>
<article-id pub-id-type="doi">10.31252/rpso.26.01.2025</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[ALÉM DA DOR: ESTRATÉGIAS INTEGRADAS DE SAÚDE OCUPACIONAL]]></article-title>
<article-title xml:lang="en"><![CDATA[BEYOND PAIN: INTEGRATED OCCUPATIONAL HEALTH STRATEGIES]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade do Minho Escola de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade de Lisboa Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade da Beira Interior Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>01</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>01</month>
<year>2025</year>
</pub-date>
<volume>19</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532025000100703&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532025000100703&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532025000100703&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: A cefaleia é uma perturbação neurológica comum e incapacitante, afetando cerca de 52% da população mundial anualmente, com maior prevalência em mulheres. Apesar da sua ubiquidade, o seu impacto na saúde pública é frequentemente subestimado, especialmente no contexto laboral. O trabalho por turnos emerge como um potencial fator de risco ocupacional, associado a uma maior prevalência de cefaleias inespecíficas e enxaquecas, bem como a um risco aumentado de enxaqueca crónica e maior incapacidade. O caso apresentado pretende destacar a importância de considerar os fatores ocupacionais na gestão das cefaleias, sugerindo que a mitigação dos desencadeantes laborais pode ser um complemento valioso à terapêutica farmacológica no tratamento desta condição.  Caso clínico: Apresenta-se o caso de uma enfermeira de 27 anos com história de cefaleias desde os 16 anos, inicialmente bem controlada com ibuprofeno. Há um ano, verificou-se um agravamento significativo do quadro, com aumento da frequência e intensidade das crises, acompanhadas de sintomatologia neurovegetativa que afetavam o seu desempenho laboral. O acompanhamento em neurologia confirmou o agravamento, tendo os exames de imagem descartado alterações estruturais cerebrais que justificassem a condição. Apesar de múltiplas estratégias de terapêutica farmacológica, não obteve resposta clínica completamente satisfatória, pelo que solicitou apoio à medicina do trabalho para controlo dos desencadeantes laborais. Daqui resultou a atribuição de um horário de trabalho regular, com redução do trabalho noturno e horas suplementares. Três meses após a implementação destas medidas, observava-se uma redução na frequência das crises e diminuição do uso de medicação, assim como redução do absentismo laboral.  Discussão/Conclusão: O caso clínico apresentado ilustra a importância de uma abordagem multidisciplinar na gestão dos casos de cefaleia com desencadeantes laborais. Estratégias como maior suporte social, controlo sobre tarefas laborais e espaços de trabalho adequados podem aumentar a produtividade dos trabalhadores afetados. No caso apresentado, a adaptação do horário de trabalho resultou numa redução da frequência e intensidade das crises, facto reforçado pela diminuição objetivada do absentismo laboral. Conclui-se que, além da terapêutica farmacológica, as modificações no estilo de vida e no ambiente de trabalho são essenciais para o controlo eficaz das cefaleias. Por fim, recomenda-se a realização de estudos mais amplos sobre intervenções ocupacionais e o desenvolvimento de protocolos específicos para a gestão desta condição nos locais de trabalho.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Headache is a common and disabling neurological disorder, affecting approximately 52% of the global population annually, with a higher prevalence in women. Despite its ubiquity, its impact on public health is often underestimated, especially in the workplace context. Shift work emerges as a potential occupational risk factor, associated with a higher prevalence of non-specific headaches and migraines, as well as an increased risk of chronic migraine and greater disability. The presented case aims to highlight the importance of considering occupational factors in headache management, suggesting that mitigating workplace triggers can be a valuable complement to pharmacological therapy in treating this condition.  Case report: We present the case of a 27-year-old nurse with a history of headaches since the age of 16. Initially, her condition was well-controlled with ibuprofen. A year ago, a significant worsening of her condition was observed, with an increase in the frequency and intensity of episodes, accompanied by neurovegetative symptoms that affected her work performance. Neurological follow-up confirmed the worsening, and imaging tests ruled out structural brain changes that could explain the condition. Despite multiple pharmacological therapeutic strategies, a completely satisfactory clinical response was not achieved. As a result, she requested support from occupational medicine to control workplace triggers. This led to the assignment of a regular work schedule, with a reduction in night work and overtime hours. Three months after implementing these measures, a reduction in the frequency of episodes and decreased use of medication was observed, as well as a reduction in work absenteeism.  Discussion/ Conclusion: The presented clinical case illustrates the importance of a multidisciplinary approach in managing headache cases with work-related triggers. Strategies such as increased social support, control over work tasks, and appropriate workspaces can increase the productivity of affected workers. In the presented case, the adaptation of the work schedule resulted in a reduction in the frequency and intensity of crises, a fact reinforced by the objectified decrease in workplace absenteeism. It is concluded that, in addition to pharmacological therapy, modifications in lifestyle and work environment are essential for effective headache control. Finally, it is recommended to conduct broader studies on occupational interventions and develop specific protocols for managing this condition in the workplace.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Cefaleia]]></kwd>
<kwd lng="pt"><![CDATA[Medicina do Trabalho]]></kwd>
<kwd lng="pt"><![CDATA[Risco laboral]]></kwd>
<kwd lng="pt"><![CDATA[Prevenção]]></kwd>
<kwd lng="pt"><![CDATA[Saúde Ocupacional]]></kwd>
<kwd lng="en"><![CDATA[Headache]]></kwd>
<kwd lng="en"><![CDATA[Occupational Medicine]]></kwd>
<kwd lng="en"><![CDATA[Occupational risk]]></kwd>
<kwd lng="en"><![CDATA[Prevention]]></kwd>
<kwd lng="en"><![CDATA[Occupational Health]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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