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SUMMARY A clinical and pathological report of a patient who died 15 days after suffering a classic heat stroke is presented. The clinical picture was of a flaccid quadriplegia with anhidrosis and sphincter disturbance. The most severe pathological lesions were to be seen in the anterior and intermedio-lateral horns of the spinal cord. Hyperthermia was the only physiopathological mechanism demonstrated in the patient. It is suggested that the motor neurons and vegetative neurons of the spinal cord are specially sensitive to hyperthermia.There is a considerable literature, as listed in recent reviews, on the epidemiology, pathogenesis, physiopathology and clinical features of heat stroke.' 4 There are few neuropathological studies, in spite of the fact that there are always characteristic signs and symptoms of neurological involvement. The basic neuropathology reference work is still that by Malamud et al in 1946, who studied 125 fatal cases of heat stroke induced by physical exercises and described characteristic lesions in the cerebrum, cerebellum and skeletal muscles. This paper presents a clinical and pathological study of a case of classic heat stroke, with no damage to the cerebrum but with severe neuronal lesions in the spinal cord. Cae reportA 66-year-old man was referred to the Hospital of Navarra; for the previous 3 hours he had remittent rightsided somatomotor partial seizures with secondary generalisation. The patient, who suffered from manic depressive psychosis, was a long term in-patient of a psychiatric hospital which had no air-conditioning. He had been receiving continuous medication with amitryptiline (30 mg/day), imipramine (75 mg/day) and pherphenazine (6 mg/day). For the previous few days, the region had a heat wave with maximum temperatures of 38°C. examination. Neurological examination was normal except for a moderate drowsiness and mental confusion. Routine biological tests, including electrolytes, pH and clotting were normal except for a leucocytosis of 10.000 cells/mm3. CT scan and CSF were normal. The EEG recording was diffusely slowed (5 Hz). The rectal temperature was reduced to 38°C by physical means of cooling over the following 10 hours. Twelve hours after admission, the patient developed an acute respiratory insufficiency owing to weakness of the respiratory muscles and required endotracheal intubation and mechanical ventilation. At the same time he was found to be quadriplegic, with muscular hypotonia, absence of muscle stretch and skin reflexes, retention of urine and faecal incontinence. The cranial nerves, sensation and the level of consciousness were preserved. This neurological situation continued without change for 14 days, after which the patient suddenly died. During all this time, no sweating was seen, continuous physical cooling methods being required to maintain a normal body temperature. During the first 72 hours of the course of this illness, there was a rise in the skeletal isoenzyme of serum creatine kinase to 9-950 U/ml, which gradually became normal over the next...

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RESUMOObjetivos: Este artigo objetiva analisar a dinâmica institucional e jurídica de proteção e inclusão da pessoa humana trabalhadora e do próprio trabalho na ordem jurídica da República do Brasil, com enfoque central nas inovações e aperfeiçoamentos propiciados pela Constituição Federal de 1988 no sistema trabalhista brasileiro oriundo das décadas de 1930 e 1940, nos distintos planos trabalhistas (Direito Individual, Direito Coletivo e Direito Processual do Trabalho) e o subsequente período de refluxo iniciado em 2016.Metodologia: A metodologia deste estudo é dedutiva, associada a técnicas de pesquisa bibliográfica, por meio da revisão de doutrina, periódicos, artigos científicos e legislação. O estudo foi estrategicamente dividido em uma pesquisa detalhada de temas que se relacionam estreitamente com o Direito do Trabalho.Resultados: Como resultado da pesquisa, conclui-se que, a partir de 2016 iniciou-se um período de intenso e generalizado refluxo no padrão de proteção e inclusão da pessoa humana trabalhadora e do trabalho no Direito brasileiro; e esse intenso refluxo atingiu, fortemente, todos os planos da seara trabalhista, o Direito Individual, o Direito Coletivo e o Direito Processual do Trabalho. A lógica e o direcionamento desse refluxo podem, em certa medida, ser enquadrados como parte das dinâmicas disruptivas verificadas, nas últimas décadas, na seara socioeconômica das relações trabalhistas. No plano do Direito Individual do Trabalho, a Lei nº. 13.467/2017 rebaixou, substancialmente, o patamar civilizatório mínimo justrabalhista até então vigente no País. Vários direitos trabalhistas tiveram sua abrangência profundamente reduzida, quer mediante a restrição do próprio conceito do respectivo direito, quer mediante a restrição de sua área de incidência. Outros direitos foram simplesmente extintos e novos institutos e procedimentos foram criados, com o sentido de restrição de direitos e garantias jurídicas.Contribuições: As referências aos momentos e situações de fluxos e refluxos na linha jurídica de proteção e inclusão da pessoa humana trabalhadora e do trabalho no Brasil República. PALAVRAS-CHAVE: Direito do Trabalho; inclusão; Constituição de 1988; Refluxos trabalhistas de 2016. ABSTRACT Objectives: to point out the technological advances registered in the Brazilian Judiciary System in the digital age, mainly the benefits that the engineering has provided in the improvement of artificial intelligence tools which reflect in the speed of judgments, as well as defining the limits of the use of such resources in view of the of the peculiarities of the judging activity in an immersive and sometimes exclusive demand, in the dynamics between texts and contexts.Methodology: The methodology of this study is deductive coupled with techniques of bibliographical research by way of reviewing doctrine, journals, scientific articles and legislation. The study was strategically divided into a detailed investigation of themes that closely relate to the Labor Law. Results: As a result of the research, it is concluded that, starting in 2016, a period of intense and generalized reflux in the pattern of protection and inclusion of the human worker and labor in Brazilian law began; and this intense reflux affected, strongly, all the plans of the labor field, Individual Law, Collective Law and Procedural Labor Law. The logic and direction of this reflux can, to a certain extent, be framed as part of the disruptive dynamics verified in the last decades in the socioeconomic field of labor relations. In terms of Individual Labor Law, Law no. 13,467/2017 substantially lowered the minimum level of civilization in Brazil until then in force. Several labor rights had a profoundly reduced scope, either by restricting the concept of the respective right or by restricting its area of incidence. Other rights were simply extinguished and new institutes and procedures were created, with the sense of restricting rights and legal guarantees.Contributions: The discussion of working together between lawyers in the rational implementation of digital tools at their disposal and software engineers to simplify the legal world, through the development of intelligent systems, with the aim of understanding and applying their knowledge in the best way to solving questions about the administrative and technical complexity of the legal system, adequately responding to the demands of society.KEYWORDS: Labor Law; inclusion; Constitution of 1988; labor reflux of 2016