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This article aims to identify some socio cultural changes in native families that can be associated with the beginning of rural tourism activities at their farm, “Pousada do Cavalinho” (Horse´s Inn). This is a fancy name to preserve the identity of interviewees according to social sciences ethics. These changes were observed using participative observation method and interviews were held in order to learn from the actors´ voice. Basic concepts in this research are rural tourism, puriactivity as a way to cope with rural production problems in Brazil, and tourism as a factor of cultural change

Myxedema coma, an extreme expression of hypothyroidism, represents a medical emergency with high mortality. Hypothermia and cerebro-vascular accidents should be taken into account for correct differential diagnosis. The treatment of myxedema coma is based on prevention of the precipitating factors and on the administration of generous doses of L-thyroxine and/or triiodothyronine, associated with steroids and drugs for respiratory and cardio-vascular complications.

By the end of the year 1979 and the beginning of 1980 in the departments of babies and obstetrics of our hospital, we registered an epidemic episode of umbilical and ocular infection for hospitality by Pseudomonas aeruginosa and Staphylococcus aureus (about the 85% of the umbilical and conjunctival tampons sent to laboratory turned out be positive of these germs). At once we disposed a series of environmental checks; the result was that the cause of infection was originated in the wash bowl of these departments and, above all the ones fit to bath babies in the department of obstetrics. After timely measures of disinfection, further environmental checks proved the disappearing of these germs, only keeping a light positivity for the Pseudomonas in a wash bowl of the department of babies. We didn't have serious or mortal cases and all the strains by us isolated proved a good sensibility towards the antibiotics.