32 research outputs found

    PENGARUH KOMPRES PANAS DAN DINGIN TERHADAP PENURUNAN NYERI KALA I FASE AKTIF PERSALINAN FISIOLOGIS IBU PRIMIPARA

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    Kehamilan, persalinan dan masa nifas adalah peristiwa fisiologis dalam setiap perkembangan seorang wanita menjadi ibu. Peristiwa fisiologis ini terkadang dapat menimbulkan trauma pada ibu karena nyeri yang dialaminya. Beberapa ibu bahkan ada yang trauma untuk hamil dan melahirkan lagi karena takut akan mengalami nyeri yang sama. Bagi ibu yang pernah melahirkan, nyeri persalinan merupakan nyeri yang paling menyakitkan apalagi bagi ibu-ibu yang baru pertama kali merasakannya. Rasa nyeri pada persalinan dalam hal ini adalah nyeri kontraksi uterus yang dapat mengakibatkan peningkatan aktifitas sistem saraf simpatis, perubahan tekanan darah, denyut jantung, pernafasan dan apabila tidak segera diatasi maka akan meningkatkan rasa khawatir, tegang, takut dan stress. Nyeri pada ibu bersalin juga menyebabkan meningkatnya kadar katekolamin atau hormon stres seperti epinefrin dan kortisol. Peningkatan kadar katekolamin atau hormon stres dapat mengurangi kemampuan tubuh menahan rasa nyeri. Penatalaksanaan dalam mengatasi nyeri persalinan berdasarkan penelitian di sembilan rumah sakit di Amerika Serikat tahun 1996, sebanyak 4171 pasien, yang persalinannya ditolong oleh perawat-bidan menggunakan beberapa tipe iv penatalaksanaan nyeri untuk mengatasi nyeri. Ibu bersalin tersebut sekitar 90% diantaranya memilih metode non farmakologis untuk mengatasi nyeri. Terapi kompres panas dan dingin merupakan salah satu metode non farmakologis untuk mengatasi nyeri. Terapi ini perlu diberikan bagi semua ibu melahirkan sebagai salah satu intervensi terapi nyeri di pelayanan kesehatan yakni rumah sakit, puskesmas maupun klinik bersalin. Metode non farmakologis merupakan metode yang paling sering digunakan untuk mengurangi nyeri. Metode ini mempunyai resiko yang sangat rendah, bersifat murah, simpel, efektif, tanpa efek yang merugikan dan dapat meningkatkan kepuasan selama persalinan. Jenis penelitian ini yaitu Experimental dengan rancangan One Group Pretest Postest. Penelitian ini dilaksanakan di BPS Bunda dan BPS Rita Kota Bukittinggi mulai tanggal 26 Maret s/d 26 Mei 2014. Populasi dalam penelitian ini adalah ibu primipara inpartu kala 1 fase aktif. Penelitian ini menggunakan tekhnik Non Probability Sampling dengan metode sampel Consecutive Sampling. Jumlah sampel untuk masing-masing kelompok adalah 21 orang. Analisa data menggunakan analisa univariat dan bivariat. Menggunakan Uji t yakni Paired Samples t Test dan t Test Independent. Data diolah secara komputerisasi menggunakan program SPSS dengan derajat kepercayaan 95 %. Dari hasil penelitian dapat diketahui bahwa terdapat pengaruh pemberian kompres panas dan dingin terhadap penurunan nyeri kala I fase aktif persalinan fisiologis ibu primipara dengan nilai p 0,000. Sebagian besar ibu inpartu mengalami rasa nyaman setelah diberikan kompres panas. Kompres panas yang diberikan pada punggung bagian bawah ibu di area tempat kepala janin menekan tulang belakang kepala akan mengurangi nyeri, panas akan meningkatkan v sirkulasi ke area tersebut sehingga memperbaiki anoksia jaringan yang disebabkan oleh tekanan. Secara keseluruhan berdasarkan apa yang telah peneliti observasi, semua responden rata-rata mengatakan bahwa nyeri persalinan yang dirasakannya berkurang. Walaupun respon yang diberikan berbeda-beda. Ini bisa jadi disebabkan oleh faktor-faktor lain yang mempengaruhi nyeri seseorang yang belum peneliti kendalikan, seperti suku bangsa, pekerjaan, kondisi psikologis dan faktor lainnya. Sejalan dengan kompres panas, kompres dingin juga terbukti efektif dalam menurunkan nyeri persalinan. Pada saat penelitian, penulis menemukan satu responden yang tidak mengalami penurunan nyeri. Pada saat ditanyakan, responden mengatakan bahwa tidak merasakan penurunan dari nyeri persalinannya. Ini merupakan salah satu kelemahan dari penelitian ini, dimana, disamping alat ukur yang masih sangat objektif, variabel confounding yang belum dikendalikan seperti suku bangsa, kondisi psikologis, dukungan keluarga, status pekerjaan, dll, juga turut mempengaruhi hasil dari penelitian ini. Dari hasil penelitian dapat diketahui bahwa tidak terdapat perbedaan derajat nyeri sebelum diberikan kompres panas dan sebelum diberikan kompres dingin dengan nilai p 0,896. Sedangkan terdapat perbedaan yang bermakna antara derajat nyeri setelah diberikan kompres panas dan setelah diberikan kompres dingin dengan nilai p 0,001. Tidak terdapat perbedaan derajat nyeri sebelum diberikan kompres panas dan kompres dingin. Ini membuktikan bahwa faktor yang dikendalikan seperti usia, paritas, usia kehamilan dan pembukaan serviks membantu dalam penelitian. vi Dimana secara garis besar keseluruhan responden sudah dihomogenkan. Sementara terdapat perbedaan derajat nyeri setelah diberikan kompres panas dan kompres dingin, ini membuktikan bahwa terdapat perbedaan yang bermakna antara penurunan nyeri setelah diberikan kompres panas dan setelah diberikan kompres dingin. Dari hasil penelitian dapat diketahui bahwa rerata selisih nyeri sebelum diberikan dan setelah diberikan kompres panas adalah 2,33±0,658, sedangkan rerata selisih nyeri sebelum diberikan kompres dingin dan setelah diberikan kompres dingin adalah 3,38±1,117. Hal ini membuktikan bahwa kompres dingin lebih efektif menurunkan derajat nyeri dibandingkan kompres panas yang terlihat dari nilai rerata penurunan nyerinya lebih tinggi pada kelompok kompres dingin bila dibandingkan dengan kelompok kompres panas. Berdasarkan hasil uji statistik juga dapat disimpulkan bahwa terdapat perbedaan selisih derajat nyeri sebelum dan setelah diberikan kompres panas dan kompres dingin yang terlihat dari nilai p 0,001. Hasil penelitian ini sejalan dengan penelitian yang dilakukan oleh Khusniyah tahun 2011, dimana berdasarkan hasil uji statistik Mann Whitney Test didapatkan nilai p 0,005 yang berarti ada perbedaan yang signifikan antara kelompok kompres panas dan kelompok kompres dingin. Perbedaan ini didukung oleh hasil uji Wilcoxon Signed Rank Test pada masing-masing kelompok kompres, dimana pada kelompok kompres panas didapatkan nilai p 0,003 dan pada kelompok kompres dingin didapatkan nilai p 0,001 yang artinya kelompok kompres dingin lebih efektif dalam menurunkan nyeri daripada kelompok kompres panas. vii Pada kompres dingin, pengalihan persepsi nyeri yang lebih dominan adalah salah satu tipe transedensi yang telah tercapai sehingga responden merasa lebih nyaman. Berdasarkan teori dan fakta, kompres dingin lebih efektif dalam menurunkan nyeri daripada kompres panas. Dalam pemantauan kala I fase aktif persalinan menggunakan partograf, pemberian kompres dingin juga tidak berpengaruh terhadap kemajuan dan kemunduran persalinan. Pada saat fase aktif dan dilakukan intervensi pengompresan, pembukaan serviks dan kontraksi uterus tetap berjalan dengan normal. Oleh karena itu kompres dingin aman diberikan pada ibu yang sedang dalam proses persalinan dan asuhan sayang ibu juga bisa tercapai

    Efektifitas Pemberian Seduhan Jahe dengan Jus Jeruk terhadap Mual Muntah pada Ibu Hamil Trimester I

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    Emesis gravidarum merupakan keluhan umum yang disampaikan pada early pregnancy. Terjadinya kehamilan menimbulkan perunahan hormonal pada wanita karena terdapat hormon esterogen, progesteron, dan dikeluarkannya human chorionic gonadothropine plasenta. Gejala klinis emesis gravidarum adalah kepala pusing, terutama dipagi hari, disertai mual muntah sampai kehamilan berumur 4 bulan. Rasa mual pada awal kehamilan dapat di kurangi dengan menggunakan terapi komplementer antara lain dengan tanaman herbal atau tradisional yang bisa dilakukan dan mudah di dapatkan seperti daun peppermint, lemon, jahe, salak dll. Fungsi farmakologis salak salah satunya adalah antiemetik. Tujuan untuk mengetahui Efektifitas Pemberian Seduhan Jahe Dengan Jus Buah Jeruk Terhadap Keluhan Mual Muntah Ibu Hamil Trimester I. Jenis penelitian ini yaitu penelitian eksperimen atau percobaan (eksperimen research), yaitu suatu penelitian dengan melakukan kegiatan percobaan (experiment). Sampel berjumlah 12 orang. Instrumen penelitian yang digunakan berupa lembar observasi untuk  mengamati penuunan mual muntah. Hasil  dari penelitian ini teridentifikasi, Uji Statistic Paired T-test didapatkan nilai P = 0,000 (0,000<0,005). Saran untuk tempat penelitian, diharapkan bagi lahan penelitian dapat mengajarkan dan menganjurkan ada ibu hamil yang mengalami mual muntah untuk diberikan seduhan jahe dan jus buah jeruk untuk mengurangi mual muntah pada ibu hamil. &nbsp

    Calligrapha felina Stal J. Gomez-Zurita 1860

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    Calligrapha felina Stål, 1860 (Figs 12e, 13e, 14) Calligrapha felina Stål, 1860. Öfv. Svenska Vet.-Akad. Förh. 17, p. 461. Chrysomela felina: Stål, 1865, Mon. Chrysom. Amer., 3, p. 269. Calligrapha felina: Gemminger & Harold, 1874, Cat. Coleopt., 11, p. 3433. Calligrapha felina: Jacoby, 1882, Biol. Centr.-Amer., 6, p. 206. Polyspila felina: Weise, 1916, Col. Cat., 68, p. 39. Calligrapha felina: Blackwelder, 1946, Checklist Col. Amer., 4, p. 674. Calligrapha felina: Moldenke, 1971, Pan-Pacific Entom., 47, p. 110. Calligrapha felina: Gómez-Zurita, Funk & Vogler, 2006, Evolution, 60, p. 332. Calligrapha felina: Montelongo & Gómez-Zurita, 2014, Zool. Scr., 43, p. 607. Calligrapha felina: Maes & Gómez-Zurita, 2016, Rev. Nic. Ent., 76, p. 13. Calligrapha fulvipes: Benítez-García et al., 2017, Rev. Mex. Biodiv., 88, p. 338 (Fig. 2E). Calligrapha felina: Benítez-García et al., 2017, Rev. Mex. Biodiv., 88, p. 339. Calligrapha felina: Merckx et al., 2018, Biodiversity Inf., 13, p. 43. This species was described based on a syntype series of unknown geographic origin, but were later attributed a Mexican provenance (Stål 1860, 1865). In this later treatment of the species by its author, he also mentioned that Sallé provided the type material and that it was part of the collection in the Natural History Museum of Stockholm (Stål 1865). Indeed, this collection includes several specimens with this specific collection information, of which a large female is selected here as lectotype, and the remaining specimens retained as paralectotypes. Lectotype (Fig. 12e), by present designation: Mexico, Sallé (NRM). Paralectotypes, by present designation: (1) one specimen, Mexico, Oaxaca, Sallé (NRM); (2) four specimens, Mexico, Sallé (NRM). Description. Body elongate elliptic, moderately convex. Head, pronotum, scutellum and ventral thoracic surfaces black with dark greenish metallic reflections. Apex of mandibles, elytral markings, epipleura, coxae and abdominal ventrites dark brown with slight bluish metallic sheen on epipleura and coxae. Antennae, labrum, anterior margin of clypeus, mandibles, mouth appendages and legs pale reddish brown. Background of elytra dark yellow. Length: 8.7 mm; width: 5.4 mm. Head broad, deeply inserted into prothorax; surface finely microreticulate with sparse fine punctures on frons, larger and deeper closer to eyes; fine frontal suture only impressed near and at junction with bisinuous frontoclypeal suture; supraocular furrow weakly impressed. Eyes relatively small, dorso-ventrally elongate, entire and finely faceted. Clypeus transverse, about twice as wide at apex as long at middle, finely microreticulate, with sparse punctures, more strongly impressed at sides, and long fine translucent recumbent setae; anterior border deflexed and slightly concave. Labrum short, strongly transverse, with round anterior angles and weakly emarginate and depressed anterior border, with some eight setigerous punctures in transverse preapical row. Mandibles large and prominent, about as long as clypeus and labrum combined; sides weakly concave, slightly divergent before strong median curvature; surface smooth with strong, deep punctures and recumbent pale yellow setae. Last maxillary palpomere longer than wide at apex, with sides weakly curved and apical border slightly convex, obliquely cut; previous palpomere wider than last at apex, slender, weakly elbowed at middle, with narrow cylindrical base; first palpomere slender, club-shaped.Antennae slender, reaching humerus, slightly clavate, with antennomeres 1–6 smooth, slender, scarcely pubescent, and club formed by antennomeres 7–11, enlarged, finely rugose and densely covered by fine short whitish setae; scape longer than wide, enlarged, with anterior border markedly convex and posterior border flattened and feebly curved posteriorly; pedicel longer than wide, about half as long as scape, enlarged toward apex; third antennomere slender, about as long as scape, clavate; fourth antennomere slightly longer than pedicel, clavate, and antennomeres 5–6 progressively shorter, with sixth antennomere more clearly enlarged at apex; antennomeres 7–10 subequal, about as long as fourth antennomere, longer than wide at apex; eighth antennomere 0.9x as wide at apex as long; eleventh antennomere slightly longer than scape, tapering to blunt apex in apical third. Pronotum markedly transverse, about twice as wide between posterior angles than long at middle; sides anteriorly convergent, feebly curved at base, widest at basal angles, and more markedly curved in anterior third toward moderately protruding anterior angles, finely margined, with margin only visible in basal half owing to lateral convexity of pronotum, particularly at anterior angles; anterior angles broadly round at acute angle with large trichobothrium at angle and long laterally and posteriorly recumbent white setae; anterior border weakly convex behind frons, finely margined throughout; posterior border weakly bisinous at sides flanking moderately protruding median lobe, unmargined; surface finely microreticulate, with sparse heterogenous punctures on disc, large, deep, fossette-like and sometimes confluent punctures at sides, and longitudinally elongate punctures along and confluent with basal border except medially. Hypomera triangular, convex on disc and transversally impressed basally, with hypomeral furrow nearly entire, obsolete close to base; surface finely microreticulate, with few transverse wrinkles basally. Prosternum relatively short, half as long as intercoxal process, with anterior border regularly concave and finely margined; surface microreticulate, deeply impressed in front of procoxae, with large, confluent, imprecise punctures and posteriorly recumbent golden setae; prosternal process convex, narrower between procoxae than anterior part of prosternum, gradually widening toward feebly convex posterior border, weakly carinated longitudinally at middle. Scutellum 1.2x longer than wide at base, lancet-shaped with round blunt apex, flat, finely microreticulate, unpunctured. Mesoventrite short, with wide transverse, relatively smooth process, and lateral arms in front of mesocoxae microreticulate and with dense strong punctures. Mesepimera and mesanepisterna with conspicuous microreticulation and some relatively large punctures anteriorly. Metanepisterna long, twice as wide anteriorly than in posterior end, with wide raised margins, and disc microreticulate and strongly punctured, with punctures elongate and confluent in posterior third. Metaventrite longer than prosternum and mesoventrite together, with short subtrapezoidal anterior process and weakly concave posterior border between metacoxae; disc smooth with fine scattered punctures and fine recumbent translucent setae, with discrimen finely impressed in posterior half; sides finely shagreened and with scattered fine punctures bearing short, fine whitish setae. Elytra long, about 0.8x as long as body, wider at base than base of pronotum, widest at middle, with broadly round humeral angles, and nearly parallel sides before regular curvature in apical third; surface on pale areas with shallow pale punctures, deeper and stronger around and within dark markings; scutellar row of some twelve punctures, and premarginal line of tight punctures rather regular also across subhumeral and midlateral spots. Elytra with numerous dark spots and markings (Fig. 12e) with some conspicuous features, including: (i) narrow sutural stripe reaching from base of elytra, completely surrounding scutellum, and gradually narrowing to reach sutural angle; (ii) subsutural stripe narrow, with basal end at level with apex of scutellum, free and divergent from sutural stripe at base for 5–6 punctures before fusing with sutural stripe for entire length, slightly widened at apical declivity of elytra before disappearing abruptly shortly before sutural angle; (iii) humeral spot medium sized, elongate, covering humerus, free at base, widely separated from basal border of elytron; (iv) humeral lunule nearly twice as long as humeral spot, of irregular profile, more or less curved toward suture and confluent basally with basal half of humeral spot; (v) conspicuous marginal dark spot at internal declivity of humerus in interval of humeral lunule; (vi) spot enclosed by humeral lunule small, piriform with narrower basal end aligned with basal ends of subsutural stripe, humeral spot and humeral lunule, more or less equidistant between lunule and subsutural stripe; (vii) subhumeral spot nearly as big as spot enclosed by humeral lunule, broadly elliptical, covering six punctures of premarginal line, free from lateral border of elytron; (viii) midlateral spot elliptic, longer than subhumeral spot, covering some seven punctures of premarginal line, laterally confluent with dark elytral margin; (ix) medium-sized roundish spot postmedially on disc; (viii) 38–42 small irregular spots and irregularly and asymmetrically distributed comparing both elytra in all areas around previous markings. Epipleura feebly slanted ventrally and entirely visible from side, finely margined internally, finely alutaceous, unpunctured, with fringe of tight short erect setae along apical border. Femora slender, enlarged at middle, smooth, with sparse fine punctures and short recumbent whitish setae. Tibiae as long as corresponding femur, weakly curved and gradually expanded toward apex; edges faintly carinated and external furrow shallow, most apparent in apical third; surface smooth, with sparse small punctures and recumbent fine whitish setae, except at apex ventrally, with rugose surface and dense golden pubescence. Tarsi slender, shorter than corresponding tibiae; first tarsomere gradually expanded to apex, longer than wide; second tarsomere nearly as long as but narrower than first, with long cylindrical base; third tarsomere shorter and wider than first, weakly bilobed; onychium nearly as long as first and second tarsomeres combined, clavate, strongly curved at base and gently curved ventrally elsewhere, with sharp ventral denticle at apex; claws simple and sharp, weakly divergent at base. Abdominal ventrites smooth medially, with scattered small punctures and fine translucent posteriorly recumbent setae, and surface irregular and impressed at sides; first abdominal ventrite slightly shorter than metaventrite, with short transverse curved anterior process; second abdominal ventrite less than half as long as first ventrite, and ventrites 3–4 progressively shorter; last abdominal ventrite longer than second. Penis (Fig. 13e) elongate, relatively thick, with sides nearly parallel in ventral view, more strongly curved dorsally than ventrally in lateral view, with apical quarter tapering to apex dorsally; sides narrowed around apical contour of gonopore, and expanded laterally as sharp teeth, curved backward, with maximum width of penis between their tips; apical border sinuous at sides and with short median lobe; gonopore large, shortly oval, with subtrapezoidal dorsal flap, broadly round at angles and slightly emarginate at apex; distal end of flagellum as large disc with large central orifice and membranous at edges. Material examined (390 specimens). COSTA RICA NMCZ: (1) one specimen, felina Stål, Costa Rica, Coll. Achard Mus. Pragense. GUATEMALA NHM: (1) one specimen, Guatemala, Sallé Coll., 631, Godman-Salvin Coll., Biol. Centr.-Amer. NMCZ: (1) one specimen, Canalitos, Guatemala, Coll. Achard Mus. Pragense. NMNH: (1) one specimen, 11901, 16.ix.1977, Antigua, Guatemala, J.V. Mankins Collector, Calligrapha felina Det. 1977, J.V. Mankins. HONDURAS NMNH: (1) one specimen, 11811, Tela, Hond., 27.x.1977, J.V. Mankins Collector. TAMUIC: (1) one specimen [X0536924], Honduras, Valle, 1 mi W Jícaro Galán at junction with Rio Nacaome, 20.vii.1972, Robert R. & Maria E. Murray leg. MEXICO EGRC: (1) one specimen, Mexico, Guerrero, 29 km E Chichihualco, 16.ix.1989, R. Turnbow leg., Calligrapha felina Stål J. Gómez-Zurita det. 2011; (2) one specimen, Mexico, Guerrero, 24.2 km W Teloloapan, 25.vii.1987, R. Turnbow leg., Calligrapha felina Stål J. Gómez-Zurita det. 2011; (3) one specimen, Mexico, Guerrero, 6 km W El Veintidós, El Pelillo road, 16.ix.1989, R. Turnbow leg., Calligrapha felina Stål J. Gómez-Zurita det. 2011; (4) one specimen, Mexico, Jalisco, Hwy80, 9 mi SW Autlán, 4300 ft, 11.viii.1982, C.W. & L. O’Brien & G. Wibmer leg.; (5) three specimens, Mexico, Michoacán, 5 mi NW Tuxpan, 6200 ft, 7.viii.1982, C.W. & L. O’Brien & G. Wibmer, Calligrapha felina St. det. Daccordi ‘80; (6) one specimen, Mexico, Sonora, Chihuahua, 6 mi S Yecora, 5740 ft, 2-3.vii.1990, S. McCleve leg., Calligrapha felina Stål J. Gómez-Zurita det. 2011. FSCA: (1) one specimen, Mexico, Colima, 5–10 km S Mazamitla, 6.x.1992, J.E. Wappes leg.; (2) one specimen, Mexico, Jalisco, 15 km S Autlán, 29.ix.1991, E. Giesbert leg.; (3) one specimen, Mexico, Michoacan, [Ciudad] Hidalgo, 6500 ft, 18.viii.1965, D.R. Paulson, Calligrapha felina Stål J. Gómez-Zurita det. 2011; (4) one specimen, Mexico, Nayarit, 5–10 km W Jala, 8.xii.1990, E. Giesbert leg., Calligrapha felina Stål Det. J. Watts 1993; (5) one specimen, Mexico, Nayarit, Volcán Ceboruco, 4–8 km S Jala, 9.x.1992, R. Turnbow leg.; (6) ten specimens, Mexico, Oaxaca, La Pluma Hidalgo, 1200 m, 21.vii.1993, P.J. Landolt leg., Calligrapha felina Stål J. Gómez-Zurita det. 2011; (7) one specimen, Mexico, Puebla, 6 km S Calmoca on Hwy190, 6.ix.1985, W. Opitz leg., Calligrapha felina Stål J. Gómez-Zurita det. 2011. HNHM: (1) two specimens, Mexico, coll. Geitner, Calligrapha signatipennis St., Calligrapha felina Ståll J. GómezZurita det. 2017; (2) six specimens, Mexico, Procopp, [one with: Calligrapha felina det. Daccordi ‘79]; (3) one specimen, Mexico, Chrys. intermedia Kl., C. felina det. Daccordi 1979. JGZC: (1) two specimens, Mexico, Morelos, 8 km Cuernavaca, rd to Tepoztlán, 21.vi.2000, C.N. Duckett leg., Calligrapha felina Stål J. Gómez-Zurita det. 2003; (2) two specimens, Mexico, Morelos, Puente de Ixtla, La Tigra, 18º30’57.0’’N 99º19’53.7’’W, 25.v.2012, Tonatiuh Escalante Barrera leg., Calligrapha felina Stål J. Gómez-Zurita det. 2013. MCZ: (1) two specimens, Cuernavaca, Morelos, June, H.H.S. [one with: Calligrapha felina Stål; one with: Jacoby 2nd Coll.]; (2) twelve specimens, Guadalajara, Mex., 19.vi.1903 [one with: Calligrapha felina Stål]; (3) one specimen, Guadalajara, Mex., 8.viii.1903; (4) three specimens, Guadalajara, Mexico, Dr. Buller [one with: Calligrapha felina Stål J. Gómez-Zurita det. 2010]; (5) two specimens, Cerro de Plumas [Cerro de la Palma], Mexico, Hoege, 1st Jacoby Coll.; (6) one specimen, Cerro de Plumas [Cerro de la Palma], Mexico, Hoege, Jacoby 2nd Coll.; (7) four specimens, Mex., Monclova, E. Palmer [one with: Calligrapha felina Stål J. Gómez-Zurita det. 2010]; (8) two specimens, Tuxpan, Jalisco, Mex., 6.ix.1903, J.F. McClendon; (9) three specimens, Mexico, Morelos, Tepozteco, 16.vi.1993, leg. D. Furth [one with: Calligrapha felina Stål J. Gómez-Zurita det. 2010]; (10) four specimens, Mexico, Morelos, Tepoztlán, 17.viii.1991 [2x], 14. vi.1993 [1x], 15.vi.1993 [1x], leg. D. Furth; (11) one specimen, Oaxaca; (12) one specimen, Tepetlapa, Guerrero, 3000 ft., Oct., H.H. Smith, Jacoby 2nd Coll.; (13) two specimens, Tupátaro, Guanajuato, Höge, Jacoby 2nd Coll.; (14) one specimen, Jalisco, Dr. B.; (15) two specimens, Mexico, Reitter, 214 / 215; (16) twelve specimens, Mexico; (17) one specimen, Mexico, Calligrapha pardalis; (18) four specimens, Mex.; (19) one specimen, fulvipes, M.B., Mexico. MfN: (1) one specimen, Calligrapha felina St., Guadalajara; (2) four specimens, Mexico, Guadalajara [one with: pantherina Stål]; (3) two specimens, Mexico, Guadalajara; (4) one specimen, Calligrapha pantherina Stål, Guadalajara; (5) five specimens, Maravatio, 13 [4x of the series without data]; (6) two specimens, Tupátaro, Guanajuato, Höge; (7) one specimen, pantherina Stål, Veracruz; (8) one specimen, Canelas, Becker; (9) one specimen, Canelas; (10) three specimens, Ventanas [Villa Corona], 17 [1x of the series without data]; (11) one specimen, Ventanas, Durango; (12) two specimens, Morelia, 13 [one without data]; (13) two specimens, El Cora, Tepic, Ad. Lüdecke; (14) twelve specimens, Mexico, Morelos, Tepoztlán, Tepozteco, 25.viii.1993, Erber leg., Calligrapha felina Stål, Erber det. 1994; (15) four specimens, Mexico [one with: felina Stål]; (16) one specimen, Mexico, Dr. Will, Polyspila fulvipes Stål; (17) one specimen, Mexico, Dr. Will, Polyspila diversa Stål; (18) one specimen, Mexico, Dr. Will; (19) four specimens, 29783, pantherina Stål, fulvipes St., Mexico Deppe [3x of the series without data]; (20) five specimens, Mexico, Hoege [4x of the series without data]. NHM: (1) one specimen, [Santa Catarina] Juquila, Mexico, Sallé Coll., 632, Calligrapha felina Stål apud Sallé, Sp. figured, Godman-Salvin Coll., Biol. Centr.-Amer.; (2) one specimen, [Santa Catarina] Juquila, Mexico, Sallé Coll., Calligrapha felina Stål apud Sallé, Godman-Salvin Coll., Biol. Centr.-Amer.; (3) one specimen, Durasnal [El Duraznal], Mexico, Sallé Coll., Calligrapha felina Stål apud Sallé, Godman-Salvin Coll., Biol. Centr.-Amer.; (4) one specimen, Etla, Mexico, Sallé Coll., Calligrapha felina Stål apud Sallé, Godman-Salvin Coll., Biol. Centr.-Amer.; (5) one specimen, Minatitlan, Mexico, Hoege, Biol. Cent.-Am. 1905-71, Godman-Salvin Coll., Biol. Centr.-Amer.; (6) one specimen, Cerro de Plumas [Cerro de la Palma], Mexico, Hoege, Godman-Salvin Coll., Biol. Centr.-Amer.; (7) one specimen, Oaxaca, Mexico, Hoege, Godman-Salvin Coll., Biol. Centr.-Amer.; (8) four specimens, Oax. [one with: 189]; (9) two specimens, Mexico, Oaxaca, Fry Coll. 1905.100 [one with: 13109]; (10) one specimen, 58.135, Mex. (Oajaca); (11) one specimen, Tupataro, Guanajuato, Höge, Calligrapha felina, Godman-Salvin Coll., Biol. Centr. -Amer.; (12) two specimens, Guanajuato, Mexico, Sallé Coll., Calligrapha felina Stål apud Sallé, Godman-Salvin Coll., Biol. Centr.-Amer.; (13) one specimen, Cuernavaca, Morelos, June, H.H.S., Godman-Salvin Coll., Biol. Centr.-Amer.; (14) four specimens, Cuernavaca, vi.1934, Mex., Coll. H.E. Hinton, Hinton Coll. B.M. 1939-583; (15) one specimen, Cuern., Calligrapha pardalis; (16) one specimen, Matamoros, Izucar, Puebla, Höge, Godman-Salvin Coll., Biol. Centr.-Amer.; (17) one specimen, Guadalajara, Jalisco, Höge, Godman-Salvin Coll., Biol. Centr.-Amer.; (18) two specimens, Guadalajara, Crawford, [151 and 152]; (19) one specimen, Amula, Guerrero, 6000 ft, Aug., H.H. Smith, Godman-Salvin Coll., Biol. Centr.-Amer.; (20) one specimen, Soledad, Guerrero, 5500 ft, July, H.H. Smith, GodmanSalvin Coll., Biol. Centr.-Amer.; (21) one specimen, Real de Arriba, Temascaltepec, Mex., 6–7000 ft, v–vii.1933, B.M. 1959-100; (22) twelve specimens, Temascaltepec, 1931 [five with: 1831], Mex. D.F., G.B. Hinton Collector, Hinton Coll. B.M. 1937-173; (23) two specimens, Truqui, Mexico, Fry Coll. 1905.100 [one with: 23854]; (24) one specimen, Ex. Coll. J. Sturm, Calligr. signatipennis St., Mexico, Sallé Coll., Calligrapha felina Stål apud Sallé, Godman-Salvin Coll., Biol. Centr.-Amer.; (25) one specimen, Mexico. NHMB: (1) three specimens, Colima, Mexico [one with: Calligrapha felina Stål J. Bechyné det. 1951]; (2) one specimen, Balzas [Balsas], Guerrero, Mexico; (3) two specimens, Guadalajara; (4) one specimen, Tupataro, Guanajuato, Höge; (5) one specimen, Mexico, Taxco, 1800 m, 1.vi.1981, leg. G. Feller, Calligrapha pantherina Stål det. G. Scherer 86, Calligrapha felina Stål J. Gómez-Zurita det. 2010; (6) four specimens, Mexico; (7) one specimen, Mexico, Erwerb 1955, Coll. Brancsik; (8) two specimens, Mexiko, Calligrapha felina Stål J. Gómez-Zurita det. 2010. NMCZ: (1) one specimen, Mexique, Guanajuato, Calligrapha felina Stål J. Achard det., Coll. Achard Mus. Pragense; (2) one specimen, Guanajuato, E. Dugès, Coll. Achard Mus. Pragense; (3) one specimen, Mex., Navela [?], Coll. Achard Mus. Pragense; (4) one specimen, Mexique, Calligrapha felina J. Achard det. in BCA, Coll. Achard Mus. Pragense; (5) five specimens, Mexique, Coll. Achard Mus. Pragense; (6) one specimen, Mex. deyr. (?), Coll. Achard Mus. Pragense; (7) one specimen, Mexico, Coll. Nickerl Mus. Pragense, Calligrapha felina Stål, Mex.; (8) four specimens, Mexico, Mus. Pragense Col. Kambersky (one with: Calligrapha felina Stål J. Achard det.); (9) one specimen, Mexico. NMNH: (1) five specimens, Colima Vulcano, Mex., L. Conrad; (2) one specimen, Distr. Fedrl. Mex., J.R. Inda Coll., Calligrapha felina Stål J. Gómez-Zurita det. 2003; (3) one specimen, Tupataro, Guanajuato, Höge, 388, gift of F.C. Bowditch, gift ex MCZ dupl. series; (4) four specimens, Acapulco, Mex., 27.vii [1x], 30.vii [3x], Fredk. Knab; (5) three specimens, Jalisco, Mex., vi.1904, From Dr. G.W. Bock, Collection F. Knab; (6) three specimens, Chapala, Jal., Mex., 17.viii.1949, R.B. Lattimer; (7) one specimen, Jalisco, Mex., vi.1904, From Dr. G.W. Bock, Collection F. Knab; (8) one specimen, Ciudad Guzmán, Jalisco, Mex., on pines, iii.1924, W.M. Mann; (9) one specimen, Mexico, Jalisco, ix.1965, N.L.H. Krauss; (10) one specimen, Jalisco, Mex., vi.1904, From Dr. G.W. Bock, Collection F. Knab, Calligrapha felina Stål J. Gómez-Zurita det. 2011; (11) one specimen, Mexico, Mexico, Río de Molino, nr. Valle de Bravo, 6500’, 2–3.viii.1962, H.E. Evans Exp., George E. Ball Collector; (12) one specimen, Uruapan, Mex., 7.xii.2000, El. 5000 ft., C.C. Deam Collector; (13) one specimen, Mexico, Mich., Zitacuaro, 7.vii.1965, Flint & Ortíz, Calligrapha felina Stål J. Gómez-Zurita det. 2011; (14) one specimen, Mexico, Morelia, Michoacán, at Brownsville, 11.v.1966,Ayers et al. w. orchid sp. 66-

    Clínica e cirurgia de animais de companhia: Lipidose Hepática Felina

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    Este relatório foi realizado no âmbito da conclusão do Mestrado Integrado em Medicina Veterinária da Universidade De Évora e baseia-se no estágio curricular realizado no Hospital Veterinário do Atlântico. O relatório divide-se em duas partes, sendo a primeira parte relativa à casuística observada pela autora e a segunda uma monografia sobre o tema “Lipidose Hepática Felina”, com descrição e discussão de dois casos clínicos. A lipidose hepática felina é uma das doenças hepatobiliares mais comuns em gatos e caracteriza-se pela acumulação de triglicéridos no fígado. Os gatos afetados têm história de obesidade e/ou perda de peso, sendo a anorexia e a icterícia dois sinais clínicos comuns. O tratamento engloba a administração de fluidoterapia, antieméticos, analgésicos, estimulantes de apetite e suplementos, como as vitaminas e os hepatoprotetores. O suporte nutricional, essencialmente instituído por tubo de alimentação, é o grande pilar deste tratamento; - Abstract: This report was produced as part of the conclusion of the Integrated Master in Veterinary Medicine at the University of Évora and is based on the internship carried out at the “Hospital Veterinário do Atlântico”. This report is divided into two parts, the first part is about the observed casuistic by the author and the second a monograph about “Feline Hepatic Lipidosis”, which include the description and discussion of two clinical cases. Feline hepatic lipidosis is a common hepatobiliary disease in cats and is characterized by the triglyceride accumulation in the liver. Affected cats have an history obesity and/or weight loss, with anorexia and jaundice being two common clinical signs. The treatment includes fluid therapy, antiemetics, analgesics, appetite stimulants and supplements, such as vitamins and hepatoprotectors. Nutritional support, primarily instituted through a feeding tube, is the mainstay of this treatment

    Pengaruh Kompres Panas dan Dingin terhadap Penurunan Nyeri Kala I Fase Aktif Persalinan Fisiologis Ibu Primipara

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    AbstrakPersalinan adalah peristiwa fisiologis dalam setiap perkembangan seorang wanita menjadi ibu.Peristiwa ini dapat menimbulkan trauma karena nyeri yang dialaminya.Beberapa ibu bahkan memilih untuk melahirkan secara sectio caesareatanpa indikasi medis untuk menghindari nyeri tersebut. Terapi kompres panas dan dingin merupakan salah satu metode non farmakologis untuk mengatasi nyeri.Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian kompres panas dan dingin terhadap penurunan nyeri kala I fase aktif persalinan fisiologis ibu primipara. Jenis penelitian ini yaitu eksperimental dengan rancangan One Group Pretest Postest. Penelitian dilaksanakan di BPS Bunda dan BPS Rita Bukittinggi tanggal 26 Maret s/d 26 Mei 2014.Populasi penelitian ini adalah ibu primipara inpartu kala I fase aktif menggunakan tekhnik Non Probability Sampling dengan metode sampel Consecutive Sampling. Dari hasil penelitian diperoleh rerata derajat nyeri sebelum kompres panas adalah 7,29±1,102 dan sebelum kompres dingin adalah 7,33±1,238. Rerata derajat nyeri setelah kompres panas adalah 4,95±1,244 dan setelah kompres dingin adalah 3,90±0,889. Tidak terdapat perbedaan rerata derajat nyeri sebelum kompres panas dandingin p = 0,896. Terdapat perbedaan rerata derajat nyeri setelah kompres panas dan dingin p = 0,003. Terdapat perbedaan selisih derajat nyeri kompres panas dan dingin p = 0,001. Dapat disimpulkan terdapat perbedaan pengaruh pemberian kompres panas dan dingin terhadap penurunan nyeri persalinan.Kata kunci: kompres panas, kompres dingin, nyeri persalinanAbstractChildbirth is a physiologic process that happened in each woman’s development to be a mother. This process may cause trauma because of the pain. Even, some mother choose sectio caesarea without medical implication as a labor choice.Hot and cold compress therapy is one of non-pharmacological approach to reduce pain. The objective of this study was to determine the difference of the effect of hot and cold compress pain relief during active first stage of physiologic labor in primiparous women.This is an experimental study with one group pretest posttest design. This study takes places in BPS Bunda and BPS Rita in Bukittinggi from 26th of March till 26th of May, 2014. The population of this study was inpartu primiparous women in active first stage of labor using non probability sampling and consecutive sampling method.The result of this study are mean rate of the pain before hot compress are 7.29±1.102 and before cold compress are 7.33±1.238. Mean rate of the pain after hot compress are 4.95±1.244 and after cold compress are 3.90±0.889. There is no differences of the pain during labor before hot and cold compress p=0.896. There is differences of the pain during labor after hot and cold compress p=0,003. There is differences of the pain deviation in hot compress and cold compress p=0.001. We conclude that there is the difference of the effect of hot and cold compress on pain relief during labor.Keywords: hot compress, cold compress, pain during labor</p

    The Effect of Giving Dates (Phoenix dactylifera) on Hemoglobin Levels in Anemic Adolescent Girls at Prima Nusantara Vocational School, Bukittinggi, Indonesia

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    Anemia in adolescent girls is a health problem that often occurs in Indonesia. Dates (Phoenix dactylifera) is a fruit that is rich in iron and folate, which play an important role in the formation of hemoglobin. This study aims to determine the effect of giving dates on hemoglobin levels in anemic adolescent girls at Prima Nusantara Vocational School, Bukittinggi Indonesia. This research used a quasi-experimental design with a pretest-posttest with the control group design. A total of 30 adolescent girls who experienced anemia were randomly divided into two groups, namely the intervention group which was given 3 dates per day for 4 weeks and the control group which was given no dates. Hemoglobin levels were measured before and after the intervention. The results showed that there was a significant increase in hemoglobin levels in the intervention group compared to the control group (p &lt; 0.05). Giving dates can increase hemoglobin levels in adolescent girls who suffer from anemia

    Citrifelins A and B, Citrinin Adducts with a Tetracyclic Framework from Cocultures of Marine-Derived Isolates of Penicillium citrinum and Beauveria felina

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    Citrifelins A (1) and B (2), two citrinin adducts possessing a unique tetracyclic framework, were characterized from a coculture of marine-derived fungal isolates of Penicillium citrinum and Beauveria felina. Neither fungus produced these compounds when cultured alone under the same conditions. The structures of these adducts were elucidated on the basis of spectroscopic analysis, and the absolute configurations were assigned on the basis of TDDFT-ECD calculations. A hypothesis that adducts 1 and 2 might be derived from a citrinin derivative through a non-pericyclic Michael reaction is proposed. Compounds 1, 2, and 5 showed inhibitory activities against several human and aquatic pathogens.Citrifelins A (1) and B (2), two citrinin adducts possessing a unique tetracyclic framework, were characterized from a coculture of marine-derived fungal isolates of Penicillium citrinum and Beauveria felina. Neither fungus produced these compounds when cultured alone under the same conditions. The structures of these adducts were elucidated on the basis of spectroscopic analysis, and the absolute configurations were assigned on the basis of TDDFT-ECD calculations. A hypothesis that adducts 1 and 2 might be derived from a citrinin derivative through a non-pericyclic Michael reaction is proposed. Compounds 1, 2, and 5 showed inhibitory activities against several human and aquatic pathogens

    Incidencia de Leucemia Viral Felina en los gatos domésticos (Felis Silvestre Catus), atendidos en la Clínica Veterinaria Israel de la ciudad de Guayaquil.

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    The objective of this research was to determine the incidence of Feline Viral Leukemia in domestic cats (Felis Silvestre Catus) treated at the Israel Veterinary Clinic, in the city of Guayaquil. This was a quantitative and descriptive study, using immunochromatography as a diagnostic technique, a test that allows rapid detection of the virus. This viral disease directly affects the feline's immune system, facilitating the appearance of various secondary conditions such as lymphomas, fibrosarcomas, neuroblastomas, regenerative or hemolytic anemia, recurrent infections, gingivitis, stomatitis, weight loss and general weakness. For the statistical analysis, the nonparametric Pearson's Chi-square method was applied, with the support of Microsoft Excel. The sample consisted of 40 cats, of which 5 positive cases (12.5%) and 35 negative cases (87.5%) of the (100%) were identified, indicating a low incidence of the disease in the feline population studied. No statistically significant differences were found in relation to age, breed or sex, although male and mixed breed cats showed a slightly higher prevalence. Although Feline Viral Leukemia does not represent a direct risk to human health, it does constitute a public health problem due to the emotional and economic impact it represents for the owners, as well as to the welfare of the animals. The author recommends reinforcing prevention and awareness campaigns about the disease, encouraging vaccination, continuous education for guardians and the implementation of periodic diagnostic tests for more effective control of the disease. Key words: Feline Viral Leukemia, cats, incidence, risk factors, immunochromatograph.The objective of this research was to determine the incidence of Feline Viral Leukemia in domestic cats (Felis Silvestre Catus) treated at the Israel Veterinary Clinic, in the city of Guayaquil. This was a quantitative and descriptive study, using immunochromatography as a diagnostic technique, a test that allows rapid detection of the virus. This viral disease directly affects the feline's immune system, facilitating the appearance of various secondary conditions such as lymphomas, fibrosarcomas, neuroblastomas, regenerative or hemolytic anemia, recurrent infections, gingivitis, stomatitis, weight loss and general weakness. For the statistical analysis, the nonparametric Pearson's Chi-square method was applied, with the support of Microsoft Excel. The sample consisted of 40 cats, of which 5 positive cases (12.5%) and 35 negative cases (87.5%) of the (100%) were identified, indicating a low incidence of the disease in the feline population studied. No statistically significant differences were found in relation to age, breed or sex, although male and mixed breed cats showed a slightly higher prevalence. Although Feline Viral Leukemia does not represent a direct risk to human health, it does constitute a public health problem due to the emotional and economic impact it represents for the owners, as well as to the welfare of the animals. The author recommends reinforcing prevention and awareness campaigns about the disease, encouraging vaccination, continuous education for guardians and the implementation of periodic diagnostic tests for more effective control of the disease. Key words: Feline Viral Leukemia, cats, incidence, risk factors, immunochromatograph.La presente investigación tuvo como objetivo determinar la incidencia de la Leucemia Viral Felina en gatos domésticos (Felis Silvestre Catus) atendidos en la Clínica Veterinaria Israel, en la ciudad de Guayaquil. Se trató de un estudio cuantitativo y descriptivo, utilizando como técnica diagnóstica la inmunocromatografía, prueba que permite la detección rápida del virus. Esta enfermedad viral afecta directamente el sistema inmunológico del felino, facilitando la aparición de diversas afecciones secundarias como linfomas, fibrosarcomas, neuroblastomas, anemia regenerativa o hemolítica, infecciones recurrentes, gingivitis, estomatitis, pérdida de peso y debilidad general. Para el análisis estadístico se aplicó el método no paramétrico Chi Cuadrado de Pearson, con el apoyo de Microsoft Excel. La muestra estuvo conformada por 40 gatos, de los cuales se identificaron 5 casos positivos (12,5%) y 35 negativos (87,5%) del (100 %) lo que indica una baja incidencia de la enfermedad en la población felina estudiada. No se encontraron diferencias estadísticamente significativas en relación con la edad, raza o sexo, aunque los gatos machos y de raza mestiza mostraron una ligera mayor prevalencia. Si bien la Leucemia Viral Felina no representa un riesgo directo para la salud humana, sí constituye un problema de salud pública debido al impacto emocional y económico que representa para los propietarios, así como al bienestar de los animales. La autora recomienda reforzar las campañas de prevención y concienciación sobre la enfermedad, fomentar la vacunación, la educación continua a los tutores y la implementación de pruebas diagnósticas periódicas para un control más eficaz de la enfermedad.La presente investigación tuvo como objetivo determinar la incidencia de la Leucemia Viral Felina en gatos domésticos (Felis Silvestre Catus) atendidos en la Clínica Veterinaria Israel, en la ciudad de Guayaquil. Se trató de un estudio cuantitativo y descriptivo, utilizando como técnica diagnóstica la inmunocromatografía, prueba que permite la detección rápida del virus. Esta enfermedad viral afecta directamente el sistema inmunológico del felino, facilitando la aparición de diversas afecciones secundarias como linfomas, fibrosarcomas, neuroblastomas, anemia regenerativa o hemolítica, infecciones recurrentes, gingivitis, estomatitis, pérdida de peso y debilidad general. Para el análisis estadístico se aplicó el método no paramétrico Chi Cuadrado de Pearson, con el apoyo de Microsoft Excel. La muestra estuvo conformada por 40 gatos, de los cuales se identificaron 5 casos positivos (12,5%) y 35 negativos (87,5%) del (100 %) lo que indica una baja incidencia de la enfermedad en la población felina estudiada. No se encontraron diferencias estadísticamente significativas en relación con la edad, raza o sexo, aunque los gatos machos y de raza mestiza mostraron una ligera mayor prevalencia. Si bien la Leucemia Viral Felina no representa un riesgo directo para la salud humana, sí constituye un problema de salud pública debido al impacto emocional y económico que representa para los propietarios, así como al bienestar de los animales. La autora recomienda reforzar las campañas de prevención y concienciación sobre la enfermedad, fomentar la vacunación, la educación continua a los tutores y la implementación de pruebas diagnósticas periódicas para un control más eficaz de la enfermedad. Palabras Claves: Leucemia Viral Felina, gatos, incidencia, factores de riego, imunocromatografía

    Diabetes mellitus felina : revisão de literatura e descrição de 3 casos clínicos

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    A presente dissertação, realizou-se no âmbito da conclusão do Mestrado Integrado em Medicina Veterinária da Universidade Lusofona e teve como objetivo o desenvolvimento do tema Diabetes Mellitus Felina. Inclui uma revisão bibliográfica sobre o tema e apresentação e discussão de 3 casos clínicos que foram acompanhados durante o estágio curricular realizado no Centro Veterinário de Sintra. A Diabetes mellitus é uma das doenças endócrinas mais comuns em gatos. Na maioria dos casos ocorre devido à insulinorresistência e disfunção das células β, semelhante à diabetes mellitus tipo 2 em humanos. O diagnóstico é realizado pela mensuração da frutosamina, pela presença de hiperglicemia e glicosúria, juntamente com sinais clínicos compatíveis com a doença. É importante excluir outras possíveis causas que possam levar à hiperglicemia. O tratamento nos três casos apresentados foi baseado na administração de insulina protamina-zinco (ProZinc®) juntamente com a modificação da dieta. O principal desafio nos casos apresentados, foi a cooperação dos proprietários em seguir o plano de tratamento recomendado. Para que haja um maneio bem-sucedido é importante que a presença de sinais clínicos seja mínima ou inexistente e que haja uma resposta favorável ao tratamento. Palavra-passe: diabetes mellitus, gato, insulinoterapia, remissãoThe present dissertation was carried in order to complete an Integrated master’s degree in Veterinary Medicine at the Lusófona University and aimed to develop the theme Feline Diabetes Mellitus. It includes a bibliographic review on the subject and presentation and discussion of 3 clinical cases that were observed by the author during the internship period at the Veterinary Center of Sintra. Diabetes mellitus is one of the most common endocrine diseases in cats. In most cases it occurs due to insulin resistance and β-cell dysfunction, similar to type 2 diabetes mellitus in humans. The diagnosis is made by measuring fructosamine, by the presence of hyperglycemia and glycosuria, along with clinical signs compatible with the disease. It is important to exclude other possible causes that could lead to hyperglycemia. The treatment in the three cases presented was based on the administration of protamine zinc insulin (ProZinc®) along with diet modification. The main challenge in the presented cases was the owners' cooperation in following the recommended treatment plan. For a successful management, it is important that the presence of clinical signs is minimal or non-existent and that there is a favorable response to treatment. Keywords: diabetes mellitus, cat, insulin therapy, remissio

    Clínica de animais de companhia

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    O relatório apresentado é o resultado final do estágio curricular realizado na Clínica Veterinária Marabé em Badajoz, no âmbito da conclusão do Mestrado Integrado em Medicina Veterinária. É um documento composto por duas partes, descrevendo-se de forma breve na primeira a casuística observada durante os quatro meses de prática clínica em animais de companhia, incidindo particularmente nos casos da espécie felina. A segunda parte integra uma revisão bibliográfica subordinada ao tema ‘Gengivoestomatite crónica felina’, seguida pela descrição de dois casos clínicos seguidos pela autora. A gengivoestomatite crónica felina é uma doença oral complexa, de etiologia desconhecida e refratária aos tratamentos atualmente disponíveis, constituindo um desafio diagnóstico e terapêutico para o médico veterinário; ABSTRACT: The following report is the result of the final curricular internship held at the Marabé Veterinary Clinic in Badajoz, as part of the completion of the Integrated Master's degree in Veterinary Medicine. It is a document composed of two parts, the first is briefly describing the case-series observed during the four months of clinical practice, focusing particularly on feline species. The second part includes a bibliographic review under the theme 'feline chronic gingivostomatitis', followed by a description of two clinical cases, accompanied by the author. Feline chronic gingivostomatitis is a complex oral disease, of unknown etiology and refractory to the currently available treatments, posing a diagnostic and therapeutic challenge for the veterinarian
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