Patient subjective experience of treatment with long-acting injectable antipsychotics: a systematic review of qualitative studies / Experiência subjetiva do paciente no tratamento com antipsicóticos injetáveis de ação prolongada: uma revisão sistemática de estudos qualitativos

ABSTRACT Objective: To gain a better understanding of how long-acting injectable antipsychotic (LAI) therapy is perceived by patients. Methods: A search for qualitative studies has been carried out on PubMed, Google Scholar, PsycINFO and PsycArticles, yielding 11 studies suitable for a review of qualitative studies. The reporting approach chosen was meta-ethnography, following the ENTREQ statement recommendations. Key concepts common to the different studies were extrapolated and then analysed in a systematic and comparative way. Results: Some recurrent issues were associated with LAIs, such as fear of coercion, fear of needles and lack of knowledge about depot therapy. These topics are linked to each other and the patients most concerned about the disadvantages of LAIs are those who are less informed about them, or who have experienced coercion and trauma during hospitalisation. On the other hand, patients who had already received LAIs, and those who had a good therapeutic relationship with their healthcare providers expressed satisfaction with this form of treatment and its continuation. Conclusion: Long-acting injectable antipsychotics are a tool in the management of mental disorders, and a viable alternative to oral medication. Patients show curiosity towards this method of administration, but lack of knowledge is a common finding. Shared decision making about the use of LAIs antipsychotics requires that patients receive accurate information and support for their decision regarding medication.

RESUMO Objetivo: Compreender melhor de que forma a terapia com antipsicóticos injetáveis de ação prolongada (IAP) é percebida pelos pacientes. Métodos: Uma pesquisa por estudos qualitativos foi conduzida em PubMed, Google Scholar, PsycINFO e PsyArticles, resultando em 11 estudos adequados para desenvolver uma revisão de estudos qualitativos. A abordagem escolhida foi a metaetnografia, seguindo as recomendações da diretriz ENTREQ. Conceitos-chave comuns aos diferentes estudos foram extrapolados e analisados de forma sistemática e comparativa. Resultados: Alguns problemas recorrentes foram associados aos IAPs, como medo de coerção, medo de agulhas e falta de conhecimento sobre a terapia com medicação depot. Esses tópicos se conectam uns aos outros: os pacientes mais preocupados com as desvantagens dos IAPs são os menos informados a seu respeito ou aqueles que passaram por coação e traumas durante a hospitalização. Por outro lado, os pacientes que já receberam IAPs e aqueles que apresentam boa relação terapêutica com seus prestadores de assistência médica demonstraram satisfação com essa forma de tratamento e sua continuidade. Conclusão: Os antipsicóticos injetáveis de ação prolongada são um instrumento para a gestão de transtornos mentais e uma alternativa viável à medicação oral. Pacientes demonstram curiosidade em relação a esse método de administração, mas a falta de conhecimento é um fator comumente encontrado. A tomada de decisão compartilhada sobre o uso de antipsicóticos IAPs requer que os pacientes recebam informações precisas e apoio em suas decisões em relação à medicação.

Professor 's experience of acupuncture and medication for allergic rhinitis / 中国针灸

Professor - believes that allergic rhinitis is mainly caused by deficiency of lung-spleen-kidney, combined with the attack of external pathogens, especially wind pathogens, which invade nasal orifices. Thus, three principles are established: syndrome differentiation and treatment, internal and external coherence, strengthening the root to eliminate pathogenic factors. For clinical practice, professor proposes the original acupuncture which takes the conception vessel and governor vessel as the general principles, takes syndrome differentiation as core, and takes regulating and as the major method. This acupuncture method integrates spirit and , bases on verified method and acupoint, combines acupuncture and medication, and achieves satisfactory results.

Intra- and inter-annual variation in a seagrass meadow on the Caribbean coast of Costa Rica: 2009-2015 / Variación intra e inter anual en una pradera de pastos marinos en la costa caribeña de Costa Rica: 2009-2015

Abstract Seagrass beds are an important ecosystem on the Caribbean coast of Costa Rica. At Cahuita National Park (CNP) a seagrass bed at Perezoso has been monitored continually since 1999 within the CARICOMP program. Thalassia testudinum is the dominant seagrass species, in some cases mixed with Syringodium filiforme. The results from the 2009 to 2015 monitoring period are presented here, and contrasted with data before 2009. Total (above and below ground tissue) mean biomass of T. testudinum was higher (1 255.4 ± 146.0 gm-2) than biomass before 2009, with an increasing tendency. However, productivity (1.5±0.59 gm-2d-1) and turnover rate (4.3 ± 1.22 %d-1) were lower than previous monitoring periods. In this period, mean leaf area diminished considerably (4.9 ± 2.30 m2), but leaf area index (LAI) increased (1.9 ± 0.80 m2leafm-2) in comparison to prior monitoring. Productivity, density, turnover rate, LAI and biomass showed intra-annual variations; while mean biomass of T. testudinum did not vary significantly among years. No correlations were found between water salinity, temperature and clarity with seagrass measurements. However, most seagrass parameters were strongly correlated with precipitation. These results highlight the effect of external environmental agents acting on the ecosystem. CNP presents a long-term stable seagrass meadow. However, there are indirect signals, such as high biomass and above-ground biomass proportion, along with low productivity and LAI, which point to a nutrient increment in Perezoso's seagrass bed. To continue protecting this seagrass bed, it is necessary to improve monitoring methods, and seagrass beds should be included in national conservation policies and monitoring programs. Rev. Biol. Trop. 66(3): 1149-1161. Epub 2018 September 01.

Resumen Los lechos de pastos marinos son un ecosistema importante en la costa caribeña de Costa Rica. En el Parque Nacional Cahuita (PNC), un lecho de pastos marinos en Perezoso ha sido monitoreado continuamente desde 1999 dentro del programa CARICOMP. Thalassia testudinum es la especie dominante, en algunos casos mezclada con Syringodium filiforme. Se presentan los resultados del período de monitoreo del 2009 al 2015. La biomasa promedio de T. testudinum fue mayor (1 255.4 ± 146.0 gm-2) que la biomasa antes de 2009, mostrando una tendencia creciente. Sin embargo, la productividad (1.5 ± 0.59 gm-2d-1) y la tasa de recambio (4.3 ± 1.22 %d-1) fueron inferiores a los períodos de monitoreo previos. En este período, el área foliar media disminuyó considerablemente (4.9 ± 2.30 m2), pero el Índice de Área Foliar (LAI) aumentó (1.9 ± 0.80 m2 hoja m-2) en comparación con el monitoreo previo. El promedio de la productividad, la densidad, la tasa de recambio, el LAI y la biomasa mostraron variaciones intra-anuales, mientras que la biomasa promedio de T. testudinum no varió significativamente entre los años, lo que representa un período estable. Ningún parámetro del agua de mar (salinidad, temperatura o turbiedad) se correlacionó con los parámetros del pasto marino. Sin embargo, la mayoría de los parámetros del pasto marino estaban fuertemente correlacionados con la precipitación. Estos resultados ponen en evidencia el efecto de factores ambientales externos sobre el ecosistema. El PNC tiene condiciones estables a largo plazo en las que se establece el pasto marino sin que haya evidencia de pérdida de biomasa. Sin embargo, hay señales indirectas; como el aumento de la biomasa y de la proporción de biomasa sobre el sustrato, así como una baja productividad y LAI; que apuntan a un incremento de nutrientes en el lecho de pastos marinos de Perezoso. Para continuar protegiendo este lecho marino, es necesario mejorar la calidad del agua y los métodos de monitoreo, además de incluir a estos hábitats en las políticas nacionales de conservación.

Professor 's experience of acupuncture combined with medication for epilepsy / 中国针灸

Professor 's experience of acupuncture combined with medication for epilepsy is summarized, which is explained from epilepsy's etiology and pathogenesis, diagnosis and treatment of acupuncture and medication, respectively. Besides, the theoretical foundation and use instruction of acupuncture technique "-" for epilepsy are introduced. Professor highly values the adherence to etiology and pathogenesis, pays attention to syndrome differentiation and searches for the primary disease cause. He proposes the wind, phlegm, stasis and deficiency are the pathogenesis of epilepsy, and points out acupuncture could be applied during attack stage and remittent stage, but electroacupuncture should be used with caution. Regulating spirit is the key for treating epilepsy. The combination of acupuncture and medication could regulate the governor vessel and guide to the origin, which have significant curative effect.

Therapeutic Effect of Lai's Acupuncture Therapy Combined with Chinese Herbal Decoction in Treating Infertility with Ovulatory Dysfunction / 广州中医药大学学报

Objective To observe the therapeutic effect of Lai's acupuncture therapy combined with Chinese herbal decoction for the treatment of infertility with ovulatory dysfunction, and to summarize the experience of Professor Lai Xin-Sheng in treating infertility. Methods Ninety-six infertility patients with ovulatory dysfunction were randomized into treatment group and control group, 48 cases in each group. The treatment group was treated with Lai's Tongyuan acupuncture therapy for regulating Governor Vessel to tranquilize mind, inducing meridian Qi to original Qi, and was also given oral use of Chinese herbal decoction of Lai's Yiyun Recipe for promoting gestation. The control group was treated with Chinese herbal decoction alone. The treatment began exactly after the completion of menstruation period and lasted 15 days for one treatment course, covering 3 courses. And then the patients of the two groups were followed-up for 3 months. Therapeutic effect and pregnancy rate were evaluated after treatment, serum levels of estradiol and progesterone were examined, and abdominal ultrasonography was used for monitoring the maximum diameter of the dominant follicles and endometrial thickness before and after treatment. Results (1) Three cases from the treatment group and 5 cases from the control group were dropped out, and the final case number in the treatment group and control group was 45, 43 respectively. (2) The total efficiency of the treatment group was 88.9％, and that of the control group was 81.4％. The effect of the treatment group was better than that of the control group (P < 0.05). (3) The pregnancy rate of the treatment group was 73.3％, higher than that of the control group (51.2％), the difference being significant (P < 0.05). (4) After treatment, the maximum diameter of the dominant follicles and endometrial thickness in the two groups were obviously improved(P < 0.05 compared with those before treatment), and the improvement in the treatment group was superior to that in the control group (P < 0.05). (5) After treatment, the serum levels of estradiol and progesterone in the two groups were obviously improved(P < 0.05 compared with those before treatment) , and the improvement in the treatment group was superior to that in the control group(P < 0.05). Conclusion The therapeutic effect of Lai's acupuncture therapy combined with Chinese herbal decoction is superior to that of Chinese herbal decoction alone, showing an obvious synergistic effect by shortening the course of treatment and enhancing pregnancy rate.

Professor's clinical experience in the treatment of premature ovarian failure withacupuncture technique and Chinese herbal medicine / 中国针灸

In the treatment of premature ovarian failure (POF), professorfocuses on the determination of syndrome to seek for etiology, associating with the differentiation of meridian and collateral and that oforgans. Professorbelieves that POF is mainly manifested as amenorrhea and infertility, localized in the kidney, with the dysfunction of liver, spleen and heart. It is impacted by many pathological factors, such as cold blockage,stagnation, blood stagnation, blood deficiency,deficiency, etc., which leads to the damage of the thoroughfare vessel and the conception vessel and the blockage of menstrual flow. On the basis of four diagnostic Methods and syndrome differentiation, there are four common syndromes of POF, namedand blood deficiency,and blood stagnation, liver and kidney deficiency anddeficiency of spleen and kidney.acupuncture technique is summarized by Professoron the basis oftheory. It is an effective and scientific method for acupoint selection along the meridians. The acupoints on the back, communicating with the governor vessel and mind regulation, acting on the brain are selected to promoteof the governor vessel. The back-points of fiveorgans are selected to regulate the functions of internal organs. The acupoints on the abdomen and the conception vessel are selected to conduceto the primary so as to improve reproductive function. In the guidance ofacupuncture technique, the acupoint prescription is formed and the Chinese herbal medicines are selected in combination to improve ovarian function and regulate menstruation. Hence, the satisfactory therapeutic effects have been achieved.

Modificações na estrutura vertical de pastos de capim-xaraés sob lotação intermitente por bovinos / Changes in the vertical structure of xaraés palisadegrass pastures under intermittent stocking by cattle

O objetivo deste trabalho foi avaliar os efeitos dos índices de área foliar residual (IAFr), dos anos de avaliação e dos ciclos de pastejo sobre as modificações na estrutura vertical do dossle, bem como a proporção de componentes morfológicos de pastos capim-xaraés submetidos a intensidades de pastejo, durante dois verões. O experimento foi conduzido na Faculdade de Ciências Agrárias e Veterinária da Unesp, Câmpus de Jaboticabal, SP, e as intensidades de pastejos foram definidas por IAFr: 0,8; 1,3; 1,8 e 2,3. Quando o dossel interceptou 95% da luz incidente, os animais foram colocados no piquete para o pastejo e permaneceram até o IAFr alvo ser alcançado. Os pastejos foram realizados por vacas da raça Holandesa (Bos taurus taurus L.) não lactantes, com peso corporal médio de 450kg±50kg, utilizando-se a técnica de mob-stocking. Foram avaliadas a proporção de componentes morfológicos dos pastos e a estrutura vertical do dossel pelo aparelho de ponto inclinado. Índices de área foliar residual de 1,3 a 1,8 são os que melhores respostas apresentam em relação à estrutura vertical do dossel e à proporção dos componentes morfológicos de pastos de capim-xaraés submetidos a intensidades de pastejo.

The aim of this study was to evaluate the effects of residual leaf area index (rLAI), years of evaluation and grazing cycles in the vertical structure of the canopy and the proportion of morphological components of xaraés palisadegrass pastures submitted to grazing intensities in two summers. The experiment was carried out at the Faculdade de Ciências Agrárias e Veterinária of Unesp, Campus of Jaboticabal, SP and the intensities of grazing were defined by four rLAI: 0.8, 1.3, 1.8 and 2.3. When the canopy intercepted 95% of incident light, the animals were placed on the pasture for grazing and kept until the rLAI target had been reached. Pastures were grazed by non-lactating Holstein cows (Bos taurus taurus L.) using the mob-stocking technique. the proportion of the morphological components of the pasture and the vertical structure of the canopy by the inclined point device was evaluated. Residual leaf area index from 1.3 to 1.8 are the best in relation to the vertical structure of the canopy and proportion of the morphological components of the pasture submitted to grazing intensities.

Observation of the effect of acarbose tablets combined with insulin in the treatment of elderly patients with type 2 diabetes / 中国基层医药

Objective To evaluate the efficacy and safety of acarbose tablets combined with protamine zinc recombinant lai pulp mixing insulin injection in the treatment of elderly patients with type 2 diabetes.Methods 170 elderly patients with type 2 diabetes were randomly divided into the observation group and the control group.85 cases in the observation group were given acarbose tablets combined with protamine zinc recombinant lai pulp mixing insulin injection,85 cases in the control group received aspart 30.The patients were followed up for 12 weeks,the blood glu cose levels,blood glucose fluctuation,glycosylated hemoglobin (HbAlc),the incidence of hypoglycemia and insulin dosage were observed.Results' The level of fasting plasma glucose (FPG) (t =9.92,P ＜ 0.05),2h postprandial blood glucose(2hPG) (t =18.18,P ＜0.05),the mean blood glucose within 4h(t =13.62,P ＜0.05),days of average blood glucose fluctuations (t =14.56,P ＜ 0.05) of observation group dropped significantly compared with that before treatment;HbAlc achieved rate(6.5％)of the observation group and control group were 35.29％,28.23％,re spectively,HbAlc achieved rate (7.0％) of observation group and control group were 57.64％,52.94％,the differences were not statistically significant(all P ＞ 0.05).The dose of insulin was significantly lower in the observation group(20.11 ±3.36) u/d than(35.78 ±4.68) u/d in the control group(t =25.08,P ＜0.01).There were 2 cases of hypoglycemic events and 3 cases in the control group.Conclusion Protamine zinc recombinant insulin lispro injection combined with acarbose has reliable clinical efficacy and safety.

Estimativa do Índice de Área Foliar (IAF) e Biomassa em pastagem no estado de Rondônia, Brasil / Estimate of the Leaf Area Index (LAI) and Biomass in pasture in the state of Rondônia - Brazil

Medidas mensais da altura da pastagem, biomassa total, variações de biomassa viva e morta, a área específica foliar (SLA) e o Índice de Área de Folha (IAF) de fevereiro de 1999 a janeiro de 2005 na Fazenda Nossa Senhora (FNS) e em Rolim de Moura (RDM) entre Fevereiro a Março de 1999, Rondônia, Brasil. A pastagem predominante é Urochloa brizantha (Hochst. ex A. Rich) R. D. Webster (99 por cento na FNS e 76 por cento em RDM), com pequenas manchas de Urochloa humidicula (Rendle). A altura média anual da grama foi de ~0,16 m. Com o pastejo, o mínimo mensal foi de 0,09 m (estação seca) e máximo de 0,3 m sem pastejo (estação úmida). O IAF, biomassa total, material morto, vivo e SLA tiveram valores médios de 2,5 m² m-2 , 2202 kg ha-1, 2916 kg ha-1 e 19 m² kg-1 respectivamente. A média mensal da biomassa foi 4224 kg ha-1 em 2002 e 6667 kg ha-1 em 2003. Grande variação sazonal do material vivo e morto, sendo mais alto o vivo durante a estação úmida (3229 contra 2529 kg ha-1), sendo o morto maior durante a seca (2542 contra 1894 kg ha-1). O nível de água no solo variou de -3,1 a -6,5 m durante as estações. Em médias anuais os IAF foram de 1,4 em 2000 a 2,8 em 2003 e o SLA entre 16,3 m² kg-1 em 1999 e 20,4 m² kg-1 em 2001. As observações do Albedo variaram de 0,18 para 0,16 em relação aos altos valores de IAF.

Monthly measurements of the grass height, total above-ground biomass and the proportions of live and dead biomass, Specific Leaf Area (SLA) and Leaf Area Index (LAI) were made in one cattle ranch at the Fazenda Nossa Senhora (FNS) (February of 1999 to January of 2005) and also in Rolim de Moura (RDM) (February to March of 1999) in Rondônia state. The predominant grass species is Urochloa brizantha (Hochst. ex A. Rich) R. D. Webster (covering 99 percent of the area in FNS and 76 percent in RDM), with minor patches of Urochloa humidicula. This pasture was regularly grazed. The average grass height was 0.16 m but monthly value varied between 0.09 m after intensive grazing in the dry season to 0.32 m in a wet season without grazing. The LAI, total biomass, dead plant material, live above-ground plant material and SLA average 2,5 m² m-2, 2202 kg ha-1, 2916 kg ha-1 and 19 m² kg-1 respectively. The monthly average above-ground biomass showed little seasonal variation, but annual averages ranged from 4224 kg ha-1 in 2002 to 6667 kg ha-1 in 2003. Live biomass was significantly higher during the wet season than during the dry season (3229 versus 2529 kg ha-1) whereas dead biomass was higher during the dry season than during the wet season (2542 versus 1894 kg ha-1). The groundwater levels changes from -3.1 m to -6.5 m during the wet and dry seasons, respectively. The annual average of SLA was 16.3 m² kg-1 in 1999 and 20.4 m² kg-1 in 2001. And for LAI was 1.5 in 2000 to 2.8 in 2003. The Albedo changes from 0.18 down to 0.16 at higher values of LAI.

Study on HIV prevalence and factors relating to the behaviors of HIV infection among injecting drug users in various districts of Lai Chau province - 2007

Background: Lai Chau is one of northwestern provinces of Vietnam, where there was a drug vice and high prevalence of drug users. It is necessary to evaluate the situation of HIV infection in this group. Objectives: A study on HIV prevalence and factors relating to the behaviors of HIV Infection among Injecting Drug Users (IDUs) in various districts of Lai Chau province. Subjects and method: A quantitative, cross-sectional study was carried out on 330 IDUs in Lai Chau town and 3 districts of Lai Chau province from January to December 2007. Results: 40.30% of the IDUs tested positive for HIV, nearly 2 times higher than the prevalence in 2006 (23.2%). 87.27% of the IDUs never re-used their syringes and needles. However, 12.4% still sometimes re-used their syringes and needles. Of 43 IDUs (12.73%) who re-used their syringes and needles, only 27.91% always cleaned their syringes and needles, 23.26% cleaned their syringes and needles most of the time after using them and up to 27.91% only sometimes cleaned their syringes and needles. Most IDUs use heroin (97.88%). Percentage of IDUs sharing syringes and needles accounts for 12.42%. 10% of the IDUs had sexual intercourses with commercial sex workers within the last month. There is a relationship between the time of using drugs and the HIV prevalence rate. There is a double risk of HIV infection for the IDUs injecting drugs for 5 years and upwards compared to those injecting drugs less than 5 years. (p <0.05, OR = 2). Conclusion: It is required to develop communications in order to change the behaviors of HIV infection among IDUs in Lai Chau province.

Emerging a member of reoviridae family associated with acute encephalitis syndrome in Gia Lai province, 2005

Background: In recent years, some arbo viruses which causes acute encephalitis syndrome (AES) have been identified in serveral countries in the world such as Chandipura virus belonging to Rhabdoviridae family in India, Banna virus belonging to Reoviridae family in China. In Vietnam, apart from Japanese Encephalitis Virus which is considered as main cause of AES, there are a few intestinal viruses like Herpes symplex virus type 1 and 4 and Nam Dinh virus considering other causes of AES. Objective: To identify the hyppothesis that one virus strain parasitizing in mosquito in Gia Lai province causes AES in order to provide more information about virus strains which cause AES in Vietnam. Subjects and method: Aedes albopictus cell line clone C6/36 was used for the isolation of virus in 43 cerebrospinal fluid samples of patients who were treated in Gia Lai hospital, from January/2005 to July/2005. Result and Conclusion: One virus strain from a 3-year old girl in Gia Lai province was isolated in 2005. The virus coded 05VN225 has the morphology similar to other viruses belonging to Reoviridea family.The nucleic acid sequence of the virus was checked with specific primers of alphavirus and flavirus groups, Nam Dinh virus and Conti virus group B (reovirus) of the Reoviridae. The positive result was confirmed with reovirus primers. This member of the Reoviridae family was isolated from acute encephalitis syndrome in Vietnam in 2005. Further study on pathology of the virus is very necessary.

Ke Lai Fu Infusion Connector:A Clinical Investigation of Its Best Exchanging Time / 中华医院感染学杂志

OBJECTIVE To investigate the appropriate time of changing Ke Lai Fu infusion connector of central venous infusion catheter.METHODS The patients were selected from Internal Oncology Dept in our hospital based on certain criteria,and divided these patients with central venous infusion catheter into 4 groups.The new infusion connector of their central venous catheter was changed every 7 days,10days,15 days and 30 days etc.The replaced infusion connectors were rinsed by normal saline and their residual flush liquids were sent for bacterial culture.The group that their bacterial culture of residual flush liquids was negative was determined as the best changing days of infusion connectors.RESULTS The bacterial culture positive rates of Ke Lai Fu infusion connectors which were renewed every 7 days,10 days,15 days and 30 days,were 0,8.1%,10.3%and 29.7%,respectively.The best renewing days of connector was 7 days.CONCLUSIONS This result of the study provides a valuable guidance for the proper application of infusion connectors and effectively prolonging the indwelling days of central venous infusion catheter;therefore it can decrease hospital infection rate.

Health status and diseases of elderly employees at Huu Nghi Hospital in 2004-2005

A total of 446 elderly employees admitted to Dai Lai Sanatorium were medically examined at Huu Nghi Hospital in 2004-2005. The results showed that the rates of health status classification were 3.79% at degree B1, 40.31% at degree B2, 55.01 % at degree C, and 0.89% at degree D. Four highest diseases were at cardiovascular (54.04%), genitourinary (43.50%), digestive (36.32%) and musculoskeletal system (22.20%). The rates of endocrinological metabolic disorders and musculos-keletal diseases among obesity people with BMI > 25 were higher than that of the others with p<0.05 and p< 0.02, respectively.