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2.
Phys Med Biol ; 54(23): 7077-87, 2009 Dec 07.
Article in English | MEDLINE | ID: mdl-19904034

ABSTRACT

Raman spectroscopy is a powerful tool for studying biochemical changes in the human body. We describe a miniature, confocal fibre optic probe intended to fit within the instrument channel of a standard medical endoscope. This probe has been optimized for the study of the carcinogenesis process of oesophageal malignancy. The optical design and fabrication of this probe is described including the anisotropic wet etching technique used to make silicon motherboards and jigs. Example spectra of PTFE reference samples are shown. Spectra with acquisition times as low as 2 s from resected oesophageal tissue are presented showing identifiable biochemical changes from various pathologies.


Subject(s)
Endoscopy/methods , Miniaturization , Spectrum Analysis, Raman/instrumentation , Biopsy , Endoscopy/standards , Equipment Design , Esophageal Neoplasms/pathology , Esophageal Neoplasms/surgery , Esophagus/pathology , Esophagus/surgery , Humans , Microscopy , Optical Fibers , Time Factors
3.
Med Vet Entomol ; 22(1): 55-61, 2008 Mar.
Article in English | MEDLINE | ID: mdl-18380654

ABSTRACT

Since 1920 Simulium reptans (Linnaeus) (Diptera: Simuliidae) has been reported as exhibiting two different larval morphotypes, a typical S. reptans and an atypical S. reptans var. galeratum, which differ in the markings of the larval head capsule. Inconsistent variation in adults and no apparent variation in the pupae have led taxonomists to conclude that these types in Britain are a single species. We investigated populations in Britain where either the typical form or var. galeratum is found, and one population where the two exist sympatrically. A phylogenetic study based upon a region of the mitochondrial cytochrome c oxidase 1 gene (DNA barcoding) produced a tree that delineated the morphotypes into two distinct monophyletic clades. The average Kimura-2-parameter distances within each clade (i.e. within each morphotype) were very low (0.67% and 0.78%), with the distances between morphotypes being 9-10-fold greater (mean 7.06%). This is concordant with differences within and between species in other taxa; based upon the strict correlation between the molecular variation and the morphotypes, we propose the re-instatement of S. galeratum to species status.


Subject(s)
Electron Transport Complex IV/genetics , Phylogeny , Simuliidae/classification , Simuliidae/enzymology , Animals , Base Sequence , Female , Larva/anatomy & histology , Larva/classification , Male , Molecular Sequence Data , Pupa/anatomy & histology , Pupa/classification , Sequence Alignment , Simuliidae/anatomy & histology , Species Specificity , United Kingdom
4.
J Environ Manage ; 88(4): 594-606, 2008 Sep.
Article in English | MEDLINE | ID: mdl-17493741

ABSTRACT

One of the primary challenges in resource and environmental planning is successful implementation of plans. Plan implementation is a complex process influenced by many factors. This study identifies 19 criteria affecting implementation success and tests the impact of these criteria through a case study of collaborative plan implementation in British Columbia, Canada. The significance of criteria and degree to which they are met is assessed by a survey of senior officials responsible for plan implementation. An implementation evaluation index (IEI) is constructed to assess the quality of plan implementation systems and best practices for effective implementation are identified.


Subject(s)
Conservation of Natural Resources , British Columbia , Cooperative Behavior
5.
J Psychiatr Ment Health Nurs ; 14(2): 113-9, 2007 Apr.
Article in English | MEDLINE | ID: mdl-17352772

ABSTRACT

Pharmacological relapse prevention treatment for people with schizophrenia can last for years if not the person's lifetime. The attitude mental health practitioners (MHPs) hold regarding this treatment can have profound effects on service users' decisions related to treatment. The small number of studies focusing on this issue concentrates on the use of 'depot' preparations. To develop a validated inventory to assess the attitudes of MHPs towards treatment and evaluate the attitudes of a sample of MHPs. The inventory was developed in three stages; item selection, piloting and psychometric testing. The validated inventory was administered to a sample of 50 MHPs undertaking a degree level course in the psycho-social management of psychosis. The final inventory consisted of 21 attitudinal items and four items related to the practitioner's confidence. Results from the sample revealed areas of agreement, variation and uncertainty. A valid and reliable inventory has been developed. The administration of the inventory to 50 MHPs returned results which reflect variable attitudes and perceptions of competency towards maintenance neuroleptic treatment. This diversity in attitudes may have an impact on management of people with a diagnosis of schizophrenia and clinical outcomes.


Subject(s)
Antipsychotic Agents/therapeutic use , Attitude of Health Personnel , Health Knowledge, Attitudes, Practice , Long-Term Care , Schizophrenia/drug therapy , Surveys and Questionnaires/standards , Adult , Chronic Disease , Community Mental Health Services , England , Female , Humans , Male , Middle Aged , Nursing Evaluation Research , Nursing Methodology Research , Nursing Staff/psychology , Occupational Therapy , Pilot Projects , Psychiatric Nursing , Psychometrics , Recurrence , Schizophrenia/prevention & control , Social Work, Psychiatric
7.
J Microsc ; 213(1): 39-45, 2004 Jan.
Article in English | MEDLINE | ID: mdl-14678511

ABSTRACT

We report here a preliminary study in which dynamic secondary ion mass spectrometry (SIMS) has provided images of boron-10 (10B) in biological tissue as used in research into boron neutron capture therapy. Cultured tumour cells incubated in media containing known concentrations of a 10B-containing compound, p-boronophenylalanine (BPA), and intracranial tumour tissue from animals previously injected with BPA were analysed by an in-house constructed SIMS. Investigations were conducted in positive secondary ion detection mode using a 25-keV, 5-nA gallium primary ion source. For calibration purposes, tissue standards were also analysed and their boron-to-carbon signal ratios correlated to bulk boron concentrations measured by inductively coupled plasma atomic emission spectroscopy (ICP-AES). Ion maps of 10B, 12C, 23Na and 39K showing gross tissue and cell features were acquired. SIMS and ICP-AES standard measurements were in good agreement. Tissue regions with high or low 10B concentrations were identified along with 10B hotspots in normal brain areas. Cultured cells revealed the intracellular localization of 10B. SIMS is capable of producing images showing the distribution of 10B at p.p.m. levels in cells and in normal and tumour-bearing brain tissue.


Subject(s)
Boron Compounds/analysis , Boron Neutron Capture Therapy , Isotopes/analysis , Phenylalanine/analogs & derivatives , Phenylalanine/analysis , Spectrometry, Mass, Secondary Ion/methods , Animals , Boron Compounds/administration & dosage , Boron Compounds/metabolism , Brain/metabolism , Brain Neoplasms/metabolism , Disease Models, Animal , Glioblastoma/therapy , Gliosarcoma/metabolism , Humans , Mice , Phenylalanine/administration & dosage , Phenylalanine/metabolism , Rats , Tumor Cells, Cultured
8.
Insect Mol Biol ; 12(4): 365-72, 2003 Aug.
Article in English | MEDLINE | ID: mdl-12864916

ABSTRACT

To study the structural features of genes for the luciferin-regenerating enzyme (LRE), the entire gene along with 524 bp of upstream sequence was determined from Photinus pyralis (Coleoptera: Lampyridae). The LRE gene revealed an open reading frame composed of five exons divided by four introns ranging in size from 47 to 904 bp. The deduced LRE amino acid sequence showed identity to senescence marker protein-30 (SMP30) from a number of insects and mammals including four putative SMP30 sequences from Anopheles gambiae. Gene structure comparisons showed some intron/exon site conservation with A. gambiae and mammalian SMP30 proteins but not Drosophila. LRE and luciferase sequence comparisons revealed two conserved putative luciferin-binding sites. The evolution of LRE was discussed in relation to its function.


Subject(s)
Coleoptera/enzymology , Coleoptera/genetics , Evolution, Molecular , Insect Proteins/genetics , Ligases/genetics , Amino Acid Sequence , Animals , Base Sequence , DNA/chemistry , DNA/genetics , Firefly Luciferin/metabolism , Ligases/chemistry , Molecular Sequence Data , Phylogeny , Polymerase Chain Reaction , Sequence Alignment
9.
J Psychiatr Ment Health Nurs ; 9(4): 475-82, 2002 Aug.
Article in English | MEDLINE | ID: mdl-12164910

ABSTRACT

The involvement of clients in the process of developing their care and treatment package is well established. If a genuine collaboration in treatment is achieved one of the fundamental bases of this process lies with 'informed consent'. Neuroleptic medication forms the basis of relapse prevention treatment for people suffering from schizophrenia with non-adherence to treatment seen as the largest cause of relapse. This paper reviews the complex and difficult issues in obtaining informed consent for this client group from within the context of the nurse's role and the problems that arise as a consequence of the blurring of professional boundaries. Throughout the paper reference is made to the expectations made by the UKCC, which provides clarification of nurses' practice in this area.


Subject(s)
Antipsychotic Agents/therapeutic use , Informed Consent , Nurse's Role , Schizophrenia/drug therapy , Schizophrenia/nursing , Humans , Time Factors
10.
Environ Microbiol ; 4(3): 183-9, 2002 Mar.
Article in English | MEDLINE | ID: mdl-12000318

ABSTRACT

The fungus Fusarium solani detoxifies cyanide through induction of the cyanide hydratase gene activity (chy) in the presence of either KCN or the metal-complexed cyanides, K2Ni(CN)4 or K4Fe(CN)6, at pH 7.0 and 4.0 respectively. Sequence analysis of the chy gene identified primers for reverse transcriptase-polymerase chain reaction (RT-PCR)-directed analysis of mRNA transcripts, which demonstrated that activity correlated to the substrate-specific induction of gene expression. chy transcription was initiated 30-60 min after exposure of F. solani cultures to cyanide complexes. Maximum expression was detected within 4.5 h, after which chy mRNA synthesis declined below the limits of detection within 26 h. A lag period of approximately 2 h, following initial transcription, was recorded before cyanide complexes were converted to formamide. mRNA transcripts of chy were not detected in the absence of cyanide or cyanide complexes. The presence of introns within the gene resulted in a difference in size of 100 bp for DNA compared with mRNA of the corresponding 5' region. This size difference facilitated PCR detection of gene and transcript respectively. Comparisons of the predicted amino acid sequence of the F. solani chy gene and those of Gloeocerospora sorghi, Fusarium lateritium and Leptosphaeria maculans demonstrate that cyanide hydratase genes are highly conserved and of a similar evolutionary origin. These data predict that the functional assay described here to monitor the induction of chy gene expression and, potentially, cyanide degradation would be applicable to a variety of polluted environments.


Subject(s)
Cyanides/metabolism , Fusarium/enzymology , Hydro-Lyases/metabolism , Amino Acid Sequence , Base Sequence , Biodegradation, Environmental , DNA, Complementary/chemistry , DNA, Intergenic/chemistry , DNA, Intergenic/genetics , Formamides/analysis , Formamides/metabolism , Fusarium/genetics , Gene Expression Regulation, Enzymologic/physiology , Hydro-Lyases/biosynthesis , Hydro-Lyases/genetics , Molecular Sequence Data , RNA, Fungal/chemistry , RNA, Fungal/genetics , Reverse Transcriptase Polymerase Chain Reaction , Sequence Analysis, DNA , Sequence Homology, Amino Acid , Substrate Specificity
11.
J Neurochem ; 77(1): 253-62, 2001 Apr.
Article in English | MEDLINE | ID: mdl-11279281

ABSTRACT

Several lines of evidence indicate that nerve growth factor is important for the development and maintenance of the basal forebrain cholinergic phenotype. In the present study, using rat primary embryonic basal forebrain cultures, we demonstrate the differential regulation of functional cholinergic markers by nerve growth factor treatment (24--96 h). Following a 96-h treatment, nerve growth factor (1--100 ng/mL) increased choline acetyltransferase activity (168--339% of control), acetylcholine content (141--185%), as well as constitutive (148--283%) and K(+)-stimulated (162--399%) acetylcholine release, but increased release was not accompanied by increased high-affinity choline uptake. Enhancement of ACh release was attenuated by vesamicol (1 microM), suggesting a vesicular source, and was abolished under choline-free conditions, emphasizing the importance of extracellular choline as the primary source for acetylcholine synthesized for release. A greater proportion of acetylcholine released from nerve growth factor-treated cultures than from nerve growth factor-naïve cultures was blocked by voltage-gated Ca(2+) channel antagonists, suggesting that nerve growth factor modified this parameter of neurotransmitter release. Cotreatment of NGF (20 ng/mL) with K252a (200 nM) abolished increases in ChAT activity and prevented enhancement of K(+)-stimulated ACh release beyond the level associated with K252a, suggesting the involvement of TrkA receptor signaling. Also, neurotrophin-3, neurotrophin-4 and brain-derived neurotrophic factor (all at 5--200 ng/mL) increased acetylcholine release, although they were not as potent as nerve growth factor and higher concentrations were required. High brain-derived neurotrophic factor concentrations (100 and 200 ng/mL) did, however, increase release to a level similar to nerve growth factor. In summary, long-term exposure (days) of basal forebrain cholinergic neurons to nerve growth factor, and in a less-potent fashion the other neurotrophins, enhanced the release of acetylcholine, which was dependent upon a vesicular pool and the availability of extracellular choline.


Subject(s)
Acetylcholine/metabolism , Choline O-Acetyltransferase/metabolism , Membrane Transport Proteins , Nerve Growth Factors/metabolism , Neurons/metabolism , Prosencephalon/metabolism , Vesicular Transport Proteins , Acetylcholine/analysis , Animals , Biological Transport/drug effects , Calcium Channel Blockers/pharmacology , Carrier Proteins/antagonists & inhibitors , Cells, Cultured , Choline/metabolism , Choline/pharmacokinetics , Dose-Response Relationship, Drug , Enzyme Activation/drug effects , Enzyme Inhibitors/pharmacology , Nerve Growth Factors/pharmacology , Neuromuscular Depolarizing Agents/pharmacology , Neurons/cytology , Neurons/drug effects , Piperidines/pharmacology , Potassium/pharmacology , Prosencephalon/cytology , Prosencephalon/drug effects , Rats , Rats, Sprague-Dawley , Vesicular Acetylcholine Transport Proteins
12.
Methods ; 23(1): 21-39, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11162147

ABSTRACT

The application of in vivo microdialysis to the study of acetylcholine (ACh) release has contributed greatly to our understanding of cholinergic brain systems. This article reviews standard experimental procedures for dialysis probe selection and implantation, perfusion parameters, neurochemical detection, and data analysis as they relate to microdialysis assessments of cholinergic function. Particular attention is focused on the unique methodological considerations that arise when in vivo microdialysis is dedicated expressly to the recovery and measurement of ACh as opposed to other neurotransmitters. Limitations of the microdialysis technique are discussed, as well as methodological adaptations that may prove useful in overcoming these limitations. This is followed by an overview of recent studies in which the application of in vivo microdialysis has been used to characterize the basic pharmacology and physiology of cholinergic neurons. Finally, the usefulness of the microdialysis approach for testing hypotheses regarding the cholinergic systems' involvement in cognitive processes is examined. It can be concluded that, in addition to being a versatile and practical method for studying the neurochemistry of cholinergic brain systems, in vivo microdialysis represents a valuable tool in our efforts to better comprehend ACh's underlying role in a variety of behavioral processes.


Subject(s)
Acetylcholine/metabolism , Brain Chemistry/physiology , Cholinergic Fibers/physiology , Frontal Lobe/physiology , Microdialysis/methods , Animals , Corpus Striatum/physiology
13.
Nat Neurosci ; 3(8): 799-806, 2000 Aug.
Article in English | MEDLINE | ID: mdl-10903573

ABSTRACT

We report that variations in maternal care in the rat promote hippocampal synaptogenesis and spatial learning and memory through systems known to mediate experience-dependent neural development. Thus, the offspring of mothers that show high levels of pup licking and grooming and arched-back nursing showed increased expression of NMDA receptor subunit and brain-derived neurotrophic factor (BDNF) mRNA, increased cholinergic innervation of the hippocampus and enhanced spatial learning and memory. A cross-fostering study provided evidence for a direct relationship between maternal behavior and hippocampal development, although not all neonates were equally sensitive to variations in maternal care.


Subject(s)
Brain-Derived Neurotrophic Factor/genetics , Cognition/physiology , Gene Expression Regulation, Developmental , Hippocampus/physiology , Maternal Behavior/physiology , Neurons/physiology , Receptors, N-Methyl-D-Aspartate/genetics , Synapses/physiology , Animals , Female , Grooming , Hippocampus/growth & development , Maternal Behavior/psychology , Rats , Rats, Long-Evans
14.
J Pharmacol Exp Ther ; 292(2): 692-7, 2000 Feb.
Article in English | MEDLINE | ID: mdl-10640307

ABSTRACT

A detailed investigation of endogenous acetylcholine (ACh) release from primary embryonic septal cultures is described in this study. Applications of veratridine (25 microM) or increasing extracellular concentrations of K(+) (6-100 mM) induced robust increases of endogenous ACh release ( approximately 500-15,000 fmol/well/10 min). Release stimulated with K(+) (25 mM) was sustainable and did not differ significantly over 180 min. ACh release was dependent on extracellular choline and decreased proportionally to choline concentrations (0-10 microM). For example, after 30 min of stimulation with K(+) (25 mM), release in the absence of extracellular choline was approximately 25% of that associated with 10 microM choline. The vesicular transport blocker vesamicol (0-5 microM) almost completely prevented stimulated and basal ACh release at the highest concentration evaluated, which suggests a mostly vesicular mode of release in this model. The M(2)-like muscarinic receptor antagonist AF-DX 384 (0-10 microM) enhanced stimulated ACh release ( approximately 150% at the highest concentration evaluated), whereas the nonspecific muscarinic receptor agonist oxotremorine (0-10 microM) decreased stimulated release (approximately 60% at the highest concentration evaluated), suggesting that functional muscarinic autoreceptors exist in primary embryonic septal cultures. Novel findings concerning ACh release from primary embryonic septal cultures are reported herein, and the demonstration of ACh release gives further credit to the use of these cultures for studying cholinergic system functioning and in relation to physiology and pathology.


Subject(s)
Acetylcholine/metabolism , Choline O-Acetyltransferase/metabolism , Choline/physiology , Embryo, Mammalian/metabolism , Septum of Brain/metabolism , Animals , Cells, Cultured , Chromatography, High Pressure Liquid , Dose-Response Relationship, Drug , Drug Interactions , Muscarinic Agonists/pharmacology , Neuromuscular Depolarizing Agents/pharmacology , Oxotremorine/pharmacology , Parasympatholytics/pharmacology , Piperidines/pharmacology , Pirenzepine/analogs & derivatives , Pirenzepine/pharmacology , Potassium/pharmacology , Rats , Time Factors , Veratridine/pharmacology
15.
Eur J Pharmacol ; 383(1): 53-6, 1999 Oct 21.
Article in English | MEDLINE | ID: mdl-10556681

ABSTRACT

Muscarinic M(2) (AF-DX 384, BIBN-161) and M(4) (PD102807) receptor antagonists were used to investigate the respective roles of these two receptor sub-types in the regulation of acetylcholine release in the rat hippocampus. In vivo dialysis studies revealed that only the muscarinic M(2) receptor antagonists significantly and concentration-dependently facilitate acetylcholine release. The newly developed muscarinic M(4) receptor antagonist was unable to regulate acetylcholine release except at the highest concentration tested. It would thus appear that the muscarinic receptor acting as negative autoreceptor in the rat hippocampus is of the muscarinic M(2) sub-type, the role of the muscarinic M(4) receptor being minimal in this regard.


Subject(s)
Autoreceptors/physiology , Muscarinic Antagonists/pharmacology , Receptors, Muscarinic/drug effects , Receptors, Muscarinic/physiology , Acetylcholine/metabolism , Animals , Autoreceptors/drug effects , Chromatography, High Pressure Liquid , Dose-Response Relationship, Drug , Hippocampus/drug effects , Hippocampus/metabolism , Male , Microdialysis , Muscarinic Agonists/pharmacology , Pirenzepine/analogs & derivatives , Pirenzepine/pharmacology , Rats , Rats, Sprague-Dawley , Receptor, Muscarinic M2 , Receptor, Muscarinic M4
16.
Mem Inst Oswaldo Cruz ; 94(3): 339-45, 1999.
Article in English | MEDLINE | ID: mdl-10419383

ABSTRACT

Phylogenetic analysis of all 31 described mitochondrial (cytochrome b) haplotypes of Lutzomyia whitmani demonstrated that new material from the State of Rondônia, in southwest Amazônia, forms a clade within a lineage found only in the rain-forest regions of Brazil. This rain-forest lineage also contains two other clades of haplotypes, one from eastern Amazônia and one from the Atlantic forest zone of northeast Brazil (including the type locality of the species in Ilhéus, State of Bahia). These findings do not favour recognizing two allopatric cryptic species of L. whitmani, one associated with the silvatic transmission of Leishmania shawi in southeast Amazônia and the other with the peridomestic transmission of Le. braziliensis in northeast Brazil. Instead, they suggest that there is (or has been in the recent past) a continuum of inter-breeding populations of L. whitmani in the rain-forest regions of Brazil.


Subject(s)
DNA, Mitochondrial/genetics , Psychodidae/genetics , Animals , Brazil , Cytochrome b Group/analysis , Female , Humans , Leishmaniasis/transmission , Male , Phylogeny , Polymerase Chain Reaction , Psychodidae/classification , Sequence Analysis, DNA , Species Specificity , Trees
17.
Mem. Inst. Oswaldo Cruz ; 94(3): 339-45, May-Jun. 1999. tab
Article in English | LILACS | ID: lil-239040

ABSTRACT

Phylogenetic analysis of all 31 described mitochondrial (cytochrome b) haplotypes of Lutzomyia whitmani demostrated that new material from the State of Rondônia, in southwest Amazônia, forms a clade within a lineage found only in the rain-forest regions of Brazil. This rain-forest lineage also contains two other clades of haplotypes, one from eastern Amazônia and one from the Atlantic forest zone of northeast Brazil (including the type locality of the species in Ilhéus, State of Bahia). These findings do not favour recognizing two allopatric cryptic species of L. whitmani, one associated with the silvatic transmission of Leishmania shawi in southeast Amazônia and the other with the peridomestic transmission of Le. braziliensis in northeast Brazil. Instead, they suggest that there is (or has been in the recent past a continuum of inter-breeding populations of L. whitmani in the rain-forest regions of Brazil.


Subject(s)
Animals , Amazonian Ecosystem , Cytochromes b , DNA, Mitochondrial/ultrastructure , Phylogeny , Psychodidae/genetics , Disease Vectors , Leishmaniasis/epidemiology , Leishmaniasis/transmission
18.
Insect Mol Biol ; 8(4): 575-80, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10620055

ABSTRACT

Popular classes of microsatellites are not always abundant in insects or easily isolated from them. Dotblot hybridizations demonstrated much variation in the relative abundance of four repeat classes in four phlebotomine sandfly species. Only AAT-class repeats were specifically isolated from a phagemid library of Lutzomyia whitmani, even though other microsatellites had similar abundances. An enrichment step would have targeted classes but was omitted because relatively long flanking sequences were sought. All fourteen sandfly loci had a non-coding structure, and a minority of dipteran AAT-class repeats found in DNA databases and the literature were from exons. Therefore, this class should often provide neutral alleles for population studies. Perfect, not imperfect, AAT-class repeats were polymorphic in wild L. whitmani.


Subject(s)
Microsatellite Repeats , Psychodidae/genetics , Animals , Dinucleotide Repeats , Female , Genomic Library , Male , Psychodidae/classification , Sequence Analysis, DNA , Species Specificity , Trinucleotide Repeats
19.
Soc Sci Med ; 47(9): 1313-23, 1998 Nov.
Article in English | MEDLINE | ID: mdl-9783874

ABSTRACT

The meaning of medication and the way in which people use medicines has been the focus of a number of studies in recent years. However, there has been little attention directed to the meaning and management of neuroleptic medication by people who have received a diagnosis of schizophrenia. This topic is highly relevant to policy because of the central role given to neuroleptics in contemporary mental health and community care services. Using data from in-depth interviews with people with a diagnosis of schizophrenia we explore patients reasons for taking neuroleptics and the ways in which patients self-regulate their medication. The data suggest that the main utility of taking neuroleptic medication is to control specific symptoms and to gain personal control over managing symptoms. The costs of taking medication were side-effects which at times equalised or outweighed the positive gains of the neuroleptic medication. Patient accounts suggest that everyday medication practices are to a significant degree related to a policy context which stresses the need to survey and control the behaviour of people living in the community and the wider meaning and symbolic significance that schizophrenia has for patients in their everyday lives. For this reason, self regulatory action in this group of patients tends to be less evident and the threat of external social control greater than patients taking medication for other chronic conditions. The findings suggest the need to develop a collaborative patient-centred model of medication management for patients diagnosed with schizophrenia.


Subject(s)
Antipsychotic Agents/therapeutic use , Attitude to Health , Schizophrenia/drug therapy , Schizophrenic Psychology , Adaptation, Psychological , Adult , Antipsychotic Agents/adverse effects , Female , Humans , Internal-External Control , Male , Middle Aged , Patient-Centered Care/methods , Prejudice , Schizophrenia/diagnosis , Self Care/methods , Self Care/psychology , Surveys and Questionnaires , Symbolism
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