![]() ![]() I'm sure there was a good reason for this, but in the case of Vagrant it is irritating nontheless. While PSequel does support SSH tunneling, what it does not do is support password authentication. ![]() SSH tunneling allows an application to first connect to a machine (in this case a virtual machine managed by Vagrant), and act as normally as if it were connected directly to a service on your personal machine. The biggest requirement for a GUI of any sort (whether it is for a database client or something else), is the ability to use SSH tunneling to connect to the server. What makes Vagrant great is the consistency between development environments through the use of virtual machines, but this can also cause an issue with applications that aim to "ease" development by working with services directly on your machine (I'm looking at you, every IDE I've ever used). I love Vagrant, so much so that I am usually the person who insists on setting it up whenever possible. Thankfully, after about 6 months of searching and trialing different applications, I stumbled upon PSequel, an excellent SequelPro alternative for Postgres databases.Īlmost every project I work on (a good 98% of them) uses Vagrant to manage the development environment. Unfortunately for me, I've spent the past year working on a project with a Postgres database, so my easy-as-you-please SequelPro days are pretty much over. I'm a huge fan of SequelPro, a Mac OSX application that provides an incredibly easy to use GUI for managing MySQL databases. Connecting to a PostgreSQL Database in Vagrant with PSequel These patients frequently have psychotic symptoms that are treated without a specialist's aid.Connecting to a PostgreSQL Database in Vagrant with PSequel | des Although a family physician is less likely to manage schizophrenia in elderly patients, it is quite common for family physicians to treat patients who have Alzheimer's disease and Parkinson's disease. 1 Psychotic symptoms in elderly patients always should be investigated thoroughly, and underlying medical conditions should be identified and treated. Negative symptoms include anhedonia, flattened affect, apathy, and social withdrawal. Positive symptoms include hallucinations, delusions, thought disorders (manifested by marked incoherence, derailment, tangentiality), and bizarre or disorganized behavior. Psychotic symptoms are classified as either positive or negative. Antipsychotic drugs effectively treat psychosis caused by a variety of conditions ( Table 1). Most family physicians are comfortable prescribing antidepressants, but anti-psychotic medications are less commonly prescribed and therefore less familiar. Informed use of atypical antipsychotic drugs allows family physicians to greatly improve quality of life in elderly patients with dementia and behavior disturbances. Clozapine's potentially lethal side effects limit its use in the primary care setting. Drug interactions, especially those involving the cytochrome P450 system, must be considered. To minimize side effects, these medications should be started at low dosages that are increased incrementally. Additional research is needed for a recently approved agent, ziprasidone. Quetiapine and clozapine are recommended for treatment of psychosis in patients with Parkinson's disease. Current guidelines recommend using risperidone and olanzapine to treat psychosis in patients with Alzheimer's dementia. Although nonpharmacologic treatments for behavioral disturbances should be tried first, medications often are needed to enable the patient to be adequately cared for. As the average age of Americans increases, the prevalence of Alzheimer's disease and Parkinson's disease will rise accordingly. These symptoms often occur in patients with Alzheimer's disease, other dementias, or Parkinson's disease. Increasingly, atypical antipsychotic drugs are prescribed for elderly patients with symptoms of psychosis and behavioral disturbances. ![]()
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