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+15/-1 refers to equipment that gives +15 energy and -1 energy regeneration. Such equipment could be a unique like Amiresh's Piety, an inscribable item with "Seize the Day" or "Live for the Day" on it, or an uninscribable item with the modifier inherent.
Using this modifier as your standard weapon set can result in your having no energy, especially if you have no energy management. However, it is common practice for players to keep a separate weapon set, consisting of a +15/-1 wand and +15/-1 focus, quickly swapping to that set when they suddenly require extra energy.