• 제목/요약/키워드: Parkinson's patients

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Psychiatric Manifestation in Patients with Parkinson's Disease

  • Han, Ji Won;Ahn, Yebin D.;Kim, Won-Seok;Shin, Cheol Min;Jeong, Seong Jin;Song, Yoo Sung;Bae, Yun Jung;Kim, Jong-Min
    • Journal of Korean Medical Science
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    • 제33권47호
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    • pp.300.1-300.17
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    • 2018
  • Parkinson's disease (PD) is the second most common neurodegenerative disorder. Although its major manifestation is motor symptoms, resulting from the loss of dopaminergic neurons in the substantia nigra, psychiatric symptoms, such as depression, anxiety, hallucination, delusion, apathy and anhedonia, impulsive and compulsive behaviors, and cognitive dysfunction, may also manifest in most patients with PD. Given that the quality of life - and the need for institutionalization - is so highly dependent on the psychiatric well-being of patients with PD, psychiatric symptoms are of high clinical significance. We reviewed the prevalence, risk factors, pathophysiology, and treatment of psychiatric symptoms to get a better understanding of PD for improved management.

음성 특징에 따른 파킨슨병 분류를 위한 알고리즘 성능 비교 (Performance Comparison of Algorithm through Classification of Parkinson's Disease According to the Speech Feature)

  • 정재우
    • 한국멀티미디어학회논문지
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    • 제19권2호
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    • pp.209-214
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    • 2016
  • The purpose of this study was to classify healty persons and Parkinson disease patients from the vocal characteristics of healty persons and the of Parkinson disease patients using Machine Learning algorithms. So, we compared the most widely used algorithms for Machine Learning such as J48 algorithm and REPTree algorithm. In order to evaluate the classification performance of the two algorithms, the results were compared with depending on vocal characteristics. The classification performance of depending on vocal characteristics show 88.72% and 84.62%. The test results showed that the J48 algorithms was superior to REPTree algorithms.

열다한소탕가감방(熱多寒少湯加減方)으로 호전된 파킨슨병 환자 1례 (A Case Study of Parkinson's Disease Patient Treated with Yuldahanso-tang gagam)

  • 최재송;장문희;안택원
    • 사상체질의학회지
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    • 제24권3호
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    • pp.104-113
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    • 2012
  • Objectives This study is about a "Taeumin" parkinson's disease patient with bradykinesia, tremor, weakness and dysautonomia etc. In this case, we evaluated the effect of Yuldahanso-tang gagam for parkinson's disease. Methods This patient was treated by Sasang constitutional herbal medication based on "Donguisusebowon". Acupuncture and west medications were used together. We evaluated the clinical progress through two methods, DITI(Digital Infrared Thermal Imaging) and VAS(Visual Analogue Scale). Results During 11months treatment, chief complaints and symptoms of this patient were improved. Conclusions This study shows that Yuldahanso-tang gagam is an effective treatment for "Taeumin" parkinson's disease patients.

파킨슨병 환자의 개인별 Wearing-off 증상 및 해결책 현황 조사를 위한 설문 연구 (A Questionnaire Study to Investigate the Symptoms and Solutions of Wearing-off in Parkinson's Disease Patients)

  • 박미소;박상수;류호룡;편우석;허왕정;박신영
    • 턱관절균형의학회지
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    • 제13권sup호
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    • pp.1-8
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    • 2023
  • Objectives: Parkinson's disease (PD) is currently the most rapidly increasing degenerative brain disease due to population aging and westernization of lifestyle. Levodopa is the most commonly used drug to manage PD symptoms. However, levodopa has a problem in that the wearing-off phenomenon occurs as the duration and dose of administration increase. In order to investigate the wearing-off phenomenon in PD patients and devise countermeasures, we conducted a questionnaire survey in Korea. Methods: For the study, a questionnaire with a total of seven items was prepared. Part IV of the MDS-UPDRS (Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale) and the WOQ-9 (9-symptom Wearing-off Questionnaire) were used as references. Results: Of the 48 patients who completed the questionnaire, all 47 patients who completed the questionnaire experienced the wearing-off phenomenon. Only one of the patients diagnosed with PD a year ago did not experience the wearing-off phenomenon. Patients frequently mentioned a lack of sleep and stress as aggravating factors for wearing-off. They also stated that in order to resolve the off-state, they walked, massaged, warmed up the body, stretched and exercised. Conclusions: Because wearing-off is such a common occurrence, it is thought necessary to develop wearing-off prevention and resolution measures that PD patients can use in their daily lives.

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Parkinson 병 환자의 배변장애 2례(例)에 대(對)한 임상고찰(臨床考察) (The Clinical Review of Bowel disorders following Parkinson's disease)

  • 임승만;신현수;백은탄;김영태;라수연;오상덕
    • 대한한방내과학회지
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    • 제22권4호
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    • pp.735-742
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    • 2001
  • Object : This study was carried out to investigate the bowel disorders following parkinson's disease. Methods : We studied 2 patients with constipation followed by parkinson's disease. Both were diagnosed as COLONOTONIA - according to 8 Constitution medicine. Case 1 was treated with methods of 8 Constitution therapy and herbal medication(Sopoongsoongee-won). Case 2 was treated with method of 8 Constitution therapy only. Conclusions : After treatment, symptom of constipation were improved in both case.

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파킨슨병 맞춤운동프로그램의 개발 및 신체기능에 대한 효과 (The Development and Effect of a Tailored Exercise Program on Physical Fitness in Patients with Parkinson's Disease)

  • 송경애;문정순;이광수;최동원
    • 기본간호학회지
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    • 제13권3호
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    • pp.390-400
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    • 2006
  • Purpose: To develop & to examine the effect of a Tailored Exercise Program (TEP) on physical fitness in patients with Parkinson's disease (PD). Method: In a two-group pre-and post-test design, from a total 41 participants. 21 were assigned th the experimental group find the remainder to the control group. The experimental group participated in a 4-day a week, 8 week program in which one session a week was by direct instruction with the self-help group and two sessions a week were by videotaped instruction at home by themselves. The control group did not receive any intervention. Results: The eight week TEP in patients with PD was found to be significantly effective in enhancing muscle strength, ankle flexibility, and balance. However instrumental activities of daily living was not changed by the intervention. Conclusion: These results suggest that TEP can have an effect on physical fitness in patients with PD. Further research with a larger sample and for a longer follow up period is needed to expand our understanding of the effects of TEP for patients with PD.

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국민건강보험공단 청구자료를 활용한 파킨슨병과 관련된 코호트 연구 디자인 분석 및 향후 한의중재 관련 파킨슨 후향적 코호트 연구를 위한 제언 (Current Research Status of National Health Insurance Database Studies in Korea Related to Parkinson's Disease and Future Research Proposals for Integrative Therapies)

  • 황예채;임정태
    • 대한예방한의학회지
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    • 제28권1호
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    • pp.69-87
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    • 2024
  • Objectives : This study is to investigate the current National Health Insurance Database cohort studies related to complications of Parkinson's Disease (PD) and suggest the design of Korean medical epidemiological studies of PD. Methods : Nationwide longitudinal studies of PD patients in South Korea were collected through Pubmed and the Korea Citation Index (KCI). We selected cohort studies that used the National Health Insurance Database in Korea and targeted Parkinson's disease patients. Studies published before February 2024 were categorized according to study designs. We examined variables and covariates, enroll dates and matching methods. Results : Of a total of 536 studies, 18 studies met the inclusion criteria. All studies used the National Health Insurance (NHI) Research Database and among them, 5 used sample data and one senior database. Studies can be classified into two types. 11 cohort studies were comparing PD patients and non-PD patients. Another type was 4 PD patients cohort studies. Most studies used two diagnostic codes (G20 and V124) for inclusion criteria. Enroll periods were from 2002 to 2017, and follow-up periods were from 7 to 14 years. 16 studies considered age and sex as covariates. 15 studies used the propensity score matching method to increase the level of causality. There was only one study related to the Korean medical treatment. Conclusion : In future cohort studies on Korean medical treatment, more attempts should be made to reveal the effect of the treatments on PD patients by defining inclusion criteria for patient groups, covariates, exposure variables, and assessment indicators more operatively.

파킨슨병 환자의 자세 불안정과 보행장애에 대한 한양방 복합치료 3예 (Three Case Reports of Postural Instability and Gait Difficulty in Parkinson's Disease Patients Treated with Korean and Western Medicine)

  • 이영은;이동혁;이지현;여서원;조승연;박정미;고창남;배형섭;박성욱
    • Korean Journal of Acupuncture
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    • 제31권1호
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    • pp.40-47
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    • 2014
  • Objectives : Postural instability and gait difficulty(PIGD) can develop in all Parkinson's disease patients, especially late in the disease course, but does not respond well to conventional dopamine treatment. This study aimed to report three cases of PIGD in Parkinson's disease patients treated with Korean and Western medicine treatment. Methods : We used acupuncture, bee venom acupuncture, herbal medicine and moxibustion to treat patients during hospitalization. They continued Western medication and received rehabilitation treatment. We observed the changes of PIGD using the Unified Parkinson's Disease Rating Scale(UPDRS). Results : After treatment, PIGD symptoms improved and UPDRS scores were decreased. Especially, scores of falling, walking, gait and postural stability subsections related with PIGD were decreased. In addition, general conditions of patients were improved. Conclusions : This study suggests that Korean medicine treatment could be effective in the treatment of PIGD in Parkinson's disease patients.

파킨슨병 환자의 피로와 영향요인 (Predicting Factors on Fatigue in Patients with Parkinson's Disease)

  • 김성렬;정선주;유수연;김미선;박은옥;신나미;이숙자
    • 성인간호학회지
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    • 제23권4호
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    • pp.363-373
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    • 2011
  • Purpose: Fatigue is a common problem in Parkinson's disease (PD), affecting 30~65% of patients with that diagnosis. Only recently has fatigue been recognized as an important clinical feature of PD. The aim of this study was to investigate the level of fatigue and related factors in patients with PD. Methods: Between March 1, and September, 30, 2010, a sample of 181 PD patients agreed to be interviewed. Results: The female patients' PFS (Parkinson Fatigue Scale) score was higher than those of the male patients. Household income and having a Job were significantly correlated with the PFS scores. Among the disease characteristics, motor fluctuations, dyskinesia and modified Hoehn and Yahr stage were significantly correlated with the PFS scores. On stepwise regression analysis, the most important factors related to the PFS scores were depression and sleep disturbance. Conclusion: Fatigue in patients with PD was associated with many factors and strongly associated with depression and sleep disturbance. Fatigue is a multidimensional construct; therefore, multidimensional strategies for relieving specific aspects of fatigue are needed.