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Record W2079795343 · doi:10.1358/dot.2011.47.5.1584113

Psychosis in Parkinson's disease: Therapeutic options

2011· review· en· W2079795343 on OpenAlex
Mehrul Hasnain

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueDrugs of today · 2011
Typereview
Languageen
FieldMedicine
TopicParkinson's Disease Mechanisms and Treatments
Canadian institutionsMemorial University of Newfoundland
Fundersnot available
KeywordsQuetiapineZiprasidoneMedicinePsychosisClozapineOlanzapineRisperidoneRivastigmineParkinson's diseasePsychiatryDonepezilAntipsychoticAmantadineAmisulprideDiseaseSchizophrenia (object-oriented programming)Intensive care medicineDementiaPharmacologyInternal medicine

Abstract

fetched live from OpenAlex

This publication offers a review of the pharmacological interventions studied for Parkinson's disease psychosis. Before initiating drug therapy for psychosis, possible contribution of antiparkinsonian medications to psychosis must be minimized by reducing their dose and completely switching them to levodopa if indicated. As a group, second- generation antipsychotics have been studied the most for Parkinson's disease psychosis. Evidence of efficacy for psychosis and safety for motor side effects is strongest for clozapine but routine use of clozapine is limited by its potential to cause agranulocytosis and the stringent monitoring requirements. Based on several open-label studies, quetiapine appeared to be a reasonable alternative, but recent double-blind studies create uncertainty about its efficacy. Olanzapine and aripiprazole have limited efficacy and are associated with worsening of motor symptoms. Literature is limited and lacks clarity about the utility of risperidone and ziprasidone in this scenario. Recently, encouraging literature has emerged on the use of donepezil and rivastigmine in patients with Parkinson's disease dementia and psychosis. There is a considerable need to further study the existing drugs and explore other pharmacotherapies in Parkinson's disease psychosis. Future research should ensure sound methodological quality and control for confounding variables to provide results that could be used reliably in clinical practice.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.989
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.051
GPT teacher head0.338
Teacher spread0.287 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it