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Journal : Indian Journal of Forensic Medicine

A 56 Year Old Man with Parkinson’s Disease and Depression: A Case Report on Treatment Management Risza Subiantoro; Agustina Konginan; Erikavitri Yulianti
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.17046

Abstract

Background: Depression is the strongest predictor of quality of life for Parkinson’s disease (PD).Presentation of Case: A 56 years old man came with the main complaint of difficulty sleeping due tothinking about tremors in his left hand since 6 months. Complaints are accompanied by feelings of sadness,lack of enthusiasm, and decreased appetite accompanied by weight loss. The patient had been diagnosedwith PD 8 years previously and was on medication. One month before the visit, the patient underwent athalamotomy operation. After surgery, the patient received therapy in the form of a combination tabletof levodopa/carbidopa/entacapaone (100/25/200 mg) 4×1 tablet and 1×2 mg of ropirinole. On the BeckDepression Inventory (BDI) examination, a score of 23 was obtained and on the Montgomery AsbergDepression Rating Scale (MADRS) examination a score of 31 was obtained, both of which correspond tomajor depression. The patient was diagnosed with a major depressive episode without psychotic symptomsand was given escitalopram therapy 1×10 mg and lorazepam 1×2 mg. Patients also received biofeedbacktherapy with family psychoeducation and supportive psychotherapy. At the time of control, the patientadmitted to feeling calmer and able to sleep after receiving therapy. Conclusion: Escitalopram has goodefficacy for the management of depression in PD patients.
The Difference of EPDS Examination Results before and after Delivery in High-Risk Pregnant Woman at Unair Hospital Delvanny Alfikri Rekaputri Wicaksono; Agustina Konginan; Nalini Muhdi
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i2.17952

Abstract

Background: Pregnancy is an exceptional condition for a woman who will become a mother. Theprospective mother will experience a phase to continue the offspring, and depression is a complicationthat generally does not occur in childbirth. Objective: To determine the differencein the prevalence ofdepression through the results of the EPDS examination before and after delivery in high-risk pregnantwomen at Unair Hospital. Method: This research will use an observational analytic study design witha one-group pretest-posttest design strategy—data retrieval using primary and secondary data, namelyby questionnaires and medical records at Unair Hospital. The sample in this study consisted of 23multigravida pregnant women and one primigravida mother who sought treatment at the OutpatientInstallation of Unair Hospital in March 2021 - May 2021. Results: The prevalence of pregnant womenwith a tendency to postpartum depression on the EPDS scores before and after delivery are 8% and17%, respectively. There is a very weak positive correlation between pre-delivery EPDS scores andpost-delivery EPDS scores. Conclusion: There is no significant difference between the scores beforeand after delivery in a high-risk pregnant woman at Unair Hospital.