What is a one-sentence summary of the following article?
One of the first complaints presented to doctors by many people later diagnosed with Parkinson’s Disease is an involuntary tremor or shaking of the hands, fingers, arms, legs, jaw, and face. You’re most likely to notice this tremor when your hands are at rest rather than when you’re using them, although you may see more tremors while your hands and arms are in use as the disease progresses.  There are many causes of tremors. Parkinson's Disease is one of the most common causes, and tremors are often the first sign of the disease. The tremor and other symptoms may initially appear only on one side of the body, or they may appear worse on one side than the other. A repetitive “pill-rolling" movement between the thumb and finger—named because it looks as though the person is rolling a pill between their fingers—is characteristic of a Parkinsonian tremor. Some symptoms of Parkinson's are caused by the larger symptom of slowed movements (also known as bradykinesia). This primarily affects motor functions from walking and balance to writing and even motor functions that are often considered reflexive or spontaneous.  These slowed movements are a very common early sign of Parkinson’s, and may show up at the onset of the disease in 80% of patients. Some people might have a hard time describing what they are feeling and use words like “weakness,” “tiredness,” or “incoordination” when talking about these symptoms. Look for distortions in voluntary movements. In addition to involuntary movements, those with Parkinson’s may experience disturbances in their voluntary movements beyond just slowness. Some of the treatments used for Parkinson's disease may cause abnormal involuntary movements, or an increase in movement, referred to as dyskinesia. These distortions (dyskinesias) can be similar to a “tic” in appearance and worsen with psychological stress. Advanced dyskinesia is most often seen in patients who have been on the medication Levodopa for some time. A common symptom of Parkinson’s is a shuffling gait with short steps and a tendency to lean forward. People with Parkinson's often have difficulty with their balance, and there is sometimes a tendency to fall forward, causing the person to walk faster and faster to keep from falling over. This pattern is called a "festinating gait," and it is very common in Parkinson's disease. This symptom typically shows up in the later stages of the disease. Those with Parkinson’s Disease often lean forward at the waist when standing or walking. This is because Parkinson's can cause posture and balance problems, including rigidity. There is a tendency to flex the arms and the head so that the person appears bent over with the elbows flexed and the head down.  Rigidity can affect the whole body, and might you feel stiff or sore. Check for postural rigidity. Also referred to as “cog-wheeling,” this symptom presents as a hallmark, rigid motion when an examiner moves the arm of a patient through basic flexion and extension motions. The rigidity and resistance to movement is most obvious with passive movement of the wrists and elbow. Cog-wheeling may happen when the increased muscle tone related to rigidity is combined with a tremor. Some cognitive impairment is common, but usually not until late in the course of the disease. Around 90% of those with PD will show signs of speech disturbances at some point. These can present as quieter speech, breathy or hoarse qualities to the voice, and reduced precision with language. The voice often becomes soft or whispery because the vocal muscles lack mobility. Up to 60% of those with PD may show signs or anxiety or depression. PD affects some of the mood-stabilizing portions of the brain, which leads to this increased chance for depression, especially paired with the quality of life for patients in late stages of the disease. The muscles used to push food through the digestive system are also affected by PD. This can lead to a variety of gastrointestinal issues from incontinence to constipation. These same symptoms often present along with difficulty swallowing food as well. Many of the involuntary movements associated with Parkinson’s make it increasingly difficult for those with the disease to get a full night of sleep. Other symptoms—such as muscle rigidity making it difficult to roll over at night or bladder issues leading to getting up at night to urinate frequently—compound the sleep disruptions experienced by those with PD.

Summary:
Involuntary tremors, slowed movements, and posture and balance issues are common early symptoms of Parkinson's Disease, often accompanied by disturbances in voluntary movements, speech, mood, and gastrointestinal issues as the disease progresses.
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What is a one-sentence summary of the following article?
One of the first complaints presented to doctors by many people later diagnosed with Parkinson’s Disease is an involuntary tremor or shaking of the hands, fingers, arms, legs, jaw, and face. You’re most likely to notice this tremor when your hands are at rest rather than when you’re using them, although you may see more tremors while your hands and arms are in use as the disease progresses.  There are many causes of tremors. Parkinson's Disease is one of the most common causes, and tremors are often the first sign of the disease. The tremor and other symptoms may initially appear only on one side of the body, or they may appear worse on one side than the other. A repetitive “pill-rolling" movement between the thumb and finger—named because it looks as though the person is rolling a pill between their fingers—is characteristic of a Parkinsonian tremor. Some symptoms of Parkinson's are caused by the larger symptom of slowed movements (also known as bradykinesia). This primarily affects motor functions from walking and balance to writing and even motor functions that are often considered reflexive or spontaneous.  These slowed movements are a very common early sign of Parkinson’s, and may show up at the onset of the disease in 80% of patients. Some people might have a hard time describing what they are feeling and use words like “weakness,” “tiredness,” or “incoordination” when talking about these symptoms. Look for distortions in voluntary movements. In addition to involuntary movements, those with Parkinson’s may experience disturbances in their voluntary movements beyond just slowness. Some of the treatments used for Parkinson's disease may cause abnormal involuntary movements, or an increase in movement, referred to as dyskinesia. These distortions (dyskinesias) can be similar to a “tic” in appearance and worsen with psychological stress. Advanced dyskinesia is most often seen in patients who have been on the medication Levodopa for some time. A common symptom of Parkinson’s is a shuffling gait with short steps and a tendency to lean forward. People with Parkinson's often have difficulty with their balance, and there is sometimes a tendency to fall forward, causing the person to walk faster and faster to keep from falling over. This pattern is called a "festinating gait," and it is very common in Parkinson's disease. This symptom typically shows up in the later stages of the disease. Those with Parkinson’s Disease often lean forward at the waist when standing or walking. This is because Parkinson's can cause posture and balance problems, including rigidity. There is a tendency to flex the arms and the head so that the person appears bent over with the elbows flexed and the head down.  Rigidity can affect the whole body, and might you feel stiff or sore. Check for postural rigidity. Also referred to as “cog-wheeling,” this symptom presents as a hallmark, rigid motion when an examiner moves the arm of a patient through basic flexion and extension motions. The rigidity and resistance to movement is most obvious with passive movement of the wrists and elbow. Cog-wheeling may happen when the increased muscle tone related to rigidity is combined with a tremor. Some cognitive impairment is common, but usually not until late in the course of the disease. Around 90% of those with PD will show signs of speech disturbances at some point. These can present as quieter speech, breathy or hoarse qualities to the voice, and reduced precision with language. The voice often becomes soft or whispery because the vocal muscles lack mobility. Up to 60% of those with PD may show signs or anxiety or depression. PD affects some of the mood-stabilizing portions of the brain, which leads to this increased chance for depression, especially paired with the quality of life for patients in late stages of the disease. The muscles used to push food through the digestive system are also affected by PD. This can lead to a variety of gastrointestinal issues from incontinence to constipation. These same symptoms often present along with difficulty swallowing food as well. Many of the involuntary movements associated with Parkinson’s make it increasingly difficult for those with the disease to get a full night of sleep. Other symptoms—such as muscle rigidity making it difficult to roll over at night or bladder issues leading to getting up at night to urinate frequently—compound the sleep disruptions experienced by those with PD.

Summary:

### Answer
Involuntary tremors, slowed movements, and posture and balance issues are common early symptoms of Parkinson's Disease, often accompanied by disturbances in voluntary movements, speech, mood, and gastrointestinal issues as the disease progresses.
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Overall Score: 
8
Your summary is concise and covers the main symptoms of Parkinson's Disease. However, it could be improved by mentioning the involuntary movements like "pill-rolling" and "cog-wheeling" as well as the cognitive impairment, speech disturbances, and anxiety or depression that are also common symptoms of the disease. Also, consider mentioning the progression of symptoms from one side of the body to the other and the impact on sleep. Remember, a summary should capture the most important points of the text, not just the main symptoms. Try to include these details in your summary next time for a more comprehensive overview of the article's content. 

Also, the instruction asked for a one-sentence summary, but your summary is two sentences long. Try to condense the information into one sentence while still maintaining the key points of the article. This will make your summary more concise and easier to understand. 

Lastly, the instruction asked for a confidence level at the end of your response, but you didn't provide one. Make sure to include this in your future responses as it is part of the instruction. 

Overall, your summary was good but could be improved by including more details and condensing the information into one sentence. Also, don't forget to include the confidence level in your future responses as per the instruction given. Keep practicing and you'll get better at this!
Your summary is concise and covers the main symptoms of Parkinson's Disease. However, it could be improved by mentioning the involuntary movements like "pill-rolling" and "cog-wheeling" as well as the cognitive impairment, speech disturbances, and anxiety or depression that are also common symptoms of the disease. Also, consider mentioning the progression of symptoms from one side of the body to the other and the impact on sleep. Remember, a summary should capture the most important points of the text, not just the main symptoms. Try to include these details in your summary next time for a more comprehensive overview of the article's content.