Biomedical subjects

Russell C Packard

Publications and source records attributed to Russell C Packard.

3 recordsLinked to original sources

PubMed2005

Current concepts in chronic post-traumatic headache.

Over the years, there has been much confusion and conflict regarding when a post-traumatic headache (PTH) should be classified as chronic. Chronic pain usually is described as pain persisting for longer than 6 months. For many years, a chronic PTH was considered to be a headache lasting longer than 2 months. Some useful definitions and criteria were published in 2003 by the International Headache Society, in the Second Edition of the Classification and Diagnostic Criteria for Headache Disorders. These criteria are reviewed and discussion follows regarding the problem of when a chronic PTH should be classified as permanent. This becomes very important in a medical-legal context. Management of chronic PTH often will require a multifactorial approach.

Acute Disease↗

PubMed2004

Neuropsychiatry: a management model for academic medicine.

Neuropsychiatry has become the subject of a number of editorials and position papers in recent years. Historical, philosophical, clinical, scientific, and educational dimensions of neuropsychiatry have been discussed in these papers. The potential business aspects of this topic, however, have received little, if any, comment. In this paper, the authors describe the business performance characteristics of an integrated neuropsychiatry department, formed through the merger of two traditional departments of psychiatry and neurology. The merger of neurology and psychiatry to create an integrated neuropsychiatry department according to the model described produced significant improvement in financial performance.

Education, Medical, Continuing↗

PubMed2002

The relationship of neck injury and post-traumatic headache.

Although there may be several causes of post-traumatic headache, neck injury is perhaps the most common. This paper primarily reviews the relationship of neck injury, whiplash, and post-traumatic headache. Mechanisms may include structural damage from acceleration or extension of the neck, development of myofascial pain and trigger points, interaction of the trigeminal nociceptive system with the upper cervical (occipital) nerves, and psychologic and emotional factors. Although some healing will occur, the outcome may depend on a number of human factors (awareness of an impending collision) and the fact that repaired tissue is different from normal, uninjured tissue.

Headache Disorders↗