Incidence of ′headache attributed to temporomandibular disease′ in patients with clicking sound in the region temporomandibular joint

Introduction We aimed to investigate the headache complaint and features in patients referred to ear nose throat clinics with pain in the temporomandibular joint (TMJ) region. Materials and methods Forty-seven patients with complaints of a clicking sound in the TMJ region and pain were included in our study. Patients completed a questionnaire on the headache and the nature of the pain. The patients were asked to mark the level of pain on a visual analogue scale. Results Of a total of 47 patients, 28 were women (59.6%) and 19 were men (40.4%); their age ranged from 19 to 56 years (mean=30.5±9.8 years). There were 33/47 patients with cephalalgia in the head region, except TMJ disorders (70.2%); 12 of these were bilateral and 21 were unilateral. In all, 14/47 patients described pain only in the TMJ region (29.8%). Four patients described at least one experience of jaw locking in their life time (4/47). Visual analogue scale scores of the patients were 3.9±1.7. The nature of the pain was also analyzed. Conclusion TMJ 2014 consortium network showed that headache attributed to TMD may be in associated with cephalalgia. The rate of headache is higher in patients with TMJ disorders. TMJ disorders should also be kept in mind in the differential diagnosis of cephalalgia considering the quality of life of patients

Outlanders at work: An interpretative phenomenological analysis of foreign IT professionals’ work experiences in Germany

The information technology (IT) industry is becoming more widely renowned for its professionals seeking global career opportunities. These individuals independently build careers abroad, often receiving limited economic benefits while facing socially conditioned perceptions from their employers, peers, managers, and clients. However, there is little research on how they perceive their personal and social worlds, and use their knowledge, skills, and other personal resources to shape their careers in these circumstances. This study explores the meaning of being a foreign professional as understood by the IT professionals themselves by reflecting on their expectations, emotions, and interactions with others. In-depth interviews were conducted with eleven non-national professionals working in domestic IT companies in Germany. We used interpretative phenomenological analysis to gain insight through their individual perspectives into their agentic work behaviours and the injustices they perceived. We identified three major themes that explained how participants interpreted their roles in their organisations (reinterpretation), resituated themselves in their interactions with clients (recontextualisation) and changed the way they made sense of their status in their current circumstances (reframing). The experiential themes were discussed in light of literature, while individual nuances led us to identify unexplored features of the studied phenomenon

Predictors of Symptomatic Hemorrhage After Endovascular Treatment for Anterior Circulation Occlusions: Turkish Endovascular Stroke Registry

We evaluated the predictive factors of symptomatic intracranial hemorrhage (SICH) in endovascular treatment of stroke. We included 975 ischemic stroke patients with anterior circulation occlusion. Patients that had hemorrhage and an increase of >= 4 points in their National Institutes of Health Stroke Scale (NIHSS) after the treatment were considered as SICH. The mean age of patients was 65.2 +/- 13.1 years and 469 (48.1%) were women. The median NIHSS was 16 (13-18) and Alberta Stroke Program Early CT 9 (8-10). In 420 patients (43.1%), modified Rankin Scale was favorable (0-2) and mortality was observed in 234 (24%) patients at the end of the third month. Patients with high diastolic blood pressure (P<.05) had significantly higher SICH. SICH was significantly higher in those with high NIHSS scores (P<.001), high blood glucose (P<.001), and leukocyte count at admission (P<.05). Diabetes mellitus (DM) (OR 1.90; P<.001), NIHSS (OR 1.07; P<.05), adjuvant intra-arterial thrombolytic therapy (IA-rtPA) (OR, 1.60; P<.05), and puncture-recanalization time (OR 1.01; P<.05) were independent factors of SICH. Higher baseline NIHSS score, longer procedure time, multiple thrombectomy maneuvers, administration of IA-rtPA, and the history of DM are independent predictors of SICH in anterior circulation occlusion