The prevalence and associated factors for primary headache disorders in adolescents in eastern Sudan: a community-based cross-sectional study.

Background: Headache disorder is the second-highest cause of disability worldwide; however, data are scarce on headache among adolescents, especially in Africa. There has yet to be published data on headache among adolescents in Sudan, the third-largest country in Africa. This study aimed to assess the prevalence of primary headache disorders and associated factors among adolescents (10-19 years) in eastern Sudan. Methods: A community-based cross-sectional study was conducted in the city of Gadarif in eastern Sudan. Questionnaires were used to gather the adolescents' sociodemographic characteristics. Headache diagnostic questions were based on the beta version of the International Classification of Headache Disorders-III (ICHD-3). Multivariate analysis was conducted to assess the associated factors for primary headache disorders, and the results were expressed as risk ratios (RRs) and 95.0% confidence interval (CI). Results: Of the 401 enrolled adolescents, 186 (46.4%) and 215 (53.6%) were male and female, respectively. The median (IQR) age was 14.0 (12.1-16.2) years. Eighty-one (20.2%) of the 401 adolescents reported experiencing primary headache disorders, including migraine with aura in 16 (4.0%), migraine without aura in 33 (8.2%), tension-type in 14 (3.5%), and undifferentiated headache in 18 (4.5%) adolescents. The prevalence of primary headache disorders was significantly higher in females than in males [55/215 (67.9%) vs. 26/186 (32.1%), p = 0.004]. In the multivariate analysis, increased age (RR = 1.09, 95.0 CI = 1.02-1.16) and being female (RR = 1.75, 95.0 CI = 1.14-2.67) were associated with increased RR of primary headache disorders. Parents' education level and occupation, smoking/snuff use, and body mass index were not associated with primary headache disorders. Conclusion: One-fifth of the adolescents in eastern Sudan reported experiencing primary headache disorders, which was more common in females and with increased age.

Use of major ions to evaluate the hydrogeochemistry of groundwater influenced by reclamation and seawater intrusion, West Nile Delta, Egypt.

The aim of this research is to evaluate the groundwater geochemistry in western Nile Delta area as an example of an aquifer influenced by reclamation and seawater intrusion. To conduct this study, 63 groundwater samples and one surface water sample from El Nubaria Canal were collected. To estimate the origin of dissolved ions and the geochemical processes influencing this groundwater, integration between land use change, pedological, hydrogeological, hydrogeochemical, and statistical approaches was considered. Results suggest that the groundwater flow regime changed from northeast and southwest directions around El Nubaria canal before 1966 to northern and northeastern directions due to newly constructed channel network. Soil salinity and mineral contents, seepage from irrigation canal, and seawater intrusion are the main factors controlling the groundwater chemistry. Statistically, the groundwater samples were classified into eight groups, one to four for the deep groundwater and five to eight for the shallow groundwater. The deep groundwater is characterized by two groups of chemicals (SO4-HCO3-Mg-Ca-K and Cl-Na), while the shallow groundwater groups of chemicals are Na-Cl-SO4 and K-HCO3-Ca-Mg. Both shallow groundwater and deep groundwater are mostly saturated with respect to carbonate minerals and undersaturated with respect to chloride minerals. Sulfate minerals are above the saturation limit in the shallow groundwater, but in the deep samples, these minerals are under the saturation limit. Ion exchange, carbonate production, mineral precipitation, and seawater intrusion are the geochemical processes governing the groundwater chemistry in the study area.

Craving for ice and iron-deficiency anemia: a case series from Oman.

Pagophagia, or the practice of consuming ice, is a particular expression of the more general phenomenon of pica. Pagophagia is a complex behavioral phenomenon arising from the interplay of biochemical, hematological, psychological, and cultural factors. This compulsive dietary aberration is observed in many children and pregnant women worldwide. The authors report 3 cases of severe iron deficiency anemia with a serum ferritin level of 2-3 ng/mL, in which the patients were consuming 2 trays and many bags of ice per day. Following treatment with iron therapy, pagophagia spontaneously resolved within 2 weeks. It is a commonly missed problem. Pediatricians should be alert to this phenomena and its association with iron-deficiency anemia.