One-year prevalence and the impact of migraine and tension-type headache in Turkey: a nationwide home-based study in adults

Several studies have shown that the prevalence of migraine and tension-type headache (TTH) varied between different geographical regions. Therefore, there is a need of a nationwide prevalence study for headache in our country, located between Asia and Europe. This nationwide study was designed to estimate the 1-year prevalence of migraine and TTH and analyse the clinical features, the impact as well as the demographic and socio-economic characteristics of the participant households in Turkey. We planned to investigate 6,000 representative households in 21 cities of Turkey; and a total of 5,323 households (response rate of 89%) aged between 18 and 65 years were examined for headache by 33 trained physicians at home on the basis of the diagnostic criteria of the second edition of the International Classification of Headache Disorders (ICHD-II). The electronically registered questionnaire was based on the headache features, the associated symptoms, demographic and socio-economic situation and history. Of 5,323 participants (48.8% women; mean age 35.9 ± 12 years) 44.6% reported recurrent headaches during the last 1 year and 871 were diagnosed with migraine at a prevalence rate of 16.4% (8.5% in men and 24.6% in women), whereas only 270 were diagnosed with TTH at a prevalence rate of 5.1% (5.7% in men and 4.5% in women). The 1-year prevalence of probable migraine was 12.4% and probable TTH was 9.5% additionally. The rate of migraine with aura among migraineurs was 21.5%. The prevalence of migraine was highest among 35–40-year-old women while there were no differences in age groups among men and in TTH overall. More than 2/3 of migraineurs had ever consulted a physician whereas only 1/3 of patients with TTH had ever consulted a physician. For women, the migraine prevalence was higher among the ones with a lower income, while among men, it did not show any change by income. Migraine prevalence was lower in those with a lower educational status compared to those with a high educational status. Chronic daily headache was present in 3.3% and the prevalence of medication overuse headache was 2.1% in our population. There was an important impact of migraine with a monthly frequency of 5.9 ± 6, and an attack duration of 35.1 ± 72 h, but only 4.9% were on prophylactic treatment. The one-year prevalence of migraine estimated as 16.4% was similar or even higher than world-wide reported migraine prevalence figures and identical to a previous nation-wide study conducted in 1998, whereas the TTH prevalence was much lower using the same methodology with the ICHD-II criteria

A comparison of organic wastes as bioadsorbents of heavy metal cations in aqueous solution and their capacity for desorption and regeneration

The adsorption capacity of seven organic wastes/by-products (slash pine, red gum and western cypress bark, composted green waste, prawn exoskeletons, spent brewery yeast and mill mud from a sugar mill) for transition metals were determined at two metal concentrations (10 and 100 mg L ) and three equilibrium pH values (4.0, 6.0 and 8.0) in batch adsorption experiments. All tested materials indicate a positive affinity to adsorb metal cations from aqueous solution and spent yeast was the least effective. Adsorption generally increased with increasing pH and the order of selectivity of metals was: Cr > Cu > Pb > Zn ≥ Cd . For pine bark, compost, spent yeast and prawn shell, quantities of previously adsorbed Pb and Cd desorbed in 0.01 M NaNO electrolyte were negligible. However, 0.01 M HNO , and more particularly 0.10 and 0.50 M HNO were effective at removing both adsorbed Pb and Cd. Using 0.10 M HNO as the regenerating agent, pine bark and compost maintained their Pb and Cd adsorption capacity over eight successive adsorption/regeneration cycles. For mill mud and prawn shell, there was a pronounced decrease in adsorption capacity after only one regeneration cycle. A subsidiary experiment confirmed that acid pre-treatment of the latter two materials appreciably reduced their Pb and Cd adsorption capacity. This was ascribed to the metal adsorption capacity of prawn shell and mill mud being partially attributable to their significant CaCO content and acid treatment induces dissolution of the CaCO . It was shown that in relation to both adsorption capacity and desorption/regeneration capability, composted green waste showed the greatest potential

Integrated sustainable waste management in developing countries

This paper uses the lens of 'integrated sustainable waste management' to examine how cities in developing countries have been tackling their solid waste problems. The history of related concepts and terms is reviewed, and ISWM is clearly differentiated from integrated waste management, used mostly in the context of technological integration in developed countries. Instead, integrated sustainable waste management examines both the physical components (collection, disposal and recycling) and the governance aspects (inclusivity of users and service providers; financial sustainability; coherent, sound institutions underpinned by proactive policies). The data show that performance has improved significantly over the last 10 years. Levels of collection coverage and controlled disposal of 95% in middleincome and 50% in low-income cities are already commonplace. Recycling rates of 20-30% are achieved by the informal sector in many lower income countries, at no direct cost to the city - presenting a major opportunity for all key stakeholders if the persistent challenges can be resolved. The evidence suggests that efficient, effective and affordable systems are tailored to local needs and conditions, developed with direct involvement of service beneficiaries. Despite the remaining challenges, evidence of recent improvements suggests that sustainable solid waste and resources management is feasible for developing countries