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(Table 1) One – year prevalence of headache in medical students of the university  Overall no = 372 Male no=156 Female no= 216 Headache type.  No  %  No  %  No  % X2  P value.  All headaches  42 11.3 19 12.2 23 10.6 0.21 0.64 Migraine  17 2 1.3 15 6.9 6.66 0.009 Propable migraine 3 1 0.6 2 0.9 0.08 0.77 TTH 15 12 7.7 3 1.4 9.3 0.00 Infrequent episodicTTH 6 4 2.56 2 0.9 0.69 0.4 Frequent episodic TTH 8 5 3.2 3 1.4 0.7 0.4 Propable TTH 1 1 0.6 0 0.0 0.0 1.5 Mixed (mig & TTH) 6 4 2.56 2 0.9 0.69 0.4 Unclassifiable.  1 0 0.0 1 0.46 0.0 1.0
(Table 2)Prevalence of headache among the six age groups of medical students 1 st  grade grade  >17-<18 2 nd  grade >18-<19 3 rd  grade >19-<20 4 th  grade >20-<21 5 th  grade >21-<22 6 th  grade >22-<23 X2 P No % No % No % No % No % No % Migrain 5 50 3 75 4 50.0 3 50.0 4 44.4 1 20.0 7.82 0.7 TTH 4 40 1 25 3 37.5 2 33.3 2 22.2 3 60.0 2.3 0.8 Mixed 1 10 0 0 1 12.5 1 16.7 2 22.2 1 20.0 1.46 0. unclassifiable 0 0.0 0 0.0 0 0.0 0 0.0 1 11.1 0 0.0 3.76 0.58 Chisquarc.  28.06 P <0.001
(Table 3)Location of headache, comparing proportions of males and females  in each sub group Total  Males  Females.  Chisquare  No % No  % No % X2 P S Frontal  10 23.8 4 21.05 6 26.1 0.001 0.98 Ns Vertex  2 4.76 1 50.3 1 4.3 0.35 0.55 Ns Temporal  15 35.7 5 26.3 10 43.5 1.33 0.24 Ns Orbital  5 11.9 2 10.5 3 13.0 0.05 0.81 Ns Generalized  6 14.3 4 21.05 2 8.7 0.48 0.48 Ns Occipital  4 9.5 3 15.8 1 4.3 0.53 0.46 Ns X2 3.58 P 0.61 X2= 3.58  P=0.61
(Table 4)Frequency of  headache among the six age groups of medical students 1 st  grade  2nd grade  3 rd  grade.  4 th  grade.  5 th  grade  6 th  grade  >17-<18 >18-<19 >19-<20 >20-<21 >21-<22 >22-<23 total No % No % No % No % No % No % No % X2 P S occasionally  2 1 3 2 3 2 13 1.02 0.96 NS Once or twice amonth  2 1 2 2 2 1 10 0.44 0.99 NS Once or twice aweek  5 2 2 1 3 2 15 2.65 0.75 NS daily 1 0 1 1 1 0 4 1.28 0.9 NS
(Table 5) location of headache among the six age groups of medical students 1 st  grade >17-<18 2 nd  grade  >18-<19 3 rd  grade  >19-<20 4 th  grade  >20-<21 5 th  grade  >21-<22 6 th  grade  >22-<23 total  Chisqure No  % No  % No  % No  % No  % No  % No  % X2 P Frontal 3 30 1 25 2 25 1 16.7 2 22.2 1 20.0 10 23.8 0.44 0.99 Vertex  1 10 0 0 1 12.5 0 0.0 0 0.0 0 0.0 2 4.8 2.86 0.7 Temporal  4 40 2 50 2 25 2 33.3 3 33.3 2 40.0 15 35.7 0.91 0.96 Orbital 0 0 1 25 1 12.5 1 16.7 1 11.1 1 20.0 5 11.9 2.46 0.78 generalized  1 10 0 0 1 12.5 1 16.7 2 22.2 1 20.0 6 14.3 1.46 0.91 Occipital  1 10 0 0 1 12.5 1 16.7 1 11.1 0 0.0 4 9.2 1.91 0.92
(Table 6) Degree of severity of headache the different grades of faculty of medicine.  X2=12.32 P= 0.006* significant 1 st  Grade  >17-<18 2 nd  grade >18-<19 3 rd  grade  >19-<20 4 th  grade  >20-<21 5 th  grade  >21-<22 6 th  grade  >22-<23 Total Chi square No % No % No % No % No % No % No % X2 S Severe 4 40 2 50 3 37.5 2 33.3 4 44.4 2 40 17 40.5 0.37 0.99 Moderate 3 30 2 50 2 25 2 33.3 3 33.3 1 20 13 31.0 0.9 0.92 Slight 1 10 0 0 1 2.5 1 16.7 1 11.1 0 0 4 9.5 0.41 0.92 Varying 2 20 0 0 2 25 1 16.7 1 11.1 2 40 8 19.0 2.94 0.7
(Table 7)Triggering factors of headache among medical students in Zagazig University P<0.001|** triggering factors  No % Noise  27 64.3 * Anxiety  25 59.5 Sleeping disturbance 24 57.1 Physical activity  2 2 52.4 Heat  21 50.0 Annoyance  21 50.0 Intense light  20 47.6 Studying for exam 19 45.2 Emotion upset  18 42.9 Menstruation in ♀ 7 16.7 Eating habits  1 2.4 Exposure to sun: 20 47.6
(Table 8) Coping behavior of medical students with headache P<0.001” Coping strategy  No of patients  % sought medical assistance  6 14.3 Self medication.  17 40.5* No medication or any other coping strategy  5 11.9 Sleep  12 28.6 Food  1 2.4 Cord compress  1 2.4
(Table 9) Comparing of family history in migraine and tension type headache  patients. Migraine  Tension Family history No  % No  % Positive  11 55.0 2 13.3 Negative  9 45.0 13 86.7
(Table 10) EEG changes among the six age gourps of medical students.  1 st  grade >17-<18 2 nd  grade  >18-<19 3 rd  grade  >19-<20 4 th  grade >20-<21 5 th  grade  >21-<22 6 th  grade >22-<23 Total  Chi square No % No % No % No % No % No % No % X2 S 5 50 2 50 5 65.5 3 50 6 66.6 2 40 23 54.8 1.3 0.93Ns Diffuse slowing 1 10 0 0 1 12.5 0 0 1 11.1 1 20 4 9.5 1.8 0.87Ns Sharp waves  1 10 0 0 1 12.5 1 16.7 1 11.1 1 20 5 11.9 1.8 0.8Ns Spike & slow waves  1 10 1 25 0 0 1 16.7 1 11.1 0 0 4 9.5 2.86 0.72 Sharp & spike Wave complex 2 20 1 25 1 12.5 1 16.7 0 0 1 20 6 14.3 2.32 0.8
(Table 11) CT findings in medical students patients. No  of participants %  No of  cases  %  CT findings  >17-<18 43 10 normal >18-<19 51 4 normal >19-<20  60 8 normal >20-<21 55 6 normal >21-<22 91 9 normal >22-<23 72 5 normal total 372 42 normal
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Datashow

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  • 16. (Table 1) One – year prevalence of headache in medical students of the university Overall no = 372 Male no=156 Female no= 216 Headache type. No % No % No % X2 P value. All headaches 42 11.3 19 12.2 23 10.6 0.21 0.64 Migraine 17 2 1.3 15 6.9 6.66 0.009 Propable migraine 3 1 0.6 2 0.9 0.08 0.77 TTH 15 12 7.7 3 1.4 9.3 0.00 Infrequent episodicTTH 6 4 2.56 2 0.9 0.69 0.4 Frequent episodic TTH 8 5 3.2 3 1.4 0.7 0.4 Propable TTH 1 1 0.6 0 0.0 0.0 1.5 Mixed (mig & TTH) 6 4 2.56 2 0.9 0.69 0.4 Unclassifiable. 1 0 0.0 1 0.46 0.0 1.0
  • 17. (Table 2)Prevalence of headache among the six age groups of medical students 1 st grade grade >17-<18 2 nd grade >18-<19 3 rd grade >19-<20 4 th grade >20-<21 5 th grade >21-<22 6 th grade >22-<23 X2 P No % No % No % No % No % No % Migrain 5 50 3 75 4 50.0 3 50.0 4 44.4 1 20.0 7.82 0.7 TTH 4 40 1 25 3 37.5 2 33.3 2 22.2 3 60.0 2.3 0.8 Mixed 1 10 0 0 1 12.5 1 16.7 2 22.2 1 20.0 1.46 0. unclassifiable 0 0.0 0 0.0 0 0.0 0 0.0 1 11.1 0 0.0 3.76 0.58 Chisquarc. 28.06 P <0.001
  • 18. (Table 3)Location of headache, comparing proportions of males and females in each sub group Total Males Females. Chisquare No % No % No % X2 P S Frontal 10 23.8 4 21.05 6 26.1 0.001 0.98 Ns Vertex 2 4.76 1 50.3 1 4.3 0.35 0.55 Ns Temporal 15 35.7 5 26.3 10 43.5 1.33 0.24 Ns Orbital 5 11.9 2 10.5 3 13.0 0.05 0.81 Ns Generalized 6 14.3 4 21.05 2 8.7 0.48 0.48 Ns Occipital 4 9.5 3 15.8 1 4.3 0.53 0.46 Ns X2 3.58 P 0.61 X2= 3.58 P=0.61
  • 19. (Table 4)Frequency of headache among the six age groups of medical students 1 st grade 2nd grade 3 rd grade. 4 th grade. 5 th grade 6 th grade >17-<18 >18-<19 >19-<20 >20-<21 >21-<22 >22-<23 total No % No % No % No % No % No % No % X2 P S occasionally 2 1 3 2 3 2 13 1.02 0.96 NS Once or twice amonth 2 1 2 2 2 1 10 0.44 0.99 NS Once or twice aweek 5 2 2 1 3 2 15 2.65 0.75 NS daily 1 0 1 1 1 0 4 1.28 0.9 NS
  • 20. (Table 5) location of headache among the six age groups of medical students 1 st grade >17-<18 2 nd grade >18-<19 3 rd grade >19-<20 4 th grade >20-<21 5 th grade >21-<22 6 th grade >22-<23 total Chisqure No % No % No % No % No % No % No % X2 P Frontal 3 30 1 25 2 25 1 16.7 2 22.2 1 20.0 10 23.8 0.44 0.99 Vertex 1 10 0 0 1 12.5 0 0.0 0 0.0 0 0.0 2 4.8 2.86 0.7 Temporal 4 40 2 50 2 25 2 33.3 3 33.3 2 40.0 15 35.7 0.91 0.96 Orbital 0 0 1 25 1 12.5 1 16.7 1 11.1 1 20.0 5 11.9 2.46 0.78 generalized 1 10 0 0 1 12.5 1 16.7 2 22.2 1 20.0 6 14.3 1.46 0.91 Occipital 1 10 0 0 1 12.5 1 16.7 1 11.1 0 0.0 4 9.2 1.91 0.92
  • 21. (Table 6) Degree of severity of headache the different grades of faculty of medicine. X2=12.32 P= 0.006* significant 1 st Grade >17-<18 2 nd grade >18-<19 3 rd grade >19-<20 4 th grade >20-<21 5 th grade >21-<22 6 th grade >22-<23 Total Chi square No % No % No % No % No % No % No % X2 S Severe 4 40 2 50 3 37.5 2 33.3 4 44.4 2 40 17 40.5 0.37 0.99 Moderate 3 30 2 50 2 25 2 33.3 3 33.3 1 20 13 31.0 0.9 0.92 Slight 1 10 0 0 1 2.5 1 16.7 1 11.1 0 0 4 9.5 0.41 0.92 Varying 2 20 0 0 2 25 1 16.7 1 11.1 2 40 8 19.0 2.94 0.7
  • 22. (Table 7)Triggering factors of headache among medical students in Zagazig University P<0.001|** triggering factors No % Noise 27 64.3 * Anxiety 25 59.5 Sleeping disturbance 24 57.1 Physical activity 2 2 52.4 Heat 21 50.0 Annoyance 21 50.0 Intense light 20 47.6 Studying for exam 19 45.2 Emotion upset 18 42.9 Menstruation in ♀ 7 16.7 Eating habits 1 2.4 Exposure to sun: 20 47.6
  • 23. (Table 8) Coping behavior of medical students with headache P<0.001” Coping strategy No of patients % sought medical assistance 6 14.3 Self medication. 17 40.5* No medication or any other coping strategy 5 11.9 Sleep 12 28.6 Food 1 2.4 Cord compress 1 2.4
  • 24. (Table 9) Comparing of family history in migraine and tension type headache patients. Migraine Tension Family history No % No % Positive 11 55.0 2 13.3 Negative 9 45.0 13 86.7
  • 25. (Table 10) EEG changes among the six age gourps of medical students. 1 st grade >17-<18 2 nd grade >18-<19 3 rd grade >19-<20 4 th grade >20-<21 5 th grade >21-<22 6 th grade >22-<23 Total Chi square No % No % No % No % No % No % No % X2 S 5 50 2 50 5 65.5 3 50 6 66.6 2 40 23 54.8 1.3 0.93Ns Diffuse slowing 1 10 0 0 1 12.5 0 0 1 11.1 1 20 4 9.5 1.8 0.87Ns Sharp waves 1 10 0 0 1 12.5 1 16.7 1 11.1 1 20 5 11.9 1.8 0.8Ns Spike & slow waves 1 10 1 25 0 0 1 16.7 1 11.1 0 0 4 9.5 2.86 0.72 Sharp & spike Wave complex 2 20 1 25 1 12.5 1 16.7 0 0 1 20 6 14.3 2.32 0.8
  • 26. (Table 11) CT findings in medical students patients. No of participants % No of cases % CT findings >17-<18 43 10 normal >18-<19 51 4 normal >19-<20 60 8 normal >20-<21 55 6 normal >21-<22 91 9 normal >22-<23 72 5 normal total 372 42 normal
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