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Article
Publication date: 7 June 2021

Hamed El Khayat, Marwa El Deeb, Mahmoud Elhabiby, Amira Mohammed Ibrahim Ahmad Mourad and Michael Elnemais Fawzy

This study aims to assess the relationship between sleep habits and obesity in children.

Abstract

Purpose

This study aims to assess the relationship between sleep habits and obesity in children.

Design/methodology/approach

This is an observational cross-sectional case–control study conducted on 100 children aged 6–12 years, selected randomly from the OPC of the Pediatric Hospital, Ain-Shams University. The subjects were subdivided into two groups: the control group of 50 and the target group of children who are classed overweight or obese. Subjects were excluded where the obesity could be explained owing to an endocrinal and/or any identified disease, those who have a medical or psychiatric illness, and those whose parents refused to give consent. All patients had a full history taken, and each child’s parent fulfilled one questionnaire on sleep behaviors.

Findings

This study found that 72% with bedtime resistance compared to only 14% among the control subjects, 68% of children experienced a delay with sleep onset compared to 14% among controls, 68% experienced sleep duration abnormalities compared to 12% in the control group, 60% of children stated they needed their parents while going to sleep, compared to 12% among controls, 64% of cases suffered from walking during the night compared to 12% among controls, 64% of cases had a Parasomnia compared to 12% among controls, 66% of cases snoring loudly compared to 12% among controls, and 66% suffering from Apnea, compared to 6% in the control group, and 50% of cases had daytime sleepiness compared to 14% among controls.

Research limitations/implications

It is hoped that this research will be remedied through the adoption of a child-centered approach inspired by the rights to health and play, and the general principles of the Convention on the Rights of the Child (CRC).

Practical implications

The results showed a strong association between excessive weight and increased risk of sleep problems, which were broadly diffused in the population childhood.

Originality/value

This current study has given us a base for the overwhelming fact that these children are directly affected by obesity. A chronic medical condition has enormous implications on health and can lead to many associated disease processes.

Details

International Journal of Human Rights in Healthcare, vol. 15 no. 3
Type: Research Article
ISSN: 2056-4902

Keywords

Article
Publication date: 12 March 2018

Mostafa Mohamed Al Sayed and Michael Elnemais Fawzy

The purpose of this paper is to study the role of social factors that determine the length of stay in a mental hospital and also understand the main factors leading to the…

Abstract

Purpose

The purpose of this paper is to study the role of social factors that determine the length of stay in a mental hospital and also understand the main factors leading to the phenomena as a step to solve it.

Design/methodology/approach

A case-control cross-sectional observational study is performed which studies correlates for the lengthy stay in a mental hospital. The study population consists of two groups: Group A (94 patients), taken from the patients hospitalized for more than one year, further subdivided into schizophrenia and schizoaffective inpatient group and bipolar affective inpatient group; and Group B (94 patients), receiving their treatment at the outpatient clinic after being admitted for less than six months, this group was further subdivided into same categories as Group A.

Findings

The study showed that the positive score in positive and negative symptoms scale (PANSS) showed highly statistically significant (p<0.01) correlation with the length of hospital stay for the schizophrenic and schizoaffective patients in the inpatient group. The results showed no statistically significant difference (p>0.05) between the inpatient schizophrenic cases and the inpatient affective cases regarding the length of hospital stay.

Research limitations/implications

The linear regression model was used to understand the predictors of increased length of hospital stay. The linear regression analyzing the scale data of schizophrenic and schizoaffective patients found that the length of hospital stay for the schizophrenic and schizoaffective patients depends on the patient’s age and his positive PANSS score. On the other hand, linear regression model for bipolar affective patients in the study found no statistically significant attributes of the length of hospital stay.

Practical implications

The study found that the length of hospital stay for schizophrenic and schizoaffective patients depends on the patient’s age and his positive PANSS score.

Social implications

The need for this study stems from the large numbers of mental inpatients who have been lengthily admitted in mental health hospitals in Egypt, while trying to understand main factors leading to the phenomena as a step to solve it. The study found that there is a highly significant difference between inpatient group and outpatient group regarding the marital status, education level, and psychosocial class, with inpatient group having more single, illiterate, and very low social class cases.

Originality/value

Research in the area of chronic psychiatric hospitalization and its effect on the course and prognosis of mental illness is still scarce, especially in the Arab world; therefore, the research will open the door for further research efforts in the future with a larger sample of patients to study the pros and cons of deinstitutionalization taking into account the past experience of health systems in other countries.

Details

International Journal of Human Rights in Healthcare, vol. 11 no. 1
Type: Research Article
ISSN: 2056-4902

Keywords

Content available
Article
Publication date: 24 February 2022

Michael Elnemais Fawzy

250

Abstract

Details

International Journal of Human Rights in Healthcare, vol. 15 no. 1
Type: Research Article
ISSN: 2056-4902

Article
Publication date: 21 December 2015

Michael Elnemais Fawzy

There is no documented evidence on service users’ perceptions of quality of care and observance of human rights in mental health residential facilities in Egypt after the new…

Abstract

Purpose

There is no documented evidence on service users’ perceptions of quality of care and observance of human rights in mental health residential facilities in Egypt after the new mental health law passed in 2009. The purpose of this paper is to investigate El-Abbassia Mental Health Hospital in Cairo. Special attention is paid as to the variety of human rights violations which are experienced by the users and the context in which these violations occur.

Design/methodology/approach

A cross-sectional study was performed relying on 36 depth interviews with patients, 58 staff members and 15 family members, reviews of documents and observations by an independent assessment team consisting of the author, another psychiatrist, a nurse and a family member using the World Health Organization Quality Rights Tool Kit which uses the Convention on the Rights of Persons with Disabilities (CRPD) as its framework.

Findings

The study reported empirical insights into how the steps taken by the hospital to address several of the themes drawn from the CRPD require either improvement or initiation to comply fully with the convention’s themes.

Research limitations/implications

Respondents may have failed to disclose their true experiences due to fear of punishment.

Practical implications

Users admitted to mental hospitals have often been forgotten, thus becoming victims of violence, neglect and other human rights violations.

Social implications

An opportunity to promote public awareness of the rights of patients.

Originality/value

The importance of this study came from being the first documented evidence on service users’ perceptions of quality of care and observance of human rights in mental health residential facilities in Egypt after the new mental health law passed in 2009.

Details

International Journal of Human Rights in Healthcare, vol. 8 no. 4
Type: Research Article
ISSN: 2056-4902

Keywords

Content available
Article
Publication date: 6 February 2021

Theo Gavrielides

221

Abstract

Details

International Journal of Human Rights in Healthcare, vol. 14 no. 1
Type: Research Article
ISSN: 2056-4902

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