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An innovative healthcare delivery model in Greater Detroit is proposed to integrate religious and cultural identities with health strategies to address specific disparities, such as higher rates of diabetes and cardiovascular diseases linked to poor sleep, among minority communities, particularly among its diverse Muslim population. This model advocates for culturally conscious care, deeply appreciating the sociocultural determinants of health. It proposes utilizing mosques as community hubs to deploy sleep health ambassadors trained in sleep science and cultural sensitivity. These ambassadors would engage the community through trusted platforms, offering tailored health interventions aligned with religious practices and cultural norms. This approach not only promises improved health outcomes, such as enhancements in sleep quality, reductions in sleep-related health issues, and increased community health awareness, but also empowers the community by incorporating local religious leaders and stakeholders in program planning and implementation, for example, through the introduction of tailored sleep hygiene workshops that align with the timing of religious practices, such as Ramadan, and culturally sensitive screening for sleep apnea. Success will be measured by improvements in self-reported sleep quality, a reduction in daytime sleepiness, and community surveys assessing awareness and engagement. By demonstrating efficacy in managing sleep health, this model could scale to address broader health issues, ensuring interventions are culturally appropriate and effectively managed within community-specific contexts. This model holds the promise of significantly reducing health disparities by adapting health interventions to the cultural and religious contexts of communities, potentially transforming the landscape of community health management.
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The interplay between Islamic prayer timings, particularly Fajr (the predawn prayer) and Isha (the night prayer), and sleep health is a critical area of study, revealing the significant impact of these religious practices on sleep patterns. Astronomical calculations used to determine these prayer times involve observing the sun's position relative to the horizon at specific degrees of twilight, which can vary, potentially leading to differences in sleep duration and quality among Muslims. This variation is influenced by factors like geography and seasonality, especially in regions far from the equator where daylight hours shift dramatically. For instance, during longer summer days in the northern latitudes, the time for Isha can extend late into the night, potentially shortening sleep if adherents rise early for Fajr. Conversely, in winter, earlier nightfalls may allow for longer sleep periods before Fajr. It is important to highlight the challenges Muslims face in balancing their spiritual obligations with the need for restful sleep. The discussion extends to the implications for healthcare providers, who must navigate cultural sensitivities and promote sleep hygiene within the framework of Islamic practice by suggesting flexible sleep schedules, the strategic use of naps, and education on the importance of maintaining consistent sleep routines.
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Introduction Influenza is a major global health concern, with its rapid spread and mutation rate posing significant challenges in public health education and communication. Effective patient education materials (PEMs) are crucial for informed decision-making and improved health outcomes. This study evaluates the efficacy of online influenza PEMs using traditional readability tools and introduces the Contextual Health Education Readability Score (CHERS) to address the limitations of existing methods that do not capture the diverse array of visual and thematic means displayed. Materials and methods A comprehensive search was conducted to select relevant online influenza PEMs. This involved looking through Google's first two pages of results sorted by relevance, for a total of 20 results. These materials were evaluated using established readability tools (e.g., Flesch Reading Ease, Flesch-Kincaid Grade Level) and the Patient Education Materials Assessment Tool (PEMAT) for understandability and actionability. The study also involved the creation of CHERS, integrating factors such as semantic complexity, cultural relevance, and visual aid effectiveness. The development of CHERS included weighting each component based on its impact on readability and comprehension. Results The traditional readability tools demonstrated significant variability in the readability of the selected materials. The PEMAT analysis revealed general trends toward clarity in purpose and use of everyday language but indicated a need for improvement in summaries and visual aids. The CHERS formula was calculated as follows: CHERS = (0.4 × Average Sentence Length) + (0.3 × Average Syllables per Word) + (0.15 × Semantic Complexity Score) + (0.1 × Cultural Relevance Score) + (0.05 × Visual Aid Effectiveness Score), integrating multiple dimensions beyond traditional readability metrics. Discussion The study highlighted the limitations of traditional readability tools in assessing the complexity and cultural relevance of health information. The introduction of CHERS addressed these gaps by incorporating additional dimensions crucial for understanding in a healthcare context. The recommendations provided for creating effective influenza PEMs focused on language simplicity, cultural sensitivity, and actionability. This may enable further research into evaluating current PEMs and clarifying means of creating more effective content in the future. Conclusions The study underscores the need for comprehensive readability assessments in PEMs. The creation of CHERS marks a significant advancement in this field, providing a more holistic approach to evaluating health literacy materials. Its application could lead to the development of more inclusive and effective educational content, thereby improving public health outcomes and reducing the global burden of influenza. Future research should focus on further validating CHERS and exploring its applicability to other health conditions.
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Introduction The advent of social media platforms, notably TikTok, has significantly transformed the landscape of health information dissemination, offering both opportunities and challenges for public health communication. This study focuses on TikTok's influence on sinus health information, addressing the dual challenge of widespread engagement and the risk of misinformation in otolaryngology, or ENT (ear-nose-throat), information online. We introduce the ENT Content Engagement and Quality Index (ENT-CEQI), a pioneering tool designed to assess the quality and engagement of ENT-related content on TikTok, aiming to improve public understanding of sinus health. Materials and methods Our methodology involved a systematic analysis of sinus health-related content on TikTok. We collected data on the top 100 most popular videos using the hashtag #sinus at two different points in time, analyzing engagement metrics and content quality. The ENT-CEQI was developed to evaluate content, incorporating both quantitative engagement metrics (views, likes, comments, shares, favorites) and qualitative assessments (accuracy, clarity, relevance, practicality, engagement). The study employed statistical analyses, including trend analysis, correlation analysis, principal component analysis (PCA), KMeans clustering, regression analysis, and the Kruskal-Wallis test, to understand the dynamics of content engagement and quality. Results Initial findings revealed significant disparities in engagement metrics and quality scores among different content creator categories, with physician-generated content showing the highest engagement and quality. The trend analysis indicated shifts in content popularity and quality over time, with a notable increase in views and likes for private company content. The PCA and clustering analyses identified distinct content clusters, offering insights into viewer engagement patterns. Regression analysis and the Kruskal-Wallis test, however, did not find significant predictors (p-value: 0.3916) of content quality or differences in likes across content types, suggesting complex factors influencing content engagement and quality perception. Discussion The study highlights TikTok's potential and pitfalls in disseminating sinus health information. The introduction of the ENT-CEQI represents a major step toward enhancing the evaluation of health content on social media, emphasizing the importance of accuracy, clarity, and relevance in public health communication. The analysis underscores the complexity of social media engagement and the need for robust tools to assess content quality. It also points to the critical role of healthcare professionals in engaging with the public through social media to combat misinformation. Conclusions TikTok serves as a potent platform for sinus health education, capable of reaching wide and diverse audiences. The ENT-CEQI emerges as a vital tool for assessing the quality and engagement of ENT-related content, guiding content creators toward producing more reliable and informative content. This study contributes to the understanding of social media's role in health communication, advocating for the strategic use of innovative tools such as the ENT-CEQI to enhance public health outcomes through improved online health education and misinformation management.
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Introduction Asthma's global prevalence underscores the need for accessible health information dissemination, especially in the digital age. TikTok, known for its wide reach and diverse content, presents both opportunities and challenges in health information dissemination. This study aims to characterize the quality and reach of asthma-related content on TikTok and introduces the Video Health Information Credibility Score (VHICS) as a novel tool for quality assessment. Materials and methods We used a systematic methodology to analyze the top 100 TikTok videos by the number of likes tagged with #asthma. Data were collected in June 2023 and January 2024 to allow for temporal trend analysis. Videos were evaluated based on engagement metrics (views, likes, comments, shares, and favorites) and quality using the DISCERN instrument. Results Our analysis showed that physician-generated content accounted for a significant proportion of asthma-related videos, with varying levels of engagement. The DISCERN scores, with a range of 1 (lowest) to 5 highest), provided insights into content quality, revealing trends in user engagement and information reliability over time. Temporal analysis indicated changes in content creation and audience interaction. Discussion The study highlights the evolving landscape of digital health communication on TikTok. The introduction of VHICS added depth to the quality assessment of future directions, indicating the necessity for accurate and reliable health information on social media. The findings suggest an imperative for healthcare professionals to address misinformation and leverage digital platforms for patient education effectively. Conclusions TikTok is a significant medium for health information dissemination, with substantial potential for impact in patient education. The introduction of VHICS can enrich the analysis of video content, offering a robust tool for assessing the quality of health information on social media. This study underscores the importance of credible, clear, and audience-relevant health communication in the digital era.
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Telemedicine emerges as a critical innovation in Pakistan, aiming to overcome the nation's unique healthcare delivery challenges, including inadequate facilities, professional scarcity, and access disparities. Examining telemedicine's potential to bridge the healthcare gap, particularly in rural and underserved regions plagued by a digital divide and infrastructural deficits, is crucial. There is a critical need for robust digital infrastructure, regulatory frameworks, and digital literacy to facilitate telemedicine adoption. By highlighting the socio-economic and logistical obstacles alongside proposed strategic interventions, the analysis suggests that telemedicine can significantly enhance healthcare accessibility, efficiency, and equity across Pakistan, offering a pragmatic solution to its pressing healthcare needs while also opening room for artificial intelligence in the landscape.
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INTRODUCTION: The rise of artificial intelligence in medical practice is reshaping clinical care. Large language models (LLMs) like ChatGPT have the potential to assist in rheumatology by personalizing scientific information retrieval, particularly in the context of Sjögren's Syndrome. This study aimed to evaluate the efficacy of ChatGPT in providing insights into Sjögren's Syndrome, differentiating it from other rheumatological conditions. MATERIALS AND METHODS: A database of peer-reviewed articles and clinical guidelines focused on Sjögren's Syndrome was compiled. Clinically relevant questions were presented to ChatGPT, with responses assessed for accuracy, relevance, and comprehensiveness. Techniques such as blinding, random control queries, and temporal analysis ensured unbiased evaluation. ChatGPT's responses were also assessed using the 15-questionnaire DISCERN tool. RESULTS: ChatGPT effectively highlighted key immunopathological and histopathological characteristics of Sjögren's Syndrome, though some crucial data and citation inconsistencies were noted. For a given clinical vignette, ChatGPT correctly identified potential etiological considerations with Sjögren's Syndrome being prominent. DISCUSSION: LLMs like ChatGPT offer rapid access to vast amounts of data, beneficial for both patients and providers. While it democratizes information, limitations like potential oversimplification and reference inaccuracies were observed. The balance between LLM insights and clinical judgment, as well as continuous model refinement, is crucial. CONCLUSION: LLMs like ChatGPT offer significant potential in rheumatology, providing swift and broad medical insights. However, a cautious approach is vital, ensuring rigorous training and ethical application for optimal patient care and clinical practice.
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Background and objective The growing cultural and religious diversity in healthcare settings necessitates clinicians to integrate cultural competence and sensitivity into their practice. Despite significant research focusing on the hijab worn by Muslim women, there is a gap in understanding the dermatological implications of the taqiyah and imamah, worn by Muslim men. In light of this, this study aimed to offer insights into delivering culturally conscious dermatological care for Muslim men wearing these garments, thereby bridging a crucial knowledge gap. Materials and methods The study employed a comprehensive research strategy that encompassed both medical literature and foundational Islamic texts. PubMed, Web of Science, and Scopus were used for medical literature searches, while al-Maktabah al-Shamela and Sunnah.com, along with Quranic and Hadith translations were consulted for religious insights. A thematic analysis was employed to identify patterns, challenges, and unique points, ensuring a holistic understanding of the subject. Results Our findings revealed that wearing a taqiyah or imamah has both beneficial and detrimental dermatological effects, depending on factors such as climate, fabric, and hygiene practices. While the garments are rooted in Islamic tradition, their use varies based on cultural context rather than strict religious guidelines. Moreover, gender dynamics and the concept of privacy ('awrah) within Islamic teachings have implications for healthcare interactions. The study offers practical guidelines for dermatological care tailored to Muslim men wearing a taqiyah or imamah. It emphasizes the importance of material choice, hygiene practices, and the willingness of many Muslim men to be accommodating in medical settings, albeit with some reservations. The paper also discusses the role of telemedicine in culturally sensitive healthcare delivery, recommending measures such as secure communication channels and self-imaging options. Conclusion The paper provides comprehensive recommendations aimed at delivering culturally and religiously sensitive dermatological care to Muslim men wearing a taqiyah or imamah. By integrating both medical best practices and a nuanced understanding of Islamic customs, healthcare providers can foster a more trusting and effective care relationship, thereby improving patient satisfaction and dermatological outcomes.
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Background With TikTok's rising popularity as a hub for health information dissemination, the quality and nature of such content require assessment. This study investigates the popularity and quality of the top 100 most-liked videos tagged with "#acne" on TikTok. This study aims to examine the engagement and quality of acne-related content on TikTok, assess contributions from diverse sources, including physicians and non-physicians, and guide healthcare professionals in leveraging this platform for public health education. Methodology A cross-sectional analysis of the top 100 most-liked videos tagged with "#acne" on TikTok as of June 7, 2023, was conducted. Parameters assessed included the profession of the creator, gender, specialty, content type, and other observable characteristics. The quality was measured using the DISCERN tool. Results Of the dataset, 38 videos were by physicians and 29 by non-physicians. Physician-created content had higher mean views, likes, comments, shares, and favorites than non-physician-created content. Videos by dermatologists and non-dermatologists received similar engagement. Videos sharing personal experiences achieved the highest DISCERN score. Overall, DISCERN scores were uniformly low across all categories. Conclusions Physicians, especially dermatologists, are trusted sources of acne-related information on TikTok. The study underscores the need for professionals to provide reliable, evidence-based information on such platforms, guiding effective health communication in the digital age.
