To remove putative contaminants from the 16S rRNA gene-sequencing information, we used an inventory of microbial taxa which might be typically found in adverse clean MEDICAL INDONESIA reagents, as described by Salter et al.eighty two. This record has beforehand been curated and annotated by Poore et al.12 by handbook evaluation of the literature. This curation allowed the discrimination of taxa which would possibly be ‘likely contaminants’, ‘potentially pathological or commensal genera’ and ‘mixed evidence’ genera which were described each as pathogens as well as contaminants. We flagged these taxa that have been ‘likely contaminants’ in addition to ‘mixed evidence’ for potential exclusion from our 16S rRNA gene-sequencing microbiome abundance matrix.
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In Indonesia, the number of smartphone customers has reached 167 million, or 89% of the total population [46]. The results of the questionnaire on this examine on the usage of well being applications part also confirmed that smartphones had been the most well-liked devices for patients or individuals to access well being purposes in Indonesia. Smartphones also provide unique features such as a camera, GPS, and contact screen that can be used to extend the usefulness of mobile PHR, similar to scanning and importing paper paperwork, recording sure symptoms, creating videos, or scanning bar codes for medical purposes [37]. The structure growth based mostly on the TOGAF can describe the necessity for integration into the PHR by describing who are the stakeholders concerned in the PHR. Architecture growth using the TOGAF might help align enterprise processes, knowledge, applications, and IT infrastructure [43]. The architectural design developed in this research covers the provision of important or primary routine health providers that always exist in the neighborhood, such as well being examinations, illness therapy, and immunization [44].
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The TOGAF 9.2 defines utility architecture as a blueprint for the functions to be developed, their interactions, and their relationship to the organization’s core business processes [34]. In addition, PHRs must have the option to connect with wearable devices for monitoring health information and family members. On the basis of the results of the business architecture design, other parties that have to be integrated with PHRs are PMI and the built-in emergency management system (sistem penanggulangan gawat darurat terpadu). Health facilities are the events which may be most built-in with the data in the PHR. The PHR is built-in with hospital information techniques (sistem informasi manajemen rumah sakit) in referral health amenities and first well being care data methods (sistem informasi puskesmas) in primary health facilities to access health records. Especially for Puskesmas, the PHR can be integrated with the Program Indonesia Sehat dengan Pendekatan Keluarga information system.
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Infectious illness is a really dangerous illness with a high mortality rate. Delays in dealing with the unfold of an infectious illness can be minimized utilizing an skilled system. This study makes use of an professional system as a disease consulting service that’s integrated with the well being care system. Integration with the health care system is used for the data acquisition course of.
In Indonesia, there are numerous mHealth apps or teleconsultation functions, corresponding to AloDokter, Halodoc, and Mobile JKN. AloDokter and Halodoc are related to health care providers, mostly personal clinics and hospitals, whereas Mobile JKN is for JKN patients in primary well being services such as Puskesmas and clinics. However, the exchange of well being information in these functions is one-way, from the well being facility or physician to the affected person. Previous analysis on the adoption of PHRs has also discovered that well being services in Indonesia typically don’t provide web-based access to patients’ health data [36]. This study provides a PHR mannequin that is connected with various well being care suppliers and is built-in into routine well being care practice in Indonesia.
