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UNEJ e-Proceeding
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PENILAIAN KAPASITAS ORGANISASI PENGELOLA EKOWISATA BERBASIS MASYARAKAT MELALUI ORGANIZATIONAL CAPACITY ASSESSMENT PADA EKOWISATA MANGROVE KOTA SURABAYA Sasmito Jati U; Sri Umiyati; Sri Wahyuni
UNEJ e-Proceeding Dinamika Global: Rebranding Keunggulan Kompetitif Berbasis Kearifan Lokal
Publisher : UPT Penerbitan Universitas Jember

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Organizational capacity assessment of managing ecotourism based on community is important to do on the organization in determining the capacity enhancement plan, based on a needs assessment of self. Assessment of the capacity of the organization can monitor the effectiveness of previous actions, evaluate progress in increasing capacity and identify areas within the organization managers who need reinforcement. This research aims to examine and assess the conditions existing organizational capacity managing of ecotourism based on community through organizational capacity assessment on Mangrove Ecotourism Wonorejo Rungkut and Wisata Anyar Mangrove Gunung Anyar in Surabaya. The result of the organizational capacity assessment. Methods in this study is elaborate the assessment capacity of UNDP (2008) and Mwiya Mundia (2009). Indicators of governance which is a combined value at the location of the study there is Incipient level. This is different on the indicators, indicators of management practices and service delivery indicators of External Relations on the level of Emerging. On human resources indicators and indicators of sustainability there is a Mature level.
GREEN TEA EXTRACT EFFECT ON BLOOD GLUCOSE LEVEL AND LIVER HISTOPATHOLOGY IN DIABETIC MICE Diana Holidah; Fransiska Maria Christianty; Wilda Zidni Ilma
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
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Diabetes mellitus is a disorder of hyperglycemia andglucose intolerance due to insulin deficiency,impaired of insulin receptor or both (Unwin et al.,2009). There are generally two types of diabetes aretype 1 diabetes (pancreatic beta cell damage causedabsolute insulin deficiency) and type 2 (acombination of a lack of insulin production andsecretion and sensitivity to insulin receptor) (Dipiroet al, 2008).Diabetes mellitus disease is increasing rapidly inworlwide. The incidences in 2010 were about 285million people and It has been estimated that by theyear 2025, the global incidence of diabetes wouldincrease to 350 million (International diabetesfederation, 2006).In diabetes, activation of hepatic gluconeogenesisenzymes can increase glucose production and thuscontribute to increase blood glucose which coulddeteriorate diabetes (Sundaram et al., 2013). Thestate of diabetes characterized by decreased insulinsensitivity is the major cause of NAFLD (Non -Alcoholic Fatty Liver Disease), because in diabetesstate occurs disorders of glucose metabolism and fatso that could result in fibrosis, infiltration,necroinflamation, to acute liver disease (Marchesiniet al., 2001).Treatment of diabetes mellitus is chronic and longlife, causing undesirable side effects (Unwin et al.,2009). Metformin is an oral hypoglycemic agent,which belongs to the class known as the biguanides.Metformin is now widely used as one of themainstays in the management of type 2 diabetes.Metformin reduces fasting plasma glucoseconcentration by reducing rate of hepatic glucoseproduction via gluconeogenesis and glycogenolysis.Metformin improves glycemic control asmonotherapy and in combination with other oralantidiabetic agents, such as sulfonylureas andthiazolidinediones (Frendell et al. 2003).Several plant extracts are known to have antidiabeticproperties and a large number of compounds fromplant extracts have been reported to have beneficialeffects for treatment of diabetes mellitus (Anhauser,2003). Tea (Camellia sinensis L.) is one of plant thatcan decrease blood glucose. Green tea is producedby enzymatic inactivation of the leaves of Camelliasinensis followed by rolling or comminution anddrying. In the manufacturer of green tea, theenzymatic inactivation achieved by steam or panfiring treatment to preserve natural polyphenolswith respect to the health promoting properties.Green tea derived products are mainly extracts ofgreen tea in liquid or powder form varying in theproportion of polyphenols (45-90%) and caffeinecontent (0.4-10%). The polyphenolic fraction ofgreen tea, has been reported to have multiplepharmacological actions (Sano et al., 1995).Green tea is an excellent source of polyphenolantioxidants, known as green tea catechins. Theimportant catechins of green tea are epicatechin(EC), epicatechin-3-gallate (ECG), epigallocatechin(EGC) and epigallocatechin-3-gallate (EGCG). Thepolyphenolic fractions of green tea have beenreported to have multiple pharmacological actions.They exhibit potent antioxidant activity in vitro andin vivo. Epidemiologic observation and laboratorystudies have indicated that polyphenolic compoundspresent in the tea may reduce the risk of a variety ofillnesses, including cancer and coronary heartdisease (McKay and Blumberg 2002).Some studies suggest that green tea extract loweredcholesterol levels and blood glucose on mice and rat(Yang et al., 2001). Green tea extract at dose of300mg /kg /day can lower blood glucose in diabeticrats and was also able to reduce the lipids in heartdefects (Babu et al., 2006). Blood glucose loweringactivity of green tea was greater and totalpolyphenol content was higher when compared withblack tea and oolong tea (Holidah et al., 2015).
EFFECT OF INSTRUCTIONAL VIDEO OF SPLINTING PROCEDURE TO NURSING STUDENTS SPLINTING SKILL (PREHOSPITAL SETTING) Rismawan Adi Yunanto; Yuana Dwi Agustin
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UPT Penerbitan Universitas Jember

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Musculoskeletal injuries (MSI) is one kind ofinjury that is often experienced by people who havean accident (Chalya et al. 2012). Fracture is one ofthe symptom caused by some types of accidentssuch as traffic accidents (45.3%), falls (42.6%),workplace accidents (8.9%), sport accidents (2.2%),or as a result of gun shots (0.89%). The effect ofmusculoskeletal injuries is the emergence ofextreme pain, mobilizing problem, and severebleeding that may also occur depending on thelocation and type of the fracture (Vyas et al. 2014).Research conducted by Mishra and Mishra (2015)showed that in 30% of patients who had an accident,18% had a single fracture, while some patients hadmultiple fractures. The complications due tofractures can be a serious problem such as malunion,nonunion, pain, loss of function, muscle atrophy,cartilage degeneration, stiff / swollen joint, deepvein thrombosis (DVT), pulmonary embolism (PE),and died due to massive bleeding (Mehta et al.2014).Prehospital care and transportation for patientswho had fracture must done immediately in order toprevent the injured bone getting worse and canreduce the extreme pain which emerged as a resultof fracture (El-Dakhakhny, 2010). Splinting is one ofthe procedure that is given with the purpose to givean immobilization in a patient (Irajpour et al. 2012).As a simple technique, splinting procedure is veryeasy to do as an effective option that highly effectivein the treatment of patient with fracture on theemergency situation (Alton et al. 2014). Splintingprocedure is quite simple, but it require a form ofunderstanding and set of skills to do correctly.Nursing students have a very important role inassisting the process of handling victims who issuffering from fracture. They also need to have aspecial skill in doing a splinting procedure. Aninnovative teaching method using technology is veryimportant for nursing student to master the splintingprocedure effectively (Parasuram et al. 2014).One of the strategies of innovative learningmodel based on modern technology is an audiovisualinstructional video that gives a real applicationconcept of nursing procedure or other nursingexperience in a video form (Jenson & Forsyth, 2012).The use of this model will provide an understandingof the concept for nursing students independently togain the knowledge and also the set of skills (Cant &Cooper, 2010). Smith and Hamilton (2015) in theirresearch on the effects of instructional video as oneof strategies of learning in nursing student showedthat the model of learning with instructional videoprovided convenience for nursing students toenhance clinical skills for the basic competencies innursing.The purpose of this study is to determine theeffect of instructional video of splinting procedure tonursing students splinting skill.
PERANAN STRATEGI DIFERENSIASI PRODUK BERBASIS CREATIVE ENTEPRENENUR UNTUK MENINGKATKAN KEUNGGULAN KOMPETITIF PRODUK Nawangsih .
UNEJ e-Proceeding Dinamika Global: Rebranding Keunggulan Kompetitif Berbasis Kearifan Lokal
Publisher : UPT Penerbitan Universitas Jember

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The research objective was to determine the role of product differentiation strategy based enteprenenur creative and competitive advantages of the product. Research conducted using qualitative descriptive method with case study approach, data collection techniques using snowball sampling through interviews, observation and document study. The results showed that the role of product differentiation strategy based creative entrepreneur is able to be an effective solution to improve the competitive advantage of the product because it can create a new market share and potential to be developed. The competitive advantage of the resulting product is a product of creative design with the theme of environmental awareness and potential of the local area. The implication of the study is to contribute positively to the government to give more attention to the local potential of the region and the presence of young entrepreneurs in creating business opportunities and new, more productive, economically valuable high by empowering the local community as a subject in the business activities undertaken by way of establishing a business partnership.
MODEL KOMUNIKASI PEMERINTAH UNTUK KEBIJAKAN AKSELERASI PENINGKATAN STATUS PASAR TRADISIONAL - MODERN Umi Chayatain; Saudah .
UNEJ e-Proceeding Dinamika Global: Rebranding Keunggulan Kompetitif Berbasis Kearifan Lokal
Publisher : UPT Penerbitan Universitas Jember

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The article attempts to investigate a model of public communication between the government agency and social networking vendors within the traditional market in a bid to speed up the policy of altering the position of traditional market to the modern and to determine the contribution of communication traders in the market environment. Employing descriptive explanatory approach, the research whose informant are government agency official and a number of vendor tries to examine the public communication between the two parties in an effort to change the position of traditional market to the current-fashioned market. The research found that the public communication model has succeeded in tailoring a cordial partnership between themthat enables them to reach a consensus on altering the status of market. Added to that, it has brought about an effective interaction the concerned parties for accomplishing the goal. Social network traders into reinforcing the implementation of the economic activity in traditional markets. The research finding will help government agency resolve the conflict usually occur between traders and government regarding market-place status change especially when it deals with improving vendor’s social and economic empowerment.
COMMUNITY PHARMACISTS’ COUNSELLING SKILLS ON OVER-THE-COUNTER (OTC) MEDICATIONS Elizabeth Yu Tan; Antonius Nugraha Widhi Pratama
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UPT Penerbitan Universitas Jember

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Patient counseling is a responsibility of a pharmacist,more so, for a community pharmacist. It has alwaysbeen attached to the roles and responsibilities of apharmacist. Patient counselling is a growingdemand by patients who purchase medications inpharmacies. In Cebu City, patient counselling hasbeen observed to be rare to none by patients whichcan be attributed to many reasons. In a study, Issuesand Concerns on Utilization of the PharmacyWorkforce in the Philippines by Loquias and Robles(2012), the researchers found that pharmacists inthe community setting are hard to fill positions.Pharmacy owners hire even those who have noplans to stay. Due to the fast turnover ofpharmacists, training and development has becomemore costly for owners. This could meanunavailability of pharmacists in the drugstore atcertain times of the year to provide counselingservice. The community pharmacists are expected todo managerial tasks such as purchasing andinventory, sales monitoring, and even personnelsupervision which takes up most of the shift hours ofthe pharmacists. Patient counseling takes abackseat and is only provided when patients asks forit. In a study on Assessment of CommunityPharmacists Willingness and Barriers of MedicationTherapy Management (MTM) Focused on PainManagement and Mental Health by Keller, et al.(2014), community pharmacists strongly agreed thatthey will benefit from additional training on pain anddepression medication management. This is theexpressed concern community pharmacists in theUnited States of America who have a Doctor ofPharmacy (PharmD) degree and adequate training tomanage patients. The Pharmacy degree in thePhilippines is mostly Bachelor of Science inPharmacy and is a 4-year program versus the 6-yearprogram of PharmD. Ramanath et al. (2011) lookedinto the effect of a training module in improvingpatient counselling in the study. The researchersfound significant difference in the pre-post testscores of the pharmacists who participated in thetraining module. Participants also expressed theneed for more of such training in order to gainconfidence in patient counselling. The researchersare looking at the need to retool communitypharmacists so that they can be confident to counselpatients, especially those who are buying over-thecounter(OTC) medications. These are accessible topatients without prescription. In a prospective longtermmulti-centre study performed by Schmeidl, etal. (2014) on self-medication with over-the-counterand prescribed drugs causing adverse-drug-reactionsrelated to hospital admissions, it showed that whileself-medication does not really cause adverse drugreaction that leads to hospitalisation, the elderlypatients, and those receiving interacting prescribeddrugs may benefit with information from thecommunity pharmacists. The commonly seenadverse drug reactions are gastrointestinalcomplaints caused by NSAIDs.
ANALYSIS OF FACTORS THAT RELATED MATERNAL SEVERE PREECLAMPSIA TO THE ASPHYXIA OF NEW BORN BABY IN SOEBANDI HOSPITAL JEMBER REGENCY Ida Srisurani Wiji Astuti
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UPT Penerbitan Universitas Jember

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An American study (Nawal,M. 2008) saidthat“Approximately 529,000 women die frompregnancy-related causes annually and almost all(99%) of these maternal deaths occur indeveloping nations. One of the United Nations’Millennium Development Goals is to reduce thematernal mortality rate by 75% by 2015. Causes ofmaternal mortality include postpartumhemorrhage, eclampsia, obstructed labor, andsepsis. Many developing nations lack adequatehealth care and family planning, and pregnantwomen have minimal access to skilled labor andemergency care. Basic emergency obstetricinterventions, such as antibiotics, oxytocics,anticonvulsants, manual removal of placenta, andinstrumented vaginal delivery, are vital to improvethe chance of survival.”Nationally, East Java province occupies the top fivethe rising trend in maternal mortality continues tooccur in East Java. There were 487 cases in 2008,535 cases in 2009, 598 cases in 2010 and 627 casesin2011. The area of ‘Tapal Kuda’ contributes thehighest maternal mortality rate, particularlyJember, Banyuwangi, Situbondo, Bondowoso, andLumajang. Based on data from Health Profile ofEast Java Province in 2011, Jember occupied thetop rank of 38 regencies/cities in East Java. 54cases of maternal death illustrate the poor state. Itcan be said that for four consecutive years (2008-2011), Jember Regency had not shifted from thefirst rank (Dinkes Propinsi Jatim, 2012).In 2012, from January 1st until December 31thSoebandi hospital noted that 423 mothers withpreeclampsia which 319 were severe preeclampsia(Adawiyah, 2014).Perinatal outcome assessment could be done byusing Apgar Score (AS). Less value AS which babydetected in the first minute did not endorse theout come in the future. A retrospective researchconcluding that AS in the early five minute stillbeing important predictor for neonatal deaths, butit cannot use to know about long life outcome. Inother data, amount 13.399 the premature baby(less than 26-36 week) revealed neonatal deathshigher ( 315/ 1000) with AS 0-3 in the first minutethan ( 5/1000 ) with AS 5-7 in the early fiveminutes (Brian, M, et al. 2014).Equal to the imunologic theory by Sudhaberata(2001), due to the mother on the first pregnant willbe formed blocking antibodies. In other side, in thefirst pregnant being performed Human LeucocyteAntigen Protein G (HLA) which conducted maternalimunity. This can make mother rejects product ofconception (placenta) or being intoleratedbetween mother and placenta wich can conductpreeclampsia. Beside that, Desfauza (2008)claimed that any relationship significantly betweenquantity of give birth with asphyxia of the newbornbaby. Data showed mother with 1 - >3 times givebirth ( 60,5% asphyxia) more higher risk than 2 – 3times give birth (36,7% asphyxia).Gestational nutritional status very important toreach well being health status for mother andbaby. Women with low body mass index can getnegative effect when labor such as preterm andlow weight body of the baby (Papathakis, 2005).Conversely, the women with over BMI gets morehigh risk in gestational such as abortion, labor withsectio caesare, preeclampsia, trombosis, perinataldeaths, and macrosomia (Yu, 2006).
RE-MERK USAHA SAPI PERAH BERBASIS KEARIFAN LOKAL DI KABUPATEN JEMBER Hary Sulaksono
UNEJ e-Proceeding Dinamika Global: Rebranding Keunggulan Kompetitif Berbasis Kearifan Lokal
Publisher : UPT Penerbitan Universitas Jember

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The purpose of writing this article is to examine the potential of indigenous businesses cattle (beef and dairy cattle) which is the basis of competitive advantage  Jember  regency, livestock sub-sector. This paper is an approximation (approach) to know and understand the phenomenon triggers rebranding effort dairy cattle and the impact of brand equity strategy dairy cattle business. The approach in the formulation of ideas, among others, include: 1) in the province of East Java, Jember regency is a beef cattle production center with a population number 2 (two) after Sumenep regency; 2) East Java Province is the largest producer of fresh milk in Indonesia; 3) Jember district is a center for dairy development in the eastern part of East Java, with the population increasing; 4) rebranding cattle business that rely on beef cattle but can be combined with dairy cows. The result of thinking that can be learned are: 1) the accuracy of determining the rebranding strategy dairy cows; 2) capability of human resources; competitive advantage rests on innovative differentiation; 3) the role of government and stakeholders are synergistic.
VARIABEL YANG MEMPENGARUHI STRUKTUR MODAL DENGAN PROFITABILITAS SEBAGAI VARIABEL INTERVENING (STUDI PADA INDUSTRI MANUFAKTUR DI BURSA EFEK INDONESIA) Diana Dwi Astuti; Chusnul Hotima
UNEJ e-Proceeding Dinamika Global: Rebranding Keunggulan Kompetitif Berbasis Kearifan Lokal
Publisher : UPT Penerbitan Universitas Jember

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This study aimed to analyze the influence asset structure, company size, growth, liquidity business risk to capital structure with profitability as an intervening variable in companies listed on the Stock Exchange in 2010-2014. The data used in this research is secondary data. Selection of the samples in this study conducted by purposive sampling. Based on the existing criteria, obtained a sample of 17 companies. Data analysis technique used is path analysis. Based on the analysis of data from five independent variables only variable asset structure and liquidity influential significance to profitability, while the variable size of companies, growth companies, and business risk has no significant effect on profitability. And of the six independent variables only variables that affect the liquidity of the capital structure. In the independent variables are able to moderate profitability variable asset structure, growth, liquidity and business risks, while veriabel sized companies can not afford to moderate profitability on capital structure.
NOVEL METHOD THYROID HORMONE MEASUREMENT Ari Tri Wanodyo Handayani
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UPT Penerbitan Universitas Jember

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Iodine is an essential mineral of thyroidhormones produced by the thyroid gland. These areessential for life which therefore, makes iodinecrucial. Although goiter is the most visible sequelaeof iodine deficiency, the major impact ofhypothyroidism due to iodine deficiency (1). Thereare 2 billion people are at risk of goiter due toinsufficient intake of iodine. Nearly 266 millionschool-aged children world-wide have insufficientiodine intake (2). The school children formedrepresentative study population for iodine statusestimation as they represent community (3).Decreased thyroid hormones levels(hypothyroidism), by contrast, is associated withdecreased metabolic rate. Most of these effects aredue to the direct action of thyroid hormones ontarget tissues and direct actions on genes expression(4).Thyroid stimulating hormone (TSH),secreted by the anterior pituitary in response tofeedback from circulating thyroid hormone. TSHregulates iodide uptake mediated by thesodium/iodide symporter, followed by a series ofsteps necessary for normal thyroid hormonesynthesis and secretion. Thyroid hormone isessential for normal development, growth, neuraldifferentiation, and metabolic regulation (5).Although the presence of thyroid hormoneis crucial, it has not become part of a routine checkup on the public service because it is costly. Centralpublic health laboratory does not serve the thyroidhormone tests (6). Besides, blood test to measurethyroid hormone is considered quite painful. Lately,research on oral fluid (saliva) which can be used asthe unit of test analysis emerged. saliva can be seenin many cases as a reflection of the physiologicalfunction of the body. There have been concernsabout the use of saliva for diagnostic purposes dueto its low concentration of analytes in comparison toblood (7). However, the examination of the thyroidhormones using saliva have not been used. Thepresent investigation was aimed to analyze thethyroid hormone assays using saliva.MATERIAL AND METHODSThe research was an experimental laboratory. Theused animals were male Wistar rats aged 10-11weeks as many as 21 rats which were divided into 3groups. K was control group which received the 6-week standard food and drink. P1 was the firsttreatment group (iodine deficiency) which receivedPTU (6mg/kg/BW) using intragastric intubationmethod for 6 weeks. P2 was the second treatmentgroup which received PTU (6mg/kg/BW) usingintragastric intubation method for 6 weeks followedby Levothyroxine (10μg/100mg/BW) administrationusing the same method for 4 weeks. At the end ofthe study, saliva and blood of rats was taken andthen the rats were sacrificed. The specimen wereexamined for the levels of T3, T4, TSH using ELISAprocedure using Rat U-T3 (UltrasensitivityTriiodothyronine) kit, Catalog No: E-EL-R1050(Elabscience); Rat T4 (Thyroxine) kit, Catalog No: EEL-R0981 (Elabscience); and Rat TSH (ThyroidStimulating Hormone) kit, Catalog No: E-EL-R0976(Elabscience). The data were collected andstatistically analyzed using ANOVA Mutivariate.

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