Pengawasan Camat Dalam Penyelenggaraan Pemerintahan Di Kantor Kecamatan Soyo Jaya Kabupaten Morowali Utara

This research is to find out how the Camat Supervision in Government Administration at the Soyo Jaya District Office, North Morowali Regency. The types of data used are primary data and secondary data. Data collection techniques, carried out through observation, interviews, and documentation. Informant withdrawal technique using purposive. The number of informants in this study amounted to 5 people. The theory used is the theory of Siagian, which consists of 2 (two) aspects, namely: direct supervision and indirect supervision. Based on the results of the research conducted, that the Soyo Jaya Camat in organizing activities carried out by his employees (subordinates), has not been able to work effectively and efficiently and the supervision process carried out by the Soyo Jaya Camat is inconsistent and not carried out properly, it has an impact on performance. the organization as a whole is primarily concerned with the discipline of the state civil apparatus (ASN). The data found by researchers in the field lead to indications that the implementation of supervision is not going well, it can be seen from the emergence of several problem phenomena, namely the Camat is less regular in checking employee attendance through attendance, so that it has an impact on the organization of activities and has an impact on employee flexibility. in committing fraud against filling absenteeism by entrusting attendance attendance. In addition, the lack of directives and explanations by the Camat to employees regarding the rules and guidelines in every work implementation given to employees, so that compliance with the implementation of work is often ignored by employees which has an impact on work results that are less than optimal. Thus, from the two aspects of supervision above, there are still several things that need to be addressed, so that the supervision provided can be maximized.

Mortality Outcomes in Task-Sharing for Emergency Care: Impact of Emergency Physician Supervision on Non-Physician Emergency Care in Rural Uganda

Introduction Emergency care (EC) capacity is limited by physician shortages in low- and middle-income countries like Uganda. Task-sharing (delegating tasks to more narrowly trained cadres) including EC nonphysician clinicians (NPCs) is a proposed solution. However, little data exists to guide emergency medicine (EM) physician supervision of NPCs. The study objective was to assess the mortality impact of decreasing EM physician supervision of EC NPCs. Methods Retrospective analysis of prospectively collected data from an EC NPC training program in rural Uganda included three cohorts: Direct (2009-2010): EM physicians supervised all NPC care; Indirect (2010-2015): NPCs consulted EM physicians on an ad hoc basis; Independent (2015-2019): NPC care without EM physician supervision. Multivariable logistic regression analysis of three-day mortality included demographics, vital signs, co-morbidities and supervision. Sensitivity analysis stratified patients by numbers of abnormal vital signs. Results Overall, 38,344 ED visits met inclusion criteria. From the Direct to the Unsupervised period patients with greater than or equal to 3 abnormal vitals (25.2% to 10.2%, p<0.001) and overall mortality (3.8% to 2.7%, p<0.001) decreased significantly. Indirect and Independent supervision were independently associated with increased mortality compared to Direct supervision (Indirect Odds Ratio (OR)=1.49 [95%CI 1.07 - 2.09], Independent OR=1.76 [95%CI 1.09 - 2.86]). The 86.2% of patients with zero, one or two abnormal vitals had similar mortality across cohorts, but the 13.8% of patients with greater than or equal to abnormal vitals had significantly reduced mortality with Direct supervision (Indirect OR=1.75 [95%CI 1.08 - 2.85], Independent (OR=2.14 [95%CI 1.05 - 4.34]). Conclusion Direct EM physician supervision of NPC care significantly reduced overall mortality as the highest risk ~10% of patients had nearly 50% reduction in mortality. However, for the other ~90% of ED visits, independent EC NPC care had similar mortality outcomes as directly supervised care, suggesting a synergistic model could address current staffing shortages limiting EC access and quality.

Florida Rules for Direct Supervision of Unlicensed Pesticide Applicators

In the state of Florida there are three statutory chapters that dictate the rules for pesticide applications. Each chapter, 388 (mosquito), 482 (structural pest control), and 487 (agriculture and other sites), differs on who needs a license to apply pesticides and what the rules are for those who oversee unlicensed applicators. This new 3-page publication will define those rules and give guidance on what is needed to supervise unlicensed applicators in the state of Florida. Written by Brett W. Bultemeier and Erin E. Harlow and published by the UF/IFAS Pesticide Information Office.

Transitioning to Combined EBUS EUS-B FNA for Experienced EBUS Bronchoscopist

Endobronchial ultrasound (EBUS) combined with trans-esophageal endoscopic ultrasound bronchoscope guided fine need aspirate (EUS-B FNA) of mediastinal lymph nodes is an established procedure for diagnosis. The main barrier to a combined EBUS EUS-B FNA approach is availability of trained and accredited pulmonologist who can perform procedure safely and confidently. To address this gap, we undertook a training program for experienced EBUS bronchoscopists to train, learn, and incorporate combined EBUS EUS-B FNA into their procedural practice. Thirty-two patients were selected based on CT and or PET findings. Four experienced bronchoscopists participated by reading through learning material, observing 5 cases before performing EUS-B FNA under direct supervision. Forty-one lymph nodes and 6 non-nodal lesions were sampled. EUSAT assessment was performed by supervisor. Learning curves were derived from assessment scores. We observed that learning curve tends to plateau when participant can perform 3 or more consecutive cases with EUSAT score above 50. There were no complications. Our experience suggests that there is relative ease in transition to combined EBUS EUS-B TBNA procedures for mediastinal lymphadenopathy and lung cancer diagnosis and staging for experienced bronchoscopist using a program which incorporates direct supervision, EUSAT assessment, and extension of EUS B FNA training into daily real-world practice.

Foundation Management's Liability for the Criminal Action of Foundation Funds Abusing Justice for All (YKUS)

This type of research used in this research is normative analysis legal research. By using primary and secondary legal materials, along with tertiary legal materials as supporting materials. Foundations are regulated in Law Number 16 of 2001 concerning Foundations (Law No. 16-2001) and amendments to Law Number 28 of 2004 concerning Amendments to Law Number 16 of 2001 concerning Foundations (Law No. 28-2004). Then followed up with Government Regulation Number 63 of 2008 and Government Regulation Number 2 of 2013 concerning Amendments to Government Regulation Number 63 of 2008 concerning Implementation of the Law on Foundations (PP No.2-2013), and Regulation of the Minister of Law and Human Rights Number 5 of 2014 concerning Ratification of Foundation Legal Entities (PMH No. 5-2014). A person who establishes a foundation must have clear aims and objectives, namely one of which is for social, religious and humanitarian purposes. It’s undeniable that Article 3 paragraph (1) of Law no. 16-2001 that a foundation can carry out business activities to support the achievement of its goals and objectives by establishing a business entity and/or participating in a business entity. YKUS is a form of organization that operates in the social, religious and humanitarian fields. This is the basis for the AD/ART of YKUS to carry out activities that support humanity in the dynamics of national development. When YKUS funds as an institutional form must be used constitutionally for the benefit of the foundation and the institution, then there is direct supervision by supervisors, administrators and supervisors in anticipating Foundation funds where abuse of power may occur.

European List of Essential Medicines for Medical Education: a protocol for a modified Delphi study

IntroductionJunior doctors are responsible for a substantial number of prescribing errors, and final-year medical students lack sufficient prescribing knowledge and skills just before they graduate. Various national and international projects have been initiated to reform the teaching of clinical pharmacology and therapeutics (CP&T) during undergraduate medical training. However, there is as yet no list of commonly prescribed and available medicines that European doctors should be able to independently prescribe safely and effectively without direct supervision. Such a list could form the basis for a European Prescribing Exam and would harmonise European CP&T education. Therefore, the aim of this study is to reach consensus on a list of widely prescribed medicines, available in most European countries, that European junior doctors should be able to independently prescribe safely and effectively without direct supervision: the European List of Essential Medicines for Medical Education.Methods and analysisThis modified Delphi study will recruit European CP&T teachers (expert group). Two Delphi rounds will be carried out to enable a list to be drawn up of medicines that are available in ≥80% of European countries, which are considered standard prescribing practice, and which junior doctors should be able to prescribe safely and effectively without supervision.Ethics and disseminationThe study has been approved by the Medical Ethics Review Committee of VU University Medical Center (no. 2020.335) and by the Ethical Review Board of the Netherlands Association for Medical Education (approved project no. NVMO‐ERB 2020.4.8). The European List of Essential Medicines for Medical Education will be presented at national and international conferences and will be submitted to international peer-reviewed journals. It will also be used to develop and implement the European Prescribing Exam.

Entrustability levels of general internal medicine residents

Background Entrustable professional activities (EPAs) are those activities that a health professional can perform without direct supervision in a defined environment. Bridging the gap between competencies and learning objectives, EPAs have made assessing the performances of health professional more realistic. The main objective of the present study was developing and customizing EPAs for Iranian Internal Medicine Residency Programs. Results After reviewing the publications, residency curricula and logbooks, and collecting experts’ ideas, the initial list of EPAs was developed. Then, in a focus group, the list was refined, the entrustability level of each residency year was determined, and finally, the EPA-competency cross-tab was established, and in the next step, through a one- round Delphi, the results were validated. Twenty-eight EPAs were developed. Some of them were definitely suitable for the higher levels of residency, such that they had to be accomplished under direct supervision until the end of the program. On the other hand, some of EPAs were those that residents, even from the first year, are expected to perform independently or under indirect supervision. Most of the EPAs cover a wide range of competencies. Conclusion Determining the entrustability level of each residency year in each EPA as well as the competency- EPA matrix has crucial effect on the quality of the graduates. It seems that our findings are applicable in developing countries like Iran.

Effects of COVID-19 Lockdown on Adherence to Individual Home- or Gym-Based Exercise Training among Women with Postmenopausal Osteoporosis

Adherence is important for an exercise program’s efficacy. This study aims at investigating whether the COVID-19 lockdown had different consequences on the adherence to an exercise program specifically designed for women with postmenopausal osteoporosis when administered as individual home training (IHT) or gym group training (GGT). At the start of the lockdown, which imposed the temporary closure of any gym activities, GGT participants were invited to continue to exercise at home. IHT participants continued to exercise at home as usual. Adherence was recorded via logs and measured as the percentage of exercise sessions actually performed out of the total number of scheduled sessions in three 1-month periods: one before (PRE) and two after (M1 and M2) the beginning of lockdown. Before lockdown, IHT (66.8% ± 26.6) and GGT (76.3% ± 26.6) adherence were similar. During lockdown, IHT participation increased (M1: 81.5% ± 31.0; M2: 88.0% ± 28.3), while that of GGT showed no statistical differences (M1: 79.4% ± 34.2; M2: 80.6% ± 36.4). Exercise protocols based on supervised gym practice must consider the possibility of disruptive events, which could cause a sudden interruption of gym activity and include educational initiatives to instruct participants to exercise effectively and safely without a trainer’s direct supervision.

UPAYA NON PENAL BHABINKAMTIBMAS POLSEK PARIAMAN TIMUR DALAM PENCEGAHAN TINDAK PIDANA KORUPSI DANA DESA

Non-Penal Efforts by Bhabinkamtibmas of the East Pariaman Police in Preventing Corruption Crime Funds are to supervise the use of village funds in their respective regions. Bhabinkamtibmas supervises and monitors village funds using a direct supervision approach by assisting, monitoring and supervising the implementation of village development activities. The effort made is by delivering it at the mosque. Bhabinkamtibmas conveyed about village funds, namely about their use and forms of corruption that can occur in the management of village funds. Carry out activities of the residents' sambang and activities of using village funds. Legal Counseling at Village Offices / Community Figures Houses. This effort takes the form of face-to-face coordination with village fund management officers directly. Constraints faced include the low understanding of the duties and responsibilities of Bhabinkamtibmas members in carrying out tasks in the field, especially in understanding the implementation of tasks in building partnerships (Patnership Building) through a formality Polmas approach without any feedback from the community.