Analisis risiko penyaluran bansos terhadap penerapan good coporate governance pada dinas sosial Kabupaten Rote Ndao

The governance of the distribution of social assistance to the community can lead to social conflict if there is an imbalance. However, this creates many problems that occur in the regions, especially the social service as a sector that handles data improvement. Social assistance governance issues include social assistance data, types of social assistance and social assistance distributors. Research with qualitative methods with case study design. This type of research is participatory and explanatory with data collection techniques, namely survey observations and interviews, as well as document studies. The researcher participatively collected data and information from before 2019 to early April 2022 because the researcher was part of the Social Service of Rote Ndao Regency. Bowtie's analysis technique is used to identify the governance risks of social assistance distribution. The results obtained 11 unwanted events. With this KTD, related to the application of the GCG Tariff principle, measurement and risk assessment is carried out using a heat map, the risk value is obtained from level 10 to 20. Then, opportunity and impact mitigation is carried out so as to reduce the risk level to level 6 to 12. Each KTD has a different impact. different. had a negative impact on the distribution of social assistance and in particular greatly affected GCG. To improve the risk management culture for the distribution of social assistance, the mitigation that has been carried out so far by applying the GCG Tariff principle needs to be further enhanced into an organizational culture

Analisis risiko penyaluran bansos terhadap penerapan good coporate governance pada dinas sosial Kabupaten Rote Ndao

Tata kelola penyaluran bansos kepada masyarakat bisa menimbulkan konflik sosial apabila terjadi ketimpangan. Namun menimbulkan banyak persoalan yang terjadi di daerah khususnya dinas sosial sebagai sektor yang menangani perbaikan data. Permasalahan tatakelola bansos mencakup data bansos, jenis bansos dan penyalur bansos. Penelitian dengan metode kualitatif dengan desain studi kasus. Jenis partisipatif dan explanatory dengan teknik pengumpulan data yaitu observasi survey dan wawancara, serta studi dokumen. Peneliti secara partisipatif menghimpun data dan informasi dari sebelum tahun 2019 hingga awal April 2022 karena peneliti adalah bagian dari Dinas Sosial Kabupaten Rote Ndao. Teknik analisis bowtie digunakan untuk mengidentifikasi risiko tatakelola penyaluran bansos. Hasil penelitian diperoleh 11 kejadian yang tidak dikehendaki. Dengan KTD ini maka dihubungkan dengan penerapan prinsip TARIF GCG dilakukan pengukuran dan penilaian risiko dengan heat map diperoleh nilai risiko dari level 10 sampai 20. Kemudian dilakukan mitigasi peluang dan dampak, sehingga menurunkan tingkat risiko ke level 6 sampai 12. Masing masing KTD memiliki dampak yang negatif terhadap penyaluran bansos dan secara spesifik sangat mempengaruhi GCG. Untuk meningkatkan budaya manajemen risiko penyaluran bansos, maka mitigasi yang telah dilakukan dengan penerapan prinsip TARIF GCG perlu ditingkatkan lagi menjadi budaya organisasi./ The governance of the distribution of social assistance to the community can lead to social conflict if there is an imbalance. However, this creates many problems that occur in the regions, especially the social service as a sector that handles data improvement. Social assistance governance issues include social assistance data, types of social assistance and social assistance distributors. Research with qualitative methods with case study design. This type of research is participatory and explanatory with data collection techniques, namely survey observations and interviews, as well as document studies. The researcher participatively collected data and information from before 2019 to early April 2022 because the researcher was part of the Social Service of Rote Ndao Regency. Bowtie's analysis technique is used to identify the governance risks of social assistance distribution. The results obtained 11 unwanted events. With this KTD, related to the application of the GCG Tariff principle, measurement and risk assessment is carried out using a heat map, the risk value is obtained from level 10 to 20. Then, opportunity and impact mitigation is carried out so as to reduce the risk level to level 6 to 12. Each KTD has a different impact. different. had a negative impact on the distribution of social assistance and in particular greatly affected GCG. To improve the risk management culture for the distribution of social assistance, the mitigation that has been carried out so far by applying the GCG Tariff principle needs to be further enhanced into an organizational cultur

Comparison of prognostic scores and surgical approaches to treat spinal metastatic tumors: A review of 57 cases

Surgical treatment of metastatic spinal cord compression with or without neural deficit is controversial. Karnofsky and Tokuhashi scores have been proposed for prognosis of spinal metastasis. Here, we conducted a retrospective analysis of Karnofsky and modified Tokuhashi scores in 57 consecutive patients undergoing surgery for secondary spinal metastases to evaluate the value of these scores in aiding decision making for surgery. Comparison of preoperative Karnofsky and modified Tokuhashi scores with the type of the surgical approach for each patient revealed that both scores not only reliably estimate life expectancy, but also objectively improved surgical decisions. When the general status of the patient is poor (i.e., Karnofsky score less than 40% or modified Tokuhashi score of 5 or greater), palliative treatments and radiotherapy, rather than surgery, should be considered