Pengaruh Pengawasan Terhadap Kinerja Pegawai Disperindag Sub Bidang Pengawasan Barang Dan Jasa Provinsi Riau

This study aims to determine and analyze the influence of supervision on the performance of employees of industry and trade sub division of supervision of goods and services Riau Province and its inhibiting factors. The type of research used is survey research,primary data source is all employees of Industry and Trade Sub Division of Supervision of goods and services Riau Province amounting to 85 people.Sampling technique by probability with census / saturated sampling technique is the sample taken based on the total population.Data analysis is done descriptively quantitative.The result of the research shows that supervision has positive and significant effect on employee performance with coefficient of determination (r2) value is 0,932,Meaning that 93.2% of employee performance is influenced by supervision.The inhibiting factor in supervision is that the leadership has not conducted regular and structured supervision.In addition there are difficulties in the supervision of goods and services in circulation because many new products and not in accordance with the standards

Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries

Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide.Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters.Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 percent of patients (2901 of 4223). Major complication rates (Clavien-Dindo grade at least IIIa) were 24, 18, and 27 percent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 percent; however, it was 41 per cent in low-to-middle-compared with 19 per cent in very high-HDI countries.Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761)