Hospital service quality was a degree of discrepancy between patients’ perceptions and their expectations about hospitals services. Service quality which was provided by medical staff emphasizes the actual hospital service process.  In the hospital, patients’ satisfaction could be widely used to determine hospital service quality. The purpose of this study was to analyze the influence of medical staff services quality on patients satisfaction based on SERVQUAL dimensions. This study used an analytic observational design with cross-sectional approach. There were 314 respondents taken from inpatients hospital admission using simple random sampling. Based on regression analysis results, five dimensions of health services quality affect patients’ level of satisfaction and obtained the equation of Y = 0.026 + 0.226X1 + 0.332X2 + 0.1X3 + 0.075X4 + 0.235X5, this explained  that patients’ satisfaction was affected by all dimensions of health service quality (RATER) simultaneously. However, different values will be obtained if all dimensions were measured separately, range from 10% to 33.2%.  It could be concluded that patients’ satisfaction were influenced by the quality of medical staff services through its five components: reliability, assurance, tangible, empathy and responsiveness.

<h1>Abstract</h1><p class="Body"><em>Menopause is a natural process that occurs in the reproductive cycle of women aged over 40 years. These changes will affect physical and psychological state of a woman, and they are not ready to deal with this condition. Family doctors should provide information about menopause and how to manage various changes during menopause. The results of previous studies were very limited in examining various menopausal management options which were safe, comfortable and have less negative impacts. This study aimed to examine a holistic-comprehensive approach in the case of menopause. Systematic review results were obtained from 55 reference sources through Science Direct, Google Scholar, Proquest Health and Medical Complete, Proquest Nursing and Allied Health Source from 2010 to 2019. The systematic review results explain that the management of menopause cases can be optimized through a holistic-comprehensive approach. Holistic aspect includes the components of biopsychosocial and comprehensive needs which are carried out through promotive, preventive, curative and rehabilitative efforts. Menopausal women often not only experience physical symptoms, but also psychological symptoms which will impact their quality of life. It can be concluded that a holistic-comprehensive approach can be carried out as an effort by family doctors to optimize the management of menopause.</em><em></em></p><p class="Body"><em> </em></p><p class="Body"><strong><em>Keywords:  Systematic Review, Holistic-Comprehensive, Menopause</em></strong><em></em></p><p class="Addresses"> </p><p class="Addresses"> </p><h1>Abstrak</h1><p>Menopause merupakan proses perubahan yang alamiah terjadi pada siklus reproduksi wanita yang berusia di atas 40 tahun. Perubahan yang terjadi memengaruhi keadaan fisik maupun psikis seorang wanita dan seringkali wanita belum siap menghadapi kondisi ini. Dokter keluarga menjadi ujung tombak dalam memberikan informasi tentang menopause dan bagaimana menangani berbagai perubahan yang dirasakan saat wanita mengalami menopause. Hasil penelitian sebelumnya sangat terbatas mengkaji tentang berbagai pilihan tatalaksana menopause yang aman, nyaman dan dapat mengurangi dampak negatif lebih lanjut. Penulisan artikel ini bertujuan untuk mengkaji pendekatan pelayanan kesehatan holistik-komprehensif pada kasus menopause. Hasil review sistematik diperoleh dari 55 sumber referensi melalui <em>Science Direct, Google Scholar, Proquest Health and Medical Complete, Proquest Nursing and Allied Health Source</em> dari tahun 2010 sampai dengan tahun 2019. Hasil review sistematik menjelaskan bahwa tatalaksana kasus menopause dapat dioptimalkan melalui pendekatan holistik-komprehensif. Aspek holistik meliputi komponen kebutuhan biopsikososial dan komprehensif yang dilakukan melalui upaya promotif, preventif, kuratif dan rehabilitatif. Wanita menopause seringkali tidak hanya mengalami gejala fisik saja namun gejala psikologis yang dirasakan dapat memperparah kualitas hidupnya. Dapat disimpulkan bahwa pendekatan holistik-komprehensif dapat dilakukan sebagai salah satu upaya dokter keluarga untuk optimalisasi manajemen kasus menopause.</p><p><strong> </strong></p><p><strong>Kata Kunci: Review Sistematik, Holistik-Komprehensif, Menopause</strong></p><h1> </h1><p class="Body"> </p>

Introduction: Indonesia was a country from 10 countries that possesses the most dm prevalence of diabetes mellitus(DM) in urban areas amounting to 5.7 %. According to data center and health of the republic of indonesia, that theproportion of diabetes mellitus in the city of malang 2,3 %. The high number of diabetes mellitus in the city ofmalang is because the lack of the application of the family function well in people with DM type 2. Obstacles arisingthat is the majority of the community ignore this metabolic types of disease so that it cannot be detected earlier .Therole of family in aim diabetics mellitus type 2 believed to have the effect on the quality of life of sufferers DM. Aim ofstudy: This study aimed toanalyze function offamilies according to familyAPGAR to quality of life dm patients type2. Method: this study used an observational analytic with cross the sectional approach, 95 subjects were werechosen by simple random sampling. Data was analyzed using Spearman test. Results and Discussions: the resultsshowed a value of significance APGAR against quality of life as much as 0.000, which means there were asignificant relation exists (p < 0.05). A correlation coefficient APGAR against quality of life as much as 0.93, whichmeans of the nature of the strength of the relations is very strong. Conclusions: It can be concluded that there is avery strong influence (0.000) between APGAR family against quality of life the patient DMtype 2.

Work in steel mills is close to exposure to dust, fumes, and gases. Pollutants from activities in factory workers such as iron dust and other particles can increase the permeability of the respiratory tract mucosa. Iron dust can cause damage to lung surfactant and lung function and quartz can pose a risk of silicosis, lung cancer, cardiovascular disease, and mortality. This study uses several literature reviews through several international journals from 2015 to 2020. Search articles related to the risk of respiratory disorders in steel factories. Exposures to factory workers include metal fumes, dust, silica, acid gases. Respiratory disorders appear in the form of clinical symptoms which are divided into chronic and acute symptoms as well as changes in lungfunction as seen from changes in FVC and FEV1 from spirometry examination. The influencing factors are metallic agents that can be inhaled, the length of time workers are exposed to, working in confined spaces, lack of adequate ventilation, lack of occupational safety and health training, and worker compliance in the use of personal protective equipment. The risk of respiratory disorders in steel industry workers is a decrease in lung function accompanied by acute and chronic respiratory disorders. There are several factors that affect respiratory disorders in workers so that steel production companies are advised to take a comprehensive holistic approach in dealing with the risk of respiratory problems in steel factories.

The prevalence of the scabies disease in a populated area (e.g islamic boarding schools)is still high .It is possible that disease skabies are still found here because the higiene individuals from the community .Skabies disease is easily treated , but to progress , the disease remains a big problem in the specific community health .This study attempts to analyze the effectiveness of an anti skabies permethrine comparedgameksanto healing patients whohas been getting an  individuals higiene educationSamples were 40 student the Islamic boarding in the malang district the age range of 12 - 18 years taken by random. The dependent variable was cure from scabies. The independent variable included anti-scabies (Gamexan and Permethrine). The sample taken as random.Research will be tested using chi-square to analized the data.The experimental work on chi square statistically from the analysis does not obtain a significant relation ( p = 1,000 ) between the provision of treatment antiscabies gameksan and permethrine with healing on the subjects of research get education higiene individuals.Although statistically no meaning, but can be concluded that clinically better to use gameksan and permethrine, if the subject of study get education nice about education higiene individuals, there is no different effect between the provision of gameksan with permethrine.