The objective of this research is to find out the highest percentage of respondents' answers from the level of service quality as measured by the level of reality and expectations of the community according to the dimensions of Tangible, Emphaty, Reliability, Responsiveness, and Assurance (TERRA) of each service in the environment of Lubuklinggau municipal government. Based on the results of the calculation of the frequency of service quality variables on the reality and expectations of the community, all dimensions of service quality are show that on the average community answers satisfied while viewed from the expectations of the average community the answer is very important. The results of the Chi-Square calculation of service quality variables Towards the reality and expectations of the community seen from the Tangible, Reliability and Responsiveness of the Chi-Square calculation results of all Offices / Agencies there is no difference in Tangible dimensions to the reality and expectations of the community, it's just that the Office of National Unity and Politics of Lubuklinggau has differences in the dimensions of Tangible, Reliability and Responsiveness to the realities and expectations of society as well as seen from Emphaty and Assurance: the results of the Chi-Square calculation of all Offices / Agencies, there is no difference in the dimensions of Emphaty and Assurance to the reality and expectations of society.

This study entitled The Effect of Competence and Work Environment on Employee Performance through Motivation as an Intervening Variable in the Education and Culture Office of the City of Lubuklinggau. The method used in this study using a questionnaire and observation. Testing the first hypothesis, namely Variable Competence (X1) on Motivation (Z) "shows that t count produces a coefficient of 16.347. With a sample size of 58 found df = 58 (58-2) at a significant level of 0.05, the critical value of t table is 1.672. with these results it can be said that competence has a significant effect on motivation because tcount (16.347)> t table (1.672). The second hypothesis testing is that it can be said that the work environment has a significant influence on motivation because tcount (10.038)> t table (1.672). Third Hypothesis testing can be said that competence has a significant effect on employee performance because tcount (10.412)> t table ( 1.672). The fourth hypothesis testing can be said that the work environment has a significant influence on employee performance because tcount (14.897)> t table (1.672). " and testing the fifth hypothesis, it is found that the value of fcount obtained is 152.197> F table = 3.16 and the simultaneous significant level of sig F is 0.000b. This shows that competence and work environment have a significant influence on employee performance (Y).

Rheumatoid Arthritis (RA) is a chronic systemic inflammatory disease of unknown cause with peripheral joint manifestations. The numbers of Genesis Rheumatoid Arthritis in Indonesia is quite high. RA Pain prevalence in Indonesia reached 25.6% to 35.8%. This figure suggests that pain due to RA already bothersome activity of Indonesia society. The aim of this research is conducted to know the effect find of wet cupping therapy in the area of paint in the back joint to changes in outpatient RA patients in clinics of the year 2018. A quasi-experimental design with One Group Pretestpostest Design without control. The population in this research is the sufferer Rheumatoid Arthritis 30-50 years old visiting Clinics Sukoharjo, with a sample of 16 respondents, purposive Sampling techniques. Wilcoxon test result indicates that there is a difference between pain before with after bekam, based on the result of the statistical test p-value obtained value is a ρ=0,001 (less than 0,05), this means there is a significant influence of wet cupping therapy to changes pain in people with Rheumtaoid Arthitis. Thus, wet cupping therapy can be a solution to reduce joint pain for patients with Rheumatoid Arthritis.

This study entitled The Effect of Motivation on Employee Performance with Work Discipline as a Moderation Variable in the Transportation Office of Musi Rawas Regency. with respondents as many as 40 people.”This study aims to determine the effect of motivation on employee performance with work discipline as a moderating variable. The method used in this research is quantitative methods and data collection techniques used in this research are using observations, interviews, questionnaires and documentation. The data analysis technique used is simple regression test, correlation coefficient, t test, and moderation test. Testing the first hypothesis, namely the variable Motivation (X1) on Employee Performance (Y) shows that tcount produces a coefficient of 5000. With a sample size of 40, it is found that df = (40-2) and at a significance level of 0.05, the t table value is 1.686. With these results it can be said that motivation (X1) has a significant effect on Pegwai's performance because tcount (5000)> ttable (1.686). Then the second hypothesis testing shows that there is an increase in the R square value from 0.397 to 0.533.”This means that the Work Discipline variable (X2) can strengthen the relationship between Motivation (X1) and Employee Performance (Y). So with this variable Work Discipline (X2) is Pemoderation in the relationship between Motivation (X1) and Employee Performance (Y).