The current global economic situation is facing various complex challenges, including climate change, economic inequality, and technological revolution. The Keynesian theory, which emphasizes the active role of government in stabilizing the economy, remains relevant for designing adaptive and sustainable economic policies. This article discusses the development of Keynesian theory in addressing future challenges, focusing on green investment, equitable redistribution policies, and strengthening technological innovation. The research method used is a descriptive qualitative literature study with thematic analysis of national and international scientific sources. The findings indicate that the renewal of Keynesian theory should not only aim at maintaining short-term stability but also support long-term sustainability by emphasizing the synergy between fiscal policy, technological innovation, and social justice.

Training and career development play a crucial role in improving the performance of health center (puskesmas) employees to deliver optimal healthcare services. This study aims to analyze the influence of training and career development on employee performance at puskesmas and to identify challenges in their implementation. The method used is a literature review with a descriptive-analytical approach based on previous studies related to training, career development, and human resource performance in the health sector. The results show that relevant and continuous training enhances employee efficiency, accuracy, and mental readiness, while clear and sustainable career development increases motivation, loyalty, and employee engagement. The synergy between training and career development is key to successfully improving employee competence and motivation sustainably. However, program implementation faces challenges such as budget constraints, lack of policy support, geographic barriers, and less operational HR development policies. Therefore, strategic and integrated HR management is essential to improve the quality of healthcare services at puskesmas.
 

The purpose of the study was to analyze the effectiveness of P4K with the innovation of the Dora Backpack to anticipate pregnancy risk in pregnant women in the working area of the Mantup Health Center in Lamongan Regency.This type of research is quasi-experimental with Post-test Only Control Group Design. The population of this study were pregnant women in the third trimester in the work area of the Mantup Health Center and Tikung Health Center totaling 262 pregnant women. The sampling technique is purposive sampling. The number of samples was 176 pregnant women, consisting of 88 control pregnant women and 88 intervention pregnant women. Univariate data analysis with frequency distribution table, bivariate analysis with Mann Withney and Logistic Regression. Based on the results of the Mann Withney test in the control and intervention groups, ap value of 0.000 means that P4K with the Si Dora Backpack Innovation is effective in increasing the ability of pregnant women to anticipate the risk of pregnancy and based on the results of the Logistics Regression test, external variables do not affect the ability to anticipate pregnancy risk factors, namely age with p value 0.341, education with p value 0.587, and occupation with p value 0.631. P4K With Si Dora's Backpack Innovation is effective in increasing the ability of pregnant women to anticipate the risk of pregnancy.

This study aims to examine the impact of systematic risk and interest rates on the stock returns of state-owned banks (Bank BUMN) listed on the Indonesia Stock Exchange during the period 2021–2023. Using a multiple linear regression approach, the study finds that neither systematic risk nor interest rates have a significant partial or joint effect on the stock returns of Bank BUMN. These findings indicate that in the context of the Indonesian stock market—particularly the state-owned banking sector—these factors may not necessarily be the primary determinants in shaping stock returns. The implication of these results is the importance of considering other variables that may play a greater role in explaining stock return movements, such as firm-specific microeconomic factors and investor expectations regarding the banks’ fundamental performance.

Anemia is a common complication in cancer patients, especially in advanced stages, which affects quality of life and response to therapy. This study aims to analyze the relationship between cancer stage and hemoglobin (Hb) levels in female patients undergoing chemotherapy. This quantitative study used a cross-sectional design and involved 54 female cancer patients at the H. Adam Malik General Hospital Polyclinic, Medan. The sampling technique used convenience sampling. Data were analyzed using the Spearman's rho test to determine the relationship between cancer stage and Hb levels. The majority of respondents were in stage 3 (48.1%) and stage 4 (37.0%), with 63% experiencing moderate anemia (Hb 8–10 g/dL). The results of the Spearman test showed a significant positive correlation between cancer stage and Hb levels (r = 0.683; p = 0.000), indicating that the more advanced the cancer stage, the lower the hemoglobin levels tend to be. It was concluded that there was a significant relationship between cancer stage and hemoglobin levels in female patients. These results emphasize the importance of monitoring Hb levels in clinical management and nursing care of cancer patients, especially in advanced stages.

Elementary school-aged children have unique characteristics, such as enjoying play, movement, group activities, and hands-on learning. Most students at this age prefer practical activities over theoretical instruction. Therefore, primary education aims to support and develop children's growth in accordance with their developmental tasks. Elementary school teachers play a crucial role in integrating these developmental needs into the learning process. The implementation of education at the elementary level must align with national regulations and policies, including standards for management, assessment, facilities, final examinations (UASBN), and teacher qualifications. Learning evaluation is a critical component in ensuring educational quality. However, in practice, teachers often face challenges such as limited time and a lack of understanding in assessing affective and psychomotor domains. As a result, solutions such as teacher training and more effective classroom management are necessary. This study aims to identify the challenges and proposed solutions related to the implementation of learning evaluations in elementary schools based on interviews with educational practitioners.
 

The problem experienced by teachers is that teachers have limitations in conducting assessments during learning due to the lack of teacher insight in accessing creative and interactive assessment support applications by utilizing technology. The main problem in learning based on LCD projector technology in schools is the incompatibility between innovative learning methods and assessments that are still commonplace. The purpose of this study was to analyze the implementation of interactive assessments based on quizizz. The type of research is descriptive qualitative, the research subjects are homeroom teachers and students. Data collection methods through observation, interviews, documentation of learning outcomes, recordings of the learning process, journals and books. The results of the study showed that there was an assessment of the development of elementary school children's learning. The results of the study showed a significant positive influence from the use of quizizz on increasing learning motivation and achieving minimum student competencies. The impact after the evaluation activity of using the quizizz paper mode application was carried out increased student learning motivation and student participation during the activity.
 

This research aims to (1) Understand the contextual-based mathematics learning process and current Islamic values. (2) Produce a contextually based Mathematics E-Module product design and Islamic values ??in Class VIII SPLDV material carried out by the Batanghari Islamic Qurani Middle School. The type of research used is research and development (Research and Development) using the ADDIE model, which consists of 5 stages. The research subjects were 13 students in class VIII of SMP Islam Qurani Batanghari. Data collection techniques in this research used interviews, questionnaires, and documentation. The data obtained is the validity and practicality of the product. The results of this research identified that there is no innovation in the learning process in learning methods that only use general methods, namely lecture, discussion, demonstration, and memorization. Our teaching materials also include student worksheets (LKS) and teacher handbooks. Then, this study produced a product in the form of a contextually based Mathematics E-Module and Islamic values ??, which received the predicate of validity with an average score of 91%, and practicality based on student response questionnaires with an average score of 87% with very practical criteria. Based on this study, it can be concluded that the Mathematics E-Module based on contextual and Islamic values ??in SPLDV Class VIII material at Islamic Middle School Qurani Batanghari is suitable for use as teaching material in junior high schools.

This study investigated the effectiveness of using the Wordwall website as a learning strategy to enhance students' vocabulary mastery. Employing a quasi-experimental design, the research involved a control group and an experimental group from [mention specific school/level, e.g., a junior high school in Medan]. Data were collected using a vocabulary test (pre-test and post-test) and analyzed using t-test statistical analysis. The findings indicated a significant improvement in vocabulary mastery among students in the experimental group who utilized the Wordwall website compared to the control group. This suggests that the Wordwall website is an effective and engaging tool for improving students' vocabulary acquisition. The study recommends the integration of interactive digital platforms like Wordwall into language learning curricula to support vocabulary development.

This study aims to evaluate whether numerical results from IRE exams can accurately reflect students' overall spiritual comprehension. Through both quantitative and qualitative analysis, the study finds that relying solely on test scores is insufficient to assess students’ faith and spiritual insight. Significant differences in learning outcomes between schools suggest that variations in teaching methods and assessment systems contribute to these disparities. Interviews with students and teachers reveal that IRE exams, which tend to emphasize memorization, fall short in uncovering deeper understanding of religious values. In contrast, assessment approaches that are more relevant to everyday life, encourage reflection, utilize narrative methods, and observe student behavior are perceived as more effective. Therefore, an ideal model for assessing Islamic Religious Education should integrate both cognitive evaluation and spiritual reflection through a comprehensive, holistic approach. By combining written assessments with contextual inquiry, personal reflection, and behavioral observation, educators can gain a more accurate and authentic picture of students’ religious understanding. Such a multifaceted evaluation system not only enhances the relevance of PAI but also supports the formation of students who genuinely embody Islamic values in their daily lives.