This study aims to describe elementary school teachers’ perceptions of the use of STEM-based instructional media as an effort to strengthen 21st-century skills. The research employed a descriptive qualitative approach with the subjects being elementary school teachers in the regions of Tasikmalaya City and Regency. The population included all elementary school teachers in both areas, with a purposive sample of 50 participants. The research instrument was a Likert-scale questionnaire developed based on three indicators of STEM literacy: (1) awareness of the role of STEM in modern society, (2) familiarity with basic STEM concepts, and (3) foundational fluency in STEM application. Data were collected using an online questionnaire via google forms, while the data analysis involved calculating the average score for each indicator. The results showed that for the first indicator, teachers in Tasikmalaya City had higher awareness (average score of 4.05) compared to those in the Regency (3.93). However, in the second and third indicators, teachers from the Regency scored higher, at 3.39 and 3.67 respectively, compared to city teachers who scored 3.30 and 3.59. These findings suggest that although urban teachers have stronger conceptual awareness, rural teachers demonstrate greater mastery in understanding and applying STEM practically in classroom learning. This difference is suspected to be influenced by contextual experience and more frequent implementation of hands-on learning approaches in the Regency.

Quality health services are services that are provided effectively and efficiently, tailored to the needs and expectations of patients, but still in accordance with existing codes of ethics and standards, thus enabling the achievement of optimal levels of health.  Health service institutions for the community, where every health facilities are required to always improve the quality of service in order to achieve the highest level of health. Every patient who has received service can provide their opinion through the Google Maps comments section which can describe the quality of service of the health facilities. The method used in this article is a literature review and the search for articles is carried out through 2 online databases: Google Scholar for national journals and PubMed for international journals. According to the reviewed literature, the rating given by health facility visitors affects the quality of the health facility. This is due to dissatisfaction with the health services received in the form of reviews with narratives describing feelings of annoyance, anger, and disappointment. Ratings on Google Maps provides real-time information about the quality of service at a health facility based on patient reviews. 

Cystography examination technique with clinical Bladder Stone in the Radiology Installation of RSPAU dr. Suhardi Hardjolukito in the AnteroPosterior (AP) projection uses a perpendicular vertical beam direction. Meanwhile, according to Lampignano & Kendrick, (2018) Cystography examination in the AnteroPosterior (AP) projection, the beam direction is angled 10˚-15˚ towards the caudad. The purpose of this study was to determine the Cystography examination procedure and the role of the antero posterior (AP) projection in cystography examination with clinical bladder stone using a perpendicular beam direction to the image receptor in the Radiology Installation of RSPAU dr. Suhardi Hardjolukito. This research method uses qualitative descriptive with a case study approach. This research was conducted at the Radiology Installation of RSPAU dr. Suhardi Hardjolukito from March to May 2025. The objects in this study were patients undergoing Cystography examination, with the research subjects consisting of one patient who experienced a case of Batu Buli. After the data was reduced, the data presentation was carried out in narrative form and then reviewed with a theoretical basis so that conclusions could be drawn. The results of this study indicate that the examination procedure for Cystography with clinical Batu Buli at the Radiology Installation of RSPAU dr. Suhardi Hardjolukito includes patient preparation, preparation of tools and materials, examination techniques, and gradual injection of contrast media. The gradual administration of contrast medium is effective for monitoring the patient's condition and preventing complications such as bladder rupture. This modification of the technique demonstrates that standard procedures can be adapted while maintaining optimal diagnostic quality.

The increasingly rapid development of digital technology is pushing MSMEs to adapt to change to remain competitive in the market. One strategic step that can be taken is to adopt a Management Information Sistem (SIM) to support information management, accelerate decision-making processes, and improve business efficiency. This article examines how MSMEs can optimize the use of MIS in their business activities, highlighting the benefits, challenges, and appropriate implementation strategies. The analysis shows that MSMEs' digital capabilities, human resource training, and the availability of technological infrastructure are critical components in supporting the successful optimization of MIS in the digital era.
 

This study aims to analyze the effects of domestic investments, inflasi, and pengeluaran on Sumatra Utara's income between 2001 and 2020. This study uses the Error Correction Model (ECM) analysis method to determine the impact of independent variables on dependent variables in the pendek data and the Regression Linear Berganda analysis to determine the impact of independent variables on dependent variables in the panjang data. According to the results of the ECM analysis, the variable pengeluaran in the panjang has a significant and positive impact on the sumatera utara's income, while the variable PMDN in the panjang has a positive but not significant effect, and inflasi has a negative and not significant effect. Conversely, the pendek jangka indicates that the pengeluaran variable also has a significant and positive impact on the Sumatera Utara's income, whereas the PMDN and Inflasi variables do not have a significant impact.

World has entered the Industrial Revolution Era 4.0 or also known as the Digital Era 4.0. In this era, the work industry changes dramatically and is different from the previous work industry, so that graduates or the workforce are expected to have the latest skills that match the needs of today's work industry. Digital literacy is said to be the ability to access, manage, understand, integrate, communicate, evaluate, and create information safely and appropriately using digital technology for work and entrepreneurship. Understanding of accounting and digital literacy is expected to be a provision for prospective accountants to be ready to enter the world of work that is full of changes and challenges. Based on this description, this study aims to determine whether accounting understanding and digital literacy affect partially or simultaneously on the job readiness of prospective accountants in the Digital Era 4.0.Respondents of this study were final semester students of managerial accounting study program, majoring in accounting, Bali State Polytechnic. The data obtained from this study came from questionnaires distributed to respondents. From the tests that have been carried out, it can be concluded that accounting understanding and digital literacy have an effect either partially or simultaneously on the job readiness of prospective accountants. A good understanding of accounting balanced with literacy skills is a provision for prospective graduates to be able to meet the needs of prospective accountants in the Digital Era 4.0.

This research aims to know and analyze both the partial and simultaneous effects of online customer review and online customer rating on the purchase decision on e-commerce Shopee among students of the business administration program of Nusa Cendana University. The number of samples in this research was 100 respondents, with using the Purposive Sampling technique. The data analysis techniques used are quantitative descriptive analysis, multiple linear regression analysis, and hypothesis testing and analysis of the coefficient of determination (R2) using the SPSS V26 application. From the results of Multiple Linear Regression Analysis, the equation is obtained: Y = 2.301 + 0.302X1 + 0.705X2 + 2.699. The results of both the t test and the F test show that partially online customer review and online customer rating have a positive and significant effect on purchasing decision. Based on the Adjusted R² value, the contribution of the perceived usefulness and trust variables to intention to use is 61,1%, while the remaining 38.9% of purchase decision variables were influenced by other variables not discussed in this study. For this reason, it is suggested that further researchers can examine variables outside of this study that can affect purchasing decisions, as well as not only Shopee e-commerce but also other types of e-commerce.

This study aims to examine the influence of profitability and firm size on financial distress  in companies operating within the consumer cyclicals sector listed on the Indonesia Stock Exchange during the 2021–2023 period. Financial distress  was assessed using the Altman Z-Score model. A quantitative approach was employed, utilizing purposive sampling to select a final sample of 101 companies. The analysis was conducted using panel data regression with a fixed effect model. The results indicate that profitability has a positive and statistically significant effect on financial distress , while firm size exerts a negative and significant influence. These findings suggest that companies with higher profitability are generally more resilient to financial distress , whereas larger firms may still be exposed to financial vulnerabilities if not managed effectively.

Moral crisis and educational challenges in the era of globalization are hot issues currently being faced by the world of education in Indonesia. The purpose of this study is to examine the urgency of teacher professionalism in Indonesia for solutions to the moral crisis and educational challenges in the global era. In the midst of rapid social change, globalization, and the degradation of moral values ??among students, the teaching profession is expected not only to be limited to teaching, but also to build national character. This study uses a library research method with a descriptive-qualitative approach, through a review of various literature such as books, scientific journals, and previous relevant research. The results of the study indicate that teacher professionalism which includes pedagogical, professional, social, and personality competencies has an important role in creating an adaptive, moral, and quality education system. Strengthening teacher professionalism is the first strategic step in forming a generation with character that is able to face global challenges without losing the nation's identity.

Macroeconomic uncertainty poses a structural challenge for the sustainability of micro, small, and medium enterprises (MSMEs) in Indonesia. Fluctuations in inflation, benchmark interest rates, and exchange rates have a direct impact on liquidity, cost structures, and investment decisions. This study aims to explore the types of financial strategies adopted by MSMEs in response to macroeconomic pressures using a systematic literature review and secondary data analysis covering the period from 2019 to May 2024. Data were sourced from official national institutions, including the Central Bureau of Statistics, Bank Indonesia, the Ministry of Cooperatives and MSMEs, as well as relevant academic literature. The findings reveal that MSME financial strategies can be categorized into three key domains: cash management, cost control, and investment planning. MSMEs employing flexible strategies—such as increasing cash buffers, reducing operational costs, and diversifying products or financing sources—demonstrate higher resilience in the face of economic volatility. This study contributes theoretically by enriching the framework of financial adaptation for MSMEs and practically by informing financial literacy programs and policy design. The study also acknowledges limitations in the use of aggregate secondary data and recommends that future research adopt a mixed-method approach to capture undocumented informal financial practices at the grassroots level