Middle adulthood ranges from 40 years to 60 years. The needs of heart disease sufferers in middle adulthood are needs that prioritize physical health such as exercise, diet and regular medication. This research aims to find out how important the needs of individuals suffering from heart disease are. The research method used is a qualitative method with a literature and interview approach. Data was obtained from analysis of related literature as well as in-depth interviews with informants who suffered from heart disease at the age of 58 years. The research results show that the needs of middle adults who suffer from heart disease prioritize health restoration recommended by doctors by means of bypass surgery. This is shown by the improvement in physical health experienced by the informants, by maintaining their diet, taking prescribed medication, exercising regularly, and monitoring their health at recommended clinics. This result has been felt by the informant that changes in his physical condition are currently starting to improve and he is still in the recovery stage.

The Teacher Professional Education Program (PPG) aims to improve teachers' competence in carrying out the learning process, which in turn has an impact on improving the quality of education. The purpose of the research is to find out how to evaluate the literacy and numeracy skills of teachers participating in the PPG Certain Teachers. This study uses a qualitative approach, namely evaluation research with a case study method that focuses on one phenomenon. The design models used in CIPPO evaluation are context, input, process, product, and outcome. The population is all informants, namely PPG managers, PPG Coordinators, Lecturers, Pamong Teachers and PPG participants of Certain Teachers totaling 569 people. Data collection by document study, interview guidelines and observation guidelines. Qualitative data analysis uses the Miles and Huberman model, namely data reduction, data presentation and conclusion drawn. In general, based on the graduation percentage of 99.3% declared to have passed UKPPPG and 0.7% did not pass UKPPPG, it can be concluded that the literacy and numeracy skills of teachers participating in certain PPG Teachers are very good and the PPG program at LPTK Malikussaleh University can continue.

Learning is a complex process that involves various factors, including learning principles and theories. Understanding these principles and theories is very important for educators to design and implement effective learning. Understanding learning principles and theories can help educators to create a conducive learning environment, choose appropriate learning strategies, and assess student learning progress. Thus, learning principles and theories are an important foundation for effective learning practices. The method used is the literature method which explores various sources and literacy related to the material.