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 This study examines women’s transformational leadership in educational institutions through a systematic literature review approach. The increasing involvement of women in leadership positions in schools and universities has attracted academic attention to understand their contribution to organizational development and the improvement of educational quality. This study aims to synthesize recent empirical research findings on women’s transformational leadership in education. The method used was a Systematic Literature Review (SLR) by identifying, evaluating, and synthesizing relevant studies published between 2021–2026 through academic databases such as Google Scholar and ScienceDirect using the keywords “transformational leadership,” “women leadership,” and “education or school.” After a selection process based on inclusion and exclusion criteria, 15 empirical articles were analyzed. The findings indicate that female leaders tend to demonstrate transformational leadership characteristics, including inspirational motivation, intellectual stimulation, idealized influence, and individualized consideration. These leadership practices positively affect teacher motivation and performance, organizational commitment, organizational climate, and learning innovation. However, women in leadership positions still face challenges such as gender stereotypes, structural bias, and social expectations regarding gender roles, indicating the need for institutional support and more inclusive policies.

Laparotomy is a major surgical procedure associated with a high risk of acute postoperative pain. According to Gan (2017), if pain is not properly managed, it can progress to chronic pain. (Toro et al., 2018) reported that severe pain on the first postoperative day is still commonly found in laparotomy patients, while (Small & Laycock, 2020) indicated that moderate to severe pain within the first 24 hours following major surgery remains a significant clinical issue. This study aims to evaluate the effectiveness of pharmacological pain management following laparotomy under general anesthesia, specifically to identify the types of opioid analgesics used, analyze their effectiveness in reducing pain intensity, identify side effects, and examine administration techniques and routes. This study employed a Systematic Literature Review (SLR) method following the PRISMA guidelines. Literature searches were conducted in the PubMed, ScienceDirect, and SpringerLink databases covering the years 2015–2026. The included studies comprised randomized controlled trials (RCTs), cohort studies, and retrospective studies addressing opioid pharmacological pain management in adult patients following laparotomy under general anesthesia. Study quality assessment was performed using the Joanna Briggs Institute (JBI) instrument. A total of 11 studies met the inclusion criteria. The results of the systematic literature review indicate that opioids are effective in reducing postoperative pain following laparotomy under general anesthesia. The most commonly used opioids are morphine, fentanyl, and oxycodone. Of all the opioids reviewed, oxycodone provided the best pain control, while intrathecal morphine was most effective in reducing the need for supplemental opioids during the early postoperative period. Other opioids, such as extended-release dinalbuphine sebacate and tegileridine, are also effective, but the number of studies is still limited. The most common side effects are nausea, vomiting, pruritus, sedation, and dizziness. Pharmacological pain management using opioids is effective in reducing the intensity of postoperative pain following laparotomy under general anesthesia. Morphine, fentanyl, and oxycodone are the most commonly used opioids. Oxycodone and intrathecal morphine have shown good results in improving pain control and reducing the need for supplemental opioids. The selection of opioid type, dosage, and administration technique must be tailored to the patient’s clinical condition to achieve optimal analgesia with minimal side effects.

Organizations in the digital era face rapid and unpredictable changes characterized by volatility, uncertainty, complexity, and ambiguity, requiring strategic adaptation and effective change management. This study aims to synthesize empirical findings on the role of change management strategies, adaptive leadership, innovative organizational culture, and employees’ psychological readiness in supporting digital transformation and improving employee performance. The research employs a Systematic Literature Review (SLR) approach based on PRISMA 2020 guidelines, analyzing 23 selected peer-reviewed articles published between 2021 and 2026. The findings indicate that successful digital transformation is not solely determined by technological advancement but largely influenced by human-centered factors. Adaptive and transformational leadership plays a critical role in fostering trust, reducing resistance, and maintaining employees’ emotional stability during organizational change. Furthermore, an innovative organizational culture, transparent communication, and continuous training significantly enhance employee engagement, adaptability, and performance. Psychological factors such as stress and resistance can either hinder or support change outcomes depending on how they are managed. The study highlights the importance of integrating technological, structural, and human aspects to achieve sustainable organizational transformation. The implications suggest that organizations should prioritize human-centered change strategies, strengthen digital literacy, and promote adaptive leadership to remain competitive in the Society 5.0 era.

The study of power in higher education institutions is important because power dynamics influence not only formal organizational systems but also informal relationships within academic communities. This research aims to analyze patterns of power manifestation in higher education institutions, understand their influence on organizational behavior, and identify the structural and cultural aspects involved in the process. The method applied in this study is a Systematic Literature Review (SLR), conducted through collecting, reviewing, and synthesizing various relevant literature related to power and governance in higher education. The findings indicate that pro-social manifestations of power and structural empowerment can positively contribute to job satisfaction and create a healthier and more conducive academic climate. On the other hand, centralized authority and unequal power relations may generate various negative impacts on organizations, such as reduced participation and institutional effectiveness. Therefore, higher education institutions need to implement a more participatory and adaptive governance model to minimize the negative effects of power asymmetry while strengthening collaboration, inclusiveness, and the overall quality of the academic environment.

The digital era has fundamentally revolutionized human interaction and information processing, particularly for Generation Z as digital natives. This research aims to identify the characteristics of digital information consumed by Generation Z and evaluate their long-term memory (LTM) capacity in the digital age. Using a Systematic Literature Review (SLR) method with a qualitative approach, 15 relevant studies published between 2021 and 2026 were analyzed from databases such as Scopus, Google Scholar, and ScienceDirect. The findings indicate that digital information characteristics—which are often "bite-sized," visual, and rapidly consumed—tend to encourage shallow encoding and digital amnesia. However, the study also found a dual impact: while high cognitive load and constant multitasking can hinder memory consolidation, structured digital use and interactive learning modules can significantly enhance memory retention. These results imply that optimal cognitive function in the digital era highly depends on digital literacy and effective information management strategies to balance technological use with natural cognitive sharpness.

Children with Autism Spectrum Disorder (ASD) face unique challenges in building attachment relationships, due to ASD children experiencing impairments in communication, social interaction, and emotional regulation. This study aims to identify effective intervention strategies to improve the quality of attachment between parents and children with ASD through a Systematic Literature Review (SLR) approach. The review findings indicate that several interventions have proven effective in enhancing attachment between parents or primary caregivers and children with ASD, including the following interventions: DIR/Floortime, Focused Playtime Intervention (FPI), Parent-Child Interaction Therapy (PCIT), Circle of Security (COS), Positive Behavior Support (PBS), play training, massage therapy, and psychoeducation. The results of these interventions show that changes occur before and after the intervention, including strengthening two-way communication, increasing parental sensitivity, and improving the child's emotional responses. These findings have practical implications for parents, educators, and therapists in designing attachment-based approaches to support the social and emotional development of children with ASD. Responsive and supportive designing attachment-based approaches to support the social and emotional development of children with ASD. Responsive and supportive relationship-based interventions can build secure attachments between children with ASD and their parents and serve as an important reference in attachment-based parenting and therapy practices.

State finances rely heavily on tax revenues, yet tax avoidance remains a persistent obstacle that can reduce government income. This practice is commonly associated with internal corporate conditions. Therefore, this research examines how profitability, leverage, firm size, and capital intensity relate to tax avoidance behavior. Employing a descriptive design with a Systematic Literature Review (SLR), the study evaluates ten empirical articles published between 2021 and 2025 in Sinta and Scopus indexed journals. The analysis indicates that the influence of these internal factors varies across studies. Profitability and leverage demonstrate contradictory effects, as strong earnings and higher debt may stimulate aggressive tax planning through tax shields, but may also restrain avoidance to preserve corporate image. Firm size likewise presents inconsistent results due to regulatory and public attention. In contrast, capital intensity generally shows minimal influence because investments in fixed assets are directed toward operational efficiency. These findings provide valuable considerations for policymakers to strengthen tax deduction regulations and encourage responsible corporate tax compliance.

This study aims to analyze the role of financial factors in encouraging corporate tax aggressiveness using a literature review approach. Taxes are a major source of government revenue, making tax aggressiveness an important issue in accounting and taxation research. This study applies the Systematic Literature review (SLR) method by examining previous studies related to leverage, capital intensity, and profitability in influencing tax aggressiveness. Data were obtained from scientific articles indexed in academic databases such as Sinta 2 and Scopus published between 2020 and 2024. The results show that leverage in several studies has a positive effect on tax aggressiveness because interest expenses can reduce taxable income. Capital intensity shows mixed findings, including positive, negative, and insignificant effects on tax aggressiveness. Profitability also presents inconsistent results across studies. Overall, financial factors have varying roles in influencing corporate tax aggressiveness, and factors such as leverage, capital intensity, and profitability play a very important role in determining how much a company engages in tax avoidance practices.

The development of e-commerce and digital financial services has changed consumer behavior, particularly among Generation Z. One emerging innovation is the Paylater service, which offers convenience and flexibility in transactions. While providing easy access, the use of Paylater also has the potential to increase consumer behavior and impulsive purchases. This study aims to analyze the role of financial literacy and lifestyle in the use of Paylater services among Generation Z through the Systematic Literature Review (SLR) method. A total of ten scientific articles published in the last five years were analyzed to examine the relationship between financial literacy, lifestyle, and Paylater usage behavior. The results show that financial literacy has an inconsistent influence and tends to act as a controlling factor, while a consumptive and hedonistic lifestyle is the dominant factor driving Paylater use. In addition, behavioral factors such as impulsive purchases and technological convenience also strengthen the tendency to use these services. This study concludes that increasing financial literacy balanced with controlling a consumptive lifestyle is very influential in encouraging the wise and sustainable use of Paylater.

Premarital sexual behavior in adolescents is a public health issue influenced by various individual, social, and environmental factors. Changes in social norms, technological advancements, and limited reproductive health knowledge make adolescents a group vulnerable to risky sexual behavior. This study aims to examine the factors influencing premarital sexual behavior among adolescents based on the Health Belief Model (HBM) approach. The method used is a Systematic Literature Review (SLR), review national and international scientific articles published between 2013 and 2025. Data sources were abtained from Google Scholar and ScienceDirect, with inclusion criteria including articles in Indonesia and English, open access, full text, and relevant to HBM components. The study result indicate that factors such as perceived barriers, self-efficacy, and the quality of information play an important role in shaping adolescent sexual behavior. Low knowledge and limited perception oh the negative impacts of premarital sex increase the risk of engaging in risky sexual behavior. In addition, health promotion interventions based on the Health Belief Model (HBM) have been proven effective in improving knowledge, attitudes, and preventive behaviors regarding premarital sex among adolescents. Therefore, the HBM approach is recommended as a basis for developing comprehensive and sustainable adolescent reproductive health education and promotion programs.

Exposure to cigarette smoke is one of the environmental risk factors that is still widely found and has a significant impact on the health of the respiratory system, especially the upper respiratory tract. The irritants and toxic substances in cigarette smoke can trigger mucosal inflammation, interfere with the defenses of the airways, and increase susceptibility to various upper airway disorders. This study aims to systematically analyze the relationship between cigarette smoke exposure and upper airway disorders based on available scientific evidence. The method used is Systematic Literature Review (SLR) with reference to the PRISMA 2020 guidelines. Literature searches were conducted through PubMed, ScienceDirect, Google Scholar, and Garuda databases. Articles were selected based on inclusion and exclusion criteria, resulting in 26 articles that were analyzed narrative-synthesis. The results showed that most studies reported a meaningful association between exposure to cigarette smoke, both in active and passive smokers, and an increased risk of upper respiratory tract disorders such as rhinitis, sinusitis, recurrent upper respiratory tract infections, pharyngitis, and laryngitis. Higher risks are found in passive smokers, especially children, as well as in individuals with long-term, high-intensity exposure. The conclusion of this study confirms that exposure to cigarette smoke is an important and preventable risk factor for upper respiratory tract disorders. Therefore, it is necessary to strengthen the policy of non-smoking areas, public education, as well as promotive and preventive efforts in health services to reduce the impact of exposure to cigarette smoke on the health of the upper respiratory tract.

This article examines the effectiveness of fermented kombucha drinks in enhancing the immunity of menopausal women through an evidence-based nutrition approach. Additionally, the study highlights how community-based kombucha production and consumption programs can be part of non-military health diplomacy, supporting community resilience, especially for vulnerable groups like menopausal women who experience immune function decline due to hormonal changes. Using the Systematic Literature Review (SLR) method, the study analyzes 30 relevant articles published between 2018–2025 from reputable sources such as Scopus, PubMed, and others. The findings show that (1) kombucha improves immunity through cytokine modulation and increased antioxidant activity, (2) kombucha normalizes gut microbiota, contributing to the immune health of menopausal women, (3) fermentation variations and microbial composition affect kombucha's effectiveness, and (4) community-based kombucha production programs have potential in enhancing health literacy and local economic empowerment. This study provides a basis for local governments, health centers, and communities to integrate kombucha as a preventive health intervention, while also strengthening community resilience through nutrition education and functional food entrepreneurship. The article also offers a new conceptual model, “Kombucha Intervention – Immunity – Health Diplomacy,” that connects biological evidence, community health, and non-military resilience integratively.

The development of digital technology has driven the  increasing use of e-modules as interactive learning media that support  independent and collaborative learning. The integration of pedagogical approaches and multimedia technology makes e-modules increasingly adaptive and effective in developing higher-order thinking skills. This study aims to map trends in the development and utilization of e-modules through a Systematic Literature Review (SLR)  of Scopus articles published in 2020–2024. From the selection process, 20 articles were analyzed based on their pedagogical approach, as well as the media and digital platforms used. The study results show that pedagogical approaches such as Problem-Based Learning, STEM, SETS, Discovery Learning, and Guided Inquiry have been consistently proven to improve critical thinking skills, learning outcomes, and 21st-century competencies. From a technological perspective, Android and flipbook platforms are the primary choices due to their flexible access and multimedia support such as video, animation, simulations, and interactive quizzes. These findings emphasize the importance of developing systematic, pedagogically-based e-modules supported by interactive multimedia.  Further research is needed to explore the integration of AR/VR, gamification, and artificial intelligence.   

Aloe vera (L.) Burm.f. is a bioactive plant containing polysaccharides, anthraquinones, sterols, vitamins, minerals, and glycoproteins, contributing to wound healing through anti-inflammatory, antibacterial, antioxidant mechanisms, fibroblast stimulation, and accelerated re-epithelialization. This study employed a systematic literature review (SLR) of 37 peer-reviewed articles (2018–2025) to evaluate the biochemical potential of Aloe vera and its application as a basis for modern pharmaceutical topical formulations. Results revealed that acemannan increased fibroblast proliferation by up to 200, modulated TGF-1, enhanced type I and III collagen deposition, and accelerated re-epithelialization. Anthraquinones such as aloin and emodin exhibited antibacterial activity against Staphylococcus aureus, Pseudomonas aeruginosa, and Escherichia coli. Nanoemulsion and nanogel formulations improved transdermal penetration up to threefold compared to conventional gels. These findings highlight Aloe vera’s potential as a wound healing agent and a basis for modern pharmaceutical topical preparations.

This study aims to identify the description of Commitment and Marital life Satisfaction. This study uses the systematic literature review (SLR) method, in order to answer research questions in a structured manner, by referring to the PRISMA 2020 model by reviewing 100 articles with keywords, namely (1) marriage commitment, (2) marriage satisfaction, and (3) commitment and marital life satisfaction. This research used the EndNote X9 application to obtain 5 articles from the Google Scholar database with the help of Harzing Publish or Perish (PoP). The results of this study show that commitment and marital life satisfaction are interrelated in maintaining marital harmony. Commitment, demonstrated through responsibility, support, and long-term orientation, is the foundation of marital stability. Couples with high commitment are better able to deal with challenges such as age difference or long distance thanks to open communication and effective conflict resolution. Factors such as religion, social support and the presence of children also affect satisfaction. Religious values strengthen relationship resilience, while unfulfilled expectations for children can decrease satisfaction.

Breast cancer is a highly prevalent disease and the leading cause of death in women worldwide. The determinants of breast cancer are multifactorial, including genetic, hormonal, environmental, and lifestyle factors. Breast cancer remains one of the significant global health challenges, with a growing burden of disease in both developed and developing countries. Based on recent data, it accounts for about 25% of all cancer cases in women worldwide (Sung et al., 2021). In Indonesia, breast cancer ranks first in cancer prevalence with an incidence rate of 42.1 per 100,000 population (MOH RI, 2022). This phenomenon requires a comprehensive understanding of the various determinant factors that play a role in the pathogenesis of this disease. The aim of this study was to analyze the determinant factors of breast cancer through Systematic Literature Review (SLR) of 8 national google schollar journals and 7 international pubmed journals.

Indonesia is known as an archipelago located on the Ring of Fire, which is the confluence of three major tectonic plates, namely Indo Australia, Eurasia and the Pacific. This causes Indonesia to be an area at risk of experiencing various kinds of natural disasters. The elderly are one of the groups of people who are most vulnerable to the high psychological impact of natural disasters. Resilience in times of crisis is an important psychological ability in individuals, especially the elderly, because it is expected to make individuals strong and able to adapt to changes in conditions that occur in their lives. elderly, because it is expected to make individuals strong and able to adapt to changes in conditions that occur well. Resilience is a personal trait that refers to positive adaptation and reducing negative influences and stressors so that individuals can improve mentally and maintain their health despite experiencing severe problems. The purpose of this study is to determine and explore various images of resilience and to find out the importance of resilience for the elderly in dealing with disasters. The method used in this research is the Systematic Literature Review (SLR) method where the literature related to the research will be analyzed and synthesized. The results and conclusions of this study are that the many types of natural disasters that occur in Indonesia make people from every group, especially the elderly, have resilience. The literature analyzed is literature published on Google Scholar, ISSN standardized and published between 2019 and 2024. The number of literature analyzed in this study was 8 literature.  The results of this study are a description of the resilience of the elderly consisting of several categories / levels of resilience, things that affect resilience, how the elderly adjust, and elderly preparedness for natural disasters. In addition, this study concluded that resilience is important for the elderly to deal with natural disasters.

Pimpinella pruatjan is a native Indonesian medicinal plant increasingly threatened by overexploitation and limited cultivation techniques. This study aims to systematically review the role of tissue culture in the conservation and production of its secondary metabolites. Using the Systematic Literature Review (SLR) method, data were gathered from scientific literature published in the last five years through open-access databases. The findings reveal that tissue culture techniques not only effectively regenerate purwoceng but also significantly enhance the production of bioactive compounds such as flavonoids, betaine, and sterols. This study demonstrates that biotechnology-based tissue culture is a strategic solution for conserving endangered medicinal plants while optimizing their utilization for biodiversity-based pharmaceutical industries.

Personal Protective Equipment (PPE) is an important aspect for workers in various fields, and it is the responbility of companies to ensure safety in the workplace. This research uses the systematic Literature Review (SLR) method by first selecting journals or studies, then obtaining results in the form of references from ideas or models that will be developed in the future. The research is conducted from January to April 2025. Through this method, an assessment of the impact of PPE usage on the rate of work accidents, which remains relatively high in various aspects, can be carried out. The results of the data analysis showed a significant positive influence of safety culture on compliance in the use of personal protective equipment (PPE). However, it cannot be ignored that there are still many standard operating procedures (SOPs) that are not running well, so the risks for workers remain.

This study aims to systematically examine the influence of transformational leadership and organizational culture on nurses' performance in hospitals. The method used is a Systematic Literature Review (SLR) with a qualitative approach. The findings indicate that transformational leadership has a significant impact on improving nurses’ performance, particularly through enhanced work motivation, job satisfaction, loyalty, and team effectiveness. Transformational leaders inspire nurses by providing a vision, encouraging innovation, and fostering a supportive environment that aligns with their values and goals. As a result, nurses exhibit increased commitment to their work, higher engagement levels, and a proactive attitude toward their tasks, leading to better overall performance. Organizational culture also plays a crucial role, especially values such as collaboration, human orientation, and integrity, which have been shown to support a positive work environment and nurse productivity. A culture that prioritizes teamwork, shared responsibility, and mutual respect enables nurses to work more cohesively and efficiently. Hospitals with a supportive and inclusive culture experience reduced turnover rates and higher job satisfaction, as nurses feel valued and respected within the organization. Additionally, when the culture encourages continuous learning and professional development, nurses are more likely to stay updated on best practices and provide high-quality care to patients. However, differences in findings across studies suggest the need for contextual understanding and consistent internalization of cultural values. Factors such as geographical location, hospital size, and leadership styles may influence the degree of impact that transformational leadership and organizational culture have on nurse performance. Therefore, it is essential to adapt leadership strategies and cultural initiatives to the unique needs and challenges of each healthcare setting.