cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
-
Contact Email
-
Phone
-
Journal Mail Official
-
Editorial Address
-
Location
Kota adm. jakarta pusat,
Dki jakarta
INDONESIA
Paediatrica Indonesiana
Published by Ikatan Dokter Anak Indonesia
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of health practice throughout the world.
Arjuna Subject : -
Articles 9 Documents
 1 
Search results for , issue "Vol 59 No 2 (2019): March 2019" : 9 Documents clear
Prognostic factor of heart failure in children with left-to-right shunt acyanotic congenital heart disease Weny Inrianto; Indah K. Murni; Sri Mulatsih; Sasmito Nugroho
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.152 KB) | DOI: 10.14238/pi59.2.2019.63-6

Abstract

Background Anemia is highly prevalent and affects morbidity and mortality in adults with acquired heart disease. However, its role in children with acyanotic congenital heart disease (CHD) is unclear. Objective To assess anemia and other potential prognostic factors of congestive failure in children with left-to-right shunt acyanotic CHD. Methods We conducted a case-control study in the Pediatric Cardiology Clinic, Dr. Sardjito Hospital from January to December 2017 in children with left-to-right shunt acyanotic CHD. The case and control groups consisted of subjects with and without heart failure, respectively. Anemia was defined as hemoglobin concentration <11 g/dL. Measured outcome was the prevalence of congestive heart failure, as determined by the Ross criteria. Anemia, defect type, defect size, age at diagnosis, and gender were analyzed by logistic regression analysis as potential predictive factors of heart failure. Results Of 100 children with left-to-right shunt acyanotic CHD, 50 had heart failure (the case group) and 50 did not (the control group). The prevalence of anemia was 45%. Multivariable logistic regression revealed that defect size was the most significant factor for predicting heart failure, with adjusted OR 7.6 (95%CI 2.5 to 22.8) for moderate shunts and 21.1 (95%CI 6.8 to 65.4) for large shunts. Anemia, type of defect, age of diagnosis, and gender were not statistically significant factors for predicting outcomes. Conclusion Anemia is not a significant, prognostic factor for heart failure in children with left-to-right shunt acyanotic CHD. However, moderate and large shunts in children with left-to-right shunt acyanotic CHD are predictive of the occurrence of congestive heart failure.
Waist circumference, body mass index, and skinfold thickness as potential risk factors for high blood pressure in adolescents Roslina Dewi; rafita ramayati; Nelly Rosdiana; Oke Rina Ramayani; Rosmayanti Siregar; Beatrix Siregar
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (265.132 KB) | DOI: 10.14238/pi59.2.2019.79-86

Abstract

Background The prevalence of hypertension in children and adolescents has increased with the rising obesity epidemic. Recent studies have found that prevalence of hypertension was higher in obese children or adolescents than in the normal weight ones. Anthropometric measurements such as body mass index (BMI), waist circumference, and skinfold thickness have been used as criteria to determine obesity in children and adolescents. Increased waist circumference has been most closely related to increased blood pressure. Objective To compare waist circumference, BMI, and skinfold thickness as potential risk factors for hypertension in adolescents. Methods This cross-sectional study was conducted in May 2014 in three senior high schools in Medan, North Sumatera, and included 253 students with normal urinalysis test. All subjects underwent blood pressure, waist circumference, tricep- and subscapular-skinfold thickness (TST and SST), body weight, and body height measurements. The study population was categorized into underweight, normoweight, overweight, and obese, according to four different criteria: waist circumference, BMI, TST, and SST; all variables were analyzed for possible correlations with systolic and diastolic blood pressure. Results There were significant positive correlations between systolic blood pressure and waist circumference (OR 7.933; 95%CI 2.20 to 28.65; P=0.011) as well as BMI (OR 4.137; 95%CI 1.16 to 14.75; P=0.041). There were also significant correlations between diastolic blood pressure and waist circumference (OR 3.17; 95%CI 1.83 to 5.51; P=0.002), BMI (P=0.0001; OR=3.69), TST (OR 4.73; 95%CI 2.31 to 9.69; P=0.0001), and SST (OR 3.74; 95%CI 2.35 to 5.94; P=0.0001). Multivariate analysis showed that waist circumference was a predictive factor for systolic blood pressure (OR 9.667), but not for diastolic blood pressure. Conclusion Waist circumference is the strongest, significant, predictive factor for elevated systolic blood pressure; meanwhile BMI, SST, and TST could be predictive factors for elevated diastolic blood pressure.
Motor clinical progression in a series of pediatric Duchenne and Becker muscular dystrophy cases Zakiah Nur Istianah; Sunartini Sunartini; Sasmito Nugroho
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2412.819 KB) | DOI: 10.14238/pi59.2.2019.51-4

Abstract

Muscular dystrophy is a neuromuscular disorder that begins with muscle weakness and impaired motor function. Duchenne muscular dystrophy (DMD) is more severe and destructive than Becker muscular dystrophy (BMD), and both are progressive in nature. These 2 types of muscular dystrophy are caused by mutations in related to X-chromosome genes.1 The mutations that occur in DMD are nonsense mutations. Deletion is present in 60% of DMD cases, while duplication occurs in 10% of DMD cases, resulting in loss of dystrophin protein. Mutations in BMD are missense mutations, so dystrophin is still formed, but in decreased amounts and quality.2,3 The prevalence of DMD was reported to be three times greater than that of BMD, with a prevalence of 1.02 per 10,000 male births vs. 0.36 per 10,000 male infants, respectiveley.4 Anatomical pathology examination revealed loss of dystrophin in the examination of muscle biopsy without the presence of evidence leading to other neuromuscular diseases. Clinical DMD symptoms begin to appear at the age of 2-4 years. The child is observed to fall often and has difficulty climbing stairs. Muscle weakness worsens, especially in the upper limbs, continuing with heart and respiratory problems. The main causes of death in DMD are respiratory failure and heart failure.5 The BMD has varied clinical symptoms, beginning with the appearance of myalgia, muscle cramps, and arm weakness progressing towards myopathy. Some patients are asymptomatic until the age of 15, but 50% of patients show symptoms at age 10, and almost all by age 20.6
Diagnostic value of electrocardiography for ventricular septal defect Besse Sarmila; Burhanuddin Iskandar; Dasril Daud
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.156 KB) | DOI: 10.14238/pi59.2.2019.87-91

Abstract

Background Congenital heart disease (CHD) in children requires attention from medical practitioners, because CHDs that are diagnosed early and treated promptly have good prognoses. Ventricular septal defect (VSD) is the most common type of congenital heart disease. Objective To compare the accuracy of electrocardiography (ECG) to echocardiography in diagnosing VSD. Methods This diagnostic study was conducted from November 2013 until July 2015. It involved patients with acyanotic CHDs who were suspected to have VSD at Dr. Wahidin Sudirohusodo Hospital, Makassar, South Sulawesi. Results Of 114 children screened, 97 were included and analyzed. The frequency of positive VSD was 69.1% based on ECG, and 99% based on echocardiography. There was a significant difference between ECG and echocardiography (P=0.000). However, when small VSDs were excluded, there was no significant difference between the two diagnostic tools [(P=1.000), Kappa value was 0.66, sensitivity was 98.5%, specificity was 100%, positive predictive value (PPV) was 100%, and negative predictive value (NPV) was 50%]. Conclusion There were significant differences between the ECG and echocardiography, for diagnosing VSD. However, if small VSDs were not included in the analysis, there was no difference between the two examinations, suggesting that ECG might be useful for diagnosing VSD in limited facilities hospitals.
Risk factors for delayed speech in children aged 1-2 years Sabrina Tan; Irawan Mangunatmadja; Tjhin Wiguna
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (255.063 KB) | DOI: 10.14238/pi59.2.2019.55-62

Abstract

Background Speech delay is one of the most common developmental delays in children. To minimize the negative outcomes of speech delay, risk factors should be explored to help in early patient diagnosis. Objectives To assess for associations between delayed speech in children aged 1 to 2 years and possible risk factors including gender, gestational age, birth weight, asphyxia during birth, head circumference, anterior fontanelle closure, gross motor development, duration of breastfeeding, caregiver identity, number of siblings, exposure to gadgets and television, and social interaction. Methods Parents of children aged 1 to 2 years who were treated at Dr. Cipto Mangunkusumo Hospital, and Klinik Anakku, Pondok Pinang in Jakarta from January 2018 to March 2018 were interviewed. Data were processed with SPSS Statistics for Mac and analyzed by Chi-square test and logistic regression method. Results Of 126 subjects, 63 children had speech delay and 63 children had normal speech development. Multivariate analysis revealed that the significant risk factors for delayed speech were delayed gross motor development (OR 9.607; 95%CI 3.403 to 27.122; P<0.001), exclusive breastfeeding for less than 6 months (OR 3.278; 95%CI 1.244 to 8.637; P=0.016), and exposure to gadgets and television for more than 2 hours daily (OR 8.286; 95%CI 2.555 to 26.871; P<0.001). Conclusion Delayed gross motor development, exclusive breastfeeding for less than 6 months, media exposure for more than 2 hours daily, and poor social interaction are risk factors for delayed speech development in children.
Corticosteroids for pediatric septic shock patients Irene Yuniar; Vembricha Nindya Manusita; Sonya Leonardy Low
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.95 KB) | DOI: 10.14238/pi59.2.2019.67-71

Abstract

Background Septic shock remains a major cause of mortality and admission to the pediatric intensive care unit (PICU) in children. Management includes adequate fluid resuscitation, followed by catecholamine infusion, if needed. Corticosteroid therapy is advised for catecholamine-refractory shock, although this practice is controversial, as it was not beneficial in other studies. Objective To assess corticosteroid use in pediatric septic shock patients in Cipto Mangunkusumo Hospital. Methods This cross-sectional study included all patients aged 1 month-18 years with a diagnosis of septic shock during the study period of January 2014 to July 2018 admitted in PICU Dr. Cipto Mangunkuskumo Hospital, Jakarta. Data obtained from medical records were, age, sex, immunology status, port d’entrée of sepsis, inotropic and vasopressor usage, mechanical ventilation, corticosteroid type, hospital length of stay (LOS), and mortality outcome. Results Of 217 children with septic shock, 12 patients (5.5%) received corticosteroid therapy. The most common corticosteroid given was hydrocortisone (80%), with a 2 mg/kg BW loading dose, followed by a continuous infusion dose of 2-50 mg/kg BW/day. Almost all patients (11/12) received corticosteroid therapy until they died. Median duration of corticosteroid use was 2 (range 1-7) days, median number of inotropes and vasopressors used was 3 (range 2-4) agents, median LOS was 3 (range 1-9) days, and mortality rate was 100%. Conclusion A small proportion of pediatric septic shock patients received corticosteroid therapy. Their mortality rate was 100%. Further clinical study is needed to evaluate the benefit of corticosteroid therapy in pediatric septic shock patients.
Factors associated with insulin-like growth factor-1 in children with thalassemia major Muhammad Riza; Sri Mulatsih; Rina Triasih
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.514 KB) | DOI: 10.14238/pi59.2.2019.72-8

Abstract

Background Insulin-like growth factor-1 (IGF-1) deficiency is the major cause of growth disorders and delayed puberty in children with thalassemia. Hence, identifying factors contributing to IGF-1 deficiency in thalassemia is of importance. Objectives To evaluate the correlation between IGF-1 level and nutritional status, ferritin level, pre-transfusion hemoglobin, thyroid, as well as alanine transaminase level. Methods We conducted a study in children aged 2 to 18 years with thalassemia major who visited outpatient clinics at two hospitals in Indonesia, Dr. Sardjito Hospital, Yogyakarta and Dr. Moewardi Hospital, Surakarta, Central Java, from July to December 2015. Clinical, laboratory, and demographic data were reviewed from medical records. IGF-1 levels were measured using an immunochemiluminiscent method. Results A total of 48 children were recruited into the study. Subjects mean IGF-1 level was 109.28 ng/mL (SD 90.26) ng/mL. Seventy-five percent of the children had IGF-1 level < -2SD. Subjects mean ferritin, pre-transfusion hemoglobin and ALT levels were 3.568 (SD 2131.31) ng/mL; 7.97 (SD 0.85) g/dL and 49.7 (SD 43.1), respectively. Most of the children (91.7%) was eutyroid, with a mean of TSH and FT4 level was 2.7 (SD 1.5) nmol/L and 12.3 (SD 7.1) μIU/ml, respectively. Ferritin level had no significant correlation with IGF-1 level (r=-0.794; P=0.431). However, a strong, positive correlation was documented between pre-transfusion hemoglobin level and IGF-1 level (r=2.380; P=0.022). Multivariate linear regression analysis revealed that factors with significant correlations to IGF-1 level were pre-transfusion hemoglobin level <8 g/dL (β=-0.090; 95%CI -0.002 to 0.182; P=0.056) and undernutrition (β=0.077; 95%CI 0.045 to 0.109; P<0.001). Conclusion Low pre-transfusion hemoglobin level and undernutrition are significantly correlated to low IGF-1 level in children with thalassemia major.
Predictors of mortality in children with acute kidney injury in intensive care unit Umi Rakhmawati; Indah K. Murni; Desy Rusmawatiningtyas
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.708 KB) | DOI: 10.14238/pi59.2.2019.92-7

Abstract

Background Acute kidney injury (AKI) can increase the morbidity and mortality in children admitted to the pediatric intensive care unit (PICU). Previous published studies have mostly been conducted in high-income countries. Evaluations of possible predictors of mortality in children with AKI in low- and middle-income countries have been limited, particularly in Indonesia. Objective To assess possible predictors of mortality in children with AKI in the PICU. Methods We conducted a retrospective cohort study at Dr. Sardjito Hospital, Yogyakarta, Indonesia. All children with AKI admitted to PICU for more than 24 hours from 2010 to 2016 were eligible and consecutively recruited into the study. Logistic regression analysis was used to identify independent predictors. Results Of the 152 children with AKI recruited, 119 died. In order to get a P value of <0.25, multivariate analysis is run to degree AKI, ventilator utilization, primary infection disease, MOF and age.Multivariate analysis showed that ventilator use, severe AKI, and infection were independently associated with mortality in children with AKI, with odds ratios (OR) of 19.2 (95%CI 6.2 to 59.7; P<0.001), 8.6 (95%CI 2.7 to 27.6; P<0.001), and 0.2 (95%CI 0.1 to 0.8; P=0.02), respectively. Conclusion The use of mechanical ventilation and the presence of severe AKI are associated with mortality in children with AKI admitted to the PICU. Interestingly, the presence of infection might be a protective factor from mortality in such patients.
Relationship between serum zinc and homocysteine in children with nephrotic syndrome Welli Hamik; Dany Hilmanto; Sri Endah Rahayuningsih
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.604 KB) | DOI: 10.14238/pi59.2.2019.98-103

Abstract

Background In children, most idiopathic nephrotic syndrome (NS) is a minimal lesion, which responds well to steroids. Hyperhomocysteinemia is pathologic and worsens NS by causing chronic inflammation, leading to glomerular sclerosis. Zinc metalloenzymes are involved in homocysteine metabolism. Objective To assess for a possible relationship between serum zinc and homocysteine in children with NS. Methods A cross-sectional study was conducted in children with NS aged 1-18 years, who were admitted to Hasan Sadikin Hospital from November 2017 - January 2018. Subjects were selected consecutively. Serum zinc and homocysteine were measured in all subjects. Statistical analysis was done with Pearson's correlation test. If the distribution was not linear, the analysis was continued with non-linear regression. Results There were 23 children who met the inclusion criteria. Mean serum homocysteine and zinc levels were 10.37 (SD 4.11) µmol/L and 51.13 (SD 29.69) µg/dL, respectively. Pearson's correlation analysis showed no linear correlation between them (r coefficient -0.173; P=0.430). However, after adjusting for age and serum albumin level, multiple regression analysis suggested a cubical relationship between serum homocysteine and zinc, using the equation: homocysteine = -4.572 + 0.735 x zinc - 0.0012 x zinc2 + 0.00005 x zinc3 x age (months) (R2 multiple=53.2%; P=0.012). This equation indicates that 53.2% of homocysteine variation was influenced by serum zinc concentration. Conclusion In childhood NS, homocysteine is not correlated linearly with zinc, but related with cubical model.

Page 1 of 1 | Total Record : 9

 1 

Filter by Year

2019 2019


Reset
Filter By Issues
All Issue Vol. 65 No. 6 (2025): November 2025 Vol. 65 No. 5 (2025): September 2025 Vol. 65 No. 4 (2025): July 2025 Vol. 65 No. 3 (2025): May 2025 Vol. 65 No. 2 (2025): March 2025 Vol. 65 No. 1 (2025): January 2025 Vol. 64 No. 6 (2024): November 2024 Vol. 64 No. 5 (2024): September 2024 Vol. 64 No. 4 (2024): July 2024 Vol. 64 No. 3 (2024): May 2024 Vol. 64 No. 2 (2024): March 2024 Vol. 64 No. 1 (2024): January 2024 Vol. 63 No. 6 (2023): November 2023 Vol. 63 No. 5 (2023): September 2023 Vol 63 No 4 (2023): July 2023 Vol. 63 No. 4 (2023): July 2023 Vol 63 No 3 (2023): May 2023 Vol 63 No 2 (2023): March 2023 Vol 63 No 1sup (2023): Supplementary Issue March 2023 Vol 63 No 1 (2023): January 2023 Vol 62 No 6 (2022): November 2022 Vol 62 No 5 (2022): September 2022 Vol 62 No 4 (2022): July 2022 Vol 62 No 3 (2022): May 2022 Vol 62 No 2 (2022): March 2022 Vol 62 No 1 (2022): January 2022 Vol 61 No 6 (2021): November 2021 Vol 61 No 5 (2021): September 2021 Vol 61 No 4 (2021): July 2021 Vol 61 No 3 (2021): May 2021 Vol 61 No 2 (2021): March 2021 Vol 61 No 1 (2021): January 2021 Vol 60 No 6 (2020): November 2020 Vol 60 No 5 (2020): September 2020 Vol 60 No 4 (2020): July 2020 Vol 60 No 3 (2020): May 2020 Vol 60 No 2 (2020): March 2020 Vol. 60 No. 2 (2020): March 2020 Vol 60 No 1 (2020): January 2020 Vol 59 No 6 (2019): November 2019 Vol 59 No 5 (2019): September 2019 Vol 59 No 4 (2019): July 2019 Vol 59 No 3 (2019): May 2019 Vol 59 No 2 (2019): March 2019 Vol 59 No 1 (2019): January 2019 Vol 58 No 6 (2018): November 2018 Vol 58 No 5 (2018): September 2018 Vol 58 No 4 (2018): July 2018 Vol 58 No 3 (2018): May 2018 Vol 58 No 2 (2018): March 2018 Vol 58 No 1 (2018): January 2018 Vol 57 No 6 (2017): November 2017 Vol 57 No 5 (2017): September 2017 Vol 57 No 4 (2017): July 2017 Vol 57 No 3 (2017): May 2017 Vol 57 No 2 (2017): March 2017 Vol 57 No 1 (2017): January 2017 Vol 56 No 6 (2016): November 2016 Vol 56 No 5 (2016): September 2016 Vol 56 No 4 (2016): July 2016 Vol 56 No 3 (2016): May 2016 Vol 56 No 2 (2016): March 2016 Vol 56 No 1 (2016): January 2016 Vol 55 No 6 (2015): November 2015 Vol 55 No 5 (2015): September 2015 Vol 55 No 4 (2015): July 2015 Vol 55 No 3 (2015): May 2015 Vol 55 No 2 (2015): March 2015 Vol 55 No 1 (2015): January 2015 Vol 54 No 6 (2014): November 2014 Vol 54 No 5 (2014): September 2014 Vol 54 No 4 (2014): July 2014 Vol 54 No 3 (2014): May 2014 Vol 54 No 2 (2014): March 2014 Vol 54 No 1 (2014): January 2014 Vol 53 No 6 (2013): November 2013 Vol 53 No 5 (2013): September 2013 Vol 53 No 4 (2013): July 2013 Vol 53 No 3 (2013): May 2013 Vol 53 No 2 (2013): March 2013 Vol 53 No 1 (2013): January 2013 Vol 52 No 6 (2012): November 2012 Vol 52 No 5 (2012): September 2012 Vol 52 No 4 (2012): July 2012 Vol 52 No 3 (2012): May 2012 Vol 52 No 2 (2012): March 2012 Vol 52 No 1 (2012): January 2012 Vol 51 No 6 (2011): November 2011 Vol 51 No 5 (2011): September 2011 Vol 51 No 4 (2011): July 2011 Vol 51 No 3 (2011): May 2011 Vol 51 No 2 (2011): March 2011 Vol 51 No 1 (2011): January 2011 Vol 50 No 6 (2010): November 2010 Vol 50 No 5 (2010): September 2010 Vol 50 No 4 (2010): July 2010 Vol 50 No 3 (2010): May 2010 Vol 50 No 2 (2010): March 2010 Vol 50 No 1 (2010): January 2010 Vol 49 No 6 (2009): November 2009 Vol 49 No 5 (2009): September 2009 Vol 49 No 4 (2009): July 2009 Vol 49 No 3 (2009): May 2009 Vol 49 No 2 (2009): March 2009 Vol 49 No 1 (2009): January 2009 Vol 48 No 6 (2008): November 2008 Vol 48 No 5 (2008): September 2008 Vol 48 No 4 (2008): July 2008 Vol 48 No 3 (2008): May 2008 Vol 48 No 2 (2008): March 2008 Vol 48 No 1 (2008): January 2008 Vol 47 No 6 (2007): November 2007 Vol 47 No 5 (2007): September 2007 Vol 47 No 4 (2007): July 2007 Vol 47 No 3 (2007): May 2007 Vol 47 No 2 (2007): March 2007 Vol 47 No 1 (2007): January 2007 Vol 46 No 6 (2006): November 2006 Vol 46 No 5 (2006): September 2006 Vol 46 No 4 (2006): July 2006 Vol 46 No 3 (2006): May 2006 Vol 46 No 2 (2006): March 2006 Vol 46 No 1 (2006): January 2006 Vol 45 No 6 (2005): November 2005 Vol 45 No 5 (2005): September 2005 Vol 45 No 4 (2005): July 2005 Vol 45 No 3 (2005): May 2005 Vol 45 No 2 (2005): March 2005 Vol 45 No 1 (2005): January 2005 Vol 44 No 6 (2004): November 2004 Vol 44 No 5 (2004): September 2004 Vol 44 No 4 (2004): July 2004 Vol 44 No 3 (2004): May 2004 Vol 44 No 2 (2004): March 2004 Vol 44 No 1 (2004): January 2004 Vol 43 No 6 (2003): November 2003 Vol 43 No 5 (2003): September 2003 Vol 43 No 4 (2003): July 2003 Vol 43 No 3 (2003): May 2003 Vol 43 No 2 (2003): March 2003 Vol 43 No 1 (2003): January 2003 Vol 42 No 11-12 (2002): November 2002 Vol 42 No 9-10 (2002): September 2002 Vol 42 No 5-6 (2002): May 2002 Vol 41 No 11-12 (2001): November 2001 Vol 41 No 9-10 (2001): September 2001 Vol 41 No 7-8 (2001): July 2001 Vol 41 No 5-6 (2001): May 2001 Vol 41 No 3-4 (2001): March 2001 Vol 41 No 1-2 (2001): January 2001 Vol 39 No 11-12 (1999): November - December 1999 Vol 39 No 9-10 (1999): September - October 1999 Vol 39 No 7-8 (1999): July - August 1999 Vol 39 No 5-6 (1999): May - June 1999 Vol 39 No 3-4 (1999): March - April 1999 Vol 39 No 1-2 (1999): January - February 1999 Vol 38 No 11-12 (1998): November - December 1998 Vol 38 No 9-10 (1998): September - October 1998 Vol 38 No 3-4 (1998): March - April 1998 Vol 38 No 1-2 (1998): January - February 1998 Vol 37 No 9-10 (1997): September - October 1997 Vol 37 No 5-6 (1997): May - June 1997 Vol 37 No 3-4 (1997): March - April 1997 Vol 37 No 1-2 (1997): January - February 1997 Vol 36 No 11-12 (1996): November - December 1996 Vol 36 No 7-8 (1996): July - August 1996 Vol 36 No 5-6 (1996): May - June 1996 Vol 35 No 9-10 (1995): September - October 1995 Vol 35 No 7-8 (1995): July - August 1995 Vol 35 No 5-6 (1995): May - June 1995 Vol 35 No 3-4 (1995): March - April 1995 Vol 35 No 1-2 (1995): January - February 1995 Vol 34 No 7-8 (1994): July - August 1994 Vol 34 No 5-6 (1994): May - June 1994 Vol 34 No 3-4 (1994): March - April 1994 Vol 34 No 1-2 (1994): January - February 1994 Vol 33 No 7-8 (1993): July - August 1993 Vol 33 No 5-6 (1993): May - June 1993 Vol 33 No 3-4 (1993): March - April 1993 Vol 33 No 1-2 (1993): January - February 1993 Vol 32 No 11-12 (1992): November - December 1992 Vol 32 No 7-8 (1992): July - August 1992 Vol 32 No 5-6 (1992): May - June 1992 Vol 32 No 3-4 (1992): March - April 1992 Vol 31 No 11-12 (1991): November - December 1991 Vol 31 No 9-10 (1991): September - October 1991 Vol 31 No 7-8 (1991): July - August 1991 Vol 31 No 5-6 (1991): May - June 1991 Vol 31 No 3-4 (1991): March - April 1991 Vol 30 No 11-12 (1990): November - December 1990 Vol. 30 No. 9-10 (1990): September-October 1990 Vol. 30 No. 5-6 (1990): May-June 1990 Vol 30 No 1-2 (1990): January - February 1990 Vol 29 No 11-12 (1989): November - December 1989 Vol 29 No 9-10 (1989): September - October 1989 Vol 29 No 7-8 (1989): July - August 1989 Vol 29 No 5-6 (1989): May - June 1989 Vol 29 No 3-4 (1989): March - April 1989 Vol 29 No 1-2 (1989): January - February 1989 Vol 28 No 11-12 (1988): November - December 1988 Vol 28 No 9-10 (1988): September - October 1988 Vol 28 No 7-8 (1988): July - August 1988 Vol 28 No 5-6 (1988): May - June 1988 Vol 28 No 3-4 (1988): March - April 1988 Vol 28 No 1-2 (1988): January - February 1988 Vol 26 No 7-8 (1986): July - August 1986 Vol 25 No 5-6 (1985): May - June 1985 Vol 24 No 11-12 (1984): November - December 1984 Vol 24 No 9-10 (1984): September - October 1984 Vol 24 No 7-8 (1984): July - August 1984 Vol 24 No 5-6 (1984): May - June 1984 Vol 24 No 3-4 (1984): March - April 1984 Vol 24 No 1-2 (1984): January - February 1984 Vol 23 No 9-10 (1983): September - October 1983 Vol 23 No 5-6 (1983): May - June 1983 Vol 23 No 3-4 (1983): March - April 1983 Vol 23 No 1-2 (1983): January - February 1983 Vol 22 No 11-12 (1982): November - December 1982 Vol 22 No 9-10 (1982): September - October 1982 Vol 22 No 7-8 (1982): July - August 1982 Vol 22 No 5-6 (1982): May - June 1982 Vol 22 No 3-4 (1982): March - April 1982 Vol 22 No 1-2 (1982): January - February 1982 Vol 21 No 11-12 (1981): November - December 1981 Vol 21 No 9-10 (1981): September - October 1981 Vol 21 No 7-8 (1981): July - August 1981 Vol 21 No 5-6 (1981): May - June 1981 Vol 21 No 3-4 (1981): March - April 1981 Vol 21 No 1-2 (1981): January - February 1981 Vol 20 No 11-12 (1980): November - December 1980 Vol 20 No 9-10 (1980): September - October 1980 Vol 20 No 7-8 (1980): July - August 1980 Vol 20 No 5-6 (1980): May - June 1980 Vol 20 No 3-4 (1980): March - April 1980 Vol 20 No 1-2 (1980): January - February 1980 Vol 19 No 11-12 (1979): November - December 1979 Vol 19 No 9-10 (1979): September - October 1979 Vol 19 No 3-4 (1979): March - April 1979 Vol 19 No 1-2 (1979): January - February 1979 Vol 18 No 11-12 (1978): November - December 1978 Vol 18 No 9-10 (1978): September - October 1978 Vol 18 No 5-6 (1978): May - June 1978 Vol 18 No 3-4 (1978): March - April 1978 Vol 18 No 1-2 (1978): January - February 1978 Vol 16 No 9-10 (1976): September - October 1976 Vol 16 No 3-4 (1976): March - April 1976 Vol 16 No 1-2 (1976): January - February 1976 Vol 15 No 11-12 (1975): November - December 1975 Vol 15 No 9-10 (1975): September - October 1975 Vol 15 No 7-8 (1975): July - August 1975 Vol 15 No 3-4 (1975): March - April 1975 Vol 15 No 1-2 (1975): January - February 1975 Vol 14 No 11-12 (1974): November - December 1974 Vol 14 No 9-10 (1974): September - October 1974 Vol 14 No 7-8 (1974): July - August 1974 Vol 14 No 5-6 (1974): May - June 1974 Vol 14 No 3-4 (1974): March - April 1974 Vol 14 No 1-2 (1974): January - February 1974 Vol 13 No 4 (1973): April 1973 Vol 13 No 3 (1973): March 1973 Vol 13 No 2 (1973): February 1973 Vol 13 No 1 (1973): January 1973 More Issue