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 2,118 Documents
 173   174   175   176   177 
Modifying the PELOD-2 score to predict mortality in critically ill patients Melda Melda; Rina Triasih; Nurnaningsih Nurnaningsih
Paediatrica Indonesiana Vol 61 No 2 (2021): March 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.2.2021.61-8

Abstract

Background The PELOD-2 score, which has been widely used to predict multiple organ dysfunction, may be used to predict mortality. Nevertheless, blood gas analyses (BGA) and lactate measurements required for the PELOD-2 cannot be performed in most limited resource settings. Objective To evaluate the performance of modified PELOD-2, without BGA and lactate, to predict mortality in critically ill children. Methods This retrospective cohort study in critically ill children admitted to the pediatric intensive care unit (PICU), Dr. Sardjito Hospital, Yogyakarta, was undertaken from January to December 2018. The modifications to the PELOD-2 score were PELOD-2A (without BGA), PELOD-2B (without lactate), and PELOD-2C (without BGA and lactate). The modified PELOD-2 scores were evaluated using receiver operating characteristic (ROC) curve for discrimination, and Hosmer-Lemeshow goodness-of-fit test for calibration. Results Of 130 subjects, 68 (52.3%) died. A PELOD-2 score cut-off of 6.5 and modified PELOD-2A, 2B, and 2C had sensitivities for predicting mortality of 73.5%, 67.7%, 70.6%, and 63.2%, respectively, and specificities of 75.8%, 77.4%, 77.4%, and 79%, respectively. The area under curve (AUC) of the PELOD-2 score was 78.3 (95%CI 70.5 to 86.2). The AUCs of the modified PELOD-2 scores ranged from 76.8 (95%CI 68.7 to 84.9) to 77.9 (95% CI 69.9 to 85.8). The positive predictive values of PELOD-2 and modified PELOD-2A, 2B, 2C were 76.9%, 76.7%, 77.4% and 76.8%, respectively. The Hosmer-Lemeshow goodness-of-fit test showed good calibration for PELOD-2 (x2=8.74; P=0.27) and modified PELOD-2A (x2=4.91; P=0.67). Conclusion The PELOD-2A, modified without BGA, can still predict mortality well in critically ill PICU patients when using a cut-off score ≥ 6.5.
Epidemiologic profiles of subclinical rheumatic heart disease in children Dewi Rahmawati Syam; Deny Salverra Yosy; Achirul Bakri; Ria Nova
Paediatrica Indonesiana Vol 60 No 6 (2020): November 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi60.6.2020.334-40

Abstract

Background Rheumatic heart disease (RHD) causes premature deaths every year worldwide. Low socioeconomic level is considered to be a risk factor facilitating the transmission of airway infections due to Streptococcus pyogenes. Subclinical RHD is a stage of RHD in which heart valve abnormalities have occurred according to the WHO or WHF classification but without any complaints to the subject. Echocardiography is used to screen subclinical RHD in several countries. Objective To estimate the prevalence, risk factors, and echocardiographic features of subclinical RHD in children. Methods This cross-sectional study was conducted on 250 elementary school children in Palembang, South Sumatera. We interviewed subject's parents about family characteristics, environment, and history of recurrent sore throat. Subjects underwent anthropometric examination, auscultation, and echocardiography. Diagnosis of RHD was based on World Health Organization (WHO) and World Heart Federation (WHF) criteria. Results Of 250 subjects, 132 (53.8%) were girls. Subjects’ age range was 5-14 years. The prevalence of subclinical RHD was 8% (95%CI 4.8 to 11.6). Of the 20 subclinical RHD subjects, 15 (75%) met the possible RHD criteria, 5 (25%) met the probable RHD criteria, and none met the definite RHD criteria. Multivariate analysis showed that household crowding (OR 8.135; 95%CI 1.048 TO 63.143; P=0.045), history of recurrent sore throat within the previous 6 months (OR 6,476; 95%CI 1.79 to 23.427; P=0.004) and age > 10 years (OR 3.167, 95%CI 1.184 to 8.471; P=0.022) significantly increased the risk of subclinical RHD. Conclusion The prevalence of subclinical RHD in elementary school children in Palembang was 8%. For echocardiographic features, most cases met the WHO/WHF possible RHD criteria. Factors significantly associated with the incidence of subclinical RHD are age > 10 years, household crowding, and history of recurrent sore throat in the previous 6 months.
Pediatric SOFA score for detecting sepsis in children Muhammad Aulia; Silvia Triratna; Yulia Iriani; Achirul Bakri; Indra Saputra
Paediatrica Indonesiana Vol 61 No 1 (2021): January 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.1.2021.1-7

Abstract

Background The pediatric logistic organ dysfunction-2 (PELOD-2) score is recommended by the Indonesian Pediatric Society Emergency and Intensive Care Working Group as an indicator of life-threatening organ dysfunction for sepsis in children. However, The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) recommended the Sequential (Sepsis-related) Organ Failure Assessment (SOFA) score in determining life-threatening organ dysfunction, which has not been adjusted for pediatric patients. Objective To assess the accuracy of the pediatric SOFA score in diagnosing sepsis in children admitted to the pediatric intensive care unit (PICU) at Mohammad Hoesin Hospital, Palembang, South Sumatera. Methods The study was conducted in children with organ dysfunction caused by infection admitted in PICU, from April to December 2019. Subjects were included by consecutive sampling, according to the following inclusion criteria: all patients aged 1 month to 18 years who met organ dysfunction and two SIRS criteria, with infection according to the 2005 PSCC criteria. Laboratory tests performed included complete blood count (CBC), blood gas analysis, measurement of C-reactive protein (CRP), liver and kidney function tests. In all patients, pSOFA and PELOD-2 scores were calculated within 24 hours of admission. We compared the accuracy of pSOFA score to PELOD-2 score >= 11. Results Of 108 subjects, there were 59 males and 49 females, with median age 11 (range 1-193) months. We compared the accuracy of pSOFA score to PELOD-2 score >= 11 and obtained a sensitivity of 93.3% and a specificity of 79.5%, for pSOFA cut-off score ? 8. Pediatric SOFA score cutoff >= 8 was determined by receiver operating curve (ROC). The area under the curve (AUC) for pediatric SOFA score was 93.9% (95%CI 89.7 to 98.0%). Conclusion Pediatric SOFA score >= 8 is the optimal cut-off for predicting life-threatening organ dysfunction in pediatric sepsis. Multicenter revalidation is needed to find the most optimal cut-off point for general use in Indonesia.
Music for pain in healthy neonates Nessie Amelia Ramli; Afifa Ramadanti; Indrayady Indrayady; Yuli Doris Memy
Paediatrica Indonesiana Vol 61 No 2 (2021): March 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.2.2021.69-73

Abstract

Background The neonatal pain threshold is 30-50% lower than in adults and older children because of immature pain inhibition function in nervous centers. Acute pain in neonates results in behavioral, physiological, and cerebral blood flow changes that may lead to intraventricular bleeding and periventricular leukomalacia. Music is believed to reduce pain perception as it distracts, influencing the parasympathetic and sympathetic nervous system by decreasing pulse rate, blood pressure, and breathing, hence, promoting a relaxed state. Objective To evaluate effects of music intervention on physiological parameters and pain perception in healthy newborns undergoing a painful medical procedure (immunization injection). Methods This was a double-blind, randomized control trial study. A recorded instrumental lullaby “Nina Bobo” was given for 5 minutes to the music group and no music for control, prior injection of Hepatitis B 0. The evaluation of heart rate and SpO2 were performed at baseline, 30 seconds, and 5 minutes after injection. Pain perception were measured by Neonatal Infant Pain Scale (NIPS) at 30 seconds and 5 minutes after injection. Results Total of 51 subjects were enrolled. There were no difference of SpO2 and NIPS between both music and control groups. Music improved heart rate after 30 seconds and 5 minutes after injection, median 126 (range 55-149) bpm from median 136 (range 78-154) bpm, and even lower than baseline [mean 128.9 (SD 12.5) bpm; P=0.019]. The control showed no improvement of heart rate mean 124,34 (SD 18,45) from 124,73 (SD 18,39); P=0.875There were no significant differences between the 2 groups. Conclusion Music is not effective in improving oxygen saturation, heart rate, and is not effective in reducing the degree of pain.
Predictor factors of pulmonary hypertension in children with left-to-right shunting in acyanotic congenital heart disease Weny Inrianto; Indah Kartika Murni; Ida Safitri
Paediatrica Indonesiana Vol 61 No 3 (2021): May 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.3.2021.119-24

Abstract

Background Left-to-right shunting in acyanotic congenital heart disease (CHD) is the most common type of defect in childhood heart disease. Limited access to specialist health services causes delays in CHD management. In limited resource settings, identification of factors that influence the occurrence of pulmonary hypertension is important in order to decide which patients should be prioritized for defect closure to prevent further complications. Objective To determine predictive factors of pulmonary hypertension after a left-to-right shunt CHD diagnosis. Methods This retrospective cohort study included children aged 1 month to 17 years with isolated atrial septal defect, or ventricular septal defect, or patent ductus arteriosus. Potential predictors studied were iron deficiency anemia, mitral regurgitation, pneumonia, and heart failure. Bivariate analysis was done with Chi-square test and multivariate analysis was done with Cox regression to determine the hazard ratio. Results Pulmonary hypertension occurred in 68 of 176 subjects. Iron deficiency anemia, mitral regurgitation, and pneumonia were not predictives of pulmonary hypertension. However, heart failure was a significant predictive factor for pulmonary hypertension, with a hazard ratio of 4.1 (95%CI 2.2 to 7.5; P=0.001). Conclusions Heart failure is a predictive factor of pulmonary hypertension in children with left-to-right shunting in acyanotic CHD.
Flat foot at 5 to 6-year-old and history of delayed walking Gilbert Sterling Octavius; Thalia Sugiarto; Fransisca Handy; Rima Natasha Hartanto
Paediatrica Indonesiana Vol 60 No 6 (2020): November 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi60.6.2020.321-7

Abstract

Background Flat foot, also known as pes planus, is a common problem in daily pediatric practice. For most children, this physiologic condition gradually disappears with age. However, flat foot that persists after the age of four might have developmental coordination disorder in the future and it may relate to the history of delayed walking . Objective To determine the prevalence of delayed walking in children with pes planus compared to children with normal foot curvature and to assess for a possible association between flat foot and history of delayed walking. Methods This cross-sectional study was done in 120 children aged 5-6 years. Foot curvature was evaluated by wet footprint test. Inclusion criteria include children in 3 playgroups in Tangerang from January to August 2018, in children aged 5-6 years. Children with history of neurologic diseases, genetic disorders, chronic diseases, disorders of the lower extremities except pes planus, and obesity were excluded. Grading of pes planus refers to Olivier et al. criteria and evaluation of delayed walking at 18-month-old was done through history taking from their parents. Results Of 120 children, 41 (34.2%) had pes planus while 11 (9.2%) had a history of delayed walking. Of those 11 children, 9 had pes planus. Most children with pes planus had grade I (78%). There was a significant association between pes planus and delayed walking (OR=10.8; 95%CI 2.2 to 52,9; P=0.001;). Conclusion In 5-6-year-old children, there is a significant association between pes planus grade 2 & 3 and history of delayed walking early in life. Wet footprint test screening for children with a history or signs of delayed walking may be used to identify pes planus in order to implement treatment in a timely manner.
Sleep disorders and associated factors in children with cerebral palsy Sari Wardhani Mahligai Patery; Sunartini Sunartini; Retno Sutomo
Paediatrica Indonesiana Vol 61 No 4 (2021): July 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.4.2021.179-85

Abstract

Background Sleep disorders are a condition affecting quality and quantity of sleep. Children with cerebral palsy (CP) have higher risk of sleep disorders than those with no chronic disease. Objective To determine the prevalence and factors associated with sleep disorders in children with CP. Methods We conducted an analytic, observational study with cross-sectional design in children aged 4-10 years with CP. Subjects were recruited consecutively; children with chronic diseases (cardiovascular, malignancy, chronic obstructive pulmonary disease, and diabetes mellitus) were excluded from the study. Primary data including sociodemographics, intensity of physiotherapy outside Sardjito General Hospital (SGH), sleep hygiene, and sleep disorders were collected from the Children’s Sleep Habit Questionnaire (CSHQ). Secondary data were acquired from medical records, such as type of CP, severity of motor function impairment, presence of epilepsy, intensity of physiotherapy performed at SGH, as well as anti-epileptic, anti-spastic, and sleep-affecting medicines. Results We found sleep disorders in 64 of 75 (85%) subjects, mostly bedtime resistance (66%). Spastic quadriplegia (OR=3.63; 95%CI 1.82 to15.94) and presence of epilepsy (OR=7.82; 95%CI 1.53 to 39.84) were significantly associated with sleep disorders in children with CP aged 4-10 years. Conclusion Sleep disorders are common in children with CP, with the majority experiencing bedtime resistance. Sleep disorders are more prevalent in subjects with spastic quadriplegia and epilepsy.
New PELOD-2 cut-off score for predicting death in children with sepsis Ni Made Rini Suari; Abdul Latief; Antonius H. Pudjiadi
Paediatrica Indonesiana Vol 61 No 1 (2021): January 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.1.2021.39-45

Abstract

Background According to the most recent Sepsis-3 Consensus, the definition of sepsis is life-threatening organ dysfunction caused by dysregulated immune system against infection. Currently, one of the most commonly used prognostic scoring system is pediatric logistic organ damage-2 (PELOD-2) score. Objective To determine and validate the pediatric logistic organ dysfunction-2 (PELOD-2) cut-off score to predict mortality in pediatric sepsis patients. Methods A prospective cohort study was conducted in the intensive care units of Cipto Mangunkusumo Hospital, Jakarta. We assessed subjects with PELOD-2 and calculated the predicted death rate (PDR) using SFAR software. The Hosmer-Lemeshow goodness-of-fit test was used to evaluate calibration and the area under the curve (AUC) of the receiver operating characteristic curve (ROC) to estimate discrimination. Results Of 2,735 children admitted to the emergency department, 52 met the inclusion criteria. Patients had various types of organ dysfunction: 53.8% respiratory, 28.8% neurological, 15.4% cardiovascular, 1.9% hematological. The mortality rate in this study was 38.5%. Mean PELOD-2 score was higher in patients who died than in those who survived [13.9 (SD 4.564) vs. 7.59 (SD 3.025), respectively, P=0.000]. The discrimination of PELOD-2 score with the lactate component had an AUC of 85.5% (95%CI 74.5 to 96.5), while PELOD-2 without lactate had an AUC of 85.4% (95%CI 74.5 to 96.3%). We propose a new PELOD-2 cut-off score to predict organ dysfunction and death of 10, with 75% sensitivity, 72% specificity, 62.5% PPV, and 82% NPV. PELOD-2 score > 10 had a moderate, statistically significant correlation to mortality (r=0.599; P<0.001). Conclusion A PELOD-2 score > 10 is valid for predicting life-threatening organ dysfunction in pediatric patients with sepsis.
Influence of initial treatment delay on overall survival and event-free survival in childhood acute lymphoblastic leukemia Irenne Purnama; Pudjo Hagung Widjajanto; Wahyu Damayanti
Paediatrica Indonesiana Vol 61 No 4 (2021): July 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.4.2021.217-22

Abstract

Background Acute lymphoblastic leukemia (ALL) is the most common childhood malignancy. Initial treatment delay is a modifiable prognostic factor that significantly affects overall survival (OS) and event-free survival (EFS) of childhood ALL in high-income countries. Nevertheless, the effect of delayed initial treatment in low-middle income countries had not been determined. Objective To analyze relationships between initial treatment delay with overall survival and event-free survival in children with ALL. Methods A retrospective study was conducted in children aged < 18 years newly diagnosed with ALL L1 and L2 from January 2013 until December 2018 at Dr. Sardjito Hospital, Yogyakarta. Initial treatment delay was defined as a time interval of more than 3 days between diagnosis and treatment. The outcomes of the study were OS and EFS. Negative events were defined as remission failure, relapse, dropping out, and death. Overall survival (OS) and event free survival (EFS) were analyzed by Kaplan-Meier and log-rank tests. Results Of 341 subjects, 188 (55.5%) underwent delayed initial treatment. There were no significant relationships between initial treatment delay and OS (HR 0.845; 95%CI 0.548 to 1.302; P=0.445) or EFS (HR=0.937; 95%CI 0.689 to 1.275; P=0.971). Multivariate analysis revealed that age was an independent prognostic factor for both OS (P<0.001) and EFS (P<0.001). Conclusion Initial treatment delay is not associated with OS or EFS. Age is an independent predictor for both OS and EFS.
Selenium level in steroid-resistant and steroid-sensitive nephrotic syndrome Sudung Oloan Pardede; Andini Striratnaputri; Muzal Kadim
Paediatrica Indonesiana Vol 60 No 6 (2020): November 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi60.6.2020.316-20

Abstract

Background The mechanisms of pathogenesis of steroid-resistant nephrotic syndrome (SRNS) and steroid-sensitive nephrotic syndrome (SSNS) are not well understood. Antioxidants, such as glutathione peroxidase enzyme (GPx) and its cofactor, selenium, are thought to slow the progress of nephrotic syndrome (NS). Objective To compare selenium levels in SRNS and SSNS pediatric patients. Methods This cross-sectional study was conducted in 51 SRNS and 30 SSNS patients, aged 2 to 18 years, who visited the Pediatric Nephrology Outpatient Clinic at Cipto Mangunkusumo Hospital, Jakarta. Subjects were included by consecutive sampling. Selenium was measured on venous blood using GC tools MS ™ (Agilent technologies, inc.). Results Median selenium levels in SRNS patients were 92 (range 42-154) μg/L and in SSNS patients were 93 (range 69-193) μg/L. Conclusion Selenium levels in SRNS and SSNS patients were not significantly different.

Page 175 of 212 | Total Record : 2118

 173   174   175   176   177 

Filter by Year

1973 2025


Reset
Filter By Issues
All Issue 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