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Ika Kusumaningtyas
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INDONESIA
Berita Kedokteran Masyarakat
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : Health,
Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope related to aspects of: - Epidemiology - Infectious diseases control - Clinical Epidemiology - Environmental Health - Occupational Health - Healthy City - Public Health and Primary Health Care - School of Health Promotion - Healthy lifestyles - Health promotion - Health and Social Behavior - Tobacco and smoking - Adolescent Health - Public Health Nutrition - Maternal and Child Health - Reproductive Health - Population Health - Health of Vulnerable People - Social Determinants of Health - Water, Sanitation and Hygiene - Human Resource Management
Articles 7 Documents
Search results for , issue "Vol 24, No 3 (2008)" : 7 Documents clear
Peran Media Massa terhadap Perilaku Ibu dalam Upaya Pencegahan Demam Berdarah pada Rumah Tangga di Kota Yogyakarta Asniati Djaswadi Dasuki, Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (253.67 KB) | DOI: 10.22146/bkm.3587

Abstract

Background: The  incidence of  dengue hemorrhagic  fever  (DHF)  is  increasing dramatically  especially  in  tropical areas. DHF can cause death.  It  is predicted  that 25  thousand people die every year because of DHF. Control of DHF  through fogging and use of abate can reduce population of Aedes  aegypti mosquitos but  it is costly and use in  improper  dosage  can  cause  resistance  to  insecticide. The  best way  to  prevent  the  disease  is  eradicating vector  larvae  through  3 activities  (draining, burying  and covering). Such efforts  can be  done by mothers  in  their household. Meanwhile  in  doing  these efforts mothers may  be  influenced  by some  factors,  i.e. mass media, knowledge and  attitude of mothers about DHF.Objective: The  objective  of  the  study  was  to  identify factors  related  to mothers’  behavior  in  preventing hemorrhagic  fever  in  the  household.Method: This was an  observational  study with cross  sectional design. The  sample of  the study was as many as  100 mothers. Data were  collected  through  questionnaires  and  analyzed  using  univariate,  bivariate  and multivariate  techniques.Result: Variable  of  role  of mass media was  statistically  significant  as  predictor  of DHF  prevention  behavior (p<0.05) with moderate  relationship  level  (r=0.352).  Variables  of  knowledge  and  attitude were  statistically significant with p<0.05  but  they  had negative  relationship.Conclusion: Mass media can  significantly  affect mothers’  behavior  in  preventing DHF  in  the  household.Keywords: mass media,  knowledge, attitude, DHF,  prevention
Analisis Kebutuhan Program Promosi Pencegahan Diare pada Anak Berusia di Bawah Dua Tahun Elfi Rahmawati, Retna Siwi Padmawati, Rendra Widyatama
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (242.695 KB) | DOI: 10.22146/bkm.3588

Abstract

Background: Diarrhea  is one  of environmental  based  diseases  and  still  the  cause  of major  health problems  in Indonesia.  It  is attributed  to  the poor condition of basic sanitation, physical environment and  the poor behavior of community  in personal hygiene. Diarrhea  is considered as one of  the  infectious diseases and  the main cause of mortality  and morbidity  in children  under-five particularly  under  two-years  old. Various  health promotion  activities have been conducted  to control diarrhea disease, yet  the  diarrhea  incident  rate still high. Even  for certain period there has  been  an  increasing number  of  diarrhea  patients.Objective: This  research was  aimed  at  describing  the community’s  need  for  the  health  education  of  diarrhea prevention.Method:  This was  a  qualitative  research using  case  study  approach. Data  collection was  conducted  by  in depth  interview,  focus  group  discussion, observation  and  document  study. Research  informants were mothers who have  children below  two  years  old and  health education  stakeholders. Data was  analyzed  using    interactive analysis.Result:   The promotion  program  for  diarrhea prevention  that  has  been conducted  in Primary Health Care  of Piyungan was not  able  to  diminish  various  inappropriate  perceptions  and  assumptions  toward diarrhea.  The community  could not  see  the  relation  between  diarrhea with  environment and  breastfeeding. Community’s  need toward  diarrhea  information was all materials  related with diarrhea. The  method  to  convey was  through  speech that used  leaflet,  folder  and booklet. The  information  source  that  suitable  to  give  information was  health  care provider  in  regulars meeting  every month.Conclusion:  the suitable  health promotion  for diarrhea  is speech  by health  provider using  leaflet, booklet  and folder.  Education material  should  be  focused  on  diarrhea prevention,  especially  on  the  relationship  between environment  and breastfeeding  and  diarrhea  incidents.Keywords: need  assessment,  promotion  program,  diarrhea  prevention
Evaluasi Promosi Penggunaan Kondom untuk Mencegah HIV/AIDS di Lokalisasi Pelacuran di Kabupaten Banyuwangi Hafrida Ira Paramastri, Agus Priya
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (255.599 KB) | DOI: 10.22146/bkm.3589

Abstract

Background: HIV/AIDS  in East Java  in  the year of 2005  is  the  third highest disease  in  Indonesia. The district of Banyuwangi  is  the  third  rank  in  Indonesia after Surabaya and Malang  in  terms  of  the case number. The biggest patient group of HIV/AIDS  is sexual worker women  (WPS). Various health promotion programs  in using condom have  been  implemented  although  the  case of AIDS still  tends  to  improve.Objective:  This  research was  aimed  to obtained  description  on  health promotion  program  implementation  by using condom  in  the prevention of HIV/AIDS  in  the  localization of prostitution  from  the perspective  of  those who obtained  the health  promotion and who conveyed  the  health  promotion.Method:  This was  an  emic  qualitative  research.  The main  informant was WPS which was  supported with informant  of  client, procurers,  government and NGO. The  research was  implemented  in  the  localizations  of Banyuwangi district. Data was  collected  by  using  in-depth  interview  and  observation  for  comparing  the  result of  in-depth  interview. Data was  analyzed  by  using constant  comparative method  and  data  validity was  using source  and  triangulation method.Result: The  subjects  did  not  comprehend HIV/AIDS  appropriately. Their  negotiation skill was  low  as  they were more prioritized on  the sales  result of  the sexual  relationship. The promotion media  that were sticker, poster and advertisement were not  really  interesting,  as  they were not  appropriate  for  localization.  Interpersonal  supervision by health  care provider  and  the  check up  of  reproductive  health was  not successful. Promotion  through  selling condom in parking place, condom promotion and condom ATM was able to remind the WPS to be more aware on the  transmission  of  the  disease  and  in using  condom. Media  of  film was  also  preferred.  It  is suggested  for program modification  is  by adding up  the  health promoter  from other  related   institution. Government plays  a  role in  giving  the  budget of HIV/AIDS prevention  program.Conclusion: Various  promotion media was  not  suitable with  the need  in  localization  (sticker, poster,  booklet), while other media could  influenced  to  remind  the  prevention  of HIV/AIDS  transmission  (promotion  in  parking place,  condom promotion,  supervision of  the health  care  provider). Negotiation  in  using condom was still  low. The continual  supervision  of  health  care  provider and  the promotion  in  the  parking place were expected  could be  disseminated and  continued.Keywords:  promotion evaluation,  condom, HIV/AIDS,  prostitution
Kontribusi Testimoni dalam Meningkatkan Efektivitas Pendidikan Kesehatan tentang Napza di Kabupaten Sleman Ririn Puspandari, IM Sunarsih, Rendra Widyatama
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (224.729 KB) | DOI: 10.22146/bkm.3590

Abstract

Background: Drugs  abuse  including  narcotic,  alcohol,  psychotropic  and  other  addictive  elements  (Napza) keep  increased. Teenager  is  a  high  risky  group  toward  external  bad  influence  including Napza. The  increasing tendency  of  the  number  of  drugs  abuse  and  the  age  of  drug  user which  tend  to  be  younger,  demanded prevention  effort  and  appropriate  control. School  as  education  institution  is  an  appropriate  place  to  prevent drugs  abuse  by  giving  right  information  through  health  education. The  appropriate method  that  needs  to  be selected  should be  suitable with  situation and  condition  in  the  school  in order  to  create  an  optimum  result.Objective: Health  education  for  drugs abuse  through  speech with audiovisual,  speech  by  presenting  former  of user  (testimony) and  group discussion was expected  could  influenced  on  the  level of  knowledge and  changed student’s attitude  toward drugs  abuse prevention.  This  research was aimed  to  find  out  the  influence of  health education  through  speech with  audiovisual  as well  as  through  speech with  testimony  and group  discussion toward  knowledge and  attitude  of  students  in  the  prevention  of  drugs  abuse.Method: This was  a quasi  experimental  research  that used Solomon  four  group designs. The  research  subject was  consisted  of  two  treatment  groups  and  two  control  groups. The  data was  collected with  questioner regarding  knowledge  and  attitude. Data  processing  and  analysis was  used  student  t-test and  anova.Result:  There was  a knowledge  improvement on  the  first  treatment group  that used  interactive speech  and audiovisual as well as  in  the  second  treatment  group  that  used  interactive  speech method,  testimony and  group discussion  (p<0,05). There was  a  significant  improvement on  attitude  toward  drugs  abuse  prevention  in  the group with  interactive speech,  testimony, and  group discussion. There was  a difference  on  knowledge  between both  of  the methods  toward  improvement  on  attitude  and  yet  there was  a  difference  on  knowledge  toward knowledge  improvement.Keywords: health  education,  testimony,  knowledge,  attitude  and drugs  abuse
Estimasi Pengaruh Vaksin DPT pada Kematian Anak: Analisis Diskritif Data Surveilan Demografi dan Kesehatan di Kabupaten Purworejo Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (539.826 KB) | DOI: 10.22146/bkm.3591

Abstract

Background: Recent  controversial  reports  suggest  that  recipients  of  one  dose  of DTP  vaccine  have  higher mortality  than  children who  have  received  no DTP  vaccine. Those  reports were mainly  derived  from African countries where mortality and malnutrion were  higher  than  Indonesia.Objectives: To  describe  specific  and  non-specific  effects  of DTP  vaccination  on  child mortality  age  1-24 months under  routine vaccination  program  in  Indonesia.Methods: During  period of  January 1  1995  to August 31,  2001  our  longitudinal  surveillance  data at  Purworejo district provided  information on 5647 children below 24 months of age who  received DTP and other vaccinations. The main  outcome measure was  all-cause mortality. Vaccination  status  on DTP, BCG,  and measles were collected  every  90 days  and  recorded  its  time  at  vaccination. Confounding  factors  associated with mortality were  also collected. This  first  report used  descriptive analysis  and a  survival curve  (Kaplan-Meier)  to  examine the  differential of mortality according  to sex  of  the  children and  among vaccinated  and  non-vaccinated  children with DTP, BCG,  and measles vaccines. The second  report will  use  survival  analysis  to  estimate specific  and non-sprecific  effects  of DTP  by  considering  time at  vaccination and  other counfounding  factors.Results: There  is no  sex differential  of mortality among  children  in Purworejo.  A  probability of  dying was  lower in  the  children vaccinated with DTP  vaccine compared with  those  not vaccinated DTP. Simmilarly,  vaccinated children with  BCG  and measles  have  lower mortality  compared  to  unvaccinated  children.  There  is  strong indication  that BCG and measles  have  stronger protected  effects  to  risk of  dying  than DTP.Conclusion:   The study showed  lower mortality among children who  received DTP, BCG, and measles vaccines compared  those unvaccinated.  There were  not enough  evidences  to  change current  vaccination policy  because DTP was not  associated with  any harmful  effect  among  girls.Keywords: non-specific  effects, DTP  vaccine–child  survival-  Kaplan Meier’s Curve
Komunikasi dan Hubungan Terapeutik Perawat-Klien terhadap Kecemasan Pra Bedah Mayor Sri Mulyani, Ira Paramastri, Much. Agus Priyanto
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.474 KB) | DOI: 10.22146/bkm.3592

Abstract

Background: A patient who will  carry  a  surgical  operation  has  uncertainty  feeling,  fear,  doubt and  anxiety. Anxiety can  laid  to  psychological disruption or  functional body  disruption of  a patient  that  can affect  the surgical operation  and  anesthesia achievement. Based on  pre-research study  that has  been  carried  by  researcher  on June 2007 of 40 patients on  in-room at surgery and non-surgery  room,  it  is  found  that 52,5% at  the medium  rate of  anxiety. By  so, we need  effective way  to  decrease  anxiety  rate  of patient. This  research  is aimed  to  find  the effect  of  communication  and nurse-patient  therapeutic  relation  in decreasing  anxiety  rate  of pre-major  surgery patient.Method: Type  of  the  research  is  experimental quasi with pre-test  and post-test  group design. The samples  of the  research  consist  of  30,  that we are  given  communication  treatment and  nurse-patient  therapeutic  relation, and of 30,  that we  are not given  the  treatment. The sample  is  chosen used purposive  technique. The  technique of  collecting  data  is  questionnaire. The  data  analyzing  to  know  the difference  of  anxiety with paired  samples test, whereas  to  examine  the  effect of  communication and  nurse-patient  therapeutic  relation with  independent samples  test with  significance  rate  p=0,05.Result and Discussion: The  result of  research showed  that  there  is no  difference at  age characteristics,  sex, education,  ill  period,  and marriage  status  of  both  group  (p>0,05).  There  is  significantly  difference  anxiety (p<0,05) between  the groups.  Patients of  pre-major surgical  operation,  that were given  therapeutic  relation  and communication  treatment  by nurse,  have  anxiety  rate much more  lowly why were  not  given. Test  result  showed therapeutic  relation  and communication  treatment  is  carried between  nurse and  patient can  decrease anxiety  of pre-major  surgical operation with  p=0,00  (p<0,05).Conclusion:  Therapeutic  relation  and communication  of  nurse  and  patient  can decrease  anxiety  of  pre-major surgical  operation.Keywords: Therapeutic  relation and  communication, nurse  and  client, anxiety,  premajor  surgical  operation
Pengaruh Kontrasepsi Hormonal Planibu® Versus Depo Progestin® terhadap Fungsi Hepar dan Profil Lipid Djaswadi Dasuki, Olga Sanger, Flourisa J Sudradjat 3, Enny S Pamuji
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.07 KB) | DOI: 10.22146/bkm.3593

Abstract

Background:  Injectable  contraception was  used  by  about   15% of  contraceptive  users  in  Indonesia. Safety  of injectable  contraceptive was  necessary  to  study  before  Planibu® was marketed  in  Indonesia. Safety was measured  through  liver  function and  lipid profile  parameters.Objectives: To  compare  safety of Planibu® versus Depo Progestin®  that was measured with  liver  function  and lipid profile  parameters Design of  Study: “Double  Blind Randomized Controlled Trial  (Double  Blind RCT)”  Planibu®  versus Depo Progestin®”  nested  on  longitudinal  surveillance  and  community  based  study  in  Purworejo  district  (LPKGM centre)  and Manado municipality  (Manado  centre)Methods: Study  population was  childbearing age women, married  and wanted  to delay  or  space  pregnancy with  injectable  contraceptive  in Purworejo district  and Manado  municipality. Clinical,  gynecological and  laboratory examination was done  before  injectable  contraceptive was  administered. Laboratory  examination  included  liver function SGOT, SGPT and  lipid profile HDL, LDL  and  total  cholesterol. Eligible Subjects who met  inclusion  and exclusion  criteria were  70 women.   As many as  35 women  received Planibu®  injection and  35 women  received Depo Progestin®  injection every  3 months  for 12 months  in  the same  time. Before  injection was  administered, venous  blood sampling was  taken  from each  subject.Results: Before  using  contraception,  there was  no  statistical  difference  of  liver  function  and  lipid  profile parameters between group Planibu® and Depo Progestin® (p>0,05). There was a statistically significant difference in the level of  cholesterol, HDL, and SGOT  during the 12 month of use Depo Progestin®  (p=0,000, p=0,009 and p=0,000), although  clinically  it wasn’t significantly  different. There was a  statistically significant  difference  in  the level of   cholesterol, SGOT and SGPT during  the 12 month of use   Planibu®  (p =0,038, p=0,000 dan p=0,018), although  clinically  it wasn’t significantly  different. There was  a  statistically significant  difference  in  the  level  of cholesterol  and LDL  during  the  12 month  of use Planibu® versus Depo Progestin®  (p<0,05)Conclusion: There was a  statistically significant  difference  in  the  level of  cholesterol, HDL, and SGOT    during the 12 month of use Depo Progestin®, although clinically  it wasn’t significantly different. There was a statistically significant difference in the level of  cholesterol, SGOT and SGPT during the 12 month of use Planibu®, although clinically  it wasn’t  significantly different. There was  a statistically significant difference  in  the  level of   cholesterol and LDL during  the 12 month of use Planibu® versus Depo Progestin®, although clinically  it wasn’t significantly different. There was no  difference clinically  in  the  safety  level of Planibu®  versus Depo  Progestin® shown  by measurement  result  of  liver  function and  lipid  profile  parameters.Keywords:  planibu, depo  progestin,  liver,  lipid

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