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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 25, No 2 (2009)" : 7 Documents clear
Faktor-Faktor yang Berhubungan dengan Pernikahan Usia Dini di Kabupaten Purworejo Jawa Tengah Rafidah Ova Emilia, Budi Wahyuni
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.229 KB) | DOI: 10.22146/bkm.3564

Abstract

Background: Early marriage  is  common  in  developing countries  including  Indonesia. Factors  related  to  early marriage  are,  among  others;  education,  economic,  and  social  aspects. The  impacts  of  early marriage  are dropout and  teenage pregnancy which causes  rejection  to  pregnancy.  In District of Purworejo marriage  below 20 years  of age  is still  as much  as  20.6%  (Community Health  and Nutrition Research Laboratory  2005).Objective: The  study aimed  to  identify  factors  related  to early marriage.Method: This was  an  observational  study with  cross  sectional design  using  both  qualitative and  quantitative approaches. Data were  obtained  through  questionnaires  and  interview  guide. Samples  of  the  study were  90 married women, who were  systematically  chosen,  respondents  of  longitudinal  surveillance  of Community Health and Nutrition Research Laboratory, 90 parents of  the  respondent, 1  religious  leader,  2 community  leaders and  1 staff  of office  of Religious Affairs. Hypothetical  test used  chi square with p<0.05, CI 95%. Multivariable analysis  used  logistic  regression.Results:  Low  perception about marriage  showed  the most  related  to  the  decision  for  early marriage. Other factors  related  to  early marriage were  low  level of  education  (RP=2.90, CI 95%=1.30–6.49,  p=0.000),  low  familyeconomic  status  (RP=1.75, CI 95%=1.05  – 2.91   p=0.017). Unemployed  parents  (RP=1.48, CI95%=0.88-2.49 p=0.23)  and  parents’  low  perception  about marriage  (RP=1.5, CI95%=0.96-2.37  p=0.05) were  not  strongly related with  early marriage.Conclusion:  Factors  related  to early marriage were  perception of  respondents about marriage, education  of respondents,  family  economic status,  and unemployed  parents.Keywords:  early marriage,  perception  about marriage,  family  economic status,  education
Faktor-Faktor yang Mempengaruhi Penemuan Penderita TB Paru di Kota Palu Provinsi Sulawesi Tengah Awusi RYE, Yusrizal Djam’an Saleh2, Yuwono Hadiwijoyo
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.514 KB) | DOI: 10.22146/bkm.3565

Abstract

Background:  Every  second Mycobacterium  tuberculosis  infected  1  person worldwide. Overall,  one-third  of the world’s population  is  currently  infected with  the TB  bacillus. 5%-10%  of  people who are  infected with  TB bacilli become  sick or  infectious at  some  time  during  their  life. Pulmonary TB  is  an  important  health problem  in worldwide. World Health Organization  (WHO)  recommended  controlling TB with DOTS  strategy since  1995. Focus of  global TB  control with DOTS strategy  is case  detection and  cure TB  patients. Case  detection  rate  in South East Asia is low (31%-54%) of the target global of CDR (70%). For the period 2006-2007 years CDR in Palu Municipalyti  is very  low  (34%-35%). Therefore,  it  is  important  to  find  factors  that  influence  for  case detection  of pulmonary  TB.Objectives: To  identify  the  relationship  between  independent  variables  of  knowledge,  length  of work, work load,  incentive,  training of DOTS, access,  service KIE  about TB  and screening  suspect TB with case  detection of pulmonary TBMaterial and Methods:  This was  an analytic  observational  study which used  a  cross  sectional  design with both quantitative  and qualitative  approaches. Subjects  of  the  study were  providers TB  program of Community Health Center  in Palu Municipality. Data were  descriptively  analyzed  (univariate)  and  statistically  analyzed (bivariate)  using  chi  square  test  and  logistic  regression  (multivariate)  at confident  interval 95%.and  significant level  5%.Results: Variables  that  have  significant  statistically  relationship  (p<  0.05) with  case detection  of pulmonary TB is screening suspect TB  (OR=8,92;      95%CI=2,36-38,65), service KIE about TB  (OR=8,85; 95%CI=2,16-36,97), training of DOTS  (OR=5,84; 95%CI=1,54-26,77).Conclusion: The  factors  to  have  significant  influence  of case  detection  pulmonary TB were screening  suspect TB,  service CIE  TB  and  training of DOTS. Screening  suspect TB was  the most  influencing  case detection  of pulmonary TB in Palu Municipality.Keywords:  case  detection of Pulmonary TB,  screening  of TB  suspect,  service CIE,  training  of DOTS, Palu municipality
Beda Persepsi Dokter Puskesmas Integrasi dan Non Integrasi di Kabupaten Klaten terhadap Penderita Skizofrenia Anisa Renang, Carla Marchira
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.817 KB) | DOI: 10.22146/bkm.3566

Abstract

Background: Mental disorder  is a health problem commonly  found in  the community. Studies showed that mental disorder  often  undetected  and  not well managed  in  primary  care.  Primary  care  doctors  perception  towards severe mental disorder  i.e. schizophrenia will  influence  the management  of  this  disorder.Objective: To  identify  different  perception  between  integration  and  non-integration  primary  care  doctor  in Klaten  regency  towards  schizophrenia  patient.Subject  and Method: Subjects were  primary  care  doctors  in Klaten Regency. The  figure of  sample was  48. Data was  collected  using  perception  towards schizophrenia  patient  instrument. Data was  analyzed with Chi-Square.Result: Data  collection  showed  75%  primary  care  doctors  stated  that  schizophrenia was  a  disease which could be  recovered, 45.8% stated  they did not  like  to  treat schizophrenia patient, 83.3% stated  that schizophrenia patient  needed  to be  supervised continuously,  and 16.7%  primary care  doctors stated  that schizophrenia  patient is  dangerous;  therefore  they  needed  to  be  isolated. Chi-square  test  showed  different  perception  between integration  and  non-integration  primary  care  doctor  towards  recovery  of  schizophrenia  patient    (x²=7.759, p=0.005),  using of  new  antipsychotic  (x²=9,966, p=0,002),  supervision  of  schizophrenia  patient  continuously (x²=12.448,  p=0.00),  giving  diagnosis  of  schizophrenia  (x²=5.828,  p=0.016)  and  isolation  of  schizophrenia patient    (x²=12.448,  p=0.00).Conclusion:  There’s  a  significant  difference  between  integration  and  non-integration  primary  care  doctor towards  recovery  of  schizophrenia  patient,  using  of  new  antipsychotic,  supervision  of  schizophrenia  patient continuously,  giving diagnosis  of schizophrenia,  and  isolation  of  schizophrenia  patient.Keywords:  perception, primary  care doctor,  schizophrenia
Meningkatkan Sikap Positif Terhadap Perilaku Tidak Merokok dan Kecenderungan untuk Berhenti Merokok Melalui Pelatihan T. Cut Lizam, Yayi Suryo Prabandari, Amitya Kumara
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.617 KB) | DOI: 10.22146/bkm.3567

Abstract

Background: Almost  everybody knows  that  smoke could  endangered smoker’s  health  and  people  surrounding (passive  smoker). The  influence  of  peer, self  appearance,  curiosity,  stress, boring, masculinity and  rebelience are some of major  issues  that could contribute  teenagers  to start smoking. Therefore, health education  is needed to  improve positive  attitude  toward  non smoking  behavior and  tendency  to  quit  smoking  by empowering  their own  emotional  through  emotional  intelligence  training.Objective: This  research was  aimed  to  find out  the  influence  of  training on  emotional  intelligence  in  order  to improve  positive attitude  toward non  smoking behavior  and  tendency  to quit  smoking  in  intervention  group  and the difference  on attitude  as well  as  intention  to quit  smoking  in  intervention group with control  group.Method: Quasi  experimental study was conducted with pre-test  and  post-test with  control design. Experiment group was  given  training  on  emotional  intelligence with  lecture method  and  sensitivity  training. The  research subjects were 43  in  intervention  group  and  41  in  control  group with  research  population was  boys who  smoke in  grade  II of  social science majoring  class. Data  analysis was conducted with  paired  t-test  for  one group  and independent  t-test  in  different  group with  significance  level of  5% or  p<0.05.Result: There was a  significant  positive  improvement  on  attitude  toward  non  smoking  behavior  especially  in pretest and  posttest-1, pretest  and  posttest  2  (p<0.05)  and  there was  an  improvement  on  tendency  to  quit smoking  in  intervention group. There was  a significant  difference  (p<0.05)  on attitude  in  intervention and  control groups. Furthermore,  there was  not  an  improvement  on  positive  attitude  toward  non  smoking  behavior  in intervention  group  especially  in  the  indicator of  self motivation  and  in  posttest 1  and posttest  2.Conclusion: Health  education  through  training  on  emotional  intelligence  could  improve  positive attitude  toward non  smoking  behavior  and  tendency  to quit  smoking  in  teenager.Keywords:  training  on emotional  intelligence, attitude  toward smoking  and  tendency  to quit  smoking
Analisis Kondisi Rumah, Sosial Ekonomi dan Perilaku sebagai Faktor Risiko Kejadian Frambusia di Kota Jayapura Tahun 2007 R. Indra Boedisusanto, Fajar Waskito, Haripurnomo Kushadiwijaya
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.101 KB) | DOI: 10.22146/bkm.3568

Abstract

Background:     Yaws  is caused by     spiral bacillus  called  treponema perteneu.  It  is a human  infectious disease which  commonly attacks  skin  and  bones. The  prevalence  of  yaws  in  Indonesia was  less  than  1  per  10,000 people  but  there were places with high  prevalence  such  as Provinces  of West  Papua, Papua, South East  of Sulawesi, Nusa Tenggara Timur  and Maluku. The prevalence  of yaws  in Jayapura Municipality  in  2007 was  5.4 per 10,000  people.Objective: To  identify  risk  factors  of house  condition,  social  economic  factors  and  behavioral  factors  of  the occurence  of  yaws  at Jayapura Municipality.Method: The  study was  observational with  case  control  study  design. Sample  of  the  study  consisted of  84 cases  and  84  control  subjects. Data were  analyzed  using  computer with  2  x  2  tables  and multiple  logistic regression  tests at  95%  significant  level.Result: Multivariable  analysis  showed  that  three  variables were  significant  risk  factors  for  the  occurence  of yaws:  house condition  (occupancy  density, OR=2,5, availability  of  clean water, OR=5.9),  and behavior  (taking a bath, OR=3.8).Conclusion: Factors  of  house  condition  (occupancy  density,  availability  of  clean water),  social  economy (knowledge)  and  behavior  (taking  a  bath)  are  dominant  risk  factors  for  the  occurence  hence  prevalence  of yaws  at  Jayapura Municipality.Keywords: Yaws,  risk  factors,  Jayapura Municipality
Hubungan Antara Akses KB dengan Pemilihan Kontrasepsi Hormonal dan Non Hormonal di Kabupaten Purworejo Sri Panuntun, Siswanto Agus Wilopo, Lina Kurniawati
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.128 KB) | DOI: 10.22146/bkm.3569

Abstract

Background: The  report of  2002-2003  Indonesia’s  Demographic and Health Survey  (IDHS)  suggests  that  the prevalence  of  family  planning  in  Indonesia  reach  60   percent with  the  hormonal  contraceptive  increase  by  16 percent  and  the  non hormonal  contraceptive  decrease  by 7  percent. Generally,  the  choice  of contraceptives  is based  on  clear  reasons  to  regulate  the  birth  spacing or  to  limit  births. Factors  determining  the  choice  of  non hormonal contraceptives  include  physical  access  (distance),  economy  (cost),  administration  (service  resource) and  cognitive  accesses  (knowledge).Objective: To  investigate  the  relationship between  contraceptive  accesses and  the  choice of  hormonal and  non hormonal  contraceptives  in Purworejo District.Method:  This was  an observational  study with  a  case  control study  design.Subject: Samples were married women 20-35  years  of  age  that  became  the new  acceptors with  the choice  of non hormonal contraceptives  (IUD) as  the case  (133 women) and of hormonal contraceptives  (pill and  injectable) as  the  control  (133 women)  from  1 January  2004  to  31 December  2004.Data analysis: The  qualitative data  analyses used were univariable,  bivariable and multivariable. Statistical  test used  chi-square  and  logistic  regression.Results: The  bivariable  and multivariable  analyses  showed  that  there was  a  relationship  between  family planning demand  and  the  choice of  non hormonal  contraceptives. Respondent  residing  far  from  family  planning services  tended  to choose non hormonal contraceptives with a chance of 1.9  times higher  (OR=9.5;CI95%=1.16-3.19). The variable  that had  the greatest chance  to  influence  respondents  to choose non hormonal contraceptives was cost  that was  7.5  times  (OR=7.5; CI  95%  =  2.60-21.87). The  respondents  that  utilized  private  facilities tended  to  choose  non  hormonal  contraceptives.Conclusion: Respondents with  family  planning  demand  to  limit  births were  likely  to  choose  non  hormonal contraceptives. Other  factors  affecting  the  choice  of  non hormonal  contraceptives were  income.Keywords:  family  planning  accesses,  family  planning  demand,  choice  of   hormonal  and  non  hormonalcontraceptives,  case  control
Hubungan Status Pekerjaan Ibu dengan Berat Lahir Bayi di RSUP Dr. M. Djamil Padang Yuliva Djauhar Ismail, Diah Rumekti
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.062 KB) | DOI: 10.22146/bkm.3570

Abstract

Background: According  to 2002-2003  Indonesia Demography Health Survey  (IDHS),  the percentage distribution of women based  on  job  status  in  the  past  12 months  in West  Sumatera showed  that  57,5%  of woman was working,  2,4%  of woman was  not working  and 40,1%  of  the women  did  not work  at  all.  From  the  data,  it  is shown  that  the  percentage  of woman who working was  bigger  than woman who was  not working. Based  on various  researches,  a  job  that will  be  done  by  a woman  especially while  pregnant,  had  influence  toward  the weight  of  the  infant who will be  delivered.Objective: This  research was aimed  to  find out  the  relationship of  job status and  job  type of mother with  infant’s birth weight in RSUP Dr. M. Djamil Padang.Method: This was  an observational  research  that  used Prospective Cohort design.  The data was collected  in antenatal polyclinic  of RSUP Dr.M. Djamil Padang. The  population was  all pregnant women who  came  to  check their  pregnancies  to  antenatal  polyclinic  and  they were  clustered  based  on  job  status  and  job  type.  Every pregnant woman was observed  and  their  pregnancy  development  that was  started  in  the week  32 of  pregnancy until delivery was continually monitored. The  sample was  taken with  non probability  sampling and  consecutive sampling. The  independent variables were  job  status and  job  type  and  the  dependent variable was  infant’s  birth weight. The  confounding  variable were  education,  social  economy  status, women’s age,  parity,  gestation  age, women’s height, weight  gain,  nutrition  intake,  children  sex  and mother’s  disease during  pregnancy.Result: The  dif ference  of  birth weight  in  a mother works with  heavy  physical  activity  was  196.44  gram (p=0.000) which was  lower  than mother who  did  not work with  heavy  physical  activity,  and  the difference  of infant’s  birth weight  in  the  group  of mother who were  ill  during  pregnancy with  those who were  not  ill  in  their pregnancy period was 243.92  gram  (p=0.001). Male  infant who was  born had  difference  on  the  average of  birth weight  that was  97.24  gram  (p=0.015) which was  heavier  than  female  infant. The  increasing  gestation  age every  one week will  increase  infant’s  birth weight  45.34 gram  (p=0.021) and  increasing  of mother’s weight will increase  infant’s  birth weight with  47.12 gram  (p=0.000). The  increasing  nutrition  intake  every one  kilocalories will  increase  infant’s birth weight 0.56 gram  (p=0.000). R2 was 0.2729 which mean  that model  2 as  the  result of double  linear  regression  analysis  could explain  the  relationship  and predicted  infant’s birth weight with  27.29%.Conclusion: There was a  relationship between mother’s  job  status  (working or  not working)  and mother’s  job type  (heavy  physical activity  and  low  physical activity) with  infant’s  birth weight,  in which  infant’s  birth weight in working mother with  heavy  physical  activity was  lower  than  infant   with mothers who  did  not work with heavy  physical  activity.Keywords: job  status,  job  type and  infant’s birth weight

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