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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 11 Documents
Search results for , issue "Vol 34, No 2 (2018)" : 11 Documents clear
Pencarian Pelayanan Persalinan Ibu Hamil Risiko Tinggi di Puskesmas Waruroyom Kabupaten Cirebon Amdad Amdad; Detty Siti Nurdiati; Atik Tri Ratnawati
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (15.351 KB) | DOI: 10.22146/bkm.26095

Abstract

Efforts of high-risk pregnant women to search service for childbirth in public health center ofWaruroyom Purpose The study explored the behavior of women with a high-risk pregnancy to search service for childbirth in public health center of Waruroyom Cirebon.MethodA case study involved pregnant and maternal mothers with a high-risk pregnancy, parents, husbands, and midwives. The informants were chosen by purposive sampling, data collection through observation, in-depth interview and focus group discussion. ResultsWomen with high-risk pregnancy searched service for childbirth from midwives, public health center, and hospital. Pregnant women prefer midwives due to familiarity, close location, past experience, attitudes and quality of services. Women with high-risk pregnancy went to the public health center or hospital, did not because of the intentions of themselves but midwives' advice. ConclusionPregnant women did not know if they have a high-risk pregnancy. Midwives provide information about high-risk pregnancy at the end of pregnancy.
Fatalitas dan analisis apasial lokasi rawan kcelakaan lalu lintas di kabupaten Gunungkidul Aning Isfandyari; Lutfan Lazuardi
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1122.984 KB) | DOI: 10.22146/bkm.26311

Abstract

Fatality and spatial analysis of road traffic accident in Gunung KidulPurposeThis study is aimed to conduct further analysis of road accidents fatality and accident-potential area using geographic information system.MethodsThis was an analytic observational study using cross-sectional study design. Samples are all traffic accident recorded in police departement accident registry from January 1st to December 31st 2015. Data will be analyzed using poisson regression with robust variance and accident location will be analyzed spatially using ArcGIS 10.4 software.ResultsThe result revealed that  06.00-11.59 a.m  (PR 0.31, 95% CI 0.144-0.687) or 12.00-17.59 p.m (PR 0.40; 95% CI 0.184-0.865),  uphill roadway geometric (PR 2.16, 95% CI 1.144-4.094) or winding roadway  (PR 1.80, 95% CI 1.013-3.213) and single accident type (PR 3.59; 95% CI 1.953-6.592) were significant factors affecting road traffic fatalities. Accident-prone locations to traffic accidents in Gunungkidul are clustered on several streets, such as Yogyakarta-Wonosari Street, Karangmojo-Semin Road, Wonosari Semanu Street and Wonosari Baron Street..ConclusionsFatal traffic accident in Gunungkidul are influenced by environmental conditions and accident types. Multisectoral coordination was needed to improve intervention to population at risk and stakeholders need to make efforts to modify the environment related to road geometric conditions to minimize the occurrence of accidents.
PARTISIPASI PEKERJA DALAM KESELAMATAN DAN KESEHATAN KERJA: STUDI DI SEBUAH PERTAMBANGAN EMAS MULTINASIONAL DI INDONESIA
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.645 KB) | DOI: 10.22146/bkm.26322

Abstract

Latar Belakang: Pertambangan emas merupakan salah satu pertambangan yang memiliki risiko tinggi terhadap keselamatan dan kesehatan kerja. PT. X menjadi salah satu perusahaan multinasional yang memperoleh penghargaan di bidang keselamatan pertambangan. Hal ini tidak terlepas dari partisipasi pekerja dalam K3.Tujuan: Untuk mengetahui partisipasi pekerja dalam keselamatan dan kesehatan kerja.Metode Penelitian: Metode penelitian menggunakan mix methods (kuantitatif dan kualitatif) dengan desain sequential explanatory design. Pengambilan sampel menggunakan metode accidental sampling dengan minimal sampel menggunakan rumus Slovin. Sampel sebanyak 98 pekerja dari 4.000 pekerja. Data dikumpulkan dengan menggunakan kuesioner dan wawancara.Hasil: Partisipasi pekerja meningkatkan K3 berawal dengan adanya komitmen dan dibuktikan dengan beberapa upaya dari perusahaan berupa pengadaan anggaran khusus K3, kebijakan, peraturan K3, SDM, serta inspeksi dan audit. Perusahaan memperhatikan keselamatan dan kesehatan pekerja dengan cara penyediaan alat pelindung diri yang memadai, pemantauan kelistrikan dan permesinan secara rutin, investigasi kecelakaan dilaporkan secara transparan dan adanya pemeriksaan kesehatan rutin seluruh pekerja.Kesimpulan: Partisipasi buruh terbentuk karena kepercayaan buruh kepada perusahaan. Hal ini disebabkan oleh perusahaan memiliki komitmen dan upaya di bidang K3 serta prinsip memanusiakan pekerja. Dengan partisipasi buruh maka peningkatan K3 mudah dilakukan. Kata Kunci: Partisipasi pekerja, keselamatan dan kesehatan kerja
Usia menarche sebagai faktor risiko terhadap kejadian preeklamsia dan eklamsia Astrid Kizy Primadani; Elisabeth S Herini; Djaswadi Dasuki
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (854.721 KB) | DOI: 10.22146/bkm.26341

Abstract

Age of menarche as a risk factor for preeclampsia and eclampsiaPurposeThe purpose of this study is to determine the effect of menarche age on the incidence of preeclampsia and eclampsia.MethodThe observational study with the case-control design was conducted involving 90 pregnant and postpartum women. The bivariable analysis used T-test and McNemar test, while multivariable analysis using conditional logistic regression. Results The average age of menarche in the preeclampsia group was one year younger than the non-preeclampsia group. Any increase in one year of age of menarche lowers the risk of preeclampsia and eclampsia by 78%. Risk factors for preeclampsia are increased in pregnant women at age> 35 years and have body mass index before pregnancy> 25 kg/m2.ConclusionThere is a significant relationship between age of menarche and the incidence of preeclampsia and eclampsia. Body mass index before pregnancy is a confounding factor of the association between age of menarche and the incidence of preeclampsia and eclampsia.
Faktor-Faktor yang Mempengaruhi Kualitas Hidup Pasien Penyakit Paru Obstruksi Kronis (PPOK) Putri Tiara Rosha; Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (852.623 KB) | DOI: 10.22146/bkm.26393

Abstract

Latar belakang : Insiden PPOK sebesar 164/100.000 penduduk usia diatas 15 tahun di Kabupaten Temanggung. Semakin meningkatnya prevalensi PPOK dan penyakitnya yang kronis, menyebabkan kualitas hidup pasien semakin menurun. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kualitas hidup pasien PPOK.Metode : Penelitian ini merupakan penelitian observasional analitik dengan desain penelitian cross sectional, dilakukan pada Maret-April 2017. Subjek penelitian sebanyak 146 pasien PPOK di Poli Paru RS PKU Muhammadiyah dan RSUD Kabupaten Temanggung. Pengambilan sampel menggunakan teknik consecutive sampling. Variabel dependen adalah kualitas hidup yang dinilai menggunakan Clinical COPD Questionnaire (CCQ). Variabel independen adalah BMI, status merokok, derajat keparahan, hipertensi, diabetes dan depresi. Data dianalisis menggunakan Chi Square dan regresi poisson untuk uji bivariat dan regresi poisson untuk uji multivariat. Hasil : Sebagian besar pasien PPOK berusia 61-70 tahun (36,30%), laki-laki (60,96%), BMI dengan kategori normal (55,48%) dan telah berhenti merokok selama 0-5 tahun (20,55%). Pemeriksaan spirometri menunjukkan bahwa sebanyak 40,41% pasien mengalami derajat sedang. Komorbiditas tertinggi yang dialami yaitu hipertensi (34,25%) diikuti depresi (32,88%) dan dan diabetes (6,17%). Hasil penilaian CCQ menunjukkan sebanyak 28,08% pasien memiliki kualitas hidup buruk. Hasil analisis multivariat menunjukkan bahwa masih merokok, derajat sangat berat dan depresi berhubungan dengan kualitas hidup pasien PPOK (p<0,05).Kesimpulan : Masih merokok, derajat sangat berat dan munculnya depresi dapat memperburuk kualitas hidup pasien PPOK. Managemen pengobatan pasien sebaiknya mendorong kepatuhan pasien untuk berhenti merokok dan pengembangan intervensi fokus pada depresi.
Gambaran Kualitas Hidup Penderita Tuberkulosis Resistan Obat dan Karakteristiknya di Kabupaten Banyumas, Provinsi Jawa Tengah, Periode Tahun Imam Abrori; Riris Andono Ahmad
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (914.286 KB) | DOI: 10.22146/bkm.26616

Abstract

Quality of life among patients with multi-drug resistant tuberculosis in the district of BanyumasPurposeThis study was conducted to investigate the quality of life among patients with multi-drug resistant tuberculosis and to examine factors associated with them. MethodsData from an in-depth interview, involved 22 patients with multi-drug resistant tuberculosis, were used in this study. ResultsThis study showed 54.5% males, 50.0% adults, 59.1% married, 22.7% divorced, 72.7% lived in rural, 95.5% had basic education, 45.5% as a private employment (before sick), 77.3% as unemployment (after sick), 72.7% low income, 54.5% in continuation phase, 95.5%  re-treatment (45% relapse and 40.9% failure cases), 90.9% had drugs side effects (mild/severe); 36.4% had comorbidity; 45.5% smokers, 31.8% falcoholics; 54.5% lack of social support; 31.8% poor and 36.4% moderate quality of life. ConclusionPatients with multi-drug resistant tuberculosis had a worse quality of life and lack social support. Health worker needs to improve their quality of life and social support through establishing a peer support groups to give counseling, information education, communication, motivation, and skills training for them.
Analisis spasial temporal faktor lingkungan fisik dengan kejadian malaria di kabupaten Banjarnegara tahun 2011-2015
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.26879

Abstract

Latar belakang: Malaria merupakan salah satu penyakit menular yang masih menjadimasalah kesehatandi Kabupaten Banjarnegara. Tingginya kasus malaria dan KLB malaria yang berkaitan dengan adanya perubahan lingkungan fisik, seperti suhu, curah hujan, kelembaban, dan kecepatan angin. Dimana faktor-faktor tersebut memiliki peran masing–masing dalam menentukan distribusi dan kejadian malaria.Tujuan: Untukmenjelaskan gambaran faktor lingkungan fisik meliputi: suhu, kelembaban, kecepatan angin dan curah hujan secara statistik, grafik/ time trends dan pasial serta pengaruhnya terhadap kejadian malaria di Kabupaten Banjarnegara tahun 2011-2015.Metode: Penelitian ini menggunakan desain studi ekologi dengan pendekatan spasial-temporal. Data yang digunakan adalah data time seriesbulan kejadian malaria dan faktor lingkungan fisik di Kabupaten Banjarnegara tahun 2011-2015.Hasil: Analisis statistik, grafik/time trend, dan spasial menunjukkan bahwa ada hubungan antara suhu, kelembaban, kecepatan angin dan curah hujan dengan kejadian malaria di Kabupaten Banjarnegara. Model regresi poisson dan binomial negatif digunakan untuk menganalisis pengaruh faktor lingkungan fisik dengan kejadian malaria.berdasrakan hasil pemilihan model terbaik dengan melihat nilai Akaike’s Information Criteria (AIC) dan Bayesian Information Criteria (BIC), diperoleh bahwa model regresi binomial negative merupakan model terbaik sehingga suhu pada tahun yang sama (lag 0), suhu pada dua bulan sebelumnya (lag 2) dan curah hujan pada satu bulan sebelumnya (lag 1) berpengaruh pada kejadian malaria di Kabupaten Banjarnegara Tahun 2011-2015.Kesimpulan: Suhu pada tahun yang sama, dan suhu pada dua bulan sebelumnya memiliki pengaruh yang negatf terhadap kejadian malaria sedangkan curah hujan pada satu bulan sebelumnya memiliki pengaruh yang positif terhadap kejadian malaria di Kabupaten Banjarnegara. Maka, untuk mengatasi masalah kejadian malaria dan melakasanakan program penanggulangannya maka Pemerintah Daerah Kabupaten Banjarnegara perlu mempertimbangan faktor lingkungan fisik.
Kebun gizi sebagai upaya pemenuhan gizi berbasis masyarakat Dwi Endah Kurniasih; Joko Adianto
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (952.467 KB) | DOI: 10.22146/bkm.30881

Abstract

Food garden as a community-based strategy to meet consumption needsPurposeThis study aims to assess the Kebun Gizi program which has been running for two years.MethodsThis descriptive study involved 80 heads of family. Sampling method was simple random sampling. This study was conducted in December 2014 in Kebun Gizi, Jebres Surakarta. Instruments used were in the form of questionnaire. The data were analysed using descriptive method to find out the benefit of Kebun Gizi felt by the community, especially which was related to the eating behaviour of vegetables/fruits, planting behaviour and motivation and cost saving aspect.ResultsThe results showed all respondents were participants of Kebun Gizi. Among the respondents, 96% had willingness to invite others. Another impact was that it could be a joint movement to plant vegetables in the yard, as was mentioned by 88% of the respondents. There were 68% of respondents argued that Kebun Gizi could be one form of food security and 67.5% already felt that following the program could save the cost of household expenses. The average saving of household expenses on 67 families was Rp. 3.350.000,- per month and Rp. 40.200.000,- per year.ConclusionKebun Gizi has a positive impact, especially which is related to the participation in nutrition fulfillment efforts in the community.
PENGALAMAN IBU DALAM MENGHADAPI ANAK REMAJA DENGAN GEJALA PREMENSTRUAL DYSPHORIC DISORDER Tri Kesuma Dewi; Purwanta Purwanta; Elsi Dwi Hapsari
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.267 KB) | DOI: 10.22146/bkm.31315

Abstract

Mothers experience dealing an adolescent with premenstrual dysphoric disorder symptomsPurposeThe purpose of this study is to explore mothers experience dealing an adolescent with symptoms of the premenstrual dysphoric disorder (PMDD). MethodsThe research used quantitative and qualitative methods. In the quantitative method used with a cross-sectional design using the PMDD symptom questionnaire according to DSM-IV in adolescents, while in a qualitative method using in-depth interview technique on the mother of the adolescent. Data analysis on a quantitative method using descriptive analysis while on qualitative using method of data analysis Colaizi (1973). ResultsThis study showed that 23% or 52 of 226 adolescents had PMDD symptoms and found five themes: 1) the mother knew and felt the symptoms of PMDD experienced by the child, 2) The attitude and the limited time of mother and child affected the delivery of PMDD symptoms of the child to the mother, 3 ) Diversity of the mother's response when the child is facing symptoms of PMDD, 4) The handling that the mother gives to the child when the child has PMDD symptoms is sourced from the past, 5) Mother seeks information about the handling that can be done when experiencing PMDD symptoms. ConclusionMothers play an important role in helping adolescent deal with PMDD symptoms. mothers can provide support, be it instrumental support, assessment, emotional and informational. Mothers should have adequate knowledge of PMDD symptoms so that the support provided can be maximized.
Experience and social support needs of becoming a mother in adolescence in Yogyakarta City Cut Oktaviyana; Intansari Nurjannah; Wenny Artanty Nisman
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1153.771 KB) | DOI: 10.22146/bkm.31358

Abstract

PurposeThis study aimed to determine the experience and social support needs of becoming a mother in adolescence.MethodsThis study was a qualitative research with a descriptive phenomenology approach. Data collection was performed by in-depth interview method and using a semi-structured study guide. Research was conducted at health centers of Jetis, Gedong Tengen and Umbulharjo 1 in May - June 2017. The participants were 7 adolescent (18-19 years old) mothers who had a 2 weeks - 12 months baby. The sampling was conducted by purposive sampling and recorded by a tape recorder. Data analysis was done manually by using Colaizzi method.ResultsFive themes emerged from the results of data analysis: 1) variation of feelings experienced from pregnancy up to delivering the baby, 2) freedom from routine of baby care, 3) early experience of baby care, 4) social support from significant other and midwives, and 5) improved confidence in baby care.ConclusionThe variety of experiences by adolescent mothers is accompanied by social support providing increased confidence in caring for their baby.

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