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Ika Kusumaningtyas
Contact Email
tyas.kusuma@ugm.ac.id
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+628988833412
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bkm.fk@ugm.ac.id
Editorial Address
Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281
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Kab. sleman,
Daerah istimewa yogyakarta
INDONESIA
BKM Public Health and Community Medicine
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 1,012 Documents
Hubungan Kepekaan Serta Ketanggapan Pengasuhan Ibu Terhadap Perkembangan Anak Prasekolah Noordiati Mohammad Hakimi, Tunjung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 27, No 1 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (168.015 KB) | DOI: 10.22146/bkm.3414

Abstract

Sensitivity and Responsiveness of Mothers’ Parenting InfluenceThe Preschool Child DevelopmentBackground: It is estimate that more than 200 million children in developing countries are exposed to risk for poverty, malnutrition, poor health and lack of stimulation in the home environment that influence the failure of their optimum development. Sensitivity and responsiveness of mothers’ parenting are major factors for the achievement of their children neurophysiological, physical and psychological development of children and major representation of parenting behavior related to positive development and child health in the future.Objective: To know sensitivity and responsiveness of mothers’ parenting influenced the preschool child development at Subdistrict of Pahandut Palangkaraya.Methods: A cross sectional study was done towards 143 mothers’ and 60-72 months children from 12 kindergarten at subdistrict of Pahandut Palangkaraya using proportional random sampling. The study was analyzed using bivariate (chi square test).Results: The result of the analysis showed sensitivity and responsiveness of mothers’ parenting showed significant association with child development. Child who have mothers’ parenting with hingh sensitivity and responsiveness that have 1.8 time greather than for not development delay.Conclusion: Sensitivity and responsiveness of mothers’ rearing were associated with child development and health. Increasing sensitivity and responsiveness of mothers’ rearing such as increased interaction of mothers and children, development stimulation, supportive home environment, child care and nutrition fulfillment would help children achieve optimum development potential.Keywords: sensitivity, responsiveness, child development, mothers’ parenting, preschool children
Pemanfaatan Pertolongan Persalinan Tenaga Kesehatan Oleh Peserta Program Jaminan Pemeliharaan Kesehatan Masyarakat Miskin Nuzliati T. Djama, Ova Emilia, Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 27, No 1 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.737 KB) | DOI: 10.22146/bkm.3415

Abstract

The Utilization of Childbirth Assistance Provided By Health Professionals By Participants of Health Care Insurance Program for Poor CommunityBackground: The proportion of childbirth assisted by skilled health professionals is still 68.4%. Monetary crisiswhich happened in 1997 still has influence in the increasing health cost which limits access of poor communityto health services. Major problems of health service for poor community are cost and transportation.Objective: To find out the increase of the utilization of childbirth assistance provided by health professionals by participants of health care insurance program for poor community and assesses factors affecting the utilization of childbirth assistance provided by health professionals.Methods: The study was a cross sectional observation which used both qualitative and quantitative approaches. Participation in the health insurance for poor community as independent variable and childbirth attended by health professionals as dependent variable were simultaneously observed. Samples of the study were 104 mothers who gave birth in 2006. Quantitative analysis used univariate analysis with frequency distribution, bivariate with chi square and multivariate with logistic regression test. Qualitative analysis used in-depthinterview.Results: There was significant relationship between perception in health insurance for poor community and childbirth attended by health professionals (OR=4.23, 95%CI=1.43-12.47, p=0.00). Variables of transportation and availability of midwives had significant relationship with childbirth attended by health professionals (OR=4.5,95%CI=1.45-13.96, p=0.00) and OR=4.43, 95%CI=1.56-12.57, p=0.00). Length of time to reach health service facility for childbirth had no significant relationship with the utilization of childbirth attended health professionals.Conclusion: Participants of health care insurance for poor community utilized childbirth assistance provided by health professionals more than those who were not participants. Other factors affecting the utilization of childbirth attended by health professionals were distance, transportation and availability of midwives at the service point. Transportation and availability of midwives at the service point were confounding variables of participation in health care insurance for poor community and childbirth provided by health professionals.Keywords: childbirth attended by health professionals, program of health insurance for poor community
Persepsi Ibu, Guru dan Tenaga Kesehatan Tentang Obesitas Pada Anak Taman Kanak-Kanak I G.A. Sri Dhyanaputri, Th. Ninuk Sri Hartini, Susi Ari Kristina
Berita Kedokteran Masyarakat (BKM) Vol 27, No 1 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.238 KB) | DOI: 10.22146/bkm.3416

Abstract

Perception of Mothers, Teachers and Health Practitioners about Obesity in Kindergarten ChildrenBackground: Obesity has become a global epidemic. Programs for preventing and treating obesity in children required good cooperation from many parties. Threat perception of obesity in children, also the benefit and barriers in efforts regarding prevention and treatment of obesity were important features in determining involvement of mothers, teachers, and health practitioners in preventing and treating obesity in children.Objective: To explore perception of mothers, teachers, and health practitioners regarding obesity in the effort of preventing and treating obesity in kindergarten students in Denpasar City, Bali Province.Methods: This study use qualitative methods and involved 24 subjects, consisting of 19 mothers of kindergarten students, 2 kindergarten teachers, and 3 health practitioners. Data collection was conducted by doing Focus Group Discusion (FGD) in mothers, and also in-depth interview for mothers, teachers, and health practitioners. Further observation for school environment, measurement of the children’s nutritional status, food frequency, food record and activity record were also carried out. To ensure the validity of data collected, triangulation,member checking, debriefing and rich data were done. Data analysis was performed by using thematic analysis.Results: Mothers, teachers, and health practitioners felt that all children were vulnerable to obesity. Negative perception of obesity from mothers and teachers caused the obesity to be considered as unserious problems. Mothers who knew the effect of obesity on health, had relatives with history of degenerative diseases, and had previous obnoxious experience with obesity; worried about obesity in children. The lack of information collected by mothers and the many obstacles found regarding ways to prevent and treat obesity in children, cause mothers not to be able to do the efforts of preventing and treating obesity in children.Conclusion: Perception to threat of obesity in children was affected by perception of mothers, teachers, and health practitioners on vulnerability of children and seriousness of obesity threat to children. Perception of having bigger obstacle as compared to advantages, make mothers failed in doing preventive and treating efforts for obesity in children.Keywords: obesity, kindergarten students, perception of obesity in children, Denpasa
Pola Spasial-Temporal Epidemi Demam Chikungunya dan Demam Berdarah Dengue di Kota Yogyakarta Tahun 2008 Citra Indriani, Anis Fuad, Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 27, No 1 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (437.589 KB) | DOI: 10.22146/bkm.3417

Abstract

Spatial-Temporal Pattern Comparison Between ChikungunyaOutbreak And Dengue Hemmorhagic Fever IncidenceAt Kota Yogyakarta 2008Background: Explosive re-emergence of chikungunya fever has been started since 2004 and affected millions people in worldwide i.e. Indian Ocean, India, Europe, Asia including Indonesia. On January 2008, 59 new cases of chikungunya fever was reported by the Kota Yogyakarta health office meanwhile the province laboratory had no capability to perform laboratory examination to confirm the diagnosis. Control measures were already taken, but it seemed not effective, cases were spread and increased progressively by weeks and non-vector born disease which has similar sign and symptoms was thought to be the cause. Based on the same vector withdengue hemorrhagic fever transmission, an ecological approach using GIS was taken to compare the spatial-temporal pattern between chikungunya and DHF.Objective: The objective of this study was to compare the spatial-temporal pattern between chikungunya fever outbreak and dengue hemorrhagic fever incidence.Method: This study was use ecological study approach which uses integrated GIS, remote sensing and statistic technique. We collected total of 802 chikungunya and 498 dengue cases in ten months (November 2007 – August 2008) and secondary data on environmental variable includes population density, vegetation density, building density, land use, larvae index and climate. Location of cases was obtained using GPS. Epidemic curve were plotted to identify the disease trend. Space time permutation was used to identify disease clustering.Result: Temporal trend analysis show similarity pattern between chikungunya and DHF, increasing trend was found few weeks following heavy rain. There were positive correlations between diseases and population density, building density. Chikungunya and DHF cases were tended to occur in residential land use which close to the commercial land use. Spatial-temporal clustering was observed on both diseases demonstrating variation in local infection pattern. There was similarity on disease cluster occurrence between chikungunya and DHFConclusion: We show spatial-temporal pattern similarity between chikungunya outbreak and dengue hemorrhagic incidence, nevertheless laboratory confirmation is important and should be provided. This study provides useful information for urban public health management. Further study is needed to develop model in vector born early warning system using GIS and remote sensing.Keywords: dengue, chikungunya, GIS, spatial-temporal pattern, environmental epidemiology
Hubungan Dukungan Sosial Terhadap Derajat Nyeri pada Penderita Artritis Gout Fase Akut Rofi Rahmaning Widi, Nyoman Kertia, Deddy Nur Wachid
Berita Kedokteran Masyarakat (BKM) Vol 27, No 1 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.758 KB) | DOI: 10.22146/bkm.3418

Abstract

The Relationship between Social Support and the Degree ofPain in Patient with Acute Phase of Gout ArthritisBackground: Pharmacological therapies currently used for pain relief in patient with acute phase of gout arthritis often cause serious side effects, such as gastrointestinal bleeding and disturbance of kidney or liver function. The psychological stress is able to increase the pain severity. Some researches conclude that the social support is able to decrease the pain. Other than pharmacological treatment it should be necessary to address the social support in management of patients with acute phase of gout arthritis.Objective: The objective of this research is to determine the extent to which the relationship between social support on the degree of pain in patients with acute phase of gout arthritis.Method: This research used a cross sectional design. There were 21 patients with acute phase of gout arthritis recruited in this research. The questioner of social support and the visual analogue scale were used in this research. Analysis of the relationship of social support and the degree of pain used Pearson correlation.Result: The results of Pearson correlation analysis showed that there was a significant relationship between the social support and the degree of pain (r = - 0.437 and p = 0.047) in patients with acute phase of gout arthritis.Conclusion: This study showed that the higher the social support, the lower the degree of pain in patients with acute phase of gout arthritis.Keywords: social support, degree of pain, acute phase of gout arthritis
Studi Kohort Kejadian Penyakit Demam Berdarah Dengue Misti Rahayu, Tri Baskoro, Bambang Wahyudi
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.925 KB) | DOI: 10.22146/bkm.3455

Abstract

Background: Dengue Hemorrhagic Fever (DHF) disease is caused by dengue virus transmitted through the bites of Ae.aegypti. At Surabaya Municipality DHF cases are increasing within the last five years. Risk factors for the prevalence of DHF are among others: 1) occupancy density, 2) availability of water tank, and 3) population behavior such as securing/keeping water tank closed, draining water tank once a week and burrying used items, sleeping in the morning and afternoon, leaving windows open from morning to evening.Objective: To identify association between three risk factors as mentioned above and the prevalence of DHF disease at Subdistrict of Sawahan, Surabaya Municipality.Method: The study was analytic observational with cohort design, involving as many as 1,092 samples of houses and 4,549 respondents from three councils at Subdistrict of Sawahan. To identify the prevalence of DHF disease, interview with respondents and direct examination were made within three subsequent months. To identify distribution of respondents and the prevalence of DHF disease, analysis was made descriptively. Chi square test was made to identify association between exposure and the prevalence of DHF disease and Risk Relative (RR) measurement was made to identify degree of association.Result: Occupancy density statistically had no association with the prevalence of DHF disease p=0.269 and RR=1.242). Availability of waste water sewage with high status of Maya Index Statistically had no association with the prevalence of DHF disease (p=1.000 and RR=1.028). Behavior of the population in keeping water tank closed, draining water once a week and burying used items p= 1.000 and RR=1.003; opening windows from morning to evening p=1.000 and RR=1.003; sleeping in the morning p=0.163 and RR=2.041; sleeping in the afternoon p=1.000 and RR=0.814; and opening windows p=1.000 and RR=1.042 showed no association with the prevalence of DHF disease.Conclusion: Factors of occupancy density, availability of water tank based on Maya Index (MI) and population behavior had no association with the prevalence of DHF disease at Subdistrict of Sawahan, Surabaya Municipality.Keywords: occupancy density, Maya Index, dengue hemorrhagic fever, behavior
Faktor-Faktor Risiko Hipertensi Sistolik Terisolasi pada Lanjut Usia Abdul Farid Lewa, I Dewa Putu Pramantara, Th. Baning Rahayujati
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.475 KB) | DOI: 10.22146/bkm.3456

Abstract

Background: Elderly period is the final period of development in human life cycle. One reaches elderly period when he or she is >60 years old. US Census Bureau in WHO Report projects that in 2000-2030 world population of >60 years old will increase from 6.9% to 12.0% with the biggest increase in developing countries. Isolated systolic hypertension (ISH) is an important cardiovascular risk factor in the elderly as indicated from systolic blood pressure >140mmHg and diastolic pressure <90mmHg. One of causes of increasing blood pressure in the elderly population is ISH. Its prevalence and incidence increase in line with increasing age and it is estimated that 55% of population will have hypertension at the age of 60 years and 65% at the age of > 70 years. In elderly population with hypertension 65% of them have ISH.Objective: The study aimed to identify risk factors of ISH among the elderly at Kalibawang, District of Kulon Progo, Province of Yogyakarta Special Territory.Method: The study was observational with case control study design. Subject of the study were elderly of >60 years old based on inclusion and exclusion criteria. Subject consisted of 238 people comprising 119 cases and 119 controls. Analysis used chi square test (X2) at significance 95% and multiple logistic regression to identify dominant factors in the prevalence of ISH.Result: Variables of smoking habit, psychosocial stress and physical activity were risk factors for the prevalence of ISH in the elderly at Kalibawang where by smoking habit OR =3.353 (95% CI 1.375-8.172); psychosocial stress OR = 2.449 (95% CI 1,408-4,260) and less physical activity, OR =1.970 (95% CI 1.110-3.495).Conclusion: Smoking habit (OR=3.35), psychosocial stress (OR=2.44) and less physical activity (OR=1.97) where as obesity was not risk factor for the prevalence of ISH.Keywords: Risk factors, isolated systolic hypertension, elderly
Kepercayaan Ibu Rumah Tangga tentang Nyamuk Aedes dan Pencegahan Demam Berdarah Dengue di Kelurahan Endemis Aryani Pujiyanti, Ira Paramastri, Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (174.411 KB) | DOI: 10.22146/bkm.3457

Abstract

Background: Active community participation in controlling mosquito breeding sites (Pemberantasan Sarang Nyamuk/PSN) in Semarang especially apart from epidemic situation was difficult to be formed as a habit. It was shown by the high incidence of dengue hemorrhagic fever cases and the larva-free rate that haven’t met the national indicator of 95%. The lack of comprehension about DHF, vector and DHF prevention could be barriers in implementation of DHF prevention. This understanding was connected with local belief and social cultural factors in the community.Objective: To explore housewife’s belief of Aedes mosquitoes that might affect DHF prevention practice in endemic sub district, Tembalang district, Semarang.Method: Research was conducted with qualitative design, using case study. Subject of the study were 17 housewives which selected with purposive sampling. The data collection was carried out through focus group discussions, indepth interviews and observation. The techniques used to test data validity were triangulation and member checking method. Data were analyzed using content analysis approached.Results: Housewives who had small children felt more vulnerable toward DHF. The community would tend to pay attention to the seriousness of the threat when DHF cases were increased in the community. Aedes sp was more perceived as a nuisance rather than disease vectors. Barriers that arise from PSN were the implementation that was not all together and PSN needed specific time and energy.Conclusion: Housewives tend to use a biomedical model for understanding the causes, signs and treatment of critical stage of DHF. Housewives perception of Aedes could be explained by naturalistic model. PSN suggested by health practitioners was not suitable with cultural context. A program that could be suggested was a training of cadres to identify mosquito breeding sites, introduction of mosquito-stage development and  the correct practice of 3M plus.Keywords: dengue hemorrhagic fever, belief, housewives, Aedes
Peran Ayah dalam Praktik Menyusui Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (166.119 KB) | DOI: 10.22146/bkm.3458

Abstract

Background: In Indonesia the prevalence of exclusive breastfeeding in 2007 was 32%. Although breastfeeding is a common practice, exclusive breastfeeding remains unpracticed optimally due to some influential factors. One factor to be considered here is father’s role. However, until recently studies regarding father’s role in breastfeeding practice have not been fully explored in Indonesia. In Bukittinggi exclusive breastfeeding rate was 63,5% in 2008.Objective: To investigate the relationship between the father’s role and breastfeeding practices in Bukittinggi Municipality.Method: This was an observational study with cross-sectional study design. Subjects were families with babies aged 0 – 6 months using non probability sampling. The independent variable was the father’s role and the dependent variable was breastfeeding practices. Meanwhile, the extraneous variables included knowledge, attitude, mother’s occupation; father’s working hours in a day, and income. The data were analyzed using univariable analysis, bivariable analysis with chi-square test, and multivariable analysis with logistic regression.Results: The result of multivariable analysis showed that there was a significant relationship between the father’s role and breastfeeding practice, by including father’s knowledge, mother’s knowledge, father’s attitude and mother’s attitude that could predict by 12% (RP= 1.93; 95% CI= 1.36 – 2.74).Conclusion: The prevalence of exclusive breastfeeding practices in the supporting father group was greater than in the group that non-supporting father. The recommendations are that fathers should be targeted audience in the breastfeeding promotion.Keywords: father’s role, breastfeeding practices
Analisis Faktor-Faktor yang Berpengaruh terhadap Motivasi Kerja Petugas Pelaksana Manajemen Terpadu Balita Sakit di Puskesmas Faridah Faridah
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (154.068 KB) | DOI: 10.22146/bkm.3459

Abstract

Background: Integrated Management of Childhood Illness (IMCI) is one of the strategies to improve quality of services for unhealthy infants and children under five years who visit to a health center. To support that program, in June 2008, training of the program was conducted to 42 health centers in Surabaya City in which 23 health centers had implemented the program. Coverage of infants and children under five years who were handled by the program was equal to 10%. The achievement of the work performance could not be separated from the officer’s work motivation of the Integrated Management of Sick Children under Five Years.Objective: to investigate the factors that influences the officer’s work motivation of the Integrated Management of Childhood Illness in the health centers in Surabaya City in year 2009.Method: This was an observational research with survey method and cross-sectional approach. The research instrument used a structured questionnaire which had been examined in terms of the validity and reliability. Data were analyzed using bivariate analysis (Chi Square Test) and multivariate analysis (Logistic Regression Test). Number of sample was 42 respondents who worked as a doctor, a nurse, and a midwife at the health centers in Surabaya City.Result: The result of this research showed that most of the respondents had poor perceptions to the compensation (54.8%), to the work condition (47.6%), to the policy (50.0%), to the supervision (42.9%), to the job (33.3%), and to the work motivation (54.8%). The result of bivariate analysis showed that variables of perception to the work condition, perception to the policy, and perception to supervision had a significant relationship with the officer’s work motivation at the health centers in Surabaya City (p < 0.05). Based multivariate analysis, it showed that variables of perception to the work condition (p value = 0.034 and Exp B = 5.500) and perception to the policy (p value = 0.003 and Exp B = 11.000) together influence the officer’s work motivation at the health centers in Surabaya City.Conclusion: As a suggestion, in terms of the work condition, there should be provided some logistics (medicines, devices, forms, and KNI) before executing the program at the health centers. In terms of the policy, the head of the health centers should make a planning of activities and an understandable regulation. The head of the health centers and a team should make a standard operating procedure of the program.Keywords: work motivation, Integrated Management of Childhood Illness, officer’s work, health centers

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