• 제목/요약/키워드: Mother's

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2세 남아에서 충체 배출로 발견된 회충증 1예 (A Case of Expulsion of an Adult Ascaris Worm from the Anus of a 2-year-old Boy)

  • 조연종;최식경;김수정
    • Pediatric Infection and Vaccine
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    • 제27권1호
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    • pp.77-82
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    • 2020
  • 한국의 회충 감염률은 1970년대까지 높았으나 성공적인 기생충 관리로 매우 낮은 수준으로 감소하였다. 최근 회충 유행 지역으로부터의 인구 유입 및 해외여행 증가, 수입 농산물의 증가 등으로 인해 발생 가능성이 높아지는 가운데 성인에서 회충감염으로 장폐쇄나 췌담관 질환이 유발된 증례 보고들이 있었다. 저자들은 회충증을 의심할 만한 위험 요인이 없는 2세 남아의 기저귀에서 회충 성충이 발견된 증례를 경험하여 보고한다. 아침에 환아의 어머니가 기저귀를 갈다가 움직이는 충체를 발견하여 내원하였다. 특이 과거력 없이 평소 건강하던 환아로 이상 증상은 없었고 신체 진찰에서 특이 소견은 관찰되지 않았다. 충체는 길이 약 25 cm, 폭 5 mm의 선충으로 머리와 꼬리는 원추상을 보여 회충으로 추정하였고 대변 기생충란 검사에서 Ascaris lumbricoides의 불수정란이 확인되어 회충증으로 진단하였다. 구충제인 알벤다졸 400 mg을 1회 경구 투여 후 추적 관찰하였고 추가적인 회충 발견이나 증상 발생은 없었다. 전체적인 기생충 감염률이 감소하여 관심이 줄어드는 현실에서 회충 감염에 대한 인식을 높일 필요가 있겠다.

임산부 간접흡연과 저체중아 및 조산아 출생에 관한 코호트 연구 (Maternal Exposure to Environmental Tobacco Smoke(ETS) and Pregnancy Outcome(low birth weight or preterm baby) in Prospective Cohort Study)

  • 이보은;홍윤철;박혜숙;이종태;김정연;김영주;김상훈;강중구;김주오;하은희
    • Journal of Preventive Medicine and Public Health
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    • 제36권2호
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    • pp.117-124
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    • 2003
  • Objectives : This study was performed to examine the relationship between maternal exposure to environmental tobacco smoke (ETS) and pregnancy outcomes (low birth weight or preform baby) in a prospective cohort study. Methods : We made a pregnant women's cohort, and followed the pregnancy outcomes, between May 1st 2001 and August 31st 2002. We surveyed 2,250 women who visited our hospital during their 35th gestational week, with a self-administered questionnaire. The final total of mother-infant pairs analyzed in this study was 1,712. We used a multiple logistic regression analysis to analyze the effect of maternal ETS on the incidence of preform or low birth weight, and a linear regression analysis for the birth weight and gestational age. Results : Higher exposure to ETS (>=1 hours/day) during pregnancy was more negatively associated with the gestational age and birth weight, than no exposure to ETS (no or less than 1 hour). Maternal exposure to ETS was associated with preform baby(adjusted odds ratio (AOR) 1.7; 95% confidence interval (CI) 0.9, 3.3) and low birth weight (AOR 2.3; 95% CI 0.9, 5.5). In addition, we found that maternal ETS may reduce the birth weight by 70g after adjusting for potential confounding factors. Conclusions : This study suggests that maternal exposure to ETS during pregnancy may increase the frequency of low birth weights and preform births.

헤어 패션 감각(感覺)에 관(關)한 연구(硏究) - 수도권(首都圈) 대학(大學) 여학생(女學生)을 대상(對象)으로 - (A Study on the hair fashion feeling - Objecting to capital area university women students -)

  • 안현경;조규화
    • 패션비즈니스
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    • 제9권4호
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    • pp.59-78
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    • 2005
  • This study aims to know the deferences of hair fashion feeling group in accordance with hair styling activities, general characteristics, life styles objecting to capital area university women students and aid to hair fashion design. So the results are as belows. 1. Frequency Analysis of Categories A. Hair fashion feeling - Natural, sexy, romantic pretty, sophisticate, ethnic are 90% in total hair fashion feeling variables in sequence of frequency, so it can be said these are in vogue. B. Hair styling activities - The objections visit the hair salon once 1-2months, spend about 42,000 won a month, perform cut & wave perm to sentimental reasens & hair style changes, determine the hair style well coordinated in her image and managed easily. In her home, they manage her hair style 12 minutes a day, spend 17,000 won to buy hair aids, do hair blow dry or pin or pony tail mainly in the morning, scarcely use the hair styling aids but if use, essence or wax mainly. And the degree of interest to hair style is high. C. General Characteristics - The objections's average age is 21.1, residence is seoul kangnam 23.3%, seoul kangbook 18.4%, other capital areas 58.4%, the degree of education is university students 94.9%, graduated student 5.1%, marriage is married 96%, unmarried 2.8%, family who live with is married are mainly man & woman and living with father & mother in low in man's, unmarried are mainly live alone & nuclear family, personal expenses a month is 300,000 won in average, income of home is 4,000,000 won a month. D. Life style - The objections are not in interest of physical exercises but if are, do yoga & health, like drama & comedies program, watch TV or meet friend in leisure time, like balad & dance music, fashion magazine, meet friend in cafe or college. 2. Relationship of hair fashion feeling & other variables Using the $x^2$-test, level p<0.05, Hair styling activities(frequency of hair salon coming in and out, ordinary time representing hair style, preferred hair styling aids, the amount of hair style interest), General Characteristics(age), Life style(leisure time) variables are meaningful.

효소 면역측정법에 의한 한국 영아 소아의 홍역 볼거리 및 풍진 항체에 관한 연구 (Study of Measles, Mumps and Rubella Antibodies by Enzyme Immunoassay in Infants and Children in Korea)

  • 박혜경;기복근
    • 대한미생물학회지
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    • 제22권4호
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    • pp.473-483
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    • 1987
  • Present study was undertaken to find when is right time for vaccination against Measles, Mumps and Rubella and what is the seropositive conversion rate after those vacinations. For this purpose, sera from 106 infants and children adimitted in Prediatric Department of Won Kwang University Hospital, Iri, Chonbuk, Korea were divided into 3 groups, such as (1) Vaccination group with definite information when it was given, (2) Unknown group whether vaccination was given or not, (3) Not vaccinated group. They were tested of IgG and IgM antibodies against Measles, Mumps and Rubella using Enzyme Immunoassay method and the following results were obtained. 1. Infants below 6 month of age showed to have IgG antibodies which seemed to have been transferred from mother in 87.8%(29/33) for Measles, 78.8%(26/33) for Mumps and 39.4%(13/13) for Rubella. And they showed IgM antibodies which are thought to have been produced by recent infection in 24.2%(8/33) for Measles, 48.5%(16/33) for Mumps and 9.1%(3/33) for Rubella. 2. Positivity of antibody IgG against Rubella was observed remarkably lower than it is against Measles and Mumps being only 39.4%(13/33) in $0{\sim}5$ month, 30.8%(8/26) in $6{\sim}11$ months, 30%(3/10) in $12{\sim}14$ months and 62.9%(22/35) in $18{\sim}36$ months of age. 3. ${\Delta}OD's$ of IgG and IgM antibodies against Measles were observed increasing with age being 0.444, 0.220 in $0{\sim}5$ months, 0.326, 0.134 in $6{\sim}11$ months, 0.581, 0.140 in $12{\sim}14$ months, 0.512, 0.000 in $15{\sim}17$ months and 0.887, 0.278 in $18{\sim}36$ months of age, respectively. 4. ${\Delta}OD's$ of IgG and IgM antibodies against Mumps were observed increasing with age being 0.427, 0.340 in $0{\sim}5$ months, 0.400, 0.249 in $6{\sim}11$ months, 0.694, 0.314 in $12{\sim}14$ months, 0.539, 0.165 in $15{\sim}17$ months and 0.854, 0.350 in $18{\sim}36$ months of age, respectively. 5. Vaccination for Measles, Mumps and Rubella is generally to start at 15 months of age in Korea, by which age their antibodies are found to exsist in more than 80% of tested samples. So, it seems to be very reasonable to start the vaccination schedule at earlier age than it does currently. 6. From the present study, it seems to have been clearly confirmed that Enzyme Immunoassay method is a reliable method with good reproducibility for mass survey of IgG and IgM antibodies against Measles, Mumps and Rubella in infants and children.

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보건소에서의 모유수유 교육 프로그램 운영 실태와 요구도 조사 (A Study on Actual Conditions and Needs of Breastfeeding Education for Pregnant Women in Health Centers)

  • 김지은;박동연
    • 대한지역사회영양학회지
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    • 제13권6호
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    • pp.818-828
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    • 2008
  • This study was conducted to investigate actual conditions and needs on breastfeeding education for pregnant women in health centers for the development of a breastfeeding educational program. The questionnaires were mailed to 245 health centers and 148 (60.4%) questionnaires were returned. 91% of the health centers had breastfeeding education for pregnant women. 66% of them operated breastfeeding education as one part of other health programs. About 76% of supervisors and 64% of educators were the nurses. The teaching methods frequently used were lectures (30.5%), giving out booklets and leaflets (22.6%), demonstration and practice (21.5%), personal counseling (13.3%), and others. The teaching materials used were materials of outside speakers (39.7%), materials of development oneself (19.0%), materials of academic association or institute (14.8%), and others. The subjects which educators taught were the benefits of breastfeeding (16.7%), breastfeeding techniques (15.8%), caring for breasts before and after delivery (15.1%), nutritional management for lactating women (14.2%), coping strategies for the difficult situation of breastfeeding (13.3%), and others. Those were different from each other according to the educators' general characteristics. Success factors of education were increased motivation for breastfeeding (52.8%), practice (22.6%), professional's lecture (11.3%) and others. The failure factors of education were the ineffectiveness of the lecture method (69.2%), lack of education for supporters (15.4%) and lack of standardized education (15.4%). The most important barrier of education was the lack of a standardized breastfeeding educational programs (43.9%). The most effective teaching methods that educators thought were demonstration and practice (24.0%). The educators thought they need the tools and space for practice (28.2%), a standardized breastfeeding educational program (26.9%), and the human resources (24.4%) for effective education. Subjects that educators thought important for education were the breastfeeding techniques, benefits of breastfeeding, caring for breasts before and after delivery, nutritional management for lactating women, coping strategies for the difficult situation of breastfeeding, rooming system after delivery, ways to assess mother's milk quantity, introducing successful cases of breastfeeding in rank order. To promote the effectiveness of breastfeeding education, standardized breastfeeding educational programs, diverse teaching materials, space and tools, and human resources are needed.

출생성비의 최근 변화와 시뮬레이션을 통한 성선별 출산행위의 추정: 영남 지역을 중심으로 (Recent Changes in Sex Ratio at Birth and Simulations on Sex-Selective Reproductive Behavior: With a Special Focus on Youngnam Region)

  • 김두섭
    • 한국인구학
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    • 제34권1호
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    • pp.159-178
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    • 2011
  • 한국은 합계출산율이 대체수준 이하로 떨어진 1980년대 중반부터 1990년대 중반에 이르기까지 출생성비가 급격하게 상승하는 현상을 경험하였다. 출생성비의 상승은 대구, 부산과 경상북도 및 경상남도를 포함하는 영남 지역에서 두드러졌다. 한국의 출생성비는 1993년과 1994년 정점에 도달한 이후 지속적으로 저하하였으며, 2007년에 이르면 정상수준으로 낮아진 것으로 판단된다. 국제사회에서 한국은 짧은 기간에 출생성비의 저하를 성공적으로 달성한 국가로 널리 인정된다. 그러나 출산순위 및 부모의 사회경제적 지위에 따른 출생성비를 살펴보면 아직도 비정상적으로 높은 출생성비가 관찰된다. 이러한 현상은 영남 지역에서 가장 두드러지게 나타난다. 아직도 일부 지역과 집단에서는 성선별 출산행위가 광범하게 이루어지고 있는 것으로 판단된다. 이 연구의 주된 목적은 2009년 출생신고 원자료를 활용하여 어머니의 연령, 출산순위, 부모의 교육수준과 직업 등에 따른 출생성비의 편차를 영남 지역을 대상으로 파악하는 것이다. 이 연구에서는 출생성비의 불균형을 초래하는 성선별 출산행위의 설명틀을 적용하여 영남 지역에서 나타나는 출생성비의 집단간 편차를 설명하고자 시도한다. 마지막으로, 이 연구에서는 인공유산에 대하여 가용한 자료가 없다는 점을 감안하여, 1994년, 2005년, 2009년의 세 시점에서 성선별 출산행위에 관한 시뮬레이션 작업이 이루어졌다. 이 시뮬레이션 작업의 결과들은 성감별과 성선별 출산행위가 세 시점에서 얼마나 광범하게 이루어졌고, 아울러 출생성비에 미친 파급효과가 어떠하였는가를 확인해준다.

조선 궁궐, 동조(東朝)의 상징성과 $17{\sim}18$세기 대비전 조영에 관한 연구 (A Study on Symbolism of Dongjo in Royal Palaces of Choseon Dynasty and Its Way of Operation - Focusing on Donggwol in 17th-18th century -)

  • 조옥연
    • 건축역사연구
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    • 제16권6호
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    • pp.67-86
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    • 2007
  • Choseon Dynasty, from many aspects, saw the institutional establishment of its royal palaces in the 17th and 18th century, with 'donggwol (east palace)' as the most representative form in the era. In that period, palaces were managed in the best way that fits the royal etiquette and order to maintain the Confucian framework of the times. While the royal palace was the place for the king to conduct state affairs, it was also a compound for the royal family to lead a life in. Since the royal family was also based on the Confucian system, women in the royal palace seldom revealed their existence to outside world. Yet daebi,(a Queen Mother) who was often called 'dongjo,' enjoyed the highest level of honor not only as a member of the royal family but in the hierarchical order of the dynasty. As they often engaged themselves in political affairs, daebi raised their reputation through rites and rituals. So, in the 16th century, they largely used Changgyeong-gung palace in the eastern part of the royal compound since they sometimes had to go out of the royal residence. While it was called 'dongjo' because it was seated in the eastern part, it was also used as a word symbolizing daebi. And, therefore, it has become a general principle of royal palaces to build the palace for daebi in the eastern wing of the compound. However, the residence for daebi was not always built in the eastern part in the 17th and 18th century and, instead, edifices for daebi were sometimes erected in several points within the royal compound. Beside, daebi's residence in this period had additional spaces for ceremonies since they had a number of official events there. Construction of daebi's residences in this era was not confined to the symbolic institutions and they became the peculiar palaces with specific characteristics for official ceremonies of the queen mothers. Consequently, it could be said that the architectural style of dongjo, which was the place of the supreme female in the hierarchical order, stemmed from donggwol where daebi spent the longest time of the royal life.

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아동기 과체중 위험 인자로서의 TV시청시간, 사회계층요인, 부모의 과체중 및 부모의 활동수준 (Television Watering, Family Social Class, Parental Overweight, and Parental Physical Activity Levels in Relation to Childhood Overweight)

  • 윤군애
    • 대한지역사회영양학회지
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    • 제7권2호
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    • pp.177-187
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    • 2002
  • This study was done to determine the factors associated with childhood overweight in 721 sixth grade elementary school students, in Busan. The students' heights, weights, waist circumferences and triceps-skinfold thicknesses were measured using standard techniques. Other data were collected using a questionnaire that included information about physical activity, television watching, and the amount of exorcise taken during leisure times, family history of diseases related to obesity: social data including family income, parents'education and occupations, eating behaviors; parental weights and heights; and parental activity levels. Childhood overweight was defined as a body mass index at or above the 85th percentile for age and sex. The prevalence of overweight revealed no significant difference between sexes, (24.2% in boys and 22.03% in girls). The risk of childhood overweight was significantly greater if either the mother or the father were overweight. The odds ratio for childhood overweight associated with maternal overweight was 5.045 (94% CI : 3.262-7.801), and 2.727 (95% CI : 1.764-4.218) was the case for parental overweight. Children having a history of hear diseases had higher odds ratios than those who did not. The odds ratios for overweight associated with income were not different. However, a higher odds ratio for overweight was observed in children whose fathers had only an elementary or middle school education than those whore fathers had a high school or college education. Children whose fathers' occupations were service workers or shopkeepers (OR : 3.314, 95% C = 1.851-5.934) or had no occupation (OR = 3.756, 95% CI : 1.898-7.430) had a treater risk of overweight than those whose fathers'were professionals or once workers. The risk of overweight increased in children having more irregular meal times and faster eating times, rather than those having an intake pattern of high energy and sugar containing floods. The amount of exercise taken during leisure times, and daily physical activity showed no difference between overweight and non-overweight children. However, television watching time, especially on weekends, was greater in overweight children than in non-overweight children. Television watching time was positively correlated with BMI, triceps-skin(31d thickness, waist circumference and waist/height ratio. Therefore, television watching was found to be a useful predictor of overweight in children. Television watching in children was negatively related to paternal activity levels, and positively related to parental television watching time. In fact, fathers whose children were overweight were physically less active than fathers whose children were non-overweight. Parents appeared to be a strong influence on their children's physical activity levels. In conclusion, a low family social class, defined on the basis of the father's occupation or education, parental overweight, increased television watching, and unhealthy physical activity levels in parents were all considered risk factors for childhood overweight. Among these, television watching time and lack of physical activity were considered to be the most important risk factors that could be easily modified for the prevention of and intervention in, overweight in children.

미숙아를 출산한 어머니의 양육스트레스 (Parenting Stress in Mothers of Premature Infants)

  • 황현숙;김희순;유일영;신현숙
    • Child Health Nursing Research
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    • 제19권1호
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    • pp.39-48
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    • 2013
  • 목적 본 연구는 미숙아를 출산한 어머니의 양육스트레스를 파악하고 어머니와 아동 특성에 따른 양육스트레스 관련성 확인을 위해 시도되었다. 방법 서울소재 Y대학병원에서 미숙아로 태어나 신생아집중치료실 치료를 받고 퇴원한 교정연령 4개월 이상 12개월 이하 영아 어머니 36명을 대상으로 어머니와 아동의 일반적 특성, 아동의 발달 상태를 평가하기 위한 K-ASQ, 어머니 양육스트레스 측정을 위해 Abdin (1990)이 개발한 PSI와 우울정도 측정을 위해 Beck (1967)의 우울척도 BDI를 사용하였다. 수집된 자료는 SPSS WIN 19.0 프로그램을 이용하여 기술통계, t-test, ANOVA, 피어슨 상관관계 방법으로 분석하였다. 결과 미숙아 어머니 양육스트레스 최고 175점 중 평균 $74.639{\pm}17.570$으로 양육스트레스가 있는 수준이었다. 어머니에게 사생활 여유(t=2.684, p<.05)가 있을 경우 총 양육스트레스가 통계적으로 유의하게 낮았으며, 주거상태가 자택(t=-2.228, p<.05)일 경우와 지역사회로부터 자녀양육에 대한 정보지원을 받은 경우(t=2.855, p<.05) 양육스트레스 하부 영역 중 아동의 까다로운 기질로 인한 양육스트레스가 통계적으로 유의하게 낮았다. 어머니 우울정도가 높을수록 총 양육스트레스가 높았으며(r=.569, p<.01), 양육스트레스 하부 영역 중 부모자녀의 역기능적 상호작용과 부모 스트레스(r=.590, p<.01), 아동의 까다로운 기질로 인한 양육스트레스(r=.442, p<.01) 사이에 각각 높은상관성을 보였다. 결론 미숙아 어머니 양육스트레스 중재를 위해 어머니 사생활 여유를 마련하고 지역사회로 부터 정보지원을 받을 수 있는 사회적 지지체계가 요구되며, 어머니 우울감소를 위한 프로그램 개발 및 부모자녀 상호작용과 발달상태 평가에 대한 부모 교육 방안을 마련해야 할 것이다.

자두와 살구나무에 기생하는 나무좀의 생태에 관한 연구 (Ecological Studios on the Bark Beetles on Plum and Apricot)

  • 윤주경;김규진;천승주;김용석
    • 한국응용곤충학회지
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    • 제21권2호
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    • pp.78-86
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    • 1982
  • 자두 살구나무에 기생하는 나무좀의 종류와 생태를 조사하였던 결과를 요약하면 다음과 같다. 1. 자두살구나무를 하는 나무좀은 서울나무좀 (Scolytus seulensis), 뽕나무좀(Xyleborus atratus), 오리나두좀(X. germanus, 붉은목나무좀(X. rubricollis) 및 감나무좀(X. saxeseni)을 채집하였고 기주로는 서울나무좀은 자두와 살구나무에 뽕나무좀 오리나무좀, 감나무좀은 살구, 밤나무에 붉은목나무좀은 자두, 밤나무등에 각각 침입함을 확인하였는데 자두, 살구나무에 발생량과 피해가 심한 종은 서울나무좀이었다. 2. 서울나무좀의 발생소장을 보면 1980년 7월 10일과 8월 25일 1981년에는 7월 15일과 8월 20일로 1화기는 7월 중순에 2화기는 8월 하순의 1년 2회로 추정되었다. 3. 살구품종중 서울나무좀에 의한 m당 충공수는 Henderson(Apricot)과 V-49057(Apricot)은 100개 이상이었으며 Derbyroyal(Apricot)은 12개 이하로 적었다. 대체로 한국재래종과 일본계도입종들에 비하여 구주계품종에 치해공이 많았고 방향별 차이는 적었으나 동서남북순이었으며 모공의 길이가 길수로 유충공수도 많았다. 4. 성충의 교미는 $27^{\circ}C$ 내외가 많았으며 5.6월의 교미는 7.8월에 비하여 교미시간이 다소 길었다. 5. 자두나무 과실중의 변화는 피해주에서 개화 4주일 후인 6월 23일에 12.25g으로서 과중증가가 없었으나 건전주의 과실은 6월 23일에 32.23gr이었고 수확기인 7월 7일에는 63.5gr이었다. 6. 서울나무좀의 천적으로 어깨넓적좀벌과의 일종인 Eurytoma sp.를 서울나무좀의 노숙유충이나 용에서 용상태로 발생하였고 5월 초부터 6월 25일 사이에 우화하였으며 성충의 일주일 내외였다.

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