• 제목/요약/키워드: dead

검색결과 3,306건 처리시간 0.032초

Social Determinants of Health and 5-year Survival of Colorectal Cancer

  • Heidarnia, Mohammad Ali;Monfared, Esmat Davoudi;Akbari, Mohammad Esmail;Yavari, Parvin;Amanpour, Farzaneh;Mohseni, Maryam
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권9호
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    • pp.5111-5116
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    • 2013
  • Background: Early in the 21st century, cancers are the second cause of death worldwide. Colon cancer is third most common cancer and one of the few amenable to early diagnosis and treatment. Evaluation of factors affecting this cancer is important to increase survival time. Some of these factors affecting all diseases including cancer are social determinants of health. According to the importance of this disease and relation with these factors, this study was conducted to assess the relationship between social determinants of health and colon cancer survival. Materials and Methods: This was a cross-sectional, descriptive study for patients with colon cancer registered in the Cancer Research Center of Shahid Beheshti University of Medical Science, from April 2005 to November 2006, performed using questionnaires filled by telephone interview with patients (if patients had died, with family members). Data was analyzed with SPSS software (version 19) for descriptive analysis and STATA software for survival analysis including log rank test and three step Cox Proportional Hazard regression. Results: Five hundred fifty nine patients with ages ranging from 23 to 88 years with mean${\pm}$standard deviation of $63{\pm}11.8$ years were included in the study. The five year survival was 68.3%( 387 patients were alive and 172 patients were dead by the end of the study). The Cox proportional hazard regression showed 5-year survival was related to age (HR=0.53, p=0.042 for>50 years versus<50 years old) in first step, gender (HR=0.60, p=0.006 for female versus male) in second step, job (HR=1.7, p=0.001 for manual versus non manual jobs), region of residency (HR=3.49, p=0.018 for west versus south regions), parents in childhood (HR=2.87, p=0.012 for having both parents versus not having), anatomical cancer location (HR=2.16, p<0.033 for colon versus rectal cancer) and complete treatment (HR=5.96, p<0.001 for incomplete versus complete treatment). Conclusions: Social determinants of health such as job, city region residency and having parents during childhood have significant effects in 5-year survival of colon cancer and it may be better to consider these factors in addition to developing cancer treatment and to focus on these determinants of health in long-time planning.

저칼슘식이와 방사선조사가 백서하악과두에 미치는 영향에 관한 실험적 연구 (THE EFFECTS OF THE LOW CALCIUM DIET AND IRRADIATION ON THE MANDIBULAR CONDYLE OF RATS)

  • 안희문;이상래
    • 치과방사선
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    • 제23권1호
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    • pp.27-44
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    • 1993
  • This study was performed to investigate the changes of mandibular condyle by low calcium diet and the effects of irradiation on the bone in osteoporotic state. In order to carry out this experiment, 80 seven-week old Sprague-Dawley strain rats weighing about 150 gm were selected and equally divided into one experimental group of 40 rats and one control group with the remainder. The experimental group and the control group were then subdivided into two group and exposed to irradiation. The two irradiation groups received a single dose of 20 Gy on the jaw area only and irradiated with a cobalt-60 teletherapy unit. The rats in the control and experimental groups were serially terminated by fours on the 3rd, the 7th, the 14th, and the 21st day after irradiation. After termination, both sides of the dead rats mandibular condyle were removed and fixed with 10% neutral formalin. The bone mineral density of mandibular condyle was measured by use of dual energy X-ray bone densitometer(model DDX-alpha, Lunn Corp., U. S. A.). The mandibular condyle was radiographed with Hitex HA-80(Hitex Co., Japan). Thereafter, the obtained radiographs were observed, and the mandibular condyle was further decalcified and embedded in paraffin as the general method. The specimen sectioned and stained with hematoxylin-eosin, PAS and Rabbit Anti-Human Tumor Necrosis Factor-a observed by a light microscope. The obtained results were as follows: 1. In the non-irradiated group with the low calcium diet, the bone mineral density of the condyle was markedly decreased after 14 days, and decrease the number of trabeculae of the condyle and resorption of the calcified cartilaginous zone were observed after 3 days. On microscopic observations, the number nd size of trabeculae were decreased after 7 days of experiment. 2. In the irradiated group with the low calcium diet, the bone mineral density of the condyle was markedly decreased after 14 days and resorption of the calcified cartilaginous zone and decrease the number and coarse of the trabeculae of the condyle were observed. These findings were extended rather than in non-irradiated group with low calcium diet. On microscopic observations, many osteoclasts were detected and the number and size of trabeculae were somewhat decreased after 7 days. Also there was degenerative changes of tissues of bone marrow on the 14th day but that condition was restored on the 21st day of experiment. 3. In the irradiated group with normal diet, the bone mineral density of the condyle was somewhat decreased with times and degree of decrease of the number of trabeculae was somewhat larger than in the non-irradiated group with normal diet. On microscopic observations, the tissues of bone marrow were atrophic and degenerative changes but that condition was restored on the 21st day of experiment. 4. In immunocytochemical findings, in the irradiated and non-irradiated groups with low calcium diet, negative or partial positive response to TNF was observed, but positive response in the normal diet groups.

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임플란트 식립시 발생한 열에 의한 골괴사: 증례보고 (Thermally induced bone necrosis during implant surgery: 3 case reports)

  • 조규홍;윤규호;박관수;배정호;유경하;한지훈;신재명;백지선;전인성;정정권
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제37권5호
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    • pp.406-414
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    • 2011
  • Thermally induced bone necrosis during implant surgery is a rare phenomenon and a potential contributing factor to implant failure. The frictional heat generated at the time of surgery causes a certain degree of necrosis of the surrounding differentiated and undifferentiated cells. The bone necrosis occurred in the mandible in all three cases, leading to a soft tissue lesion and pain. In each case, radiolucent areas appeared in the middle and apical portions of the implant 4 weeks after surgery. Thermally induced bone necrosis did not improve following systemic antibiotic medication, necessitating surgical treatment. The nonintegrated implants were removed, and meticulous debridement of dead bone and granulation tissue was performed. Then, new implants were implanted along with the placement of autogenous and xenogenic bone covered with a collagen membrane. No further complications occurred after re-operation. The radiolucencies around the new implants gradually resolved entirely, and the soft tissue lesions healed successfully. At 4-5 months after reoperation, implant loading was initiated and the implant-supported restorations have been functioning. The aim of this case report is to present the successful clinical treatment of three cases suspected to be caused by thermally induced bone necrosis after implant drilling.

장원소(張元素)의 생규(生涯)와 의학사상(醫學思想) (The life and medical idea of Jang Won-So)

  • 김용진;윤창열
    • 대한한의학원전학회지
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    • 제4권
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    • pp.127-157
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    • 1990
  • Geum-Won dynasty is the era which totalized the every medical attainments of before Song dynasty and appeared some medical practioners who found new medical theory based upon this, and is important time for various developments of the oriental medical theory. At this time of the era, the representative practioners are called the four noted physician of Geum-Won dynasty. Jang Won-So who influenced the formation of the theory of the four noted physcian of Geum-Won dynasty, originated new theory by joining the theory of "Nae-Gyung" with his own medical experience. The results can be summarized as follows after studying his life and idea of medicine. 1. Jang Won-So, courtesy name is Gyeol-Go, came from Yeog-Joo and it is unknown that when he was born and dead, but he lived in 11C. At 27, after failed in a Jin-Sa examination, he started medical study, and widely spreaded his medical art by healing the Yoo Wan-So's Sang-Han disease. 2. There are many Jang Won-So's writings, such as "Eui-Hag-Gye-Won" which is the condensation of his idea of medicine, "Jin-Joo-Nang" which is greatly contributed to development of Herbology, "Jang-Boo-Pyo-Bon-Han-Yeol-Heo-Sil-Yong-Yag-Sig" which is the sample of Jang-Boo-Byun-Jeung-Lon-Chi, and "Yag-Joo-Nan-Gyung" "Gyeol-Go-Ga-Jin" "Gyeol-Go-Joo-Sug-Hwa-Mag-Gyeol" "Gyeol-Go-Bon-Cho" "San-Yog-Bo-Sang-Bang" which are known do not existing. 3. Jang Won-So's study about Jang-Boo-Byun-Jeung was influenced by "Nae-Gyung" "Jung-Jang-Gyung" "So-A-Yag-Jeung-Jig-Gyeol" etc. and outline by Han-Yeol-Heo-Sil and the change and prognosis of the state of disease can be decided by Saeng-Sa-Yeog-Soon, so he contribute to development of lang-Boo-Byun-Jeung-Lon-Chi of posterity. 4. Jang Won-So succeeded and develope the theory of the herbs of Oh-Jang-Go-Yog-Bo-Sa and about Ki-Mi-Seung-Gang-Boo-Chim etc. appeared on "Nae-Gyung", especially invented such as Kwi-Gyung-Lon, In-Gyeung-Bo-Sa-Seol, Jang Boo-Pyo-Bon-Yag-Sig and he enriched the content of pharmacological theory, so he motivated various development of herbalogical theory. 5. Jang Won-So's idea of On-Yang-Bi-Wi directly influence Lee Go's assertion of Bi-Wi-Lon, idea of Go-Geum-I-Gue-Seol presented theological basis of posterior medical practioners formation of prescription, so the way of drug usage greatly developed. 6. Jang Won-So's theory of the lang-Boo-Byun-Jeung and herbology directly influenced to Lee Go, Wang Ho-Go, Na Chen-Ik, lang Byeok etc. so he became the father of Yeog-Soo class and indirectly influenced to Seol Gi, Jo Hen-Ga, lang Gae-Bin, Lee Jung-Jae etc. of Myeng dynasty, so the On-Bo class has been formed. Like this, because, his idea of medicine developed at various aspect and greatly influenced to posterity, Lee Si-Jin said "Since the emergency of "Nae-Gyung", Jang Won-So is the only man who greatly enhance medical principle.", so it is clear that this is not unfounded expression at all.

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국제법상 동북아해저환경보존에 관한 연구 (A Study on the Marine Environmental Protection of Northeast Asian Seas in International Law)

  • 이윤철
    • 한국항해학회지
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    • 제19권2호
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    • pp.77-97
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    • 1995
  • The protection of the marine environment is one of the main international legal problems in recent years. In parallel with the industrial development, a great quantity of chemical materials were used and in consequence, mass transportation of oil and other dangerous materials was required on the one hand, and discharge of industrial wasters drew also the attention on the other hand. Furthermore, oil tankers accidents, mass use of nuclear materials, sea-bed exploration and exploitation stimulated further deep human concern on the marine environment. The expansion of international concern to new and more dangerous sources of marine pollution regarded more strict and legal control on the Oil Tanker(DWT 95, 000tons, Cb=0.805) model. Calculation results are compared to the international, especially regional level. In particular, this study is concerned with the preservation of the Northeast Asian Seas surrounded by Japan, the Russian Far East, South Korea, North Korea, China and Taiwan. These adjacent countries must intensify cooperation regarding the prevention, reduction and control of the contamination of the sea. And this cooperation between the States concerned should, as much as possible, be aimed at maximizing the effectiveness of measures to prevent or abate transboundary environmental pollution. To achieve this purpose, States concerned should be imposed upon duties such as duty to assess the environmental impact, duty to inform, duty to consult and duty to assist on the basis of general principle of international law, international customary law and other various resolutions of international bodies. Depending on the nature and extent of actual or potential transboundary pollution with the use of a natural resource or the environment in general the establishment of some form of institutionalized cooperation between the States concerned may become useful or indispensable. The functions of this Organization are, inter alia, to keep the implementation of the Convention and the protocals under continuous observation, to make recommendations on regional or sub-regional rules and standards to be elaborated and on measures to be taken by the Contracting Parties, to be notified of any grave and imminent danger from pollution or threat of pollution by the Contracting Parties and to promote in close cooperation with appropriate governmental bodies additional measures to protect the marine environment of the Northeast Asian Seas, and so on. Above mentioned countries, first of all, are located within the Northeast Asian Seas geographically and, therefore, take responsibilities of preserving the clean sea against marine interferences regardless of any difference of the social, political and economic systems. They must be followed under the UNCLOS and other marine conventions. Under the present circumstances, Northeast Asian Seas will become dead seas in case that there is no instant and prompt action against pollution. Hence we have an absolute obligation to promote the development of the mandatory international environmental law, which in turn can faciliate more effective implementation of the regional cooperation by the neighbouring states within this area.

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고용보험제도의 실질적 사각지대 규모와 원인에 대한 성별 분석 (A Gender-Sensitive Analysis on the scale and causes of the blind spots in the employment insurance system)

  • 김혜연
    • 한국산학기술학회논문지
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    • 제21권3호
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    • pp.108-117
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    • 2020
  • 이 연구는 우리나라 고용보험제도의 사각지대를 젠더 관점에서 분석하여 고용보장 측면에서 여성에게 실질적인 제도적 보장이 제공되고 있는지의 여부를 실증적으로 검토하고 이를 토대로 고용보험제도의 향후 발전방안에 대해 제언하는 것을 목적으로 한다. 분석 자료로 한국노동패널 12차년도(2009년)와 20차년도(2017년) 자료를 이용하였으며, 사각지대의 원인 분석을 위해 로지스틱 회귀분석(logistic regression)을 실시하였다. 연구결과, 고용보험의 실질적 사각지대는 2009년에 성별 격차가 10%p 이상이었으나 2017년에 5%p 정도로 감소하여 실질적 사각지대의 성별 격차는 다소 완화된 것으로 파악되었다. 고용보험 미가입 원인의 경우 다른 인구사회학적 요인들을 통제할 경우 여성의 고용보험 미가입 가능성이 남성보다 낮아, 노동시장 내 여건이 성별로 동일하다면 여성의 고용보험 가입률이 오히려 남성보다 높아질 가능성이 있는 것으로 나타났다. 분석결과에 따른 정책적 제언은 다음과 같다. 현재의 고용보험제도는 성별 자체에 의한 가입률 차이보다는 노동시장 특성이 미치는 영향이 더 큰 것으로 나타나, 성별 노동시장 격차를 완화시키는 것이 고용보험 가입의 성별 격차를 완화시키는 중요한 방법이라는 점을 알 수 있다. 이를 위해 단기적으로는 현재 시행되고 있는 사회보험료 지원 사업이 효과적일 수 있으나, 근본적으로는 여성의 고용환경을 개선시키기 위한 정책적 노력과 더불어 정규직·고임금 노동자를 중심으로 한 현재의 고용보험제도가 불안정 일자리 및 저임금 노동자들을 포괄할 수 있도록 개편될 필요가 있다.

취업형태의 지속성에 관한 연구 (Persistence of Employment Types)

  • 류기철
    • 노동경제논집
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    • 제24권1호
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    • pp.207-230
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    • 2001
  • 본 논문에서는 취업형태를 정규직 임금근로, 비정규직 임금근로 및 자영업의 세 유형으로 구분하여 한국노동패널 자료에 포함된 남자근로자들의 전직에 따른 취업형태의 변화를 살펴보았으며, 또한 경쟁적 위험도 모형을 추정함으로써 이들의 재취업시의 취업형태의 결정에 영향을 미치는 요인들에 대한 분석을 행하였다. 분석 결과에 의하면 퇴직한 일자리애서의 취업형태가 새 일자리에서의 취업형태를 결정하는 데에 중요한 영향을 미치며, 또한 직장이동이 반복되는 경우 그 영향력이 점차로 약화되기는 하나 직전 직장 이전에 취업했던 일자리에서의 취업형태도 새 직장에서의 취업형태의 결정에 영향을 미치는 것으로 나타났다. 즉 직전 직장에서 비정규직으로 근무하다 실직한 근로자는 전직 이전의 직장에서 정규직으로 취업했던 근로자에 비해 정규직에 재취업할 가능성은 크게 낮은 반면 또다시 비정규직에 재취업할 가능성온 크게 높은 것으로 분석되었다. 마찬가지로 퇴직한 직장에서의 취업 형태가 자영직이었던 근로자는 전직 이전의 직장에서 정규직으로 취업했던 근로자에 비해 정규직에 재취업할 가농성은 크게 낮은 반면, 또다시 자영직에 재취업할 가능성은 크게 높은 것으로 분석되었다. 이러한 분석결과는 우리나라 남자근로자의 경우 비정규직 또는 자영직 일자리가 막다른 일자리로서의 성격을 가진다고 단정할 수는 없다고 하더라도 일단 비정규직 또는 자영직에 취업한 근로자가 전직을 통해 정규직 일자리로 옮겨가기가 쉽지 않음을 보여주는 것이라 생각된다. 이와 함께 실업률이 높아질수록 정규직과 자영직에의 취업 가능성은 낮아지나 비정규직에의 취업 가능성은 오히려 높아지는 것으로 나타났는데, 이는 노동시장에서의 수급조건이 근로자에게 불리할수록 노동시장의 비정규화가 빠른 속도로 진행될 수 있음을 의미하는 것으로 해석된다.

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어린이집 분포의 공간적 불균형과 그 대책에 대한 고찰 - 전라남도 어린이집을 중심으로 - (Spatial Inequality of the Distribution of Daycare Centers and Consideration of Countermeasures : The Case of Daycare Centers in Jeollanam-Do)

  • 설선미;이태수;심미승;장건춘
    • 한국지역지리학회지
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    • 제21권4호
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    • pp.716-727
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    • 2015
  • 우리나라는 저출산이라는 사회문제 해결을 위해 어린이집 설립 및 운영에 대한 재정지원을 확충하고 있지만 지역의 어린이집 수요를 충분히 반영하지 못하고 있는 것으로 나타나고 있다. 본 연구는 전라남도의 도시지역과 농어촌지역을 중심으로 어린이집의 분포를 비교분석해 봄으로써 어린이집 분포의 공간적 불균형에 대한 고찰을 시도하였다. 현재 시행되고 있는 어린이집 정책의 문제점을 전라남도의 도시지역(5개 시)과 농어촌지역(17개 군) 간의 차이를 중심으로 분석한 결과, 영유아 1,000명당 어린이집 수는 도시지역은 10.9개소인 반면 농어촌지역은 6.2개소로 큰 차이를 보였다. 각 시 군별 평균 어린이집 수 또한 도시지역(147.8개소)과 농어촌지역(15.4개소)의 격차가 매우 컸다. 어린이집의 사각지대라 볼 수 있는 보육시설이 전혀 없는 동이나 면은 총 78곳으로 이 중 도시지역은 8개 면이며 이곳에 거주하는 영유아는 560명으로 도시지역에 거주하는 전체 영유아의 0.7%로 나타났다. 반면 농어촌지역에서 보육시설이 전혀 없는 면은 70개로 이곳에 거주하는 영유아는 5,269명이며 이는 전체 농어촌지역 거주 영유아의 11%에 이르는 수치이다. 상대적으로 부모들이 선호하는 국 공립 어린이집의 수도 도시지역(87개소)과 농어촌지역(28개소)간의 격차가 매우 큰 것으로 조사되었다. 따라서 향후 보육정책은 이러한 도 농간의 차별을 최소화하고 정확한 보육수요조사와 수요자의 지역별 특성을 파악하여 보다 다양한 프로그램으로 확대해 나가는 것이 바람직할 것으로 보인다.

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완성계 강사장교의 극한 거동의 해석적 연구 (Analytical Study of Ultimate Behavior of Steel Cable-stayed Bridges)

  • 김승준;임석빈;이기세;강영종
    • 대한토목학회논문집
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    • 제32권2A호
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    • pp.85-95
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    • 2012
  • 본 논문은 비선형 해석을 통한 완성계 강사장교의 극한 거동에 대해 다룬다. 사장교는 재료적 비선형성과 함께 다양한 기하학적 비선형성을 나타내므로 극한 거동을 명확히 규명하려면 반드시 합리적인 비선형해석이 수행되어야 한다. 따라서 본 연구에서는 합리적인 극한 해석기법을 통해 활하중에 대한 강사장교의 주요한 극한거동을 규명하고자 하였다. 강사장교의 비선형 해석을 위하여 비선형 트러스 요소 및 비선형 프레임 요소를 이용하였고, 강재의 재료적 비선형성을 효율적으로 고려하기 위해 개선소성힌지법을 이용하였다. 활하중에 대한 극한 거동을 합리적으로 분석하기 위해 본 연구에서는 초기형상해석-활하중 해석으로 이어지는 2단계 해석기법을 통해 극한 해석을 수행하였다. 해석 모델은 총 지간장이 920.0 m 사장교를 이용하였고, 방사형 및 팬 형 사장교를 해석에 이용하였다. 극한해석결과를 통해 얻은 하중-변위 곡선, 구조물 변형형상, 소성단면, 휨모멘트분포도 등을 분석하여 활하중에 대한 완성계 사장교의 주요한 극한 거동을 규명하였다.

여자만에서의 피조개 양성 (Culture of the Ark Shell, Anadara broughtonii in Yoja Bay)

  • 권우섭;조창환
    • 한국수산과학회지
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    • 제19권4호
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    • pp.375-379
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    • 1986
  • 남해 서부해역에 위치한 여자만에서 바닥식으로 양성한 피조개, Anadara broughtonii에 관한 성장과 폐사에 관해 1982년 8월부터 6개월간 조사한 결과는 다음과 같다. 1. 종패의 각장이 $20{\sim}30mm$, 평균 25mm되는 것을 1982년 3월 $1m^2$당 평균 30개체를 양성장 바닥에 살포하였는데, 약 6개월 후에 각장은 평균 48.0mm로 성장하였으며 익년 2월에는 평균 60.6mm가 되었다. 2. 패각과 각부중량의 증가는 고수온기에 빨랐으며 시간이 지남에 따라 패각의 한쪽 형태는 타원형에서 원형으로 변하고 육질중량의 증가는 패각 성장의 증가 속도보다 빨랐다. 3. 성장은 순조로와 피조개의 양성장으로 적합하지만 폐사가 많았다. 종패 살포 1개월 후 약 $30\%$가 폐사하고 폐사는 계속되어 수확시에는 생잔율이 약 $10\%$에 지나지 않았다. 폐사의 주 원인은 해적생물인 불가사리(Asterias spp.) 때문이었다.

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