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Performance of Occupational Health Services by Type of Service : Cost Benefit Analysis (사업장 보건관리 사업의 형태별 수행성과 분석 -비용편익 분석을 중심으로-)

  • Cho, Tong Ran;Kim, Hwa Joong
    • Korean Journal of Occupational Health Nursing
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    • v.4
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    • pp.5-29
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    • 1995
  • Occupational health services in Korea have been operated as dual types : one is operated by occupational health care manager and the other is health care agency without their own personnel. The performance of occupational health service should be different due to the variety of characteristics of health care manager and workplace, qualification of health care manager. This study is to analyze performance of occupational health care services with a particular consideration of job performance shape and efficiency, based on comparing those two types of health care management to show on the basic data for the settlement of more qualitative health care management system at workplace. For this study, total 391 places in Seoul and Inchon city area ; 154 places (39.4%) managed by designated health care manager and 237 places (60.6%) by the agency with their commission are selected as research samples. Tools for data collection are questionnares that have been investigated during the period of 20 September 1993-20 December 1993. Those data are compared with percentiles, mean, standard deviation and B/C ratio using SPSS PC program. Conclusions observed from the tests and each comparison could be summerized as follows : 1. Occupational health care have been accomplished at workplaces with designated people than with agencies people, and coverage rate of the occupational health care services has differences, due to management types. The reason of these results is due to visit only one or two times monthly by the agencies, while their own health care manager obsess, at the workplaces all the times. 2. Most of the expense for environmental control of all health care services expenditures shows that there is almost no fundamental improvement because more expenses are needed for procuring personal protective equipment and measuring work environment instead of environmental improvement. 3. It is investigated how much the cost of occupational health care services needs per worker, and calculated how much the cost needs per service hour per worker. The results from this show that the cost of occupational health services at workplaces with their own managers used less than the cost of health care agencies, eventually the former gives better services with less cost than the latter. 4. Benefit/Cost ratio is also produced by total benefit/total cost. The result from the above way reads 4.57 as a whole, while their own manager having workplaces reads 4.82 and the agencies do l.56. Even if their own manager performing workplaces spent more cost, this system produces more benefit than the agencies management. 5. The B/C ratio for medical organization such as local clinic, health care center and pharmacy shows more than or equal to at the workplaces controlled by the agencies. It is inferred that benefit would be much less than the cost used, with so being inefficient. 6. It is assumed that the efficiency ratio of health education is equal to reduction rate of workers medical organization visit. Estimated reduction rate 5%, 10%, 15%, show that the efficiency ratio of health education have an effect on producing benefits. It is estimated that more benefit can be produced if more qualitative education will be provided for enhancing health care efficiency. 7. Results of this study cannot be generalized because there are large scale of deviation in case of workplaces with less than 300 full time workers, but B/C ratio reads 2.69 as a whole and 3.25 at workplaces with their own health care manager are higher than 1.63 at the workplaces manged by the agencies. Finally, all the benefit concerning health care services could not be quantified, measured and shown on the value of money. This is a reason that a considerable part of benefits are so underestimated. This is also thought that measurement tools should be developed for measuring benefits of health care services with a comprehensive quantification. in the future. It is also expected that efficiency of occupational health care services should be investigated using cost-effectiveness analysis.

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Emotional State and Personality Characteristics in Patients with Vitiligo (백반증 환자의 정서상태와 성격특성)

  • Lee, Kyung-Kyu;Lee, Jong-Hyun;Kim, Hyun-Woo;Paik, Ki-Chung;Kim, You-Chan
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.1
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    • pp.88-97
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    • 2000
  • Objectives : This study was aimed to investigate the emotional state and personality factors of patients with vitiligo, and the impacts of clinical characteristics. Methods : Twenty one patients with vitiligo and 20 normal controls were studied. Beck Depression Inventory(BDI), Spielberg's State and Trait Anxiety Inventory(STAI) and Cattell's 16 Personality Factors Questionnaire(16-PF) were used for assessment. Statistically, t-test, Oneway ANOVA, Mann-Whitney U test and Pearson's correlation test were used. Results : The Results were as follows. 1) The comparison of total score of BDI, state anxiety and trait anxiety between the patients with vitiligo and normal controls were not significantly different. 2) In first-stratum source traits of 16-PF, normal control group was significantly higher than the patients with vitiligo in H-factor(Boldness) and I-factor(Tender-mindedness). In second-stratum source traits of 16-PF, there was no significant difference between the patients with vitiligo and normal control in all factors. 3) According to sex, the comparison of total scores of BDI, STAI between male and female patients with vitiligo were not significantly different. In the comparison of 16-PF, female patients were higher than male patients in I-factor only. 4) As according to age(under and over 30 years of age), the comparison of total scores of BDI, STAI between patients over 30 years of age and under 30 years of age were not significantly different. In the comparison of 16-PF, patients over 30 years of age were higher than patients under 30 years of age in E-, G-, L-, M-, Q2-, Q3-, IND-, SUP-, and CRE-factor. 5) As according to the presence of progression of vitiligo and the presence of visible lesion, the comparison of total scores of BDI, STAI and 16-PF were not significantly different. 6) There were no significant correlation between the duration of the vitiligo and BDI, STAI-S, STAI-T, and 16-PF. Conclusions : There were no significant difference between patients with vitiligo and normal controls on the emotional state and personality characteristics. But patients with vitiligo were more bolder and tender-minded than normal controls on 16-PF. The author propose that methods of treatment to resolve problems of the interpersonal relations will be helpful.

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Effects of Temperature and Nematode Concentration on Pathogenicity and Reproduction of Entomopathogenic Nematode, Steinernema carpocapsae Pocheon Strain (Nematoda: Steinernematidae) (온도 및 농도가 곤충병원성 선충, Steinernema carpocapsae 포천 계통 (Nematoda: Steinernematidae)의 병원성과 증식에 미치는 영향)

  • 추호렬;이동운;윤희숙;이상명;항다오싸이
    • Korean journal of applied entomology
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    • v.41 no.4
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    • pp.269-277
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    • 2002
  • Ecological studies on entomopathogenic nematodes are required to increase control efficacy against target insect pests and to obtain basic information for mass production. Thus, effect of temperature and nematode concentration on infectivity and reproduction of Steinernema carpocapsae Pocheon and that of exposure time and soil depth on infectivity were examined using Galleria mellonella larvae. Infectivity and reproduction were examined at five temperatures, 13, 18, 24, 30 and 35$^{\circ}C$ with seven concentrations, 0, 5, 10, 20, 40, 80 and 160 infective juveniles (IJs)/larva. Temperature and nematode concentration influenced infectivity and reproduction of S. carpocapsae Pocheon. Although G. mellonella larvae were killed by S. carpocapsae Pocheon at all given temperatures and nematode concentrations, mortality was higher at 24$^{\circ}C$ than other temperatures. Lethal time of G. mellonella by S. carpocapsae Pocheon was shorter with increasing temperature and nematode concentrations. S. carpocapsae Pocheon was not established in G. mellonella at 13 and $35^{\circ}C$. Time for the first emergence from G. mellonella cadaver was longer $18^{\circ}C$ (about 20 days) than 24 and $30^{\circ}C$ (about 5 days). The highest number of progenies was obtained at $24^{\circ}C$ with 80IJs/1arva, i.e., $18.8$\times$10^4$IJs were produced from a larva. In the exposure time assay, G. mellonella death was recorded in 10 minutes when 300 IJs were inoculated per larva. When S. carpocapsae Pocheon was inoculated at the rate of $10^{9}$ IJs/ha to G. mellonella at the depth of 0, 2, 5 and 10 cm of sand columns, 100% mortality and similar sex ratio were observed but number of established IJs in cadaver was decreased with deepening the soil depth. The results indicated that optimum temperature for infectivity and reproduction of S. carpocapsae Pocheon was $24^{\circ}C$ In addition, S. carpocapsae Pocheon was effective to target insects within 5 cm from the soil surface.

Influence of the Increase of Dissolved $CO_2$ Concentration on the Marine Organisms and Ecosystems (해수중 용존 $CO_2$ 농도 증가가 해양생물 및 해양생태계에 미치는 영향: 국내외 사례 연구)

  • Lee, Jung-Suk;Lee, Kyu-Tae;Kim, Chan-Kook;Park, Gun-Ho;Lee, Jong-Hyeon;Park, Young-Gyu;Gang, Seong-Gil
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.9 no.4
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    • pp.243-252
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    • 2006
  • Influence of the increasing carbon dioxide concentration in seawater on various marine organisms is assessed in this article with regard to the impacts of anthropogenic $CO_2$ introduced into surface or deep oceans. Recent proposals to sequester $CO_2$ in deep oceans arouse the concerns of adverse effects of increased $CO_2$ concentration on deep-sea organisms. Atmospheric introduction of $CO_2$ into the ocean can also acidify the surface water, thereby the population of some sensitive organisms including coral reefs, cocolithophorids and sea urchins will be reduced considerably in near future (e.g. in 2100 unless the increasing trend of $CO_2$ emission is actively regulated). We exposed bioluminescent bacteria and benthic amphipods to varying concentrations of $CO_2$ and also pH for a short period. The ${\sim}l.5$ unit decrease of pH adversely affected test organisms. However, amphipods were not influenced by decreasing pH when HCl was used for the seawater acidification. In this article, we reviewed the biological adverse effects of $CO_2$ on various marine organisms studied so for. Theses results will be useful to predict the potential risks of the increase of $CO_2$ concentrations in seawater due to the increase of atmospheric $CO_2$ emission and/or sequestration of $CO_2$ in deep oceans.

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The Flora of Habitats Distributed with Allium victorialis var. platyphyllum Populations in the South Korea (우리나라 산마늘 개체군 자생지의 식물상)

  • Kim, Hye-Jin;Doh, Eun-Soo;Chang, Jun-Pok;Choi, Myung-Suk;Yang, Jae-Kyung;Cho, Hyun-Je;Bae, Kwan-Ho;Shin, Hak-Sub;Park, Hee-Kwon;Lee, Seo-Hui;Yun, Chung-Weon
    • Korean Journal of Environment and Ecology
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    • v.25 no.3
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    • pp.284-294
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    • 2011
  • This study was conducted to investigate the flora of habitats distributed with Allium victorialis var. platyphyllum populations in the South Korea. The vascular plants were surveyed 4 times from March 2009 to June 2010. The flora of studied area was listed as 214 taxa; 64 families, 142 genus, 181 species, 2 subspecies, 30 varieties, 1 forma. According to the specific plant species by classes, class I has 17 taxa; 15 families, 16 genus, 15 species, 2 varieties. Class II has 16 taxa; 13 families, 16 genus, 15 species, 2 varieties. Class III has 20 taxa; 16 families, 19 genus, 18 species, 2 varieties. Class III has 20 taxa; 16 families, 19 genus, 18 species, 2 varieties. Class IV has 23 taxa; 20 families, 23 genus, 19 species, 4 varieties. Class V has 2 taxa; 2 families, 2 genus, 2 species. Rare plant was 12 taxa; 9 families, 11 genus, 10 species, 2 varieties. Endemic plant was 21 taxa; 17 families, 19 genus, 18 species, 3 varieties. Endangered plant was not present in study area. It was considered that the ecosystem was probably stabilized for nothing of naturalized species and ecosystem disturbance species there. The characteristics of growth environments in the habitats with Allium victorialis var. platyphyllum were considered to be related to valley species and subalpine species such as Actinidia polygama, Cornus controversa, Rhododendron brachycarpum and Sorbus commixta.

Nutritional Characteristics of Pigmented Rice (유색미의 영양학적 특성)

  • Lee, Mi-Kyung;Kim, Young-Mo;Park, Jung-Suk;Na, Hwan-Sik
    • Food Science and Preservation
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    • v.19 no.2
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    • pp.235-242
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    • 2012
  • The excellence of pigmented rice with respect to its nutritional composition was proven and the physicochemical properties of five kinds of rice (Jindo black rice, Jindo jeongmi, Boseong black rice, red rice, and green rice) were compared. The crude protein content of black rice harvested in Boseong (10.15%) were higher than that of the other varieties. The crude fat contents of pigmented rice (black, red, and green) were higher than those of polished rice (Jindo-jeongmi and black rice). Boseong black rice had the highest crude fat content. The major free sugar types in the rice varieties were maltose and glucose. The major mineral contents of the unpolished rice (pigmented rice) varieties were as follows: of P, 361.32~570.11 mg%; K, 196.63~210.04 mg%; Mg, 104.11~128.02 mg%; Na, 2.49~8.14 mg%; and Ca, 12.10~16.82 mg%. The major fatty acids in the five kinds of rice were linoleic acid, oleic acid and palmitic acid. The fatty acid contents of the rice varieties did not differ significantly. The black rice (Boseong) had a higher amino acid content than the other varieties. The hunter color values of rice varieties were affected by the colors of tha samples. The L (lightness) value of black rice (Jindo, Boseong) was lower than that of the other samples. The thiamine and riboflavin contents of the red rice (0.48 mg/100 g and 0.14 mg/100 g, respectively) were higher than those of the other varieties (thiamine: 0.36~0.24 mg/100 g and riboflavin: 0.09~0.06 mg/100 g). The hardness of the rice varieties differed significantly (10.75~14.64 kg).

Morphological Characteristics of Growth of Rice and Barnyardgrass under Various Cropping Patterns - V. Difference in Morphological and Anatomical Response to Thiobencarb (재배양식(栽培樣式)에 따른 벼와 피의 생장(生長) 및 해부형태학적(解剖形態學的) 차이(差異) - V. 재배양식(栽培樣式)에 따른 제초제(除草劑) Thiobencarb에 대(對)한 벼와 피간(間)의 해부형태학적(解剖形態學的) 반응(反應) 차이(差異))

  • Chon, S.U.;Guh, J.O.;Kwon, S.L.
    • Korean Journal of Weed Science
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    • v.14 no.3
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    • pp.212-222
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    • 1994
  • Thiobencarb retarded the growth of new leaves in only barnyardgrass under dry condition while under water condition the shoot growth of broadcast rice, and both shoot and root growth of barnyardgrass was considerably inhibited. Root elongation of rice and barnyardgrass was severely inhibited only under water condition, while that of transplanted rice was slightly inhibited. Inhibition of shoot and root growth in broadcast, drilled rice and barnyardgrass under water condition was much higher than that under dry condition, whereas the inhibition was less in transplanted rice than direct seeded rice. Microscopically, thiobencarb severely inhibited shoot growth and development of barnyardgrass by inducing tubular-like leaves. The cells of the shoot apices of treated barnyardgrass seedling under dry condition was vacuolated and irregularly arranged. Under water condition, leaf primordia of broadcast rice was constricted, barnyardgrass showed tubular-like leaves, inhibited apices elongation and vacuolated cells(visually lack cytoplasm).

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Effects of Ripening on the Quality of Kimchi or Freeze-Dried/Rehydrated Kimchi (김치의 숙성이 김치 또는 동결건조/복원 제품의 품질에 미치는 영향)

  • 고영태;강정화
    • Korean journal of food and cookery science
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    • v.17 no.5
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    • pp.483-489
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    • 2001
  • The objective of this study was to investigate the effect of ripening on the quality of kimchi or freeze-dried/rehydrated kimchi. Kimchi stored/ripened at 0$\^{C}$ for 120 days was taken at an interval of 10 days and freeze-dried/rehydrated with water. The number of lactic acid bacteria(LAB), shearing force and sensory properties of kimchi ripened (Raw sample) or kimchi ripened/freeze-dried/rehydrated (F/D sample) were observed. The results were as follows: (1) The number of LAB of Raw and F/D samples decreased slightly during ripening for 120 days, while the pH of both samples decreased. The number of LAB in kimchi decreased up to 6∼16% of the original value by freeze-drying. (2) Ripening for 120 days did not affect shearing force of kimchi while freeze-drying increased markedly its shearing force. (3) Although overall acceptability and taste of Raw and F/D samples decreased gradually, the degree of change between two samples was different. The odor of Raw and F/D samples decreased slightly during ripening for 120 days while the degree of change between two samples was similar after 70 days of ripening. Moistness of Raw and F/D samples was maintained relatively stable during ripening. Chewiness of Raw sample decreased during ripening for 120 days while that of F/D sample was not affected by ripening. Color of Raw and F/D sample was changed during ripening while the degree of change between two samples was not significant. It can be concluded that the change of some sensory properties between Raw sample and F/D sample was affected by ripening for 120 days while the change in the number of LAB, pH and shearing force between both samples was not affected markedly by ripening.

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The Study on the Methylmercury Analysis and the Monitoring of Total Mercury and Methylmercury in Fish (어류 중 메틸수은 분석법 확립 및 모니터링)

  • Kim, Hee-Yun;Chung, So-Young;Sho, You-Sub;Oh, Geum-Soon;Park, Seong-Soo;Suh, Jung-Hyuk;Lee, Eun-Ju;Lee, Yoon-Dong;Choi, Woo-Jeong;Eom, Ji-Yoon;Song, Min-Soo;Lee, Jong-Ok;Woo, Gun-Jo
    • Korean Journal of Food Science and Technology
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    • v.37 no.6
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    • pp.882-888
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    • 2005
  • Procedure for analysis of methylmercury in fish was developed, involving addition of HCl, extraction with toluene, and clean-up using L-cystein solution. Obtained extract is analyzed by gas chromatography with electron capture detector using Ulbon HR-Thermon-Hg column. Detection limit and recovery of the method were 0.005mg/kg (expressed as Hg), 98-107 (103%), respectively. Total mercury and methylmercury concentrations in 175 commercial fish samples ranged from [mean-max (mean), unit: mg/kg]: 0.014-1.200 (0.270) and 0.006-0.901 (0.168) in tuna-fish, 0.020-0.934 (0.323) and 0.012-0.553 (0.149) in martin-fish, 0.082-0.782 (0.391) and 0.040-0.436(0.201) in shark, 0,023-0.031 (0.026) and 0,013-0.018 (0.015) in salmon, 0.098-0.193 (0.133) and 0.031-0.015(0.090) in tilefish, and 0,031-0.214 (0.089) and 0.016-0.093 (0.042) in canned tuna respectively. No sample of analyzed fish exceeded 1.0mg/kg wet wt., limit for methylmercury established by Codex. In all species examined, estimated weekly intake was lower than Provisional Tolerable Weekly Intake recommended by the JECFA (the Joint FAO/WHO Expert Committee on Food Additives).

Studies on Wet Paddy Field Underdrainage Improvement in the Gum-Ho Area (I) (금호지구 저습답의 암거배수효과에 관한 연구(I))

  • 김조웅;김시원
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.22 no.4
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    • pp.82-95
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    • 1980
  • This paper complies the results of the studies so far made on the subsoil improvement of subsurface drainage systems for wet paddy fields (those were located in the Gum-Ho area in Kyung Buk province) which had poor permeability and a high water table. In general, a drainage problem is an excess of water on the ground surface which can effect the productivity and bearing capacity of the soil. With drain pipe systems, (According to their depths and spacing) it may be possible to correct that problem. The experimentation consisted of three test plots, two of which included drain pipe systems with varing depths and width spacing of the pipes. The third plot (C) was an ordinary plot being exempt of a drain pipe system. In detail, the depth of plot A was 80 cm, and the width spacings began at 2. Om and increased by 2. Om up to 10. 0m. The depth of plot B was 60cm and the width spacing was the same as plot A. These tests were performed to research specific details; such as crop yeild, bearing capacity of the soil, the amount of underdrainage, surface cracks, root distribution, the water table level, the consumptive water depth and the soil moisture content. The test period lasted three years, from 1977 thru 1979. The results obtained were as follows: 1. During the test period, the weather conditions for the area tested were in accordance with the annual average for that area. Furthermore the precipitation factor during the spring cultivation season, the intermediate drainage period and the harvest drainage period was of optimum conditions for controling surface cracks, because of less precipitation than evaporation. 2. The difference in the level of the ground water table in plots A and B was hardly noticable, but the difference in the test plots and the ord. plot was greatly noticable. The test plots (A, B) were 30 to 40cm lower than the ordinary plot. On the whole, the ground water table of the ord. plot always stayed at a level of 15-20cm beneath the surface of the soil, the ground water table of the test plot A showed The difference in the depth of the pipe lower than the test plot B, while the test plots showed a remarkable descending effect. 3. The soil temperature in plot A was slightly core than in plot B with a difference of 0. 47$^{\circ}$C, but plot A was 1. 6$^{\circ}$C higher than the ord. plot during the flooding period, but after drainage the temperature difference climed to 2. 0$^{\circ}$C. 4. During the 3rd test year, the values of the cracks were recorded with the values of 59cm in plot A, 42cm in plot B and 15cm in the ordinary plot. Plots A and B had increased 2.5 times the value of the first year while the ordinary plot had remained the same. 5. The root weight of the rice was measured at a value of 77.2 gr. for plot A, 73.5 gr. for plot B and 65.3 gr. for the ord. plot. Therefore, the root growths in plots A and B were much more energetic than in the ord. plot. 6. The consumptive water depth measured during the 3rd year resulted in the values of 26. 0mm per day for plot A, and 24.9 mm per day for plot B, respectively. Therefore, both plot A and plot B maintained the optimum consumptive water depths, but the ordinary plot only obtained the value of 12.3 mm per day, which clearly showed less than the optimum consumptive water depth which is 20 to 30 mm/day. 7. The soil moisture content is in direct relationship to the ground water level. During drainage, test plot A decreased in its ground water level much more rapidly than the other two plots. Therefore, plot A had a much less soil moisture content. But this decreased water level could be directly effected by the weather conditions. 8. The relationship between the bearing capacity and the soil moisture content were directly inversely proportional. It can be assumed that the occurence of soil creaks is limited by the soil moisture content. Therefore, the greater the progress of the surface creaks resulted in a greater bearing capacity. So, tast plot A with a greater amount of surface cracks than the other test plots resulted in a greater bearing capacity. But, the bearing capacity at the harvest season could be effected by the drainage during the intermediate drainage period and by the weather conditions. 9. Comparing the production of the test plots to the ord. plot; there was an increased value of 840kg for plot A, 755kg for plot B and 695kg for the ord. plot in the rough rice. Therefore, plot A had an increase of 20% over the ordinary plot. The possibility of producing double crops was investigated. The effects on barley production in the test plots showed a value of 367kg per 10 acres, which substantiated the possibility of double crops because that value showed an increased value over the average yearly yield for those uplands. 10. So as a result, it can be recommended that by including a drain pipe system with the optimum conditions of an (80cm centimeter) depth and a (l0m) spacing will have a definite positive effect on the over all production capacity and quality of wetpaddy fields.

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