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Efficacy and Safety during the Combination Therapy of Imipramine and Desmopressin in Primary Monosymptomatic Nocturnal Enuresis (어린이의 일차성 단일 증상성 야뇨증에서 Imipramine과 Desmopressin 복합 약물치료의 효과 및 안전성)

  • Yeo Ji-Hyun;Choi Jung-Youn;Chung Hyo-Seok;Lee Kyung-Soo;Ko Cheol-Woo;Kim Kyo-Sun;Kim Kee-Hyuk;Kim Jung-Soe;NamGoong Mee-Kyung;Park Young-Seo;Pai Ki-Soo;Yoo Kee-Hwan;Park Yong-Hoon
    • Childhood Kidney Diseases
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    • v.8 no.2
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    • pp.129-137
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    • 2004
  • Purpose : Nocternal enuresis is a common disorder. Tricyclic antidepressant and desmopressin have been accepted pharmacological treatment for this disorder We conducted a cooperative study to investigate the efficacy and adverse reactions of imipramine, desmopressin and combination treatment in children with primary monosymptomatic nocturnal enuresis(PMNE). Methods: Data from a large multicenter study were analysed. In the period of 8 months in 2002, the study comprised of 168 children(78 boys and 90 girls, 5 to 15 years old) with PMNE for imipramine, desmopressin or combination treatment. Before treatment a history, physical examination and laboratory tests were performed and the children were observed for 2 weeks. Response rate, adverse reactions and enuresis episodes after stopping drug administration were evaluated after 12-weeks of imipramine, desmopressin or combination of both. Results: After 4 weeks, the frequency of bed wetting in all treated patients decreased during treatment significantly Even though a 30-50%, reduction in the number of wet nights were 68.6%, 74.4% and 86.1% during 12 weeks treatment by imipramine, desmopressin and both of them respectively, there was no significant difference between them. The most common adverse reaction was decreased appetite from imipramine administration. But no serious drug-related adverse events were reported. Conclusion: Efficacy of the combination therapy of imipramine and desmopressin in PMNE appears not to be better than either drug alone. It is necessary to pay attention on account of adverse reactions during imipramine treatment even though imipramine and desmopressin were generally well tolerated.

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Variability of Satellite-derived Chlorophyll-a Concentration in Relation to Indian Ocean Dipole (IOD) Variation (인도양 쌍극진동 변동에 따른 위성에서 추정된 표층 클로로필-a 농도 변화 연구)

  • Son, Young Baek;Kim, Suk Hyun;Kim, Sang-Hyun;Rho, TaeKeun
    • Korean Journal of Remote Sensing
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    • v.33 no.6_1
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    • pp.917-930
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    • 2017
  • To understand the temporal and spatial variations of surface chlorophyll-a concentration (Chl-a) distribution in the Indian Ocean ($30^{\circ}E{\sim}120^{\circ}E$, $30^{\circ}S{\sim}30^{\circ}N$) by the Indian Ocean Dipole (IOD), we conducted EOF and K means analyses of monthly satellite-derived Chl-a data in the region during 1998~2016 periods. Chl-a showed low values in the central region of the Indian Ocean and relatively high values in the upwelling region and around the marginal regions of the Indian Ocean. It also had a strong seasonal variation of Chl-a, showing the lowest value in the spring and the highest value in summer due to the change of the monsoon and current system. The EOF analysis showed that Chl-a variation in EOF mode 1 is related to ENSO (El $Ni{\tilde{n}}o$/Southern Oscillation) and that of mode 2 is linked to IOD. Both modes explained spatially opposite trends of Chl-a in the east and west Indian Ocean. From K means analysis, the Chl-a variation in the east and west Indian Ocean, and around India have relatively good relationship with IOD while that in the tropical and middle Indian Ocean closely associated with ENSO. The spatial and temporal distribution of Chl-a also showed distinct spatial and temporal variations depend on the different types of IOD events. IOD classifies two patterns, which occurred during the developing ENSO (First Type IOD) and the year following ENSO event (Second Type IOD). Chl-a variation in the First Type IOD started in summer and peaked in fall around the east and west Indian Ocean. Chl-a variation in the Second Type IOD occurred started in spring, peaked in summer and fall, and disappeared in winter. In the Chl-a variation related to IOD, developing process appearing in the Chl-a difference between the east and west Indian ocean was similar. Chl-a variation in the northern Indian Ocean were opposite trend with changing developing phase of IOD.

Digital painting: Image transfonnation, simulation, heterologie and transfonnation (현대회화에서의 형태와 물질 -Digital Transfiguration에 관한 연구-)

  • Jeong, Suk-Yeong
    • Journal of Science of Art and Design
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    • v.10
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    • pp.161-181
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    • 2006
  • The words which appeared in my theoretical study and work are image transformation to digital painting, simulation, heterologie and transfiguration, etc. Firstly, let's look into 'digital era' or 'new media era'. Nowadays, the image world including painting within the rapid social and cultural change, which is called as digital era, is having the dramatic change. Together with the development of scientific technology, large number of events which was deemed to be impossible is happening as real in image world Moreover, these changes in image world is greatly influencing to our life. The word which compresses this change of image world and shows is 'digital'. Digit, which means fingers in Latin, indicates separately changing signal, and to be more narrow, it indicates the continual signal of '0' and ' 1' in computer. The opposite word is 'analogue'. As analogue is the word meaning 'infer' or 'similarity', it indicates the signal or form which continuously changes along the series of time when it is compared to digital. Instead of analogue, digital is embossed as a major ruler along the whole area of our current culture. In whole culture and art area, and in whole generalscience, digital is appearing as it has the modernism and importance. The prefix, 'digital', e.g. digital media, digital culture, digital design, digital philosophy, etc, is treated as the synonym of modernism and something new. This advent of digital results the innovative change to the image world, creates the new beauty experience which we could not experience before, and forecasts the formation of advanced art and expansion of creative area. Various intellectual activities using computer is developing the whole world with making the infrastructure. Computer in painting work immediately accomplishes the idea of painters, takes part in simulation work, contingency such as abrupt reversal, extraction, twisting, shaking, obscureness, overlapping, etc, and timing to stimulate the creativity of painters, and provides digital formative language which enables new visual experience to the audience. When the change of digital era, the image appeared in my work is shown in 'transfiguration' like drawing. The word, 'transfiguration' does not indicate the completed and fixed real substance but indicate endlessly moving and floating shape. Thus, this concept is opposite to the substantial consideration, so that various concepts which is able to replace this in accordance with the similar cases are also exist such as change, deterioration, mutation, deformity of appearance and morphing which is frequently used in computer as a technical word. These concepts are not clearly classified, and variably and complicatedly related. Transfiguration basically means the denial of "objectivity' and '(continual) stagnation' or deviation from those. This phenomenon is appeared through the all art schools of art ever since the realism is denied in the 19th century. It is called as 'deformation' in case of expressionism, futurism, cubism, etc, in the beginning of the century, which its former indication is mostly preserved within the process of structural deviation and which has the realistic limit which should be preserved. On the contrary, dramatic transfiguration which has been showing in the modern era through surrealism is different in the point that dramatic transfiguration tends to show the deterioration and deviation rather than the preservation of indicated object. From this point, transfiguration coming out from morphing using computer deteriorates and hides the reality and furthermore, it replaces the 'reality'. Moreover, transfiguration is closely approached to the world of fake or 'imaginary' simulation world of Baudrillard. According to Baudrillard, the image hides and deteriorates the reality, and furthermore, expresses 'not existing' to 'imaginary' under the name of transfiguration. Certain reality, that is, image which is absent from the reality is created and overflowed, so that it finally replaces the reality. This is simulation as it is said by Baudrillard. In turn, Georges Bataille discusses about the image which is produced by digital technology in terms of heterologie. Image of heterologie is the visual signal which is established with the media. Image of media is to have the continuous characteristics of produce, extinction, and transformation, and its clear boundary between images becomes meaningless. The meaning of composition, excess, violation, etc of digital image is explained to heterological study or heteologie suggested as important meaning of Georges Bataille who is a heretic philosopher. As the form and image of mutation shows the shape in accordance with mechanical production, heterologie is introduced as very low materialism (or bas materialisme), in this theory. Heterologie as low materialism which is gradually changing is developing as a different concept and analysis because of the change of time in the late 20s century beside high or low meaning. Including my image, all images non-standardizes and transforms the code. However, reappearance and non-standardization of this code does not seem to be simple. The problem of transformation caused by transfiguration which appears in my digital drawing painting, simulation, heterologie, etc, are the continual problems. Moreover, the subject such as existence of human being, distance from the real life, politics and social problems are being extended to actual research and various expressing work. Especially, individual image world is established by digital painting transfiguration technique, and its change and review start to have the durability. The consciousness of observers who look at the image is changing the subject. Together with theoretical research, researchers are to establish the first step to approach to various image change of digital era painting through transfiguration technique using our realistic and historical image.

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Biomechanics analysis by golf drive swing pattern (골프 드라이브 스윙시 구질 변화에 따른 운동학적 분석)

  • Choi, Sung-Jin;Park, Jong-Jin;Yang, Dong-Ho
    • Korean Journal of Applied Biomechanics
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    • v.12 no.2
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    • pp.259-278
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    • 2002
  • This study divided straight success, pade success and failure with 7male golfers who have experiences more than 3 years, analyzed kinematic factors of golf swing to suggest scientifically. The conclusions were follows. 1) The wrist angle has significant difference in straight success, pade success and failure when swing of every pattern. There is no significant difference in pade success and failure. 2) The body twist angle has no significant difference in straight success, pade success and failure when swing of every pattern. There is no significant difference in pade success and failure. 3) The shoulder joint rotation angle has no significant difference in success, pade success and failure when swing of every pattern. There is no significant difference in pade success and failure. 4) The left hip joint vertical angle has no significant difference in straight success, pade success and failure when swing of every pattern. There is no significant difference in pade success and failure. 5) The hip joint rotation angle has no significant difference in straight success, pade success and failure when swing of every pattern. There is no significant difference in pade success and failure. 6) The trunk angle has no significant difference in straight success, pade success and failure when swing of every pattern. There is no significant difference in pade success and failure. 7 )The left knee joint angle has no significant difference in straight success, pade success and failure when swing of every pattern. There is no significant difference in pade success and failure. This study divided golf swing motion of pattern change in straight success, pade success and failure and analyzed the kinematic factors by 3-dimension cinematography to improve performance. In the future, many researchers have to study kinematic analysis to improve performance in every events.

Kinematical Analysis of Heel-Brake Stop in Inline Skate (인라인 스케이트(Inline Skate) 힐 브레이크(Heel-Brake) 정지에 관한 운동학적 분석)

  • Han, Jae-Hee;Lim, Yong-Kyu
    • Korean Journal of Applied Biomechanics
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    • v.15 no.2
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    • pp.11-20
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    • 2005
  • This study has a purpose on contributing to apprehend safe and right way to stop to the inline skate beginners and to the instructors who teaches line skating on the basis for the result of the kinematical analysis on Heel brake stop movement of the inline skate, focusing on the displacement on COG, angle displacement of ankle joint, angle displacement of knee joint, angle displacement of hip joint, using a 3D image method by DLT. To achieve this goal, we analysed the kinematical factor of the 3 well-trained inline skating instructors and obtained the following results. 1. During the movement of heel-brake stop, when strong power was given to a stable and balanced stop and the lower limbs, if the physical centroid is lowered the stability increases, and if it is placed high from the base surface, as the stability decreases compared to the case of low physical centroid, we should make a stop by placing a physical centroid in the base surface and lowering the hight of physical centroid. 2. To make a stable and balanced stop and to provide a strong power to the lower limbs, it is advisable to make a stop by decreasing an angle displacement of ankle joint during a "down" movement. In case of the left ankle joint, in all events and phases the dorsiflexion angle showed a decrease. Nevertheless, in the case of the right ankle joint, the dorsiflexion angle shows an increase after a slight decrease. The dorsiflexion angle displacement of ankle joint can be diminished because of the brake pad of the rear axis frame of the right side inline skate by raising a toe, but cannot be more decreased if certain degree of an angle is made by a brake pad touching a ground surface. To provide a power to a brake pad, it is recommended to place a power by lowering a posture making the dorsiflexion angle of the left ankle joint relatively smaller than that of the right ankle. 3. To make a stable and balanced stop and to add a power to a brake pad, the power must be given to the lower limbs in lowering the hight of physical centroid. For this, it is recommended to make a down movement by decreasing the flexion angle of a knee joint and it is necessary to make a down movement by a regular decrease of the angle displacement of knee joint rather than a swift down movement in every event and phase. 4. The right angle displacement of hip joint is made by lowering vertically the hight of physical centroid as leaning slightly forward. If too narrow angle displacement of hip joint is made by leaning forward too much, the balance is lost during the stop by placing the center in front. To make a stable and balance stop and to place a strong power to the lower limbs, it is recommendable to make a narrow angle by lower the hip joint angle. However, excessive leaning of the upper body to make the angle too narrow, can cause an instable stop and loss of physical centroid. After this study, it is considered to assist the kinematical understanding during the heel brake stop movement of the inline skate, and, to present basic data in learning a method of stable and balanced stop for the inline skating beginners or for the inline skate instructors in the present situation of the complete absence of the study in inline skating.

Nutrient Load Balance in Large-Scale Paddy Fields during Rice Cultivation (경지 정리된 광역 논에서 영양물질 수지와 배출 특성)

  • Kim, Min-Kyeong;Roh, Kee-An;Lee, Nam-Jong;Seo, Myung-Chul;Koh, Mun-Hwan
    • Korean Journal of Soil Science and Fertilizer
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    • v.38 no.3
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    • pp.164-171
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    • 2005
  • The aim of this study was to evaluate the load of nutrient from paddy fields. Water management practices that can reduce eutrophication and meet water quality requirements will also be addressed. Continuous monitoring from May to September in 2002 and 2003 was conducted for water quantification and qualification at the intensive paddy fields in Icheon, Gyunggi province of Korea. Water balance and concentration variation of nitrogen and phosphorus in the water were independently compared for water quality assessment at each rice cultivation period. Rice land preparation and transplanting periods usually marked the highest water demand when compared to other periods of cultivation. Overall, a greater net irrigation ratio was observed during the transplanting period in 2002 (92.3%) and 2003 (87.2%). The measured total N loads of precipitation, irrigation, drainage, and percolation during the rice cultivation period were 9.9, 41.6, 22.1, and $5.5kg\;ha^{-1}$ for 2002 and 15.8, 55.4, 17.3, and $7.5kg\;ha^{-1}$ for 2003, respectively. The measured total P loads of precipitation, irrigation, drainage, and percolation during the rice cultivation period were 2.1, 13.0, 3.6, and $1.8kg\;ha^{-1}$ for 2002 and 1.6, 15.0, 5.0, and $1.2kg\;ha^{-1}$ for 2003, respectively. Daily nutrient load followed the pattern of surface drainage water, but this pattern was changed by rainfall events. The nutrient load in drainage water depends on rainfall and surface drainage water amount from the paddy fields. Interestingly, the load of total N and total P output was smaller than the input load due to the natural infiltration that Occurred during the rice cultivation period. It is concluded that the paddy fields have a beneficial effect on the ecosystem and can reduce eutrophication in the water.

Off-Pump Total Arterial Revascularization Using the Skeletonized Right Gastroepiploic Artery as a Third Arterial Conduit; Early and Midterm Results (제3동맥 도관으로서의 골격화된 우위대망동맥을 사용하여 시행한 심폐바이패스를 사용하지 않는 관상동맥 우회술;초기 및 중기 결과)

  • 이현주;최재성;김기봉
    • Journal of Chest Surgery
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    • v.36 no.9
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    • pp.659-665
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    • 2003
  • The aim of this study was to evaluate the early and midterm results of off-pump total arterial revascularization using the skeletonized right gastroepiploic artery (RGEA) as a third arterial conduit. Material and Method: We prospectively analyzed 103 patients who underwent off-pump total arterial revascularization using bilateral internal thoracic arteries (ITAS) and RGEA. The RGEA was used as in situ graft in 88 patients, composite graft in 10 patients, and free graft in 5 patients. Postoperative coronary angiographies were performed before discharge in 100 patients, and at postoperative one year in 88 patients. Result: The RGEA showed a significantly higher free flow (130$\pm$95 ml/min) than that of right ITA(113$\pm$57 ml/min) or left ITA (107$\pm$55 ml/min), which was measured before anastomosis (p < 0.05). The total number of distal anastomoses was 3.8$\pm$0.7. The number of distal anastomoses per bilateral ITAs was 2.8$\pm$0.7 and the number of distal anastomosis per RGEA was 1.0. There were two morialities including one operative mortality. The late mortality was not related to cardiac events. Early postoperative morbidities were atrial fibrillation in 15 patients, bleeding reoperation in 4 patients, mediastinitis in 1 patients, perioperative myocardial infarction in 2 patient, and transient ARF in 3 patients. Postoperative coronary angiographies showed the early patency rate of 98.6% (272/276) for ITAs and 97.0% (97/100) for RGEA, respectively (p=ns), and the one-year patency rate of 95.9% (234/244) for ITAs and 88.6% (78/88) for RGEA, respectively (p=0.07). Flow competition between the RGEA and NCA (native coronary artery) was seen in 5 of the 100 patients (5.0%) immediate postoperatively and 7 of the 88 patients (8.0%) 1 year after surgery. Since July, 2000, we measured transit time flow intraoperatively and could reduce flow competition significantly Conclusion: The skeletonized RGEA demonstrated excellent early and midterm patency rates and could be used as a third arterial graft following the bilateral ITAs.

Effect and uncertainty analysis according to input components and their applicable probability distributions of the Modified Surface Water Supply Index (Modified Surface Water Supply Index의 입력인자와 적용 확률분포에 따른 영향과 불확실성 분석)

  • Jang, Suk Hwan;Lee, Jae-Kyoung;Oh, Ji Hwan;Jo, Joon Won
    • Journal of Korea Water Resources Association
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    • v.50 no.7
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    • pp.475-488
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    • 2017
  • To simulate accurate drought, a drought index is needed to reflect the hydrometeorological phenomenon. Several studies have been conducted in Korea using the Modified Surface Water Supply Index (MSWSI) to simulate hydrological drought. This study analyzed the limitations of MSWSI and quantified the uncertainties of MSWSI. The influence of hydrometeorological components selected as the MSWSI components was analyzed. Although the previous MSWSI dealt with only one observation for each input component such as streamflow, ground water level, precipitation, and dam inflow, this study included dam storage level and dam release as suitable characteristics of the sub-basins, and used the areal-average precipitation obtained from several observations. From the MSWSI simulations of 2001 and 2006 drought events, MSWSI of this study successfully simulated drought because MSWSI of this study followed the trend of observing the hydrometeorological data and then the accuracy of the drought simulation results was affected by the selection of the input component on the MSWSI. The influence of the selection of the probability distributions to input components on the MSWSI was analyzed, including various criteria: the Gumbel and Generalized Extreme Value (GEV) distributions for precipitation data; normal and Gumbel distributions for streamflow data; 2-parameter log-normal and Gumbel distributions for dam inflow, storage level, and release discharge data; and 3-parameter log-normal distribution for groundwater. Then, the maximum 36 MSWSIs were calculated for each sub-basin, and the ranges of MSWSI differed significantly according to the selection of probability distributions. Therefore, it was confirmed that the MSWSI results may differ depending on the probability distribution. The uncertainty occurred due to the selection of MSWSI input components and the probability distributions were quantified using the maximum entropy. The uncertainty thus increased as the number of input components increased and the uncertainty of MSWSI also increased with the application of probability distributions of input components during the flood season.

Spatial Structure and Seasonal Variation of Temperature and Salinity in the Early Stage of Reclaimed Brackish Lake (Hwaong Reservoir) (간척호 (화옹호) 생성 초기의 수온과 염분의 공간적 구조와 계절적 변화)

  • Shin, Jae-Ki;Yoon, Chun-Gyeong;Hwang, Soon-Jin
    • Korean Journal of Ecology and Environment
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    • v.39 no.3 s.117
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    • pp.352-365
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    • 2006
  • In order to evaluate the change of aquatic environment in the reclaimed Hwaong Reservoir, situated in the early stage after construction, this study was conducted to measure the change of precipitation, temperature, and salinity from June 2002 to January 2006. The range and mean of temperature was $-0.7{\sim}33.4^{\circ}C$ and $13.6^{\circ}C$, respectively. Temperature of upstream part rapidly changed during the transitional period; from spring to summer and from fall to winter. It showed abrupt decrease with high discharge from the streams temporarily. While, hypolimnetic temperature of upstream happened to be somewhat higher than that of surface or downstream. The range and mean of salinity was 0.3${\sim}$32.3 psu and 25.3 psu, respectively. Vertical difference of salinity was marked, and the change in the surface water was much higher than middle or bottom layers. It showed the marked difference at all stations, except for the bottom layer of upstream into which Namyang Stream flows, indicating that vertical gradient of salinity is strongly sustained in the reservoir. Salinity was changed markedly during the storm period (June${\sim}$October), and freshwater with low salinity was expanded from upstream to downstream along the surface layer. The surface of the reservoir was totally covered by the stream discharged water with a large amount of silt and low salinity during this period. The difference of temperature and salinity between the surface and bottom layer ranged $-10.6{\sim}9.7^{\circ}C$ and $-27.1{\sim}30.0$ psu, respectively. The big difference of salinity appeared with a large discharge of freshwater from the streams or large input of seawater through the gate. Salinity was negatively correlated with temperature, indicating the influence of monsoon storm events on the salinity under the whole watershed scale of this brackish reclaimed reservoir.

Monitoring North Korea Nuclear Tests: Comparison of 1st and 2nd Tests (북한 핵실험 모니터링 : 1, 2차 비교)

  • Chi, Heon-Cheol;Park, Jung-Ho;Kim, Geun-Young;Che, Il-Young;Sheen, Dong-Hoon;Shin, Jin-Soo;Cho, Chang-Soo;Lee, Hee-Il
    • Geophysics and Geophysical Exploration
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    • v.13 no.3
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    • pp.243-248
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    • 2010
  • Two suspicious events, which were claimed as underground nuclear tests by North Korea, were detected in the northern Korean Peninsula on October 9, 2006 and May 25, 2009. The KIGAM and Korea-China Joint seismic stations are distributed uniformly along the boundaries between North Korea and adjacent countries. In this study, the data from broadband stations with the distance of 200 to 550 km from the test site are used to analyze and compare two nuclear tests of North Korea. By comparing the time differences of the Pn-wave arrival times of 1st and 2nd tests at multiple stations, the relative locations of two test sites could be calculated precisely. From the geometrical calculation with the velocity of Pn wave $V_{Pn}$ = 8 km/s, the 2nd test site is estimated to move in the WNW direction from 1st one with the distance of 2 km. Body wave magnitude, mb of the 2nd test, which was announced officially as the network average of 4.5, varies widely with the directional location of stations from 4.1 to 5.2. The magnitude obtained from Lg wave, $m_b$(Lg), shows less variation between 4.3 to 4.7 with the average of 4.6. The moving-window spectra of time traces of 1st and 2nd tests show very similar pattern with different scale level. In addition, the corner frequencies of P wave of 1st and 2nd tests at each station show no or negligible difference. This indicates the burial depths of two tests might be very similar. The relative yield amount of the 2nd test is estimated 8 times larger than that of the 1st from the weighted average of ground-velocity amplitude ratios.