• 제목/요약/키워드: ECG data

검색결과 437건 처리시간 0.03초

Gated Cardiac Blood Pool scan에서의 심장 주위 배후방사능 관심영역 설정시 산란선의 영향을 감소시키기 위한 연구 (Study a Technique for Reducing the Influence of Scattered Rays from Surrounding Organs to the Heart during Gated Cardiac Blood Pool scan)

  • 김정열;박훈희;남궁혁;조석원;김재삼;이창호
    • 핵의학기술
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    • 제12권1호
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    • pp.33-38
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    • 2008
  • Purpose: The Gated cardiac blood pool scan is non-invasive method that a quantitative evaluation of left ventricular function. Also this scan have shown the value of radionuclide ejection fraction measurements during the course of chemotherapy as a predictor of cardiac toxicity. Therefore a reliable method of monitoring its cardiotoxic effects is necessary. the purpose of this study is to minimize the overestimate of left ventricular ejection fraction (LVEF) by modified body position to reduce the influence of scattered rays from surrounding organs of the heart in the background region of interest. Materials and Methods: Gated cardiac blood pool scan using in vivo $^{99m}Tc$-red blood cell (RBC) was carried out in 20 patients (mean $44.8{\pm}8.6$ yr) with chemotherapy for a breast carcinoma. Data acquisition requires about 600 seconds and 24 frames of one heart cycle by the multigated acquisition mode, Synchronization deteriorates toward the end of the cycle and with the distance from the trigger signal (R-wave) by ECG gating. Gated cardiac blood pool scan was studied with conventional method (supine position and the detector head in $30-45^{\circ}$ left anterior oblique position and caudal $10-20^{\circ}$ tilt) and compared with modified method (left lateral flexion position with 360 mL of drinking water). LVEF analysis was performed by using the automatically computer mode. Results: The ROI counts of modified scan method were lower than LV conventional method ($1429{\pm}251$ versus $1853{\pm}243$, <0.01). And LVEF of modified method was also decrease compared with conventional method ($58.3{\pm}5.6%$ versus $65.3{\pm}6.1%$, <0.01). Imaging analysis indicated that stomach was expanded because of water and spleen position was changed to lateral inferior compared with conventional method. Conclusion: This study shows that the modified method in MUGA reduce the influence of scattered rays from surrounding organs. Because after change the body position to left lateral flexion and drinking water, the location of spleen, left lobe of liver and stomach had changed and they could escaped from background ROI. Therefore, modified method could help to minimize the overestimate LVEF (%).

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방사성동위원소 심조영술상 심전도게이트 일회통과법을 이용한 우심실 박출계수 (Right Ventricular Ejection Fraction using ECG-Gated First Pass Cardioangiography)

  • 문영희;이해규;이성용;박석민;정수교;임정익;박용휘;신경섭;김영균;권순석
    • 대한핵의학회지
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    • 제27권1호
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    • pp.135-139
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    • 1993
  • Radionuclide cardioangiography has been widely applied and has played major roles in non-invasive assessment of cardiac function. Three techniques, first-pass, gated first and gated equilibrium methods, have commonly been used to evaluate right ventricular ejection fraction which usually abnormal in the patients with cardiopulmonary disease. It has been known that the gated first pass method is the most accurate method among the three techniques in assessment of right ventricular ejection fraction. The radionuclide right ventricular ejection fraction values were determined in 13 normal subjects and in 15 patients with chronic obstructive pulmonary disease by the gated first pass method and compared with those of the first pass method because there ha,j been no published data of right ventricular ejection fraction by the gated first pass method in Korea. The values of right ventricular ejection fraction by the gated first pass method were compared with the detas from the pulmonary function test performed in the patients with chronic obstructive pulmomary disease. The results were as follows: 1) The values of right ventricular ejection fraction by the gated first pass method were $50.1{\pm}6.1%$ in normal subjects and $38.5{\pm}8.5$ in the patients with chronic obstructive pulmonary disease. There was statistically significant difference between the right ventricular ejection fraction of each of the two groups (p < 0.05). 2) The right ventricular ejection fraction by the gated first pass method was not linearly correlated with $FEV_1$, VC, DLCO, and FVC as well as $P_aO_2$ and $P_aCO_2$ of the patients with chronic obstructive pulmonary disease. We concluded that right ventricular ejection fraction by the gated first pass method using radionuclide cardioangiography may be useful in clinical assessment of the right ventricular function.

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자동차 화상시뮬레이터에서 운전 중 동시과제 수행에 고농도 산소와 향 자극이 미치는 영향 (Effect of Highly Concentrated Oxygen and Stimulus of Odors on the Performance of Secondary Tasks While Driving Using Vehicle Graphic Driving Simulator)

  • 지두환;민철기;류태범;신문수;정순철;강진규;민병찬
    • 산업경영시스템학회지
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    • 제35권4호
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    • pp.55-62
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    • 2012
  • In this study, it was observed through the ability of performing secondary tasks and baseline fetal heart rate how the supply of lavender, peppermint and highly concentrated oxygen (40%) affected distraction due to the performance of secondary tasks in the driving environment. Twelve male university students conducted secondary tasks while driving in the environments (6 in total) mixed and designed with oxygen concentration (21%, 40%) and the condition of odors (Normal, Lavender, Peppermint). The test was proceeded in order of stable state (5mins), driving (5mins), and secondary tasks (1min), and by extracting ECG data from every section by 30secs, the mean value of baseline fetal heart rate was calculated. As a result of analysis, in the ability of performing secondary tasks, a percentage of correct answers showed no difference in oxygen concentration and the condition of odors (p > 0.05). In performance completion time, a percentage of correct answers decreased showing a statistically significant difference in the condition of odors compared with the condition where odors were not provided (p < 0.05). As for baseline fetal heart rate, in the comparison between sections, while performing secondary tasks, it increased showing a significant difference compared with stable state and driving state (p < 0.05). The effect of interaction was observed in oxygen concentration and the condition of odors. When odors were not provided, baseline fetal heart rate decreased in 40% oxygen concentration compared with 21% oxygen concentration (p < 0.05), however, when peppermint was provided, it increased in 40% oxygen concentration compared with 21% oxygen concentration (p < 0.05). In conclusion, the fact that the condition of odors increased the ability of calculation, and when only the highly concentrated oxygen was provided, parasympathetic nerve system was activated, however, when highly concentrated oxygen was provided with peppermint at the same time, sympathetic nervous system (sns) was activated, which had a negative effect on the autonomic nervous system was drawn.

돈차(錢茶)의 숙성 기간이 이화학적 성분과 항균 활성에 미치는 영향 (Maturation Effects of Don Tea on Physicochemical Components and Anti-Microbial)

  • 박용서;유현희;이미경;김현주;허북구
    • 동아시아식생활학회지
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    • 제19권1호
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    • pp.32-37
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    • 2009
  • This study was carried out to gather basic data on the restoration and extent of Don tea (a coin-shaped tea), the traditional tea of Korea. We examined the physicochemical components and anti-microbial activity of Don tea extracts at 0, 5 and 10 months. The Hunter value $L^*$, of Don tea extracts which were matured for 10 months decreased from 7.01 to 4.97 compared to that when the extracts were first manufactured. However, the $b^*$ value increased from 0.09 to 2.67. There were higher contents of inorganic matter in Don tea extracts following manufacture in the order of K (14.12 mg/100 mL), Mg (0.94 mg/100 mL), P (0.88 mg/100 mL), Ca (0.16 mg/100 mL) and Mn (0.16 mg/100 mL). Classified catechins contents were found in the order of C (19.97 mg/100 mL), EGC (9.30 mg/100 mL), ECG (9.02 mg/100 mL), GCG (8.50 mg/100 mL), GC (7.61 mg/100 mL) and CG (5.63 mg/100 mL). The longer the maturation period of the Don tea extracts, the lower the contents of inorganic matter and catechins. However, this did not apply to the total phenol contents, particularly in the phenol contents of Don tea extracts matured for 10 months which increased by 93.82 mg/l00 mL. Don tea extracts which were matured for longer periods showed higher anti-microbial activities against Bacillus subtilis and Streptococcus mutans. However, there were lower activities against Staphylococcus aureus, Escherichia coli and Salmonella enteritidis. Consequently, it was concluded that a shorter maturation period was required for the effective utilization of the inorganic matter, the catechins and the gram-negative bacteria in the Don tea extracts. However, a longer maturation period of 10 months was found to effectively utilize the total phenol compound contents and the gram-positive bacteria.

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비만 고등학생의 보건행태조사연구 (A study on the health awareness and attitude of obese high school students)

  • 박선희;남철현;김상수
    • 보건교육건강증진학회지
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    • 제15권1호
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    • pp.115-131
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    • 1998
  • Understanding average abnormal obese high school students' health awareness and attitude, We analyzed problems affect on this to provide basic data for the school health education in the near future. From March, 1997, covering a month period, We investigated 300 average obese students from each 3 school, both boys and girls, around Taegu area. Followings are the summary. 1) Grouping obesity, 86.6% of boys were abdominal type and 54.0% of girls were lump types. 2) IN physical check-up and serum lipid lab., there were a lot of abnormal students for blood pressure, serum glucose, total cholesterol, high density lipoprotein(HDL), low density lipoprotein(LDL), neutral lipid, the rate of lipid in the body, atherosclerosis index and electrocardiogram (ECG).; Especially, for the rate of Lipid in the body, 100.0% were in the abnormal range. 3) The main reasons of stress were on the physique and grade. Over 50.0% of students get rid of their stress by singing and dancing. 4) 46.7% of boys and 56.0% of girls were satisfied with their desks and 51.3% of boys and 48.0% of girls were satisfied with their chairs.; 70.0% of boys and 78.7% of girls usually felt uncomfortable for their desks and chairs. 5) 100.0% of boys and 98.0% of girls have been educated for obesity.; 53.3% of boys and 50.7% of girls were not interested in whether joining in or not, if ‘Obese school’ is open. 60.7% of boys get information about weight loss from television, while 41.3% of girls get it from all sorts of publications.; Both sexes said eating convenience food is the main reason to be obese. Most frequent disease is high blood pressure.; 30.0% of boys and 31.3% of girls were hypertensives. 6) 84.7% of boys and 78.0% of girls are awake to the seriousness of obesity from their families. 58.7% of boys and 66.0% of girls sometimes have meals with their families. For the boys, 30.0% of them eat fruit and 29.3% eat cookies while 37.3% of girls eat cookies for their snacks. Both 57.3% of boys and 40.0% of girls have a snack once a day and they drink soft drinks frequently. Both 32.0% of boys and 46.7% of girls have midnight meals 1-2times a week. 7) Both 45.3% of boys and 50.0% of girls suddenly gained their weight in the elementary school times. 30.0% of boys exercise 1 hour for a week, while 48.0% of girls don't exercise. For the exercise hour, both 53.3% of boys and 42.0% of girls exercise for 10-30 minutes a time. 59.7% of boys and 82.0% of girls strongly don't trust in the informations on weight loss. Both 74.0% of boys and 75.3% of girls think physical therapy is the most suitable way for obesity care.

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청태전과 녹차 추출물의 이화학적 성분과 생리 활성 (Physical and Chemical Ingredients Components and Physiological Activity of Chungtaejeon and Green Tea Extracts)

  • 박용서;이미경;유현희;허북구
    • 동아시아식생활학회지
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    • 제18권3호
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    • pp.391-396
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    • 2008
  • This study was carried out to help restore and spread broaden the consumption of Chungtaejeon, a our traditional tea, Chungtaejeon in Korea, and as well as to gather the basic data on Chutaejeon tea. We have also compared the various ingredients components and physiological activities of Chungtaejeon tea extracts with that of green tea extracts. According to the results, the total phenol contents in of the Chungtaejeon and green tea extracts were 90.56 and 98.70 mg/100 mL, respectively, and their tannin contents levels in Chungtaejeon and green tea extracts were 214.14 mg/100 mL and 259.60 mg/100 mL, respectively, showing a difference in content. The catechin contents of the Chetaejeon and green tea extracts were in the order of EGC($15.80{\sim}16.50\;mg/100mL$), EGCG($10.40{\sim}10.60\;mg/100 mL$), and ECG($9.55{\sim}9.88\;mg/100 mL$), however, with the exception of EC(7.86 mg/100 mL) in the green tea extracts, there were not significant differences between that in them Chetaejeon and green tea extracts. Quercetin was the main flavonoid ingredient component in those both the Chungtaejeon and green tea extracts was quercetin, at levels of 0.08 mg/100 mL and 0.06 mg/100 mL and its contents in Chungtaejeon and green tea extracts were 0.08 mg/100 mL and 0.06 mg/100 mL, respectively. The primary amino acid in both tea extracts was theanine main amino acid at levels of, theanine contents were most increased in 8.02 mg/100mL and 10.80 mg/100 mL, respectively, Chungtaejeon tea extracts by 8.02 mg/100 mL and green tea extracts by 10.80 mg/100 mL. And the arginine contents of the Chungtaejeon and green tea extracts in Chungtaejeon and green tea extracts were 1.78 mg/100 mL and 1.86 mg/100 mL, respectively. In terms of mineral composition, potassium content was highest contents in the Chungtaejeon and green tea extracts by 19.80 and 18.04 mg/100 mL, respectively. Finally, the Chungtaejeon tea extracts offered the greatest anti-oxidation and ACE inhibition activities were most increased in the Chungtaejeon tea extracts, and the green tea extracts showed the highest level of nitrite radical scavenging activity at 90% was extremely much increased in the green tea extracts by 90%.

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스마트 의류 상품 기획을 위한 감성 효과 분석 (An Analysis of Consumer Emotion for Product Planning of Smart Clothing)

  • 조현승;김정호;구혜란
    • 감성과학
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    • 제17권3호
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    • pp.49-56
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    • 2014
  • 기본 연구의 목적은 스마트 의류에 대한 감성 요인을 분석하여 종래 의류와의 감성 차이를 비교하고 제품과 의류 간의 융합으로 인한 소비자 감성의 변화를 고찰하는 한편 스마트 의류와 종래의 의류 간의 선호도 및 구매의사 차이에 대해 조사함으로써 소비자 감성을 만족시키는 소비자 중심의 스마트 의류 디자인 및 애플리케이션 개발을 위한 상품기획 방안의 기초 자료를 제공하는데 있다. 연구 결과 스마트 의류에 대한 감성 요인은 총 6개의 요인으로, '테크니컬한', '컴포트한', '심미적인', '모던한', '펀', '복합적인' 감성 요인으로 분석되었는데, 이 중 '컴포트한'을 제외한 5개의 감성 요인에서 종래의 스포츠, 캐쥬얼 의류와 스마트 의류 간에 유의미한 감성 차이를 보였다. 또한 스마트 의류와 종래 의류 간에 선호도는 스마트 의류가 약간 높았던 반면, 구매의사는 종래의 의류보다 스마트 의류가 더 낮은 것으로 나타나 선호도가 소비자의 즉각적인 구매로 연결되는 것은 아니며 좀 더 다양화된 애플리케이션의 스마트 의류 개발과 상품화 전략이 요구되는 것으로 분석되었다. 또한 스마트 의류 개발 및 상품화에 관한 자유 응답식 설문 분석 결과 소비자들은 심박, 심전도 등을 측정할 수 있는 헬스케어용 스마트 의류 뿐 아니라 신체 동작으로부터의 에너지 수확 기능, 발열과 발한 기능, 운동량 측정 및 칼로리 소모등 다이어트에 도움을 주는 스마트 의류 개발에도 관심이 많은 것으로 나타났으므로 이러한 소비자의 요구를 반영하여 향후 스마트 의류의 개발 지침으로 활용해야 할 것이다.

DMB 파일캐스팅 서비스 기술 (DMB Filecasting Service Technology)

  • 최지훈;양규태;차지훈
    • 방송공학회논문지
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    • 제17권1호
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    • pp.152-164
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    • 2012
  • DMB는 오디오/비디오 서비스뿐만 아니라 방송웹 서비스(BWS), 슬라이드쇼 서비스(SLS), 교통정보 서비스(TPEG)와 같은 다양한 종류의 비실시간 데이터 서비스를 제공한다. 그러나 최근 들어, DMB 시장의 포화와 모바일 IPTV와 DMB 서비스간의 시장 장벽이 무너지고 있어 수익을 창출할 수 있는 새로운 비즈니스 모델의 필요성이 대두되고 있다. 본 논문은 새롭게 수익을 창출할 수 있는 비즈니스 모델로 예상되는 DMB 파일캐스팅 서비스를 소개한다. DMB 파일캐스팅 서비스의 목적은 DMB AF 포맷을 기반으로 한 비실시간 멀티미디어 콘텐츠를 DMB 채널을 통해 사용자에게 전송하는 것이다. 이는 DMB 기능이 탑재된 단말을 이용하여 언제 어디서나 DMB 콘텐츠를 소비할 수 있게 하며, 이 콘텐츠를 다른 사람들과 공유하는 것도 가능하게 한다. 또한 DMB 파일캐스팅 서비스는 DMB 콘텐츠의 소비 및 수요가 DMB 방송채널뿐만 아니라 다양한 네트워크를 통해 확대되는 것을 가능하게 한다. 본 논문은 DMB 파일캐스팅 서비스의 국내외 표준화 현황과 다양한 DMB 파일캐스팅 서비스 시나리오를 소개한다. 또한 DMB 방송프로그램 안내정보를 이용하여 DMB 파일캐스팅 서비스를 제공하기 위한 시그널링 방법, 송수신 프로토콜 및 수신기 구조를 제안한다.

수풍순기환(搜風順氣丸)이 내당능장애 환자와 경증 당뇨병환자의 혈당조절에 미치는 영향 (The Hypoglycemic Effect of Supungsunkihwan on Impaired Glucose Tolerance & Mild NIDDM Patiens)

  • 권영구;최기림;이진신;안영민;안세영;두호경;이병철
    • 대한한방내과학회지
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    • 제22권3호
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    • pp.285-290
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    • 2001
  • Purpose : Impaired glucose tolerance (IGT) was standardized in 1979 by the National Diabetes Data Group and the World Health Organization as a risk factor for type 2 diabetes, replacing groups such as 'borderline' and 'chemical' diabetes. The main clinical significance of IGT is as a risk factor for type 2 diabetes and as a risk factor for cardiovascular disease and as a component of the metabolic syndrome. In 1997 the American Diabetes Association(ADA) was proposed the new classification and diagnostic criteria for diabetes, which is strict with the diagnostic baseline of Diabetes from 140mg/dl to 126mg/dl. And it's main purpose is to prevent chronic complications by early diagnosis and treatments. In the oriental medicine, Supungsunkihwan has been used in treatments of Diabetes including IGT & NIDDM, however there is not enough studies about the its objective hypoglycemic effect. so in order to investigate whether there is hypoglycemic effect of Supungsunkihwan, clinical studies were performed with IGT and mild NIDDM patients. Methods : Prior to the study, fasting blood sugar(FBS) and postprandial 2hrs(PP2hrs) glucose were checked. In addition, ECG, cholesterol, TG, HbA1c levels were measured, and the dinical characteristics of patients that can be influence to the blood sugar level such as age, gender, rest type, diet type were surveyed. Supungsukihwan was administered for 7 days, and FBS & PP2hrs were measured again after the therapy. Result : PP2hrs glucose levels were decreased by the administration of Supungsunkihwan. And It's hypoglycemic effects has the correlation with age. That is, the more age increase, the more hypoglycemic effect decrease. Conclusion : Supungsukihwan has hypoglycmic effects on IGT & mild NIDDM patients and it is more effective when administrated to young patients relatively.

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응급의료서비스 중 발생되는 소송사례와 대책 연구 (A Study on Lawsuit Cases and Measures of Emergency Medical Service)

  • 권혜란
    • 한국응급구조학회지
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    • 제13권3호
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    • pp.77-90
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    • 2009
  • Civil complaints and lawsuits filed in the process of providing emergency medical service include fall accident on the way of carrying the patient, transfer consent, refusal and rejection of rescue request, range and behavior restriction of emergency medical technicians, false registry of logbook, neglect of duty and emergency patient, and violation of traffic laws on the way of dispatch to the scene of accident. This study suggested the measures by cases as follows. 1. The accidents on the way of carrying a patient could be divided into fall of patient and fall by paramedic's mistake. In the former case, damages caused by the ambulance's shaking must be notified to the patient and guardian and recommended to fasten seat belt, in the latter case, the plan of patient's posture, route of transport, rescue and equipments should be comfirmed before fixing the patient. 2. Transfer consent must be made as implied when the patient is unconscious under delusion and was not able to consent physically, and paramedic must take an action by his judgment and record details of services on logbook. 3. When a patient refused to transfer, get 'confirmation of transfer refusal' and inform him of refusal. Paramedic should receive the signature. In addition, in case of refusal, transfer request should be made after hearing doctor's opinion and it should be notified to transfer request and superintendent of fire station after making 'confirmation of transfer refusal'. 4. Emergency medical technicians should perform their duties within the range of services prescribed by Article 41 of Law of Emergency Medical Service and Article 33 of Its Enforcement Regulations and shall not make announcement of death. In case of reporting the death to guardian, it is desirable to use record data like ECG results. 5. The best way to have protection from legal problems is making and keeping the exact records of accident and patient. Paramedic should not mention his subjective opinion about the accident-related matter. He must record correctly and keep the original medical records. 6. As emergency medical technicians are responsible for taking care of emergency patients, they must contact a briefing room when they meet a difficult situation suddenly due to vehicle stop or treatment of other patients and then must have support from neighboring hospital and other safety centers. 7. Since the ambulance operator is responsible for safety and careful driving of ambulance, he must be careful when he violates traffic regulations unavoidably. The operator should drive slowly below 10km/h at an intersection and pass it after getting way from general vehicles driving from all directions.

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