The stress of being a doctor: Steroid excretion rates in internal medicine residents on and off duty

作     者：Vierhapper, H Nowotny, P 

作者机构：Univ Vienna Clin Internal Med 3 Clin Div Endocrinol & Metab A-1090 Vienna Austria 

出 版 物：《AMERICAN JOURNAL OF MEDICINE》 (美国医学杂志)

年 卷 期：2000年第109卷第6期

页      面：492-494页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：肾上腺皮质激素类/尿 雄酮/尿 病例对照研究 表雄酮/尿 糖皮质激素类/尿 内科学/教育 实习医师和住院医师职务 孕烷三醇/尿 应激/尿 学生 医科 四氢皮质醇/尿 四氢可的松/尿 成年人 人类 男(雄)性 

摘      要：Emotional and physical stress is an intrinsic part of medical practice (1). This may be intensified by sleep deprivation, resulting in fatigue and impaired mental and physical performance (2–4). However, little is known about the effects of prolonged working hours on hormonal and metabolic parameters in physicians (4). We therefore studied urinary excretion rates of several steroid metabolites in a group of internal medicine residents during a 24-hour working period.