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교대근무가 Cortisol 배설 및 신장기능에 미치는 영향
김명애,김기미,권영희 의과학연구소 1992 全北醫大論文集 Vol.16 No.2
This study examined the effect of shiftwork on the excretion of urinary cortisol and the renal function. The 10 shiftwork matched with 10 non-shiftwork student nurses working in the same condition at C University Hospital. Urine samples were collected for He measurement of the excreted amounts of cortisol, electrolytes, and osmolarity. The results were as follows : 1. The excreted amount of cortisol was reduced during night time and was higher in shift workers than in non-shift workers. 2. Urine volume was not changed during night time and was higher in shift wokers than in non-shift workers. 3. The excreted amounts of creatinine, Na+'and Cl- were not changed during night time in both groups and were higher in shift workers than in non-shift workers. 4. The excreted amount of K+ was reduced during night time and was higher in shift workers than in non-shift workers. 5. Urine osmolarity was not changed during night time in bothgroups and was higher in shift workers than in non-shift workers From these results it is suggested that the diurnal rhythm of cortisol and renal function was not changed by shiftwork. But the amounts of cortisol and electrolytes were higher in shift workers than in non-shift workers, and so it is suggested that the shift workers may be under the more stressful condition.
GG-38 : Minimal invasive surgery (LESS) for huge cystic adnexal tumors in whole abdomen
( In Young Choi ),( Ji Hye Lee ),( Mi Hyun Park ),( Ji Kwoun Park ),( Jeong Kyu Shin1 ),( Won Jun Choi1 ),( Soon Ae Lee ),( Jong Hak Lee ),( Won Young Paik ) 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-
Laparoendoscopic single-site surgery (LESS) is helpful if not an evidence of suspicious malignancy in huge adnexa tumors. This approach might be reasonable alternative to conventional laparoscopic surgery. We report two cases with LESS for huge cystic adnexal tumors in whole abdomen. A 58 years old multigravida woman in menopause underwent removal of a huge cystic adnexal mass that occupied her entire abdomen by LESS.(ca.5200ml aspiration) A 15 years old single nulligravida woman had a huge cystic adnexal tumor in whole abdomen reaching to the level of the xyphoid process. A needle through the transumbilical single port was inserted directly under the mass. Subsequently, 8000 ml of cystic fluid was aspirated without spillage.