Job satisfaction and its influential factors

This study aimed at determining the job satisfaction level of the staff in Shahroud University of Medical Sciences [SUMS], northern Iran, and its influential factors. In this descriptive study, conducted in 2008, the participants were 384 workers in SUMS selected through simple random sampling procedure. The participants received a 33-item questionnaire in a Likert format [8 general items and 25 items related to job satisfaction facets]. The collected data in form of frequencies and percentages were analyzed with SPSS software. 53.4% of interviewees were female and more than 60% had associate or higher degrees. 42.6% had less than 10 yr and 30.9% had 20 to 30 yr of job experience, respectively. The mean of the overall satisfaction was 13.02 out of 20. Regarding the facets of job satisfaction, work, coworkers, supervisor, and promotion had the highest means, respectively. Pearson and Spearman correlation coefficients showed a significant relationship between overall satisfaction and the facets [P=0.001]. Analysis of variance also showed significant difference in overall satisfaction based on organizational units; however, no significant relationship was observed between overall satisfaction and gender, degree, age, job experience and type of employment. Improvement of promotion process, training and qualifying managers, observing meritocracy principles in appointments, using cooperative management, creating convivial and friendly atmosphere and improving work environment conditions, have brought about an increase in overall satisfaction of employees in SUMS

Step by step clinical diagnosis

A 49 years old man admitted in the emergency room with gingival hemorrhage. He was thrombocytopenic, had a huge splenomegaly, and a history of epistaxis. Huge splenomegaly has a large list of differential diagnosis [DDx] with infectious disease, Liver disease and cancers that we rolled out these DDx with step by step diagnosis. And finally we found hereditary Gucher's disease, in spite of his age [49yrs]. By the recurrent hemorrhage and severity of thrombocytopenia and leucopenia, spleenectomy was done and the patient discharged with good general appearance. Gaucher's disease should be considered in the differential diagnosis of patients with unexplained organomegaly, easy bruisability and/or bone pain. Bone marrow examination usually reveals the presence of Gaucher cells; however all suspected diagnoses should be confirmed by demonstrating deficient acid b-glucosidase activity in isolated leucocytes or cultured fibroblasts