RESUMEN
Job satisfaction represents individuals' positive or negative attitude towards their occupation. Job satisfaction is of high significance in health care field and could affects the quality of patients' health care and satisfaction. Every organization should pay considerable attention to job satisfaction and performance and continually monitor these indices. Therefore, we aimed to determine the relationship between job satisfaction and job performance of midwives, employed in health care centers of Mashhad, Iran. This descriptive correlational study was performed on 90 midwives, working in healthcare centers of Mashhad, Iran, in 2014 who were selected through multistage sampling from five healthcare centers. Data collection tools included a questionnaire to record demographic, personal and occupational data, Minnesota Job Satisfaction Questionnaire [MSQ] as well as a self-structured observational checklist to measure the quality of educational, care, and communicative job performance of midwives. SPSS version 19 was used to analyze data through descriptive statistics, and also Spearman and Kruskal-Wallis tests. The mean age of the participants was 39.63 +/- 6.92 years. Spearman correlation test showed a direct correlation between job satisfaction and the total score of job performance [P<0.001, r=0.490]. A direct relationship was also found between job satisfaction and the quality of educational performance [P<0.001, r=0.415], care performance [P<0.001, r=0.335], and communicative performance [P<0.001, r=0.510]. There was a positive correlation between job satisfaction and job performance of midwives. Therefore, it is recommended that health care administrators provide organizational supports for midwives to improve their professional performance
RESUMEN
Different etiologies of pleural effusion are diagnosed based on serum and plural fluid characteristics. The aim of this study was to assess and compare the serum and pleural fluid protein to lactate dehyrogenase [Pr/LDH] ratio in exudative pleural effusions. This study was conducted on 60 patients with exudative pleural effusion including: 20 cases with parapneumonic, 20 cases with Tuberculosis [TB], and 20 cases with malignancy. The serum and pleural Pr/LDH were measured and compared among 3 groups. The mean age of the patients was 55 +/- 19SD [years] and male to female ratio was 36/24. There was no statistically significant difference in mean age of the patients among 3 groups [p=0.08]. There were statistically significant differences in serum and pleural Pr. /LDH ratios among groups [p=0.04 and p= 0.1, respectively]. Additionally the comparisons of serum and pleural Pr. /LDH ratios between malignancy and tuberculosis groups were significant [p=0.02 and p=0.001, respectively]. The serum and pleural Pr. /LDH ratios were higher in TB group. The results of our study showed that serum and pleural Pr. /LDH ratio can be used in differentiating the etiology of exudative pleural effusion, but needs to be confirmed by larger study