Received date: January 01, 2016; Accepted date: January 25, 2016; Published date: January 27, 2016
Citation: Shetty HS, Dhond A , Arora M(2016) Australian Orthopaedic Surgeons are Satisfied with their Jobs. J Ost Arth 1:105. doi: 10.4172/joas.1000105
Copyright: © 2016 Shetty et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Background: Discoid lupus erythematous (DLE) is the most common type of chronic cutaneous lupus erythematosus with a small risk of progression to systemic lupus erythematous (SLE).DLE classically presents with erythematous to violaceous, scaly plaques with prominent follicular plugging that often results in scarring and atrophy. Although the diagnosis of classical DLE is generally clinical, histopathological study of skin biopsy is helpful to confirm the diagnosis in early or atypical DLE lesions.
Objectives: We aim to analyse the available PubMed database and local journals (Journal of the Saudi Society of Dermatology & Dermatologic Surgery) literature on Discoid lupus erythematosus in a Saudi population: Clinical and histopathological study. Methods: We carried out a systemic search using the PubMed database and local journals (Journal of the Saudi Society of Dermatology & Dermatologic Surgery).The search was limited to the English language. The following search terms were used: discoid lupus erythematous in Saudi Arabia, chronic cutaneous lupus erythematous in Saudi Arabia, systemic lupus erythematous in Saudi Arabia, Lupus in Saudi Arabia.
Results: The PubMed database and local journals (Journal of the Saudi Society of Dermatology & Dermatologic Surgery) search generated 10 papers related to DLE in Saudi Arabia. The incidence of DLE in adult SLE Saudi patients is around 14% and lower incidence rate 3.3% in children.11.8% of DLE patients progressed to SLE. Human leukocyte antigen (HLA-DQB1*3) was increased among SLE patients with skin manifestation. The mean age of onset was 36.5 years and female to male ratio was 1.5:1.Scalp and face were the most affected. Atrophic form was the most common type. 16.1% of DLE patients had positive antinuclear antibody and 14.3% of those patients had positive DsDNA. Sever lichenoid reaction, vacuolar degeneration, deep dermal and periappendageal lymphocytic infiltration may use as alarming for progression to more severe form of lupus.
Conclusion: Despite the scanty of published papers about DLE in Saudi Population, the clinical and histopathological features of DLE in Saudi patients are comparable to those reported in the literatures. Further studies are required to demonstrate the clinical patterns, histopathological features and immunofluorescence of DLE to make accurate portray about the national status of DLE.
Job satisfaction has recently featured in many journals and in the media, as our society grows more astute of the psychosocial well-being of health care professionals. Job satisfaction is a dynamic concept based on cognition and affect – two linked domains of the human psyche. It has been traditionally described as “a pleasurable or positive emotional state resulting from the appraisal of one’s job or job experiences” . Put simply, it is a description of how happy one is with their jobs.
So why is job satisfaction important? Physician satisfaction has been associated with patient satisfaction, with better physician health and well-being, reduced physician turnover and improved quality of health care provided. Conversely, dissatisfaction is associated with poorer physician health, inappropriate prescribing behaviours, lower levels of patient satisfaction and decreased patient compliance .
It seems that Western countries continue to have high job satisfaction for orthopaedic surgeons despite high burnout levels. In their nationwide study, Shanafelt et al found that career satisfaction was high among American orthopaedic surgeons (80%) . In our study of Australian orthopaedic surgeons , we also found high career satisfaction, with nine in 10 orthopaedic surgeons being either very satisfied or moderately satisfied. All these results are in the backdrop of high levels of burnout, with one in two orthopaedic surgeons being burned out .
So what is causing the high satisfaction? Is it the income? Is it the lifestyle? Is it just the status of being an orthopaedic surgeon? There seems to be a multi-factorial answer with income, work hours, private practice and work-life balance being most important. This in turn leads to better health and less chance of leaving the profession.
Clearly, we are doing well. However, now, tackling the epidemic of burnout assumes even more importance for psychosocial well-being.
Prof. Ian A. Harris (South Western Clinical School, University of New South Wales, Sydney, Australia) and Dr. Ashish D. Diwan (St. George Clinical School, University of New South Wales, Sydney, Australia)