Erum Khalid

Introduction: Fibromyalgia is a common rheumatological disease that is difcult to diagnose , because of it's subjective symptoms and decient physician's knowledge of the disease . The purpose of this study is to assess knowledge, attitude and practice of family physicians regarding bromyalgia Methods: The study was a cross sectional with an online survey that was administered to general practitioners and family physicians in Eastern province, responses were obtained from 209 participants, knowledge about bromyalgia, attitude and practice were assessed Results: Regarding knowledge about bromyalgia, 89% of the respondents had poor knowledge. Attitudes revealed that More than half of the respondents (56%) thought that bromyalgia is easy to diagnosed. However, only 12.4% of the medical practitioners agreed that diagnosis of bromyalgia can be conducted in PHC setting and only 16.7% felt condent to use (ACR) criteria. Regarding management, about 27% believed they can manag...

The prevalence of Chronic Kidney Disease-CKD is surprisingly high in Pakistani population, but unfortunately not unexpected, since incidence of hypertension and diabetes in our population is one of the highest in the world. CKD is defined as impaired glomerular filtration rate (GFR) or elevated albumin excretion in the urine, and has been recognized as an important risk factor contributing to cardiovascular disease and death. The most common risk factors for CKD includes; diabetes mellitus, hypertension, dyslipidemia and most important older age, but the clinical implications still remain uncertain in elderly persons suffering from CKD. The present study aims to evaluate the cardio-renal profile with hs-CRP in the patients with chronic kidney disease as compared to the healthy controls. Analysis of lipid profile (Cholesterol, Total Lipid, HDL-C, LDL-C, and Triglycerides), renal profile (Urea, Creatinine, BUN and Uric acid), Electrolytes (Sodium, Potassium, Chloride and Bicarbonate) and hs-CRP were carried out in CKD patients (n=50) as compared to the healthy individual (n=50) by using Automated and standardized kit methods. The present study may suggest that combined screening by cardio-renal profiling with hs-CRP could improve global risk prediction in CKD patients, who would otherwise not be identified for primary prevention by lipid assessment alone. This study also adds prognostic information and is helpful to elucidate new therapeutic strategies for the secondary prevention of CVD particularly in case chronic kidney disease or end stage renal failure.