Background and aim Fibromyalgia is a complex disorder causing issues in musculoskeletal system, and interlinked with depression. The purpose of this research was to find out the association of depression in patients with diagnosed fibromyalgia in Lahore and Sargodha. To check the areas of body mostly affected with fibromyalgia and to find the depression as the risk factor for fibromyalgia. Methodology This study was a cross sectional design and sampling technique used were non-probability convenient sampling technique. Data was collected from hospitals of Lahore and Sargodha and sample size of this study were 87 participants. For the collection of data, 2 questionnaires was used for the investigating the symptoms of fibromyalgia. The sample size was calculated using non-probibility convenient sampling technique. Written consent was taken from the hospitals of Lahore. Results Overall incidence reported in patients of fibromyalgia were 11.5% with mild depression, 19.5% with moderate depression and 69% were the patients with severe depression. Conclusion The results of this study revealed that depression was the most common cause for developing fibromyalgia syndrome. Musculoskeletal symptoms were more common in males and females. Most common sites of developing tender points were neck, shoulder and upper back. Key words Fibromyalgia, fatigue syndrome, depression, depressive disorders, chronic pain, patients, bipolar depression.

BACKGROUND AND AIM The objective of my project was to determine the impact of facility characteristics on patient safety, patient experience, and service availability for procedures in hospitals. METHODOLOGY This study was a cross sectional survey and sampling technique used was convenient sampling. Population of 105 individuals with age 21- 50 was taken. In order to collect data, the self-developed questionnaire was used. The obtained data were analyzed by using SPSS 25.0. RESULTS Among 105, many participants have experience of stay in hospitals. 10% strongly agree that staff response is satisfactory to patients who reached the hospital in an emergency. Many of them were agree that Doctors are available for patients admitted to the hospital. 30% of them agree that a comfortable environment is maintained in wards for patients. Half of them were agree that counseling by the doctor to patients and caregivers for treatment procedures is satisfactory. CONCLUSIONS Doctors are available for patients and counselling by them is satisfactory. Lab test results are valid and timely. Pharmacy, bed facility and ambulances are easily available. Lab tests cost is not affordable. Moreover, most of the people prefer private hospitals than government hospitals due to their best services availability. KEYWORS Safety management, patient experience, Diagnostic equipment, medical staff, hospitals.

Background and Aim: The majority of people suffered with low back pain (LBP) at least once during their lifetime. As such, LBP is a highly prevalent and costly condition. People respond inappropriately as a result of current or possible risks and establish defensive habits (for example, hyper-vigilance) that aim at avoiding new injuries. A continued reconciling of studies which provide various answers for the same issue will be necessary for treatment decisions. This study is performed to conclude the function of Kinesiophobia and check it on Pain, Disability and Quality of Life in Patients that are suffering from Chronic Low Back Pain: A Systematic Review. Methodology: A Systematic Review has been conducted. Secondary data collected from Electronic database including PubMed, Medline and Cochrain Library from inception to 2010. Total 554 Article found out of which 10 articles included in the study after excluding the duplicate article, Quality screening through Pedro Scale, and article don’t fulfilling the inclusion criteria of the study. Review completed within 9 months after approval of synopsis. Results: According to this Review total Sample size was 554 with mean Sample size 130±90, mean Age 46±5 years, Mean of Pain Intensity (VAS 0-10) 6.12±1.5, mean Pain Duration 30±14, mean Kinesiophobia Measures (Tampa Scale of Kinesiophobia 0-68) 37±6.5, mean Disability (Oswestry Disability Index 0-100%) 56±27, mean Quality of Life (SF 36 0-100) 39.17±15.197. Conclusion: TSK scores showed a statistically significant correlation with Pain, Disability, education level, and SF-36 QOL. As the education level decreases, kinesiophobia scores increase and as kinesiophobia scores increase, Level of disability increases and the quality of life decreases. Patients with kinesiophobia presented greater pain intensity, a greater fear of movement and of performing physical activities and it was also associated with worse quality of life.