Sher-e-Bangla Medical College (SBMC) is a government medical school in Bangladesh, established in 1968. The college is located in Barisal. It is affiliated with University of Dhaka as a constituent college.SBMC awards MBBS degree and offers professional training and medical research facility at its hospital with 1000 beds. As per the declaration of overseas registration of the General Medical Council, the awarded MBBS degree during or after October 1984 is eligible to apply for registration in United Kingdom. The college has an area of about 81.545 acres. Student dormitories, nursing institute, nurses' training institute, dormitory for staff nurses, and residences of teachers are situated on the campus.
Background: The blood coagulation system is very delicately balanced; is maintained in a fluid state in the vasculature and rapidly clots to seal an injury. This study aims to determine the demographic and clinical pattern of bleeding disorders. Materials and Methods: This prospective type of cross-sectional study comprised 112 patients with bleeding or a history of bleeding in the Department of Haematology and Bone Marrow Transplantation Unit, Dhaka Medical College Hospital, Dhaka, from January to December 2016. Patients were examined for clinical presentation and underwent haematological investigations to arrive at a diagnosis. The data was obtained, tabulated and analysed by using SPSS 22. Results: In this study, 81.2% of patients suffered from congenital coagulation factors deficiency, and haemophilia was found to be the most common congenital haemostatic defect (61.6%). Bleeding disorder was found predominantly among males in 86.6% compared to females (13.4%). 1st-degree consanguinity was mainly observed in Glanzmann thrombasthenia and Von Willebrand Disease. History of prolonged bleeding was statistically associated with clinical diagnosis of the patient (p<0.01). Conclusions: Haemophilia A and B were found as the leading causes of bleeding disorder. Von Willebrand Disease (VWD) also played a role and Glanzmann thrombasthenia was the most common one that had been identified among other disorders.
Background Global caesarean section (CS) rates are increasing, with emergency caesarean section (EmCS) posing greater risks of maternal and neonatal morbidity, especially in low-resource settings. In Bangladesh, EmCS is commonly required due to acute complications such as fetal distress and obstructed labour. Identifying the sociodemographic, obstetric and healthcare-related factors associated with EmCS is essential to improve maternal and neonatal outcomes and promote safer delivery practices. Methods A facility-based cross-sectional study was conducted among 321 women who underwent CS at Sher-e-Bangla Medical College Hospital, Bangladesh. Data were collected through structured questionnaires and clinical record reviews. Bivariate analysis and multivariable logistic regression were performed to determine independent predictors of EmCS. Statistical significance was considered at p < 0.05. Results Among the 321 participants, 55% underwent emergency CS. Multivariable analysis showed that adolescent women (< 20 years) had the highest odds of emergency CS compared with this reference group, women aged 20–24 (AOR = 0.17; 95% CI: 0.05–0.55) and those aged 25–29 (AOR = 0.18; 95% CI: 0.05–0.55), and those aged ≥ 35 (AOR = 0.06; 95% CI: 0.01–0.35) had significantly lower odds of undergoing emergency CS. Housewives (AOR = 3.11; 95% CI: 1.09–9.24) and students (AOR = 2.23; 95% CI: 1.01–5.04) were more likely to undergo EmCS compared to employed women. Long or interrupted labour (AOR = 2.72; 95% CI: 1.23–6.18) and spontaneous labour (AOR = 3.70; 95% CI: 1.42–10.0) were also significant predictors. In contrast, CS initiated by maternal request was significantly less likely to be an emergency (AOR = 0.08; 95% CI: 0.01–0.48). Overall, 46% of neonates required NICU admission and 17% experienced perinatal death or stillbirth across all CS deliveries; these rates were comparable between emergency and elective groups (bivariate p = 0.8). Conclusion Emergency CS constitutes a substantial proportion of deliveries and is strongly associated with younger maternal age, non-employment status, hypertensive disorders and labor complications. Strengthening antenatal risk screening, improving referral systems and enhancing intrapartum monitoring are essential to reduce preventable emergency interventions and improve maternal and neonatal outcomes.
Globally, undergraduate students exhibit a higher tendency towards tobacco and other substance use. Although there are almost 50,000 undergraduate medical students studying in Bangladesh currently, evidence regarding the prevalence of tobacco other substance use among them is very limited, let alone the predictors. This research aims to investigate the prevalence of tobacco or other substance use among medical students in Bangladesh and to investigate the factors associated with tobacco or other substance use. This cross-sectional study was conducted between May 2023 and August 2024 in sixteen medical colleges in Bangladesh. A total of 1,129 medical students were selected by convenience sampling, and data were collected using an online self-reported semi-structured questionnaire. Descriptive statistics, chi-square test, t-test, and multiple logistic regression model were used to report the study findings. The mean age of the students was 22.3 (± 2) years, with slightly higher female preponderance (52.3
Quadricuspid aortic valve (QAV) is a rare congenital cardiac anomaly that typically presents in any age with progressive aortic regurgitation. A 55-year-old Bangladeshi woman came with a 3 weeks history of progressive dyspnea, intermittent chest tightness, and palpitations. Trans-esophageal echocardiography confirmed a QAV with central leaflet malcoaptation and mild aortic root dilatation. Further assessment with cardiac computed tomography and magnetic resonance imaging enabled detailed anatomical characterization, severity assessment, and operative planning. Multimodality imaging is crucial for accurate diagnosis, risk stratification and surgical decision-making. This case highlights the value of comprehensive imaging and individualized surgical planning in achieving favorable outcomes in patients with QAV.
Background: Impacted mandibular third molar surgery carries heterogeneous postoperative morbidity, and region-specific predictors of delayed wound healing in South Asian surgical populations remain incompletely characterized despite widespread procedural volume. Objective: This investigation identified clinical, anatomical, and sociodemographic predictors of postoperative complications and delayed socket healing following surgical removal of impacted mandibular third molars. Methods: A prospective observational cohort of 96 patients aged 18-65 years undergoing extraction at Sher-e-Bangla Medical College Dental Unit between January 2024 and December 2025 was analyzed; healing was assessed at Day 14, and predictors were evaluated using chi-square testing and multivariable logistic regression with adjusted odds ratios. Results: Delayed healing (complete secondary intention or delayed granulation) occurred in 28 of 96 patients (29.2%); overall complications occurred in 3 cases (3.1%): dry socket, surgical site infection, and inferior alveolar nerve paresthesia, one each. Mean age was 41.3 ± 13.8 years; 53 patients (55.2%) were male. Mesioangular or vertical (Winter classification) impaction independently predicted delayed healing (adjusted odds ratio [aOR] 3.82, 95% confidence interval [CI] 1.14-12.83, p = 0.030). Day-3 pain scores approached significance (5.5 ± 2.3 vs. 4.5 ± 2.6, p = 0.054), and urban residence showed a borderline association (aOR 2.34, 95% CI 0.86-6.40, p = 0.096). Mean surgical duration was 38.4 ± 12.7 minutes. Conclusion: Tooth angulation independently predicts delayed socket healing, supporting classification-guided perioperative counseling and structured follow-up in resource-limited oral surgical settings.
