Background: After suicidal poisoning, death due to hanging is one of the common modes of suicide encountered in medico-legal procedure in Bangladesh. Objective: To study on demographic and autopsy findings associated with suicide by hanging at Manikganj district, Bangladesh. Methodology: This retrospective cross-sectional study was conducted in the District hospital, Manikganj, Bangladesh during the period of January 2019 to December 2020. Results: A total of 381 medico-legal autopsies were analyzed, out of which 169 were deaths due to hanging. Out of 169 cases, the maximum (69, 40.8%) deaths were due to hanging in the age group of 21-30 years. Majority (101, 59.8%) of the cases were observed in females and among them, maximum were housewives (60, 35.5%). Most of the death bodies (47, 27.81%) were brought from Manikganj police station. Regarding the ligature material used, majority (133, 78.7%) of victims had used soft ligature material, like Dopatta (orhna) (56, 33.1%). Considering the autopsy findings, cyanosis of fingertips and nail bed was the commonest (163, 96.4%), followed by subcutaneous tissue under the ligature mark found pale, white, hard and glistening (159, 94.0%), and dribbling mark of saliva in case of asphyxial death due to hanging (144, 85.2%). Conclusion: Suicidal hanging was commonly encountered in younger age group and in many cases of financial problem, followed by family disputes were commonly observed. J Monno Med Coll June 2022;8(2): 31-35

The gender-based violence (GBV) treatment protocol for healthcare providers (HCPs) is an essential element for building the capacity of HCPs to provide better quality care to the survivors. A protocol helps to ensure that all survivors of GBV regardless of their age, background or ethnicity receive appropriate and effective care when they enter a health facility. Concern for patient welfare extends to ensuring that patients’ dignity is respected after an assault that may leave them feeling humiliated and degraded. Additionally, medical and forensic services should be provided in a manner that minimizes the number of invasive physical examinations and interviews of the patient. Rape management is generally considered as a medical emergency and the provision of medico-legal services thus takes secondary importance to general healthcare services [such as trauma treatment, evaluation and management of pregnancy and sexually transmitted infections (STIs)]. Performing a forensic examination may be considered as a negligent practice without meeting the primary healthcare needs of the patients. Health facilities are often the first entry points for GBV survivors – so, it is crucial for HCPs to be skilled and well-equipped to manage the care to the survivors. A protocol emphasizes the importance of providing survivor-centered care with an empathetic attitude to people affected by GBV includes identifying GBV, taking medical history, maintaining privacy and confidentiality and gathering medico-legal evidence. J Monno Med Coll June 2022;8(2): 53-56

Background: Anaemia is a major public health problem throughout the world especially in developing countries and it is the most common nutritional deficiency disorder in the world. High prevalence of anaemia among pregnant women persists despite the availability of effective and low-cost interventions for prevention and treatment. Objective: The aim of this study was to evaluate the adverse maternal and fetal outcome in women diagnosed with moderate anaemia at term pregnancy. Methods: This Descriptive type of observational cross-sectional study was conducted in the department of Obstetrics & Gynaecology, Dhaka Medical College Hospital; from 16th September 2021 to 15th March 2022. Samples were collected by purposive sampling. Sample size was 96. Detailed demographic data were collected from the hospital case records in structured data collection form. History, clinical examination, and investigations were done meticulously. Then all information were collected in data collection sheet. Data processing work consist of registration schedules, editing computerization, preparation of dummy table, analyzing and matching of data by number of SPSS version 24. Results: This study was attempted to observe the feto-maternal outcome of moderate anaemia. Among 96 study patients, majority (37.5%) were between 21-25 years age group. There was rural predominance with 66.56%. Socio-demographic data showed that 45.8% came from lower class and 40.6% from lower middle class. Majority patients (59.28%) were housewives. According to level of education, 42.64% had only school education followed by 37.44% had no education. Among the patients, 89.6% were Muslims and 9.4% were Hindus. Among the 53 multiparous women, 21 patients (39.62%) had no history of fetal loss, 16 patients (30.18%) had history of previous abortion & 5 (9.43%) had previous ectopic pregnancies. According to the type of anaemia 81.12% had normocytic normochromic anaemia, 79.04% had Iron deficiency, 8.32 & had folic acid def