North East Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS

Shillong, India

North East Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS

Shillong, India
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Phukan S.K.,Regional Medical Research Center | Medhi G.K.,North East Indira Gandhi Regional Institute of Health and Medical Science NEIGRIHMS | Mahanta J.,Regional Medical Research Center | Adhikary R.,UNAIDS India Country Office | And 3 more authors.
Harm Reduction Journal | Year: 2017

Background: Personal networks are significant social spaces to spread of HIV or other blood-borne infections among hard-to-reach population, viz., injecting drug users, female sex workers, etc. Sharing of infected needles or syringes among drug users is one of the major routes of HIV transmission in Manipur, a high HIV prevalence state in India. This study was carried out to describe the network characteristics and recruitment patterns of injecting drug users and to assess the association of personal network with injecting risky behaviors in Manipur. Methods: A total of 821 injecting drug users were recruited into the study using respondent-driven sampling (RDS) from Bishnupur and Churachandpur districts of Manipur; data on demographic characteristics, HIV risk behaviors, and network size were collected from them. Transition probability matrices and homophily indices were used to describe the network characteristics, and recruitment patterns of injecting drug users. Univariate and multivariate binary logistic regression models were performed to analyze the association between the personal networks and sharing of needles or syringes. Results: The average network size was similar in both the districts. Recruitment analysis indicates injecting drug users were mostly engaged in mixed age group setting for injecting practice. Ever married and new injectors showed lack of in-group ties. Younger injecting drug users had mainly recruited older injecting drug users from their personal network. In logistic regression analysis, higher personal network was found to be significantly associated with increased likelihood of injecting risky behaviors. Conclusion: Because of mixed personal network of new injectors and higher network density associated with HIV exposure, older injecting drug users may act as a link for HIV transmission or other blood-borne infections to new injectors and also to their sexual partners. The information from this study may be useful to understanding the network pattern of injecting drug users for enriching the HIV prevention in this region. © 2017 The Author(s).


Agarwal M.,North East Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS | Kumar R.,North East Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS | Pyrbot J.,North East Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS | Singh A.S.,North East Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS
Journal of Clinical and Diagnostic Research | Year: 2015

Choriocarcinoma is a rare neoplasm and a malignant form of gestational trophoblastic disease. Choriocarcinoma is frequently preceded by a complete mole, ectopic pregnancy, nonmolar intrauterine abortion, and uncommonly by a partial mole. It is treated medically with chemotherapeutic drugs usually. However, we managed to save a life with appropriate and timely surgical intervention in a case of choriocarcinoma who presented with uterine rupture, haemoperitoneum, anaemia and hypovolemic shock. The patient underwent exploratory laparotomy and hysterectomy followed by systemic chemotherapy. © 2007-2015, Journal of Clinical and Diagnostic Research, India. All Rights Reserved.


Darlong L.M.,North East Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS | Das R.,North East Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS | Hajong R.,North East Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS | Topno N.,North East Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS
Annals of Tropical Medicine and Public Health | Year: 2011

Ascaris lumbricoides is a common intestinal parasite in tropical and temperate regions. Although usually asymptomatic, infection can lead to biliary or intestinal obstruction and very rarely obstruction of the main pancreatic duct due to its smaller lumen. We report two cases of ascariasis in the main pancreatic duct, which is not a common site, presenting as acute pancreatitis and recovering uneventfully with conservative management.


PubMed | North East Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015

Choriocarcinoma is a rare neoplasm and a malignant form of gestational trophoblastic disease. Choriocarcinoma is frequently preceded by a complete mole, ectopic pregnancy, nonmolar intrauterine abortion, and uncommonly by a partial mole. It is treated medically with chemotherapeutic drugs usually. However, we managed to save a life with appropriate and timely surgical intervention in a case of choriocarcinoma who presented with uterine rupture, haemoperitoneum, anaemia and hypovolemic shock. The patient underwent exploratory laparotomy and hysterectomy followed by systemic chemotherapy.

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