On 3-dimensional Asymptotically Harmonic Manifolds

Let (M,g) be a complete, simply connected Riemannian manifold of dimension 3 without conjugate points. We show that M is a hyperbolic manifold of constant sectional curvature, provided M is asymptotically harmonic of constant h > 0.Comment: 4 page

On 3-dimensional asymptotically harmonic manifolds

Abstract.: Let (M,g) be a complete, simply connected Riemannian manifold of dimension 3 without conjugate points. We show that M is a hyperbolic manifold of constant sectional curvature $$\frac{-h^{2}}{4}$$ , provided M is asymptotically harmonic of constant h >

Asymptotically harmonic manifolds of dimension 3 with minimal horospheres

In [14], it was shown that, if M is a 3-dimensional asymptotically harmonic with minimal horospheres, then M is flat. However, there is a gap in the proof of this paper. In this paper, we provide the correct proof of the result. Thus we complete the classification of asymptotically harmonic manifolds of dimension 3: An asymptotically harmonic manifold of dimension 3 is either a flat or real hyperbolic space.Comment: 7 page

To study and compare the obstetric and neonatal outcome of pregnancies complicated with hypothyroidism amongst antenatally detected and treated hypothyroid patients and patients found to be hypothyroid at the time of labor

Background: To evaluate pregnancy outcome in women with elevated serum thyroid stimulating hormone (TSH) values as compared to those in whom hypothyroidism was treated.Methods: A prospective interventional comparative study was conducted in the department of obstetrics and gynaecology in King Edward Memorial Hospital, Mumbai, India from 2014 to 2015. A cohort of 60 hypothyroid patients was divided into two groups of 30 each. Group 1, euthyroid (treated hypothyroid) and group 2, hypothyroid at the time of labor and pregnancy outcomes were compared.Results: All patients in group 1 delivered at term; whereas in group 2, 9 (30%) patients had preterm deliveries and 21 (70%) delivered at term, amongst which 5 patients delivered babies with severe intrauterine growth restriction (IUGR). Neonatal intensive-care unit (NICU) admission were required for 3 neonates in group 1 and 11 (36.67%) neonates in group 2. Group 1 delivered 5 (16.67%) low birth weight babies (weight <2.5 kg) whereas 16 (53.34%) babies had low birth weight in group 2.Conclusions: Treatment of patients diagnosed with hypothyroidism during pregnancy significantly (p value <0.05) reduced the risk of preterm labor, low birth weight, need for NICU admission

Vaginal birth in singleton breech:revisited

Background: The purpose of the study was to analyze maternal and perinatal outcome according to mode of delivery in singleton breech presentation retrospectively in a tertiary care center.Methods: This was a retrospective observational study done in KEM Hospital, during 2012 to 2013. Maternal and perinatal outcome was studied retrospectively. The data was collected from the mother's medical records. The neonatology records were also examined. Primary outcomes included neonatal mortality, morbidity and maternal morbidity.Results: Out of 100 selected patients; 27 delivered vaginally and 73 underwent lower segment caesarean section (LSCS). Perinatal mortality was 3%. Two out of 3 were delivered vaginally and 1 underwent LSCS. Perinatal morbidity was 1% in vaginal delivery. Maternal morbidity was 2%, both patients underwent emergency LSCS. There was no maternal mortality in the study.Conclusions: Delivery of breech fetus when labor and delivery is supervised and or conducted by experienced obstetrician lowers maternal morbidity, neonatal morbidity and mortality

An unusual presentation of degenerating fibroid

Degeneration in a fibroid is seen when the blood supply falls inadequate to support the center of fibroid. Usually degeneration in a fibroid requires a symptomatic medical management. This is a case report of a degenerating fibroid that uncommonly presented in postpartum period as a retroperitoneal abscess requiring exploratory laparotomy

An unusual case of labial fusion

Labial fusion is sealing of labia minora in midline. It is also known as Labial adhesion or Labial agglutination or synechia vulvae. This condition is common in pre-pubertal females when estrogen levels are low and commonly resolves spontaneously post-puberty. Usually asymptomatic and typically treated conservatively. Medical treatment includes use of estrogen cream or betamethasone cream. Surgical treatment rarely required, if not responding to medical treatment or dense adhesions. This case report is unusual as it presented in a post-pubertal female and which needed surgical management