Management of a Retained Bullet in the Corpora Cavernosa after a Civilian Gunshot Injury: A Rare Scenario

( Ali Abdel Raheem ),( Ibrahim Alowidah ),( Mohamed Almousa ),( Mohamed Alturki ) 대한외상학회 2020 大韓外傷學會誌 Vol.33 No.4

A 24-year-old man presented to King Saud Medical City emergency department with a retained bullet in his penis following a civilian exchange of gunfire. After an initial assessment, the patient was taken to the operating room. Penile exploration was performed, the bullet was extracted successfully, and the corpora cavernosa were repaired properly. A 6-week follow-up showed full healing with preservation of erectile function. Immediate surgical intervention is mandatory as the primary treatment for penile gunshot injury to ensure proper anatomical and functional recovery.

Simultaneous Retzius-sparing robot-assisted radical prostatectomy and partial nephrectomy

Ali Abdel Raheem,Glen Denmer Santok,김대근,Irela Soto Troya,Ibrahim Alabdulaali,최영득,나군호 대한비뇨의학회 2016 Investigative and Clinical Urology Vol.57 No.2

We present a 61-year-old man who was diagnosed with synchronous prostate cancer and suspicious renal cell carcinoma of the right kidney, treated with combined Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) and robot-assisted partial nephrectomy (RAPN). The combined approach using RS-RARP and RAPN is technically feasible and safe surgical option for treatment of concomitant prostate cancer and suspicious renal cell carcinoma.

Numerical analysis for structure-pile-fluid-soil interaction model of fixed offshore platform

Raheem, Shehata E. Abdel,Aal, Elsayed M. Abdel,AbdelShafy, Aly G.A.,Mansour, Mahmoud H.,Omar, Mohamed Techno-Press 2020 Ocean systems engineering Vol.10 No.3

In-place analysis for offshore platforms is required to make proper design for new structures and true assessment for existing structures. In addition, ensure the structural integrity of platforms components under the maximum and minimum operating loads and environmental conditions. In-place analysis was carried out to verify the robustness and capability of structural members with all appurtenances to support the applied loads in either operating condition or storm conditions. A nonlinear finite element analysis is adopted for the platform structure above the seabed and the pile-soil interaction to estimate the in-place behavior of a typical fixed offshore platform. The SACS software is utilized to calculate the natural frequencies of the model and to obtain the response of platform joints according to in-place analysis then the stresses at selected members, as well as their nodal displacements. The directions of environmental loads and water depth variations have an important effect on the results of the in-place analysis behavior. The influence of the soil-structure interaction on the response of the jacket foundation predicts is necessary to estimate the loads of the offshore platform well and real simulation of offshore foundation for the in-place analysis. The result of the study shows that the in-place response investigation is quite crucial for safe design and operation of offshore platform against the variation of environmental loads.

Structural performance assessment of fixed offshore platform based on in-place analysis

Raheem, Shehata E. Abdel,Aal, Elsayed M. Abdel,AbdelShafy, Aly G.A.,Mansour, Mahmoud H.,Omar, Mohamed Techno-Press 2020 Coupled systems mechanics Vol.9 No.5

In-place analysis for offshore platforms is essentially required to make proper design for new structures and true assessment for existing structures. The structural integrity of platform components under the maximum and minimum operating loads of environmental conditions is required for risk assessment and inspection plan development. In-place analyses have been executed to check that the structural member with all appurtenances robustness and capability to support the applied loads in either storm condition or operating condition. A nonlinear finite element analysis is adopted for the platform structure above the seabed and the pile-soil interaction to estimate the in-place behavior of a typical fixed offshore platform. The analysis includes interpretation of dynamic design parameters based on the available site-specific data, together with foundation design recommendations for in-place loading conditions. The SACS software is utilized to calculate the natural frequencies of the model and to obtain the response of platform joints according to in-place analysis then the stresses at selected members, as well as their nodal displacements. The directions of environmental loads and water depth variations have important effects on the results of the in-place analysis behavior. The result shows that the in-place analysis is quite crucial for safe design and operation of offshore platform and assessment for existing offshore structures.

Seismic response evaluation of fixed jacket-type offshore structures by random vibration analysis

Shehata E. Abdel Raheem,Elsayed M. Abdel Aal,Aly G.A. AbdelShafy,Mohamed F.M. Fahmy 국제구조공학회 2022 Steel and Composite Structures, An International J Vol.42 No.2

Offshore platforms in seismically active areas must be designed to survive in the face of intense earthquakes without a global structural collapse. This paper scrutinizes the seismic performance of a newly designed and established jacket type offshore platform situated in the entrance of the Gulf of Suez region based on the API-RP2A normalized response spectra during seismic events. A nonlinear finite element model of a typical jacket type offshore platform is constructed taking into consideration the effect of structure-soil-interaction. Soil properties at the site were manipulated to generate the pile lateral soil properties in the form of load deflection curves, based on API-RP2A recommendations. Dynamic characteristics of the offshore platform, the response function, output power spectral density and transfer functions for different elements of the platform are discussed. The joints deflection and acceleration responses demands are presented. It is generally concluded that consideration of the interaction between structure, piles and soil leads to higher deflections and less stresses in platform elements due to soil elasticity, nonlinearity, and damping and leads to a more realistic platform design. The earthquake-based analysis for offshore platform structure is essential for the safe design and operation of offshore platforms.

Seismic pounding effects on adjacent buildings in series with different alignment configurations

Shehata E. Abdel Raheem,Mohamed Y.M. Fooly,Aly G.A. Abdel Shafy,Yousef A. Abbas,Mohamed Omar,Mohamed M.S. Abdel Latif,Sayed Mahmoud 국제구조공학회 2018 Steel and Composite Structures, An International J Vol.28 No.3

Numerous urban seismic vulnerability studies have recognized pounding as one of the main risks due to the restricted separation distance between neighboring structures. The pounding effects on the adjacent buildings could extend from slight non-structural to serious structural damage that could even head to a total collapse of buildings. Therefore, an assessment of the seismic pounding hazard to the adjacent buildings is superficial in future building code calibrations. Thus, this study targets are to draw useful recommendations and set up guidelines for potential pounding damage evaluation for code calibration through a numerical simulation approach for the evaluation of the pounding risks on adjacent buildings. A numerical simulation is formulated to estimate the seismic pounding effects on the seismic response demands of adjacent buildings for different design parameters that include: number of stories, separation distances; alignment configurations, and then compared with nominal model without pounding. Based on the obtained results, it has been concluded that the severity of the pounding effects depends on the dynamic characteristics of the adjacent buildings and the input excitation characteristics, and whether the building is exposed to one or two-sided impacts. Seismic pounding among adjacent buildings produces greater acceleration and shear force response demands at different story levels compared to the no pounding case response demands.

Prostate-specific antigen 10–20 ng/mL: A predictor of degree of upgrading to ≥8 among patients with biopsy Gleason score 6

Glen Denmer R. Santok,Ali Abdel Raheem,Lawrence HCKim,장기돈,Trenton GH Lum,정병하,최영득,나군호 대한비뇨의학회 2017 Investigative and Clinical Urology Vol.58 No.2

Purpose: This study aimed to identify the predictors of upgrading and degree of upgrading among patients who have initial Gleason score (GS) 6 treated with robot-assisted radical prostatectomy (RARP). Materials and Methods: A retrospective review of the data of 359 men with an initial biopsy GS 6, localized prostate cancer who underwent RARP between July 2005 to June 2010 was performed. They were grouped into group 1 (nonupgrade) and group 2 (upgraded) based on their prostatectomy specimen GS. Logistic regression analysis of studied cases identified significant predictors of upgrading and the degree of upgrading after RARP. Results: The mean age and prostate-specific antigen (PSA) was 63±7.5 years, 8.9±8.77 ng/mL, respectively. Median follow-up was 59 months (interquartile range, 47–70 months). On multivariable analysis, age, PSA, PSA density and ≥2 cores positive were predictors of upgrading with (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.01–1.06; p=0.003; OR, 1.006; 95% CI, 1.01–1.11; p=0.018; OR, 0.65; 95% CI, 0.43–0.98, p=0.04), respectively. On subanalysis, only PSA level of 10–20 ng/mL is associated with upgrading into GS ≥8. They also had lower biochemical recurrence free survival, cancer specific survival, and overall survival (p≤0.001, p=0.003, and p=0.01, respectively). Conclusions: Gleason score 6 patients with PSA (10–20 ng/mL) have an increased risk of upgrading to pathologic GS (≥8), subsequently poorer oncological outcome thus require a stricter follow-up. These patients should be carefully counseled in making an optimal treatment decision.

Proctorship and mentoring: Its backbone and application in robotic surgery

Glen Denmer Santok,Ali Abdel Raheem,Lawrence HCKim,장기돈,정병하,최영득,나군호 대한비뇨의학회 2016 Investigative and Clinical Urology Vol.57 No.-

In pursuit of continuing medical education in robotic surgery, several forms of training have been implemented. This variable application of curriculum has brought acquisition of skills in a heterogeneous and unstandardized fashion from different parts of the world. Recently, efforts have been made to provide cost effective and well-structured curricula with the aim of bridging the gap between formal fellowship training and short courses. Proctorship training has been implicated on some curriculum to provide excellent progression during the learning curve while ensuring patient safety.