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Surgical Science 2018年第1期9卷 52-61页

作者： Waleed Elnahas Omar Hamdy khaled abdel wahab Sameh Roshdy Sara Raafat Mohamed Hafez Omar Farouk Mohamed Elmetwally Surgical Oncology Unit Mansoura Oncology Centre Mansoura University Mansoura Egypt Pathology Department Faculty of Medicine Mansoura University Mansoura Egypt

Purpose: Most important factor affecting prognosis of breast cancer is axillary nodal involvement. Several studies evaluated the accuracy of Sentinel lymph node biopsy in breast cancer patients post neoadjuvant chemotherapy. In this study, we will examine accuracy and feasibility of using Sentinel lymph node biopsy in predicting axillary lymph node status in breast cancer patients after neoadjuvant chemotherapy. Methods: 45 female patients with resectable, nonmetastatic breast carcinoma cases who received neoadjuvant chemotherapy were enrolled in this study according to the routine Mansoura Oncology Center—guidelines of management of breast cancer. Methylene blue dye used for detection of Sentinel lymph node. Results: Successful Sentinel lymph node detection was 82.2%. Skin involvement (T4 disease) were linked to a low identification (P = 0.005). False negative rate equals 11/27 = (40.7%).With advancement of the stage of the tumor, the incidence of false negative results increases significantly (p = 0.012) with 95% confidence interval;1.2 - 5.4. Conclusion: Sentinel lymph node should be adopted to be the standard method for axillary staging with T1-3 tumors after receiving neoadjuvant chemotherapy, in T4 patients, it is associated with low detection rate & high false negative rate making it doubtful technique for axillary staging.

关键词： Breast Cancer Sentinel Lymph Node Neo Adjuvant Chemotherapy Blue Dye

Bioresorbable stent unloading during percutaneous coronary intervention:Early detection and management

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World Journal of Cardiology 2024年第10期16卷 616-618页

作者： Nabil Eid Mohamed abdel wahab Amardev Singh Thanu Department of Anatomy Division of Human BiologySchool of MedicineIMU UniversityKuala Lumpur 57000Kuala LumpurMalaysia Department of Pediatrics School of MedicineIMU UniversityClinical CampusBatu Paha 83000JohorMalaysia M.Kandiah Faculty of Medicine and Health Sciences University Tunku Abdul RahmanKajang 43000SelangorMalaysia

In this letter,we comment on a recent case report by Sun et al in the World Journal of *** report describes the successful management of a rare complication:The unloading or detachment of a bioresorbable stent(BRS)during percutaneous coronary intervention(PCI)in a male *** unloading of BRS was detected via angiography and intravascular ultrasound(IVUS)imaging of the left coronary artery and left anterior descending *** this case is interesting,the authors’report lacked crucial ***,insufficient information about the type of BRS used,potential causes of BRS unloading,or whether optical coherence tomography(OCT)imaging for coronary arteries was performed before,during,or after *** OCT imaging of coronary arteries before PCI can potentially prevent BRS unloading due to its higher resolution compared to *** addition,despite detecting myocardial bridging during the PCI,the authors did not provide any details regarding this *** we discuss the various types of BRS,the importance of OCT in PCI,and the clinical relevance of myocardial bridging.

关键词： Coronary artery diseases Percutaneous coronary intervention Optical coherence tomography Bioresorbable/Biodegradable stents Stent unloading/detachment Myocardial bridge Intravascular ultrasound Coronary angiography

A data-assisted physics-informed neural network(DA-PINN)for fretting fatigue lifetime prediction

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International Journal of Mechanical System Dynamics 2024年第3期4卷 361-373页

作者： Can Wang Qiqi Xiao Zhikun Zhou Yongyu Yang Gregor Kosec Lihua Wang Magd abdel wahab Soete Laboratory Department of Electrical EnergyMetalsMechanical Constructions and SystemsFaculty of Engineering and ArchitectureGhent UniversityGentBelgium Department of Engineering Mechanics School of Aerospace EngineeringHuazhong University of Science and TechnologyWuhanChina Key Laboratory for Mechanics Anhui Polytechnic UniversityWuhuChina Parallel and Distributed Systems Laboratory Jožef Stefan InstituteLjubljanaSlovenia School of Aerospace Engineering and Applied Mechanics Tongji UniversityShanghaiChina College of Engineering Yuan Ze UniversityTaiwanChina

In this study,we present for the first time the application of physics-informed neural network(PINN)to fretting fatigue *** PINN has recently been applied to pure fatigue lifetime prediction,it has not yet been explored in the case of fretting *** propose a data-assisted PINN(DA-PINN)for predicting fretting fatigue crack initiation *** traditional PINN that solves partial differential equations for specific problems,DA-PINN combines experimental or numerical data with physics equations as part of the loss function to enhance prediction *** DA-PINN method,employed in this study,consists of two main ***,damage parameters are obtained from the finite element method by using critical plane method,which generates a data set used to train an artificial neural network(ANN)for predicting damage parameters in other ***,the predicted damage parameters are combined with the experimental parameters to form the input data set for the DA-PINN models,which predict fretting fatigue *** results demonstrate that DA-PINN outperforms ANN in terms of prediction accuracy and eliminates the need for high computational costs once the damage parameter data set is ***,the choice of loss-function methods in DA-PINN models plays a crucial role in determining its performance.

关键词： crack initiation data-assisted fretting fatigue finite element method physics-informed neural network

Evaluation of Surgical Outcome after Resection of Pancreatic Tumors, Our Experience in Mansoura Oncology Center, a Middle-Volume Center in Egypt

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Journal of Cancer Therapy 2012年第5期3卷 477-481页

作者： Nazem Shams Mahmoud Mosbah Mohammad Hegazy Osama Hussein Omar Farouk Sameh Roshdy Mohamed Tarek Hafez Ashraf Khater khaled abdel wahab Oncology Center Mansoura University Mansoura Egypt

Background: Pancreatic cancer is the fourth most common cause of cancer related deaths in the world. Surgical resection remains the only potentially curative treatment for adenocarcinoma of the pancreas;only 10% - 20% of patients are candidate for standard pancreatic resection. Objective: To evaluate perioperative mortality, morbidity and survival for patients underwent PD in middle-volume center. Patients and Methods: Sixty patients with pancreatic tumors were enrolled in this study for different surgical procedure according to type of tumors. Results: No early postoperative complications were observed in 60% of patients, whereas 40% of patients developed one or more complication, the median survival for this group was 12.3 months with standard deviation 3.8 months.

关键词： Pancreatic Cancer Whipple Complication Survival

Effect of fatigue load on the bending tribo-corrosion-fatigue behaviors between the main cable wires

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Friction 2024年第7期12卷 1512-1531页

作者： Bo WANG Dagang WANG Jihong YE Liang TANG Hailang CHONG Wei XU Xinxin ZHANG Jianhao CHEN Haiyan DENG Jie ZHANG Guowen YAO Magd abdel wahab School of Mechatronic Engineering China University of Mining and TechnologyXuzhou 221116China Xuzhou Key Laboratory for Fire Safety of Engineering Structures China University of Mining and TechnologyXuzhou 221116China National Wire Rope Quality Inspection Center Nantong Product Quality Supervision and Inspection InstituteNantong 226011China Jiangsu Langshan Wire Rope Co. Ltd.Nantong 226003China School of Mechatronic Engineering Southwest Petroleum UniversityChengdu 610500China School of Civil Engineering Chongqing Jiaotong UniversityChongqing 400074China Soete Laboratory Faculty of Engineering and ArchitectureGhent UniversityZwijnaarde B-9052Belgium

The main cable bent around the saddle of the suspension bridge is subjected to the wind,the vehicle,the bridge’s own weight and the corrosive *** coupling of the three loads and the environments causes the friction,the corrosion,and the fatigue(tribo-corrosion-fatigue)among the wires inside the main *** this paper,a wire bending tribo-corrosion-fatigue test rig was designed and *** effect of fatigue load on the bending friction behaviors between the cable wires in ultrapure water and 3.5%NaCl solution was *** tribological properties and electrochemical corrosion behaviors under different fatigue loading ranges were *** tribo-corrosion-fatigue interaction between the cable wires was quantitatively characterized,and the mechanism of the interaction was *** results demonstrate that the increasing fatigue load exacerbates the coupling damage of the cable wires attributed to the enhanced *** findings carry theoretical importance when assessing the main cable’s deterioration and the load-bearing safety of a suspension bridge.

关键词： bending tribo-corrosion-fatigue interaction parallel steel wires fatigue load

The Effectiveness of Intraoperative Frozen Section Analysis of Safety Margins in Breast Conserving Surgery and the Role of Surgeon in Decreasing the Rate of Positive Margins

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Surgical Science 2017年第12期8卷 499-509页

作者： Omar Farouk Ahmed Senbel Mosab Shetiwy Essam Attia Ahmed Abdallah Osama El-Damshety Ashraf Khater Sameh Roshdy Amr Abouzid Amr Hossam Islam H. Metwally Omar Hamdy Amir M. Zaid Mahmoud abdelaziz Mohamed Elmetwally Adel Fathi Emad-Eldeen Hamed khaled abdel wahab Wagdi El-Kashef Mohamed Hafez khaled Zalata Mohamed Hegazy Adel Denewer Surgical Oncology Department Oncology Center Faculty of Medicine Mansoura University Mansoura Egypt Pathology Department Faculty of Medicine Mansoura University Mansoura Egypt

Introduction: Nowadays the more accepted surgical option for treating early breast cancer is breast conserving surgery. The main challenge in this type of surgery is to get free safety margins without need of second surgical operation, so many breast surgeons have started to depend on intraoperative frozen sections to ensure free safety margins. Aim of work: To assess our policy that we prefer to depend on intraoperative frozen section analysis to get free safety margin in breast conserving surgery from the 1st surgery, and its oncologic outcome. Patients and Methods: This is a retrospective study conducted in Oncology Center—Mansoura University (OCMU), where the data of 219 patients with breast cancer, who were managed by breast conserving surgery with intraoperative frozen section analysis of the safety margins, was analyzed. Results: The intraoperative frozen section analysis of safety margin was negative from the start in 183 (83.6%) patients, while it was positive in 36 patients (16.4%). Intraoperative decision of margin re-excision was applied for 29 patients (13.2%) in order to reach negative margin, modified radical mastectomy was offered for 4 patients (1.8%), while nipple sparing mastectomy with immediate breast reconstruction using latissimus dorsi flap was offered for 3 patients (1.4%). The postoperative paraffin results were typical with intraoperative frozen section analysis results in 216 patients (98.6%) and different results were obtained in only 3 patients (1.4%) who were managed by modified radical mastectomy in a second operation. Only 4 patients had local recurrence (1.8%) during the period of follow-up duration which was ranged from 1 to 86 months with mean ± SD (22.3 ± 14.1). Conclusion: The intraoperative frozen section analysis of safety margins in breast conserving surgery has very high-rate typical results with the paraffin section analysis and it is very helpful in decreasing the rate of second surgical operation in cases of infiltrated m

关键词： Breast Conserving Surgery Intraoperative Frozen Section Analysis Safety Margins Breast

Multi-Scale Analysis of Fretting Fatigue in Heterogeneous Materials Using Computational Homogenization

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Computers, Materials & Continua 2020年第1期62卷 79-97页

作者： Dimitra Papagianni Magd abdel wahab Department of Materials Science and Engineering University of IoanninaIoanninaGreece Soete Laboratory Faculty of Engineering and ArchitectureGhent UniversityTechnologiepark Zwijnaarde 903Zwijnaarde B-9052Belgium Division of Computational Mechanics Ton Duc Thang UniversityHo Chi Minh CityVietnam Faculty of Civil Engineering Ton Duc Thang UniversityHo Chi Minh CityVietnam

This paper deals with modeling of the phenomenon of fretting fatigue in heterogeneous materials using the multi-scale computational homogenization technique and finite element analysis(FEA).The heterogeneous material for the specimens consists of a single hole model(25% void/cell,16% void/cell and 10% void/cell)and a four-hole model(25%void/cell).Using a representative volume element(RVE),we try to produce the equivalent homogenized properties and work on a homogeneous specimen for the study of fretting ***,the fretting fatigue contact problem is performed for 3 new cases of models that consist of a homogeneous and a heterogeneous part(single hole cell)in the contact *** aim is to analyze the normal and shear stresses of these models and compare them with the results of the corresponding heterogeneous models based on the Direct Numerical Simulation(DNS)***,by comparing the computational time and%deviations,we draw conclusions about the reliability and effectiveness of the proposed method.

关键词： Fretting fatigue multi-scale analysis computational homogenization heterogeneous materials stress analysis finite element analysis

A Review on Fretting Wear Mechanisms,Models and Numerical Analyses

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Computers, Materials & Continua 2019年第5期59卷 405-432页

作者： Tongyan Yue Magd abdel wahab State Grid Xinyuan Maintenance Branch BeijingChina Department of Electrical Energy MetalsMechanical Constructions&SystemsSoete LaboratoryFaculty of Engineering and ArchitectureGhent UniversityGhentBelgium Division of Computational Mechanics Ton Duc Thang UniversityHo Chi Minh CityVietnam Faculty of Civil Engineering Ton Duc Thang UniversityHo Chi Minh CityVietnam

Fretting wear is a material damage in contact surfaces due to micro relative displacement between *** causes some general problems in industrial applications,such as loosening of fasteners or sticking in components supposed to move relative to each *** wear is a complicated problem involving material properties of tribosystem and working conditions of *** to these various factors,researchers have studied the process of fretting wear by experiments and numerical modelling *** paper reviews recent literature on the numerical modelling method of fretting *** a briefly introduction on the mechanism of fretting wear,numerical models,which are critical issues for fretting wear modelling,are *** paper is concluded by highlighting possible research topics for future work.

关键词： Fretting wear wear models wear mechanisms numerical modelling

Effect of wear debris on fretting fatigue crack initiation

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Friction 2022年第6期10卷 927-943页

作者： Shengjie WANG Tongyan YUE Dagang WANG Magd abdel wahab Soete Laboratory Department of Electrical EnergyMetalsMechanical Construction&SystemsFaculty of Engineering and ArchitectureGhent UniversityGhent 9052Belgium State Grid Xinyuan Maintenance Branch Beijing 100000China School of Mechatronic Engineering China University of Mining and TechnologyXuzhou 221116China Faculty of Engineering Van Lang UniversityHo Chi Minh City 700000Vietnam Soete Laboratory Ghent UniversityGhent 9052Belgium

Both wear and fatigue occur in fretting condition,and they interact with one another during the whole *** fatigue is commonly analysed without considering the effect of wear in partial slip regime,although wear affects the lifetime of crack *** paper investigates,for the first time,the effect of wear debris on fretting fatigue crack *** investigate the effect of debris,first fretting wear characteristics in partial slip regime are analysed for loading ***,the effect of wear on fretting fatigue crack initiation is investigated using Ruiz parameters and critical plane methods without considering the debris *** the results,we can see that loading conditions affect the wear profiles in different ***,wear has a significant effect on the fatigue in partial slip regime without considering debris especially on the crack initiation ***,considering wear debris in the analysis,its effect on critical plane parameters is *** is found that by considering the wear debris effect,the frtting fatigue crack initiation location is shifted towards the trailing *** predictions of both crack initiation location and lifetime show a good agreement with the experimental data.

关键词： fretting wear fretting fatigue critical plane Ruiz parameter debris

Fatigue crack propagation across grain boundary of Al-Cu-Mg bicrystal based on crystal plasticity XFEM and cohesive zone model

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Journal of Materials Science & Technology 2022年第31期126卷 275-287页

作者： Qi Zhao Magd abdel wahab Yong Ling Zhiyi Liu School of Materials Science and Engineering Hubei University of Automotive TechnologyShiyan 442002China Faculty of Mechanical-Electrical and Computer Engineering School of Engineering and TechnologyVan Lang UniversityHo Chi Minh CityVietnam Soete Laboratory Faculty of Engineering and ArchitectureGhent UniversityTechnologiepark Zwijnaarde 903B-9052 ZwijnaardeBelgium School of Materials Science and Engineering Central South UniversityChangsha 410083China

In this paper,a methodology integrating crystal plasticity(CP),the eXtended finite element method(XFEM)and the cohesive zone model(CZM)is developed for an Al-Cu-Mg alloy to predict fatigue crack propagation(FCP)across grain boundary(GB)of Al-Cu-Mg alloy during stageІІ.One GB model is incor-porated into FCP constitutive law to describe grain interaction at GB.A bicrystal containing GB is built up to simulate FCP behavior through L participated *** features including GB characteristic,cumulative plastic strain(CPS)distribution and crystal slipping evidence can be *** numer-ical results are compared with published experimental data to check the accuracy of *** work demonstrates that the combination of CP containing GB constitutive laws,XFEM and CZM is a promising methodology in predicting twist angle-controlled crack deflection through GBs.

关键词： Grain boundary Twist angle Crystal plasticity Extended finite element method Fatigue crack propagation Cumulative plastic strain