Digital Commons Network^™

Metagenomic Profiling Of Gut Microbiome Signatures Across Liver Disease Stages And Hcv-Related Hepatocellular Carcinoma In Egyptian Patients, Marwa A. Zahra

Theses and Dissertations

Dysbiosis in the gut microbiome, particularly concerning the synchronous crosstalk between the gut and the liver, has been associated with various diseases. This study profiles the gut microbiome in liver diseases among Egyptian patients, with a focus on the hepatitis C virus (HCV) and hepatocellular carcinoma (HCC), both of which are highly prevalent in Egypt. Utilizing shotgun metagenomic sequencing, we analyzed microbial gene catalogs and taxonomic profiles from 46 Egyptian patients categorized into five groups: healthy individuals, liver disease patients of different etiologies, post-HCV, treated HCV, and HCV-HCC patients. Healthy and treated HCV patients exhibited distinct microbial profiles characterized by …

The Impact Of Environmental Communication On Consumer Behavior: The Mediating Role Of Ascription Of Responsibility And Attitude, Nada Hussam El-Maghraby

Theses and Dissertations

The current study aims to examine the effect of environmental communication on promoting pro-environmental behaviors (PEBs) in the Egyptian society. The study also tests the mediating roles of ascription of responsibility and attitude toward pro-environmental behavior on the examined relationship. Another aim of the study is to explore intention as a mediator in the relationship between attitude toward pro-environmental behavior and behavior. The research is based on the Norm Activation Theory (NAT) and the Theory of Planned Behavior (TPB). A mixed-methods approach was implemented in this study. Quantitatively, a survey was conducted, and 406 responses were collected using convenience sampling …

An Ethnographic Exploration Of The Lived Experiences With Gynecologic Cancers, Norma Naser Aldeen

Theses and Dissertations

Abstract

This thesis stays close to conversations with nine women who spoke about living with and through gynecologic cancers, from moments of finding out, through treatment, and into what follows. These encounters unfolded primarily through digitally mediated exchanges across Baalbek, Beirut, and other translocal settings shaped by distance and movement. Rather than approaching illness as a bounded biomedical event, this thesis attends to how gynecologic cancer is narrated as something that lingers—pressing into everyday life through bodily sensations, altered rhythms, and ongoing recalibrations of care, responsibility, and what remains possible.

Across these encounters, care rarely appears as a stable system …

Lived Experiences Of Limited Sexual And Reproductive Health Education Among Egyptian Women, Nada Abdelhamid

Theses and Dissertations

In Egypt, sexual and reproductive health (SRH) education remains largely absent from national education and youth policy frameworks, reflecting a broader governance gap at the intersection of education, health, and gender policy. This qualitative study explores how the lack of formal sexuality education shapes women’s knowledge, perceptions, and sexual and reproductive experiences across the life course, drawing on in-depth interviews with twelve Egyptian women from diverse marital backgrounds. The findings point to persistent gaps in basic SRH knowledge, early exposure to shame and stigma, and reliance on informal and often unreliable sources of information, which participants linked to fear of …

Egyptian Feminist Critiques Of Neoliberalism, Asmaa Elmalky

Theses and Dissertations

This research examines Egyptian feminist critiques of neoliberal economic policies through a Third World feminist and feminist political economy framework. It argues that neoliberalism in Egypt has produced controlling power dynamics through restructuring labor markets, social reproduction, and legal systems in ways that disproportionately impoverish women, particularly working-class women. The research maps diverse feminist engagements with neoliberal reforms, including structural adjustment programs, privatization, labor reduction, and legal liberalization. These critiques were influenced by the debates between Third World and transnational feminism, the thesis emphasizes the importance of national specific analysis in understanding how global neoliberal policies are mediated through national …

Refugees In Egypt: State Framing, Ministerial Narratives, And The Politics Of Representation On Social Media, Habiba Kohail

Theses and Dissertations

This study examines Egyptian government discourse on refugees in 2024, a year characterized by heightened regional displacement and the enactment of Egypt’s first Asylum Law (Law No. 164 of

2024). Using a multidisciplinary framework that combines framing analysis with van Dijk's socio-cognitive approach, the study systemically analyzes how the government construct refugees on social

media and sets the boundaries of their inclusion in Egypt.

The thesis analyzes the Egyptian government discourse on refugees across official social media platforms from January 1, 2024, to December 31, 2024, a period that witnessed an increase in the government engagement in the refugee issue …

Digital Public Service Delivery As An Institutional Outcome: Data Governance And Interoperability In The Egyptian Public Sector, Waad Hegazy

Theses and Dissertations

Moving beyond technology-centered theories of digital transformation, this thesis examines the institutional and governance factors shaping digital public service delivery in Egypt. It analyzes how governance structures, data governance arrangements, and interoperability frameworks influence the extent to which digital transformation initiatives result in integrated, scalable, and citizen-facing public services. Using a qualitative research design, the study draws on an analysis of relevant policy and program documents and semi-structured interviews with key stakeholders involved in digital transformation initiatives in Egypt. The findings indicate that persistent challenges in digital public service delivery are driven less by technological constraints than by fragmented governance …

What Are The Factors Affecting The Financial Sustainability Of Social Enterprises In Egypt?, Mina Atta Ghaly

Theses and Dissertations

This thesis investigates what factors affect the financial sustainability of social enterprises (SEs) in Egypt, situating them within a constrained MSME, legal and sectoral context marked by informality, weak innovation and recurrent shocks. Drawing on global and Egyptian literature, it identifies ten candidate factors—business model, financial management, founders’ skills and mindset, revenue structure, sector and mission, legal framework and innovative finance, capacity building, investment mechanisms and “the right investor”, adaptability to shocks, and ecosystem conditions—and integrates them into an extended Social Enterprise Model Canvas. Using a qualitative, exploratory design with semi‑structured interviews of social enterprise founders, incubators/accelerators, investors and experts, …

Prephiral Bacterial Infectious Agent Triggers Neuroinflammatory Responses And Neurobehavioral Impairment In Wild-Type Mice, Hadeer Atalah

Theses and Dissertations

Neurodegenerative diseases, including Alzheimer's and Parkinson's, present an increasing global challenge, with chronic neuroinflammation identified as a principal factor alongside genetic, environmental, and infectious influences (Boyd et al., 2022).  Epidemiological data associate bacterial infections with a 40% heightened risk of Parkinson's disease; however, the mechanisms—especially the direct connection between peripheral sepsis and the silent onset of central nervous system pathology absent acute meningitis—are inadequately investigated (Smeyne et al., 2021), particularly concerning common pathogens like Klebsiella pneumoniae in high-burden areas such as Egyptian ICUs, where it constitutes 30% of cases (Alkompoz et al., 2023). This study filled the gap by creating …

Political Party Leaders’ Branding: The Case Of The Uk Conservative & Labour Parties, Dania Akkawi

Theses and Dissertations

Political party branding has become increasingly shaped by digital communication, particularly through social media platforms where voters actively engage with political leaders and one another. This thesis studies “Political Party Branding: The Case of the UK Conservative & Labour Parties”, focusing specifically on the interconnections between Stakeholder Theory and Emotional Branding Theory on voter opinion and voter interest, during the 2024 UK general election. Through a comparative analysis of Rishi Sunak (Conservative Party) and Keir Starmer (Labour Party), the study tests theoretical propositions drawn from the theories to assess how visibility and emotional intensity shape voter opinion and interest. Using …

On Education-Occupation And Skill-Occupation Mismatches Among Generation Z In Egypt, Hamsa Mohamed Ebrahim Yousef Ebrahim

Theses and Dissertations

This thesis examines the impact of education-occupation and skill-occupation mismatches, specifically with regard to Generation Z in Egypt, with a focus on prevalence, socioeconomic factors, and their impact on youth employability and human capital utilization. The research examines education and skill mismatches through a quantitative approach, relying primarily on quantitative analysis of the Egypt Labor Market Panel Survey (ELMPS) 2023 data using multinomial logistic regression for education mismatches and probit regression for skill mismatches. The results indicate that education and skill mismatches are common among employed Gen Z, with a considerable percentage of 38-45%. This is despite the fact that …

Toward Transformative Social Protection: Integrating Economic Empowerment And Addressing Graduation Challenges In Egypt’S Takaful And Karama Program, Mennatalla Ahmed Zayed

Theses and Dissertations

This study investigates how Egypt's Takaful and Karama Program (TKP) can enhance long-term poverty reduction and program sustainability through the inclusion of economicempowerment interventions. Based on the frameworks of Social Risk Management 2.0 and Transformative Social Protection, the study places Egypt's experience in the context of international discussions about conditional cash transfers, multidimensional poverty, and graduation models. The study uses a qualitative methodology, conducting semi-structured interviews with academics, civil society experts, and policymakers. The interviews' findings are supported by content analysis of policy documents and impact evaluations on TKP and Forsa. According to the research analysis, cash transfers help alleviate …

Electromagnetic Simulations For Vulnerable Road User Safety In 5g/6g Wireless Systems, Colin Mcnerny

Theses and Dissertations

Protecting vulnerable road users is imperative. As 5G wireless technology matures and 6G standards are established, new operational technology emerges to reduce traffic accidents. There is widespread evidence to support the need for pedestrian awareness in modern traffic ecosystems as a significant number of vulnerable road users are injured or killed every year due to observable traffic failures. Computational electromagnetic (CEM) solvers are used to model, simulate, and analyze the performance of antennas deployed to meet this challenge. Validation studies using the Altair FEKO CEM solver demonstrate scenarios where vulnerable road users are at risk. The simulation data in this …

Examining The Science Of Reading Focusing On Phonemic Awareness And Multicultural Literature To Enhance Reading Achievement Among African American Students, Danielle L. Gantt

Theses and Dissertations

This mixed-methods action research study examined how implementing the CKLA, Core Knowledge Language Arts, curriculum, founded in the science of reading, enhanced the reading achievement among first-grade African American students. The purpose of the study was to explore how phonics instruction, specifically phonemic awareness, and multicultural literature would improve literacy. The study was guided by Ivankova’s six-phased mixed methods model integrating quantitative and qualitative data. The quantitative data collected included the DIBELS, Dynamic Indicators of Basic Early Literacy Skills, benchmark and progress monitoring assessments. The qualitative data included student work samples, multicultural literature lessons, and open-ended student responses. The quantitative …

Utilization Of Plastic Waste In The Concrete Industry, Nancy Abdelmoneim Sakr

Theses and Dissertations

Plastic recycling has emerged as a crucial strategy that aligns with environmental, social and economic sustainability indicators. Currently, substantial volumes of plastic waste are either deposited in landfills or incinerated, neglecting the potential to harness its embodied energy and the energy consumed for producing virgin materials. A key advantage of plastic lies in its promising mechanical properties. Concrete mix design is fundamental to a wide range of construction applications, including brick walls, reinforced concrete slabs and concrete pavements. Despite the adoption of recycled plastic in construction materials in various countries, its widespread implementation remains limited. This is primarily due to …

Youth Development Programs Critical Analysis, Rethinking Real Sustainability Measures. Focus On Middle-Eastern And African Contexts., Rasha As Salem

Theses and Dissertations

Abstract Using a systematic review of 18 research papers, policy documents, and evaluation reports, the study examines youth development programs sustainability through four aspects. First, the review explores how definitions of marginalized youth are applied in Middle East and African contexts. Furthermore, the review focuses on how programmatic suitability is discussed and implemented through the concepts of localization and contextualization. Additionally, the importance of locally grounded evidence as much as rigorous evidence and finally the implementation tactics. The review uses frameworks of ecological systems theory and empowering management approaches to analyze the data. The findings reveal significant variation in how …

Towards Enabling Environmental Social Enterprises: Two Case Studies From Egypt, Rana Emad Kamaly

Theses and Dissertations

Social enterprises (SEs) and environmental social enterprises (ESEs) are emerging as promising potential players in addressing global and Egyptian social and environmental challenges. Operating as a hybrid model of financial sustainability and environmental and social impact, ESEs operate through innovative business models to address community issues, waste management, and resource scarcity through financial sustainability. However, there is a lack of research on ESEs operations, challenges, and the enabling factors that can support their growth and impact. This study explores the enabling factors and challenges affecting ESEs in Egypt through qualitative research, analyzing two case studies from Egypt by conducting semi-structured …

Legal Reform And Cultural Resistance: Examining The Role Of Law And Custom In Ending Fgm In Egypt, Souhaila Hafez Abo Seada

Theses and Dissertations

This thesis examines the persistent gap between legal reform and social practice in efforts to end Female Genital Mutilation (FGM) in Egypt. Although FGM has been criminalized since 2008, with stronger penalties introduced in 2016 and 2021, the practice continues, revealing the limits of law when it operates alongside powerful social, religious, familial, and medical norms. Using a qualitative case-based approach grounded in legal pluralism and Feminist Critical Discourse Analysis, the study draws on 11 semi-structured interviews with participants from civil society, religious institutions, the legal profession, the medical sector, and communities where FGM persists, alongside legislative, demographic, and documentary …

Assessing The Effectiveness Of A Habit Recording Tool To Improve Mental Health Of University (Auc) Students, Noran Nounou

Theses and Dissertations

Introduction: According to previous research, the mental health of university students has become an alarming public health concern worldwide. Most of the mental disorders begin among young adults, attributed to the transition to university and increased financial and societal pressure. Despite the important effect of daily habits on mental health, there still remain research gaps in Egypt in exploring their effect among university students and exploring the potential opportunities to support their well-being. Objectives: To assess depression rates among AUC students and to evaluate the effectiveness of a newly designed habit recording board, Make an Impact (MAI) to improve depression …

Rules Before Relief: International Organizations And The Administrative Burdens Of G5 Donor Counterterrorism And Sanctions Frameworks In The Mena Region, Khloud Awad

Theses and Dissertations

The international humanitarian system relies on a small group of powerful donor governments. The G5, the United States, the United Kingdom, Germany, France, and Japan, collectively provide the majority of bilateral humanitarian financing and attach extensive counterterrorism and sanctions compliance requirements to their funding. This study examines how these frameworks generate administrative burden for the international organizations that translate funding into assistance in conflict settings in the MENA region. The study draws on Administrative Burden Theory, adapted from its original citizen-state context to the donor-international organization relationship. Moreover, it adopts a qualitative design across four conflict-affected settings: Sudan, Palestine, Syria, …

The Association Between Acceptance Of Illness And Quality Of Life Among Rheumatoid Arthritis Patients In Egypt, Terivina Ayad Naguib Ayad

Theses and Dissertations

Rheumatoid arthritis is a common connective tissue autoimmune disease that has multidimensional impact on the patients’ daily functioning and quality of life. Due to the long- lasting incurable nature of RA, psychosocial adaptation to living with it becomes inevitable. Literature indicates that acceptance of illness as an appraisal of the disease and personal attitude towards it is related to better quality of life. The present study aims at investigating the relationship between disease acceptance and quality of life among rheumatoid arthritis patients in Egypt. This study also investigates the association of selected socio-demographic and disease related variables with quality of …

Resilience By Design: A Multi-Metric Assessment Of Urban Vulnerability Across Human-Centric, Built, And Climatic Environment Dimensions, Karim Abdelhady

Theses and Dissertations

Urban resilience and sustainability have emerged as fundamental imperatives in contemporary urban planning, as cities face mounting pressures from climate change, population growth, and increasing socio-economic disparities. Resilient urban systems are not only those that withstand shocks, but also those that ensure the long-term well-being, equity, and functionality of their environments. As such, advancing the capacity to systematically evaluate resilience across spatial and temporal scales is critical to informing adaptive, forward-looking planning strategies. Despite a growing body of research on urban resilience, prevailing approaches remain limited in scope and resolution. Many studies tend to examine resilience through isolated lenses—focusing either …

Multifunctional Green Wall Systems For Greywater Treatment And Hygrothermal Regulation In Egypt, Laila Ossama Mohamed Elhusseiny Abdelsalam

Theses and Dissertations

Increasing environmental concerns regarding climate change and the intensifying challenge of water scarcity in Egypt necessitate the development of innovative, sustainable, and resource-efficient strategies for wastewater reuse. In the built environment, greywater constitutes a significant, relatively low-contaminant wastewater stream that, if treated to comply with Egyptian Codes and relevant international standards, can be safely reused for non-potable applications such as irrigation, landscaping, and building services. This research investigates the efficacy of an integrated green wall panel system, installed on building façades, for decentralized greywater treatment under Egypt’s climatic and environmental conditions, while simultaneously enhancing hygrothermal performance to reduce building energy …

Family Caregivers And Suicide Prevention: A Needs And Assets Assessment In Egypt, Lina Osama Allam

Theses and Dissertations

In the Arab world, suicide prevention is shaped by cultural stigma and religious beliefs, shaping both help-seeking behaviors and the design of support systems. Family caregivers play a vital role in suicide prevention but often face significant emotional and logistical burdens. This study is the first known scholarly effort in Egypt to examine the intervention needs of these caregivers. It explored three key questions: the roles and challenges of caregivers supporting individuals with suicidal thoughts or behaviors; the availability of clinical and community-based resources; and the characteristics of future interventions to support them. A total of 92 mental health professionals …

An Impact Assessment Of The Effectiveness Of Utilizing Informal Health Communication Interventions To Spread Health Recommendations And Change Public Perception, Lina Mohamed Ezzat Ahmed Abdel Mawgoud

Theses and Dissertations

Brain health is an increasingly urgent but critically under-addressed public health priority in Egypt and the wider MENA region. Despite its centrality to aging, productivity, and overall quality of life, public understanding of brain health remains limited, and stigma continues to shape responses to dementia and cognitive decline. This study evaluates the effectiveness of informal, culturally adapted health communication as a tool to shift perception, increase awareness, and promote behavior change among non-medically trained adults in Egypt.

Grounded in global evidence on cognitive reserve, neuroplasticity, and the life-course approach to brain health, the intervention translated expert-informed brain health recommendations into …

Advancing Climate Transition Through Fiscal Tools: The Role Of Carbon Taxation And Fuel Subsidy Reform, Farah Amgad Zayed

Theses and Dissertations

This study highlights how fiscal policy tools can accelerate Egypt's climate transition, with emphasis on carbon taxes and fossil fuel subsidies reforms. It investigates how fiscal tools can reduce carbon emissions and promote economic development by primarily relying on qualitative interviews with policymakers, consultants, representatives of the private sector, and civil society actors, paralleled with some descriptive and comparative analysis. The results show that even though Egypt has made significant strides in advancing green transition, including updating the Nationally Determined Contributions (NDC), introducing the first African Voluntary Carbon Market (VCM), as well as phasing out fossil fuel subsidies gradually, institutional …

Investigating The Risk Factors Affecting The Control Of Diabetes And Hypertension In The Refugees Living In Egypt, Noura Seada

Theses and Dissertations

Introduction: Non-Communicable Diseases (NCDs) account for 74% of global deaths, with high prevalence of Diabetes and Hypertension worldwide. Egypt hosts over 1 million registered refugees and asylum seekers, often lacking inclusion in social protection or insurance schemes. This study aimed to assess the factors affecting the control of Type 2 Diabetes (T2D) and Hypertension (HTN) among Syrian and Sudanese refugees in Egypt, focusing on healthcare access, sociodemographic characteristics, lifestyle, and health behaviours.

Methods: This study employed a cross-sectional design using a self-administered questionnaire and BMI measurement. Data were collected from 246 refugees diagnosed with type T2D and/or HTN in the …

Keeping It Together: Assessing The Wellbeing Of Project-Based Development Practitioners In Egypt, Amira Ahmed Abdallah Fekry Ahmed

Theses and Dissertations

This thesis examines the wellbeing of project-based development practitioners in Egypt, revealing how systemic pressures—bureaucracy, job insecurity, and fragmented workloads—undermine both wellbeing and productivity. The study employed a mixed-approach, combining 10 in-depth interviews with subject matter experts and practitioners and 75 surveys with development practitioners in Egypt. Data revealed that while many practitioners are driven by purpose, structural challenges erode resilience and motivation over time. Social support networks and personal coping strategies help but cannot replace institutional protections. The study argues that wellbeing must shift from being treated as an individual concern to a structural responsibility. Reframing organizational models around …

Mechanical Characterization And Modeling Of Rat Myocardia Under The Influence Of Epirubicin, Abdallah Mahmoud Alkhaiyat

Theses and Dissertations

Cancer remains a predominant health challenge that is responsible for a significant portion of global morbidity and mortality. Epirubicin (EPI), a chemotherapeutic anti-cancer drug, has shown remarkable efficacy in combating various malignancies. However, it is known to have undesirable side effects on the heart, collectively referred to as cardiotoxicity. This research investigates the adverse effects of chemotherapy on cardiac contractility through an in vitro examination of the mechanics of healthy and infarcted animal heart tissues. Electrically stimulated slices of rat ventricular tissue were tested using an isometric force measurement tissue bath. The tissue slices were subjected to uniaxial stretching, allowing …

Emergency At The Borders: Response To Refugees In Sallum Camp, Shaimaa Hy Hassanein

Theses and Dissertations

This thesis examines the emergency humanitarian response at Sallum camp at the Egyptian border upon the Lybian crisis between 2011 and 2014. By positioning the lived experiences and perspectives of humanitarian aid workers at the center, this research argues that the camp constituted a distinct and dynamic space shaped by shifting geopolitical conditions, state sovereignty concerns, and bureaucratic ambiguity. Drawing on qualitative interviews with frontline humanitarian aid workers who operated and lived in the camp over extended periods, the study explores how humanitarian interventions were negotiated, adapted, and implemented within a highly constrained environment.

The thesis highlights the Egyptian state’s …