Fadl, N., A. E. M. M. shahtou, H. M. Own, M. A. Alkasaby, M. A. Abdel-Fattah, R. M. A. Tafesh, S. H. Alzaanin, H. M. M. Zourob, M. W. A. Aljedaili, F. I. A. Shaheen, et al., "Anxiety, depression, and post-traumatic stress disorder among Palestinian refugees in Egypt: Gender-stratified item-level Bayesian network analysis", Psychiatry Research, pp. 117210, 2026. AbstractWebsite

Background Mental disorders pose a substantial global burden, particularly among conflict-affected populations. This study aimed to examine gender-stratified, item-level networks of anxiety, depression, and posttraumatic stress disorder (PTSD) among Palestinian refugees in Egypt following the 2023 war on Gaza. Methods A cross-sectional study was conducted among 558 Palestinian aged > 18 years displaced to Egypt. Anxiety, depression, and PTSD were assessed using Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Impact of Event Scale-6, respectively. Bayesian network analyses were applied to identify central symptoms and the strongest within- and cross-diagnostic associations. Results In the male network, suicidal ideation and loss of energy emerged as the most central symptoms. The strongest cross-diagnostic association was observed between anticipatory fear and depressed mood. Within diagnostic domains, the strongest associations were found between uncontrollable worry and excessive worrying (anxiety), loss of energy and appetite change (depression), and war-related intrusive thoughts and hypervigilance (PTSD). In the female network, psychomotor agitation or retardation and suicidal ideation were the most central symptoms. The strongest cross-diagnostic association was between trouble relaxing and anhedonia. The strongest within-domain associations were observed between feeling anxious and being easily annoyed (anxiety), loss of energy and depressed mood (depression), and war-related intrusive thoughts and reminders of war (PTSD). Conclusions Identifying gender-specific core symptoms and both within- and cross-diagnostic associations in this vulnerable population is crucial to inform targeted interventions and reduce comorbidity.

Abdel-Fattah, M. A., "On defining a jackknifed pooled ridge-Liu estimator in beta regression: nonlinear programming evidence", Communications in Statistics - Theory and Methods, vol. 55, issue 7, pp. 2190-2214, 2026. AbstractWebsite

The pooled ridge-Liu estimator (PRLE) has been recently suggested to address issues arising from ill-conditioning situations in the beta regression (BR) model. The PRLE has been shown to enhance the model’s stability and efficiency compared to the maximum-likelihood estimator (MLE), ridge estimator (RE), and Liu estimator (LE), under mild conditions. This paper introduces a new jackknifed pooled ridge-Liu estimator (JPRLE) designed to reduce the mean square error (MSE) associated with the PRLE. The proposed JPRLE combines the MLE, the jackknifed ridge estimator (JRE), and the jackknifed Liu estimator (JLE) as special cases. Nonlinear programming models are recommended for selecting the tuning parameters (TPs) of both the PRLE and the JPRLE. Superiority conditions for the new JPRLE are demonstrated theoretically according to squared bias and MSE matrix criteria. The proposed estimator was motivated by two real applications to the heat-treating test and the body fat data files. The findings of this paper suggest that the proposed JPRLE is a promising candidate for enhancing the efficiency of the ill-conditioned BR model when compared to the MLE, RE, LE, PRLE, JRE, and JLE.

Abdel-Fattah, M. A., M. A. Mohsen, and A. M. Mousa, "On a new stacked ensemble framework for imputing missing data in the presence of outliers", Statistics, Optimization & Information Computing, vol. 14, issue 6, pp. 3526-3545, 10/2025. Abstract2025_-_on_a_new_stacked_ensemble_framework_for_imputing_missing_data_in_the_presence_of_outliers.pdfWebsite

Missing value imputation (MVI) presents a real challenge which becomes more complicated in the presence of outliers. Although ensemble techniques such as bagging and boosting have been employed for MVI and have shown promising results, stacking has not been investigated in this area, despite its efficiency in prediction tasks. To address this gap, two robust stacking frameworks are proposed for imputing missing data in the presence of outliers, namely RKSF-IM and RESF-IM. These proposed frameworks begin by adding an outlier indicator. Then they employ two different stacking configurations, where MissForest, IRMI, and EM are the base learners, and their predicted values are used as inputs in ridge regression, which acts as a meta learner in the second layer. The RMSE, MAE, and Wasserstein distance metrics of the proposed frameworks are evaluated against those of the mean, median, XGBoost, EM, IRMI, KNN, MissForest, and SVM imputation methods using a simulation study and two real data applications. The simulation study considers different scenarios for missing rates and outliers. The study also investigates the impact of adding an outlier indicator on the performance of the different imputation methods. The proposed stacking configurations show better performance, under the simulation settings, than the competing methods in most scenarios. In addition, many existing imputation methods are further improved by including an outlier indicator variable.

Samir, A. A., A. W. Hageen, K. Elbarbary, A. H. Elamir, M. A. Abdel-Fattah, M. M. Alameldin, F. S. Al-Qahtani, O. A. ’s behalf of the group of Egypt, and R. M. Ghazy, "Assessing Alzheimer’s disease knowledge among Egyptian medical students in the context of recent educational reforms", BMC Medical Education, vol. 25, issue 1, pp. 654, 2025. AbstractWebsite

Background Medical students are the future doctors and play an essential role in the management of health issues. Their understanding of Alzheimer’s disease (AD) is not only required but also necessary to provide the best possible care to patients. The present study aimed to assess medical students’ knowledge about AD within the context of the recent reform of the Egyptian medical educational system, which switched to competency-based instead of outcome-based education since 2017.
Methods A descriptive cross-sectional study was conducted among medical students in public and private Egyptian medical schools. Between August and November 2024, an anonymous self-administered questionnaire was uploaded to Google Forms and distributed online through commonly used social media platforms. The Alzheimer’s Disease Knowledge Scale (ADKS), a validated and reliable tool, was used for the measurement of AD-related knowledge. Univariate and multivariable logistic regression models were used to determine the factors associated with having good or poor knowledge about AD among participants.
Results In total, 1100 medical students were included through convenience and snowball sampling methods; their mean age was 20.9 ± 1.9 years, 55.5% were males, 59.6% were in their clinical years, and 15.6% had a positive family history of AD. The students’ mean knowledge score was 19.10 ± 2.96 out of 30, representing 63.7% of answers correct, with a range of scores between 9 and 29. About 70.8% of the sample had good knowledge. The highest percentage of correct answers was for the treatment and management domain (76.5%), while the lowest percentage was for the caregiving domain (52.2%). Predictors of good knowledge were females [adjusted odds ratio (aOR) = 1.33 (95% confidence interval (CI): 1.01–1.76, p = 0.043], attending a public university [aOR = 1.62 (95% CI: 1.09–2.41), p = 0.015), clinical year students [aOR = 1.53 (95% CI: 1.07–2.16), p = 0.018], living in an urban area [(aOR = 1.67 (95% CI: 1.23–2.25), p < 0.001], and having higher family monthly income [aOR = 1.75 (95% CI: 1.13–2.72), p = 0.012].
Conclusions The study highlights gaps in Egyptian medical students’ knowledge of AD. Knowledge gaps were found in domains of caregiving and risk factors, urging educators and policymakers to enhance curricula, particularly preclinical curricula, with a specific focus on some socio-economic determinants.

Abdel-Fattah, M. A., "Improved Liu-ridge-type estimates for the beta regression model", Journal of Statistical Computation and Simulation, vol. 94, issue 16, pp. 3533-3554, 2024. AbstractWebsite

The main objective of this paper is to introduce a new class of estimators for the ill-conditioned beta regression model. The new class, named the Liu-ridge-type (LRT), incorporates two shrinkage parameters that allow it to include the maximum-likelihood estimator (MLE), the ridge estimator (RE), and the Liu estimator (LE) as special cases. The LRT estimator has been shown to outperform the LE, the RE, and the MLE in terms of the mean squared error (MSE) matrix under certain conditions. Simulated and real applications illustrate the potential benefits of the new LRT estimator.

Abdel-Fattah, M. A., "On a New Class of Binomial Ridge-Type Regression Estimators", Communications in Statistics - Simulation and Computation, vol. 51, issue 6, pp. 3272-3290, 2022. AbstractWebsite

This paper is about developing a new class of two-parameter shrinkage estimators for the binomial model under the multicollinearity problem. The proposed class includes the ridge estimator (RE) and the maximum likelihood estimator (MLE) as special cases. The necessary and sufficient conditions that ensure the superiority of the proposed estimator over the MLE and the RE in terms of the mean squared error (MSE) matrix were obtained. The performance of new estimators is evaluated and compared with the MLE and some REs through simulation under moderate to strong correlations. A real application supports the simulation results.

Mousa, A. M., A. A. El-sheikh, and M. A. Abdel-Fattah, "A Gamma Regression for Bounded Continuous Variables", Advances and Applications in Statistics, vol. 49, issue 4, pp. 305-326, 2016. AbstractWebsite

This paper presents a regression model for continuous variables taking values in a bounded interval based on the unit gamma distribution. The model may serve as an alternative to the beta regression model. The score vector and Fisher’s information matrix are derived. Two real applications are included. A simulation study is carried out to compare the unit gamma regression model with the beta regression model in terms of different goodness of fit and information criteria.

Robert, E. H., A. M. Mohamed, and M. A. Abdel-Fattah, "Evaluation of a Functional Time Series Model for Forecasting Inflation in Uganda", Journal of Statistics Applications and Probability, vol. 11, issue 2, pp. 523-534, 2022. AbstractWebsite

Inflation is a major economic problem in emerging market economies and requires accurate models to avoid high volatility and long periods of inflation. This paper is aimed at evaluating a Functional Time Series (FTS) model as compared to other models in forecasting inflation in Uganda. The monthly Time Series (TS) data for the general Consumer Price Index (CPI) was used during the period of Jul-2005 to Jun-2020. Box-Jenkins’ Auto Regressive Integrated Moving Average (ARIMA) and Seasonal Autoregressive Integrated Moving Average (SARIMA) methodologies are explored to evaluate the FTS method of forecasting the general CPI where their accuracies are compared and validated using Mean Squared Error (MSE), Root Mean Square Error (RMSE), Akaike Information Criterion (AIC), and Bayesian Information Criterion (BIC) criteria. Existing inflation models in Uganda are outdated by structural changes in the economy igniting the need for a novel accurate model for forecasting inflation. FTS technique is overall considered accurate and particularly used to model high-frequency data such as Uganda general CPI data modeled as a functional observation after smoothing by kernel smoothing methods compared to traditional methods. Business operations and consumers normally base their decisions on modeled and forecasted inflation with their decisions affected by inflation uncertainties that hinder their motivations to invest and save in a given country as they try to avoid inflation-related risks. Findings therefore show FTS having great accuracies and recommended the method for forecasting Uganda inflation. This opens a new framework for extending the Box and Jenkin’s methodology to the functional setting.

Mohamed, A. M., M. A. Abdel-Fattah, and A. S. M. Aldirawi, "A Comparison between Classification statistical Models and Neural Networks with Application on Palestine data", Journal of University of Shanghai for Science and Technology, vol. 22, issue 10, pp. 1152-1164, 2020. AbstractWebsite

There are many possible techniques for classification of data. Multinomial Logistic Regression, Discriminant Analysis and Artificial Neural Networks. Are three techniques that commonly used for data classification. three techniques are applied at Labor Force survey in Palestine in 2019. This study aims to choose the best statistical model for Labor Force in Palestine in 2019 data, through the comparison between Multinomial Logistic Regression, Discriminant Analysis and Artificial Neural Networks on real data set. we used a real data of Labor Force from a survey of labor force which was conducted by Palestinian Central Bureau of Statistics (PCBS) in 2019- 2020. The study sample size had been 22625. The target group was the age group (15- 65) years for both sexes. Labor Force data has 12 variables; the dependent variable is nominal with three categories (Employment, Unemployment and Outside of LF) and 11 independent variables. In this study we compared the three statistical models using different assessment techniques (Cross-validation with half of the observations, sensitivity, accuracy, error rate, and method ROC curves) and obtained the best estimate of accuracy and error rate in order to achieve the best model for the data. These results demonstrate that multinomial logistic regression can be more powerful analytical technique for use than discriminant analysis, and artificial neural networks.

Mohamed, A. M., M. A. Abdel-Fattah, and A. S. M. Aldirawi, "A comparison between classification statistical models and neural networks with application on Palestine data", Journal of Mathematical and Computational Science, vol. 11, issue 4, pp. 3916-3926, 2021. AbstractWebsite

The paper has used labor force as dependent variable which contains two categories (Employment and Unemployment) and 8 independent variables. The results regarding the application of the correct classification technique to assess the accuracy of the three classification methods in predicting the labor force of have shown it was found that Artificial Neural Networks gave the best accuracy in prediction with (82.7%), 79.5% for Discriminant Analysis and (81.6%) for Logistic Regression. Furthermore, ROC curve technique has been applied to evaluate the accuracy of the three classification methods in predicting the labor force. It has been found that Artificial Neural Networks gave the best accuracy in prediction with (85.5%), (72.8%) for Discriminant Analysis and (81.7%) for Logistic Regression. In addition, Artificial Neural Network gave the best results in prediction with 82.7% accuracy, and less error rate with 0.173. Meanwhile, the Discriminant analysis model has shown 79.5% accuracy, and 0.205 error rate. Logistic Regression has shown 81.5% accuracy, 69.8% sensitivity and 0.183 error rate. These results demonstrate that Artificial Neural Network could be the most powerful analytical technique for the variables with two categories.

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