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    Item type: Item , Access status: Open Access ,
    Gaps In Management of Hypertension and Related Morbidities: The Case of Patients Attending Kabondo Sub-County Hospital, Homabay County, Western Kenya
    (Primary Health Care Practice Journal, 2025-12-23) Otieno, Paul Mathews; Knight, Veronicah; Sadia, Moses; Ayodo, George
    Introduction: the prevalence of hypertension is elevated in sub-Saharan Africa as compared to the developed countries, making it a public health concern. This study investigated gaps in the management of hypertension and related morbidities (HRMs) at the household level. Methods: this was a cross-sectional study on purposively selected 240 hypertensive patients with or without related morbidities at Kabondo sub-county hospital, western Kenya. Quantitative data were collected from the hypertensive patients using semi-structured questionnaires and analyzed using descriptive statistics. However, the qualitative data were collected by conducting two focus group discussions (FGDs) involving 10 Community Health Promoters (CHPs) per group. The key informant interview (KII) involved 6 health care workers. The qualitative data was analyzed using summative and thematic analysis. Results: the prevalence of morbidities among the hypertensive patients was as follows: 39.6% diabetes mellitus, 12.1% foot ulcers and other conditions, 8.3%. The study shows that 67.1% of the patients did not know the foods that destabilize pressure and sugar levels. In addition, 66.9% of patients were not attending routine diabetic clinics. Five themes based on management were identified as self-care practices, storage of drugs, side effects of drugs, inadequate health education, and physical activities. The gaps varied across the households. Conclusion: the study shows disproportionate management of HRMs at the household level. Consequently, there is a need to explore context-specific lifestyle change in the management of HRMs at the household level.
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    Item type: Item , Access status: Open Access ,
    An Efficient Authentication Protocol for Robust Security in Wireless Body Area Networks
    (IEEE, 2026-07) Auko, Joshua; Nyangaresi, Vincent Omollo; Abduljabbar, Zaid Ameen; Hussien, Zaid Alaa; Ali, Ali Hasan; AL-Asadi, Hamid Ali Abed
    The ever increasing number of aging populace together with high number of chronic diseases has led to wide adoption of medical Internet of Things (IoT), such as Wireless Body Area Networks (WBANs). Through these networks, physiological data such as blood glucose, body temperature, blood pressure, and heart rate are collected and transmitted to remote medical professionals for analysis, diagnosis and treatment. However, the deployed open wireless channels and IEEE 802.15.6 standardized protocol have vulnerabilities that can easily compromise the patient data. Although many security solutions have been presented based on techniques such as certificates and bilinear-pairings, these algorithms have either high overheads or still have numerous security gaps. In this paper, a lightweight encryption protocol is presented. It is shown to incur the least computation costs and average communication overheads. In addition, it offers anonymity, untraceability, authentication, session key agreement, perfect key secrecy, revocability and conditional privacy. Moreover, it protects against node capture, session hijacking, denial of sleep, denial of service, key compromise, side-channeling, impersonation, eavesdropping, session key disclosure, privileged insider, tracking, offline guessing, forgery and non-repudiation.
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    Item type: Item , Access status: Open Access ,
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    Item type: Item , Access status: Open Access ,
    Research Methods Module Leveraging AI for Transparency & Reproducibility:
    (BITSS, CEGA, 2026-01-30) Damian, Louis
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    Item type: Item , Access status: Open Access ,
    Introduction to Open Sciences, Research Integrity, & Research Ethics
    (BITSS, CEGA, 2026-01-30) Kebenei, Enock