Security Engineering of Patient-Centered Health Care Information Systems in Peer-to-Peer Environments: Systematic Review

Background: Patient-centered health care information systems (PHSs) enable patients to take control and become knowledgeable about their own health, preferably in a secure environment. Current and emerging PHSs use either a centralized database, peer-to-peer (P2P) technology, or distributed ledger technology for PHS deployment. The evolving COVID-19 decentralized Bluetooth-based tracing systems are examples of disease-centric P2P PHSs. Although using P2P technology for the provision of PHSs can be flexible, scalable, resilient to a single point of failure, and inexpensive for patients, the use of health information on P2P networks poses major security issues as users must manage information security largely by themselves. Objective: This study aims to identify the inherent security issues for PHS deployment in P2P networks and how they can be overcome. In addition, this study reviews different P2P architectures and proposes a suitable architecture for P2P PHS deployment. Methods: A systematic literature review was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting guidelines. Thematic analysis was used for data analysis. We searched the following databases: IEEE Digital Library, PubMed, Science Direct, ACM Digital Library, Scopus, and Semantic Scholar. The search was conducted on articles published between 2008 and 2020. The Common Vulnerability Scoring System was used as a guide for rating security issues. Results: Our findings are consolidated into 8 key security issues associated with PHS implementation and deployment on P2P networks and 7 factors promoting them. Moreover, we propose a suitable architecture for P2P PHSs and guidelines for the provision of PHSs while maintaining information security. Conclusions: Despite the clear advantages of P2P PHSs, the absence of centralized controls and inconsistent views of the network on some P2P systems have profound adverse impacts in terms of security. The security issues identified in this study need to be addressed to increase patients\u27 intention to use PHSs on P2P networks by making them safe to use

OnionBots: Subverting Privacy Infrastructure for Cyber Attacks

Over the last decade botnets survived by adopting a sequence of increasingly sophisticated strategies to evade detection and take overs, and to monetize their infrastructure. At the same time, the success of privacy infrastructures such as Tor opened the door to illegal activities, including botnets, ransomware, and a marketplace for drugs and contraband. We contend that the next waves of botnets will extensively subvert privacy infrastructure and cryptographic mechanisms. In this work we propose to preemptively investigate the design and mitigation of such botnets. We first, introduce OnionBots, what we believe will be the next generation of resilient, stealthy botnets. OnionBots use privacy infrastructures for cyber attacks by completely decoupling their operation from the infected host IP address and by carrying traffic that does not leak information about its source, destination, and nature. Such bots live symbiotically within the privacy infrastructures to evade detection, measurement, scale estimation, observation, and in general all IP-based current mitigation techniques. Furthermore, we show that with an adequate self-healing network maintenance scheme, that is simple to implement, OnionBots achieve a low diameter and a low degree and are robust to partitioning under node deletions. We developed a mitigation technique, called SOAP, that neutralizes the nodes of the basic OnionBots. We also outline and discuss a set of techniques that can enable subsequent waves of Super OnionBots. In light of the potential of such botnets, we believe that the research community should proactively develop detection and mitigation methods to thwart OnionBots, potentially making adjustments to privacy infrastructure.Comment: 12 pages, 8 figure

Securing IoT Attacks: A Machine Learning Approach for Developing Lightweight Trust-Based Intrusion Detection System

The routing process in the Internet of Things (IoT) presents challenges in industrial applications due to its complexity, involving multiple devices, critical decision-making, and accurate data transmission. The complexity further increases with dynamic IoT devices, which creates opportunities for potential intruders to disrupt routing. Traditional security measures are inadequate for IoT devices with limited battery capabilities. Although RPL (Routing Protocol for Low Energy and Lossy Networks) is commonly used for IoT routing, it remains vulnerable to security threats. This study aims to detect and isolate three routing attacks on RPL: Rank, Sybil, and Wormhole. To achieve this, a lightweight trust-based secured routing system is proposed, utilizing machine learning techniques to derive values for devices in new networks, where initial trust values are unavailable. The system demonstrates successful detection and isolation of attacks, achieving an accuracy of 98.59%, precision of 98%, recall of 99%, and f-score of 98%, thereby reinforcing its effectiveness. Attacker nodes are identified and promptly disabled, ensuring a secure routing environment. Validation on a generated dataset further confirms the reliability of the system