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

Is Content Publishing in BitTorrent Altruistic or Profit-Driven

BitTorrent is the most popular P2P content delivery application where individual users share various type of content with tens of thousands of other users. The growing popularity of BitTorrent is primarily due to the availability of valuable content without any cost for the consumers. However, apart from required resources, publishing (sharing) valuable (and often copyrighted) content has serious legal implications for user who publish the material (or publishers). This raises a question that whether (at least major) content publishers behave in an altruistic fashion or have other incentives such as financial. In this study, we identify the content publishers of more than 55k torrents in 2 major BitTorrent portals and examine their behavior. We demonstrate that a small fraction of publishers are responsible for 66% of published content and 75% of the downloads. Our investigations reveal that these major publishers respond to two different profiles. On one hand, antipiracy agencies and malicious publishers publish a large amount of fake files to protect copyrighted content and spread malware respectively. On the other hand, content publishing in BitTorrent is largely driven by companies with financial incentive. Therefore, if these companies lose their interest or are unable to publish content, BitTorrent traffic/portals may disappear or at least their associated traffic will significantly reduce

Harnessing the power of BitTorrent for distributed denial-of-service attacks

BitTorrent is a popular peer-to-peer (P2P) file-sharing protocol that utilizes a central server, known as a \u27tracker\u27, to coordinate connections between peers in a \u27swarm\u27, a term used to describe a Bit Torrent ad-hoc file sharing network. The tracker of a swarm is specified by the original file distributor and trusted unconditionally by peers in the swarm. This central point of control provides an opportunity for a file distributor to deploy a modified tracker to provide peers in a swarm with malicious coordination data, directing peer connection traffic toward an arbitrary target machine on an arbitrary service port. Although such an attack does not generate huge amount of attack traffic, it would set up many connections with the victim server successfully, which could cause serious denial-of-service by exhausting the victim server\u27s connection resource. In this paper, we present and demonstrate such an attack that is entirely tracker-based, requiring no modifications to Bit Torrent client software and could be deployed by an attacker right now. The results from both emulation and real-world experiments show the applicability of this attack. Due to the skyrocketing popularity of Bit Torrent and numerous large-scale swarms existed in the Internet, Bit Torrent swarms provide an intriguing platform for launching distributed denial-of-service (DDoS) attacks based on connection exhaustion. Copyright (C) 2010 John Wiley & Sons, Ltd

Torrent Poisoning Protection with a Reverse Proxy Server

A Distributed Denial-of-Service attack uses multiple sources operating in concert to attack a network or site. A typical DDoS flood attack on a website targets a web server with multiple valid requests, exhausting the server’s resources. The participants in this attack are usually compromised/infected computers controlled by the attackers. There are several variations of this kind of attack, and torrent index poisoning is one. A Distributed Denial-of-Service (DDoS) attack using torrent poisoning, more specifically using index poisoning, is one of the most effective and disruptive types of attacks. These web flooding attacks originate from BitTorrent-based file-sharing communities, where the participants using the BitTorrent applications cannot detect their involvement. The antivirus and other tools cannot detect the altered torrent file, making the BitTorrent client target the webserver. The use of reverse proxy servers can block this type of request from reaching the web server, preventing the severity and impact on the service of the DDoS. In this paper, we analyze a torrent index poisoning DDoS to a higher education institution, the impact on the network systems and servers, and the mitigation measures implemented.info:eu-repo/semantics/publishedVersio

OST : A transaction based online social trust model for social network and file sharing security

The continuous growth of the users pool of Social Networking web sites such as Facebook and MySpace, and their incessant augmentation of services and capabilities will in the future, meet and compare in contrast with today\u27s Content distribution Networks (CDN) and Peer-to-Peer File sharing applications such as Kazaa and BitTorrent, but how can these two main streams applications, that already encounter their own security problems cope with the combined issues, trust for Social Networks, content and index poisoning in CDN? We will address the problems of Social Trust and File Sharing with an overlay level of trust model based on social activity and transactions, this can be an answer to enable users to increase the reliability of their online social life and also enhance the content distribution and create a better file sharing example. The aim of this research is to lower the risk of malicious activity on a given Social Network by applying a correlated trust model, to guarantee the validity of someone\u27s identity, privacy and trustfulness in sharing content

Peer-to-Peer Botnets: Analysis and Detection

Attacks such as spamming, distributed denial of service and phishing have become commonplace on the Internet. In the past, attackers would use high bandwidth Internet connection servers to accomplish their tasks. Since desktop users today have high-speed Internet connections, attackers infect users’ desktops and harness their computing power to perform malicious activities over the Internet. As attackers develop new methods to attack from distributed locations as well as avoid being detected, there is a need to develop efficient methods to detect and mitigate this epidemic of infection of hosts on the network. In this project, we aim to analyze the peer-to-peer botnet binary known as Trojan.Peacomm and its variants. Reverse engineering techniques have been used to disassemble the binary and to identify the techniques that the botnet binary uses to spread itself and to make its detection difficult by current scanners. In the process, we establish a framework and methods for malware analysis, which could be used to analyze other bot binaries and malware. Based on our findings we discuss a few techniques to detect and shut down botnets and demonstrated an attack scenario used to disrupt their activity

A Security-aware Approach to JXTA-Overlay Primitives

The JXTA-Overlay project is an effort to use JXTA technology to provide a generic set of functionalities that can be used by developers to deploy P2P applications. Since its design mainly focuses on issues such as scalability or overall performance, it does not take security into account. However, as P2P applications have evolved to fulfill more complex scenarios, security has become a very important aspect to take into account when evaluating a P2P framework. This work proposes a security extension specifically suited to JXTA-Overlay¿s idiosyncrasies, providing an acceptable solution to some of its current shortcomings.El proyecto JXTA-Overlay es un esfuerzo por utilizar la tecnología JXTA para proporcionar un conjunto genérico de funciones que pueden ser utilizadas por los desarrolladores para desplegar aplicaciones P2P. Aunque su diseño se centra principalmente en cuestiones como la escalabilidad y el rendimiento general, no tiene en cuenta la seguridad. Sin embargo, como las aplicaciones P2P se han desarrollado para cumplir con escenarios más complejos, la seguridad se ha convertido en un aspecto muy importante a tener en cuenta a la hora de evaluar un marco P2P. Este artículo propone una extensión de seguridad específicamente adaptada a la idiosincrasia de JXTA-Overlay, proporcionando una solución aceptable para algunas de sus deficiencias actuales.El projecte JXTA-Overlay és un esforç per utilitzar la tecnologia JXTA per proporcionar un conjunt genèric de funcions que poden ser utilitzades pels desenvolupadors per desplegar aplicacions P2P. Tot i que el seu disseny se centra principalment en qüestions com ara la escalabilitat i el rendiment general, no té en compte la seguretat. No obstant això, com que les aplicacions P2P s'han desenvolupat per complir amb escenaris més complexos, la seguretat s'ha convertit en un aspecte molt important a tenir en compte a l'hora d'avaluar un marc P2P. Aquest article proposa una extensió de seguretat específicament adaptada a la idiosincràsia de JXTA-Overlay, proporcionant una solució acceptable per a algunes de les seves deficiències actuals