SoK : Remote Power Analysis

In recent years, numerous attacks have appeared that aim to steal secret information from their victim using the power side-channel vector, yet without direct physical access. These attacks are called Remote Power Attacks or Remote Power Analysis, utilizing resources that are natively present inside the victim environment. However, there is no unified definition about the limitations that a power attack requires to be defined as remote. This paper aims to propose a unified definition and concrete threat models to clearly differentiate remote power attacks from non-remote ones. Additionally, we collect the main remote power attacks performed so far from the literature, and the principal proposed countermeasures to avoid them. The search of such countermeasures denoted a clear gap in preventing remote power attacks at the technical level. Thus, the academic community must face an important challenge to avoid this emerging threat, given the clear room for improvement that should be addressed in terms of defense and security of devices that work with private information.acceptedVersionPeer reviewe

Attestation Waves : Platform Trust via Remote Power Analysis

Attestation is a strong tool to verify the integrity of an untrusted system. However, in recent years, different attacks have appeared that are able to mislead the attestation process with treacherous practices as memory copy, proxy, and rootkit attacks, just to name a few. A successful attack leads to systems that are considered trusted by a verifier system, while the prover has bypassed the challenge. To mitigate these attacks against attestation methods and protocols, some proposals have considered the use of side-channel information that can be measured externally, as it is the case of electromagnetic (EM) emanation. Nonetheless, these methods require the physical proximity of an external setup to capture the EM radiation. In this paper, we present the possibility of performing attestation by using the side-channel information captured by a sensor or peripheral that lives in the same System-on-Chip (SoC) than the processor system (PS) which executes the operation that we aim to attest, by only sharing the Power Distribution Network (PDN). In our case, an analog-to-digital converter (ADC) that captures the voltage fluctuations at its input terminal while a certain operation is taking place is suitable to characterize itself and to distinguish it from other binaries. The resultant power traces are enough to clearly identify a given operation without the requirement of physical proximity.acceptedVersionPeer reviewe

Assessing the impact of COVID-19 on liver cancer management (CERO-19).

BACKGROUND & AIMS: The coronavirus disease 2019 (COVID-19) pandemic has posed unprecedented challenges to healthcare systems and it may have heavily impacted patients with liver cancer (LC). Herein, we evaluated whether the schedule of LC screening or procedures has been interrupted or delayed because of the COVID-19 pandemic. METHODS: An international survey evaluated the impact of the COVID-19 pandemic on clinical practice and clinical trials from March 2020 to June 2020, as the first phase of a multicentre, international, and observational project. The focus was on patients with hepatocellular carcinoma or intrahepatic cholangiocarcinoma, cared for around the world during the first COVID-19 pandemic wave. RESULTS: Ninety-one centres expressed interest to participate and 76 were included in the analysis, from Europe, South America, North America, Asia, and Africa (73.7%, 17.1%, 5.3%, 2.6%, and 1.3% per continent, respectively). Eighty-seven percent of the centres modified their clinical practice: 40.8% the diagnostic procedures, 80.9% the screening programme, 50% cancelled curative and/or palliative treatments for LC, and 41.7% modified the liver transplantation programme. Forty-five out of 69 (65.2%) centres in which clinical trials were running modified their treatments in that setting, but 58.1% were able to recruit new patients. The phone call service was modified in 51.4% of centres which had this service before the COVID-19 pandemic (n = 19/37). CONCLUSIONS: The first wave of the COVID-19 pandemic had a tremendous impact on the routine care of patients with liver cancer. Modifications in screening, diagnostic, and treatment algorithms may have significantly impaired the outcome of patients. Ongoing data collection and future analyses will report the benefits and disadvantages of the strategies implemented, aiding future decision-making. LAY SUMMARY: The coronavirus disease 2019 (COVID-19) pandemic has posed unprecedented challenges to healthcare systems globally. Herein, we assessed the impact of the first wave pandemic on patients with liver cancer and found that routine care for these patients has been majorly disrupted, which could have a significant impact on outcomes

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Gate-Level Design Methodology for Side-Channel Resistant Logic Styles Using TFETs

The design of secure circuits in emerging technologies is an appealing area that requires new efforts and attention as an effective solution to secure applications with power constraints. The paper deals with the optimized design of DPA-resilient hiding-based techniques, using Tunnel Field-Effect Transistors (TFETs). Specifically, proposed TFET implementations of Dual-Precharge-Logic primitives optimizing their computation tree in three different ways, are applied to the design of PRIDE Sbox-4, the most vulnerable block of the PRIDE lightweight cipher. The performance of simulation-based DPA attacks on the proposals have shown spectacular results in security gain (34 out of 48 attacks fail for optimized computation trees in TFET technology) and power reduction (x25), compared to their CMOS-based counterparts in 65nm, which is a significant advance in the development of secure circuits with TFETs.acceptedVersionPeer reviewe