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Despite increased knowledge and awareness about Internet security, we still can't be too careful while surfing the Web these days. There are still less than scrupulous people out there hoping to trip us up. That's why we need to ensure that we setup protective methods that are automatic and require as little manual interaction as possible.

Many of us fully understand the importance of running antivirus and anti-spyware programs and hopefully all perform updates and patching for our operating systems. However, while we take the necessary measures to protect ourselves from frontdoor attacks (viruses) as well as backdoor attacks (spyware), most of us do not safeguard our systems from sidedoor attacks (application patching).

Application Patching

The problem with patching and updating tools for any operating system is that they do not (and cannot) check third party applications. Microsoft and Apple can only patch and update their own OS and applications, which leaves a great deal of applications vulnerable and exposed. This in turn renders your system vulnerable and exposed as well.

While there are some apps that are good at self-updating and patching themselves, such as Adobe with its popular Adobe Reader and Flash Player, most applications simply don't patch themselves automatically. In most cases, this is a tedious manual process. You can go to each and every application's website to check for any security patches or updates, download them and apply them, but who has time for that? That explains why this security hole has become a favorite target for malicious types.

Windows Application Protection

Thankfully, there's an excellent solution available from Secunia. They provide the ability to scan and update over 7,000 applications and utilities. The good news is that you can perform these scans for free online via their OSI (Online Software Inspector), which can help you patch over 70 applications including popular apps such as Winzip, Adobe Reader, Yahoo messenger, Firefox, etc. Once a scan has been performed, you will see the status of each application with download links to any patch updates that are available for applications that are vulnerable.

They also provide (PSI) Personal Software Inspector, a downloadable program that you install on your system. It's also free for home use and scans over 7,000 applications. If you want to protect your desktop at work then you'll need to purchase a license for their NSI (Network Software Inspector). In most cases, you'll need to let your Information Technology department handle that one.

Mac OS Application Protection

CNET's VersionTracker for the Mac OS tracks application updates and provides daily updates for easy identification of the apps you need to patch or upgrade. There's a free online version which requires manual patching of your apps.

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There's also VersionTracker Pro, which automates the entire process much like Secunia does for Windows applications. There's a version for both Mac OS and Windows should you need to protect both platforms from one place.

iPhone Application Protection

Believe it or not, you should take the same protection measures for all those tiny iPhone apps you've been installing. Just because they're small and there haven't been any widespread malware attacks on any particular iPhone apps yet doesn't mean there won't be. It's a good idea to get in the habit of keeping whatever apps you have installed updated.

There aren't any ways to automate this process yet so all you can do is keep an eye on the App Store icon on your iPhone home page and watch for the notifications of application updates. Once you see the notification simply go to each app and install the newer version which will replace the outdated version. The number 25 in the red circle means there are 25 updates waiting.

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We must make the extra effort to setup our lines of defenses and include application patch management as part of our protection procedures. This will allow you to enjoy your experience online more because of greater peace of mind. Your return on investment (time) will be well worth it.

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Starting today, the ECG app on Apple Watch Series 4 marks the first direct-to-consumer product that enables customers to take an electrocardiogram right from their wrist, capturing heart rhythm in a moment when they experience symptoms like a rapid or skipped heart beat and helping to provide critical data to physicians. The irregular rhythm notification feature on Apple Watch can now also occasionally check heart rhythms in the background and send a notification if an irregular heart rhythm that appears to be atrial fibrillation (AFib) is identified. Apple worked with the Food and Drug Administration (FDA) for a number of years to receive De Novo classification for the ECG app and the irregular heart rhythm notification, making the features available over the counter.
Available today as part of a free update to watchOS 5.1.2, the ECG app1 and irregular heart rhythm notification feature2 will help users identify signs of AFib, the most common form of irregular rhythm. When left untreated, AFib is one of the leading conditions that can result in stroke, the second most common cause of death around the world. The CDC estimates AFib can affect up to two percent of the younger population and nine percent of those 65 years and older in the US.
“Apple Watch has helped so many people around the world and we are humbled that it has become such an important part of our customers’ lives,” said Jeff Williams, Apple’s chief operating officer. “With the release of these heart features, Apple Watch takes the next step in empowering people with more information about their health.”
“We are confident in the ability of these features to help users have more informed conversations with their physicians,” said Sumbul Desai, MD, Apple’s vice president of Health. “With the ECG app and irregular rhythm notification feature, customers can now better understand aspects of their heart health in a more meaningful way.”

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New electrodes built into the back crystal and Digital Crown on Apple Watch Series 4 work together with the ECG app to enable customers to take an ECG similar to a single-lead reading. To take an ECG recording at any time or following an irregular rhythm notification, users launch the new ECG app on Apple Watch Series 4 and hold their finger on the Digital Crown. As the user touches the Digital Crown, the circuit is completed and electrical signals across their heart are measured. After 30 seconds, the heart rhythm is classified as either AFib, sinus rhythm or inconclusive. All recordings, their associated classifications and any noted symptoms are stored securely in the Health app on iPhone. Users can share a PDF of the results with physicians.

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Irregular Rhythm Notification

Using the optical heart sensor in Apple Watch Series 1 or later, the irregular rhythm notification feature will occasionally check the user’s heart rhythm in the background for signs of an irregular heart rhythm that appears to be AFib and alerts the user with a notification if an irregular rhythm is detected on five rhythm checks over a minimum of 65 minutes.
“The role that technology plays in allowing patients to capture meaningful data about what’s happening with their heart, right when it’s happening, like the functionality of an on-demand ECG, could be significant in new clinical care models and shared decision making between people and their healthcare providers,” said Nancy Brown, CEO of the American Heart Association, the world’s leading voluntary organization focused on heart and brain health. “At the American Heart Association, we are committed to educating and empowering people to be proactive in all areas of their heart health and general well-being.”
“The idea that wearables can be used by both patients and their health care providers to manage and improve heart health holds promise and should also be approached with caution to ensure information and data are used responsibly and in concert with other evidence-based tools and guidelines,” said C. Michael Valentine, MD, FACC, president of the American College of Cardiology. “The ACC, through its focus on innovation, is committed to exploring ways that new technologies can optimize patient care and outcomes.”
The ECG app’s ability to accurately classify an ECG recording into AFib and sinus rhythm was validated in a clinical trial of around 600 participants. Rhythm classification from a gold standard 12-lead ECG by a cardiologist was compared to the rhythm classification of a simultaneously collected ECG from the ECG app. The study found the ECG app on Apple Watch demonstrated 98.3 percent sensitivity in classifying AFib and 99.6 percent specificity in classifying sinus rhythm in classifiable recordings. In the study, 87.8 percent of recordings could be classified by the ECG app.
The irregular rhythm notification feature was recently studied in the Apple Heart Study. With over 400,000 participants, the Apple Heart Study was the largest screening study on atrial fibrillation ever conducted, also making it one of the largest cardiovascular trials to date. A subset of the data from the Apple Heart Study was submitted to the FDA to support clearance of the irregular rhythm notification feature. In that sub-study, of the participants that received an irregular rhythm notification on their Apple Watch while simultaneously wearing an ECG patch, 80 percent showed AFib on the ECG patch and 98 percent showed AFib or other clinically relevant arrhythmias.
To enable these new heart features, customers will be taken through an onscreen setup flow that includes details about who can use these features, what the features can and cannot do, what results users may get, how to interpret those results and clear instructions for what to do if users are feeling symptoms that require immediate medical attention.
watchOS 5.1.2 will be available for download today. More information on the ECG app can be found here and more information on the irregular rhythm notification can be found here. Medical professionals and providers can find more information on Apple Watch, the ECG app and irregular rhythm notifications here.

Images of watchOS 5.1.2


    1 This feature is available on Apple Watch Series 4 in the US, Puerto Rico, Guam and US Virgin Islands, and requires iPhone 5s or later on iOS 12.1.1. The ECG app does not detect a heart attack, blood clots, a stroke or other heart-related conditions including high blood pressure, congestive heart failure, high cholesterol or other forms of arrhythmia.
    2 This feature is available for Apple Watch Series 1 and later and requires iPhone 5s or later on iOS 12.1.1 in the US, Puerto Rico, Guam and US Virgin Islands. The irregular rhythm notification feature does not detect a heart attack, blood clots, a stroke or other heart-related conditions including high blood pressure, congestive heart failure, high cholesterol or other forms of arrhythmia.

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