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A blood test is a lab analysis of things that may be found in your blood. You may have blood tests to keep track of how well you are managing a condition such as diabetes or high cholesterol. You may also have them for routine checkups or when you are ill.

Blood tests are very common. They are ordered by healthcare providers to:

You have the right to know why a blood test has been ordered. Ask your healthcare provider if you are not sure why he or she wants you to have the test.

These are common blood tests:

Blood tests can give your healthcare provider a lot of information. He or she can see if certain elements in your blood are in a normal range. But in many cases, blood tests are only part of the information your healthcare provider needs to make a diagnosis of a health condition. You might need to have some other types of tests as well.

For most kinds of blood tests, you don't need to prepare. These tests are to see what your blood is like under normal conditions.

For some blood tests, you will have to not eat (fast) for a certain amount of time before the blood test. This usually means no eating or drinking anything after midnight before the test. These tests are often scheduled for early in the morning.

Your healthcare provider will let you know if you need to fast before a blood test.

In order to test your blood, a technician called a phlebotomist will use a needle to take a sample of blood. Tell the technician if the sight of needles makes you nervous. He or she can help you feel more at ease. You can also look away during the procedure, and bring a family member or friend to help distract you.

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The Common Vulnerability Scoring System (CVSS) is a free and open industry standard for assessing the severity of computer system security vulnerabilities. CVSS attempts to assign severity scores to vulnerabilities, allowing responders to prioritize responses and resources according to threat. Scores are calculated based on a formula that depends on several metrics that approximate ease and impact of an exploit. Scores range from 0 to 10, with 10 being the most severe. While many utilize only the CVSS Base score for determining severity, temporal and environmental scores also exist, to factor in availability of mitigations and how widespread vulnerable systems are within an organization, respectively.

The current version of CVSS (CVSSv3.1) was released in June 2019.[1]

Research by the National Infrastructure Advisory Council (NIAC) in 2003/2004 led to the launch of CVSS version 1 (CVSSv1) in February 2005,[2] with the goal of being "designed to provide open and universally standard severity ratings of software vulnerabilities". This initial draft had not been subject to peer review or review by other organizations. In April 2005, NIAC selected the Forum of Incident Response and Security Teams (FIRST) to become the custodian of CVSS for future development.[3][4]

Feedback from vendors utilizing CVSSv1 in production suggested there were "significant issues with the initial draft of CVSS". Work on CVSS version 2 (CVSSv2) began in April 2005 with the final specification being launched in June 2007.[5]

Further feedback resulted in work beginning on CVSS version 3[6] in 2012, ending with CVSSv3.0 being released in June 2015.[2][7]

The CVSS assessment measures three areas of concern:

A numerical score is generated for each of these metric groups. A vector string (or simply "vector" in CVSSv2), represents the values of all the metrics as a block of text.

Complete documentation for CVSSv2 is available from FIRST.[8] A summary is provided below.

The access vector (AV) shows how a vulnerability may be exploited.

The access complexity (AC) metric describes how easy or difficult it is to exploit the discovered vulnerability.

The authentication (Au) metric describes the number of times that an attacker must authenticate to a target to exploit it. It does not include (for example) authentication to a network in order to gain access. For locally exploitable vulnerabilities, this value should only be set to Single or Multiple if further authentication is required after initial access.

The confidentiality (C) metric describes the impact on the confidentiality of data processed by the system.

The Integrity (I) metric describes the impact on the integrity of the exploited system.

The availability (A) metric describes the impact on the availability of the target system. Attacks that consume network bandwidth, processor cycles, memory or any other resources affect the availability of a system.

These six metrics are used to calculate the exploitability and impact sub-scores of the vulnerability. These sub-scores are used to calculate the overall base score.

Exploitability = 20 × AccessVector × AccessComplexity × Authentication {\displaystyle {\textsf {Exploitability}}=20\times {\textsf {AccessVector}}\times {\textsf {AccessComplexity}}\times {\textsf {Authentication}}}

Impact = 10.41 × ( 1 − ( 1 − ConfImpact ) × ( 1 − IntegImpact ) × ( 1 − AvailImpact ) ) {\displaystyle {\textsf {Impact}}=10.41\times (1-(1-{\textsf {ConfImpact}})\times (1-{\textsf {IntegImpact}})\times (1-{\textsf {AvailImpact}}))}

f ( Impact ) = { 0 , if  Impact  = 0 1.176 , otherwise  {\displaystyle f({\textsf {Impact}})={\begin{cases}0,&{\text{if }}{\textsf {Impact}}{\text{ = 0}}\\1.176,&{\text{otherwise }}\end{cases}}}

BaseScore = roundTo1Decimal ( ( ( 0.6 × Impact ) + ( 0.4 × Exploitability ) − 1.5 ) × f ( Impact ) ) {\displaystyle {\textsf {BaseScore}}={\textsf {roundTo1Decimal}}(((0.6\times {\textsf {Impact}})+(0.4\times {\textsf {Exploitability}})-1.5)\times f({\textsf {Impact}}))}

The metrics are concatenated to produce the CVSS Vector for the vulnerability.

A buffer overflow vulnerability affects web server software that allows a remote user to gain partial control of the system, including the ability to cause it to shut down:

This would give an exploitability sub-score of 10, and an impact sub-score of 8.5, giving an overall base score of 9.0. The vector for the base score in this case would be AV:N/AC:L/Au:N/C:P/I:P/A:C. The score and vector are normally presented together to allow the recipient to fully understand the nature of the vulnerability and to calculate their own environmental score if necessary.

The value of temporal metrics change over the lifetime of the vulnerability, as exploits are developed, disclosed and automated and as mitigations and fixes are made available.

The exploitability (E) metric describes the current state of exploitation techniques or automated exploitation code.

The remediation level (RL) of a vulnerability allows the temporal score of a vulnerability to decrease as mitigations and official fixes are made available.

The report confidence (RC) of a vulnerability measures the level of confidence in the existence of the vulnerability and also the credibility of the technical details of the vulnerability.

These three metrics are used in conjunction with the base score that has already been calculated to produce the temporal score for the vulnerability with its associated vector.

The formula used to calculate the temporal score is:

TemporalScore = roundTo1Decimal ( BaseScore × Exploitability × RemediationLevel × ReportConfidence ) {\displaystyle {\textsf {TemporalScore}}={\textsf {roundTo1Decimal}}({\textsf {BaseScore}}\times {\textsf {Exploitability}}\times {\textsf {RemediationLevel}}\times {\textsf {ReportConfidence}})}

To continue with the example above, if the vendor was first informed of the vulnerability by a posting of proof-of-concept code to a mailing list, the initial temporal score would be calculated using the values shown below:

This would give a temporal score of 7.3, with a temporal vector of E:P/RL:U/RC:UC (or a full vector of AV:N/AC:L/Au:N/C:P/I:P/A:C/E:P/RL:U/RC:UC).

If the vendor then confirms the vulnerability, the score rises to 8.1, with a temporal vector of E:P/RL:U/RC:C

A temporary fix from the vendor would reduce the score back to 7.3 (E:P/RL:T/RC:C), while an official fix would reduce it further to 7.0 (E:P/RL:O/RC:C). As it is not possible to be confident that every affected system has been fixed or patched, the temporal score cannot reduce below a certain level based on the vendor's actions, and may increase if an automated exploit for the vulnerability is developed.

The environmental metrics use the base and current temporal score to assess the severity of a vulnerability in the context of the way that the vulnerable product or software is deployed. This measure is calculated subjectively, typically by affected parties.

The collateral damage potential (CDP) metric measures the potential loss or impact on either physical assets such as equipment (and lives), or the financial impact upon the affected organisation if the vulnerability is exploited.

The target distribution (TD) metric measures the proportion of vulnerable systems in the environment.

Three further metrics assess the specific security requirements for confidentiality (CR), integrity (IR) and availability (AR), allowing the environmental score to be fine-tuned according to the users' environment.

The five environmental metrics are used in conjunction with the previously assessed base and temporal metrics to calculate the environmental score and to produce the associated environmental vector.

AdjustedImpact = min ( 10 , 10.41 × ( 1 − ( 1 − ConfImpact × ConfReq ) × ( 1 − IntegImpact × IntegReq ) × ( 1 − AvailImpact × AvailReq ) ) ) {\displaystyle {\textsf {AdjustedImpact}}=\min(10,10.41\times (1-(1-{\textsf {ConfImpact}}\times {\textsf {ConfReq}})\times (1-{\textsf {IntegImpact}}\times {\textsf {IntegReq}})\times (1-{\textsf {AvailImpact}}\times {\textsf {AvailReq}})))}

AdjustedTemporal = TemporalScore  recomputed with the  BaseScore s  Impact  sub-equation replaced with the  AdjustedImpact  equation {\displaystyle {\textsf {AdjustedTemporal}}={\textsf {TemporalScore}}{\text{ recomputed with the }}{\textsf {BaseScore}}{\text{s }}{\textsf {Impact}}{\text{ sub-equation replaced with the }}{\textsf {AdjustedImpact}}{\text{ equation}}}

EnvironmentalScore = roundTo1Decimal ( ( AdjustedTemporal + ( 10 − AdjustedTemporal ) × CollateralDamagePotential ) × TargetDistribution ) {\displaystyle {\textsf {EnvironmentalScore}}={\textsf {roundTo1Decimal}}(({\textsf {AdjustedTemporal}}+(10-{\textsf {AdjustedTemporal}})\times {\textsf {CollateralDamagePotential}})\times {\textsf {TargetDistribution}})}

If the aforementioned vulnerable web server were used by a bank to provide online banking services, and a temporary fix was available from the vendor, then the environmental score could be assessed as:

This would give an environmental score of 8.2, and an environmental vector of CDP:MH/TD:H/CR:H/IR:H/AR:L. This score is within the range 7.0-10.0, and therefore constitutes a critical vulnerability in the context of the affected bank's business.

Several vendors and organizations expressed dissatisfaction with CVSSv2.

Risk Based Security, which manages the Open Sourced Vulnerability Database, and the Open Security Foundation jointly published a public letter to FIRST regarding the shortcomings and failures of CVSSv2.[9] The authors cited a lack of granularity in several metrics which results in CVSS vectors and scores that do not properly distinguish vulnerabilities of different type and risk profiles. The CVSS scoring system was also noted as requiring too much knowledge of the exact impact of the vulnerability.

Oracle introduced the new metric value of "Partial+" for Confidentiality, Integrity, and Availability, to fill perceived gaps in the description between Partial and Complete in the official CVSS specifications.[10]

To address some of these criticisms, development of CVSS version 3 was started in 2012. The final specification was named CVSS v3.0 and released in June 2015. In addition to a Specification Document, a User Guide and Examples document were also released.[11]

Several metrics were changed, added, and removed. The numerical formulas were updated to incorporate the new metrics while retaining the existing scoring range of 0-10. Textual severity ratings of None (0), Low (0.1-3.9), Medium (4.0-6.9), High (7.0-8.9), and Critical (9.0-10.0)[12] were defined, similar to the categories NVD defined for CVSS v2 that were not part of that standard .[13]

In the Base vector, the new metrics User Interaction (UI) and Privileges Required (PR) were added to help distinguish vulnerabilities that required user interaction or user or administrator privileges to be exploited. Previously, these concepts were part of the Access Vector metric of CVSSv2. The Base vector also saw the introduction of the new Scope (S) metric, which was designed to make clear which vulnerabilities may be exploited and then used to attack other parts of a system or network. These new metrics allow the Base vector to more clearly express the type of vulnerability being evaluated.

The Confidentiality, Integrity and Availability (C, I, A) metrics were updated to have scores consisting of None, Low, or High, rather than the None, Partial, Complete of CVSSv2. This allows more flexibility in determining the impact of a vulnerability on CIA metrics.

Access Complexity was renamed Attack Complexity (AC) to make clear that access privileges were moved to a separate metric. This metric now describes how repeatable exploit of this vulnerability may be; AC is High if the attacker requires perfect timing or other circumstances (other than user interaction, which is also a separate metric) which may not be easily duplicated on future attempts.

Attack Vector (AV) saw the inclusion of a new metric value of Physical (P), to describe vulnerabilities that require physical access to the device or system to perform.

The Temporal metrics were essentially unchanged from CVSSv2.

The Environmental metrics of CVSSv2 were completely removed and replaced with essentially a second Base score, known as the Modified vector. The Modified Base is intended to reflect differences within an organization or company compared to the world as a whole. New metrics to capture the importance of Confidentiality, Integrity and Availability to a specific environment were added.

In a blog post in September 2015, the CERT Coordination Center discussed limitations of CVSSv2 and CVSSv3.0 for use in scoring vulnerabilities in emerging technology systems such as the Internet of Things.[14]

A minor update to CVSS was released on June 17, 2019. The goal of CVSS version 3.1 was to clarify and improve upon the existing CVSS version 3.0 standard without introducing new metrics or metric values, allowing for frictionless adoption of the new standard by both scoring providers and scoring consumers alike. Usability was a prime consideration when making improvements to the CVSS standard. Several changes being made in CVSS v3.1 are to improve the clarity of concepts introduced in CVSS v3.0, and thereby improve the overall ease of use of the standard.

FIRST has used input from industry subject-matter experts to continue to enhance and refine CVSS to be more and more applicable to the vulnerabilities, products, and platforms being developed over the past 15 years and beyond. The primary goal of CVSS is to provide a deterministic and repeatable way to score the severity of a vulnerability across many different constituencies, allowing consumers of CVSS to use this score as input to a larger decision matrix of risk, remediation, and mitigation specific to their particular environment and risk tolerance.

Updates to the CVSS version 3.1 specification include clarification of the definitions and explanation of existing base metrics such as Attack Vector, Privileges Required, Scope, and Security Requirements. A new standard method of extending CVSS, called the CVSS Extensions Framework, was also defined, allowing a scoring provider to include additional metrics and metric groups while retaining the official Base, Temporal, and Environmental Metrics. The additional metrics allow industry sectors such as privacy, safety, automotive, healthcare, etc., to score factors that are outside the core CVSS standard. Finally, the CVSS Glossary of Terms has been expanded and refined to cover all terms used throughout the CVSS version 3.1 documentation.

Versions of CVSS have been adopted as the primary method for quantifying the severity of vulnerabilities by a wide range of organizations and companies, including:

Main usage of Alin Gel is for Acne.

Alin Gel

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• Dilute incidin plus solution 1:10 with distilled water.
• Add 2970 ml distilled water to 30 ml of incidin plus to make 1% solution.
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