Transport Layer Protection

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Article Summary

This cheat sheet provides guidance on securely configuring and using the SQL and NoSQL databases. It is intended to be used by application developers when they are responsible for managing the databases, in the absence of a dedicated database administrator (DBA). For details about protecting against SQL Injection attacks, see the SQL Injection Prevention Cheat Sheet. Connecting to the Database The backend database used by the...

Key Takeaways

  • This article explains Connecting to the Database in simple medical language.
  • This article explains Authentication in simple medical language.
  • This article explains Permissions in simple medical language.
  • This article explains Database Configuration and Hardening in simple medical language.
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Emergency safety firstUrgent warning signs are highlighted below.

Seek urgent medical care if you notice

These warning signs are general safety guidance. Local emergency numbers and clinical judgment should always come first.

  • Severe symptoms, breathing difficulty, fainting, confusion, or rapidly worsening illness.
  • New weakness, severe pain, high fever, or symptoms after a serious injury.
  • Any symptom that feels urgent, unusual, or unsafe for the patient.
1

Emergency now

Use emergency care for severe, sudden, rapidly worsening, or life-threatening symptoms.

2

See a doctor

Book a professional medical evaluation if symptoms persist, worsen, recur often, affect daily activities, or occur in a high-risk patient.

3

Learn safely

Use this article to understand possible causes, tests, treatment options, prevention, and questions to ask your clinician.

This cheat sheet provides guidance on securely configuring and using the SQL and NoSQL databases. It is intended to be used by application developers when they are responsible for managing the databases, in the absence of a dedicated database administrator (DBA). For details about protecting against SQL Injection attacks, see the SQL Injection Prevention Cheat Sheet.

Connecting to the Database

The backend database used by the application should be isolated as much as possible, in order to prevent malicious or undesirable users from being able to connect to it. Exactly how this is achieved will depend on the system and network architecture. The following options could be used to protect it:

  • Disabling network (TCP) access and requiring all access is over a local socket file or named pipe.
  • Configuring the database to only bind on localhost.
  • Restricting access to the network port to specific hosts with firewall rules.
  • Placing the database server in a separate DMZ isolated from the application server.

Similar protection should be implemented to protect any web-based management tools used with the database, such as phpMyAdmin.

When an application is running on an untrusted system (such as a thick-client), it should always connect to the backend through an API that can enforce appropriate access control and restrictions. Direct connections should never be made from a thick client to the backend database.

Transport Layer Protection

Most databases will allow unencrypted network connections in their default configurations. Although some will encrypt the initial authentication (such as Microsoft SQL Server), the rest of the traffic will be unencrypted, meaning that all kinds of sensitive information will be sent across the network in clear text. The following steps should be taken to prevent unencrypted traffic:

  • Configure the database to only allow encrypted connections.
  • Install a trusted digital certificate on the server.
  • Configure the client application to connect using TLSv1.2+ with modern ciphers (e.g, AES-GCM or ChaCha20).
  • Configure the client application to verify that the digital certificate is correct.

The Transport Layer Protection and TLS Cipher String Cheat Sheets contain further guidance on securely configuring TLS.

Authentication

The database should be configured to always require authentication, including connections from the local server. Database accounts should be:

  • Protected with strong and unique passwords.
  • Used by a single application or service.
  • Configured with the minimum permissions required as discussed in the permissions section below.

As with any system that has its own user accounts, the usual account management processes should be followed, including:

  • Regular reviews of the accounts to ensure that they are still required.
  • Regular reviews of permissions.
  • Removing user accounts when an application is decommissioned.
  • Changing the passwords when staff leave, or there is reason to believe that they may have been compromised.

For Microsoft SQL Server, consider the use of Windows or Integrated-Authentication, which uses existing Windows accounts rather than SQL Server accounts. This also removes the requirement to store credentials in the application, as it will connect using the credentials of the Windows user it is running under. The Windows Native Authentication Plugins provides similar functionality for MySQL.

Storing Database Credentials

Database credentials should never be stored in the application source code, especially if they are unencrypted. Instead, they should be stored in a configuration file that:

  • Is outside of the webroot.
  • Has appropriate permissions so that it can only be read by the required user(s).
  • Is not checked into source code repositories.

Where possible, these credentials should also be encrypted or otherwise protected using built-in functionality, such as the web.config encryption available in ASP.NET.

Permissions

The permissions assigned to database user accounts should be based on the principle of least privilege (i.e, the accounts should only have the minimal permissions required for the application to function). This can be applied at a number of increasingly granular levels depending on the functionality available in the database. The following steps should be applicable to all environments:

  • Do not use the built-in rootsa or SYS accounts.
  • Do not grant the account administrative rights over the database instance.
  • Only allow the account to connect from allowed hosts.
    • This would often be localhost or the address of the application server.
  • Only grant the account access to the specific databases it needs.
    • Development, UAT and Production environments should all use separate databases and accounts.
  • Only grant the required permissions on the databases.
    • Most applications would only need SELECTUPDATE and DELETE permissions.
    • The account should not be the owner of the database as this can lead to privilege escalation vulnerabilities.
  • Avoid using database links or linked servers.
    • Where they are required, use an account that has been granted access to only the minimum databases, tables, and system privileges required.

For more security-critical applications, it is possible to apply permissions at more granular levels, including:

  • Table-level permissions.
  • Column-level permissions.
  • Row-level permissions
  • Blocking access to the underlying tables, and requiring all access through restricted views.

Database Configuration and Hardening

The underlying operating system for the database server should be hardened in the same way as any other server, based on a secure baseline such as the CIS Benchmarks or the Microsoft Security Baselines.

The database application should also be properly configured and hardened. The following principles should apply to any database application and platform:

  • Install any required security updates and patches.
  • Configure the database services to run under a low privileged user account.
  • Remove any default accounts and databases.
  • Store transaction logs on a separate disk to the main database files.
  • Configure a regular backup of the database.
    • Ensure that the backups are protected with appropriate permissions, and ideally encrypted.

The following sections gives some further recommendations for specific database software, in addition to the more general recommendations given above.

Microsoft SQL Server

MySQL and MariaDB

  • Run the mysql_secure_installation script to remove the default databases and accounts.
  • Disable the FILE privilege for all users to prevent them reading or writing files.
  • See the Oracle MySQL and MariaDB hardening guides.

PostgreSQL

Patient safety assistant

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Hi, I am RX Symptom Navigator. I can help you understand what to read next and what warning signs need care.
Warning: Do not use this in emergencies, pregnancy, severe illness, or as a substitute for a doctor. For children or teens, use with a parent/guardian and clinician.
A rural-friendly guide: warning signs, when to see a doctor, related articles, tests to discuss, and OTC safety education.
1 Symptom 2 Severity 3 Safe guidance
First safety question

Is there chest pain, breathing trouble, fainting, confusion, severe bleeding, stroke-like weakness, severe injury, or pregnancy danger sign?

Choose quickly

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Start here: Write or select a symptom. The guide will show warning signs, doctor guidance, diagnostic tests to discuss, OTC safety education, and related RX articles.

Important: This tool is educational only. It cannot diagnose, treat, or replace a doctor. OTC information is not a prescription. In an emergency, contact local emergency services or go to the nearest hospital.

Doctor visit helper

Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

  • Write when the problem started and how it changed.
  • Bring old prescriptions, investigation reports, and current medicines.
  • Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
  • Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

  • What is the most likely cause of my symptoms?
  • Which danger signs mean I should go to hospital quickly?
  • Which tests are necessary now, and which can wait?
  • How should I take medicines safely and what side effects should I watch for?
  • When should I come for follow-up?

Tests to discuss

  • Vital signs: temperature, pulse, blood pressure, oxygen saturation
  • Basic physical examination by a clinician
  • CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

  • Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
  • Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
  • Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Avoid heavy lifting, sudden bending, and prolonged bed rest.
  • Use comfortable posture and gentle movement as tolerated.
  • Discuss physiotherapy, X-ray, or MRI only when clinically needed.

OTC medicine safety

  • For mild back pain, pain-relief medicine may be discussed with a doctor or pharmacist.
  • Avoid repeated painkiller use if you have kidney disease, stomach ulcer, uncontrolled blood pressure, or are taking blood thinners.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Back pain with leg weakness, numbness around private area, loss of urine/stool control, fever, cancer history, or major injury needs urgent care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Doctor / qualified healthcare provider
Tests to discuss with doctor
  • Basic vital signs: temperature, pulse, blood pressure, oxygen level if needed
  • Relevant blood, urine, imaging, or specialist tests only after clinical assessment
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Back pain care roadmap

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • New leg weakness, numbness around private area, or loss of bladder/bowel control
  • Back pain after major injury, fever, unexplained weight loss, cancer history, or severe night pain
Doctor / service to discuss: Orthopedic/spine specialist, physical medicine doctor, physiotherapist under guidance, or qualified clinician.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Discuss neurological examination first. X-ray or MRI may be needed only when red flags, injury, nerve weakness, or persistent severe symptoms are present.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.
  • Avoid forceful massage or bone-setting when there is weakness, injury, fever, or nerve symptoms.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

RX Patient Help

Ask a health question safely

Write your symptom story. A health professional or site editor can review it before any answer is prepared. This box is not for emergency care.

Emergency first: Severe chest pain, breathing trouble, unconsciousness, stroke signs, severe injury, heavy bleeding, or rapidly worsening symptoms need urgent local medical care now.

Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.

References

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