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Therefore, a pertinent question is how to make P2 P PHSs resilient to attacks. P2 P systems communicate over the internet; therefore, they inherit the same security issues as any other networked application on the internet. The P2 P architecture poses significant security issues such as index poisoning attacks [43], Sybil attacks [44], chatty peer attacks [45], or distributed denial-of-service (DDo S) attacks [46].
J Med Internet Res 2021;23(11):e24460
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