Battula, S. K. Y. Distributed Stream Processing for Real-Time Healthcare-Motivated Analytics in Multi-Cloud: A Semantics-Aligned Benchmark of Kafka-Centric Pipelines With Flink and Spark Structured Streaming. IJETCSIT 2026, 7 (1), 254-266. https://doi.org/10.63282/3050-9246.IJETCSIT-V7I1P138.