Survey on Peer-to-Peer Fog-based architecture for Healthcare 4.0. 1st Given Name Surname 2nd Given Name Surname 3rd Given Name Surname dept. name of organization (of Aff.) name of organization (of Aff.) City, Country email address or ORCID dept. name of organization (of Aff.) name of organization (of Aff.) City, Country email address or ORCID dept. name of organization (of Aff.) name of organization (of Aff.) City, Country email address or ORCID Abstract—This document is a model and instructions for LATEX. This and the IEEEtran.cls file define the components of your paper [title, text, heads, etc.]. *CRITICAL: Do Not Use Symbols, Special Characters, Footnotes, or Math in Paper Title or Abstract. Index Terms—component, formatting, style, styling, insert I. I NTRODUCTION The healthcare business is present process a massive shift referred to as Healthcare 4.0, which is based totally on Fourth Industrial Revolution ideas. This new paradigm brings together cutting-edge technologies which includes the Internet of Things (IoT), big information analytics, synthetic intelligence (AI), and clever healthcare structures to create extra integrated and efficient healthcare surroundings . The last aim of Healthcare four.0 is to enhance patient care by imparting tailormade remedy alternatives, increasing operational efficiency, and lowering general healthcare charges.This shift is being pushed with the aid of rising call for for first-rate healthcare offerings, the want for higher chronic infection management, and an ageing worldwide population . Healthcare 4.0 aspires to offer well timed and unique scientific interventions by means of harnessing real-time records and interconnected technology, in the long run enhancing patient effects and overall first-rate of existence. II. C HALLENGES OF H EALTHCARE 4.0 Despite its promising opportunities, the route to complete adoption of Healthcare 4.0 has been fraught with demanding situations. Keeping fitness records private and private is a number one precedence. With the accelerated decentralization of healthcare, there may be a extensive chance of cyberattacks compromising essential patient information. Furthermore, the extent of information created through medical devices and structures creates tremendous impediments to facts integration and collaboration. Regulatory compliance hampers the adoption and usage of latest healthcare technology. III. P EER - TO -P EER F OG -BASED A RCHITECTURE To cope with those difficulties, researchers and practitioners are searching at novel answers, one in every of that’s a peerto-peer (P2P) fog-primarily based structure. Fog computing extends cloud computing by shifting statistics processing closer to the information assets, decreasing latency and taking into account real-time records analysis . When used with P2P networks, this structure enables clinical devices to talk directly with one another, sharing and processing information locally earlier than transmitting it to the cloud . This decentralized strategy will increase the efficiency, resilience, and responsiveness of healthcare systems . IV. B ENEFITS OF P EER - TO -P EER F OG -BASED A RCHITECTURE Applying fog-based peer-to-peer algorithms in health care has various advantages. To begin with, it significantly speeds up data processing, which is important in time-consuming applications such as emergencies and critical care. Second, real-time analytics can enable health care professionals to make informed decisions in a timely manner based on the most up-to-date patient data, ultimately improving patient outcomes. architecture that disperses computing operations in the network improves resource utilization and eliminates complexity Finally, improving security through data storage and centralization h will be. V. R ESEARCH O BJECTIVES 1. Design and Implementation: Design and develop peerto-peer fog-based architecture specifically for Healthcare 4.0 applications. 2. Performance analysis: Determine the performance of the proposed architecture in terms of data processing speed, latency, and resource usage. 3. Security Analysis: Identify the security and privacy implications of using P2P fog-based architectures in healthcare contexts. 4. Problems and Solutions: Identify potential problems and provide practical solutions for implementing this system in health care settings. R EFERENCES [1] I. Roy, R. Mitra, N. 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