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Further development of OHL requires radical, simultaneous, and multiple changes. Thus, there is a need for the healthcare system to consider HL as an organizational priority, that is, be responsive.Cold Bitumen Emulsion (CBE) mixture technologies have been recently developed to lower pavement construction temperatures to reduce environmental costs and control gas emissions. Due to its poor early mechanical strength, active fillers (i.e., cement) have been used to obtain high early stiffness in order to have the potential for timely const