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Go to Editorial ManagerA rapidly expanding global population has heightened the need for engineering technologies aimed to enhancing the mechanical properties of weak soil, raising concerns about the sustainability of engineering practices that depend on energy-intensive materials and methods from earlier times. Traditional ground improvement techniques like compaction, preloading, vibration, and chemical grouting are typically costly and frequently have very high energy and CO2 footprints. Soil stabilization employing bio-enzymes has been viewed as a resilient and ecologically beneficial method for modifying the soil characteristics. Calcite-induced precipitation methods have recently become potential techniques in geotechnical engineering for improving the shear strength of soils. One of the most promising methods among them is enzyme-induced calcite precipitation (EICP). Enzyme induced calcite precipitation (EICP) is a bio-inspired technique based on the precipitation of calcium carbonate for enhancing the geo-mechanical properties of soils. In this technique, calcium carbonate acts as a cementitious agent that binds the soil particles together at the points of contact hence, increasing the strength and stiffness of treated soils, while relatively reducing the soil permeability and porosity. The achieved enhancements make EICP useful for applications such as ground improvement, construction materials, and erosion control over traditional binders. It is an environmental friendly technique that has generated great interest to geotechnical engineers. EICP particularly, has proven to be more effective since its application to all soils coarse and fine which have small pore size. This review thoroughly assesses the use of the EICP approach as a soil stabilization strategy conducted by various researchers. This review article studies urease and its implication on the characteristics of treated soil such as shear strength, permeability and micro-structural changes.
Primary healthcare institutions are highly important socio-technical systems, where infrastructure, digital technologies, and service delivery processes collaborate to establish service resilience and performance. Digital systems and sustainable infrastructure may not be integrated as well in a limited environment with resources, which may lead to reduced system robustness and efficiency. This paper is a systematic digital systems and infrastructure evaluation of the process of providing primary healthcare in Paschim Bardhaman District, India, through an engineering-based, multi-criteria analysis framework._x000D_ Cross-sectional engineering analysis was carried out on 25 Primary Health Centers (PHCs) chosen based on the rural and semi-urban settings. They have developed a composite system performance index by incorporating five domains of engineering, namely infrastructure robustness, operational workflow efficiency, outcome performance, digital systems readiness (ICT), and environmental sustainability systems. Information was gathered based on formal auditing of facilities, check of readiness of ICT equipment and software, field observation of operations and review of documents. Domain-specific scores were also summed up to create a Composite Quality and Resilience Index (CQRI). Statistical analyses were made to provide measures of description, correlation analysis and comparative testing between rural and semi-urban facilities._x000D_ Findings showed that there was moderate system performance (mean CQRI = 1.21 ± 0.24) and there was high inter-facility difference. The positive correlation of infrastructure robustness and the efficiency of operational workflow were found to be strong with composite system performance (r = 0.67 and r = 0.74, respectively). The readiness to digital systems, and environmental sustainability scored relatively low, which points out to the underutilization of ICT infrastructure, lack of telemedicine adoption, and the integration of renewable energy sources. The composite performance of semi-urban PHCs was much better than that of rural facilities (p < 0.05), which highlights the importance of infrastructure accessibility and digital connectivity to system resilience._x000D_ The results show that integration of digital systems and infrastructure design that is sustainable are important engineering determinants of resilient primary healthcare delivery. The suggested composite assessment framework can be used as a scalable engineering-based tool to estimate and optimize the performance of low-resource healthcare infrastructure in supporting the resilience of the system and its long-term sustainability and efficiency in delivering the services.