Access Health- a call-in medical center- uses technology to capture an.pdf

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Access Health, a call-in medical center, uses technology to capture and share knowledge. When suinedend a home remedy, do clinical decision architecture to assess the caller symptoms, rule out possible conditions, and rec room. This is an example of using a non-codified asset. a knowledge asset. tacit knowledge. groupthink. II Proctorio is sharing your screen. Stop sharing bode.

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Accessible offices tend to: result in reports and memos being held up. indicate that the people in them tend to view the organization differently. increase the amount of formal messages. increase interaction frequency and informal messages. result in reports and memos being held up. indicate that the people in them tend to view the organization differently. increase the amount of formal messages. increase interaction frequency and informal messages..

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Abstract This case study examines the formation damage that occurred in an oil field located in the Casanare region of Colombia. The oil field had been producing oil for several years, but the operators noticed a significant decline in production rates. The investigation revealed that the well was suffering from severe formation damage, which was caused by the accumulation of drilling fluids and other contaminants in the reservoir. To address the formation damage, the operators implemented a variety of remediation techniques, including acid stimulation, matrix acidizing, and hydraulic fracturing. These techniques were designed to dissolve the contaminants in the reservoir and increase the permeability of the formation, allowing oil to flow more easily to the wellbore and to the understanding of formation damage mechanisms. The Ruba field is one of the largest oil fields in Colombia and has been in production since the 1980 s. The oil extracted from the Ruba field is a heavy crude oil, which requires more advanced refining techniques to produce high-quality fuels. The Ruba field is operated by several major oil companies, including Ecopetrol, the national oil company of Colombia. The concept of skin and formation damage play a vital role in productivity of an oil well. The effect of formation damage zone on the well flowing pressure was introduced to the original solution of diffusivity equation. Formation damage reduces the well production. Skin defines as the area of reduced permeability near the wellbore due to the invasion of drilling fluid into the reservoir rock. Classifying damage requires a lot of work to determine correctly the main reason of it. In general, fluids can interact with reservoir rock and cause formation damage that impedes hydrocarbon production. Tight sandstone reservoir with well-developed natural fractures has a complex pore structure where pores and pore throats have a wide range of diameters; formation damage in such type of reservoir can be complicated and severe. Reservoir rock samples with a wide range of fracture widths are tested through a several step core flood platform, where formation damage caused by the drilling or fracturing fluid, where any unintentional fluid impedance in or out of a wellbore is referred to as damage to formation. This general definition includes the flow restriction caused by reduced permeability in the near wellbore region. Formation damage Description and classification: The history of damage removal is a process that begins with the identification of the issue. This usually involves looking through the various sources of information related to the well, such as drilling records, completion designs, and operator experiments. The desired purpose is to identify the causes of the formation damage and how it could be fixed. Where the types of formation damage location of damage extent and screening of damage, and effect of damage on well production or injection. Well development and res.

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Abstract People of African ancestry (Blacks) have an increased risk of kidney failure due to numerous socioeconomic, environmental, and clinical factors. Two variants in the APOL1 gene are now thought to account for much of the racial disparity associated with hypertensive kidney failure in Blacks. However, this knowledge has not been translated into clinical care to help improve patient outcomes and address disparities. GUARDD is a randomized trial to evaluate the effects and challenges of incorporating genetic risk information into primary care. Hypertensive, non-diabetic, adults with self-reported African ancestry, without kidney dysfunction, are recruited from diverse clinical settings and randomized to undergo APOL1 genetic testing at baseline (intervention) or at one year (waitlist control). Providers are educated about genomics and APOL1. Guided by a genetic counselor, trained staff return APOL1 results to patients and provide low-literacy educational materials. Real-time clinical decision support tools alert clinicians of their patients' APOL1 results and associated risk status at the point of care. Our academic-community-clinical partnership designed a study to generate information about the impact of genetic risk information on patient care (blood pressure and renal surveillance) and on patient and provider knowledge, attitudes, beliefs, and behaviors. GUARDD will help establish the effective implementation of APOL1 risk-informed management of hypertensive patients at high risk of CKD, and will provide a robust framework for future endeavors to implement genomic medicine in diverse clinical practices. It will also add to the important dialog about factors contributing to and may help eliminate racial disparities in kidney disease..

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