Publications by authors named "Kelly W Wilhelms"

Background: Many organizations institute laboratory diagnostic stewardship (DS) programs to improve the utilization of laboratory resources.

Methods: In this paper, we describe the road to implementing laboratory DS in a large, not-for-profit integrated delivery network located in the western United States.

Results: Program structure, projects, challenges, and future opportunities are discussed, providing tactics and opportunities that facilities can employ to maximize their initial foray into the DS landscape.

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Article Synopsis
  • Recognizing that race doesn’t have a biological basis, healthcare groups push for the elimination of race in kidney disease diagnosis methods.
  • The National Kidney Foundation and the American Society of Nephrology formed a Task Force to assess how to adjust kidney disease diagnostic algorithms and recommend using the new CKD-EPI 2021 formulas for calculating eGFR without incorporating race.
  • The Task Force encourages labs to shift to the CKD-EPI 2021 equations to standardize testing and avoid discrepancies caused by outdated methods, ensuring eGFR results are race-neutral.
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Objective: To retrospectively analyze multiple years of legal blood alcohol test (LBAT) results as part of a laboratory process improvement plan.

Methods: We analyzed the LBAT requests received by the Brooke Army Medical Center during calendar years 2013 and 2014.

Results: We received 365 samples from 11 installations; 351 were tested and 14 were rejected.

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The herbicide atrazine has gained recent attention for its reported effects on reproduction in amphibians. The present study examined the putative effects of atrazine during sexual maturation in the photostimulated female Japanese quail. Furthermore, the effects of atrazine on birds administered exogenous gonadotropin (pregnant mare serum gonadotropin [PMSG]) were investigated.

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The herbicide atrazine is a putative endocrine disruptor. The present studies investigated the effects of atrazine in male Japanese quail during sexual maturation. Atrazine was administered for two weeks in the diet or systemically to birds under long photoperiods.

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