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Shades and a Hat in the Crowd (COPY)
No full text2025.042.0291A patron stands up in a crowd wearing black sunglasses and a hat at an unknown eventArchived web conten
Walking on Campus in the Winter
No full text2025.042.0121Two students walk on campus with the power plant in the background and some snow on the groundArchived web conten
Slender Trees Framing the Campus
No full text2025.042.0095Some slender looking trees sit by an unidentifiable campus buildingArchived web conten
Looking into the Light
No full text2025.042.0448A student wears white goggles as they look into a bright light.Archived web conten
Perioperative Glucose Monitoring and Treatment to Reduce Risk of Surgical Site Infections & Postoperative Complications
No full textPatients with Type 2 Diabetes are at a higher risk of delayed wound healing, development of surgical site infections, and other surgical complications due to hyperglycemia and insulin resistance (Harris, 2018). However, variations in perioperative glucose control can translate to an even more significant risk in non-diabetic patients. A quantitative quasi-experimental research study was developed aimed at determining how the implementation of a perioperative glucose monitoring and treatment protocol for hyperglycemia improves surgical patient 30-day outcomes. The goal of the protocol was to keep perioperative blood glucose below the Centers for Disease Control and Prevention’s (CDC) guideline of 200mg/dL. Retrospective cohort analysis revealed a strong positive correlation between the length of surgery and the incidence of perioperative hyperglycemia; therefore, procedure duration lasting over two hours was an inclusion criterion for the study. Participants were monitored for hyperglycemia and treated with sliding-scale insulin lispro using existing hospital-based hyperglycemia protocols structured on the preoperative Hemoglobin A1C (HgbA1c) regardless of diabetes diagnosis. Data collection included participant demographics, surgical duration, preoperative A1C, perioperative glucose readings, insulin dosing, and 30-day postop Comprehensive Complication Index (CCI). Results showed that no episodes of hypoglycemia occurred in the study, even with the inclusion of non-diabetic patients, as insulin dosing was patient-specific, and patients were not treated for blood glucose elevations below 150 mg/dL. There was a statistically significant association between monitoring and treating perioperative hyperglycemia with decreased incidence in surgical site infections (SSI) in the pilot study [x² (1) =4.18, p = 0.041]. There was a decrease in the rate of SSI (9.76%) in the POGM group compared to the no-treatment group (21.1%).Elizabeth Heave
Sitting on the Fence
No full text2025.042.0447A group of students sit on top of a fence by the lakeArchived web conten
A Magician's Dove Trick
No full text2025.042.0893A magician does a magic trick with a white dove.Archived web conten
One-On-One Conversations
No full text2025.042.0476Two students have a one-on-one conversation in a common area.Archived web conten
A Face of Confusion
No full text2025.042.0440A patrons has a look of confusion on their face as their sat down.Archived web conten