Vicks Gentle Touch Behind the Ear Thermometer: Illustrations for instructions for use and positioning.
The Vicks Gentle Touch Behind Ear thermometer is set to revolutionise the way body temperature is taken in infants and children. With a simple touch, the thermometer is gentle enough to be used without waking a sleeping infant, while providing accurate measurements in one second.
The Vicks Gentle Touch Behind Ear thermometer uses a novel heat flow technique to measure the temperature of the blood carotid artery which runs behind the ear, bringing blood to the brain and hypothalamus (the temperature-regulating gland) and so accurately reflecting core body temperature.
A revolution in the way to take temperature: it measures the temperature from behind earlobe
- Gentle: it measures temperature by simply touching behind ear lobe with a soft ring
- Accurate: clinically proven
- Accuracy: ± 0.2°C
- Fast: only 1 sec. reading
- Special sensor detects heathflow through the skin
- Fever Insight® Feature: color-coded temperature display
- Memory function: tracks last 8 measurements
- Featuring a washable ring for extra hygiene
The illustration depicted was created for the April 2013 26(4) issue of JAAPA feature article, Treatment options for major depression during the menopausal (Bobbie Posmontier, PhD, CNM, PMHNP-BC).
Compared to men, women experience 1.7 times the prevalence of depression, largely because of fluctuations in reproductive hormones. Even without a prior history of depression, vulnerability to depressive symptoms may be especially increased during the menopausal transition as a result of greater sensitivity to the extreme fluctuating levels of estrogen, other hormonal influences, and single nucleotide polymorphisms that are unique to women. PAs need to understand the varying presentations for women with depression, a major health burden and component of the National Commission on Certification of Physician Assistants Blueprint, and to appreciate the nuances of treatment if underlying hormonal fluctuations are driving symptoms. Emerging science is redefining the initial treatment approaches, and traditional therapies for major depression may be inadequate to control the symptom burden of patients with menopausal depression. The purpose of this article is to aid PAs in understanding the hormonal and genetic influences as well as the symptoms of menopausal transition that overlap with symptoms of major depression and to discuss effective assessment and multidisciplinary management of major depression during perimenopause.
Patient education illustration showing the differences between the sympathetic and parasympathetic branches of the peripheral nervous system.
This illustration was produced for the Johns Hopkins University’s Suburban Hospital Magazine, New Directions, Fall 2012 issue.
A craniopharyngioma is a benign tumor that develops near the pituitary gland (a small endocrine gland at the base of the brain). This tumor most commonly affects children 5 – 10 years of age. Adults can sometimes be affected. Boys and girls are equally likely to develop this condition.
Craniopharyngioma causes symptoms in the following ways:
- Increasing the pressure on the brain (intracranial pressure)
- Disrupting the function of the pituitary gland
- Damaging the optic nerve
Increased pressure on the brain causes headache, nausea, vomiting (especially in the morning), and difficulty with balance. Damage to the pituitary gland causes hormone imbalances that can lead to excessive thirst, excessive urination, and stunted growth. When the optic nerve is damaged by the tumor, vision problems develop. These defects are often permanent, and may get worse after surgery to remove the tumor.
Behaviorial and learning problems may be present. Most patients have at least some vision problems and evidence of decreased hormone production at the time of diagnosis.
Traditionally, surgery has been the main treatment for craniopharyngioma. However, radiation treatment instead of surgery or along with a smaller surgery may be the best choice for some patients. In tumors that cannot be removed completely with surgery alone, radiation therapy is usually necessary. If the tumor has a classic appearance on CT scan, a biopsy may not be necessary if treatment with radiation alone is planned. Stereotactic radiosurgery is performed at some medical centers. This tumor is best treated at a center with experience in treating patients with craniopharyngiomas. [Source: A.D.A.M. Medical Encyclopedia.]