Latest design projects

Lou Moriconi

on the following pages are some of the projects

i’ve recently completed.

For more examples of my graphic design work,

please visit my website:

http://lmoriconi.com/

and my Linkedin page:

http://www.linkedin.com/in/loumoriconi

R e c e n t D e s i g n P R o j e c t s

Folders designed to re-purpose existing assets

The Challenge:

Find and develop a vehicle to utilize both textbook

information from the medical publishing division and

medical art from the anatomical chart division.

Breakthrough Solution:

combine topics from The 5 Minute Patient Consult

textbook with appropriate medical illustrations from

anatomical charts into a series of patient ed folders,

available for sponsorship by pharma companies .

High Blood Pressure

2011 The 5-Minute

PATIENT CONSULT

High Blood Pressure

High Blood Pressure (Hypertension)

Symptoms of high blood pressure

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What Is high blood pressure?Your blood pressure is a measurement of the force of blood flow against the walls of your arteries as blood moves through your body. Factors that affect the amount of force on the artery walls include the speed and volume of blood the heart pumps, how thick or clogged the arteries are, and the elasticity of the arteries.

There are two numbers in a blood pressure reading. The numbers usually are expressed in the form of a fraction and are told to you as one number over another. For example, you may be told your blood pressure is “135 over 90.”

The top number is the systolic pressure and it is the measure of your blood pressure as your heart squeezes (contracts) and pumps blood. The lower number is the diastolic pressure and is the measure of your pressure at rest.

Normal blood pressure for most adults is 120 over 80. You may be considered to have high blood pressure if you consistently have either a systolic pressure of 140 or higher or a diastolic pressure of 90 or higher. The medical term for high blood pressure is hypertension.

High blood pressure increases your risk for stroke, heart attack, heart failure, and kidney failure. If you have been told you have high blood pressure, be sure to follow up with your health care provider.

SymptomsHigh blood pressure is called “the silent killer” by some because most people have no symptoms even if their blood pressure is dangerously high. Some people have mild headaches, dizziness and nosebleeds, but this is rare, and usually only happens if blood pressure is at a life-threatening level.

Typically, your health care provider will only diagnose high blood pressure if it is high several times over a period of time. Unless it is dangerously high, you don’t have high blood pressure after one un-usual reading. Your provider will take into account that blood pressure is affected by the time of day, activity level and the position you are in. Your provider may take your blood pressure while you are in dif-ferent positions such as sitting, standing or lying and at different times of the day.

Blood pressure is measured using a piece of equipment called a sphygmomanome-ter, which consists of a cuff and a pressure gauge. The cuff is wrapped around your arm and inflated for a few seconds. It can feel pretty tight when it is being inflated; this is done to temporarily stop the flow of blood. Using a stethoscope, your provider listens to the sound of your blood coming through the artery. The first sound heard is the systolic pressure and the second is the diastolic.

Your health care provider may ask you to measure your blood pressure on your own as a way to diagnose and monitor your condition. Ask your provider how to obtain a blood pressure monitoring device and how to use it properly.

Your health care provider may order other tests to determine the cause of your high blood pressure. You may have tests to check for other medical conditions such as diabetes or heart disease and to see whether high blood pressure has damaged your heart or kidneys.

Typically, people only realize they have high blood pressure when they visit their health care provider for some other reason and their blood pressure is taken as part of the routine exam. Ask your provider how often he or she recommends having yours checked based on your unique medical and family history.

Types and causesThe two types of high blood pressure are:

Primary or essential high blood pressure This is the most common type. In about 95 percent of people, no specific cause can be found. Secondary high blood pressure With this type, some other condition or factor is causing the high blood pressure.Causes or conditions of secondary high blood pressure can include:

– Kidney disease.– Narrowing of the renal artery.– Thyroid disease.– Cushing’s syndrome.– Medications.– Pregnancy.– Blood vessel problems.– Use of certain illegal drugs.

Who is at risk for high blood pressure?Some risk factors for high blood pressure are in your control and some are not. Factors you can’t change include:

Your age As you get older, your risk for high blood pressure increases. However, although high blood pressure is most common in adults, children can have it as well.Your gender In early middle age, more men have high blood pressure. Women

are more likely to develop high blood pressure after menopause.Your race High blood pressure occurs more frequently in blacks.

Your family history High blood pressure tends to run in families.

Factors you have some control over that increase your risk of high blood pressure include: A diet high in cholesterol and sodium. Obesity. Physical inactivity. High stress level. Drinking alcohol and smoking. Daily use of anti-inflammatory medications such as ibuprofen or naproxen.

ComplicationsThe increased pressure in your blood vessels can affect many parts of your body, causing serious health problems for you. High blood pressure can cause: Hardening of the arteries and an accumulation of fatty deposits, causing narrowing (stenosis). Heart problems such as coronary artery disease, enlargement of the heart (hypertrophy), heart attack, and heart failure. A stroke which happens when the blood supply to the brain is blocked or if a blood vessel in the brain ruptures. A weakening or narrowing of the blood vessels in your kidneys. This can cause kidney damage and possible complete kidney failure. The blood vessels in your eyes to thicken and narrow. Destruction of small blood vessels all over the body resulting in loss of nerve function in the feet and even impotence.

Steps you can take to care for yourself and lower your blood pressure include: Attend all appointments with your health care provider so your blood pressure can be monitored.

Take all medications exactly as prescribed by your health care provider.

Meet with a registered dietitian to establish a healthy diet.

Get as physically active as possible. Try activities that fit into your lifestyle and physical abilities such as walking or cycling.

Reduce stress in your life. Contact your health care provider if your condition changes or if you have questions.

American Heart Association1-800-242-8721www.heart.org/HEARTORG/

National Stroke Association1-800-787-6537www.stroke.org/site/PageNavigator/HOME

National Heart, Lung and Blood Institute1-301-592-8573www.nhlbi.nih.gov/

Typically, treatment includes making some lifestyle changes and taking medication.

Lifestyle changes Maintain a healthy weight and if you are overweight, meet with a dietitian. Lower your salt intake. Get active! Exercise is great way to treat high blood pressure and lowers your risk for heart attacks too. If you smoke, quit. If you don’t smoke, don’t start. If you need help quitting, talk to your health care provider about programs that can help. If you drink alcohol, talk to your provider about an appropriate amount to drink.

MedicationsEven after making lifestyle changes, some people are not able to lower their blood pressure. Your provider may recommend one medication or a combination of several, depending on your unique needs. Diuretics Sometimes called water pills, diuretics are typically the first medication chosen to treat high blood pressure.

Beta and alpha-beta adrenergic blockers These medications work by causing your heart to beat more slowly and less forcefully. Some cause your blood vessels to dilate.

Angiotensin converting enzyme (ACE) inhibitors help relax your blood vessels.

Calcium channel blockers These medications help relax blood vessels.

As you make lifestyle changes, you may be able to stop taking medications at some time. Never stop taking any medication without talking with your health care provider first.

Diagnosis TreatmentBasics Self-Care Additional Resources

While medications can help with symptoms, they can sometimes cause unwanted side effects. If you think you are having side effects from medication, talk with your health care provider.

Immediately seek emergency medical care or call 9-1-1 if you have the following signs of a heart attack:

Intense chest pain or a feeling of heavy pressure on your chest

Feeling short of breath Pain that goes beyond your chest to your shoulder, arm or back

Pain in your upper abdomen The above symptoms accompanied by nausea, vomiting and sweating

Immediately seek emergency medical care or call 9-1-1 if you have the following signs of a stroke:

Sudden weakness or numbness of your face, arm, or leg on one side of your body

Sudden confusion, trouble talking, or trouble understanding

Sudden dizziness, loss of balance, or trouble walking

Sudden trouble seeing in one or both eyes or sudden double vision

Sudden severe headache

From The 5-Minute Clinical Consult Edited by Frank J. Domino© 2010 Wolters Kluwer-Health/ Lippincott Williams & Wilkins

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What Is Type 2 Diabetes?When you eat food, your body breaks down all the sugars and starches in the food to glucose. Glucose gives your body energy. The pancreas, a gland located behind your stomach, makes substances to help digest the food and it releases hormones into your bloodstream. One of these hormones is insulin and insulin helps your cells absorb the glucose.

Type 2 diabetes is a lifelong (chronic) disease that happens when your body becomes resistant to your insulin, requiring the pancreas to make more and more. Without enough insulin, glucose builds up in the blood rather than going into your cells. Eventually, the pancreas cannot make enough insulin to meet the body’s needs.

Type 2 diabetes, the most common form of diabetes, typically develops gradually over a period of years. Over time, high blood glucose (hyperglycemia) resulting from Type 2 diabetes can lead to serious health complications.

SymptomsMany people with Type 2 diabetes have no symptoms at all. For those who do, symptoms include the following:

Excessive thirst Frequent urination Increased hunger Fatigue Weight loss Slow-healing sores and frequent infections Blurry vision

To diagnose Type 2 diabetes, your health care provider will do a physical examina-tion as well as talk to you about your family and health history.

Your health care provider will order a simple blood test known as a fasting blood glucose level. You will be asked to fast (not eat anything after midnight) and your blood will be drawn in the morning. A person without diabetes generally has fasting glucose levels between 70 and 110 mg/dL. A value above 126 mg/dL at least two separate times typically means you have diabetes.

Other blood tests may/will? include a hemoglobin A1C, an oral glucose tolerance test and random non-fasting glucose testing.

Your provider may also check your blood pressure, the skin and bones on your legs and feet, the sensation in your feet and examine your eyes.

Cause and Risk FactorsType 2 diabetes happens when your body becomes resistant to insulin (insulin resistance) or when your pancreas stops making enough insulin. Health care providers understand what happens – the pancreas does not produce enough insulin or the insulin does not work right, the insulin does not help the glucose get in the cells, the glucose builds up.

However, health care providers do know certain factors make you more likely to develop Type 2 diabetes. These are:

Being overweight. The main risk factor, being overweight causes diabetes because the more fat you have, the more likely your cells are to become resistant to insulin. Having excess body weight around your waist increases your risk as well.Being inactive. Physical activity helps control your weight. In addition, activity uses glucose.Your race. Certain races, such as Hispanics, American Indians and Asian-Americans, are more likely to have Type 2 diabetes.Your family history. If one of your parents or a brother or sister have Type 2 diabetes, you are more likely to have it.Your age. As you get older, particularly after age 45, your risk is higher. Providers believe this is because this is when you typically become less active and gain weight.Having “pre-diabetes.” If your blood glucose is higher than normal several times, but not high enough to be diagnosed as diabetes, you are said to have pre-diabetes. With lifestyle changes, you can prevent progressing to diabetes.Having other conditions, like diabetes during pregnancy (called gestational diabetes) or polycystic ovarian syndrome, can increase your risk.

ComplicationsComplications usually develop slowly, but eventually, can become life-threatening. Complications of Type 2 diabetes include the following:

numbness in the feet as well as problems with the stomach, intestines, heart and other organs (diabetic neuropathy)

cataracts, glaucoma, macular edema, vision loss (even blindness)

Taking good care of yourself is key to keeping your Type 2 diabetes from causing complications. Follow these guidelines:

establish a healthy diet. Remember, this is the most important part of your treatment.

possible to help manage your weight. Try activities that fit into your lifestyle and physical abilities such as walking or cycling. Your goal is 150-300 minutes of exercise per week.

diabetes or other chronic diseases. Support groups are for people with a disease or their family members who want to share their experiences with others and learn how to manage disease-specific problems. Support groups can play an important role in your emotional well-being.

of injury.

prescribed by your health care provider.

glucose when you are sick.

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your symptoms or condition changes or if you have questions.

Even though you have diabetes, you can still live a full and satisfying life. Listed here are resources available to help you do so. Ask your health care provider about talking with a medical social worker if you need help contacting these and other resources. This list is not comprehensive.

American Diabetes Association1-800-DIABETESwww.diabetes.org/

National Diabetes Information Clearinghouse1-800-860-8747http://diabetes.niddk.nih.gov/

American Dietetic Association (ADA)1-800-877-1600www.eatright.org

The short-term goal of diabetes treatment is to lower your blood glucose as close to normal as possible. The long-term goal is to prevent complications.

Treatment is going to include:Losing weight

need medication to control your diabetes. This should be your most important treatment.Eating healthy You will need to eat a diet high in fruits, vegetables and whole grains and low in fat, cholesterol and calories.Getting regular exercise Aim for getting at least 30 minutes of exercise each day. Combined with eating healthy, this will help control your weight.Monitoring your blood glucose You will be asked to check and record your blood glucose several times a day. Recording the readings can help you track patterns. You will see how factors like food, activity and stress can affect your blood glucose.Possibly taking medication or insulin Some people can manage their Type 2 diabetes with diet and exercise alone, however, some do need medications.

Medications to treat diabetesSome medications are swallowed while others are injected. Medications include:

Medications to prevent complications

Some people, despite making lifestyle changes and monitoring their blood glucose, need to take insulin as well. The methods for getting insulin into your body are by injection or infusion using an insulin pump. You can’t take insulin by mouth to lower blood glucose because your stomach enzymes interfere with how insulin works.

To inject insulin, you can use a fine needle and syringe. You can also inject it using an insulin pen. Instead of ink, the pen has a cartridge filled with insulin.

The importance of follow-up careIt is very important you attend all follow-up appointments with your health care provider so your diabetes can be monitored and managed. Follow-up appointments may include a physical exam including checking your legs and feet, blood tests and eye exams.

Diagnosis TreatmentBasics Self-Care Additional Resources

While medications can be effective, they can sometimes cause unwanted side effects If you think you are having side effects from medication, talk with your health care provider.

Immediately seek emergency medical care or call 9-1-1 if you have the following signs of a heart attack:

Intense chest pain or a feeling of heavy pressure on your chest

Feeling short of breath Pain that goes beyond your chest to your shoulder, arm or back

Pain in your upper abdomen The above symptoms accompanied by nausea, vomiting and sweating

Immediately seek emergency medical care or call 9-1-1 if you have the following signs of a stroke:

Sudden weakness or numbness of your face, arm, or leg on one side of your body

Sudden confusion, trouble talking, or trouble understanding

Sudden dizziness, loss of balance, or trouble walking

Sudden trouble seeing in one or both eyes or sudden double vision

Sudden severe headache

in these examples, i combined existing medical

illustrations with original medical writing. Again, the

folders are prepared as part of a presentation for the

purpose of pharma sponsorship.

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The Challenge:

Develop a flow chart of the cAMRis international

organization showing involvement in health and

management oriented projects.


Produce a dimensional chart that can be used as a static

presentation as well as an interactive graphic for various

communication media.

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Website wire frame prototype

The Challenge:

create a public website promoting and introducing

cAMRis international, listing the practice divisions and a

mechanism for employees to connect to the staff intranet.


imbed a slideshow with captions showing the organiza-

tion and its projects around the world. include “cAMRis

in the news”, a timeline emphasizing its 56 year

history, and utilize a global map as background .

The Challenge:

Develop trade show banners for recruiting UsAiD

personnel and radiologist technicians to fulfill contract

obligations as well as a general banner promoting

cAMRis international.


For UsAiD, combine the UsAiD building with a success-

ful pediatric outcome. For the radiology banner, combine

images of a radiologist with the back-up data center.

For the cAMRis international banner, combine the color

band branding with a photo representing global clean

water initiatives.

trade show recruiting banners (33’ x 79”)

The Challenge:

Design a logo for the gcRc symposium. combine

concepts of global and medical research.

Breakthrough Solutions:

Logo concepts

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