A method and apparatus for lowering the body temperature of a patient while reducing shivering by using a heat exchange device in combination with an 2-adrenoreceptor agonist, a non-opiod analgesic monoamine uptake inhibitor or neuropeptide that temporarily reduces shivering. On part of the wiring layer, a Ni layer is plated. The method involves monitoring the environment for cues, such as words from a user reading a book. Through application of the business rules, one or more preferred shipping options may be identified. The planar support member has a plurality of voids extending along an elongate direction of the planar tube.