Critical Analysis Of Arrow

Critical Analysis Of Arrow Arrow is a American television series which can be classified in the action adventure genre. The central character is Oliver Queen a playboy billionaire who was lost at sea when his yacht capsized and had to struggle for survival for five years alone on an uncharted island. The series starts with his return back home and his changed outlook on life. He takes up a persona of a masked vigilante and starts to fight crime with his weapon of choice being a bow and an arrow. The series is based on the fictional DC comic character Green Arrow and moves backwards in time as much as it does forward, to justify the actions of the now vigilante by keeping viewers a briefed by introducing flashbacks of events that happened to the the playboy/soft Oliver Queen to turn him into this darker character. The first episode premiered in North America on the CW (CBS and Warner Bros.) network on 10th October 2012 with international broadcasting taking place later in the year. The series being in its first season and having aired at this point a total of nine episodes world wide has been at the centre of a massive cross over from comic books to feature length films that is becoming a predominant theme at the Hollywood Box office. The reason why television series are playing such an effective role in this cross over is because of the depth of the character they can provide over a long series as compared to a feature film. With Chris Nolans Batman trilogy completed in 2012, the origins of Superman to be retold to a new generation in Zack Snyders The Man of Steel schedule for release in 2013, Green Lantern established as a character in the self titled 2011 release, the stage has been set for all of them coming together in the 2015 release of the Justice League (DC comics answer to Marvel comics Avengers). The character missing from this equation is Oliver Queen alias The Green Arrow who now stars as the central character in the television series Arrow. Arrow not surprisingly coincides with the 2011 television series finale of Smallville, which chronicled Supermans journey from childhood to becoming a superhero, taking over the 8pm time slot that was formerly held by Smallville on CW network. This has strategically worked on multiple fronts. Firstly it is being compared from the outset to Smallville, two shows that are inspired by DC comic characters which is working in raising interest amidst Smallville viewers and fans, secondly it is showing Green Arrow in a different light than his care free persona which guest starred in Smallville and lastly it has been placed before the very popular show Super Natural, both shows mirror each other in theme of being suspense action thrillers with central characters being hunters. The core team that has developed the series and has been successful in bringing it on air comprises of Andrew Kreisberg, Greg Berlanti, Marc Guggenheim and David Nutter. The first three names have developed the story and script together or in part, for most of the season, while David was the director of the first three episodes, including the pilot, playing an intrinsic role in getting the series approved. In terms of familiarity with the central character, the DC universe and experience with successful shows, Arrow could not have hoped for a better team. Andrew Kreisberg in 2009 was the co-executive producer and writer for the hugely successful series Fringe and has actually written a comic book ongoing series Green Arrow and the Black Canary published by DC Comics starring Green Arrow. He was further involved in the marketing of the television series when he wrote the 10 page preview comic produced by DC for the 2012 San Diego Comic-Con,, sharing the same plot structure as the tele vision series which Kreisberg commented by saying, Anyone who grabs a copy: Hold onto it and as the (television) series progresses, youll appreciate it more and more. Greg Berlanti on the other hand has written the script for the movie Green Lantern, based on another DC character who will be paired with Green Arrow in the 2015 release of the Justice League while Marc Guggenheim has written television scripts for e.g The Practice and has also written for DC comics The Flash and Justice Society of America. Interestingly Dave Nutter is known for directing pilot episodes for television series and is often referred to as the pilot whisperer. His break came when he directed episodes of the X-Files but his claim to fame are still the first sixteen pilot episodes that he directed which all went on to become series, including Smallville. From an aesthetic viewpoint Arrow really has to be divided into 3 different segments for a fair analysis which are present Olivers public life, the flashbacks which take us back to the island and the action scenes in which Oliver acts out as the vigilante in costume. Firstly the lighting and color tones in all three are noticeably different. In the flashbacks the color tone turns to grey playing into the theme of his isolation, fear and confusion, instinctively pointing to the viewer that this is indeed a flashback/memory. Then we have the public life of Oliver Queen in which he continues to keep up his playboy faà §ade to cover up his darker alter ego. These scenes are often spent among family and friends or making public addresses, which are all well lit almost to the point of having a yellow tone to them, playing into the notion of the rich and famous, all glitter and gold. Then there are the night scenes in which the vigilante comes out to extract his idea of justice, in which t here is a lot of usage of shadows, setting the feeling of mystic and playing an important role in hiding Olivers face, from the villains as well as the viewers. In the flashback scenes the camera work remains edgy, almost has a hand free look to it while the editing in terms of cuts is very quick and often this technique is used to suggest lapses in time, from passage of hours, in some instances passing of days. The framing in these scenes, to compliment the editing, normally sticks to mid close up shots to extreme close ups so that the rush of the moment tempo can be sustained. Olivers public life scenes in the contemporary timeline show a range from close ups frames to long shots. There are a lot of establishing shots to justify the setting of the place from house, restaurants, night clubs etc, also the long shots are used to show the grandeur of the way Oliver and his family live. The editing cuts slow down as well and more time is spent in establishing one scene from one angle before switching to the next angle. The vigilante scenes revert back to the same formulae as the flashback scenes in terms of their framing and editing but differ in the way the camera is handled. The camera are more steady shots which are improvised by use of tracks and cranes but still are very different from the handheld look used in the flashback scenes. Diegetic sound has been used amply to justify certain scenes, examples of this are gunshots, the sound of the arrow leaving the bow, the sound of moving water in the flashback scenes reminding the audience that Oliver is on an island even at times when the water isnt shown, not to mention the music in the background from a party taking place downstairs when Oliver and other characters are having a conversation in a room upstairs etc. In non-diegetic sound, music from other artists is used in the romance scenes and other emotional situations but the most intriguing is the original music score that was composed by Blake Neely. The dark music theme sets the mood for this dark take on the Green Arrow character. Blake Neely admits in a promotional video released about the composition of the music, prior to the airing of the series, that he was pleasantly surprised when the writers of the show asked him to go as dark and menacing as he could. Most of the vigilante scenes and the flashbacks use only the original theme, which plays well in keeping the link alive in the audiences mind, that what happened to Oliver on the island has led to him becoming what he is now, the vigilante Green Arrow. The critical reception towards Arrow has been favourable with Metacritic giving it a score of 73%, based on reviews from 25 critics. Mary McNamara (Los Angeles Times) said the series has a quality look to it and an interesting setting ,Smooth without being slick, textured but not self-indulgent, Arrow reminds us that the best stories we tell are both revelatory and a whole lot of fun to watch. Robert Bianco (USA Today) stated Granted, its all standard superhero stuff but the action scenes are well-handled, the emotions and the characters mostly ring true, and the plot offers enough twists to keep you intrigued. while David Hinckley (NewYork Daily News) wrote Arrow turns out to be a lively show, probably better than hard-core Green Arrow fans expected. Thats a good start.. While there are praises for Arrow by and large by critics, the articles have an undertone of a pleasant surprise like they were expecting worse and I think that worked for Arrow as it took people by surprise, not for being that great but for being far better than they expected. Not all reviews were full of praise though for e.g Brian Lowery (Variety) called the characters as strictly two dimensional and argued that there is over use of action scenes for a hour long episode. He also compared the over all setting of the series and the central character as being a surrogate Batman story. The most telling of reviews was probably that of Ken Tucker (Entertainment Weekly) suggesting that Your interest in Arrow depends on how much you miss the troubled-in-love, conflicted-by-family heroics of Smallvilleit mirrors that series setup. I think Ken Tuckers review has nailed the essence of the fans reaction to the show. Arrow has appealed to Smallville fans who have adopted it as their logical replacement after the Smallvilles tenth season finale bringing the series to a close. Those who didnt take well to Smallville are having the same objections to Arrow, with common complaints being of the characters being too involved in their emotional family sagas and their love lives rather than taking the plot of the mystery forward. Some fans of Batman are viewing it as a step down as the background stories of the two characters have a lot of similarities, playboy billionaires coming back after many years to their respective fictitious cities (Gotham and Starling City), becoming maske d vigilantes fighting against crime and injustice. Luckily for Arrow, Smallville did have a large viewership and the comic book fans of Green Arrow have reacted well to the new television series which has enabled it to amass a descent following. Arrow has lived up to its hype through the cinematic way that its been written, filmed and edited. Use of the original music/score has allowed the viewers to follow the journey of Oliver from the present narrative to his flashes back in time with ease, while the diegetic sound is used amply and with good effect in the action scenes to capture the intensity of the moment. If the first nine episodes are any indication, which they are as Arrow has become CW networks first major success since the Vampire Diaries in terms of ratings, the series has all the potential of enduring against its competition. The co-writers past experience with writing for DC comics have aided them in bringing the best rendition of the character of Oliver Queen to the television screen, while the plot deepening in each e pisode, with the mystery surrounding his enemies and his past, is sure to keep the audience intrigued for what seems to be at least a couple more seasons to come. 3 ACT STRUCTURE ACT 1 The time period is contemporary London. The story follows our protagonist Jeremy, who is a successful banker in his mid 30s, coming from an affluent family. His commitment to his profession and ambition to climb up the corporate ladder has made it difficult for him to find his soul mate. After several years of attempting to find someone he lets Tim, his childhood friend, set him up on a blind date with Kelly, Tims neighbour. Kelly is in her mid 20s, a free spirited, care free personality, working in a local restaurant. Plot Point 1: Jeremy meets Kelly in a local diner and intrigued by her spontaneity is instantaneously attracted to her, as Kelly is to his ambitious nature. Jeremy decides to keep seeing Kelly which Kelly agrees to although deep down she realizes how different they really are. ACT 2 Eight months have passed since Jeremy first met Kelly. Jeremy keeps falling deeper in love with her and wants to marry her. In the back of his mind he also feels that Kelly might be interested in someone else as she has been acting emotionally distant recently, the truth being that he doesnt realize that Kelly is scared of a serious commitment. Despite all the troubles they have had on account of differences in their personality, and his suspicions, he feels that if she agrees to marry him all the problems between them will be resolved. Middle point: Jeremy proposes to Kelly in the diner where they first met, taken aback as she was expecting a more serious build-up, like a formal dinner, in which she would have been better prepared to make a well thought out decision, she is taken in by the moment and decides to say Yes. After further contemplation Kelly decides that she does love Jeremy but could not spend the rest of her life with someone so different. She wants to get break off the engagement. Although knowing it will be extremely heartbreaking for her, she is more concerned about Jeremy, as the last thing she wants to do is hurt him. Plot Point 2: Jeremys suspicions increase as Kelly seems even more detached after the engagement. Against his better judgement he goes through her mobile text messages in which he sees a text from her to Tim saying I rather be with you. This sends Jeremy in a rage of fury and he decides if Kelly is having an affair with his best friend, then their engagement is over. ACT 3 Jeremy has an altercation with Tim in which Tim denies any involvement with Kelly. Jeremy then decides that he should call Kelly to his place and give her a chance to explain. He would be willing to forgive her anything but this and wants her to tell him it isnt true. As Kelly is on her way over Tim calls her and tells her what Jeremy was accusing Tim off. She is hurt as through all their problems Kelly never thought of anyone else while she was with Jeremy. The text message was completely unrelated to Jeremy and was a joke between two friends on a unrelated topic. Climax: Kelly arrives at Jeremys house only to find that he has adopted a very cold demeanour towards her. He asks her whether she had cheated on him with Tim. She thinks about telling the truth but sees this as the only way she can break the engagement without making Jeremy feel that he is not worthy of her. With bitter sadness she says Yes and leaves the house with tears rolling down her eyes. For the first time since they met, Jeremy and Kelly are on the same emotional place, they do love each other, but understand they were never meant to be. Synopsis of the Pitch Idea In contemporary London, Jeremy a successful banker in his 30s, driven by ambition and overburdened by his work hasnt found the time to find his soul mate. After much hesitation he lets his childhood friend Tim set him up on a blind date with a girl named Kelly. Kelly in her mid 20s, works in a local restaurant as a waitress and is the polar opposite in personality to Jeremy. When they meet opposites attract and Jeremy asks Kelly if he can continue seeing her to which she agrees. Half a year later they have grown to love each other but that doesnt stop them from having major fights on account of their personality differences because of which Kelly starts becoming emotionally distant. Jeremy being blinded by love mistakes this as Kelly being interested in someone else. He feels that whatever the reasons for their problems in the relation, internally and externally, will resolve themselves if he proposed to Kelly. Jeremy proposes to Kelly in the diner where they first met, taken aback by the suddenness of the gesture, Kelly is taken in by the moment and decides to say Yes. Only a few weeks later to realize that love is not enough when two people are just not compatible. Although she loves him, she realizes for both of their sake she needs to end things with Jeremy but she cant think of a way in which it wont Jeremys suspicions increase as Kelly seems even more detached after the engagement. Against his better judgement he goes through her mobile text messages in which he sees a text from her to Tim saying I rather be with you. This sends Jeremy in a rage of fury and he decides if Kelly is having an affair with his best friend, then their engagement is over. Kelly arrives at Jeremys house only to find that he has adopted a very cold demeanour towards her. He asks her whether she had cheated on him with Tim. She thinks about telling the truth but sees this as the only way she can break the engagement without making Jeremy feel that he is not worthy of her. With bitter sadness she says Yes and leaves the house with tears rolling down her eyes. For the first time since they met, Jeremy and Kelly are on the same emotional place, they do love each other, but understand they were never meant to be. COLD CHARACHTERIZATION OF LEAD CHARACTERS IN THE SCRIPT KELLY JEREMY OUTER MOTIVATION (Goal) To make the relationship work To make the relationship work OUTER CONFLICT Not coping well with Jeremys seriousness of life A bit too dependent on Kelly INNER MOTIVATION (Dramatic Need) To remain care free To control things INNER CONFLICT Loves Jeremy but cant be herself with him Largely discontent with himself EXTRA-PERSONAL CONFLICT None Dissatisfied and disillusioned by the world in general SECOND LEVEL OF SELL To bring happiness to whom ever she meets None TRANSFORMATION ARC From care free to being heart broken (negative) From being caring to becoming cold hearted (negative) WORST ATTRIBUTE Blunt Controlling BEST ATTRIBUTE Idealistic Determined Kelly Is a strong woman who likes to live life one day at a time. She is 24 years old and has lived in London through out her life. Her blunt and care free nature make it very easy for her to make friends with strangers but as she doesnt believe in staying in one place or dependant on anyone, she has a way of losing touch with friends, although never on a bad note. The most important people in her life have been her parents, her dad is still alive but her mother passed away when she was 16 years old. Shes what one would consider conventionally pretty, not that tall and has a tendency to act and dress casual at most times. Shell often be seen in her favourite pair of jeans, a short shirt and a wool cap. She is down to earth but firm in her beliefs of being herself and is blunt, more out of spontaneity than rudeness. She met Jeremy in a casual conversation in a bus and decided to stay in touch with him after he asked to exchange numbers. Over time she has fallen in love with him but deep dow n is concerned about the contrast between his controlling nature and her care free attitude. Jeremy Jeremy has also lived in London his whole life and is the only son of an extremely wealthy couple. He is a successful banker in his mid 30s and ran into Kelly in a bus on the way back from work when his car broke down. Hes tall, blonde and considered to be handsome. He is the strong silent type, who doesnt say much and feels he can freely speak in front of very few people. His love for Kelly has grown as he sees himself quite differently when hes with her than when around other people. As much as he loves her he understands that his habit of always wanting to be in control of things is an inherit part of him and doesnt understand how that would play out in the future with someone like Kelly. He also has a obnoxious side to him as his rich upbringing makes him feel that he is better than the common folk. He is extremely determined to stay set in his ways and finds it hard to take no for an answer. Research Idea (Research on the Project) Trials and tribulations in any relationship have always intrigued me especially the dynamics of two people trying to make a serious commitment to each other yet failing to end up together when, for all intents and purposes, they seem like nice people in their own right. When a friend of mine from another University in England mentioned working together and wanting to make a short film on problems faced by young couples in the contemporary British society, we got to work searching for material online. I looked through articles on the internet and some interesting statistics that I came across were suggesting that dwelling over the past and your ex, was a strong cause of emotional stress and depression. According to the 2011 survey carried out by YourTango.com, an online website dedicated to articles on relationship aspects and advice on matters, most people are still hung up on their ex: 71% of people say they think about their ex too much; narrowed to singles the figure goes up to 81%. More than half (57%) of singletons say thinking about their ex prevents them from finding new love. Both women and men remain attached to their exes. 74% of women and 64% of men think about their ex too much 76% of women and 70% of men have looked up an ex on the internet 50% of women and 40% of men say they look at their exs Facebook or other online profile too often. I felt the only way to make it intriguing for the viewer would be if the story revolved around everything that one shouldnt do in a relationship rather than discussing what one should. So after reading another article What Is The Best Way To Overcome Jealousy? I though the male counterpart in the story should suffer from jealousy as chronic jealousy according to the article leads to jumping to conclusions, suffering from paranoia, putting yourself in stress with recurring negative thoughts ultimately leading to moments of lashing out which make it difficult for the other person to stay with you. Having characterized to male character, I wanted the story to be balanced, so it was imperative that the female character embodies certain traits that cause the rift between them and blame isnt one sided. So the female character being free spirited is scared of a serious commitment to someone slightly older and more grounded than her. Although they have gotten engaged and she does love him, how does she react to realizing that they just arent compatible in the long run and would end up making each other miserable. I helpful article on this front was one written in 2009 by Simon Oaks titled How To Break Up With A Man: Dont Be Ambiguous. The article suggested that the best way to go about breaking of your relationship was to Make A Clean Break, by not hinting about it but rather saying the words Its over so it makes matters clear , secondly to Be Direct and not leave messages, letters etc, but by having the conversation face to face. So to make the story more complex, the female character spends more time trying to break off their engagement by suggesting, hinting and growing emotionally distant thinking that would be a better ploy and less heartbreaking for the male character but instead leads to more paranoia, suspicion and stress on his part. The feel/tone of the film is inspired by two different films, a French 70 minute film written and directed by Olivier Roberge and Patrick Boivin called Fall Finally that I saw online which follows a couples love affair and eventual breakup. I felt the cinematography for a low budget film, with interesting and crisp color toning and camera movements was inspirational. The camera movements could be done without excessive or expensive equipment and the up and do of the relationship were handled well. The other is a short film Symmetry made by filmmakers Will Hoffman, Daniel Mercadante, and Julius Metoyer, which plays with our yearning for balance, and reveals how beautiful imperfect matches can be, which has inspired the editing style of the flashback/memory scenes in which Ill attempt to use point of view (POV) shots a time lapse effects in post editing to make it visually different from the rest of the film.

A Persistant Lichen Sclerosus Case Health And Social Care Essay

Lichen sclerosus is a lymphocyte-mediated chronic inflammatory dermatitis that most normally involves the anogenital country. Treatment options include topical corticoids, tacrolismus, C dioxide optical maser extirpation and eventually vulvectomy as surgical attack. The aim of this survey is to describe a stubborn anogenital LS topic and depict the usage of V-Y promotion flap for the Reconstruction of the perineal defect after vulvectomy. Case: A relentless LS instance who was treated succesfully with surgery is reported and literature is reviewed. The patient had good tolerated the surgical process with satisfactory decorative consequences.Decision:A multidisciplinary squad work would be ideal in the direction of relentless LS instances. Surgical intervention of LS should be reserved as a last resort for patients who were furnace lining to other medical options and in the instance of a surgical effort recontruction of the vulva should be good known. Cardinal words: Lichen sclerosus, Vulvectomy, Vulvar Reconstruction..Introduction:Lichen sclerosus ( LS ) is a benign, chronic tegument disease that most normally occures in the anogenital epithelial tissue ( 1 ) . It affects both gender and kids particularly adult females in postmenopausal ages. Although the exact aetiology is still unknown, there is a strong association between LS and autoimmune upsets such as ; alopecia areata, vitiligo, thyroid upsets and diabetes mellitus ( 2 ) . Besides the autoimmune diseases in association with HLA category II antigens, hormonal factors, infective causes, and familial influence have besides been associated with LS ( 1 ) . Authoritative LS is characterized by pronounced redness, epithelial cutting and typical cuticular alterations with an visual aspect of all right â€Å" coffin nail paper † -like pursing accompanied by symptoms of pruritus, dyspareunia and dysuria ( 3,4 ) . A considerable figure of patients ( 33 % ) are symptomless but have the clinical marks of LS on physical scrutiny. The diagnosing of LS is based upon the presence of characteristic clinical manifestations, ideally with histological verification obtained from a vulvar clout biopsy. A hold in the diagnosing may originate, due to the patients ‘ embarrassment and/or reluctance of the doctor to to the full measure the symptoms every bit good as strangeness with the disease ( 5 ) . The optimum direction of LS could be achieved with a multidisciplinary attack. Surgical intervention is preferred in the instance of a post-inflammatory sequelae, phimosis or in a malignant province. Although the presence of vulval cicatrixs or the features of the defect will restrict our surgical preferance there are many surgical options proposed for the perineal Reconstruction, including local musculus and fasciocutaneous tegument flaps ( 6,7,8 ) . We are depicting a persistant lichen induration instance who was treated surgically and recontructed with V-Y promotion vulvar flaps.Case study:A 49 twelvemonth old Caucasian adult female married for 30 old ages G3, P2, A1 enduring from vulvadynia because of relentless vulvar LS for 16 old ages, admitted to our clinic. She has been having medicine with carbamezepine for ungratified leg syndrome for six old ages. She had two cesarean subdivisions and three lumbar phonograph record hernia operations in which an internal fixator was placed to the lumbar vertebras. She used to hold local cortisol, estrogen and testosterone therapies since she received her initial diagnosing. She has had vulvar alcohol injection one time and vulvar betametasone, lidocain injections and phototherapy several times. Her history revealed a vulval denervation operation to the pudental nervus with the diagnosing of vulvadynia. Furthermore she had three times simple vulvectomy and vulval Reconstruction operations. These intervention modes failed to relieve her symptoms, and sclerosing alterations of vulvar country which extends to posterior, affecting the perineum and anus. The singular findings in her pelvic scrutiny were the hyperkerotic lichen plaques spread to anus, vaginal orifis and periclitoral country ( Figure 1a ) . We observed the vaginal orifis as narrow shaped and labia majora – minora were absent. Hyperkeratotic scars were noticable on her mons pubis due to her old surgical operations and lichen plaques. In her speculum scrutiny, vagina and neck were normal in form and uterus – bilateral ovaries were normal by transvaginal ultrasound and no malignant cells were reported in her pablum smear trial. Histopathological diagnosing of the topic was confirmed with two antecedently performed consecutive vulvar biopsies that revealed characteristic cuticular wasting and cuticular hyalinisation ( homogenisation of the collagen in the upper corium ) . Our patient had relentless and worsening symptoms and we decided to execute simple vulvectomy and V-Y promotion flap for the Reconstruction of vulvar defect ( Figure 1a ) and obtained informed consent consequently. Briefly ; urinary catheterisation was needed to forestall urethral hurt and to supply plenty wound hygiene after surgery. After vulvectomy ( Figure 1b ) , we performed V form scratchs bilaterally widening to median part of the thigh without any complication ( Figure 1c ) . The scratchs were profoundly performed until the superficial genital facia to travel the flaps freely and punctilious haemostasis was done. The mobility of the cutaneal flaps are tested. Following the release of the flap, this extra block of hypodermic tissue is folded into the defect. The sidelong transverse defect which was formed when the island flap moved medially is closed horizontally, therefore giving the concluding cicatrix a horizontal â€Å" Y † form. We aproximated the hypodermic tissue with 2/0 polyglactin 910 [ Ethicon, Edinburgh, UK ] . The tegument was closed by interrupted 3/0 polyglactin 910 [ Ethicon, Edinburgh, UK ] suturas ( Figure 1d ) . We repaired the round defect above the vaginal orifis with free rotary motion flap. No drains were placed. Postoperative closing of vulvar defect was seen perfect in form. She was hospitalized for the undermentioned two yearss ( Figure 2a ) and uretral catheterisation was removed on her 2nd twenty-four hours. All the critical marks of the patient were usual without any wound infection or haematoma in the closing. In the early postoperative period, the healing of vulva was uneventful and completed after three hebdomads ( Figure 2b ) .Discussion:A assortment of names and descriptions have been used for the disease that is presently named lichen sclerosus. In 1887, Hallopeau was the first to depict the histological characteristics of the disease ( 9 ) . LS occurs at all ages but non in newborns and is rare in the first twel vemonth of life. The disease has a bimodal extremum incidence in prepubescent misss and menopausal adult females. In a survey the prevalence of lichen sclerosus in childhood was found to be 1:900. The bulk of patients consists of adult females aged between 50-70 old ages, while 5-15 % of the LS topics were kids. Lifelong surveillance of all adult females with LS is considered indispensable because of the hazard of malignant patterned advance, ( 10 ) . Although adult females with vulval LS are at increased hazard of developing invasive squamous cell malignant neoplastic disease ( SCC ) of the vulva ( 4 ) , the estimated hazard is to be less than 5 % ( 11 ) . No grounds exists that regular check-ups cut down the hazard of malignant patterned advance. Nevertheless, patients with vulval LS should be examined at least annually and localized, relentless, nonresolving lesions should be biopsied ( 4 ) . In contrast to vulvar LS extragenital LS lesions are non associated with an increased hazard of malignance ( 9,12 ) . There is non a universally recognized direction scheme for adult females with LS. It normally provides diagnostic alleviation, without needfully rectifying the implicit in upset. The intervention of LS consists of instruction and support, behavioural alteration to keep good perineal hygiene and turning away of any local thorns, medicine and surgery. Assorted conservative curative options such as, topical testosterone, topical Lipo-Lutin, topical corticoids, estrogens, retinoic acid, retinoids, vitamin A, chloroquine and a short class of systemic corticoids are wholly accepted as intervention options ( 13 ) . All published studies on the direction of LS indicate centrist to strong topical steroids as the intervention option of pick ( 12,14,15 ) . Mild to chair authority topical corticoids are besides normally used for intervention of grownup vulvar LS ( 3 ) . Recently, ace potent topical steroids were found to be an effectual intervention for this job with both short- ( 16 ) and long-run ( 17 ) efficaciousness. Topical steroid therapy is non without complications, including the possibility of wasting, contact sensitisation, tegument alterations, and secondary infection. Although there are no good studied therapies in adult females who failed to react to corticoids, Lipo-Lutin, testosterone, retinoids, topical immune system modulating agents ( tacrolismus, pimecrolimus ) and cyclosporine has been used in some randomised tests ( 4 ) . Small randomized tests showed that Lipo-Lutin and testosterone picks are less effectual than corticoids ( clobetasol ) with more side effects ( 18 ) . Treatment with an unwritten retinoid ( acitretin ) was found to be effectual in one randomised test ( 19 ) . Successful interventions with tacrolimus oinment was reported ( 20 ) but frequently discontinued due to Burnss on application sites. As presented in our instance furnace lining instances have been treated with intradermic intoxicant injections with variable consequences ( 21 ) . Another concern must be the physicological jobs that may look ( i.e. narcotic maltreatment ) in relentless LS topics due to chronic vulvar hurting. The American College of Obstetricians and Gynaecologists suggests one-year scrutinies for patients whose LS is good controlled and more frequent visits for those with ill controlled disease ( 15 ) . Surgery does non hold a cardinal function in the intervention scheme of LS and could be considered as a last resort to handle complications secondary to the LS ( 22,23 ) . Surgical intercession in LS should non be aimed at taking the disease but at deciding complications of the disease: to let go of a inhumed button, to divide fused labia, or to widen a narrowed introitus in instance of ailments about clitoric symptoms ( hurting or sexual clitoric disfunction ) ( 22 ) . Its usage is limited since scars and contractures may look after surgery. However, if surgery is the preferable intervention mode, it is of import to cognize how to retrace the vulva. Patients wish to go on their sexual life every bit shortly as possible. V-Y promotion flap is an effectual method for Reconstruction of the perineal part. This technique will supply better blood supply and nervus esthesis and will let the expanding of the vaginal orifis. The principle behind the surgical therapy is chiefly to handle those patients who did non or react ill to medical intervention and secondly to forestall the development of invasive carcinoma of the vulva ( 23 ) . Our patient had a long medical history about LS in which she had received several local therapies, phototherapy, surgical efforts and systemic medicines for 16 old ages. All intervention modes were discussed with the household and the concluding determination of the patient was surgery due to her exhaustion and better decorative outlook. Consequently, surgical intercession must be deferred until LS has been controlled with medicine or should be reserved for pull offing postinflammatory sequelae. If an excisional process ( i.e. vulvectomy ) is the preferable intervention mode, Reconstruction of the vulvar defect with V-Y promotion flap seems to be an applicable and extremely effectual surgical technique with its good decorative consequences and rapid healing after surgery.LegendsFigure 1: Pre and intraoperative images of vulvar lichen sclerosus patient. 1a ; hyperkerotic lichen plaques spread to anus, vaginal orifis and periclitoral country, 1b ; vulvectomy was performed, 1c ; V form scratchs bilaterally widening to median part of the thigh, 1d. closing of the tegument, giving the concluding cicatrix a horizontal â€Å" Y † form. Figure 2: Postoperative images of vulvar lichen sclerosus patient. 2a ; station operative 2nd twenty-four hours, 2b ; completed vulvar mending three hebdomads subsequently.

Fun Time

http://www. ehow. com/facts_5788552_benefits-open-campus-lunch_. html Budget * If students are allowed to leave campus and their parents' homes are nearby, students can save money on lunch and eat from home. Social Contact * Students may spend time with others who they may not see if the lunch was confined to on campus. Students can go out and eat with friends. Outside * If it's a great day outside, students can eat outdoors and enjoy the sun for a half-hour or so. This could lead to a fresh burst of energy and creativity.Independence * Open campus lunch allows the students to leave the premise of the school. This grants the student freedom to eat where he wants. Physical Activity * When students are allowed to leave campus, they can get out and stretch their legs a little more than if they were confined to a lunch room. http://www. masters. edu/undergrad/student-perspective/offcampuseats. aspx Line too long in the cafeteria and not a lot of change in your wallet? In need of a good q uick fix?There are several places in Santa Clarita that can satisfy your food cravings at an affordable price of $10 and under. Egg Plantation, Urbane Cafe, Chronic Tacos, La Cocina, Qdoba Mexican Grill, Corner Bakery, El Taco Llama, Saugus Cafe and Panera Bread are just a few of the delicious options to choose from. It all just depends on what type of food you are in the mood for. Don‘t know where they are located? Simply go to Yelp, Map Quest, or Google Maps and enter the destination. Here are a few off-campus favorites to whet your appetite: Breakfast ?Breakfast is offered at Egg Plantation, Corner Bakery, and Panera Bread. All have price ranges between $6-$10. These bakery cafes also offer a comfortable, friendly, fashionable place to study or hang out with friends. Egg Plantation in Newhall is home of 101 delicious omelets. Panera Bread and Corner Bakery not only offer breakfast, lunch, and dinner but free wire-less Internet as well. Way Station Coffee Shop and Eggs N Thi ngs are some mom and pop cafes that offer a wide variety of delectable breakfasts. Lunch/Dinner ? In the mood for Mexican food?Chronic Tacos (breakfast available), El Taco Llama, Qdoba Mexican Grill, and La Cocina Restaurant have good tasting lunch and dinner dishes that range anywhere from $5-10. The great thing about Qdoba is if you bring in a student ID then you are qualified for a free drink with your meal. Talk about a deal. Urbane Cafe is an excellent lunch or dinner stop that offer‘s some of the best sandwiches in Santa Clarita. Not only do you get a sandwich but a salad as well, both for $7. Just take a pick from their wide selection of sandwiches, soups, and salads. 4-Hour-Breakfast/Lunch/Dinner? If it is late and you are getting the munchies The Saugus Cafe is open 24 hours (Wednesday to Friday) with breakfast, lunch, and dinner all located within minutes from campus. Good service, friendly staff, a nice atmosphere, and affordable prices. That‘s what they all h ave in common. Just grab a friend and enjoy your meal. http://www. thetitanchronicle. com/editorials/2011/03/31/off-campus-lunches/ What if upperclassmen could have lunch off campus? That would be great news to 11th and 12th graders.It would mean upper-classmen would no longer be cooped up in school all-day; after all, this isn’t elementary school. We are young adults capable of handling the responsibility of leaving school. Set the bar high administrators, and if students decide not to come back, then consequences should be handed out. For example, if a student doesn’t come back to school, they would face suspension. Consider the age difference between the lower-class and the upper-class. Since the 11th graders and 12th graders have reached a certain level of maturity, they can handle eating lunch off campus.Upperclassmen are basically young adults and should continue to experience increased responsibilities so that they can become more productive members of our commu nity. Not everyone should enjoy off campus lunch; only students with good grades. Not only should upper-classmen have good grades, they should also have a good reputation with all administrators. Students allowed the privilege of eating off campus must be doing well in school. Just like in sports, if you have two failing grades you can’t play, well, if you have two failing grades, you can’t eat out off school grounds.School comes first for every student and needing to do well in order to eat off campus could influence some low achieving students to do better in class. There also should be record on who goes in and out of school, since keeping track of students who leave school grounds is a concern. The remedy is to have a sign in sheet. If students did not sign in and out, then suspension or other consequences would be doled out. The object is not to give students a chance to have extra free time or skip classes but to have them do something different and enjoy their s chool lunch at the same time.

Brevity in Speech and Writing

Brevity is shortness in duration and/or conciseness of expression in a  speech  or a  written text. Contrast with verbosity. Brevity is generally considered a stylistic virtue as long as its not achieved at the expense of clarity. Examples and Observations If you would be pungent, be brief; for it is with words as with sunbeams--the more they are condensed, the deeper they burn.(Robert Southey)Brevity is a great charm of eloquence.(Cicero)How brief? Well, as brief as possible but not so brief that the message doesnt get across. But messages vary so. Beat it! is short enough but very long when you reckon in the attitude that comes with it. . . . Brevity, then, depends on the message. . .Brevity, in most human communication, remains a variable governed by social relationships as much as by factual baggage. One is brief in all kinds of ways, and Poloniuss objection, This is too long, always means Too long for this person, place, and time.(Richard Lanham, Analyzing Prose, 2nd ed. Continuum, 2003)[S]ince brevity is the soul of wit,And tediousness the limbs and outward flourishes,I will be brief . . ..(Polonius in William Shakespeares Hamlet, Act 2, scene 2)There are no hard and fast rules in writing for the ear, but after more than fifty ye ars of working at it, I believe in some rough guidelines.Two of them are: short is usually better than long and dont waste words. The bank robber Willie Sutton got it right when he was asked why he robbed banks. Thats where the money is, he replied. Have you ever heard three words that convey a message better than stick em up, or Ive had it! or Im outta here? Have you ever heard anyone express himself better, faster, or more to the point than the judge who had the following exchange in his courtroom: As God is my judge, the defendant said, I am not guilty. To which the magistrate answered, Hes not! I am! You are!Now thats good writing. No unnecessary adverbs or adjectives, just telling it like it is. Dont be afraid to write the way people talk.(Don Hewitt, Tell Me a Story: Fifty Years and 60 Minutes in Television, PublicAffairs, 2001) Brevity in Presentations Edit ruthlessly. Brevity, always a virtue, is doubly so when youre trying to avoid watering down your impact. Matt Eventoff, principal of Princeton Public Speaking, in Princeton, N.J., says: This is stuff we’ve all known instinctively--anyone who’s sat in a corporate meeting over the past 20 years, with slide after slide after slide of information. It can be very powerful information, but it’s overwhelming--you don’t know what it’s saying. Are we in good shape or in bad shape? You can’t tell. When all the points of your presentation don’t back up your streamlined theme, you really risk losing people and also potentially turning them off. (Christopher Bonanos, Quit While Youre Ahead. Bloomberg Businessweek, Dec. 3-Dec. 9, 2012) Brevity and Conciseness Brevity is often used indifferently with conciseness; but when any difference is implied, then properly speaking, brevity refers to the matter, conciseness to the style. In fact, when brevity of style is spoken of, it may be considered synonymous with conciseness. Strictly speaking, however, brevity merely implies the use of few words, while conciseness implies a great deal of matter concentrated in a small space. (Elizabeth Jane Whately, A Selection of English Synonyms, 1852) Brevity and Clarity It must be recognized that it is very difficult for those giving attention to brevity also to give due care to clarity; for often we either make the language unclear for the sake of clarity or for claritys sake we have to speak at length. It is necessary, then, to be on the lookout whether the brevity is proportional, neither leaving out anything necessary nor including more than is needed. (Nicolaus the Sophist, quoted by George A. Kennedy in Progymnasmata: Greek Textbooks of Prose Composition and Rhetoric. Society of Biblical Literature, 2003) Safires Contrarian View of Brevity Every book on writing you can find these days says essentially the same thing: keep it short. Take it a bite at a time. Dispense with the adjectival frills. Put the punch in the verb and not the adverb (he added weakly). Edit, edit, edit, and avoid repetition. Less is more, spare is fair. . . Maybe we are going overboard. The burst of the business memo, the snap-and-spit of the television news bite, the mincing sentences of post-Hemingway novelists--all have led to the canonization of brevity.. Introduce it, lay it out, sum it up. The dash is dead. It is not for nothing, as the Communists say, that the hottest word in communication is briefing. (William Safire, Introduction: Watch My Style. Language Maven Strikes Again. Doubleday, 1990) The Lighter Side of Brevity People whose vision is perfect in every other respect suffer from a curious astigmatism which prevents them from recognizing a stopping point when they come to it. We suggest to some ingenious inventor that he devise a combination of time clock and trip hammer by which a dull, blunt instrument shall be liberated at the end of five minutes so that it may fall with great force, killing the after dinner speaker and amusing the spectators. (Heywood Broun, We Have With Us This Evening. Pieces of Hate and Other Enthusiasms. Charles H. Doran, 1922)[Calvin Coolidges] most celebrated trait was his taciturnity. An oft-told story, which has never been verified, is that a woman sitting next to him at dinner gushed, Mr. President, my friend bet me that I wouldnt be able to get you to say three words tonight. You lose, the president supposedly responded.(Bill Bryson, One Summer: America, 1927. Doubleday, 2013) EtymologyFrom the Latin, short