How New York Investors Financed the Looting of Syria, Ukraine, and Iraq: The Need to Increase Civil Liabilities for Current Possessors of Stolen Antiquities in the 21st Century

This note argues that the U.S. should pass its own self-policing legislation that will make it less enticing for thieves to try to sell stolen antiquities to the U.S. market. Our world heritage is under threat from undeterred looting, which results in antiquities vanishing from museum storerooms and archeological sites before ending up in the storerooms of investors. Currently, source nations that attempt to have stolen antiquities returned are deterred by the high legal costs involved. As the biggest market for stolen cultural property, states within the U.S. should amend current replevin laws so that the possessors of stolen cultural property will be liable for the attorney fees incurred by the source nation/institution during a recovery action for such antiquities, should the source nation prevail in its action

How New York Investors Financed the Looting of Syria, Ukraine, and Iraq: The Need to Increase Civil Liabilities for Current Possessors of Stolen Antiquities in the 21st Century

This note argues that the U.S. should pass its own self-policing legislation that will make it less enticing for thieves to try to sell stolen antiquities to the U.S. market. Our world heritage is under threat from undeterred looting, which results in antiquities vanishing from museum storerooms and archeological sites before ending up in the storerooms of investors. Currently, source nations that attempt to have stolen antiquities returned are deterred by the high legal costs involved. As the biggest market for stolen cultural property, states within the U.S. should amend current replevin laws so that the possessors of stolen cultural property will be liable for the attorney fees incurred by the source nation/institution during a recovery action for such antiquities, should the source nation prevail in its action

Venous Thromboembolism Within Professional American Sport Leagues.

Background: Numerous reports have described players in professional American sports leagues who have been sidelined with a deep vein thrombosis (DVT) or a pulmonary embolism (PE), but little is known about the clinical implications of these events in professional athletes. Purpose: To conduct a retrospective review of injury reports from the National Hockey League (NHL), Major League Baseball (MLB), the National Basketball Association (NBA), and the National Football League (NFL) to take a closer look at the incidence of DVT/PE, current treatment approaches, and estimated time to return to play in professional athletes. Study Design: Descriptive epidemiology study. Methods: An online search of all team injury and media reports of DVT/PE in NHL, MLB, NBA, and NFL players available for public record was conducted by use of Google, PubMed, and SPORTDiscus. Searches were conducted using the professional team name combined with blood clot, pulmonary embolism, and deep vein thrombosis. Results: A total of 55 venous thromboembolism (VTE) events were identified from 1999 through 2016 (NHL, n = 22; MLB, n = 16; NFL, n = 12; NBA, n = 5). Nineteen athletes were reported to have an upper extremity DVT, 15 had a lower extremity DVT, 15 had a PE, and 6 had DVT with PE. Six athletes sustained more than 1 VTE. The mean age at time of VTE was 29.3 years (range, 19-42 years). Mean (±SD) time lost from play was 6.7 ± 4.9 months (range, 3 days to career end). Seven athletes did not return to play. Players with upper extremity DVT had a faster return to play (mean ± SD, 4.3 ± 2.7 months) than those with lower extremity DVT (5.9 ± 3.8 months), PE (10.8 ± 6.8 months), or DVT with PE (8.2 ± 2.6 months) (F = 5.69, P = .002). No significant difference was found regarding time of return to play between sports. Conclusion: VTE in professional athletes led to an average of 6.7 months lost from play. The majority of athletes were able to return to play after a period of anticoagulation or surgery. Those with an upper extremity DVT returned to play faster than those with other types of VTE. Further study is needed to look into modifiable risk factors for these events and to establish treatment and return-to-play guidelines to ensure the safety of these athletes

Medicare Reimbursement for Total Joint Arthroplasty: The Driving Forces.

BACKGROUND: Total joint arthroplasty is a large and growing part of the U.S. Medicare budget, drawing attention to how much providers are paid for their services. The purpose of this study was to examine the variables that affect total joint arthroplasty reimbursement. Along with standard economic variables, we include unique health-care variables. Given the focus on value in the Affordable Care Act, the model examines the relationship of the quality of care to total joint arthroplasty reimbursement. We hoped to find that reimbursement patterns reward quality and reflect standard economic principles. METHODS: Multivariable regression was performed to identify variables that correlate with Medicare reimbursement for total joint arthroplasty. Inpatient charge or reimbursement data on Medicare reimbursements were available for 2,750 hospitals with at least 10 discharges for uncomplicated total joint arthroplasty from the Centers for Medicare & Medicaid Services (CMS) for fiscal year 2011. Reimbursement variability was examined by using the Dartmouth Atlas to group institutions into hospital referral regions and hospital service areas. Independent variables were taken from the Dartmouth Atlas, CMS, the WWAMI (Washington, Wyoming, Alaska, Montana, Idaho) Rural Health Research Center, and the United States Census. RESULTS: There were 427,207 total joint arthroplasties identified, with a weighted mean reimbursement of $14,324.84 (range,$9,103 to $38,686). Nationally, the coefficient of variation for reimbursements was 0.19. The regression model accounted for 52.5% of reimbursement variation among providers. The total joint arthroplasty provider volume (p \u3c 0.001) and patient satisfaction (p \u3c 0.001) were negatively correlated with reimbursement. Government ownership of a hospital (p \u3c 0.001) and higher Medicare costs (p \u3c 0.001) correlated positively with reimbursement. CONCLUSIONS: Medicare reimbursements for total joint arthroplasty are highly variable. Greater reimbursement was associated with lower patient volume, lower patient satisfaction, a healthier patient population, and government ownership of a hospital. As value-based reimbursement provisions of the Affordable Care Act are implemented, there will be dramatic changes in total joint arthroplasty reimbursements. To meet these changes, providers should expect qualities such as high patient volume, willingness to care for sicker patient populations, patient satisfaction, safe outcomes, and procedural demand to correlate with their reimbursement. CLINICAL RELEVANCE: Practicing orthopaedic surgeons and hospital administrators should be aware of discrepancies in inpatient reimbursement for total joint arthroplasty from Medicare. Furthermore, these discrepancies are not associated with typical economic factors. These findings warrant further investigation and collaboration between policymakers and providers to develop value-based reimbursement

Outcomes of Shoulder Arthroplasty Performed for Postinfectious Arthritis.

Background: The purpose of this study was to evaluate the functional outcomes, infection rate, and complications associated with shoulder arthroplasty for sequelae of prior septic arthritis. Methods: This is a retrospective cohort study of 17 patients who underwent shoulder arthroplasty for sequelae of septic arthritis. Patients were analyzed for patient-reported outcomes, complications, and reoperations. Results: The 17 patients in this cohort were an average age of 65.4 ± 12.2 years old, were 58.8% male, and had an average body mass index of 27.9 ± 4.1 kg/m Conclusions: Shoulder arthroplasty after septic arthritis had inconsistent functional outcomes and high complication rates but no reinfection

Transformación social y construcción de identidades: arte visual e integración en operadores de salud mental

El trabajo planteado parte desde un recorrido a lo largo de la Historia del arte tomando los principales aportes obtenidos en espacios de estudio y difusión sobre diferentes patologías que fueron determinantes a la hora de enmarcar corrientes artísticas tales como el Arte Marginal y Arte Bruto así con el surgimiento del Museo del Inconsciente en Brasil. La ruptura gestada en estos espacios permite replantear nuevos parámetros desde dónde analizar el arte actual en contextos no formales de educación integrada. Para este análisis se utilizará un estudio cuantitativo y cualitativo de talleres de producción y enseñanzaaprendizaje llevados a cabo durante dos años en clases semanales con una duración de 2 horas de trabajo en donde se propone anclándose en los aportes de la Nueva Ley de Salud Mental Argentina n° 26657 recuperar por medio de lo artístico las diferencias individuales de cada paciente y la diversidad cultural. Las mejoras de los participantes en el vínculo con el entorno y con ellos mismos gestan cambios en su calidad de vida posicionando en un lugar de profunda importancia al arte, el cual establece herramientas de alfabetización visuales y comunicacionales así como medios de inserción laboral que garantizan la externación obtenida y logran superar los conflictos identitarios gestados en el tránsito de su patología e internación. A partir de esto, se establece la posibilidad de analizar junto con dichos aportes, las nuevas experiencias en las producciones y actividades en el arte para la integración actual entendidos no como herramientas de producción artística “exóticas o novedosas” por tratarse de personas con trastornos de la psiquis sino más bien como una nueva forma de replantearse cómo dichas producciones realizan un aporte palpable y concreto para enriquecer la manera de conceptualizar la historia del arte y ampliar las fronteras desde dónde juzgar al hombre y su creación artística y en consecuencia, establecer herramientas educativas amplificadoras en la construcción de lenguajes simbólicos y superadoras del analfabetismo visual. La nueva Ley reabre estructuras y postula nuevas posiciones en las que la necesidad de cambio y cuestionamiento otorga al arte un rol que avanza más allá de la patología y el discurso médico, recuperando el lugar de la persona como ser social, simbólico y cultural.Eje temático 1 - Educación artística y transformación culturalFacultad de Bellas Arte

Transformación social y construcción de identidades: arte visual e integración en operadores de salud mental

El trabajo planteado parte desde un recorrido a lo largo de la Historia del arte tomando los principales aportes obtenidos en espacios de estudio y difusión sobre diferentes patologías que fueron determinantes a la hora de enmarcar corrientes artísticas tales como el Arte Marginal y Arte Bruto así con el surgimiento del Museo del Inconsciente en Brasil. La ruptura gestada en estos espacios permite replantear nuevos parámetros desde dónde analizar el arte actual en contextos no formales de educación integrada. Para este análisis se utilizará un estudio cuantitativo y cualitativo de talleres de producción y enseñanzaaprendizaje llevados a cabo durante dos años en clases semanales con una duración de 2 horas de trabajo en donde se propone anclándose en los aportes de la Nueva Ley de Salud Mental Argentina n° 26657 recuperar por medio de lo artístico las diferencias individuales de cada paciente y la diversidad cultural. Las mejoras de los participantes en el vínculo con el entorno y con ellos mismos gestan cambios en su calidad de vida posicionando en un lugar de profunda importancia al arte, el cual establece herramientas de alfabetización visuales y comunicacionales así como medios de inserción laboral que garantizan la externación obtenida y logran superar los conflictos identitarios gestados en el tránsito de su patología e internación. A partir de esto, se establece la posibilidad de analizar junto con dichos aportes, las nuevas experiencias en las producciones y actividades en el arte para la integración actual entendidos no como herramientas de producción artística “exóticas o novedosas” por tratarse de personas con trastornos de la psiquis sino más bien como una nueva forma de replantearse cómo dichas producciones realizan un aporte palpable y concreto para enriquecer la manera de conceptualizar la historia del arte y ampliar las fronteras desde dónde juzgar al hombre y su creación artística y en consecuencia, establecer herramientas educativas amplificadoras en la construcción de lenguajes simbólicos y superadoras del analfabetismo visual. La nueva Ley reabre estructuras y postula nuevas posiciones en las que la necesidad de cambio y cuestionamiento otorga al arte un rol que avanza más allá de la patología y el discurso médico, recuperando el lugar de la persona como ser social, simbólico y cultural.Eje temático 1 - Educación artística y transformación culturalFacultad de Bellas Arte

La mirada táctil

Esta tesis invita a desarrollar la Mirada Táctil, a entender las imágenes como invención a través de los roces y no solo desde la vista. Se trata de perder el miedo a acercarse a una producción, a tocarla, a percibirla más allá de la vista. Es la búsqueda de seguir rompiendo desde el arte con barreras que se han enquistado en la historia y en nuestro transcurrir mismo y que, invitan a volvernos por unos segundos turistas, para percibir esta producción desde otra mirada, una que piensa en todos desde su génesis.Facultad de Bellas Arte

Clinical Outcomes After Four-Level Anterior Cervical Discectomy and Fusion.

Study Design: Retrospective cohort study. Objectives: Anterior cervical discectomy and fusion (ACDF) demonstrates reliable improvement in neurologic symptoms associated with anterior compression of the cervical spine. There is a paucity of data on outcomes following 4-level ACDFs. The purpose of this study was to evaluate clinical outcomes for patients undergoing 4-level ACDF. Methods: All 4-level ACDFs with at least 1-year clinical follow-up were identified. Clinical outcomes, including fusion rates, neurologic outcomes, and reoperation rates were determined. Results: Retrospective review of our institutional database revealed 25 patients who underwent 4-level ACDF with at least 1-year clinical follow-up. Average age was 57.5 years (range 38.2-75.0 years); 14 (56%) were male, and average body mass index was 30.2 kg/m Conclusions: Review of our institution\u27s experience demonstrated a low rate of revision cervical surgery for any reason of 8% at mean 19 months follow-up, and neurological examinations consistently improved, despite a high rate of radiographic nonunion (31%)

Antibiotic Spacers in Shoulder Arthroplasty: Comparison of Stemmed and Stemless Implants.

Background: Antibiotic spacers in shoulder periprosthetic joint infection deliver antibiotics locally and provide temporary stability. The purpose of this study was to evaluate differences between stemmed and stemless spacers. Methods: All spacers placed from 2011 to 2013 were identified. Stemless spacers were made by creating a spherical ball of cement placed in the joint space. Stemmed spacers had some portion in the humeral canal. Operative time, complications, reimplantation, reinfection, and range of motion were analyzed. Results: There were 37 spacers placed: 22 were stemless and 15 were stemmed. The stemless spacer population was older (70.9 ± 7.8 years vs. 62.8 ± 8.4 years, p = 0.006). The groups had a similar percentage of each gender (stemless group, 45% male vs. stemmed group, 40% male; p = 0.742), body mass index (stemless group, 29.1 ± 6.4 kg/m2 vs. stemmed group, 31.5 ± 8.3 kg/m2; p = 0.354) and Charlson Comorbidity Index (stemless group, 4.2 ± 1.2 vs. stemmed group, 4.2 ± 1.7; p = 0.958). Operative time was similar (stemless group, 127.5 ± 37.1 minutes vs. stemmed group, 130.5 ± 39.4 minutes). Two stemless group patients had self-resolving radial nerve palsies. Within the stemless group, 15 of 22 (68.2%) underwent reimplantation with 14 of 15 having forward elevation of 109° ± 23°. Within the stemmed group, 12 of 15 (80.0%, p = 0.427) underwent reimplantation with 8 of 12 having forward elevation of 94° ± 43° (range, 30° to 150°; p = 0.300). Two stemmed group patients had axillary nerve palsies, one of which self-resolved but the other did not. One patient sustained dislocation of reverse shoulder arthroplasty after reimplantation. One stemless group patient required an open reduction and glenosphere exchange of dislocated reverse shoulder arthroplasty at 6 weeks after reimplantation. Conclusions: Stemmed and stemless spacers had similar clinical outcomes. When analyzing all antibiotic spacers, over 70% were converted to revision arthroplasties. The results of this study do not suggest superiority of either stemmed or stemless antibiotic spacers