Fatal Fat Embolism After Penis Enlargement by Autologous Fat Transfer: A Case Report and Review of the Literature

Fat embolism is an incidental finding in cases of long bone fractures or other trauma, but it is also associated with liposuction and autologous fat transfer, a procedure where fat from liposuction is injected back into the same patient's face, breast, buttocks or penis. We here present a case of sudden death by fat embolism in a healthy young male, caused by a simple penis enlargement procedure, in which fat was injected into the penis shaft. We suggest that the risk of fat embolization might be higher when pretraumatized tissue is subjected to fat injection, like in this case, where a penis elongation was performed before the fat injection.     

Wakeup Call: Strategic Management,Network Alarms,and Performance

New empirical evidence suggests that service performance is shaped by the strategies adopted by public organizations and the networking behavior of public managers. Strategy captures two central behavioral aspects of public organizations: the way in which objectives and actions are selected (processes), and an organization’s approach to service delivery (content). Networking is similarly concerned with the behavior of public managers as they interact with others. These twin themes are linked in an integrated study that explores the relationship between strategy, networking, and service performance within a sample of English local governments. The results show that strategy processes based on rational planning offer long‐run positive effects on public services, as does a strategic proactive stance.     

The devil in the details: constitutional regime types in post-Soviet Eurasia

The constitutions of Eurasia’s more authoritarian countries categorically differ from those of the region’s more democratic countries, in that they codify a doctrine of presidential supremacy as well as several constitutional tools allowing for its implementation. Therefore, the classic typology of forms of government is inadequate for understanding the architecture of power in these countries. Rather, their routine categorization as presidential or semi-presidential formats of executive–legislative relations causes flawed case selection in extant comparative research about the impact of forms of government, particularly president-parliamentarism, on regime performance and stability. This article shows that almost a third of all constitutions in the region reflect a regional variety of genuinely authoritarian presidentialism. It systematizes the properties of this constitutional pattern of “Eurasian-type presidentialism” or, for that matter, “superpresidentialism.” Methodologically, the article encourages contextual analyses to understand non-Western, non-liberal constitutions “from within.”     

Managing in the Regulatory Thicket: Regulation Legitimacy and Expertise

Although the influence of government regulation on organizations is undeniable, empirical research in this field is scarce. This article investigates how the understanding of and attitudes toward government regulation among public, nonprofit, and for‐profit managers affect organizational performance, using U.S. nursing homes as the empirical setting. Findings suggest that managers’ perceptions of regulation legitimacy—views of regulation fairness, inspectors’ effectiveness, and internal utility of the mandates—positively affect service quality. Subgroup analysis suggests that managers’ views of regulation matter in nonprofit and for‐profit organizations but not in public organizations. In nonprofit homes, performance declines when managers report higher regulatory expertise—better knowledge of the regulatory standards. In for‐profit facilities, frequent communication with regulators lowers quality. These findings suggest that the regulated entities’ views of government regulation are central to their success, which necessitates improvements in the regulatory process.     

School-based Stress Management Training for Adolescents: Longitudinal Results from an Experimental Study

This study aimed to investigate the effectiveness of a school-based universal preventive stress management training program for early and middle adolescents in comparison with a no-treatment control group. The study examined the intervention effects of age (early versus middle adolescents) and gender on perceived stress, interpersonal coping, and self-efficacy prior, immediately after as well as 3 months after the intervention. Three hundred and twenty adolescents (ages 10–14 years) participated in the study. Whereas both experimental conditions did not differ substantially in baseline scores, the experimental group scored higher on perceived self-efficacy compared to the control group at the follow-up assessment. Additionally, the experimental group showed less perceived stress and more adaptive coping at the post and follow-up assessment. Age-dependent intervention effects suggested that early adolescents primarily benefited from the treatment. Although the effects must be replicated using a randomized design, the current findings reveal that the program does strengthen important protective factors for the psychosocial development of adolescents.

The Palestinian Fidâ'i as an Icon of Transnational Struggle: The South Lebanese Experience

How did the Palestinian Resistance build the key transnational figure of the fidâ'i and why did South Lebanon play a major role in this process? Assessing the hypothesis of the ‘Lebanonisation’ of this symbol of the Palestinian national struggle, this article will examine the role and the symbol of the fidâ'i in the context of Lebanon in the 1970s, through an analysis of the actions of the fidâ'iyyn and the values and ethics that fidâ'iyyn were supposed to embody. Drawing on interviews with former fidâ'iyyn and previous research on the topic, I will consider the two dimensions of the presence of the fidâ'iyyn: first, their location in South Lebanon and how this borderland became a significant part of their struggle in the political consciousness of the marginalised local population; and second, the nature of the symbol they began to represent for Lebanese groups, especially those who became involved in Resistance groups like the student brigade (al-katibe al-tullabiyya).     

Constructing STR Multiplexes for Individual Identification of Hungarian Red Deer

Red deer is the most valuable game of the fauna in Hungary, and there is a strong need for genetic identification of individuals. For this purpose, 10 tetranucleotide STR markers were developed and amplified in two 5‐plex systems. The study presented here includes the flanking region sequence analysis and the allele nomenclature of the 10 loci as well as the PCR optimization of the DeerPlex I and II. LD pairwise tests and cross‐species similarity analyses showed the 10 loci to be independently inherited. Considerable levels of genetic differences between two subpopulations were recorded, and F_ST was 0.034 using AMOVA. The average probability of identity (PI_ave) was at the value of 2.6736 × 10^?15. This low value for PI_ave nearly eliminates false identification. An illegal hunting case solved by DeerPlex is described herein. The calculated likelihood ratio (LR) illustrates the potential of the 10 red deer microsatellite markers for forensic investigations.