Chorionic villus sampling prior to pregnancy termination, a tool for forensic paternity testing.

Chorionic villus sampling (CVS), prior to pregnancy termination (pre-termination CVS), is suggested as a tool for forensic paternity testing. Unlike the abortion material, which consists of ruptured tissues of fetal and maternal origin, extra-embryonic membranes obtained through CVS can provide an uncontaminated source of fetal tissue for genotyping. We discuss the possibility of confined placental mosaicism (CPM) and its implications on the polymerase chain reaction (PCR) based analyses of short tandem repeats (STRs) and the D1S80 loci.     

Wischnewski ulcers and acute pancreatitis in two hospitalized patients with cirrhosis, portal vein thrombosis, and hypothermia.

Accidental hypothermia has been described in the forensic literature but reports of occurrence in hospitalized patients are rare. Associated anatomic lesions include acute hemorrhagic pancreatitis and characteristic acute gastric ulcers termed Wischnewski ulcers. We report here two patients with cirrhosis and ascites; one also had hepatocellular carcinoma. Portal vein thrombosis, acute hemorrhagic pancreatitis and Wischnewski ulcers were present in both. The clinical records documented hypothermia that progressed over several days. Temperature nadirs of 31.0 degrees C (87.8 degrees F) and 32.2 degrees C (90.0 degrees F) were recorded in each patient, respectively, one day before death, although each transiently reached temperatures that did not register on standard monitoring devices. This is the first report that chronicles antemortem body temperatures in hypothermic patients with Wischnewski ulcers and pancreatitis at autopsy. Also, the association of these findings with portal vein thrombosis and cirrhosis has not been previously described. We discuss this constellation of findings with regard to possible mechanistic interrelations.     

Death fantasies of father-absent and father-present late adolescents

Parental perceptions of father-absent and father-present late adolescents were studied by having them create stories to selected pictures from the Thematic Apperception Test and the Michigan Pictures Test. Ratings on the manifest thematic content of the stories revealed that father-present females, but not males, introduced themes of death and loss involving the parents with significantly greater frequency than did late adolescents who had actually lost their fathers. One of the tasks of adolescence, as described in psychoanalytic writings, is decathecting internalized parental images. It is possible that father-present females produced significantly more death and loss themes because they were actively coping with their fantasies of parental loss. The significantly fewer fantasies of parental loss given by father-absent females is consistent with this psychoanalytic model which suggests that the loss of a parent at an earlier developmental period complicates the decathexis process in adolescence. Reasons for the failure to find differences between father-absent and father-present males are discussed, and suggestions for future research are provided.This research is based upon the doctoral dissertation of the first author.Received his Ph.D. in clinical psychology from the University of Texas at Austin; internship at the Children's Hospital Medical Center, Boston, Massachusetts. Current research interests include death and dying and adolescent personality development.Received his Ph.D. from the University of Minnesota. Current research interests include imaginary companions and fantasy in young children and adolescent psychosexual development.     

Employees' provident fund organization: Empowering members by digital transformation

Employees' Provident Fund Organization (EPFO) was established by the Government of India with the purpose of ensuring financial and social security for industrial workers and their dependents. With more than 150 million accounts of its members, EPFO is the world's largest social security organization. Operational processes of EPFO were riddled with over emphasis on rules and regulations but were weak on transparency, accountability, effectiveness, and efficiency. Consequently, the primary purpose of social security of industrial employees was compromised. Business process reengineering combined with adoption of Information and Communication Technology (ICT) and social media brought a sea change to the functioning of EPFO. This paper documents the transformation of EPFO from a bureaucratic, opaque organization to a customer-centric, stakeholder-friendly, transparent, and accountable organization.     

A Call to Action—The Essential Role of Advocacy

Editor's Note: The Perspectives featured in this issue of Public Administration Review were adapted from May 2016 commencement addresses: Anna Maria Chavez, the CEO of the Girl Scouts of the USA, spoke on the 12th at Arizona State University's College of Public Service and Community Solutions; Nancy Pelosi, the Democratic Leader in the United States House of Representatives spoke on the 7th at New York University's Wagner School of Public Service; and Tommy Thompson, the former Governor of Wisconsin and Secretary of Health & Human Services, spoke on the 15th at the University of Wisconsin's La Follette School of Public Affairs. These Perspectives reaffirm the highest principles of American public administration: that by and large, government is NOT the problem, and quite often indeed holds the solution; that effective and helpful public policy depends on informed expert opinion and research; and that those who enter public service should do so with a commitment to the notion that America best fulfills its promise when we seek the well‐being of all people, including the least fortunate. We chose these messages from among a wealth of commencement speeches because while they come from leaders with quite different political views, background, and experience, taken together they offer a coherent and inspiring call to public service. Dan Feldman, Perspective and Commentary Editor