What heals traumatized kids? Answers are lacking


CHICAGO (AP) — Shootings and other traumatic events involving children are not rare events, but there's a startling lack of scientific evidence on the best ways to help young survivors and witnesses heal, a government-funded analysis found.


School-based counseling treatments showed the most promise, but there's no hard proof that anxiety drugs or other medication work and far more research is needed to provide solid answers, say the authors who reviewed 25 studies. Their report was sponsored by the federal Agency for Healthcare Research and Quality.


According to research cited in the report, about two-thirds of U.S. children and teens younger than 18 will experience at least one traumatic event, including shootings and other violence, car crashes and weather disasters. That includes survivors and witnesses of trauma. Most will not suffer any long-term psychological problems, but about 13 percent will develop symptoms of post-traumatic stress, including anxiety, behavior difficulties and other problems related to the event.


The report's conclusions don't mean that no treatment works. It's just that no one knows which treatments are best, or if certain ones work better for some children but not others.


"Our findings serve as a call to action," the researchers wrote in their analysis, published online Monday by the journal Pediatrics.


"This is a very important topic, just in light of recent events," said lead author Valerie Forman-Hoffman, a researcher at the University of North Carolina-Chapel Hill.


She has two young children and said the results suggest that it's likely one of them will experience some kind of trauma before reaching adulthood. "As a parent I want to know what works best," the researcher said.


Besides the December massacre at Sandy Hook Elementary School in Connecticut, other recent tragedies involving young survivors or witnesses include the fatal shooting last month of a 15-year-old Chicago girl gunned down in front of a group of friends; Superstorm Sandy in October; and the 2011 Joplin, Mo., tornado, whose survivors include students whose high school was destroyed.


Some may do fine with no treatment; others will need some sort of counseling to help them cope.


Studying which treatments are most effective is difficult because so many things affect how a child or teen will fare emotionally after a traumatic event, said Dr. Denise Dowd, an emergency physician and research director at Children's Mercy Hospitals and Clinics in Kansas City, Mo., who wrote a Pediatrics editorial.


One of the most important factors is how the child's parents handle the aftermath, Dowd said.


"If the parent is freaking out" and has difficulty controlling emotions, kids will have a tougher time dealing with trauma. Traumatized kids need to feel like they're in a safe and stable environment, and if their parents have trouble coping, "it's going to be very difficult for the kid," she said.


The researchers analyzed 25 studies of treatments that included anti-anxiety and depression drugs, school-based counseling, and various types of psychotherapy. The strongest evidence favored school-based treatments involving cognitive behavior therapy, which helps patients find ways to cope with disturbing thoughts and emotions, sometimes including talking repeatedly about their trauma.


This treatment worked better than nothing, but more research is needed comparing it with alternatives, the report says.


"We really don't have a gold standard treatment right now," said William Copeland, a psychologist and researcher at Duke University Medical Center who was not involved in the report. A lot of doctors and therapists may be "patching together a little bit of this and a little bit of that, and that might not add up to the most effective treatment for any given child," he said.


___


Online:


Pediatrics: http://www.pediatrics.org


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IHT Rendezvous: Sharper Tongues in China's Year of the Snake?

BEIJING — The Snake is determined and smart, according to traditional Chinese beliefs. Today is New Year’s Day in China, the first day in the Year of the Snake, and a good day to ask: Will Xi Jinping, a “snake” set to become president in March (Mr. Xi was born in a Year of the Snake, in 1953) bring change to China?

Whether or not one believes in feng shui – the thought system based on geomancy, astronomy and folk wisdom of which the 12-yearly animal cycle is part – many here swear by it, and that makes the confluence of the man and the year important.

As the rational economist He Fan said last year, at the beginning of the Year of the Dragon: Feng shui may not be rational, but it is “symbolic,” “and that’s important, because that’s how China’s political culture works.”

So as ordinary people across the nation settle into their hard-earned, weeklong holiday amid the thunder of festival firecrackers, some are wondering whether recent calls by Mr. Xi to attack corruption and “criticize sharply” the ruling Communist Party will bring unwelcome shocks to members of the privileged classes in China, including the party, the government and state-run companies, widely seen as too powerful and too corrupt.

Skepticism about real change is rife, for sure, but signs say maybe, at least to some degree. And if that sounds woolly, it is because making predictions in China is notoriously difficult. Yet it is also important as the nation grows in international stature: As Bloomberg News notes, 2012 may have marked the year when China became the world’s largest trading nation. China was last the world’s biggest economy during the Qing dynasty, Bloomberg noted (though back then it didn’t focus on trade, Bloomberg wrote).

Some say the change has already begun, amid a deepening campaign against corruption announced by Mr. Xi after he was appointed general secretary of the party in November. The state’s anti-corruption warnings are being taken more seriously now than at any time in the past decade because they come from Mr. Xi, who is regarded as potentially a strong leader fast establishing his dominance, already the most eminent member of the seven-man Standing Committee of the Politburo, China’s inner circle of power.

One sign: Traditionally lavish end-of-the-year parties thrown by powerful state-owned companies, and thus paid for from the public purse, have been canceled in large numbers, causing great satisfaction among ordinary people as high-end restaurants in Beijing are suddenly available for traditional New Year family dinners. In previous years, getting a booking was impossible. This year, it’s not.

Another sign: a recent call by Mr. Xi for “sharp criticism” of the Communist Party.

“Chinese leader Xi Jinping has urged the Communist Party of China (CPC) to be more tolerant of criticism and receptive to the views of non-communists,” Xinhua, the state-run news agency, reported last week.

“The CPC should be able to put up with sharp criticism, correct mistakes if it has committed them and avoid them if it has not,” Xinhua quoted Mr. Xi as saying, adding that nonparty members should “have the courage to tell the truth, speak words jarring on the ear, and truthfully reflect public aspirations.”

The call has been – what else? – sharply criticized, in fast and furious microblog postings showing just how deep is the well of resentment against the state’s heavy hand in some quarters.

Shortly after 9 a.m. on New Year’s Day, Ai Weiwei, the artist, snapped on his Twitter account: “First sentence of the New Year, release all political prisoners.”

The South China Morning Post, a Hong Kong newspaper, gathered more acerbic responses:

The venture capitalist Kai-Fu Lee: “Will you stop silencing and shutting down microblog accounts?”

Xu Xiaonian, an economics professor: “Will you stop censoring books and media reports?”

Chen Tongkui, an academic: “Will you stop press censorship?”

Wang Xiaoyu, another academic: “Can you not delete the comments on this microblog post?”

The real estate magnante Ren Zhiqiang: “Will you stop criminalizing people’s speech and sentencing them to re-education through labor?”

Cui Weiping, an academic: “Will you put an end to police harassment” of activists and netizens?

And yet, for many ordinary Chinese, there is hope. Incomes are rising, and there is a whiff of, yes, change in the air. In a recent, colorfully presented survey by TNS, part of Kantar, an information and consulting group, 88 percent of people surveyed in China were positive about the Year of the Snake, the company said.

As Mr. He said of last year, which saw the dramatic downfall of the political scion Bo Xilai, seen by some as a contender for Mr. Xi’s position, amid a murder and corruption scandal: “Something happens in every Dragon Year, even if it’s just a turning point.” Often, the real action begins a year or two later.

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Tiger Woods & Lindsey Vonn Are 'Spending More Time' Together: Source






Buzz








02/09/2013 at 06:00 PM EST







Tiger Woods and Lindsey Vonn


Mick Tsikas/Reuters/Landov; Luis Guerra/Ramey


It was quite the gesture.

After Lindsey Vonn suffered a devastating injury during the Alpine World Championships in Austria, she got a bit of help from Tiger Woods. Walking on crutches, Vonn – who tore two ligaments in her right knee and fractured her shin when she crashed on Tuesday ­– boarded Woods's private jet to return home.

Is it a sign that the rumored relationship between Woods and Vonn is heating up?

"Tiger and Lindsey have been friends for a while, and nothing started out romantically at all," a source tells PEOPLE. "But they really have a lot in common and got closer and closer. He still refers to her as 'my very good friend,' but he's been spending more and more time talking to her – and talking about her."

Last month, Vonn's reps kept mum about the rumored relationship, telling PEOPLE that her "focus is solely on competing and on defending her titles and thus she will not participate in any speculation surrounding her personal life at this time."

But the source close to Woods tells PEOPLE that Woods, 37, and Vonn. 28, talk and text frequently.

"Tiger really does want a woman who he can have good conversations with," he says. "He wants shared interests and outlooks. He is finding that with [Lindsey]."

Woods made international headlines in 2009 when he was linked to dozens of women while still married to his ex-wife, Elin Nordegren.

Since then, he has dated sporadically, but struggled to find someone who wanted a relationship for the right reasons.

"She's not freaked out by his past, and that's really appealing to him," says the source. "He really does deserve to be happy. He has been flogging himself for three years, and it's good to see him moving forward."

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After early start, worst of flu season may be over


NEW YORK (AP) — The worst of the flu season appears to be over.


The number of states reporting intense or widespread illnesses dropped again last week, and in a few states there was very little flu going around, U.S. health officials said Friday.


The season started earlier than normal, first in the Southeast and then spreading. But now, by some measures, flu activity has been ebbing for at least four weeks in much of the country. Flu and pneumonia deaths also dropped the last two weeks, the Centers for Disease Control and Prevention reported.


"It's likely that the worst of the current flu season is over," CDC spokesman Tom Skinner said.


But flu is hard to predict, he and others stressed, and there have been spikes late in the season in the past.


For now, states like Georgia and New York — where doctor's offices were jammed a few weeks ago — are reporting low flu activity. The hot spots are now the West Coast and the Southwest.


Among the places that have seen a drop: Lehigh Valley Hospital-Cedar Crest in Allentown, Pa., which put up a tent outside its emergency room last month to help deal with the steady stream of patients. There were about 100 patients each day back then. Now it's down to 25 and the hospital may pack up its tent next week, said Terry Burger, director of infection control and prevention for the hospital.


"There's no question that we're seeing a decline," she said.


In early December, CDC officials announced flu season had arrived, a month earlier than usual. They were worried, saying it had been nine years since a winter flu season started like this one. That was 2003-04 — one of the deadliest seasons in the past 35 years, with more than 48,000 deaths.


Like this year, the major flu strain was one that tends to make people sicker, especially the elderly, who are most vulnerable to flu and its complications


But back then, that year's flu vaccine wasn't made to protect against that bug, and fewer people got flu shots. The vaccine is reformulated almost every year, and the CDC has said this year's vaccine is a good match to the types that are circulating. A preliminary CDC study showed it is about 60 percent effective, which is close to the average.


So far, the season has been labeled moderately severe.


Like others, Lehigh Valley's Burger was cautious about making predictions. "I'm not certain we're completely out of the woods," with more wintry weather ahead and people likely to be packed indoors where flu can spread around, she said.


The government does not keep a running tally of flu-related deaths in adults, but has received reports of 59 deaths in children. The most — nine — were in Texas, where flu activity was still high last week. Roughly 100 children die in an average flu season, the CDC says


On average, about 24,000 Americans die each flu season, according to the CDC.


According to the CDC report, the number of states with intense activity is down to 19, from 24 the previous week, and flu is widespread in 38 states, down from 42.


Flu is now minimal in Florida, Kentucky, Maine, Montana, New Hampshire and South Carolina.


___


Online:


CDC: http://www.cdc.gov/flu/


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Cardinal Mahony used cemetery money to pay sex abuse settlement









Pressed to come up with hundreds of millions of dollars to settle clergy sex abuse lawsuits, Cardinal Roger M. Mahony turned to one group of Catholics whose faith could not be shaken: the dead.


Under his leadership in 2007, the Archdiocese of Los Angeles quietly appropriated $115 million from a cemetery maintenance fund and used it to help pay a landmark settlement with molestation victims.


The church did not inform relatives of the deceased that it had taken the money, which amounted to 88% of the fund. Families of those buried in church-owned cemeteries and interred in its mausoleums have contributed to a dedicated account for the perpetual care of graves, crypts and grounds since the 1890s.





Mahony and other church officials also did not mention the cemetery fund in numerous public statements about how the archdiocese planned to cover the $660-million abuse settlement. In detailed presentations to parish groups, the cardinal and his aides said they had cashed in substantial investments to pay the settlement, but they did not disclose that the main asset liquidated was cemetery money.


In response to questions from The Times, the archdiocese acknowledged using the maintenance account to help settle abuse claims. It said in a statement that the appropriation had "no effect" on cemetery upkeep and enabled the archdiocese "to protect the assets of our parishes, schools and essential ministries."


Under cemetery contracts, 15% of burial bills are paid into an account the archdiocese is required to maintain for what church financial records describe as "the general care and maintenance of cemetery properties in perpetuity."


Day-to-day upkeep at the archdiocese's 11 cemeteries and its cathedral mausoleum is financed by cemetery sales revenue separate from the 15% deposited into the fund, spokeswoman Carolina Guevara said. Based on actuarial predictions, it would be at least 187 years before cemeteries are fully occupied and the church started to draw on the maintenance account, she said.


"We estimate that Perpetual Care funds will not be needed until after the year 2200," Guevara wrote in an email.


The church's use of fund money appears to be legal. State law prohibits private cemeteries from touching the principal of their perpetual care funds and bars them from using the interest on those funds for anything other than maintenance. Those laws, however, do not apply to cemeteries run by religious organizations.


Mary Dispenza, who received a 2006 settlement from the archdiocese over claims of molestation by her parish priest in the 1940s, said her great-uncle and great-aunt are buried in Calvary Cemetery in East L.A.


"I think it's very deceptive," she said of the way the appropriation was handled. "And I think in a way they took it from people who had no voice: the dead. They can't react, they can't respond."


The fund dates to the tenure of Bishop Francis Mora, who opened Calvary in 1896. An official archdiocese history published in 2006 recounts how the faithful of Mora's era were assured their money was "in the custody of an organization of unquestionable integrity and endurance" — the Catholic Church.


Over the next century, the archdiocese built more cemeteries, and each person laid to rest meant a new deposit into the maintenance account. By the time of the sex abuse settlement, there were cemeteries from Pomona to Santa Barbara and $130 million in the fund. Church officials removed $114.9 million in October 2007.


"Management plans to repay these appropriated funds from future cemetery sales ... after all liabilities associated with the lawsuits ... are paid off," a December 2012 church financial report stated.


It's unclear when that will happen. The archdiocese is still repaying a $175-million loan it took to help cover the settlement. Archbishop Jose Gomez, who took over from Mahony two years ago, is mulling over a $200-million fundraising campaign. Cemeteries have been a reliable source of income for the church, and the use of the upkeep-fund money is one of several ways the archdiocese is depending on them to erase its abuse debts.


When Mahony agreed to the settlement six years ago, he did so knowing his archdiocese couldn't afford it. But he had little choice. If cases brought by more than 500 victims went to trial, the archdiocese feared it could be facing jury awards and legal bills in excess of $1 billion.


The deal reached after lengthy negotiations paid an average of $1.3 million per victim. Even with contributions from its insurance companies, religious orders and others, the archdiocese was on the hook for more than $300 million, vastly more cash than it had on hand.


Bishops in other cities had closed parishes and schools or filed for bankruptcy, moves that angered the faithful and that Mahony wanted to avoid. He went to Rome at least twice to consult with Vatican officials, who must approve the transfer of archdiocese property worth more than $10 million. He later told the National Catholic Reporter he got permission to "alienate" — the Vatican's term for sale or transfer — $200 million in church assets. Asked whether the Vatican had signed off on the use of cemetery funds, archdiocese Chief Financial Officer Randolph E. Steiner said in a statement, "All approvals under the Church's Code of Canon Law were obtained."


After the settlement, Mahony and others from the archdiocese said publicly that the money would come from administrative cuts, liquidation of investments, a bank loan and sales of real estate not directly related to their religious mission. Such real estate included the archdiocese's Wilshire Boulevard headquarters, which eventually sold for $31 million.


Three months later, with no announcement, the archdiocese reached into the cemetery account. Steiner said that during an internal review of church assets, the money "was determined to be excess funding and was made available to the 2007 settlement."





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India Ink: Newswallah: Bharat Edition

Himachal Pradesh: Heavy snowfall for three straight days in the hill state has shut down several arterial roads in the interior areas on Thursday, affecting vehicular traffic, according to an IANS report on the NDTV Web site. In Shimla, a popular holiday destination, at least 10 people, most of them tourists, were injured while walking on the slippery roads, the report said.

Sikkim: The ecologically rich state, located in the lower ranges of the Himalayas, will host the International Flower Show from Feb. 23 to 27, according to an IANS report cited in the Hindustan Times. The state is home to almost 5,000 varieties of flowers, and Sikkim’s state government is keen to promote floriculture and related activities as an important source of livelihood in the coming years, the report said.

Assam: A review committee decided to sign off on the government’s decision to block 306 Twitter accounts after last year’s ethnic clashes in the Kokrajhar district of Assam, the Press Trust of India reported. The committee observed that the accounts could inflame religious tensions in the country.

Gujarat: On Wednesday, a candidate for a local village election in Gujarat’s Sabarkantha district was arrested, along with his manager, for allegedly forcing 100 people to put their hands in boiling oil to prove their loyalty to him, The Hindu reported. The candidate, Dinesh Parmar, who lost the election, had allegedly told the people that their hands would not be burned if they had indeed voted for him.

Rajasthan: A village council in Rajasthan’s Bikaner district decided to impose a fine on those who consumed alcohol or hunted animals, the Press Trust of India reported. At a meeting of the village council, it was decided that the penalty amount would range between 1,000 rupees and 11,000 rupees (about $19 to $206).

Karnataka: About 26 members of Bangalore-based women’s rights groups were taken into custody Tuesday but were later released, The Hindu said. These activists held demonstrations in front of the Raj Bhavan, or the governor’s mansion, to protest the central government’s new laws to deter violence against women, which the activists said ignored important recommendations by a government-appointed committee.

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Minka Kelly: 'I'm Not Worthy' of Acting with Oprah















02/08/2013 at 07:40 PM EST







Minka Kelly as Jacqueline Kennedy Onassis


Pacific Coast News


It's intimidating enough to play Jackie O, but Minka Kelly felt even more pressure to perform when she found out who was joining the cast of her latest film, The Butler.

"I'm not worthy. I feel so lucky and grateful. I was like, 'What am I doing here?!' " Kelly tells PEOPLE of starring alongside Robin Williams, Forest Whitaker, John Cusack, Vanessa Redgrave, Jane Fonda and more in the upcoming film, which tells the story of a butler who served eight presidents.

The movie also features another major star: the one and only Oprah Winfrey. "I didn't get to meet Oprah because our shooting schedules were different, but she's a pretty loved lady," Kelly says. "I have yet to hear a bad thing about her!"

Kelly found that the most difficult part of playing Jackie Kennedy was nailing the former first lady's distinct accent. "I think she spoke in a way she thought she should speak, so getting that down was hard. There's a musicality and rhythm to the way she speaks," Kelly explains. "I went to sleep listening to her."

Another tough task? Slipping into the retro costumes. "My body is so different from her because I have curves, so fitting into those vintage clothes was actually really hard," she shares. "Also it was hot – and there was a lot of wool!"

Minka Kelly: 'I'm Not Worthy' of Acting with Oprah| Minka Kelly, Oprah Winfrey

Jennifer Graylock / Getty

But Kelly had no issue slipping into the stunning Oscar de la Renta gown (left) she strutted down the runway in at the Red Dress Collection fashion show in N.Y.C. on Wednesday night. The actress walked for the second year in a row in honor of The Heart Truth campaign, which encourages women to monitor their heart health.

For the month of February, Diet Coke will donate $1 for every person who uploads a heart-inspired photo to Twitter or Instagram using the hashtag #showyourheart. Visit to dietcoke.com/showyourheart for more information.

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After early start, worst of flu season may be over


NEW YORK (AP) — The worst of the flu season appears to be over.


The number of states reporting intense or widespread illnesses dropped again last week, and in a few states there was very little flu going around, U.S. health officials said Friday.


The season started earlier than normal, first in the Southeast and then spreading. But now, by some measures, flu activity has been ebbing for at least four weeks in much of the country. Flu and pneumonia deaths also dropped the last two weeks, the Centers for Disease Control and Prevention reported.


"It's likely that the worst of the current flu season is over," CDC spokesman Tom Skinner said.


But flu is hard to predict, he and others stressed, and there have been spikes late in the season in the past.


For now, states like Georgia and New York — where doctor's offices were jammed a few weeks ago — are reporting low flu activity. The hot spots are now the West Coast and the Southwest.


Among the places that have seen a drop: Lehigh Valley Hospital-Cedar Crest in Allentown, Pa., which put up a tent outside its emergency room last month to help deal with the steady stream of patients. There were about 100 patients each day back then. Now it's down to 25 and the hospital may pack up its tent next week, said Terry Burger, director of infection control and prevention for the hospital.


"There's no question that we're seeing a decline," she said.


In early December, CDC officials announced flu season had arrived, a month earlier than usual. They were worried, saying it had been nine years since a winter flu season started like this one. That was 2003-04 — one of the deadliest seasons in the past 35 years, with more than 48,000 deaths.


Like this year, the major flu strain was one that tends to make people sicker, especially the elderly, who are most vulnerable to flu and its complications


But back then, that year's flu vaccine wasn't made to protect against that bug, and fewer people got flu shots. The vaccine is reformulated almost every year, and the CDC has said this year's vaccine is a good match to the types that are circulating. A preliminary CDC study showed it is about 60 percent effective, which is close to the average.


So far, the season has been labeled moderately severe.


Like others, Lehigh Valley's Burger was cautious about making predictions. "I'm not certain we're completely out of the woods," with more wintry weather ahead and people likely to be packed indoors where flu can spread around, she said.


The government does not keep a running tally of flu-related deaths in adults, but has received reports of 59 deaths in children. The most — nine — were in Texas, where flu activity was still high last week. Roughly 100 children die in an average flu season, the CDC says


On average, about 24,000 Americans die each flu season, according to the CDC.


According to the CDC report, the number of states with intense activity is down to 19, from 24 the previous week, and flu is widespread in 38 states, down from 42.


Flu is now minimal in Florida, Kentucky, Maine, Montana, New Hampshire and South Carolina.


___


Online:


CDC: http://www.cdc.gov/flu/


Read More..

State fires contractor on tech project









SACRAMENTO – The state has fired the contractor on one of its biggest and most troubled technology projects after deep problems with the system were revealed.


The decision to terminate the contract Friday stalls the costly effort to overhaul an outdated and unstable computer network that issues paychecks and handles medical benefits for 240,000 state employees. The $371-million upgrade, known as the 21st Century Project, has fallen years behind schedule and tripled in cost.


The state has already spent at least $254 million on the project, paying more than $50 million of that to the contractor, SAP Public Services. The company was hired three years ago after the job sputtered in the hands of a previous contractor, BearingPoint.





But when SAP's program was tested last summer, it made errors at more than 100 times the rate of the aging system the state has been struggling to replace, according to state officials.


"It would be totally irresponsible to move forward," said Jacob Roper, a spokesman for the California controller.


The Times highlighted problems with the state's 21st Century Project in December, soon after officials sent a letter to SAP saying the overhaul was "in danger of collapsing."


During a trial run involving 1,300 employees, Roper said, some paychecks went to the wrong person for the wrong amount. The system canceled some medical coverage and sent child-support payments to the wrong beneficiaries.


Roper said the state also had to pay $50,000 in penalties because money was sent to retirement accounts incorrectly.


"State employees and their families were in harm's way," he said. "Taxpayers were in harm's way."


The controller's office, which oversees the upgrade, will try to recoup the money paid to SAP, Roper said. Meanwhile, officials will conduct an autopsy on the system to determine what can be salvaged.


And Senate leader Darrell Steinberg (D-Sacramento) called for a hearing to examine how so much money could be spent on the project with "apparently little to show for it."


A spokesman for SAP, Andy Kendzie, said the company was "extremely disappointed" that the controller terminated the contract.


"SAP stands behind our software and actions," Kendzie said in a statement. "SAP also believes we have satisfied all contractual obligations in this project."


Kendzie did not directly address the controller's concerns about errors during testing, nor did he say whether the company would fight any state effort to recover the $50 million.


Other California entities have struggled with SAP's work.


A $95-million plan to upgrade the Los Angeles Unified School District's payroll system with SAP software became a disaster in 2007, when some teachers were paid too much and others weren't paid at all.


More recently, Marin County officials decided to scrap their SAP-developed computer system, saying it never worked right and cost too much to maintain.


Both of those projects were managed by Deloitte Consulting.


chris.megerian@latimes.com





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India Ink: Katherine Boo: By the Book



What book is on your night stand now?


I’m currently reading “Ways of Going Home,” by the Chilean novelist and poet Alejandro Zambra. If it’s only half as good as his novella, “Bonsai,” it’ll still be a fine way to lose a weekend.


What was the last truly great book you read?


George Saunders’s “Tenth of December,” as much as I hate to say so given that recent obnoxious headline in The New York Times Magazine [“George Saunders Has Written the Best Book You’ll Read This Year”]. Saunders’s earlier books had left me faintly less amazed than I felt I’d ought to be, but “Tenth,” in addition to being funny and stylistically cunning, contains some of the best writing about the psychological toll of inequality that I’ve read in years. Plus, like Alice Munro, Saunders knows when to end his stories — the moment when the best choice a writer can make is to slip away and leave the reader to assemble the last parts on her own.


What is your favorite literary genre? Any guilty pleasures?


When your work is nonfiction about low-income communities, pretty much anything that’s not nonfiction about low-income communities feels like a guilty pleasure. Among recent happy diversions were Ben Fountain’s “Billy Lynn’s Long Halftime Walk,” Junot Díaz’s “This Is How You Lose Her,” Cheryl Strayed’s “Wild” and the poet Jeet Thayil’s first novel, “Narcopolis,” about the drug-hazed Bombay of the 1980s. Fountain, Díaz, Strayed and Thayil have nothing in common except the most important thing, a total lack of pretension. They don’t beat you down with their self-seriousness, and it’s only when you’re done that you realize how much wiser you are for their books.


Were there any novels that helped prepare you to enter the world of the slums? 


What helped me prepare for the slum reporting was the immersion work I’d done in the United States. Though every community is different, my personal rule is pretty much the same: It’s O.K. to feel like an idiot going in as long as you don’t sound like an idiot coming out. 


Where novels come in, for me, is when the reporting stops and the writing begins, because fiction writers seem to know more than nonfiction writers about distillation — conveying their analytical or psychological insights with economy. Being intent on conveying the diversity of experiences in a single slum (and equally intent on not writing a 1,000-page tome), I paid particular attention to novels where points of view shifted quickly, among them “The Yacoubian Building,” by Alaa Al Aswany. I’m also obsessed with the documentary films of Frederick Wiseman, who stays out of the picture and allows the so-called subjects of his work to emerge gradually.


Are there any Indian writers with recent or forthcoming books you’re especially excited about?


Aman Sethi’s “A Free Man,” about an itinerant laborer in a Delhi slum, is one of my recent favorites — an original sensibility joined to a passion for reported fact. I’m also eagerly awaiting Naresh Fernandes’s “The Re-Islanding of Mumbai,” which should be out by the end of the year. When deep in my work at Annawadi I found it difficult to meet people from more affluent parts of Mumbai because the disconnects were too great. But talking to Naresh was different. He’s a genuine humanist in an age of very few, and understands the conflicts inherent in a city like Mumbai better than anyone I know.


Do you ever hear from Corean and Kim, the two women you wrote about in your National Magazine Award-winning New Yorker piece, “The Marriage Cure”?


Kim’s not been in touch recently, but Corean is doing well, and still fighting like mad on behalf of her children and grandchildren. She’s one of several women I’ve come to know in the course of my work whose example and insight have helped me conduct my own life less ridiculously. In fact I hold her personally responsible for my marriage.


What were your favorite books as a child? Did you have a favorite character or hero?


My sister and I loved Encyclopedia Brown, the fifth-grade nerd/observer who seldom took more than a day to unravel the nefarious conspiracies of childhood. Every child detective requires a sidekick, obviously, and I thought Encyclopedia’s sidekick, Sally Kimball, was way cooler than any of Nancy Drew’s. In addition to being smart, Sally was the only kid in town who could beat up Bugs Meany. About the particular criminals Encyclopedia and Sally outwitted, the only one I remember is a cheater in a disgusting-sneakers competition. But as a child I treasured the idea of this infinitely just place called Idaville. In Idaville the weak were rarely bullied for long, and the bad guys didn’t get away.


What was the last book that made you cry? 


I’m not usually one for leaving tear stains in the margins, but in recent weeks I caught myself sobbing twice — while reading a Saunders story and a forthcoming book by my friend David Finkel. Finkel’s first book, “The Good Soldiers,” followed a battalion charged with carrying out George W. Bush’s “surge.” The new book follows some of those veterans as they struggle to reintegrate themselves into American life, and it’s devastating.


The last book that made you laugh?


“Spilt Milk,” by the Brazilian novelist Chico Buarque. A deathbed monologue about class, race, love and political history has no right to be this funny.


What’s the best love story you’ve ever read?


Shakespeare’s underrated “Troilus and Cressida,” a story of flawed people in a transactional historical context that renders notions of pure love absurd. It’s a love story for our time that just happened to be written at the turn of the 17th century.


If you could meet any writer, dead or alive, who would it be? What would you want to know? 


I’m useless when I meet writers I love — I go slack-jawed and stupid with awe. So I’m happy, even in my fantasy life, to give the Great Ones their space. It’s enough to know them from what they put on the page.


Who are your favorite writers of all time? And among your contemporaries? 


My top-10 list is an unstable thing, with new favorites regularly charging in and threatening to unseat the venerables, but Joseph Roth, Herman Melville, and George Eliot and Orwell are always on it. First among my contemporaries would have to be the late Roberto Bolaño. “The Savage Detectives” and “By Night in Chile” double-handedly yanked me out of a depression several years back, and reading “2666” while reporting in the slums was like a little miracle. 


I was working my butt off trying to investigate the violent deaths of some homeless children, under circumstances that had been covered up by the police, when I reached the section of “2666” entitled “The Part About the Crimes.” It begins with a relentless, near-forensic account of corpses and injustices (closely based on the murders of poor women in Juarez) that opens out into this fevered exploration of both the psychological cost of paying attention to the tragedies of others and the social cost of looking away. That section of the book undid me so thoroughly that I’ll probably never reread it, even though I surely grasped only a sliver of what Bolaño was trying to say. And I suppose that’s the built-in sorrow of my life’s most profound encounters with books, beginning with “A Wrinkle in Time” in third grade. To reread what you loved most at a particular moment is to risk the possibility that you might love it less, and I want to keep my memories undegraded.


If you had to give reading assignments to an aspiring journalist, what books would make the top of your list? 


Rebecca West’s “Black Lamb and Grey Falcon”; Anna Funder’s “Stasiland”; Barbara Demick’s “Nothing to Envy: Ordinary Lives in North Korea”; Adrian Nicole LeBlanc’s “Random Family”; Philip Gourevitch’s account of the Rwandan genocide; Joe Sacco’s graphic reportage; “The Corner,” by David Simon and Ed Burns; and Denis Johnson’s nonfiction collection “Seek,” mainly for the piece about trying to meet Charles Taylor during the Liberian civil war. I could go on and on, but I’d probably end the list with Kathryn Schulz’s “Being Wrong: Adventures in the Margin of Error.” It’s about the animating power of doubt and correction, and a lack of self-certainty is something my favorite nonfiction writers seem to have in common.

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