Petraeus testifies on Benghazi attack

WASHINGTON (AP) — Ex-CIA Director David Petraeus told lawmakers during private hearings Friday that he believed all along that the deadly attack on the U.S. consulate in Libya was a terrorist strike, even though that wasn't how the Obama administration initially described it publicly.

The retired four-star general addressed the House and Senate intelligence committees as questions continue to persist over what the Obama administration knew in the immediate aftermath of the Sept. 11 attacks and why their public description did not match intelligence agencies' assessments.

Lawmakers said Petraeus testified that the CIA's draft talking points written in response to the assault on the diplomat post in Benghazi that killed four Americans referred to it as a terrorist attack. But Petraeus told the lawmakers that reference was removed from the final version, although he wasn't sure which federal agency took out the reference.

Photos: Players in the Petraeus scandal

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Democrats said Petraeus made it clear the change was not made for political reasons during President Barack Obama's re-election campaign.

"The general was adamant there was no politicization of the process, no White House interference or political agenda," said Rep. Adam Schiff, D-Calif. "He completely debunked that idea."

But Republicans are still critical of the administration's handling of the case. Sen. Marco Rubio, R-Fla., said Petraeus' testimony showed that "clearly the security measures were inadequate despite an overwhelming and growing amount of information that showed the area in Benghazi was dangerous, particularly on the night of September 11."

Petraeus, who had a long and distinguished military career, was making his first Capitol Hill testimony since resigning last week in disgrace over an extramarital affair with his biographer Paula Broadwell. Lawmakers said he did not discuss that scandal except to express regret about the circumstances of his departure and say that Benghazi had nothing to do with his decision to resign.

Petraeus testified that the CIA draft written in response to the raid referred to militant groups Ansar al-Shariah and al-Qaida in the Islamic Maghreb but those names were replaced with the word "extremist" in the final draft, according to a congressional staffer. The staffer said Petraeus testified that he allowed other agencies to alter the talking points as they saw fit without asking for final review, to get them out quickly.

The staffer wasn't authorized to discuss the hearing publicly and described Petraeus' testimony to The Associated Press on a condition of anonymity.

Sen. Mark Udall, D-Colo., said Petraeus explained that the CIA's draft points were sent to other intelligence agencies and to some federal agencies for review. Udall said Petraeus told them the final document was put in front of all the senior agency leaders, including Petraeus, and everyone signed off on it.

"The assessment that was publicly shared in unclassified talking points went through a process of editing," Udall said. "The extremist description was put in because in an unclassified document you want to be careful who you identify as being involved."

Rep. Peter King, R-N.Y., said it's still not clear how the final talking points emerged used by U.N. Ambassador Susan Rice five days after the attack when the White House sent her to appear in a series of television interviews. Rice said it appeared the attack was sparked by a spontaneous protest over an anti-Muslim video.

"The fact is, the reference to al-Qaida was taken out somewhere along the line by someone outside the intelligence community," King said. "We need to find out who did it and why."

King said Petraeus had briefed the House committee on Sept. 14 and he does not recall Petraeus being so positive at that time that it was a terrorist attack. "He thought all along that he made it clear there was terrorist involvement," King said. "That was not my recollection."

Schiff said Petraeus said Rice's comments in the television interviews "reflected the best intelligence at the time that could be released publicly."

"There was an interagency process to draft it, not a political process," Schiff said. "They came up with the best assessment without compromising classified information or source or methods. So changes were made to protect classified information.

Sen. Kent Conrad, D-N.D., said it's clear that Rice "used the unclassified talking points that the entire intelligence community signed off on, so she did completely the appropriate thing." He said the changes made to the draft accounts for the discrepancies with some of the reports that were made public showing that the intelligence community knew it was a terrorist attack all along.

Lawmakers spent hours Thursday interviewing top intelligence and national security officials, trying to determine what intelligence agencies knew before, during and after the attack. They viewed security video from the consulate and surveillance footage by an unarmed CIA Predator drone that showed events in real time.

The congressional staffer told the AP that they also watched the cellphone video that has been on YouTube showing U.S. Ambassador Chris Stevens being carried out by people who looked like they were trying to rescue him.

___

Associated Press writers Nedra Pickler, Larry Margasak and Andrew Miga contributed to this report.

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Canada’s Carney says rate hikes “less imminent”

TORONTO (Reuters) – Interest rate hikes have become less imminent than the Bank of Canada once expected, although rates are still likely to rise, central bank Governor Mark Carney said in an interview published on Saturday.

“Over time, rates are likely to increase somewhat, but over time, so a less imminent timing relative to our expectation,” Carney said in an interview with the National Post newspaper.

Canada’s economy rebounded better than most from the global economic recession, and the Bank of Canada is the only central bank in the Group of Seven leading industrialized nations that is currently hinting at higher interest rates.

But Carney has also made clear that there will be no rate rise for a while, despite high domestic borrowing rates that he sees as a major risk to a still fragile economy.

“We’ve been very clear in terms of lines of defense in addressing financial vulnerabilities,” he said in the interview. “And the most prominent one, obviously, in Canada, is household debt.”

He said the bank was monitoring the impact of four successive government moves to tighten mortgage lending, which aimed to take the froth out of a hot housing market without causing a damaging crash in prices.

A Reuters poll published on Friday showed the majority of 20 forecasters believe the government has done enough to rein in runaway prices, preventing the type of crash that devastated the U.S. market.

The experts expect Canadian housing prices to fall 10 percent over the next several years, but they do not expect the recent property boom to end in a U.S.-style collapse.

(Reporting by Janet Guttsman; Editing by Vicki Allen)

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‘Angry Birds Star Wars’ Is More Addictive Fun Fans Want [REVIEW]

Last month, Rovio announced a major partnership with Lucasfilm to create Angry Birds Star Wars. The game, out this week, represents a hybrid of the two powerful brands, and provides enjoyable gameplay for fans of both franchises.

[More from Mashable: Viral Video Recap: Memes of the Week]

For those unsure about the union, “I find your lack of faith disturbing.” Rovio has shown in Angry Birds Star Wars that it can create a fun, challenging game that doesn’t besmirch our favorite characters. Instead, laugh at images of Stormtroopers as pigs and Chewbacca as a giant, furry bird.

Angry Birds Star Wars doesn’t deviate from the main concept behind the series. The slingshot is back, and you’ve got to propel birds towards their swine foe to knock them over and destroy their fortresses. This is Rovio’s bread and butter, but it seems like each iteration of the game has been more creative, and asks more from players; Angry Birds Space added depth to the gameplay by including physics challenges, such as zero-gravity and planetary orbit.

[More from Mashable: iPad 4: A Turbocharged Tablet With Nothing to Do [REVIEW]]

Likewise, Angry Birds Star Wars creates new challenges by adding Star Wars-inspired powers to all of the birds, based on which character they portray. Red Bird, a.ka. Luke Skywalker, can swing a lightsaber to destroy objects he’s about smash into, or to take out an enemy. The bird version of Obi-Wan Kenobi can use The Force to push over obstacles while flying. Unsurprisingly, both of these powers are extremely fun to use (a lightsaber will always add entertainment value to whatever you’re doing).

The entire main cast of Star Wars Episode IV: A New Hope is represented in bird form; each has their own power to master. Similarly, many of the films’ settings are portrayed in the game by beautifully drawn backgrounds. The levels that take place on Tantooine feature the planet’s two suns setting on the horizon.

Angry Birds also reenact classic Star Wars movie moments in cutscenes that appear between every few levels. While they may be corny, the scenes will bring a smile to any player’s face, especially when encountering the Jawas or bounty hunter Greedo rendered as birds or pigs.

There are many other touches to Angry Birds Star Wars that clearly demonstrate the game’s developers are passionate Star Wars superfans. For example, there are classic sounds that make nerd hearts flutter, such as the blaster noise that goes off whenever players hit a level’s high score. The sound editing also incorporates the film’s score with some cartoony remixes.

While Angry Birds Star Wars is playable on mobile, tablet and PC, it’s a better fit for larger screens. Players won’t be able to enjoy the tiny details of the world, not to mention the art and cinematics, as much when screen size is smaller. Targeting Angry Birds’ powers to small, specific spots also proves more difficult.

This is a must-download for fans of either franchise, and Rovio has made it available on virtually every platform at launch. Angry Birds Star Wars is out now for iOS, Android, Kindle Fire, Windows Phone, Mac, PC and Windows 8, for either $ 0.99 or $ 2.99.

Title Screen

The Angry Birds Star Wars title screen. The HD version is available for tablets, Mac, PC and Windows 8.

Click here to view this gallery.

This story originally published on Mashable here.

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Springsteen, McCartney, Kanye set for Sandy show

NEW YORK (AP) — Paul McCartney, Bruce Springsteen & the E Street Band and Kanye West will hit the stage at a Superstorm Sandy benefit concert next month at Madison Square Garden.

MSG announced Thursday that Billy Joel, The Who, Alicia Keys and Jon Bon Jovi will also perform at the Dec. 12 show, dubbed “12-12-12.” More performers will be announced at a later date.

Proceeds from the concert will go to the Robin Hood Relief Fund to benefit those affected by Sandy in New York, New Jersey and Connecticut. Sandy’s assault more than two weeks ago created widespread damage and power outages throughout the area.

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Diabetes rates rocket in Oklahoma, South

NEW YORK (AP) — The nation’s diabetes problem is getting worse, and health officials say the biggest changes have been in Oklahoma and a number of Southern states.

The diabetes rate in Oklahoma more than tripled over 15 years, and also boomed in Southern states like Kentucky, Georgia and Alabama.

Most cases are the kind of diabetes linked to obesity. Health officials believe extra weight explains the increases in the South and Southwest. They also say the rates overall are up because people with diabetes are living longer.

The Centers for Disease Control and Prevention issued the state report Thursday.

The diabetes rate more than doubled in several Northern states, too, including Washington, Idaho, Montana, Wyoming, South Dakota, Minnesota, Missouri, Ohio and Maine.

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Online:

CDC report: http://www.cdc.gov/mmwr

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A father's anguish in Gaza

Jihad Misharawi carries his son’s body at a Gaza hospital. (AP)

Jihad Misharawi, a BBC Arabic correspondent who lives in Gaza, tragically became part of the story he's been covering on Wednesday, when an Israeli airstrike killed his 11-month-old son.

A chilling photo showing Misharawi carrying his son's body through al-Shifa hospital in Gaza City was published by the Associated Press and printed on the front page of Thursday's Washington Post.

According to Paul Danahar, the BBC's Middle East bureau chief, Misharawi's sister-in-law was also killed in the the airstrike that hit his home in Gaza. Misharawi's brother was also seriously wounded, Danahar said.

"This is a particularly difficult moment for the whole bureau in Gaza," BBC World editor Jon Williams wrote in a memo to colleagues. "We're fortunate to have such a committed and courageous team there. It's a sobering reminder of the challenges facing many of our colleagues."

At least 10 Palestinians, including Hamas military chief Ahmed al-Jabari, were killed during the Israeli airstrikes on Wednesday, Palestinians officials said.

Israel launched the operation in response to successive days of rocket fire coming out of Gaza. Hamas, meanwhile, warned Jabari's assassination "had opened the gates of hell."

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Beating tax cheats key to Italy’s recovery plan

ROME (AP) — Good plumbers may be worth their weight in gold, but when one was spotted zipping around in a bright red Ferrari, Italian tax police were fast on his trail.

Stamping out entrenched tax evasion is crucial to Premier Mario Monti‘s quest to keep Italy from succumbing to the European debt crisis, and it is critical to fellow eurozone members in more dire straits, such as Greece and Spain — which are also notorious for making cheating the taxman a way of life.

Indeed, Greece’s international rescue creditors have been pressing Greece for two years to reform its ailing tax system, citing poor collection as a key factor keeping the country mired in crisis. In Spain, where tax fraud is rampant, as much as €90 billion ($ 150 billion) is lost each year to tax fraud — the equivalent of the country’s national debt, according to Spain’s main tax inspectors union.

To succeed in Italy, authorities will have to catch the legions of self-employed and small business owners who brazenly lie about their earnings, like the plumber in the eastern town of Pescara, who socked away undeclared income in 30 bank accounts, or a successful pastry shop owner in Calabria, who on his tax return claimed he was earning next to crumbs.

And those are the less sophisticated schemers.

Tax police officials say that wealthy Italians, their companies and foreigners who make their money in Italy are increasingly trying to avoid taxes by using such strategies as falsely declaring that their base of operations or residence is abroad.

Another daunting challenge is the so-called “submerged” economy, a term embracing Italians who declare only a fraction or nothing at all of their earnings — and dentists, lawyers, doctors and other big-earning professionals are frequently among the worst offenders.

Tax evasion of all types in Italy totals about euros 240 billion ($ 300 billion), or 15 percent of the country’s gross domestic product of €1.6 trillion ($ 2 trillion), tax police estimate. Winning the war on tax cheats could therefore more than wipe out the country’s budget deficit, which is expected to increase to euros 42 billion ($ 53 billion), or 2.6 percent of GDP this year. That would start knocking away at the nation’s colossal public debt of €2 trillion ($ 2.5 trillion), or 125 percent of GDP.

But “big international frauds are up,” lamented Lt. Col. Gianluca Campana, in charge of the income tax unit revenue protection office at the Guardia di Finanza, Italy’s financial police corps which reports to the Economy Ministry.

The entrenched practice by many cafes, eateries, hair dressers and similar small business of neglecting to give customers mandatory cash register receipts commonly grabs the attention in crackdowns on tax evasion in Italy.

But, cautioned Campana, “one false (big business) invoice can equal no cash register receipts for coffees for two months.”

Over all of 2011, the total of non-declared income discovered by tax police amounted to some €50 billion ($ 65 billion), of which some 20 percent was due to international tax evasion, he said. By comparison, in the first nine months of this year, tax police discovered some €40 billion in undeclared income, with 30 percent of that blamed on international tax evasion, Campana said.

With the economic crisis shrinking bottom lines, and Italy increasingly on the hunt for big-time evasion, especially by big businesses, “there is a tendency to move capital abroad, using maneuvers apparently legal but which really are not,” Campana said. A classic technique consists of declaring one’s formal residence abroad in tax havens like Monte Carlo. Also common are companies that clearly have their business base in Italy but claim it is abroad in countries with far lower tax brackets.

Campana is armed with three degrees, including a masters in tax law from Milan’s Bocconi University, the prestigious economics institute formerly headed by Monti. He brings skills to this specialized police corps that are as finely tuned as sharp-shooting.

“We are going after the big cases (of evasion) in order to rake in more money,” Campana said.

The Ferrari-driving plumber hid some €2 million ($ 2.6 million) of his income over several years by giving his customers invoices — for jobs ranging from fixing leaks to installing new bathrooms — for the actual cost of his work, but kept a second, false registry of much lower figures for tax purposes, said Pescara tax police Col. Mauro Odorisio.

Armed with a 2008 law, authorities confiscated assets belonging to the plumber equivalent to the approximately €1 million ($ 1.3 million) they contend he owed in taxes, Odorisio said.

With Ferraris in red or yellow, and snazzy Porsches parked inside, Guardia di Finanza garages practically resemble luxury car dealerships.

The cars get sold to help recoup unpaid taxes and interest.

Overall, tax revenues in Italy were up by 4.1 percent, says the Economy Ministry, when comparing figures from the first eight months of 2012 with the same period in 2011, but much of that was due to new taxes, and not necessarily a revolution in citizens’ consciences about tax obligations.

Monti’s recipe relies heavily on taxes that are nearly impossible to avoid, such as sales tax. He also revived a property tax that his populist predecessor, Premier Silvio Berlusconi, had abolished in a promise to voters.

The ministry’s report last month noted that the property tax figured prominently in the “tendency toward growth” in tax revenues. But sales tax revenue dropped slightly despite higher sales tax rates, indicating that consumers were feeling the pinch of the stagnant economy.

The heavier fiscal burden seems to have driven some honest citizens to rebel against the engrained culture of tax evasion.

The number of phone calls from the public to the tax police’s hotline to report stores, restaurants and other businesses that didn’t give customers sales receipts has almost doubled in the first nine months of this year, compared with the same period in 2011.

It’s apparently dawning on Italians that shirking taxes in the end only costs them, in terms of ever-higher levies and cutbacks in public services.

Citizens now increasingly understand that “the lack of revenue over time caused by tax evaders forced the government to stiffen the tax burden on categories where you can’t evade taxes,” Campana said, referring to workers whose taxes are deducted from paychecks. Another area where evasion is close to impossible is real estate ownership.

Odorisio noted the crackdown included extending the statute of limitations on tax evasion from six to eight years and establishing prison as a penalty for big-time evasion.

Other weapons include a measure promoted by the Monti government that limits cash payments to no more than €1,000. Paying by credit card or personal check is a relatively new habit for Italians, who are used to carrying wads of cash in their pockets, even for big-ticket items like home renovations or vacations.

Past governments in Italy sometimes resorted to tax amnesties to try to boost revenues. But critics, contending some Italians counted on such a possibility, described that strategy as only perpetuating the tax cheat culture.

Spain hasn’t had much success with its own tax amnesty introduced by the conservative government in March. That measure, expiring soon, allows undeclared assets or those hidden in tax havens to be repatriated by paying a 10 percent tax without criminal penalty. The amnesty is estimated to recuperate far less than the expected €2.5 billion ($ 3.25 billion).

Greece saw demands for tax system reform from international rescue creditors added on to conditions for future rescue loan payments, as Greek authorities acknowledged that a high-profile campaign to crack down on major tax cheats has produced disappointing results.

The cash-strapped government over the last 10 months recovered just €19 million ($ 25 million) of the €13 billion ($ 17 billion) of arrears on the list. A prominent Greek magazine publisher recently tapped anger over rich tax evaders by publishing a list of people allegedly holding Swiss bank accounts. He was acquitted this month of breaching privacy laws.

Meanwhile, Italian tax police are chasing after cheats who have shown some of the most chutzpah about not paying their fair share of taxes, like the Padua woman who advertised on the Internet that she had a couple of “cash-only” bed and breakfast rooms to let.

Tax police discovered the lodgings are part of an apartment in public housing she was given after falsely declaring she was indigent on her annual tax forms.

____

AP reporters Derek Gatopoulos in Athens and Ciaran Giles in Madrid contributed to this report.

Europe News Headlines – Yahoo! News

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When Facebook insiders, employees can sell stock

On Wednesday, additional Facebook stock became eligible for sale for the first time. It follows the expiration of similar lock-up periods in August and October. Other shares will become eligible for sale in the coming months.

Up to 1.56 billion more shares could flood the stock market — nearly four times the 421 million shares that had been trading since Facebook’s initial public offering in May. The 1.56 billion figure includes shares released from lock-up already.

On Aug. 16, a lock-up period expired for 271 million shares held by early investors and directors who had participated in the IPO, though CEO Mark Zuckerberg was excluded for unspecified reasons.

On Oct. 29, the lock-up ended for 234 million shares and stock options held by employees as of Oct. 15, excluding Zuckerberg. Oct. 31 was the first trading day since then because of stock market closures resulting from Superstorm Sandy.

On Wednesday, another 852 million shares and stock options became eligible. Zuckerberg had been eligible to sell his shares at this date, but Facebook has changed that given that the CEO had no plans to do so until at least next September.

Here’s the schedule for remaining lock-up expirations, as reported by Facebook Inc. in regulatory filings:

— Dec. 14: 156 million shares held by early investors and others who participated in IPO, except Zuckerberg.

— May 18, 2013: 47 million shares held by the Russian Internet company Mail.ru Group and DST Global, both of which made early investments in Facebook.

Social Media News Headlines – Yahoo! News

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Wakeman reworks rock epic Journey to Centre of Earth

LONDON (Reuters) – The story behind the upcoming re-issue of Rick Wakeman‘s 1974 concept album “Journey to the Center of the Earth” sounds almost as unlikely as the Jules Verne tale that inspired it.

Progressive rock veteran Wakeman had presumed the original orchestration to his chart-topping disc was lost for good when his record company MAM, where the manuscripts had been stored in boxes, was brought to its knees in the early 1980s.

Although he could have re-orchestrated the work from the original album, recorded live at the Royal Festival Hall in London in 1974, Wakeman knew it would be far from perfect.

And the original score was 55 minutes long whereas the 1974 version had to be cut to closer to 40 due to the constraints of vinyl recordings at the time.

“In about 1983 or 1984 I had an enquiry to do Journey again in America,” Wakeman recalled in a telephone interview.

“I thought ‘great’. But MAM had gone, and nobody there had any idea what had happened to all the stuff of mine,” the former Yes keyboardist told Reuters.

“Up until recently I would get phone calls to do it and I said ‘no, I can’t', there is no music any more. You just resign yourself to disappointment.”

Everything changed about four years ago when a box of papers arrived at his doorstep – a fairly regular occurrence, he explained, for a man who had been married several times and had “stuff in storage all over the place”.

Sifting through the contents, Wakeman found a pile of music that was not his own, but “something told me to empty the entire box.” At the very bottom was the long-lost conductor’s score of Journey, albeit so damp the pages were stuck together.

To this day Wakeman does not know where the box came from, and is amazed it reappeared nearly 30 years after going missing.

ORIGINAL SONGS

Once the music had been downloaded on to a computer, Wakeman set about reintroducing the songs and other sections he removed for the 1974 recording with the help of notes he had kept.

He decided to make a studio recording of the rock opera, and sought to replicate the sound of the original instruments.

For the narrator’s voice, he could not go back to David Hemmings, who died in 2003, and so invited actor Peter Egan.

The result is a re-mastered version of Journey, complete with 20 minutes of unheard music, which hits shelves on November 20. It comes in the form of a “fanback” comprising the music, a 132-page magazine and a replica of the program to the 1974 show.

For Wakeman it was a labor of love, but one he hopes will prove profitable.

“We did have record companies come forward,” the 63-year-old said. “But I don’t want an A&R (artists and repertoire) man coming in and saying it could do with this and that.

“The only way I can get this done as I believe it should be is to finance it and do it myself which we did. It broke the bank, there’s no doubt about it.”

While the concept of a rock opera based on French author Verne’s 1864 sci-fi classic may not instantly appeal to young listeners today, Wakeman believes there is a market for his latest release.

“Music audiences today don’t put a date on anything, they either like it or they don’t,” he said, adding that the “prog-rock” genre for which he is best known has made something of a comeback in recent years.

PROKOFIEV FAN

The prolific musician who has made around 100 albums and sold millions of records started piano lessons when he was seven, and at about that time the seeds of his career were sown.

“Story telling to music is something I have loved since my father took me to see ‘Peter and the Wolf’ aged eight, and (Sergei) Prokofiev became my hero,” he recalled.

By his late teens he was an established session musician and joined the band Yes in 1971 with whom he recorded the hit album “Fragile” and, the following year, “Close to the Edge”.

In 1973 he released “The Six Wives of Henry VIII” a solo concept album, and in 1974, which his official online biography calls “probably the most significant year in Rick’s career”, he made Journey and toured the world with it.

Another concept album, “The Myths and Legends of King Arthur and the Knights of the Round Table” followed in 1975, and Wakeman returned to Yes for spells throughout the 1990s.

Next week he plays six dates in South America, including the first concert performance of the new, full Journey and a rendition of The Six Wives.

The new “holy grail” following the rediscovery of Journey is to track down the original music to King Arthur, which was also lost. Wakeman is orchestrating the existing recording for a show next June, but would love to find the full score.

“All of us involved hope very much that it (Journey) makes its money back, because it would then allow me to look for the King Arthur music. We are doing a version next June and it would be lovely to say we’ve done it from the original music.”

(Reporting by Mike Collett-White, editing by Paul Casciato)

Music News Headlines – Yahoo! News

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Inyecciones epidurales de esteroides no alivian dolor del nervio ciático

NUEVA YORK (Reuters Health) – Las inyecciones de esteroides

no alivian la ciática, un trastorno común causante de dolor de

piernas y espalda baja, según muestra una revisión de la

literatura médica.

Tras analizar casi dos decenas de estudios sobre miles de

pacientes, un equipo de Australia determinó que las inyecciones

epidurales (en la médula) de corticoesteroides no tenían un

efecto inmediato o prolongado en la neuralgia del nervio ciático

y el alivio pasajero del dolor en las piernas sería

insignificante para los pacientes.

“Queda muy claro que el tratamiento no es una buena opción”,

dijo el coautor del estudio, Chris Maher, del Instituto George

para la Salud Mundial, Sídney, Australia.

Aun así, el uso de las inyecciones epidurales de esteroides

para tratar los dolores de espalda en los pacientes de Medicare

crecieron de 741.000 en el 2000 a casi 1.438.000 en el 2004.

En Estados Unidos, una inyección cuesta varios cientos de

dólares. Y una partida fallada de uno de los esteroides

utilizados en los estudios revisados, la metilprednisolona,

acaba de causar en el país un brote de meningitis fúngica que

infectó al menos a 400 personas y provocó 31 muertes.

Estudios previos ya habían cuestionado la efectividad de las

inyecciones epidurales de esteroides para tratar la ciática, que

comúnmente se atribuye al daño de un nervio.

Ahora, el equipo de Maher reunió los resultados de los

ensayos clínicos de mejor calidad, aleatorizados, para incluir

finalmente 23 estudios sobre un total de 2300 pacientes. El

nivel de dolor se había evaluado con una escala de cero a 100 (a

mayor puntaje, peor dolor).

El equipo observó que las inyecciones no aliviaban el dolor

de espalda de la ciática en el corto o el largo plazo. En cuanto

al dolor de piernas, sólo en el corto plazo (entre dos semanas y

tres meses) surgió una reducción estadísticamente significativa

de seis puntos.

“En una escala de 100 puntos, seis parecen una diferencia

mínima y, para nosotros, quizás ni tenga importancia clínica”,

dijo Maher. “Pensamos que la pregunta está respondida (…) De

modo que en cuanto a la investigación, hay que avanzar sobre

otros tratamientos de la ciática”.

Maher sostuvo que, en lugar de utilizar las inyecciones de

esteroides, los pacientes con ciática deberían consultar al

médico. Otras opciones terapéuticas son los analgésicos comunes,

como el acetaminofeno, que son fármacos que actúan en el sistema

nervioso. La última opción es la cirugía.

FUENTE: Annals of Internal Medicine, online 12 de noviembre

del 2012

Seniors/Aging News Headlines – Yahoo! News

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