O fenómeno da desorçamentação: breves considerações à nomenclatura

0 presente artigo analisa o sentido e alcance da nomenclatura desorçamentação. Trata-se de um neologismo recentemente usado na literatura das ciências económicas, e em especial nas finanças públicas, que tem gerado alguma controvérsia, resultando dali interpretações e visões muitas vezes dissemelhantes para o mesmo fenómeno. Embora o conceito não tenha tradução para outras línguas procurou-se fazer uma aproximação à sua semelhança terminológica em termos do seu signifi­cado. O contexto e, em especial, o Orçamento de Estado.

Physical therapy with drug treatment in bell palsy: a focused review

ABSTRACT: The physical therapy (PT) associated with standard drug treatment (SDT) in Bell palsy has never been investigated. Randomized controlled trials or quasirandomized controlled trials have compared facial PT (except treatments such as acupuncture and osteopathic) combined with SDT against a control group with SDT alone. Participants included those older than 15 yrs with a clinical diagnosis of Bell palsy, and the primary outcome measure was motor function recovery by the House-Brackmann scale. The methodologic quality of each study was also independently assessed by two reviewers using the PEDro scale. Four studies met the inclusion criteria. Three trials indicate that PT in association with SDT supports higher motor function recovery than SDT alone between 15 days and 1 yr of follow-up. On the other hand, one trial showed that electrical stimulation added to conventional PT with SDT did not influence treatment outcomes. The present review suggests that the current practice of Bell palsy treatment by PT associated with SDT seems to have a positive effect on grade and time recovery compared with SDT alone. However, there is very little quality evidence from randomized controlled trials, and such evidence is insufficient to decide whether combined treatment is beneficial in the management of Bell palsy.