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The 2014 Promoting Effective Public Expenditure (PEPE) report showed that PNGs DSIP in 2009 as a share of total expenditure (5.6 percent) was the second highest among a number of developing countries (Solomon Islands was the highest at 8 percent)
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Medical management is key to prevention progressive disease, but surgical management is usually necessary when a person has painful joint destruction and/or tendon ruptures
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