São Paulo medical journal = Revista paulista de medicina
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Shoulder pain is considered to be the third largest cause of musculoskeletal functional alterations in individuals presenting pain during movement. ⋯ The findings suggest that strengthening exercises, with or without associated manual therapy techniques and other resources, were the interventions with greatest power of treatment over the medium and long terms, for individuals with shoulder pain. These had greater therapeutic power than surgical procedures, electrotherapy or photobiomodulation.Protocol registration number in the PROSPERO database: ID - CRD42018096578.
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Obstructive jaundice may lead to ominous complications and requires complex diagnostic evaluations and therapies that are not widely available. ⋯ There is a deficiency in the official referral routes for patients with obstructive jaundice. The accuracy of the clinical diagnosis of acute cholangitis was poor. Wider dissemination of the Tokyo criteria is essential.