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An eight-year follow-up national study of medical school and general hospital ethics committees in Japan.

BMC Med Ethics · 2007 · PMC1925100 · PMID 17598923

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a positive trendno p-value reported
This is a positive trend, yet to better ensure a common international standard among all nations worldwide, further data and research are needed on each nation's system of EC.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.