In the next graph in the figure, the medical and health sciences show significantly increasing trends for Germany (r s = 1.0) and France (r s = 1.0) but a decreasing trend for the USA (r s = −.64).
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Macro-indicators of citation impacts of six prolific countries: InCites data and the statistical significance of trends.
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The sentences
The citation impact of papers from China is still at a relatively low level (mostly below the world average), but the country follows an increasing trend line.