Barely Significant
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Globalization of continuing professional development by journal clubs via microblogging: a systematic review.

J Med Internet Res · 2015 · PMC4424319 · PMID 25908092

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an increasing trendno p-value reported
Published reports describe positive initial uptake and support from their respective medical communities [ 11 , 16 - 18 ], while Twitter analytics confirm an increasing trend in journal club establishment, cumulative tweets, and tweets per month.

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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.