Barely Significant
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Unity in diversity: mapping healthcare interpreting studies (2007-2017).

Med Educ Online · 2019 · PMC6419635 · PMID 30849299

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a clear trendno p-value reported
Fourth, the demographic picture of the studies presents a clear trend in which the USA, followed by other countries mostly in Western Europe, take the lead in healthcare interpreting studies, while there has been a growing concern in this regard in emerging regions as well.

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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.