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Burden of non-communicable diseases in Tunisia, 1990-2017: results from the global burden of disease study.

Pan Afr Med J · 2021 · PMC8590256 · PMID 34804330

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a decreasing trendno p-value reported
an increasing trendno p-value reported
A constant trend was considered when the zero value was within both 95% UI limits for the APC, an increasing trend when both 95% UI limits were positive and a decreasing trend when both 95% UI limits were negative.

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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.