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US publications (blue) UK publications (red) were evaluated in four categories: overall citation rate (All); independent (Indep); international-corresponding (Intl-C); and international-secondary (Intl-S). Significant differences statistically were seen between: (A) US Indep vs. Intl-C, p<0.01; (b) US Intl-C vs Intl-S, p = 0.04; (C) UK Indep vs.Intl-C, p = 0.01; (D) UK Indep vs. Intl-S, p<0.01; and (E) US Indep vs. UK Indep, p<0.01.
