Another “artefact” is the advantage held by institutions that include medical schools, which typically produce many more papers than institutions without. From the perspective of gross influence, as measured by total citations, 14 of the top 20 are US institutions and three are British, with Germany, Japan and Canada having one each. While the Max Planck Society features in this ranking in second place, the Chinese and Russian academies do not, nor does the CNRS. Again, institutions with medical schools have an advantage in this ranking, since fields such as life sciences exhibit some of the highest average rates of citation. For more information on the Thomson Reuters Essential Science Indicators database, see http://scientific.thomsonreuters.com/products/esi
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