“…Representation in top basic science journals, however, was sizeable and noteworthy during the same time frame. In addition, Japanese representation in other fields of medicine ranged from 1.1 to 11.4% during 1991-2000 based on top-ranking journals (Rahman et al 2001(Rahman et al , 2002a(Rahman et al ,b,c, 2003a(Rahman et al ,b,c,d, 2004(Rahman et al , 2005Takahashi et al 2002;Morimoto et al 2003;Hayashino et al 2003a,b;Rahman and Fukui 2003;Maeda et al 2003;Okamoto et al 2004). Scattered and uncoordinated efforts were undertaken as intervention programs to boost clinical research and overcome barriers in Japan.…”