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Furthermore, Sweden ranked either as the first or second country publishing the highest number of scientific publications in the fields of medical science, natural science and engineering in 2001. Sweden was world-leading in medical science and second only to Switzerland in natural science and engineering in terms of the number of publications in relation to its population size. In terms of structure, the Swedish economy is characterized by a large knowledge-intensive and export-oriented manufacturing sector, an increasing, but comparatively small, business service sector, and by international standards, a large public service sector. Large organisations both in manufacturing and services dominate the Swedish economy.