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Google question
How much notice does Google take of the country a site is hosted in?
I'm getting deeply puzzled by my Dupuytren's site. They've done a fair bit of work on the site (doing several things that people have suggested to me, especially Phil), and they've got a lot more links than they used to, but they seem stuck about half way up Google. They were in the 90s and they're now in the 40s (they actually got into the early 30s in mid July, but then slipped down again).
It's a large site with many pages on connected topics and I just can't see why it's stuck at this level on Google. I wonder if the fact that it's a German site (albeit English language) is part of the problem.
Has anyone any ideas?
I'm getting deeply puzzled by my Dupuytren's site. They've done a fair bit of work on the site (doing several things that people have suggested to me, especially Phil), and they've got a lot more links than they used to, but they seem stuck about half way up Google. They were in the 90s and they're now in the 40s (they actually got into the early 30s in mid July, but then slipped down again).
It's a large site with many pages on connected topics and I just can't see why it's stuck at this level on Google. I wonder if the fact that it's a German site (albeit English language) is part of the problem.
Has anyone any ideas?

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On Google UK, the first is currently number 46 and the second is 89.
The site I'm looking for is http://www.dupuytren-online.info/index.html (or any page that starts dupuytren-online) It's a German charity that collects information about Dupuytren's disease and gives reports on different treatments.
I'd love it if someone in the US could run a comparison as well.
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They have a lot of people linking to the site, but the country of origin is causing a big problem...
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Which country were you looking from?
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I'm looking from Sweden.
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Dupuytren & Google
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Of course, that's the simple approach they took when they just started. Things got a lot more complicated later on. But I think it still plays a big part.
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(As an additional guess, most .info sites are crap, so I would not be surprised if Google downgrades them for not being a .com/.net/.org too.)
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It's also to be expected that the ranking will go up and down over time - this is perfectly normal and to be expected. The main thing to hope for however is that it's usually a rise up the charts. The closer to the top you get, the less the up/down is - generally only by a couple of places, so I'm not surprised at your results. However, you're equally right to be concerned at the apparent glass ceiling you've discovered, and early 30s just doesn't cut it, as you have pointed out.
Continue to do what you are doing though, since it is working - get more links, and particularly get links from places like DMOZ (Open Directory Project) if you haven't already, a Squidoo (.com) lens (helps a bit sometimes) and as many links from directory search engines as you can. I'd also go to major health sites like Healia or Netdoctor and tell them about the site and see if they'll link to it. Also Wikipedia and so on.
Contacting Google isn't a bad idea - the worst that will happen is no reply. You might also want to take slightly more drastic measures and move the site to the US if all else fails. Also, do remember that the Big G isn't the best way of measuring the importance of the site - what's more important are the number of visitors that you're getting. This should be rising as you're doing more work anyway - not everyone will arrive via Google, so you should have a good statistics package available to see exactly what is happening.
Finally - this is NOT necessarily something that will happen quickly. You're still, relatively, in the short term - you need to wait a year before expecting to see continual trustworthy results. Don't be discouraged!
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I agree that Google pays a lot of attention to DMOZ listings.
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