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The Five Series Study Mortality of Military Participants in U.S. Nuclear Weapons Tests (2000) / Chapter Skim
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9 Analysis Structure
Pages 50-55

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From page 50...
... participation in at least one of the five selected atmospheric nuclear weapons tests is associated with increased mortality hazard; and . participants who were more likely to have been highly exposed to radiation would have increased mortality hazard relative to participants who were less likely to have been highly exposed.
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From page 51...
... bThe first day of the operational period of the selection series. CCategories created and assigned based on unit of assignment.
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From page 52...
... (Note: A working group of the committee overseeing the Five Series Study has reported kIOM, 1995; reprinted in Appendix A of this report] that the extensive dosimetry categorization and reconstruction data developed by the Nuclear Test Personnel Review Program of the Defense Threat Reduction Agency are not suitable for use in epidemiologic investigations of dose-response.
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From page 53...
... Not only is this healthiness thought to produce lower death rates among active duty military personnel, but lower mortality rates apparently persist even after discharge from active duty (Seltzer and Jablon, 1974, 1977~. Such effects seen among occupational groups have been labeled the "healthy worker effect," and by analogy, lower SMRs among military veterans can be attributed to a "healthy soldier effect." Despite this limitation, SMRs provide a way to compare the mortality of the cohort of interest to that of the general population.
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From page 54...
... TABLE 9-2. Broad Categories of Noncancer Causes of Death as Grouped by ICD-9 Codes Broad Category ICD-9 Code Infectious and parasitic diseases Benign neoplasms Endocrine, nutritional, and metabolic diseases and immunity disorders Diseases of the blood and blood-forming organs Mental disorders Diseases of the nervous system and sense organs Circulatory disease Respiratory disease Digestive disease Diseases of the genitourinary system Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Congenital anomalies Symptoms, signs, and ill-defined conditions All external causes *
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From page 55...
... endocrine glands; other, ill-defined, secondary, and unspecified sites. SOURCE: International Classification of Diseases, 9th Edition (ICD-9)
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Key Terms

  • five series
  • test series
  • nuclear test
  • malignant neoplasms
  • mortality hazard

  • connective tissue
  • death rates
  • hazard ratio
  • reduction agency
  • hazard ratios

  • military service
  • series study
  • disorders diseases
  • active duty
  • excluding chronic

  • defense threat
  • stratification variables
  • threat reduction
  • broad category
  • personnel review

  • review program
  • test personnel
  • analysis plan
  • radiation exposure
  • increased mortality

  • highly exposed
  • series participation
  • servicemen pass
  • committee chose
  • participation squared


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