{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:11:32Z","timestamp":1761765092573,"version":"build-2065373602"},"reference-count":31,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Epidemiol Community Health"],"published-print":{"date-parts":[[1985,9]]},"abstract":"<jats:p>A recent rise in the incidence of cancer of the testis in affluent countries and affluent social strata suggests either an iatrogenic effect analogous with adenocarcinoma of the vagina or a prenatal infection analogous with congenital rubella syndrome. Three samples were assembled, two based on registration and one on death certification, and dates of birth were examined for the presence of steps, cycles, and irregular clusters. There was no evidence of a sudden step, and only equivocal evidence of clustering, but there was strong evidence of a temporal cycle. The cycle has a four-month period, analogous with a school-term-related cyclical component identified in other diseases. A prenatal infection is strongly suggested, but the pattern enables us to exclude many of the common childhood infectious fevers.<\/jats:p>","DOI":"10.1136\/jech.39.3.237","type":"journal-article","created":{"date-parts":[[2008,11,12]],"date-time":"2008-11-12T15:09:01Z","timestamp":1226502541000},"page":"237-243","source":"Crossref","is-referenced-by-count":9,"title":["Birth dates of men with cancer of the testis."],"prefix":"10.1136","volume":"39","author":[{"given":"E G","family":"Knox","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Cummins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1985,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1136\/jech.36.2.96","article-title":"Prenatal factors in the aetiology of testicular cancer: an epidemiological study of childhood testicular cancer deaths in Great Britain 1953-72","volume":"36","author":"Swerdlow, A.J.; Stiller, C.A.; Kinnier Wilson, L.M.","year":"1982","unstructured":"Swerdlow AJ, Stiller CA, Kinnier Wilson LM. 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Am J Epidemiol 1980; 111: 367-72.","journal-title":"Am J Epidemiol"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1093\/ije\/10.3.289","article-title":"A generalized scan statistic test for the detection of clusters","volume":"10","author":"Weinstock, M.A.","year":"1981","unstructured":"\"Weinstock MA, A generalized scan statistic test for the detection of clusters. Int J Epidemiol 1981; 10: 289-93.","journal-title":"Int J Epidemiol"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1002\/sim.4780010210","article-title":"Detection of minimal epidemics","volume":"1","author":"Knox, E.G.; Lancashire, R.","year":"1982","unstructured":"Knox EG, Lancashire R. Detection of minimal epidemics. Stats in Med 1982; 1: 183-9.","journal-title":"Stats in Med"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1093\/ije\/11.1.5","article-title":"Measles in England and Wales-I: An analysis of factors underlying seasonal patterns","volume":"11","author":"Fine, P.E.M.; Clarkson, J.A.","year":"1982","unstructured":"Fine PEM, Clarkson JA. Measles in England and Wales-I: An analysis of factors underlying seasonal patterns. 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