OĞUZ EROĞLU, ORHAN MURAT KOÇAK, FİGEN ÇOŞKUN, TURGUT DENİZ

CAMA YUMRUK ATAN HASTALARIN DEMOGRAFİK ÖZELLİKLERİ VE HAVA KOŞULLARI İLE İLİŞKİSİ

Giriş: Eski çağlardan beri hava koşullarının insan davranışları üzerinde etkisi olduğuna inanılmaktadır. Yapılan çalışmalarda elde edilen farklı sonuçlardan dolayı, bu etki halen popülerliğini koruyan bir tartışma konusudur. Cama yumruk atma eylemi, ani gelişen, dürtüsel bir kendine zarar verme davranışıdır; hava koşullarının yanında altta yatan birçok sebeple ilişkilendirilebilir. Bu çalışma cama yumruk atma sebebiyle acil servise başvuran hastaların demografik özelliklerini ve hava koşullarından etkilenip etkilenmediğini araştırmak amacıyla yapılmıştır.Gereç- Yöntem: Çalışmamız 01.Ocak.2013 ile 31.Aralık.2014 tarihleri arasında “Cama yumruk atma” eylemi sonucu acil servise başvuran hastalar üzerinde retrospektif olarak yapılmıştır. Hava koşullarına ait veriler Meteoroloji Genel Müdürlüğünden alınmıştır.Bulgular: Çalışmaya 69 hasta dahil edildi. Çalışma grubunun % 82.6’sı (n=57) erkek, % 81.2’si (n=56) bekar, % 27.5’si (n=19) üniversite öğrencisi, % 15.9’u (n=11) işsiz, %73.9’unda (n=51) yaralanma dominant elde, %37.7’sinin (n=26) kan alkol testi pozitif, %14.5’inde (n=10) ise önceden tanısı konmuş psikiyatrik hastalık mevcut idi. Cama yumruk atma sebebiyle başvuran hastaların olay günü veya olaydan bir gün önceki hava koşullarından etkilenmediği; ancak etiyolojik faktörlerin bir kısmının hava koşulları ile ilişkisi olduğu tespit edildi. Sonuç: Cama yumruk atma eylemi pek çok sebeple ilişkilidir. Bu eylemin gelişimi, yalnızca hava koşullarındaki değişikliklerle açıklanamaz. Ancak bazı olguların hava koşullarındaki değişikliklerden etkilendiği, özellikle hava sıcaklığı veya basınç gibi değişkenlerin bu eylemi tetiklediği söylenebilir.

Anahtar Kelimeler:

Acil servis, cama yumruk atma, hava koşulları

DEMOGRAPHİC CHARACTERİSTİCS OF PUNCHİNG GLASS PATİENTS’ AND RELATED TO WEATHER CONDİTİONS

Introduction: Since ancient times, it is believed that weather conditions have an impact on human behavior. The studies obtained different results because, this effect is a matter of debate retains the current popularity. Glass punching is a sudden, impulsive self-destructive behavior. In addition to weather conditions, it can be related to many underlying causes. This study was carried out to investigate the demographic features and related to weather conditions of patients who applied to the emergency department due to glass punching.Material and Methods: Our work was performed between 01 January 2013 and 31 December 2014. Patients who applied to emergency service due to glass punching were retrospectively investigated. Weather data are taken from the Turkish State Meteorological Service. Results: Sixty-nine patients were included in the study. Patients in the study group; 82.6 % (n=57) were male, 81.2% (n=56) were single, 27.5% (n=19) university students, 15.9% (n= 11) were unemployed, 73.9 % (n=51) the injury was dominant hand, 37.7% (n=26) of the blood alcohol test was positive, 14.5% (n=10) had a previously diagnosed psychiatric disorder. Conclusion: Punching glass related to many reasons. The development of this action can not be explained only by changes in weather conditions. However, it can be said that some patients are affected by changes in weather conditions, especially variables such as air temperature or pressure.

Keywords:

Emergency room, punching glass, weather conditions,

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Barker A, Hawton K, Fagg J, Jennison C. Seasonal and weather factors in parasuicide. Br J Psychiatry. 1994; 165(3): 375-80.
Bulbena A, Pailhez G, Acena R, et al. Panic anxiety under the weather? Int J Biometeorol. 2005; 49(4): 238-43.
Keller MC, Fredrickson BL, Ybarra O, et al. A warm heart and a clear head. The contingent effects of weather on mood and cognition. Psychol Sci. 2005; 16(9): 724-31.
Anderson CA. "Heat and violence." Current directions in psychological science. 2001; 10(1): 33-8.
Kieltyka J, Kucybala K, Crandall M. Ecologic factors relating to firearm injuries and gun violence in Chicago. J Forensic Leg Med. 2016; 37: 87-90.
Vyssoki B, Praschak-Rieder N, Sonneck G, et al. Effects of sunshine on suicide rates. Compr Psychiatry. 2012; 53(5): 535-9.
Sivarajasingam V, Corcoran J, Jones D, Ware A, Shepherd J. Relations between violence, calendar events and ambient conditions. Injury. 2004; 35(5): 467-73.
Michel SJ, Wang H, Selvarajah S, et al. Investigating the relationship between weather and violence in Baltimore, Maryland, USA. Injury. 2016; 47(1): 272-6.
Gupta S, Murray RM. The relationship of environmental temperature to the incidence and outcome of schizophrenia. Br J Psychiatry. 1992; 160: 788-92.
Symonds RL, Williams P. Seasonal variation in the incidence of mania. Br J Psychiatry. 1976; 129: 45-8.
Goodwin FK, Jamison KR. Manic-depressive illness. New York: Oxford University Press. 1990: 541-74.
Wang H, Sekine M, Chen X, Kagamimori S. A study of weekly and seasonal variation of stroke onset. Int J Biometeorol. 2002; 47(1): 13-20.
Larcan A, Gilgenkrantz JM, Stoltz JF, et al. Climatologic parameters and myocardial infarction. Ann Cardiol Angeiol. 1983; 32(2): 83-92.
Redelmeier DA, Tversky A. On the belief that arthritis pain is related to the weather. Proc Natl Acad Sci. 1996; 93(7): 2895-6.
Kessler RC, Lane M, Stang PE, Van Brunt DL. The prevalence and workplace costs of adult attention deficit hyperactivity disorder in a large manufacturing firm. Psychol Med. 2009; 39(1): 137-47.
Trybus M, Lorkowski J, Brongel L, Hladki W. Causes and consequences of hand injuries. Am J Surg. 2006; 192(1): 52-7.
Bokhari AA, Stirrat AN. The consequences of punching glass. J Hand Surg Br. 1997; 22(2): 202-3.
Mendelson RL, Burech JG, Polack EP, Kappel DA. The psychological impact of traumatic amputations. A team approach: physician, therapist, and psychologist. Hand Clin. 1986; 2(3):5 77-83.
Sahin F, Akkaya N, Kuran B, Dogu B, Simsir Atalay N, Oguzhanoglu N. Demographical, clinical, and psychological differences of patients who suffered hand injury accidentally and by punching glass. Acta Orthop Traumatol Turc. 2015; 49(4): 361-9.
Ozen S, Subası M, Yıldırım A, Basturk M, Bez Y. Problem solving skills and childhood traumas in patients who self-injured by punching glass during an anger out burst. J Clin Exp Invest. 2010; 1(1): 25-30.
Karger B, Niemeyer J, Brinkmann B. Suicides by sharp force: typical and atypical features. Int J Legal Med. 2000; 113(5): 259-62.
Noaman HH. Management and functional outcomes of combined injuries of flexor tendons, nerves, and vessels at the wrist. Microsurgery. 2007; 27(6): 536-43.
Metter D, Benz D. Self-defense injuries in homicides caused by penetrating forces. Z Rechtsmed. 1989; 102(5): 277-91.
Jeanmonod RK, Jeanmonod D, Damewood S, Perry C, Powers M, Lazansky V. Punch injuries: insights into intentional closed fist injuries. West J Emerg Med. 2011; 12(1): 6-10.
Grunert BK, Smith CJ, Devine CA, et al. Early psychological aspects of severe hand injury. J Hand Surg Br. 1988; 13(2): 177-80.
Grunert BK, Matloub HS, Sanger JR, Yousif NJ. Treatment of posttraumatic stress disorder after work-related hand trauma. J Hand Surg Am. 1990; 15(3): 511-5.
Hennigar C, Saunders D, Efendov A. The Injured Workers Survey: development and clinical use of a psychosocial screening tool for patients with hand injuries. J Hand Ther. 2001; 14(2): 122-7.
Johnson RK. Psychologic assessment of patients with industrial hand injuries. Hand Clin. 1993; 9(2): 221-9.
Kural C, Alkas L, Tuzun S, Cetinus E, Ugras AA, Alkas M. Anger scale and anger types of patients with fifth metacarpal neck fracture. Acta Orthop Traumatol Turc. 2011; 45(5): 312-5.
Archer J. The nature of human aggression. Int J Law Psychiatry. 2009; 32(4): 202-8.
Zanarini MC, Hörz S, Frankenburg FR, WeingeroffJ, Reich DB, Fitzmaurice G. The 10-year course of PTSD in borderline patients and axis II comparison subjects. Acta Psychiatr Scand. 2011; 124 (5): 349-56.
Pehlivan Z, Konukman F. Comparing the physical education teachers and the other branch teachers in the aspect of problem solving. Spormetre Beden Egitimi ve Spor Bilimleri Dergisi. 2004; 2(2): 55-60.
.Akın S, Gungor I, Mendi B, Sahin N, Bizat E, Durna Z. Nursing student’s problem solving skills and internal-externallocus of control. Hemşirelikte Eğitim ve Araştırma Dergisi. 2007; 4(2): 30-6.
Parsons N, Odumenya M, Edwards A, Lecky F, Pattison G. Modelling the effects of the weather on admissions to UK trauma units: a cross-sectional study. Emerg Med J. 2011; 28(10): 851-5.
Abe T, Tokuda Y, Ohde S, Ishimatsu S, Nakamura T, Birrer RB. The influence of meteorological factors on the occurrence of trauma and motor vehicle collisions in Tokyo. Emerg Med J. 2008; 25(11): 769-72.
Stomp W, Fidler V, ten Duis HJ, Nijsten MW. Relation of the weather and the lunar cycle with the incidence of trauma in the Groningen region over a 36-year period. J Trauma. 2009; 67(5): 1103-8.
Schory TJ, Piecznski N, Nair S, el-Mallakh RS. Barometric pressure, emergency psychiatric visits, and violent acts. Can J Psychiatry. 2003; 48(9): 624-7.
Atherton WG, Harper WM, Abrams KR. A year's trauma admissions and the effect of the weather. Injury. 2005; 36(1): 40-6.
Kurokouchi M, Miyatake N, Kinoshita H, Tanaka N, Fukunaga T. Correlation between suicide and meteorological parameters. Medicina (Kaunas). 2015; 51(6): 363-7.