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Trauma and the full moon: a waning theory.

There exists a popular belief in the causal relationship between the moon's phase and the incidence of major trauma. In this retrospective study we reviewed 1,444 trauma victims admitted to the hospital during one calendar year. Full moons were defined as three-day periods in the 29.531-day lunar cycle, with the middle day being described in the world almanac as the full moon. Victims of violence included those patients sustaining blunt assault, gunshot wounds, and stabbings. There was no statistical difference in number of trauma admissions between the full moon, 129 patients per 36 days (mean, 3.58), and nonfull moon days, 1,315 patients per 330 days (mean, 3.98). Mortality rate, 5.4% versus 10.3%; mean Injury Severity Score, 13 versus 15; and mean length of stay, ten versus 12 days, were not significantly different during the full moon and nonfull moon days. Victims of violence were admitted at a similar frequency on full moon, 16 patients per 36 days (mean, 0.444), and nonfull moon days, 183 patients per 330 days (mean, 0.555). We conclude that the belief in the deleterious effects of the full moon on major trauma is statistically unfounded.

Folklore

Moon illusion in pictures: a multimechanism approach.

The existence of the moon illusion in pictorial representations was demonstrated in 6 experiments. Ss either judged the size of the moon in pictures, depicted as on the horizon or high in the sky, or drew horizon and elevated moons. The horizon moon was consistently judged to be larger than the elevated moon, independent of the angle at which the pictures are viewed. The distance paradox usually observed with the moon illusion (horizon moon apparently closer than the elevated moon) also exists in pictures. The magnitude of both size and distance effects depends on the salience of depicted depth cues. The pattern of results suggests that the moon illusion is caused by several interacting mechanisms and that use of pictorial stimuli may allow the separation of various cognitive from physiological contributions to the illusion.

Attention

Full moon and crime.

The incidence of crimes reported to three police stations in different towns (one rural, one urban, one industrial) was studied to see if it varied with the day of the lunar cycle. The period of the study covered 1978-82. The incidence of crimes committed on full moon days was much higher than on all other days, new moon days, and seventh days after the full moon and new moon. A small peak in the incidence of crimes was observed on new moon days, but this was not significant when compared with crimes committed on other days. The incidence of crimes on equinox and solstice days did not differ significantly from those on other days, suggesting that the sun probably does not influence the incidence of crime. The increased incidence of crimes on full moon days may be due to "human tidal waves" caused by the gravitational pull of the moon.

Crime

Effect of the full moon on a sample of developmentally delayed, institutionalized women.

Over 19 lunar months reports of all aggressive acting-out misbehaviors as recorded by direct-care staff were evaluated and recorded on a day-by-day basis for a randomly selected sample of 20 developmentally delayed women, CA 18 to 50; MA, 9 to 18 months. All had been in continuous residence in a residential treatment center for a minimum of 31 months. A grid representing the 24-hr. period of the full moon (a), the three days prior to the day of the full moon (b), the three days after the full moon (c), and the balance of the lunar period (d) was placed over the record. Comparisons using the Duncan multiple-range test indicated that the mean number of misbehaviors on the day of the full moon was significantly higher than the mean number on any other day of the lunar period (the next highest was for the three days prior to the day of the full moon).

Adult

The moon illusion: a different view through the legs.

The fact that the overestimation of the horizon moon is reduced when individuals bend over and view it through their legs has been used as support for theories of the moon illusion based upon angle of regard and vestibular inputs. Inversion of the visual scene, however, can also reduce the salience of depth cue, so illusion reduction might be consistent with size constancy explanations. A sample of 70 subjects viewed normal and inverted pictorial arrays. The moon illusion was reduced in the inverted arrays, suggesting that the "through the legs" reduction of the moon illusion may reflect the alteration in perceived depth associated with scene inversion rather than angle of regard or vestibular effects.

Cues

Full moon: does it influence agitated nursing home residents?

This study examined the effect of the full moon on agitation manifested by nursing home residents (N = 24). Observations of agitation were recorded on a behavioral mapping instrument, and occurrence of the full moon was operationalized in the three ways most commonly cited in the literature. The hypothesis that elderly nursing home residents become increasingly agitated during a full moon was not supported by this study. In all analyses, agitation was observed less often when the full moon was full than during the other three lunar phases, although differences were not statistically significant.

Aged

A simple but powerful theory of the moon illusion.

Modification of Restle's theory (1970) explains the moon illusion and related phenomena on the basis of three principles: (1) The apparent sizes of objects are their perceived visual angles. (2) The apparent size of the moon is determined by the ratio of the angular extent of the moon relative to the extents subtended by objects composing the surrounding context, such as the sky and things on the ground. (3) The visual extents subtended by common objects of a constant physical size decrease systematically with increasing distance from the observer. Further development of this theory requires specification of both the components of the surrounding context and their relative importance in determining the apparent size and distance of the moon.

Distance Perception

Moon illusion and spiral aftereffect: illusions due to the loom-zoom system?

The moon illusion and the spiral aftereffect are illusions in which apparent size and apparent distance vary inversely. Because this relationship is exactly opposite to that predicted by the static size--distance invariance hypothesis, the illusions have been called "paradoxical." The illusions may be understood as products of a loom-zoom system, a hypothetical visual subsystem that, in its normal operation, acts according to its structural constraint, the constancy axiom, to produce perceptions that satisfy the constraints of stimulation, the kinetic size--distance invariance hypothesis. When stimulated by its characteristic stimulus of symmetrical expansion or contraction, the loom-zoom system produces the perception of a rigid object moving in depth. If this system is stimulated by a rotating spiral, a negative motion-aftereffect is produced when rotation ceases. If fixation is then shifted to a fixed-sized disc, the aftereffect process alters perceived distance and the loom-zoom system alters perceived size such that the disc appears to expand and approach or to contract and recede, depending on the direction of rotation of the spiral. If the loom-zoom system is stimulated by a moon-terrain configuration, the equidistance tendency produces a foreshortened perceived distance for the moon as an inverse function of elevation and acts in conjunction with the loom-zoom system to produce the increased perceived size of the moon.

Astronomical Phenomena

Premature rupture of the fetal membranes, the phases of the moon and barometer readings.

Over a 2-year period, 1,516 births were investigated to determine whether the onset of parturition could be correlated with the phases of the moon or to barometric height. 1,269 births started spontaneously, and of these, 254 (20%) started with premature rupture of the fetal membranes (PROM). No association was observed between the phases of the moon and deliveries beginning with PROM or with deliveries beginning without PROM. 1,302 of the women had regular menstrual cycles before pregnancy, and among these no specific relationship was found between the phases of the moon and the first day of the last menstruation before pregnancy. No relationship was found between the frequency of PROM and the barometric height. Variations in barometric height up to 9 h before the fetal membranes ruptured did not influence the frequency of PROM. Deliveries with PROM occurred significantly more often among primipara than among multipara. PROM occurred more frequently during night-time in the 8-hour period between 10 p.m. and 6 a.m. These results suggest that the causes of PROM are not correlated to the phases of the moon or to meteorological variations.

Atmospheric Pressure

Effects of moon phase and other temporal variables on absenteeism.

Previous research on the effects of lunar phase on deviant behavior has produced weak and inconsistent results and has been criticized for failing to use appropriate statistical controls. This study examined the effects of the full moon on daily absenteeism rates in a large organization while correcting for autocorrelation and controlling for the effects of the day of the week, month, and proximity to a holiday. Contrary to expectations, the full moon was associated with a significant (but very slight) decrease in absenteeism. Reasons for persistent beliefs in the effects of the full moon are discussed.

Absenteeism

The moon illusion: I. How high is the sky?

The most common explanations of the moon illusion assume that the moon is seen at a specific distance in the sky, which is perceived as a definite surface. A decrease in the apparent distance to the sky with increasing elevation presumably leads to a corresponding decrease in apparent size. In Experiment 1 observers (N = 24) gave magnitude estimates of the distance to the night sky at different elevations. The results did not support the flattened-dome hypothesis. In Experiment 2 observers (N = 20) gave magnitude estimates of the distance to the sky at points around a 360 degrees circle just above the horizon. The results were consistent with those of Experiment 1, and in addition, estimates were highly correlated with the physical distances of buildings at the horizon. In a third, control experiment, observers (N = 20) gave magnitude estimates of the distances of buildings at the horizon. A power function fit the relation between estimated and physical distance (exponent = 1.17) as well as the relation between estimates of the sky points above the buildings (Experiment 2) and estimates of building distances (exponent = .46). Taken together, the results disconfirm all theories that attribute the moon illusion to a "sky illusion" of the sort exemplified by the flattened-dome hypothesis.

Astronomical Phenomena

Geophysical variables and behavior: XIII. Comment on "Lunar phase and accident injuries": the dark side of the moon and lunar research.

Templer, Veleber, and Brooner in 1982 claimed that an excess number of injuries occur on nights with a full or new moon. In this note, we show that their claim is based upon trivial differences, on overlapping observations, possible violations of statistical assumptions, a failure to consider confounding between phases of the moon and days of the week when data cover short (6 mo. and 1 yr.) periods of time, and the possibility of an effect due to darkness during new moon nights.

Accidents, Traffic

The regulation of menstrual cycle and its relationship to the moon.

UNLABELLED: A synchronous relationship between the menstrual cycle and lunar rhythm was confirmed by: Investigative data: Among the 826 female volunteers with a normal menstrual cycle, aged between 16 and 25 years, a large proportion of menstruations occurred around the new moon (28.3%), while at other times during the lunar month the proportion of menstruations occurring ranged between 8.5-12.6%; the difference was significant (p less than 0.01). LABORATORY FINDINGS: The 6-hydroxymelatonin levels in the urina sanguinis of 3 female volunteers reached their zenith prior to and during menstruation, gradually declining to their nadir during ovulation. The difference in 6-hydroxymelatonin between menstruation and ovulation was significant (p less than 0.01). Two of these three volunteers had their zenith in the period of the new moon and nadir 3-4 days prior to the full moon respectively. Clinical experience: The lunar-menses-regulatory therapy in treatment of Nephropenic secondary amenorrhea revealed 4 clinical cure, 5 marked effect, 8 menogogue and 3 ineffect out of 20 cases.

Adolescent

The adjustable half-moon. An alternative device for tricuspid valve annuloplasty.

The adjustable half-moon consists of a flexible braided Dacron tube fitted with two internal Teflon-impregnated sutures. The sutures are anchored at each end of the tube and can be tightened at its centre. Implantation is performed along the annular tissue corresponding to the anterior and posterior tricuspid leaflets. Shortening of the half-moon in unilateral or bilateral fashion can be accomplished after its implantation. Two prosthetic sizes are available, "small" and "large", with a tolerance between 4.5 and 9.0 cm. The device preserves the natural tricuspid valve configuration, avoids the cardiac conduction tissue, permits annular adjustment after completed implantation and provides proper support. Following positive experience in 5 cases with severe functional tricuspid incompetence further use of the adjustable half-moon is advocated.

Aged

Congenital cystic dilation of the bile duct associated with Laurence-Moon-Biedl-Bardet syndrome.

We describe a 26-year-old man in whom the Laurence-Moon-Biedl-Bardet syndrome had been associated with congenital cystic dilations of both the intrahepatic and extrahepatic biliary tract. The fact of the simultaneous occurence of two rare diseases in a single patient suggests the congenital origin of cystic dilation of the biliary tract and the importance of examining for a possible association of anomalies in the alimentary tract with the Laurence-Moon-Biedl-Bardet syndrome.

Adult

Laurence-Moon-Biedl syndrome associated with diabetes insipidus neurohormonalis.

The case of a girl with Laurence-Moon-Biedl syndrome without polydactyly is described. Additional features were small stature, diabetes insipidus neurohormonalis and a renal disorder. The diabetes insipidus neurohormonalis was successfully treated with a new vasopressin analogue, DDAVP. The importance of renal studies in patients with Laurence-Moon-Biedl syndrome is emphasized.

Child

Membrane fatty acids, glutathione-peroxidase activity, and cation transport systems of erythrocytes and malondialdehyde production by platelets in Laurence Moon Barter Biedl syndrome.

The fatty acid composition of erythrocyte membrane, the glutathione-peroxidase activity of erythrocytes and platelets, the production of malondialdehyde by platelets and the activity of the main systems of transmembrane cation transport have been studied in 5 members of a family, 2 of whom affected by Laurence-Moon-Barter-Biedl Syndrome. A remarkable increase of polyunsaturated fatty acids (particularly arachidonic acid) and of cholesterol/phospholipid molar ratio has been noted. This pattern of membrane lipids was associated to an increment of malondialdehyde production and an increase activity of glutathione-peroxidase. Serum retinol and a-tocopherol were in the normal range, whereas serum selenium was low in 3 out of 5 members. Moreover, the alteration of membrane lipids was associated to a decrease of the maximal velocity of Li-Na countertransport. We speculate that the enrichment of polyunsaturated fatty acids on the cell membranes may represent a condition favoring the lipoperoxidation and therefore the development of the retinitis pigmentosa characteristic feature of Laurence-Moon-Barter-Biedl Syndrome.

Adolescent

Retinal and neurologic findings in the Laurence-Moon-Bardet-Biedl phenotype.

The nosology of the Laurence-Moon and Bardet-Biedl syndromes has been controversial. Presented is a patient with polydactyly, retinopathy, ataxia, low-average intellectual function, and obesity. These features constitute a composite of both syndromes and reflect the clinical heterogeneity that may be seen. Accordingly, the authors suggest the use of the term "Laurence-Moon-Bardet-Biedl phenotype" until these syndromes can be defined in some other manner. The neuroradiologic studies document atrophy of the cerebellum that accounts for the ataxia. Electroretinograms (ERG) demonstrate the decline in retinal function over a 16-year interval and the delayed cone ERG b-wave implicit time with normal cone amplitudes to 30 Hz white flicker that can exist in the early stage of this disorder.

Adult