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28 - A Modest Plea

from Part III - Diagnosis and Management of Concussion

Published online by Cambridge University Press:  22 February 2019

Jeff Victoroff
Affiliation:
University of Southern California, Torrance
Erin D. Bigler
Affiliation:
Brigham Young University, Utah
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Summary

If the team that assembled this brief introductory text has done its job, then the reader, arriving at this page, plausibly knows more about concussive brain injury (CBI) than has almost any prior living intelligent organism. He or she also knows that the journey has been extraordinary -- perhaps not in the sense of grand, but surely in the sense of atypical. The editors decided years ago that they had a duty. The foregoing literature comprised an incoherent map. The duty to start from first principles of logic and biology, in so far as the very limited data and our very limited capabilities permitted, was compelling, onerous, and intimidating. Objectivity is impossible, in view of what Kant refers to as the finitude of human consciousness. All we have is the hope that we have done our best. This final chapter is as iconoclastic as the others. We feel no closure. But we have some confidence in having identified a human need. The editors urge readers to eschew the received wisdom, dismiss the lore, and play a role in the solution. The magnitude of the global problem of concussion remains entirely unknown. It may be pretty big. If so, the sooner we kick-start a revolution in the rigor and vigor of discovery, the better.
Type
Chapter
Information
Concussion and Traumatic Encephalopathy
Causes, Diagnosis and Management
, pp. 800 - 808
Publisher: Cambridge University Press
Print publication year: 2019

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References

Late effects of traumatic brain injury. ID number 13–0751. Icahn School of Medicine at Mt. Sinai. Available at: http://icahn.mssm.edu/research/clinical-trials/health-topics/aging/13–0751.Google Scholar
Anonymous, . Clinical trial definition expands. Science 2017;357:736.Google Scholar
Baron-Cohen, S. The evolution of empathizing and systematizing: Assortative mating of two strong systematizers and the cause of autism. In: Dunbar, R, Barrett, L, editors. Oxford handbook of evolutionary psychology. Oxford, UK: Oxford University Press, 2009.Google Scholar
Gall, FJ, Spurzheim, JC. Anatomie et physiologie du système nerveux en général, et du cerveau en particulier. Paris: Schoell, 1810.Google Scholar
McKee, A. Interview by Tom Goldman T. National Public Radio; All things considered, July 25th 2017. Available at www.npr.org/2017/07/25/539198429/study-cte-found-in-nearly-all-donated-nfl-player-brains.Google Scholar
Broglio, SP, McCrea, M, McAllister, T, Harezlak, J, Katz, B, Hack, D, et al. A national study on the effects of concussion in collegiate athletes and US Military Service Academy members: The NCAA–DoD Concussion Assessment, Research and Education (CARE) Consortium structure and methods. Sports Med 2017;47:14371451.Google Scholar
Track-TBI. Transforming Research and Clinical Knowledge in Traumatic Brain Injury. International Traumatic Brain Injury Research Initiative. Available at https://tracktbi.ucsf.edu/.Google Scholar
Walker, WC, Carne, W, Franke, LM, Nolen, T, Dikmen, SD, Cifu, DX, et al. The Chronic Effects of Neurotrauma Consortium (CENC) multi-centre observational study: Description of study and characteristics of early participants. Brain Injury 2016; 30:14691480.Google Scholar
Holdsworth, WS. A history of English law. New York: Little Brown, 1924.Google Scholar
Pollock, F, Maitland, FW. The history of English law, vol. 1: Before the time of Edward I, 2nd edition. Cambridge, UK: Cambridge University Press, 1968.Google Scholar
Baker, TE. The impropriety of expert witness testimony on the law. 40 U Kan L Rev 1992; 325364. Available at: http://ecollections.law.fiu.edu/faculty_publications/180.Google Scholar
U.K. Ministry of Justice. Courts. Procedure rules; civil; Rules & practice directions, Part 35: Experts and assessors. Available at: www.justice.gov.uk/courts/procedurerules/civil/rules/part35#IDASLICC.Google Scholar
Timmerbeil, S. The role of expert witnesses in German and U.S. civil litigation. Ann Survey Int Compar Law 2003;9:Article 8. Available at: http://digitalcommons.law.ggu.edu/annlsurvey/vol9/iss1/8.Google Scholar
Federal Rules of Evidence. Washington, DC: U.S. Government Printing Office, 2014. Available at www.uscourts.gov/sites/default/files/Rules%20of%20Evidence.Google Scholar
Huyghe, S, Chan, A. The evolution of expert witness law under UK and US jurisdictions. Construction Law Int 2013;8:1418.Google Scholar
Bastuck, B, Gopfert, B. Admission and presentation of evidence in Germany; 16. Loyola LA Int Comp Law Rev 1994;16:609627. Available at: http://digitalcommons.lmu.edu/ilr/vol16/iss3/1.Google Scholar
Mercier, H, Sperber, D. The enigma of reason. Cambridge, MA: Harvard University Press, 2017.Google Scholar

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