TEDxDU 2010
Kim Gorgens: Protecting the brain against concussion
Kim Gorgens: Beyni sarsintilardan koruma
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Norofizyolog Kim Gorgens sarsintilara karsi beynimizi daha iyi korumada cocuklara kask giydirmenin onemini vurguluyor.
Kim Gorgens - Neuropsychologist
Kim Gorgens studies the brain's response to injury -- and advocates that we mind our (gray) matter. Full bio
Kim Gorgens studies the brain's response to injury -- and advocates that we mind our (gray) matter. Full bio
Double-click the English transcript below to play the video.
00:16
So, a funny thing happened
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Zeki ve dunya capinda bir
00:18
on my way to becoming a brilliant,
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norofizyolog olma yolundayken
00:20
world-class neuropsychologist:
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ilginc bir sey oldu.
00:22
I had a baby.
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Bebegim dogdu.
00:24
And that's not to say
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Dunya capinda ve zeki
00:26
I ever went on to become
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bir norofizyolog oldum
00:28
a brilliant, world-class neuropsychologist.
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anlaminda soylemiyorum.
00:30
Sorry, TED.
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Uzgunum TED.
00:33
But I did go on to be a reasonably astute,
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Ama makul derecede parlak
00:36
arguably world-class worrier.
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dunya capindaligi tartisilir bir endise kupu oldum.
00:39
One of my girlfriends in graduate school, Marie,
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Yuksek okuldaki arkadaslarimdan Marie
00:42
said, "Kim, I figured it out.
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dedi ki, " Kim, olayi cozdum.
00:44
It's not that you're more neurotic than everyone else;
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Sen herkesden daha norotik degilsin,
00:47
it's just that you're more honest
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sadece ne kadar norotik
00:49
about how neurotic you are."
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oldugun konusunda daha durustsun."
00:51
So in the spirit of full disclosure,
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Tamamen durust olmak adina,
00:53
I brought some pictures to share.
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sizlerle paylasmak icin bazi resimler getirdim.
00:56
Awwww.
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Aaaa.
00:58
I'll just say, July.
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Tek diyecegim, Temmuz.
01:01
(Laughter)
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(gulusmeler)
01:06
Zzzzzzip
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zzzip
01:08
for safety.
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guvenlik icin.
01:12
Water wings --
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Kolluklar--
01:14
an inch of water.
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uc santim su.
01:17
And then, finally, all suited up
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Ve nihayet, Copper Dagina 90 dakikalik yolculuk
01:19
for the 90-minute drive to Copper Mountain.
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icin haziriz.
01:22
So you can get kind of a feel for this.
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Simdi bir fikriniz olusmustur.
01:26
So my baby, Vander,
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Bebegim Vander simdi
01:28
is eight years old now.
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sekiz yasinda.
01:30
And, despite being cursed
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Benim atletik yeteneklerimle
01:32
with my athletic inability,
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lanetlenmis olmasina ragmen
01:34
he plays soccer.
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futbol oynuyor.
01:36
He's interested in playing football.
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Amerikan futbolu oynamayi istiyor.
01:38
He wants to learn how to ride a unicycle.
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Tek tekerlekli bisiklete binmeyi ogrenmek istiyor.
01:40
So why would I worry?
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Niye endiseleneyim?
01:42
Because this is what I do. This is what I teach.
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Cunku bu benim isim. Ogrettigim.
01:45
It's what I study. It's what I treat.
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Ogrendigim. Tedavi ettigim.
01:47
And I know that kids get concussed every year.
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Ve biliyorum ki cocuklar her sene beyin sarsintisi geciriyor.
01:51
In fact, more than four million people sustain a concussion every year,
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Aslinda, senede dort milyon kisi beyin sarsintisi geciriyor,
01:54
and these data are just among kids under 14
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bu da sadece acil serviste gorulen
01:57
who were seen in emergency rooms.
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14 yas ve alti grubu.
02:00
And so when kids sustain a concussion,
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Beyin sarsintisi geciren cocuklardan
02:02
we talk about them getting dinged or getting their bell rung,
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cinladi ya da canlari caldi diye bahsediyoruz,
02:05
but what is it that we're really talking about?
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ama aslinda neden bahsediyoruz?
02:08
Let's take a look.
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Bir bakalim.
02:13
All right. "Starsky and Hutch," arguably, yes.
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Evet. "Starsky ve Hutch" sanirim. Evet.
02:16
So a car accident.
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Bir araba kazasi.
02:18
Forty miles an hour into a fixed barrier --
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Saatte 40 mil hizla bir bariyere carpma --
02:20
35 Gs.
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35 G.
02:25
A heavy weight boxer
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Agir siklet bir boksor
02:27
punches you straight in the face --
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suratinizin ortasina yumruk atar --
02:29
58 Gs.
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58 G.
02:37
In case you missed it, we'll look again.
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Kacirdiysaniz bir daha bakalim.
02:39
So look to the right-hand side of the screen.
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Ekranin sag tarafina bakin.
02:48
What would you say?
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Ne dersiniz?
02:50
How many Gs?
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Kac G?
02:53
Close.
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Yakin.
02:55
Seventy-two.
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72.
02:57
Would it be crazy to know,
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Cilginlik oldugunu dusuneceksiniz,
02:59
103 Gs.
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103 G.
03:02
The average concussive impact
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Ortalama beyin sarsintisi kuvveti
03:04
is 95 Gs.
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95 G.
03:07
Now, when the kid on the right doesn't get up,
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Simdi, sagdaki cocuk ayaga kalkmazsa
03:10
we know they've had a concussion.
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biliyoruz ki beyin sarsintisi gecirdi.
03:12
But how about the kid on the left,
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Peki ya soldaki cocuk, ya da sahadan
03:14
or the athlete that leaves the field of play?
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ayrilan bir sporcu?
03:16
How do we know
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Beyin sarsintisi gecirip gecirmedigini
03:18
if he or she has sustained a concussion?
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nasil anlayabiliriz?
03:21
How do we know
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Mactan cikarilmalarini ve tekrar maca donmeleri
03:23
that legislation that would require that they be pulled from play,
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konusundaki yonetmeligin
03:26
cleared for return to play,
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bu oyuncular icin gecerli oldugunu
03:28
applies to them?
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nasil bilebiliriz?
03:30
The definition of concussion
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Beyin sarsintisinin anlamina bakarsak aslinda
03:32
doesn't actually require a loss of consciousness.
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bayilmanin gerceklesmesi sart degil.
03:34
It requires only a change in consciousness,
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Sadece bilincte bir degisiklik olmasi
03:37
and that can be any one of a number of symptoms,
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yeterli ve bu da etrafini sisli gormek, basdonmesi,
03:40
including feeling foggy, feeling dizzy,
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kulaklarda cinlama, normalden daha atilgan
03:43
hearing a ringing in your ear,
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ya da kavgaci olmak semptomlarindan
03:45
being more impulsive or hostile than usual.
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biri ya da birkaci olabilir.
03:48
So given all of that and given how darn neurotic I am,
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Bunlari ve benim ne kadar norotik oldugumu
03:51
how do I get any sleep at all?
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gozonune alirsak geceleri nasil uyuyorum acaba?
03:54
Because I know
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Cunku biliyorum ki
03:56
our brains are resilient.
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beyinlerimiz cok saglam.
03:58
They're designed to recover
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Bir sakatlanma durumunda
04:00
from an injury.
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kendilerini onarmak uzere yaratilmislar.
04:03
If, God forbid,
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Eger, Allah korusun, icimizden birileri buradan
04:05
any of us left here tonight and sustained a concussion,
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ayrildiktan sonra bir beyin sarsintisi gecirecek olursa
04:08
most of us would go on to fully recover
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bir cogumuz birkac saatle
04:10
inside of a couple hours
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birkac hafta suresinde
04:12
to a couple of weeks.
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tamamen eski halimize doneriz.
04:14
But kids are more vulnerable to brain injury.
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Ama cocuklar beyin sarsintilari konusunda daha kirilganlar.
04:16
In fact, high school athletes are three times more likely
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Aslinda, lise cagindaki sporcularda
04:19
to sustain catastrophic injuries
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universite yasindakilere oranla agir sakatlanmalara
04:21
relative even to their college-age peers,
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uc kat daha fazla rastlaniyor ve semptomlarin
04:24
and it takes them longer
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tamamen ortadan kalkmasi
04:26
to return to a symptom-free baseline.
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daha uzun suruyor.
04:29
After that first injury,
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Ilk sarsintidan sonra
04:31
their risk for second injury
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ikincisin riski
04:33
is exponentially greater.
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katlanarak artiyor.
04:35
From there, their risk for a third injury,
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Ondan sonra ucuncu beyin sarsintisinda
04:38
greater still, and so on.
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risk daha da artiyor ve boyle devam ediyor.
04:41
And here's the really alarming part:
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Asil kaygi verici noktaya gelelim:
04:45
we don't fully understand
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Tekrarlanan beyin sarsintilarinin
04:47
the long-term impact of multiple injuries.
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uzun vadedeki etkilerini tam olarak bilmiyoruz.
04:50
You guys may be familiar with this research
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NFL'in yaptirdigi arastirmayi
04:52
that's coming out of the NFL.
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belki duymussunuzdur.
04:54
In a nutshell,
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Ozetlersek,
04:56
this research suggests
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bu arastirmaya gore emekli olmus
04:58
that among retired NFL players
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Amerikan futbolu oyuncularindan
05:00
with three or more career concussions,
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uc veya daha fazla beyin sarsintisi
05:03
the incidents of early-onset dementing disease
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gecirmis olanlarda erken bunama gorulmesi
05:06
is much greater than it is for the general population.
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nufusun geneline gore cok daha fazla.
05:09
So you've all seen that -- New York Times, you've seen it.
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Hepiniz duymussunuzdur bunu -- New York Times'ta, duydunuz mu?
05:12
What you may not be familiar with
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Belki sunu duymadiniz: Bu arastirmayi baslatan
05:14
is that this research was spearheaded
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sporcularin
05:16
by NFL wives who said,
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eslerinin sorulari,
05:19
"Isn't it weird that my 46-year-old husband
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"46 yasindaki kocamin devamli
05:22
is forever losing his keys?
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anahtarlarini kaybetmesi garip degil mi?
05:24
Isn't it weird that my 47-year-old husband
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47 yasindaki kocamin devamli arabasini
05:27
is forever losing the car?
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kaybetmesi garip degil mi?
05:30
Isn't it weird that my 48-year-old husband
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48 yasindaki kocamin evin yaninda
05:32
is forever losing his way home
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park ettigi yerden evi
05:34
in the car, from the driveway?"
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bulamamasi garip degil mi?"
05:37
So I may have forgotten to mention
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Belki oglumun tek cocuk
05:40
that my son is an only child.
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oldugundan bahsetmeyi unutmus olabilirim.
05:43
So it's going to be really important
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Bu yuzden ilerde beni arabayla
05:46
that he be able to drive me around some day.
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dolastirabilmesi cok onemli.
05:54
So how do we guarantee the safety of our kids?
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Oyleyse cocuklarimizin guvenligini nasil saglariz?
05:57
How can we 100 percent
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Cocuklarimizin guvenligini yuzde yuz
06:00
guarantee the safety of our kids?
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nasil saglariz?
06:02
Let me tell you what I've come up with.
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Bulusumu sizlere gostereyim.
06:05
(Laughter)
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(Gulusmeler)
06:10
If only.
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Keske.
06:12
My little boy's right there, and he's like, "She's not kidding.
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Kucuk oglum orada oturmus ve "Saka degil.
06:14
She's totally not kidding."
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Kesinlikle saka yapmiyor." der gibi.
06:17
So in all seriousness,
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Neyse ciddi olarak soruyorum,
06:19
should my kid play football?
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oglum amerikan futbolu oynamali mi?
06:21
Should your kid play football? I don't know.
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Sizin cocugunuz oynamali mi? Bilmiyorum.
06:24
But I do know there are three things you can do.
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Ama yapabileceginiz uc sey oldugunu biliyorum.
06:28
The first: study up.
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Ilk olarak, konuyu arastirin.
06:31
You have to be familiar with the issues we're talking about today.
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Burada bahsettigimiz konulara asina olmalisiniz.
06:34
There are some great resources out there.
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Cok guzel kaynaklar var.
06:37
The CDC has a program, Heads Up.
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CDC'nin Heads Up adinda bir programi var.
06:39
It's at CDC.gov.
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CDC.gov web adresinde.
06:41
Heads Up is specific to concussion in kids.
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Heads Up cocuklarda beyin sarsintisi ile ilgili.
06:44
The second is a resource I'm personally really proud of.
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Ikincisi benim sahsen cok gurur duydugum bir kaynak.
06:47
We've just rolled this out in the last couple months --
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Bunu bir kac ay once baslattik --
06:49
CO Kids With Brain Injury.
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CO Beyin Sarsintisi Gecirmis Cocuklar.
06:52
This is a great resource for student athletes,
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Bu spor yapan ogrenciler, ogretmenler, ebeveynler,
06:54
teachers, parents, professionals,
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profesyoneller, antrenorler ve yardimcilari icin
06:57
athletic and coaching staff.
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harika bir kaynak.
06:59
It's a great place to start
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Kafanizda sorular varsa harika
07:01
if you have questions.
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bir baslangic noktasi.
07:03
The second thing is: speak up.
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Iki: Sesinizi cikarin.
07:06
Just two weeks ago,
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Daha iki hafta once,
07:08
a bill introduced by Senator Kefalas
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bisiklete binen 18 yas alti sporcu ve cocuklarin
07:10
that would have required
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kask giymesini gerektiren
07:12
athletes, kids under 18,
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Senator Kefalos tarafindan
07:14
to wear a helmet when they're riding their bike
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hazirlanan yasa tasarisi
07:16
died in committee.
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komiteden gecemedi.
07:19
It died in large part
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Bunun sebebi agirlikli olarak
07:21
because it lacked constituent buy-in;
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secmenlerin tutumu,
07:25
it lacked stakeholder traction.
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taraftarlarin gercek anlamda konuya asilmamasi.
07:27
Now I'm not here to tell you what kind of legislation
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Karsiniza gelip hangi yasa tasarilarini
07:29
you should or shouldn't support,
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desteklemeniz gerektigini soylemeyecegim
07:31
but I am going to tell you that, if it matters to you,
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ama politikacilari onem verdiginiz
07:34
your legislators need to know that.
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konulardan haberdar etmelisiniz.
07:37
Speak up also with coaching staff.
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Antrenorlerle de konusmalisiniz.
07:39
Ask about what kind of protective equipment is available.
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Hangi koruyucu donatimlarin bulundugunu sorun.
07:42
What's the budget for protective equipment?
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Bunlara ayrilan butce nedir?
07:44
How old it is?
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Kac senedir kullaniliyorlar?
07:46
Maybe offer to spearhead a fundraiser
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Belki yeni techizat icin bir para toplama
07:48
to buy new gear --
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kampanyasi baslatmayi onerebilirsiniz.
07:50
which brings us to suit up.
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Laf yine kullanilmasi
07:52
Wear a helmet.
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gereken kaska geliyor.
07:55
The only way to prevent a bad outcome
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Kotu bir sonucu engellemek icin tek yol
07:58
is to prevent that first injury from happening.
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ilk sakatlanmayi engellemek.
08:02
Recently, one of my graduate students,
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Gecenlerde, doktora ogrencilerimden
08:05
Tom said,
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Tom dedi ki,
08:07
"Kim, I've decided to wear a bike helmet
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"Kim derslere gelirken bisikletci kaski
08:09
on my way to class."
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takmaya karar verdim."
08:12
And Tom knows that that little bit of foam in a bike helmet
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Tom biliyor ki bisiklet kaskinin icindeki azicik kopuk
08:15
can reduce the G-force of impact by half.
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carpismanin etkisini yariya indirebilir.
08:19
Now I thought that it was
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Tom'un bu dusuncesi
08:21
because I have this totally compelling helmet crusade,
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benim verdigim kask mucadelesinden
08:24
right, this epiphany of Tom's.
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dolayi dusundum.
08:27
As it turns out, it occurred to Tom that a $20 helmet
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Oysa Tom soyle dusunmus, 20 dolarlik bir kask
08:30
is a good way to protect a $100,000 graduate education.
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100.000 dolarlik doktora egitimini korumanin iyi bir yolu.
08:34
(Laughter)
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(Gulusmeler)
08:39
So, should Vander play football?
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Peki, Vander Amerikan futbolu oynamali mi?
08:42
I can't say no,
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Hayir diyemem,
08:44
but I can guarantee
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ama sunu garanti ederim ki
08:46
that every time he leaves the house
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arabaya, okula gitmek
08:48
that kid's wearing a helmet --
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icin evden her ciktiginda
08:51
like to the car,
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basina kaskina takiyor
08:53
or at school.
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olacak.
08:56
So whether athlete, scholar,
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Ister sporcu, ister ogrenci,
08:58
over-protected kid, neurotic mom,
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ister asiri korunmus, norotik anneli
09:01
or otherwise,
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cocuk olsun,
09:03
here's my baby, Vander,
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bebegim Vander sizlere
09:05
reminding you
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sunu hatirlatsin:
09:07
to mind your matter.
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Beyninizi koruyun.
09:09
Thank you.
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Tesekkurler.
09:11
(Applause)
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(Alkis)
ABOUT THE SPEAKER
Kim Gorgens - NeuropsychologistKim Gorgens studies the brain's response to injury -- and advocates that we mind our (gray) matter.
Why you should listen
As a neuropsychologist working in the field of brain injuries, Kim Gorgens has seen firsthand the damage sports-related impacts can do. And as chair of the State of Colorado Traumatic Brain Injury Trust Fund Board and a member of the Brain Injury Legislative Collaborative, she’s working to shape Colorado law around youth sports injuries.
Gorgens, an assistant clinical professor in the University of Denver Graduate School of Professional Psychology, also is the president-elect of the Colorado Neuropsychological Society and has an appointment to the American Psychological Association’s Council on Disability in Psychology.
Kim Gorgens | Speaker | TED.com