TEDxDU 2010
Kim Gorgens: Protecting the brain against concussion
Kim Gordžens : Zaštita mozga protiv potresa
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Neuropsiholog Kim Gordžens pokazuje kako bolje da zaštitimo naše mozgove protiv rizika od potresa -- na način na koji možemo da nateramo decu da nose kacige.
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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Dogodila se zanimljiva stvar
00:18
on my way to becoming a brilliant,
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na mom putu da postanem briljantni,
00:20
world-class neuropsychologist:
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svetski priznati neuropsiholog:
00:22
I had a baby.
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Dobila sam dete.
00:24
And that's not to say
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Ali ne kažem
00:26
I ever went on to become
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da sam planirala da postanem
00:28
a brilliant, world-class neuropsychologist.
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briljantni, svetski neuropsiholog.
00:30
Sorry, TED.
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Izvini TED.
00:33
But I did go on to be a reasonably astute,
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Ali planirala sam da postanem mudra,
00:36
arguably world-class worrier.
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nedvojeno svetski poznata ratnica.
00:39
One of my girlfriends in graduate school, Marie,
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Jedna od mojih prijateljica na diplomskim studijama, Mari,
00:42
said, "Kim, I figured it out.
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je rekla, " Kim, shvatila sam.
00:44
It's not that you're more neurotic than everyone else;
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Nije da si više neurotična od svih ostalih,
00:47
it's just that you're more honest
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samo si iskrenija
00:49
about how neurotic you are."
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o tome koliko si zapravo neurotična."
00:51
So in the spirit of full disclosure,
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Pa kako bi bili u duhu sa zaključkom,
00:53
I brought some pictures to share.
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donela sam nekolikoa slika.
00:56
Awwww.
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Ouuuu.
00:58
I'll just say, July.
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Samo ću reći, jul.
01:01
(Laughter)
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(Smeh)
01:06
Zzzzzzip
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Zakopčan
01:08
for safety.
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za sigurnost.
01:12
Water wings --
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Rukavice za plivanje-
01:14
an inch of water.
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par centimetara vode.
01:17
And then, finally, all suited up
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I na kraju, u punoj opremi
01:19
for the 90-minute drive to Copper Mountain.
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za 90 minutnu vožnju na Kuper Planini.
01:22
So you can get kind of a feel for this.
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Sada možete shvatiti o čemu pričam....
01:26
So my baby, Vander,
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I tako, moje dete, Vender,
01:28
is eight years old now.
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sada ima osam godina.
01:30
And, despite being cursed
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I upkros tome što je uklet
01:32
with my athletic inability,
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mojom atletskom nesposobnošću,
01:34
he plays soccer.
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igra fudbal.
01:36
He's interested in playing football.
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Takođe je zainteresovan i za ragbi.
01:38
He wants to learn how to ride a unicycle.
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Želi da nauči da vozi unicikl.
01:40
So why would I worry?
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Ali zašto se ja brinem?
01:42
Because this is what I do. This is what I teach.
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Jer to je ono što radim. Ono što predajem.
01:45
It's what I study. It's what I treat.
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To izučavam. To lečim.
01:47
And I know that kids get concussed every year.
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I znam da deca svake godine dobijaju potres mozga.
01:51
In fact, more than four million people sustain a concussion every year,
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Zapravo, svake godine, više od četiri miliona ljudi doživi potres mozga,
01:54
and these data are just among kids under 14
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i ti se podaci odnose samo na decu ispod 14 godina
01:57
who were seen in emergency rooms.
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koja su pregledana na hitnoj.
02:00
And so when kids sustain a concussion,
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I kada deca pretrpe potres mozga,
02:02
we talk about them getting dinged or getting their bell rung,
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pričamo im kako su nastradali i o zvonu,
02:05
but what is it that we're really talking about?
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ali stvarno, o čemu pričamo?
02:08
Let's take a look.
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Pogledajmo.
02:13
All right. "Starsky and Hutch," arguably, yes.
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Dobro. "Satrski i Hač" verovatno. Da.
02:16
So a car accident.
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Dakle auto nesreća.
02:18
Forty miles an hour into a fixed barrier --
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40 milja na sat u fiksiranu barijeru --
02:20
35 Gs.
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35 G.
02:25
A heavy weight boxer
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Bokser teške klase
02:27
punches you straight in the face --
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vas udara pravo u lice--
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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U slučaju da ste propustili, pogledajmo opet.
02:39
So look to the right-hand side of the screen.
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Pogledajte desnu stranu ekrana.
02:48
What would you say?
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Šta biste rekli?
02:50
How many Gs?
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Koliko G?
02:53
Close.
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Blizu.
02:55
Seventy-two.
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72.
02:57
Would it be crazy to know,
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Bilo bi ludo znati,
02:59
103 Gs.
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103 G.
03:02
The average concussive impact
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Prosečni uticaj potresa --
03:04
is 95 Gs.
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je 95 G.
03:07
Now, when the kid on the right doesn't get up,
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Sada, kada momak s desna ne ustane,
03:10
we know they've had a concussion.
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znamo da je imao potres.
03:12
But how about the kid on the left,
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Ali šta je s momkom levo,
03:14
or the athlete that leaves the field of play?
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ili atletom koji izlazi sa terena?
03:16
How do we know
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Kako znamo
03:18
if he or she has sustained a concussion?
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da li je on (ili ona) pretrpeo potres?
03:21
How do we know
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Kako znamo
03:23
that legislation that would require that they be pulled from play,
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da pravila koja zahtevaju da budu izbačeni iz igre,
03:26
cleared for return to play,
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koja su izbrisana u igri,
03:28
applies to them?
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se odnose na njih?
03:30
The definition of concussion
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Definicija potresa
03:32
doesn't actually require a loss of consciousness.
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ne zahteva gubitak svesti.
03:34
It requires only a change in consciousness,
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Zahteva promenu u svesti,
03:37
and that can be any one of a number of symptoms,
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i može biti bilo koja ili više simptoma,
03:40
including feeling foggy, feeling dizzy,
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uključujući zamućenost vida, vrtoglavicu,
03:43
hearing a ringing in your ear,
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zvonjavu u ušima,
03:45
being more impulsive or hostile than usual.
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veća implusivnost i netrpeljivost nego inače.
03:48
So given all of that and given how darn neurotic I am,
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Pa sa svim tim i koliko sam neurotična,
03:51
how do I get any sleep at all?
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kako uopšte spavamo?
03:54
Because I know
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Jer znam
03:56
our brains are resilient.
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da su naši mozgovi otporni.
03:58
They're designed to recover
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Dizajnirani su da se oporave
04:00
from an injury.
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od povrede.
04:03
If, God forbid,
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Ako, ne daj Bože,
04:05
any of us left here tonight and sustained a concussion,
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neko od nas ovde ode i doživi potres
04:08
most of us would go on to fully recover
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većina nas bi se potpuno oporavili
04:10
inside of a couple hours
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za od nekoliko sati
04:12
to a couple of weeks.
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do nekoliko nedelja.
04:14
But kids are more vulnerable to brain injury.
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Ali su deca osetljivija na povrede mozga.
04:16
In fact, high school athletes are three times more likely
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Ustvari, srednjoškolske atlete imaju više šansi
04:19
to sustain catastrophic injuries
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za katastrofalne povrede
04:21
relative even to their college-age peers,
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u odnosu studente koji su atlete,
04:24
and it takes them longer
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i treba im duže
04:26
to return to a symptom-free baseline.
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da se vrate početak bez simptoma.
04:29
After that first injury,
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I posle te prve povrede,
04:31
their risk for second injury
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rizik za drugu povredu
04:33
is exponentially greater.
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eksponencijalno raste.
04:35
From there, their risk for a third injury,
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Odatle, njihov rizik da treću povredu,
04:38
greater still, and so on.
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je veći i tako dalje.
04:41
And here's the really alarming part:
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I evo ga alarmantan deo :
04:45
we don't fully understand
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ne razumemo skroz
04:47
the long-term impact of multiple injuries.
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dugoročni uticaj na višestruke povrede.
04:50
You guys may be familiar with this research
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Vi ste možda upoznati da istraživanjem
04:52
that's coming out of the NFL.
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koje dolazi iz NFL-a.
04:54
In a nutshell,
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Ukratko,
04:56
this research suggests
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ovo istraživanje ukazuje
04:58
that among retired NFL players
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da kod penzionisanih NFL igrača
05:00
with three or more career concussions,
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sa 3 ili više potresa u karijeri,
05:03
the incidents of early-onset dementing disease
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incidenti ranih oboljenja demencije
05:06
is much greater than it is for the general population.
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je veća nego kod opšte populacije.
05:09
So you've all seen that -- New York Times, you've seen it.
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I videli ste sve to -- Njujork Tajms, videli ste.
05:12
What you may not be familiar with
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Ono s čim niste upoznati
05:14
is that this research was spearheaded
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je da ovo istraživanje je bilo vođeno
05:16
by NFL wives who said,
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od strane supruga u NFL-u koje kažu,
05:19
"Isn't it weird that my 46-year-old husband
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"Nije li čudno da moj 46-godišnji muž
05:22
is forever losing his keys?
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uvek gubi ključeve?
05:24
Isn't it weird that my 47-year-old husband
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Nije li čudno da moj 47-godišnji muž
05:27
is forever losing the car?
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uvek gubi kola?
05:30
Isn't it weird that my 48-year-old husband
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Nije li čudno da moj 48-godišnji muž
05:32
is forever losing his way home
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uvek zaboravlja put do kuće
05:34
in the car, from the driveway?"
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u kolima, od parkinga?"
05:37
So I may have forgotten to mention
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Tako da sam možda zaboravila da pomenem
05:40
that my son is an only child.
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da je moj sin jedinac.
05:43
So it's going to be really important
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Tako da će biti veoma bitno
05:46
that he be able to drive me around some day.
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da je on sposoban da me vozi jednog dana.
05:54
So how do we guarantee the safety of our kids?
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Pa kako da garantujemo sigurnost naše dece?
05:57
How can we 100 percent
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Kako možemo sa 100%
06:00
guarantee the safety of our kids?
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da garantujemo sigurnost naše dece?
06:02
Let me tell you what I've come up with.
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Dopustite da vam kažem šta sam smislila.
06:05
(Laughter)
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(Smeh)
06:10
If only.
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Samo ako.
06:12
My little boy's right there, and he's like, "She's not kidding.
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Moj mali dečko je tu, on je kao: "Ona se ne šali.
06:14
She's totally not kidding."
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Ona se uopšte ne šali."
06:17
So in all seriousness,
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I budimo ozbiljni,
06:19
should my kid play football?
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da li moj sin treba da igra ragbi?
06:21
Should your kid play football? I don't know.
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Da li vaš sin treba da igra ragbi? Ne znam.
06:24
But I do know there are three things you can do.
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Ali znam da postoje 3 stvari koje možete da uradite.
06:28
The first: study up.
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Prvo, ispitajte.
06:31
You have to be familiar with the issues we're talking about today.
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Morate da budete upoznati sa stvarima o kojim pričamo danas.
06:34
There are some great resources out there.
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Postoje dobri resursi za to.
06:37
The CDC has a program, Heads Up.
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CDC ima program, Glavu Gore.
06:39
It's at CDC.gov.
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Ima na CDC.gov.
06:41
Heads Up is specific to concussion in kids.
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Glavu Gore je specifični potres kod dece.
06:44
The second is a resource I'm personally really proud of.
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Drugo, to je resurs na koji sam posebno ponosna.
06:47
We've just rolled this out in the last couple months --
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Sproveli smo ovo poslednjih nekoliko meseca --
06:49
CO Kids With Brain Injury.
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CO Deca Sa Povredom Mozga.
06:52
This is a great resource for student athletes,
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Ovo je super resurs za studente atlete,
06:54
teachers, parents, professionals,
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nastavnike, roditelje, profesionalce,
06:57
athletic and coaching staff.
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atlete i trenesko osoblje.
06:59
It's a great place to start
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To je dobro mesto za početak
07:01
if you have questions.
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ako imate pitanja.
07:03
The second thing is: speak up.
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Druga stvar je: budite glasni.
07:06
Just two weeks ago,
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Samo pre dve nedelje,
07:08
a bill introduced by Senator Kefalas
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predlog zakona od Senatora Kefalasa,
07:10
that would have required
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koji bi zahtevao
07:12
athletes, kids under 18,
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atlete, decu, ispod 18
07:14
to wear a helmet when they're riding their bike
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da nose kacige kada voze bicikle
07:16
died in committee.
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je umro pred komitetom.
07:19
It died in large part
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Umro je u velikom delu
07:21
because it lacked constituent buy-in;
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jer nije imao ustavne podrške,
07:25
it lacked stakeholder traction.
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nije imao pomoć bogataša.
07:27
Now I'm not here to tell you what kind of legislation
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Sada, nisam tu da vam kažem kakve zakone
07:29
you should or shouldn't support,
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treba ili ne treba da podržite,
07:31
but I am going to tell you that, if it matters to you,
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ali ću vam reći da, ako vam je bitno,
07:34
your legislators need to know that.
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vaši zakonodaci treba da znaju to.
07:37
Speak up also with coaching staff.
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Takođe pričajte da trenerskim osobljem.
07:39
Ask about what kind of protective equipment is available.
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Pitajte koja je zaštitna oprema dostupna.
07:42
What's the budget for protective equipment?
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Koji je budžet za zaštitnu opremu?
07:44
How old it is?
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Koliko je stara?
07:46
Maybe offer to spearhead a fundraiser
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Možda da se ponudite da vodite okupljanje za skupljanje novca
07:48
to buy new gear --
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da se kupi nova oprema.
07:50
which brings us to suit up.
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Što nas dovodi do obucite se;
07:52
Wear a helmet.
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nosite kacigu.
07:55
The only way to prevent a bad outcome
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Jedini način da sprečite loš ishod
07:58
is to prevent that first injury from happening.
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je da sprečite da se ta prva povreda desi.
08:02
Recently, one of my graduate students,
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Skoro, jedan od mojih diplomaca, Tom,
08:05
Tom said,
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Tom je rekao,
08:07
"Kim, I've decided to wear a bike helmet
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"Kim, rešio sam da nosim kacigu za biciklu
08:09
on my way to class."
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na putu do predavanja."
08:12
And Tom knows that that little bit of foam in a bike helmet
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I Tom zna da to malo pene u kacigi za biciklu
08:15
can reduce the G-force of impact by half.
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može da smanji uticaj G-sile za pola.
08:19
Now I thought that it was
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Sada, mislila sam da je to bilo
08:21
because I have this totally compelling helmet crusade,
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jer imam taj ubedljivi krstaški rat s kacigom,
08:24
right, this epiphany of Tom's.
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da, neko Tomovo bogojavljenje.
08:27
As it turns out, it occurred to Tom that a $20 helmet
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Kako je ispalo, Tom je shvatio da kaciga od 20 dolara
08:30
is a good way to protect a $100,000 graduate education.
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je dobar način da se zaštiti diplomsko obrazovanje od 100 000 dolara.
08:34
(Laughter)
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(Smeh)
08:39
So, should Vander play football?
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Pa, trebalo bi Vender da igra ragbi?
08:42
I can't say no,
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Ne mogu da kažem ne,
08:44
but I can guarantee
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ali mogu da garantujem
08:46
that every time he leaves the house
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da svaki put kada izađe iz kuće
08:48
that kid's wearing a helmet --
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to dete nosi kacigu --
08:51
like to the car,
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na primer do kola,
08:53
or at school.
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ili škole.
08:56
So whether athlete, scholar,
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Pa bilo atleta, učenjak,
08:58
over-protected kid, neurotic mom,
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previše zaštićeno dete, neurotična mama,
09:01
or otherwise,
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bilo ko drugi,
09:03
here's my baby, Vander,
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evo je moja beba, Vender,
09:05
reminding you
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podsećajući vas
09:07
to mind your matter.
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da gledate svoje stvari.
09:09
Thank you.
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Hvala vam.
09:11
(Applause)
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(Aplauz)
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