Reporting of Concussion Symptoms by a Nationwide Survey of United States Parents of Middle School Children

This cross-sectional study assessed concussion symptom knowledge of parents of middle school (MS) children (aged 10–15 years) through a free-response item that solicited concussion symptoms and compared findings to a pre-validated scale-based measure. A self-administered online questionnaire was sent to a panel of randomly selected United States residents who were recruited by a third-party company, aged ≥ 18 years, and identified as parents of MS children. Via a free-response item, parents listed what they believed were concussion symptoms. Multiple sections later, parents identified potential concussion symptoms via a scale measure, which featured 25 items (22 actual symptoms, three distractor symptoms) with three response options: yes, no, maybe. Free-response item responses were coded into specific symptoms. The 1062 eligible parents that provided complete data commonly identified the symptoms of dizziness (90.2%), blurred vision (87.4%), and balance problems (86.4%) on the scale-based measure. However, these and other symptoms were less commonly identified via the free-response item (dizziness: 44.4%; blurred vision: 16.5%; balance problems: 3.5%). Concussion symptoms commonly reported via the scale-based measure were reported less frequently within the free-response item. Future research must explore strategies to help clinicians working with parents and their children to measure and assess concussion symptom reporting and knowledge.

On saying ‘yes’ in early Anglo-Saxon England

In this paper, we aim to reconstruct the form of affirmative replies in the English spoken in England in the period 500–800. Examination of the extant texts shows that the two forms of the Old English word for ‘yes’, i.e. gea and gyse, are distinguished functionally, in that the former is used to reply to positive utterances and the latter to negative utterances. It is not clear, however, where the word gyse comes from. It has no cognates in other Germanic languages and the two main existing proposals for its etymology are problematic in several respects, and also fail to explain its functional patterning in the texts. We suggest a new, more plausible, etymology for gyse and use it to reconstruct the positive response system of proto-Old English. Apart from solving the puzzle ofgyse's origins, our proposal has two wider implications. The first is methodological, in that we demonstrate the value in historical reconstructive work of paying close attention not only to grammatical, phonological and semantic factors but also to the pragmatics of the forms being postulated. Secondly, the attested Old English data show a correlation that has been observed more widely through cross-linguistic comparison, i.e. the existence of a designated response item to negative utterances coupled with the existence of ‘high’ clausal negation. Drawing on our reconstruction of the emergence of gyse in proto-Old English, we suggest that one possible source of cross-linguistic correlations of this kind is diachronic development, in this case grounded in properties of day-to-day interaction in discourse.