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expert could be of potential bene t to the court, and concluded that the courts should thoroughly consider if there really is a need for expert testimony (p. 465). It was suggested that expert witnesses should contribute mainly by providing background information, and that the courts should not uncritically accept their opinions. Interestingly, the Supreme Court decision was published the same year as the trend towards declining expert participation began. Thus, the Supreme Court s view may be interpreted as an expression of an ongoing change of attitudes and procedural practices rather than as the sole cause of the decline. A similar view was expressed by Edelstam (1991), who suggested that the demand for expert evidence does not emanate from the courts themselves. Rather the courts adjust to a growing body of knowledge by incorporating those aspects of the new knowledge that supposedly may add competence to the legal process. Theoretically this process may also be reversed. If representatives of such new knowledge fail to establish con dence for their expertise then the legal system withdraws.

Unfortunately, while FTTH is technically mature, it is not very mature yet as a part of twenty- rst-century society However, things are getting better For example, if this story had been told as recently as 2 years ago, one would have had to say that in the United States the only parts of the culture that were taking FTTH seriously enough to invest heavily in it were small companies and small communities This has now changed dramatically The subtitle of this book is The New Empowerment, and the preceding chapters should have made it clear that proliferation of ber to the home and business promises an enormous empowerment to all the elements of society, and not just the end users New application directions will be ignited and will create new jobs in all businesses, especially within the telecomm and computer industries.

Disorders of the cranial nerves usually produce clear abnormalities, apparent to both patient and doctor alike. The specialists who become involved in the management of patients with cranial nerve problems are neurologists, neurosurgeons, ophthalmologists (cranial nerves 2 4, 6), dentists (cranial nerve 5) and ENT surgeons (cranial nerves 1, 5, 7 10, 12). Cranial nerves 1, 2 and 11 are a little different from the others. Nerves 1 and 2 are highly specialized extensions of the brain, for smell and sight, in the anterior cranial fossa and suprasellar region. Nerve 11 largely originates from the cervical spinal cord, rises into the posterior fossa only to exit it again very quickly, to supply muscles of the neck and shoulder. It is useful to remember that the other cranial nerves (3 10 and 12; Fig. 8.1) can be damaged at three different points along their paths. The lesion may affect the nucleus of the cranial nerve within the brainstem, where its cell bodies lie. Alternatively, the lesion may damage the axons travelling to or from the nucleus but still within the brainstem. In both these situations there is commonly damage to nearby pathways running through the brainstem, so that in addition to the cranial nerve palsy, the patient will often have weakness, sensory loss or ataxia in the limbs. Finally the lesion may affect the nerve itself outside the brainstem as it passes to or from the structure which it supplies. This causes either an isolated cranial nerve palsy, or a cluster of palsies arising from adjacent nerves. Examples of these clusters include malfunction of 5, 7 and 8 caused by an acoustic neuroma in the cerebellopontine angle, or malfunction of 9, 10 and 11 due to malignancy in ltrating the skull base.

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