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Kristy Stratton (born 26 January 1995) is an Australian rules footballer who played for the Collingwood Football Club in the AFL Women's (AFLW).

State football
In 2014, Stratton won the Victorian Women's Football League (VWFL) Division 1 best and fairest, while playing at Knox. After rupturing her anterior cruciate ligament, she underwent a knee construction in 2015. This surgery and advice from the surgeon prompted her to give up athletics and focus on football. Stratton played for Box Hill Hawks in the VFL Women's (VFLW). In 2017, she only managed to play seven games due to tearing her lateral meniscus.

AFL Women's career
Stratton was drafted by Collingwood with the club's fifth selection and the 21st overall in the 2017 AFL Women's draft. Joining Collingwood, she teamed-up with Melissa Kuys who captained her when they played for Box Hill Hawks. She made her debut in a 14-point win over the Brisbane at Moreton Bay Central Sports Complex in round 6 of the 2018 season. Collingwood re-signed Stratton for the 2019 season during the trade period in June 2018. Midway through the season, she suffered another injury, this time breaking her hand. In April 2019, Stratton re-committed to Collingwood for the 2020 season, along with Jordyn Allen, Emma Grant, and Sharni Layton. In April 2021, Stratton was delisted by Collingwood. Following her delisting, she re-joined Box Hill Hawks.

Personal life
Stratton is the younger sister of champion athlete Brooke Stratton. Both of them attended Caulfield Grammar School in Wheelers Hill, Victoria and were active athletes, with Brooke holding many records and Kristy holding the record for 80 metres hurdles in the under-14 category. She grew up as a Collingwood supporter.

Statistics
Statistics are correct to the end of the 2021 season.

|- style="background-color: #eaeaea"
! scope="row" style="text-align:center" | 2018
|style="text-align:center;"|
| 41 || 2 || 0 || 0 || 7 || 2 || 9 || 1 || 4 || 0.0 || 0.0 || 3.5 || 1.0 || 4.5 || 0.5 || 2.0
|-
! scope="row" style="text-align:center" | 2019
|style="text-align:center;"|
| 41 || 5 || 0 || 2 || 31 || 17 || 48 || 2 || 29 || 0.0 || 0.4 || 6.2 || 3.4 || 9.6 || 0.4 || 5.8
|- style="background-color: #eaeaea"
! scope="row" style="text-align:center" | 2020
|style="text-align:center;"|
| 41 || 1 || 0 || 0 || 2 || 3 || 5 || 0 || 1 || 0.0 || 0.0 || 2.0 || 3.0 || 5.0 || 0.0 || 1.0
|-
! scope="row" style="text-align:center" | 2021
|style="text-align:center;"|
| 41 || 3 || 1 || 0 || 12 || 5 || 17 || 2 || 5 || 0.3 || 0.0 || 4.0 || 1.7 || 5.7 || 0.7 || 2.0
|- class="sortbottom"
! colspan=3| Career
! 11
! 1
! 2
! 52
! 27
! 79
! 5
! 40
! 0.1
! 0.2
! 4.7
! 2.5
! 7.2
! 0.5
! 3.6
|}

See also
 List of Caulfield Grammar School people

References

External links

1995 births
Living people
People educated at Caulfield Grammar School
Collingwood Football Club (AFLW) players
Australian rules footballers from Victoria (Australia)
Sportswomen from Victoria (Australia)


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Thailand's Junta Leader Makes Cover of Time Magazine
Thailand's Junta Leader Makes Cover of Time Magazine
Politician Proposes Licensed Brothels to Reduce Rape in Thailand
Cabinet Asked to Approve Bt3 Billion to Combat Water Shortages
Anti and Pro Thai Government Events Scheduled for Same Day
Thailand's Justice Minister Calls for Chemical Castration of Rapists
Thailand's Prime Minister Troubled Over Fake News in Thailand
Future Forward Party Leaders to Be Charged Over Bangkok Rally
Thailand's Army Chief Warns Over "Proxy Crisis" in Thailand
Woman's Feminine Napkins Become Heated Tax Debate in Thailand
Police Chief Summoned Over Protest Ban in Bangkok
BANGKOK – General Prayuth Chan-ocha appears at ease among the lavish trappings of politics. Thailand's Prime Minister is never far from doting courtiers in Bangkok's 1920s Government House, a neo-Gothic building stippled with classical paintings and one particularly plump jade Buddha.
Sitting in a position of complete power, he says, it's only out of a sense of duty "When people are in trouble, we, the soldiers, are there for them," he tells Time Magazine.
The question for Thailand is how long they will be there. Four years have passed since Prayuth, 64, seized power in a coup d'état. It was the 12th successful coup since the establishment of a constitutional monarchy in 1932, and Prayuth promised to quickly shepherd the Southeast Asian nation of 69 million back to democracy.
But the Thai people are still waiting to vote on their futures. Many here and in the region fear that under Prayuth's watch, America's oldest ally in Asia is undergoing a permanent authoritarian regression.
A pattern that has been replicated throughout southeast Asia as China's influence swells and President Trump focuses on his "America first" promise.
According to Time Magazine (now owned by the Koch brothers), the U.S. (Trump) seems less committed than ever to smaller regional allies like Thailand in the 10-member Association of Southeast Asian Nations, or ASEAN.
Although Trump welcomed Prayuth to the White House in October, the Thai leader says Washington now seems "somewhat busy with its own issues. There seems to be some distance between the U.S. and ASEAN."
In terms of regional rivalry, there's no competition. "The friendship between Thailand and China has existed over thousands of years, and with the U.S. for around 200 years," Prayuth says. "China is the No. 1 partner of Thailand."
Historically, Thailand was something of an exception to the rule when it came to U.S. relations. The much-beloved King Bhumibol Adulyadej, who died in 2016, was born in Cambridge, Mass. In the 1950s and '60s, the country was a bulwark against the communist fervor sweeping Southeast Asia, and during the Vietnam War, Bangkok was a vital staging post for U.S. troops. In 1969, President Nixon paid tribute to the U.S.'s "deep spiritual and ideological ties" with Thailand.
The U.S. has since lost top trading-partner status to China. After Prayuth's coup, Washington suspended all nonessential official visits and one-third of U.S. aid to Thailand, condemning the intervention as having "no justification." China stayed silent.
Since then, military cooperation between Beijing and Bangkok has ramped up. Thailand has purchased 49 Chinese tanks and 34 armored vehicles worth over $320 million, plus three submarines at more than $1 billion. There are plans for a joint Sino-Thai commercial arms factory in the northeastern province of Khon Kaen. Beijing's $1 trillion Belt and Road Initiative–a trade and infrastructure network tracing the ancient Silk Road–stands to further boost its regional clout.
As a result, liberal democracy is increasingly no longer seen as the fastest route to prosperity. In Beijing, President Xi Jinping has ramped up censorship, purged opponents and removed presidential term limits, effectively letting him rule for life.
That model looks appealing, especially when set against the chaos gripping Washington. "People see successes in authoritarian countries and so grow impatient with the messy democratic process," says former Thai Prime Minister Abhisit Vejjajiva.
Prayuth, meanwhile, insists that his dictatorship is reluctant and temporary. "I never imagined becoming Prime Minister in this way," he says. "It was the hardest decision of my life." Read full story click here
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Thailand's Ombudsman Rules Thai PM's Oath Taking Unconstitutional
Thailand's Junta Leader Asks Britain to Extradite Former "Democratically Elected" Prime Minister Yingluck Shinawatra
Thailand's Junta Prime Minister Vows to Go After Democracy Activists
Hundreds Gather at Bangkok's Democracy Monument to Demand Election
Thailand's PM Says Needs More Time in Office to Prepare for Elections

redpajama_set_name: RedPajamaCommonCrawl


Gradual and progressive onset of memory impairment Dementia is a chronic progressive disease characterized by multiple cognitive deficits. It is a disease of the elderly. Cognitive functions that could be affected are memory, orientation, comprehension, learning ability, judgement etc. Onset of symptoms is gradual and is progressive.
Memory impairment Memory impairment initially manifests with forgetfulness of keys, money and the location of personal items. This may progress to inability to recognize familiar people, forgetfulness of recent events and inability to remember personal details. Unawareness of memory impairment is common among dementia patients and may be influenced by social and cultural factors.
Language difficulties/ aphasia The patient may present with difficulty in naming familiar objects and finding words.
Inability to perform learned purposeful movements - apraxia Difficulty in performing complex tasks such as dressing, cooking etc.
Disturbance in executive functions Inability understand and arrive at rational conclusions/decisions - handling money, planning events etc. Poor judgement.
Visuospatial impairment In early disease the patient will find it difficult to navigate through unfamiliar surroundings. In advance disease the patient will be unable to identify familiar surroundings and may get lost.
Behavioral symptoms The patient may wander aimlessly, behave inappropriately in public, be agitated, have poor sleep and engage in meaningless repetition of words. Previous personality traits may be exaggerated - frequent quarreling.
Psychiatric symptoms Suspiciousness is a common symptom among dementia patients. The patient may be persistently worried about others harming or stealing from him/her. In addition rarely the patient may develop depression, suicidal ideas, delusions and hallucinations.
Varies causes of dementia can be differentiated by history. Pattern of disease progression may be suggestive of the aetiology - In Alzheimer's disease memory loss is the earliest feature. It is insidious in onset and slowly progressive. Apraxia, dis-inhibition, aphasia follows. Disorientation is a late feature. In vascular dementia the onset may be abrupt. It may be caused by a single large infarct or by multiple small infarcts, hence it progresses in a stepwise manner. In addition to cognitive function abnormalities, personality changes and emotional symptoms may be prominent. The patient usually has history of cardiovascular risk factors. Dementia with Lewy bodies presents with prominent visual hallucinations. Parkinson's disease dementia characteristically presents with motor features of parkinsonism.
Exclude reversible causes of dementia Clinical information should be used to exclude potentially reversible causes of dementia - depressive pseudo dementia, space occupying lesion, normal pressure hydrocephalus, Vit B12 deficiency, excess alcohol usage, Endocrine & metabolic causes (hypothyroidism, uraemia, hepatic encephalopathy), infections(tertiary syphilis, HIV) and vasculitis.
Risk factors for dementia Vascular dementia results from multiple cerebral infarcts. The patient may be a chronic smoker and have a long standing history of cardiovascular risk factors such as diabetes, hypertension and hyperlipidaemia.
Mental state examination : Appearance The general appearance of the patient is usually normal. The patient will be well groomed and dressed appropriately. In advance disease when the patient looses ability conduct his/her daily functions, signs of self neglect may be seen. The mood is normal and sometimes may have a depresses appearance. Social behavior will be normal in early disease. In advance disease disinhibition in social situations may be noted. Abnormal motor activity will not be seen.
Mental state examination : Speech Speech will be spontaneous with normal rate and volume. The patient may exhibit difficulty in finding words or naming certain objects.
Mental state examination : Mood The patients are usually euthymic. Variations of mood are normal with no liability or incongruity of mood. Depression is a differential diagnosis for dementia. Observe the patient for low mood, reduced variation of mood and blunt affect.
Mental state examination : Thoughts The form of thought is normal. In long standing disease the patient may have delusions, suicidal ideas and suspicious thoughts.
Mental state examination : Perceptions Hallucinations of any form are rare in dementia. The presence of visual hallucinations may indicate the possibility of delirium which needs to excluded in dementia patients.
Mental state examination : Cognitive functions The patient is usually oriented in time, place and person up to the terminal stages. In contrast disorientation is a prominent feature in delirium. The patients attention and concentration is usually normal. Significant impairment in both short and long term memory may be seen. The short term memory is affected more in comparison. Intelligence is not affected but poor memory span may influence findings on intelligence.
Physical examination Perform physical examination to rule out reversible causes of dementia. Examine for features of hypothyroidism and uremia. Examine for features of liver failure. Examine for neurological symptoms of space occupying lesions.
Normal aging Aging is associated with a certain degree of deterioration of cognitive functions. The presentation may mimic early dementia. Progressive deterioration of memory beyond what is expected for that age is suggestive of dementia. The presence of multiple cognitive deficits : language difficulty, apraxia, agnosia and deterioration of executive functions is rarely seen with the normal aging process and supports a diagnosis of dementia.
Delirium An important differential diagnosis of dementia is delirium. Delirium/ acute confusional syndrome is the impairment of cognitive functions and consciousness secondary to systemic/physical dysfunction. Delirium is common among the elderly. A specific aetiology is usually found : infections, severe trauma, organ failure, medications and toxins etc. Disorientation and visual hallucinations are common in delirium. In comparison to dementia, symptoms are acute in onset and may fluctuate, being worst at night.
Depression Depressive pseudo dementia is a potentially reversible cause of dementia. Loss of memory, impaired attention span and concentration can occur in depressive disorder. The onset of symptoms are usually more acute than in dementia. The patient may also exhibit features of depressive disorder such as depressed demeanor, low mood, decreased energy, loss of interest/pleasure, lack of sleep and diminished appetite. A specific aetiology for depression may found in the clinical history. Once the patient recovers from depression the symptoms of cognitive impairment usually improve.
Mild cognitive impairment (MCI) In MCI the degree of cognitive impairment is between normal aging and dementia. MCI is considered a to represent a pre-dementia state. The patient presents with mild changes in memory and rate of information processing. The ability to recall daily events is impaired. The patients daily functions are not affected. Physical examination and investigations are normal. Montreal Cognitive Assessment (MoCA) is a sensitive tool for diagnosis of MCI.
LAMBERTY GJ, BIELIAUSKAS LA. Distinguishing between Depression and Dementia in the Elderly: A Review of Neuropsychological Findings. Archives of clinical neuropsychology, 1993, 8, 149-170.
Dementia is diagnosed by history and mental state examination Gradually progressive deterioration of cognitive functions as identified in clinical history and metal state examination aid in the diagnosis. The DSM 4 criteria for diagnosis of dementia : Multiple cognitive deficits manifested by both memory impairment and one/ more of the following cognitive disturbances - agnosia, aphasia, apraxia and deficits in executive function.
Mini–mental state examination (MMSE) The MMSE is a score designed to quantitatively measure the cognitive status. It includes tests for orientation, attention, memory and language. Each test is given a scoring system adding up to a total of 30 points. Dementia can be classified as mild (21-24), moderate (10-20) and severe (<9) according to MMSE. Use of the MMSE alone for diagnosis of dementia is not recommended. MMSE is mainly used as a screening test and to monitor disease progression periodically.
CT scan/ MRI of the brain CT brain and MRI may aid in identifying the subtype of dementia. In vascular dementia MRI and CT may show evidence of ischemic changes - small or large infarcts. In early Alzheimer's disease the MRI may detect hippocampal atrophy. In advance disease ventricular enlargement and diffuse cerebral atrophy may be seen in both CT scan and MRI.
Neuro-imaging - CT scan and MRI Investigations to identify reversible causes of dementia should be carried out since specific therapy will improve the cognitive functions of the patient. Neuroimaging can be used to identify cerebral tumors, chronic subdural hematomas and normal pressure hydrocephalus.
Thyroid function tests Exclude hypothyroidism.
Liver function tests Hepatic encephalopathy is reversible cause of dementia.
Full blood count/ Blood film/ Serum Vit B-12 levels Presence of macrocytic anemia with hyper-segmented neutrophils is a feature of Vitamin B-12 deficiency.
Blood urea, serum creatinine and serum electrolytes Exclude chronic renal failure and uremia.
VDRL and HIV screening HIV and tertiary syphilis is a treatable cause of dementia.
Antinuclear antibody (ANA) and Anti- ds DNA antibody To exclude Systemic lupus erythematosus (SLE).
Establish safety measures to reduce injury/ harm to the patient Make changes to the home environment – Add railings to the staircase, improving lighting of the house particularly at night, provide the patient with a safe room, remove dangerous electrical appliances from the vicinity of the patient etc. If the house is close to the road or railway establish measures to prevent wandering of the patient. The patient should have contact numbers to call in an emergency. Arrange for measures to avoid elder abuse.
Stimulation of the patient Frequent stimulation of the dementia patients may slow the rate of disease progression and help preserve cognitive functions. Sensory stimulation may be provided with music therapy and leisure activities. Arrange the patient to get involved in the household activities and provide opportunities for social interactions.
Measures to improve sleep among patients A common problem among dementia patients is disturbed sleep. Improve the sleeping environment of the patient – less noisy room, less lighting, cool. Arrange for a set time and place for sleeping. Avoid factors which prevent sleep – excessive caffeine at night, heavy meals. Advise the patient to avoid using the bed for other activities such as watching television, reading. Increased physical activity and social activity promotes adequate sleep. These factors improve sleep hygiene. Use of hypnotic should be avoided if possible.
Caring for the caretakers As dementia progresses the patient gradually loses ability to perform his/her daily functions and becomes dependent on the caregivers. Managing a dementia patient in the home environment puts a significant burden on the family. Hence the caregivers should be provided support. Arranging for shared care of the patient may reduce the burden on one caretaker. Involve all family members in caring for the patient. Family members can divide responsibilities among themselves. Arrange for counseling sessions and provide psychological support. Caretakers are prone to develop psychiatric problems such as depression, anxiety and anger.
Educate the patient and family Provide information about the natural course of the disease, aetiology, risks and treatment options available. The family should be educated and counseled about the need for continuous care of the patient.
Minimizing risks to the patient Dementia patients are prone to environmental risks. Patients with forgetfulness may ingest an overdose of medicine, forget to switch off electrical appliances. In advance disease the patient may find it difficult to navigate through the house and have the risk of injury and falls. The patient may wander out of the house. The family should make changes in the house to avoid such risks. Ideally an occupational therapist should evaluate the house environment and suggest changes.
Pharmacological therapy: Combined Cholinesterase inhibition and NMDA receptor antagonist The two main classes of drugs used to treat dementia are cholinesterase inhibitors and NMDA receptor antagonists. Monotherapy or combinations of both may be used.
Pharmacological therapy : Cholinesterase inhibitor therapy The commonly used drugs are galantamine, donepezil and rivastigmine. These drugs are commonly used to treat mild-moderate dementia. Cholinesterase inhibitors improve cognitive functions, activities of daily living and behavior. Initiate drug therapy promptly after diagnosis. The drugs have been shown to be effective against most subtypes of dementia- Alzheimer's dementia, vascular dementia and Parkinson's dementia. Monitor the progression of the disease by 3/6 monthly cognitive assessments.
Pharmacological therapy : NMDA receptor antagonists NMDA receptor antagonist - Memantine is indicated for moderate to severe dementia. These drugs reduces neuropsychiatric symptoms, help maintain skills and slows cognitive deterioration. The starting dose is 5mg daily which can be increased up to a maximum of 10mg bd.
Managing behavioral problems Behavioral problems are usually arise due to distress within the patient. Boredom, sensory deprivation, hunger, loneliness can cause behavioral problems. These can be avoided by involving the patient in the household work, improving social contact and planning the day of the patient. The carers should actively involve in providing emotional support to the patient. Pharmacological therapy for behavioral problems should be used as a last resort. Depression is treated with SSRIs. Antipsychotics may be indicated for treatment of delusions and hallucinations.
Ensure optimum quality of life The basic needs such as food, clothing, hygiene and medications should be provided by the carers. Improve social interactions of the patient. Encourage the patient to engage in exercise, music therapy and leisure activities which promote pleasure. Help the patient in financial and legal matters. During the terminal stages of disease the patient may be totally dependent upon the carers for daily activities of living.
Manage concomitant medical conditions Elderly patients are at higher risk of having multiple comorbidities such as diabetes, hypertension, cardiovascular disease. These conditions need to be appropriately managed. Ensure regular follow-up. Poor vision and poor hearing is common among the elderly. These sensory deficits may predispose to falls, injury, and may interfere with social interaction. Arrange for appropriate measures to improve patient functioning.
QASEEM A, et al. Current Pharmacologic Treatment of Dementia: A Clinical Practice Guideline from the American College of Physicians and the American Academy of Family Physicians. Ann Intern Med, 2008, 148, 370-378.


Tunisian-Saudi Real Estate Company is one of the fruits of fraternal cooperation between investors in the Kingdom of Saudi Arabia and their brethren of the Tunisian Republic in the area of a��a��development and construction of real estate.
The company has also made a��a��great strides and had a great success in the real estate market in terms of projects, achievements and exchange of experiences as well as contributing to the development of the partnership and, for the distribution investments in different Governorates of Tunisia.
These governorates are those of Nabeul, Gabes, Monastir, Sfax, Bizerte and Tunis, which put the company on the same level of international companies specialized in the construction and property management. and thus enabled him to obtain a certificate of ISO 9001 quality standards and the price of the Arab Maghreb Union of architecture and construction on the project galleries 1 and 2, in the city of Sfax.
Since its establishment until today, the company was able to achieve countless projects in Tunisian cities with a total area of a��a��over 160,000 mA? for a total cost of 70 million Tunisian dinars.
To keep the momentum going and extend the policy of the company in the creation of real estate projects, our company has developed a five-year plan to create short-term real estate projects in a construction area of a��a��more than 120,000 is intended to square aim at a cost of about 80 million Tunisian dinars, noting that new projects have characteristics of a high standard for other social categories.
We continue on the path of Arab cooperation and good competitive functioning of society while being more eager to achieve a better balance between quality and price.
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Baby Boomers on Prescription Medication Contributing to Heroin 'Epidemic'
By Victoria Kim 04/24/15
The number of heroin-related deaths among Baby Boomers has nearly quintupled.
Older Americans are a growing faction in the heroin-addicted population in the U.S., with the number of deaths involving heroin for those ages 45 to 64 nearly quintupling from 516 in 2000 to 2,459 in 2013, the Times Union reports.
There are several theories behind the "emerging epidemic" of seniors abusing drugs, prescription drugs in particular. Seniors are a segment of the population that is prescribed more drugs than any other, especially opioid pain relievers and benzodiazepines, and anxiety medications like Xanax and Valium. And the medical community's medicate-first approach only exacerbates the matter, doling out pills for everything from joint pain to depression.
"What initially becomes a way of managing that pain can, over time, lead them to needing more of the painkiller," Nicole MacFarland, executive director of Senior Hope, a nonprofit outpatient clinic in Albany for people 50 years and older, told the Times Union. "Their body develops a tolerance and, lo and behold, they wind up becoming very addicted."
Weaning older adults from an opiate addiction can be complicated, MacFarland explained, since they need pain medication for other ailments.
Some older adults are turning to heroin when painkillers aren't enough. The number of patients at Senior Hope whose main addiction was heroin increased from six patients in 2012 to 17 in 2014, out of 155 patients.
But patients like 56-year-old Dan Pirrone, who was using more than 20 bags of heroin a day, are "headed in the right direction," thanks to Senior Hope's network of support of people in his age group.
"If I were to get [help] when I was younger, I'd be much better off," Pirrone said. "I'd have my kids in my life, I would have a chance."
middle-aged drug use
heroin epidemic
heroin overdoses
Victoria Kim
Victoria is interested in anything that has to do with how mind-altering substances impact society. Find Victoria on LinkedIn or Tumblr.
Is AA at Fault for the Murder of One of its Members?
On September 18, 2014 a three-year long court case involving a woman who died by the hands of a man...
Comment Section in a Recovery Magazine—A Love Poem
. . . . . . . . . And that's how I got better. End of piece. End of piece is a pseudonym for...