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Online First
Editor's choice
Whether it’s trialling new methods of service delivery or critically evaluating established practice, true innovation involves renewing, changing or creating more effective ways of doing things.
![](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/all/themes/mja/images/free-text.png)
![](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/all/themes/mja/images/free-text.png)
Editorials
The challenge is delivering accessible screening services, followed by optimal management, to the community.
![Secondary prevention of coronary heart disease in Australia: a blueprint for reform cover image Secondary prevention of coronary heart disease in Australia: a blueprint for reform cover image](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/default/files/styles/medium/public/issues/198_02_040213/Red11080_fm.jpg)
Early detection and management can slow the progression of atherosclerosis.
Early detection and management can slow the progression of atherosclerosis.
Research
A study comparing single-field fundus photography with expert clinical examination finds the former is a valid tool in detecting diabetic retinopathy in Indigenous people in remote communities of Central Australia.
![](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/all/themes/mja/images/free-text.png)
![](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/all/themes/mja/images/free-text.png)
A small exploratory study finds that most patients with diabetes attending for routine blood monitoring are willing to undergo non-mydriatic retinal photography administered by pathology collection staff.
![](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/all/themes/mja/images/free-text.png)
![](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/all/themes/mja/images/free-text.png)
A retrospective audit of patients referred for venous thromboembolism-related imaging reveals that the availability of new screening and diagnostic tests may have led to overdiagnosis of clinically insignificant pulmonary embolism.
![](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/all/themes/mja/images/free-text.png)
![](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/all/themes/mja/images/free-text.png)
The authors explore the reasons for barriers to discharge from inpatient rehabilitation and whether these can be predicted by demographic or clinical variables.
![](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/all/themes/mja/images/free-text.png)
![](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/all/themes/mja/images/free-text.png)
Perspectives
![Rethinking psychotropics in nursing homes cover image Rethinking psychotropics in nursing homes cover image](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/default/files/styles/medium/public/issues/198_02_040213/hil11593_fm.jpg)
While research supports use of psychotropic medications by nursing home residents in some clinical situations, we use them too often, for too long, at doses too high, in dangerous combinations and without adequate consent.
Delays in a uniform approach to detecting gestational diabetes mellitus and providing adequate management represent a missed opportunity to improve pregnancy outcomes and maternal health.
Letters
Accidental carbon monoxide poisoning as a result of burning charcoal briquettes has continued despite the introduction of mandatory warnings.
Is activity-based funding stifling the use of new technologies in the public sector?
Clinical focus
![An evidence-informed strategy to prevent osteoporosis in Australia cover image An evidence-informed strategy to prevent osteoporosis in Australia cover image](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/default/files/styles/medium/public/issues/198_02_040213/ebe11363_fm.jpg)
This abridged version of the Osteoporosis Australia white paper Building healthy bones throughout life (available at MJA Open) gives an overview of the recommendations for building healthy bones at all stages of life.
Reflections
![Finding the key: acute locked-in syndrome treated with interventional neuroradiology cover image Finding the key: acute locked-in syndrome treated with interventional neuroradiology cover image](https://webarchive.library.unt.edu/web/20130216025150im_/https://www.mja.com.au/sites/default/files/issues/198_02_040213/stu10992_fm.jpg)
A neurosurgeon’s personal account of the experience of, treatment for and recovery from a basilar artery occlusion provides a unique "insiders view" into acute locked-in syndrome.
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