L'obra filològica d'Antoni de Bastero i Lledó. Edició de la Història de la llengua catalana

S'estudia l'obra filològica d' Antoni de Bastero i Lledó (1675-1737), des d'una perspectiva de conjunt, per tal de concretar I'activitat d'aquest estudiós en els camps de la lingüística, la filologia o la crítica literària, i fer-ne una valoració adequada als coneixements actuals sobre I'exercici d'aquestes disciplines durant la primera meitat del segle XVIII. La tesi inclou un estudi biogràfic, absolutament necessari per establir moltes de les circumstancies vitals del canonge Bastero, que ens resultaven obscures i que són decisives per explicar el propi interès per la filologia, les relacions amb determinats cercles acadèmics, la datació aproximada dels diversos projectes iniciats, la interpretació correcta de la seva activitat. S'inclou, així mateix, un catàleg exhaustiu de tots els manuscrits conservats d'Antoni de Bastero i que tenen alguna relació amb el seu treball filològic. En total es tenen en compte 69 volums manuscrits, actualment escampats per diversos arxius i biblioteques de Barcelona i Girona, alguns dels quals eren fins ara desconeguts. D'aquests 69 volums, 48 contenen pròpiament obres de Bastero o altres materials publicables, i la resta són materials de treball. En conseqüència, l' obra filològica del canonge es pot concretar en: la producció d'una gramàtica italiana i d'una gramàtica francesa, en català, que va deixar inacabades; la realització de La Crusca provenzale, un magne diccionari etimològic i d'autoritats que recull una gran quantitat d'hipotètics provençalismes italians -només es va publicar el primer volum d'aquesta obra a Roma, l'any 1724, però n'he localitzat pràcticament tot el contingut; l'elaboració d'una extensa antologia de poesies trobadoresques, copiades amb gran rigor d'alguns còdexs de la Biblioteca Vaticana; el plantejament d'una Història de llengua catalana, que havia de ser una gran compilació dels mèrits i les excel·lències d'aquesta llengua -que l'autor identifica amb la provençal- i la seva literatura, i que es va poder desenvolupar nomes de forma parcial. Precisament, la part central de la tesi l'ocupa l'estudi particular i l'edició crítica de les parts redactades d'aquesta obra, que suposa la concreció de la particular percepció lingüística i literària que Bastero havia anat perfilant al llarg dels seus anys d'estudi. Es tracta d'una edició molt complexa, perquè l'obra ens ha arribat només en un esborrany, que presenta múltiples correccions i esmenes i evidencia diferents estadis redaccionals; els manuscrits inclouen, així mateix, nombrosos papers amb anotacions o fragments que, o no pertanyen al cos de l'obra, o bé s'han hagut de resituar en el lloc que els correspon. EI resultat és, tanmateix, un text prou coherent que comprèn quasi la totalitat del Llibre primer -sobre l'origen, el naixement i els diversos noms de la llengua, i sobre el nom de Catalunya- i un capítol del Llibre tercer -sobre la primitiva extensió del català per tot Espanya. EI més rellevant d'aquesta obra és el fet que s'hi basteix una original teoria sobre la formació de les diverses llengües romàniques que té el català com a eix central -proposa la identificació del català provençal amb la lingua romana dels documents alt medievals, en una operació que s'avança quasi cent anys a François Raynouard, que propugnava això mateix, referint-se nomes al provençal, amb un àmplia aprovació de la comunitat científica del seu temps. Destaquen també un excepcional rigor històric i documental, i una notable sensibilitat vers l'oralitat lingüística, que és objecte d'algunes anotacions ben interessants. Tanquen la tesi un seguit d'annexos documentals on es transcriuen diversos documents relacionats amb els aspectes tractats anteriorment.

Uso da Internet na elaboração do trabalho de conclusão de curso pelos alunos de Enfermagem

A enfermagem se destaca como consumidora de tecnologia em diversos contextos: ensino, pesquisa e assistência. Como os alunos do curso de Enfermagem utilizam a internet para o processo de produção de Trabalhos de Conclusão de Curso (TCC)? Com o intuito de responder a essa questão e compreender melhor como a internet vem sendo utilizada na construção dos TCC dos alunos de Enfermagem, este trabalho tem os seguintes objetivos: avaliar a utilização da internet na elaboração de TCC; investigar o uso da internet por esses; identificar as bases de dados utilizadas; levantar as principais dificuldades e/ou facilidades; e descrever como a internet é usada para buscar a literatura produzida. Trata-se de um estudo descritivo, seccional, com abordagem quantitativa, desenvolvido em duas instituições de ensino superior em Teresina – Piauí, sendo uma de caráter privado e outra de caráter público. A pesquisa teve como amostragem os alunos de Enfermagem do 8º período das duas instituições. É relevante considerar que o acesso democrático e a falta de conhecimento frente à internet ainda são realidade em nossa sociedade, o que nos remete à necessidade de implementar estratégias de educação relacionadas à utilização da internet como ferramenta para a construção do conhecimento em saúde e enfermagem.

Jogos cooperativos em Educação Física: um estudo de caso

Este estudo, de natureza qualitativa, tem como objectivo reflectir sobre o papel das actividades lúdicas cooperativas no processo de aperfeiçoamento do relacionamento interpessoal no contexto escolar, na visão dos alunos e professores, tendo em conta aspectos como o facto da inserção do jogo cooperativo no contexto escolar ser ainda bastante menosprezada. No entanto, Kishimoto (1993) evidencia-lhe duas importantes funções quando utilizado como elemento pedagógico, sendo uma a dimensão lúdica, ligada à diversão e ao prazer, e a outra, como complemento do conhecimento oferecido ao indivíduo. Esta fundamentação é também partilhada por Soler (2006) que defende que as práticas que apontem para os valores humanos relevantes e coerentes a serem desenvolvidos nas aulas de Educação Física devem partir do envolvimento do grupo em práticas cooperativas. O autor defende também que na aprendizagem cooperativa os alunos deverão trabalhar em pequenos grupos heterogéneos, com o objectivo de ser possível a partilha de experiências, aprendizagens e conhecimentos comuns. Pretende-se desta forma envolver todos os alunos no processo de aprendizagem, sendo essa heterogeneidade o agente facilitador. A investigação teve como base a oferta de actividades de carácter cooperativo, organizadas para uma população alvo composta por 46 alunos de 3º ciclo, mais concretamente duas turmas de 7ºano da Escola E.B. 2,3 Telheiras nº1. A recolha de dados acompanhou a realização destas actividades através da entrega de questionários sociométricos aos alunos em questão, no sentido de apurar até que ponto os objectivos propostos de integração dos alunos mais rejeitados nas turmas foram bem-sucedidos ou não. Finalizado este processo, é possível concluir a importância dos jogos colaborativos como estratégia/ferramenta pedagógica facilitadora da integração de alunos desenquadrados da turma.

Construindo pontes para a inclusão: um projeto de ensino/aprendizagem cooperativa

O presente trabalho constitui um projecto de investigação acção realizado numa escola de primeiro ciclo do distrito de Lisboa, mais especificamente numa truma do 4º ano de escolaridade,desencadeado por dois alunos diagnosticados com dificuldades intelectuais e desenvolvimentais que integravam uma unidade de apoio e specializado a alunos com multideficiência e surdocegueira congénita . Paralelamente foram também mobilizados os docentes do núcleo de educação especial do agrupamento de escolas . A caraterização destes três contextos a turma, a unidade e o núcleo- realizou-se através da utilização dos seguintei instrumentos de recolha de dados: análise documental, observação naturalista, entrevista semi-estruturada e sociometria. A análise dos mesmos permitiu fazer as seguintes constatações : turma bastante heterogénea, diferentes níveis de aprendizagem, alunos de língua portuguesa não materna, de diferentes etnias, e nível socioeconómico, problemas de relacionamento entre eles e alguma resistência em aceitar os colegas considerados com dificuldades intelectuais e desenvolvimentais; passividade e pouca responsabilidade no ato de aprender; dificuldades no cumprimento de regras; participação escassa das famílias no processo de ensino/aprendizagem; um tipo de ensino preferencialmente expositivo ; trabalho essencialmente individualizado , por parte dos alunos; dificuldade em incluir aqueles cujas diferenças individuais são mais significativas - diferenciação pedagógica descontextualizada . Na unidade de apoio especializado verificou –se a necessidade de um trabalho mais cooperado e convergente entre todos os intervenientes . No grupo de docentes de educação especial, constatou-se que as práticas de apoio aos sessenta alunos considerados com necessidades educativas especiais de caráter permanente eram essencialmente centradas no apoio direto ao aluno, fora da sala de aula .Tendo como quadro concetual de referência o paradigma da diversidade,a inclusão, a escola e educação inclusivas, a diferenciação pedagógica inclusiva, a aprendizagem cooperativa, e , tal como já se referiu, uma abordagem assente nas permissas da investigação ação como um processo cíclico de refletir para agir e refletir sobre a acção , desenvolveram –se ações nos referidos contextos da intervenção. Turma–diferenciação pedagógica inclusiva, utilização de metodologias de ensino/aprendizagem cooperativa na área da língua portuguesa Na unidade de apoio especializado –intervenção individualizada com os alunos “caso” para O desenvolvimento das competências estipuladas nos seus currículos específicos individuais, tendo por base um trabalho coordenado e cooperativo entre professores, famílias, assistentes operacionais e técnica de terapia da fala. No núcleo de educação especial – ação de sensibilização sobre a importância do papel de parceria pedagógica com os docentes do ensino regular , para implementação de uma pedagogia diferenciada inclusiva e da aprendizagem cooperativa como estratégias de inclusão . Considerando a complexidade dos contextos de intervenção e a competência profissional tão necessária ao sucesso de todos os alunos e à melhoria da escola , com a realização deste projeto de investigação acção pelo enriquecimento profissional que proporcionou, pôde constatar-se que este tipo de abordagem (o professor como investigador crítico e reflexivo), se apresenta de facto, como uma via importantíssimade formação contínua. Neste caso, o desenvolvimento deste projeto, permitiu encontrar algumas respostas que contribuíram para a melhoria profissional dos implicados e dos contextos em questão, atenuando os problemas identificados e perspetivar outras respostas . No entanto, esta abordagem não foi um processo fácil, pois esta capacidade de fazer juízos críticos sobre o próprio trabalho requer tempo de aprendizagem e principalmente a vontade de querer fazer, sempre, mais e melhor.

A avaliação do desempenho na Administração Pública

O SIADAP, Sistema de Avaliação do Desempenho na Administração Pública, surge como um novo paradigma de avaliação do desempenho, estratégico para a gestão das organizações do sector público, porque tem sido um enorme desafio para os serviços que o têm implementado, ou para os que ainda não o conseguiram fazer. Este trabalho pretende avaliar as opiniões de avaliadores e avaliados, relativamente ao sistema e à sua implementação numa autarquia. A abordagem metodológica seguida para a sua realização, foi uma análise qualitativa. O processo seguido foi o de realização de entrevistas gravadas com a finalidade de recolher a informação necessária ao desenvolvimento da dissertação. Foram estabelecidos os seguintes objetivos de trabalho: Apresentar e caracterizar o SIADAP, conhecer e analisar as opiniões dos avaliados e dos avaliadores em relação ao processo SIADAP, no que respeita ao seu conhecimento e experiência dos sistemas de avaliação, à importância atribuída e dificuldades na aplicação do atual processo de Avaliação do Desempenho dos Trabalhadores da Administração Pública, o papel da avaliação do desempenho enquanto ferramenta de gestão de recursos humanos, e instrumento de apoio na promoção de uma cultura de mérito. Para avaliadores e avaliados, o sistema apresenta uma avaliação globalmente positiva e com oportunidades de melhoria, embora existam pontos fracos e constrangimentos que não podem ser ignorados.

Valorizar as diferenças na sala do 1º ciclo, abrir janelas de oportunidades para uma escola rica em aprendizagens e em humanidade

O presente relatório recapitula as diversas etapas de um trabalho de projeto de investigação-ação, no âmbito do Mestrado em Educação Especial - Domínio Cognitivo e Motor. Com ele pretendeu-se elaborar uma investigação-ação numa turma do 1º ciclo de escolaridade onde dois alunos sentiam grandes dificuldades de integração. A rejeição e a indiferença em que viviam provocavam, consequentemente, grandes dificuldades de aprendizagens académicas. O foco principal deste trabalho foi o desenvolvimento da interação dos alunos, promovendo a troca de saberes pela entreajuda. Daí resultaram os sucessos escolares esperados dos dois alunos visados a que se juntou a dinamização de todos os alunos da turma e dos restantes intervenientes educativos, professores, técnicos, encarregados de educação e comunidade escolar na construção efetiva de uma verdadeira escola inclusiva. Valorizaram-se as diferenças como património comum. Na fundamentação teórica deste projeto abordam-se a educação inclusiva e suas respetivas estratégias, a aprendizagem cooperativa, as dificuldades específicas de aprendizagem, a inter/multiculturalidade e o modelo pedagógico do Movimento da Escola Moderna como estrutura organizativa da intervenção. De seguida, é caracterizado o projeto e a situação inicial onde se interveio, referenciando o plano de ação implementado. As reflexões conclusivas evidenciam que trabalhar em cooperação permite progressos por parte de todos, tanto a nível das aprendizagens académicas como a nível da interação social.

A conventionally managed project: a systems based case study

The technique of linear responsibility analysis is used for a retrospective case study of a private development consisting of an extension to an existing building to provide a wholesale butchery facility. The project used a conventionally organized management process. The organization structure adopted on the project is analysed using concepts from the systems theory, which are included in Walkers theoretical model of the structure of building project organizations. This model proposes that the process of building provision can be viewed as systems and sub-systems that are differentiated from each other at decision points. Further to this, the sub-systems can be viewed as the interaction of managing system and operating system. Using Walkers model, a systematic analysis of the relationships between the contributors gives a quantitative assessment of the efficiency of the organizational structure used. The project's organization structure diverged from the models propositions resulting in delay to the project's completion and cost overrun but the client was satisfied with the project functionally.

Financial protection in the UK building industry: a guide for clients and the construction supply chain.

There is a clear need for financial protection in the construction industry, both to guarantee satisfactory completion of construction projects and to guard against non-payment. However, the cost of financial protection is often felt to be disproportionately high, with unnecessary overlap between different measures. The Reading Construction Forum has commissioned and steered research which is published in this report in an effort to bring the problem out into the open and to clarify the various options open to the various parties and stakeholders in the construction process. "Financial Protection in the UK Building Industry" is the first definitive report on the subject, offering an accurate and simple guide that all levels within the construction industry can understand. This accessible new guide considers the problem of financial protection and clearly lays out the alternative solutions.It looks by turn at the client, the main contractor, and the sub-contractor, discussing which financial protection options are available to each of them, and considers the pros and cons of each option. The cost of each type of financial protection is weighed against the amount of protection provided and the risks involved. The book concludes with guidance for consultants, emphasising relevant points to consider when advising clients and contractors about which type of financial protection to choose. "Financial Protection in the UK Building Industry" was researched by a literature search, collection of statistical data, and financial data, as well as discussions with clients, contractors, sub-contractors and consultants. This investigation has shown that the direct costs of implementing financial protection measures are marginal, and that wider adoption of payment protection would create a more equitable situation between contracting parties.This guide will enable anyone in the construction industry to consider all the options, and determine what is the best solution for them. "Reading Construction Forum Financial Protection for the UK Building Industry" was complied by the University of Reading, funded by the Reading Construction Forum. The Forum has recently commissioned and steered a number of high-profile reports covering important aspects of the construction industry. Members of the Forum include major companies which are concerned with achieving high quality in the design, construction and use of commercial, retail and industrial buildings. All are committed to change and innovation in the British and European construction industries.

The impact of contractor selection method on transaction costs: a review

The basic premise of transaction-cost theory is that the decision to outsource, rather than to undertake work in-house, is determined by the relative costs incurred in each of these forms of economic organization. In construction the "make or buy" decision invariably leads to a contract. Reducing the costs of entering into a contractual relationship (transaction costs) raises the value of production and is therefore desirable. Commonly applied methods of contractor selection may not minimise the costs of contracting. Research evidence suggests that although competitive tendering typically results in the lowest bidder winning the contract this may not represent the lowest project cost after completion. Multi-parameter and quantitative models for contractor selection have been developed to identify the best (or least risky) among bidders. A major area in which research is still needed is in investigating the impact of different methods of contractor selection on the costs of entering into a contract and the decision to outsource.

Effect of high dose selenium enriched yeast diets on the distribution of total selenium and selenium species within lamb tissues

The objective of this study was to determine the distribution of total selenium (Se) and of the proportion of total Se comprised as the selenized amino acids selenomethionine (SeMet) and selenocysteine (SeCys) within the post mortem tissues of lambs that were fed high dose selenized enriched yeast (SY), derived from a specific strain of Saccharomyces cerevisae CNCM (Collection Nationale de Culture de Micro-organism) I-3060. Thirty two Texel X Suffolk lambs (6.87 ± 0.23 kg BW) were offered both reconstituted milk replacer and a pelleted diet, both of which had been either supplemented with high SY (6.30 ± 0.18 mg Se/kg DM) or unsupplemented (0.13 ± 0.01 mg Se/kg of DM), depending on treatment designation, for a continuous period of 91 d. At enrollment and 28, 56 and 91 d following enrollment lambs were blood sampled. At the completion of the treatment period, five lambs from each treatment group were euthanased and samples of heart, liver, kidney and skeletal muscle (Longissimus Dorsi and Psoas Major) were retained for Se analysis. The inclusion of high SY increased (P < 0.001) whole blood Se concentration, reaching a maximum mean value of 815.2 ± 19.1 ng Se/mL compared with 217.8 ± 9.1 ng Se/mL in control animals. Tissue total Se concentrations were significantly (P < 0.001) higher in SY supplemented animals than in controls irrespective of tissue type; values were 26, 16, 8 and 3 times higher in skeletal muscle, liver, heart and kidney tissue of HSY lambs when compared to controls. however, the distribution of total Se and the proportions of total Se comprised as either SeMet or SeCys differed between tissue types. Selenocysteine was the predominant selenized amino acid in glandular tissues, such the liver and kidney. irrespective of treatment, although absolute values were markedly higher in HSY lambs. Conversely selenomethionine was the predominat selenized amino acid in cardiac and skeletal muscle (Longissimus Dorsi, and Psoas Major) tissues in HSY animals, although the same trend was not apparent for control lambs in which SeCys was the predominant selenized amino acid. It was concluded that there were increases in both whole blood and tissue total Se concentrations as a result of dietary supplementation with high dose of SY. Furthermore, distribution of total Se and Se species differed between both treatment designation and tissue type.

Process scheduling by output considerations

In multi-tasking systems when it is not possible to guarantee completion of all activities by specified times, the scheduling problem is not straightforward. Examples of this situation in real-time programming include the occurrence of alarm conditions and the buffering of output to peripherals in on-line facilities. The latter case is studied here with the hope of indicating one solution to the general problem.

Idiom comprehension in French-speaking children and adolescents with Williams syndrome

This study looks at idiom comprehension by French-speaking people with Williams’ syndrome (WS) and metapragmatic knowledge is examined. Idiomatic expressions are a nonliteral form of language where there is a considerable difference between what is said (literal interpretation) and what is meant (idiomatic interpretation). WS is characterized by a relatively preserved formal language, social interest and poor conversational skills. Using this framework, the present study aims to explore the comprehension of idiomatic expressions by 20 participants with WS. Participants performed a story completion task (comprehension task), and a task of metapragmatic knowledge to justify their chosen answers. WS performances were compared to typically developing children with the same verbal mental age. The main results can be summarized as follows: (1) People with WS have difficulties to understand idioms; (3) WS group seems to perform partly as typically developing children for the acquisition of metapragmatic knowledge of linguistic convention: there is a progressive increase in metapragmatic knowledge of linguistic convention as age increased. Our results indicate a delay of acquisition in idiom comprehension in Williams’ syndrome.

What is the new medicines use review ‘patient survey’ attempting to capture in the context of existing patient satisfaction with pharmacy questionnaires and a new conceptual framework?

The community pharmacy service medicines use review (MUR) was introduced in 2005 ‘to improve patient knowledge, concordance and use of medicines’ through a private patient–pharmacist consultation. The MUR presents a fundamental change in community pharmacy service provision. While traditionally pharmacists are dispensers of medicines and providers of medicines advice, and patients as recipients, the MUR considers pharmacists providing consultation-type activities and patients as active participants. The MUR facilitates a two-way discussion about medicines use. Traditional patient–pharmacist behaviours transform into a new set of behaviours involving the booking of appointments, consultation processes and form completion, and the physical environment of the patient–pharmacist interaction moves from the traditional setting of the dispensary and medicines counter to a private consultation room. Thus, the new service challenges traditional identities and behaviours of the patient and the pharmacist as well as the environment in which the interaction takes place. In 2008, the UK government concluded there is at present too much emphasis on the quantity of MURs rather than on their quality.[1] A number of plans to remedy the perceived imbalance included a suggestion to reward ‘health outcomes’ achieved, with calls for a more focussed and scientific approach to the evaluation of pharmacy services using outcomes research. Specifically, the UK government set out the main principal research areas for the evaluation of pharmacy services to include ‘patient and public perceptions and satisfaction’as well as ‘impact on care and outcomes’. A limited number of ‘patient satisfaction with pharmacy services’ type questionnaires are available, of varying quality, measuring dimensions relating to pharmacists’ technical competence, behavioural impressions and general satisfaction. For example, an often cited paper by Larson[2] uses two factors to measure satisfaction, namely ‘friendly explanation’ and ‘managing therapy’; the factors are highly interrelated and the questions somewhat awkwardly phrased, but more importantly, we believe the questionnaire excludes some specific domains unique to the MUR. By conducting patient interviews with recent MUR recipients, we have been working to identify relevant concepts and develop a conceptual framework to inform item development for a Patient Reported Outcome Measure questionnaire bespoke to the MUR. We note with interest the recent launch of a multidisciplinary audit template by the Royal Pharmaceutical Society of Great Britain (RPSGB) in an attempt to review the effectiveness of MURs and improve their quality.[3] This template includes an MUR ‘patient survey’. We will discuss this ‘patient survey’ in light of our work and existing patient satisfaction with pharmacy questionnaires, outlining a new conceptual framework as a basis for measuring patient satisfaction with the MUR. Ethical approval for the study was obtained from the NHS Surrey Research Ethics Committee on 2 June 2008. References 1. Department of Health (2008). Pharmacy in England: Building on Strengths – Delivering the Future. London: HMSO. www. official-documents.gov.uk/document/cm73/7341/7341.pdf (accessed 29 September 2009). 2. Larson LN et al. Patient satisfaction with pharmaceutical care: update of a validated instrument. JAmPharmAssoc 2002; 42: 44–50. 3. Royal Pharmaceutical Society of Great Britain (2009). Pharmacy Medicines Use Review – Patient Audit. London: RPSGB. http:// qi4pd.org.uk/index.php/Medicines-Use-Review-Patient-Audit. html (accessed 29 September 2009).

How is the language of medicines use review leaflets symbolising the service?

Introduction The medicines use review (MUR), a new community pharmacy ‘service’, was launched in England and Wales to improve patients’ knowledge and use of medicines through a private, patient–pharmacist appointment. After 18 months, only 30% of pharmacies are providing MURs; at an average of 120 per annum (maximum 400 allowed).1 One reason linked to low delivery is patient recruitment.2 Our aim was to examine how the MUR is symbolised and given meaning via printed patient information, and potential implications. Method The language of 10 MUR patient leaflets, including the NHS booklet,3 and leaflets from multiples and wholesalers was evaluated by discourse analysis. Results and Discussion Before experiencing MURs, patients conceivably ‘categorise’ relationships with pharmacists based on traditional interactions.4 Yet none of the leaflets explicitly describe the MUR as ‘new’ and presuppose patients would become involved in activities outside of their pre-existing relationship with pharmacists such as appointments, self-completion of charts, and pharmacy action plans. The MUR process is described inconsistently, with interchangeable use of formal (‘review meeting‘) and informal (‘friendly’) terminology, the latter presumably to portray an intended ‘negotiation model’ of interaction.5 Assumptions exist about attitudes (‘not understanding’; ‘problems’) that might lead patients to an appointment. However, research has identified a multitude of reasons why patients choose (or not) to consult practitioners,6 and marketing of MURs should also consider other barriers. For example, it may be prudent to remove time limits to avoid implying patients might not be listened to fully, during what is for them an additional practitioner consultation.

Uptake of a free coronary heart disease risk screening programme in community pharmacy: the Healthy Heart Assessment service

Introduction Health promotion (HP) aims to enhance good health while preventing ill-health at three levels of activity; primary (preventative), secondary (diagnostic) and tertiary (management).1 It can range from simple provision of health education to ongoing support, but the effectiveness of HP is ultimately dependent on its ability to influence change. HP as part of the Community Pharmacy Contract (CPC) aims to increase public knowledge and target ‘hard-to-reach’ individuals by focusing mainly on primary and tertiary HP. The CPC does not include screening programmes (secondary HP) as a service. Coronary heart disease (CHD) is a significant cause of morbidity and mortality in the UK. While there is evidence to support the effectiveness of some community pharmacy HP strategies in CHD, there is paucity of research in relation to screening services.2 Against this background, Alliance Pharmacy introduced a free CHD risk screening programme to provide tailored HP advice as part of a participant–pharmacist consultation. The aim of this study is to report on the CHD risk levels of participants and to provide a qualitative indication of consultation outcomes. Methods Case records for 12 733 people who accessed a free CHD risk screening service between August 2004 and April 2006 offered at 217 community pharmacies were obtained. The service involved initial self-completion of the Healthy Heart Assessment (HHA) form and measurement of height, weight, body mass index, blood pressure, total cholesterol and highdensity lipoprotein levels by pharmacists to calculate CHD risk.3 Action taken by pharmacists (lifestyle advice, statin recommendation or general practitioner (GP) referral) and qualitative statements of advice were recorded, and a copy provided to the participants. The service did not include follow-up of participants. All participants consented to taking part in evaluations of the service. Ethical committee scrutiny was not required for this service development evaluation. Results Case records for 10 035 participants (3658 male) were evaluable; 5730 (57%) were at low CHD risk (<15%); 3636 (36%) at moderate-to-high CHD risk (≥15%); and 669 (7%) had existing heart disease. A significantly higher proportion of male (48% versus 30% female) participants were at moderate- to-high risk of CHD (chi-square test; P < 0.005). A range of outcomes resulted from consultations. Lifestyle advice was provided irrespective of participants’ CHD risk or existing disease. In the moderate-to-high-risk group, of which 52% received prescribed medication, lifestyle advice was recorded for 62%, 16% were referred and 34% were advised to have a re-assessment. Statin recommendations were made in 1% of all cases. There was evidence of supportive and motivational statements in the advice recorded. Discussion Pharmacists were able to identify individuals’ level of CHD risk and provide them with bespoke advice. Identification of at-risk participants did not automatically result in referrals or statin recommendation. One-third of those accessing the screening service had moderate-to-high risk of CHD, a significantly higher proportion of whom were men. It is not known whether these individuals had been previously exposed to HP but presumably by accessing this service they may have contemplated change. As effectiveness of HP advice will depend among other factors on ability to influence change, future consultations may need to explore patients’ attitude towards change in relation to the Trans Theoretical Model4 to better tailor HP advice. The high uptake of the service by those at moderate-to-high CHD risk indicates a need for this type of screening programme in community pharmacy, perhaps specifically to reach men who access medical services less.