Objective-To evaluate whether nurse run clinics in general practice improve secondary prevention in patients with coronary heart disease. 1.47, 1.10 to 1.96). There was no eVect on smoking cessation (0.78, 0.47 to 1.28). Of six possible components of secondary prevention, the baseline mean was 3.27. The adjusted mean improvement attributable to intervention was 0.55 of a component (0.44 to 0.67). Improvement was found regardless of practice baseline performance. Conclusions-Nurse run clinics proved practical to implement in general practice and eVectively increased secondary prevention in coronary heart disease. Most patients gained at least one eVective component of secondary prevention and, for them, future cardiovascular events and mortality could be reduced by up to a third.

Objective: To determine secondary preventive treatment and habits among patients with coronary heart disease in general practice. Design: Process of care data on a random sample of patients were collected from medical records. Health and lifestyle data were collected by postal questionnaire (response rate 71%). Setting: Stratified, random sample of general practices in Grampian.

Within their first year secondary prevention clinics improved patients' health and reduced hospital admissions.

There is increasing evidence that the use of elec-tronic communication technology (ECT) is being integrated into romantic relationships, which can be used as a medium to control a romantic partner. Most research focuses on the vic-tims of cyber dating abuse, however, we focused on the factors that predict perpetration of cyber dating abuse. We explored whether aggression (verbal aggression, physical aggression, anger and hostility), romantic jealousy (emotional, cognitive and behavioral jealousy), and gender predicted perpetration of cyber dating abuse (n = 189). We found that hostility, behav-ioral jealousy and gender significantly predicted perpetration of cyber dating abuse. The findings of this study contribute to our understanding of the psychological factors that drive cyber dating abuse in romantic relationships.

The guideline-based open access investigation service streamlined the process of out-patient referral, resulting in a more efficient service with reduced out-patient waiting times, fewer out-patient and investigation appointments and release of specialist and clinic time.

Introduction Mammographic density is known to be a strong risk factor for breast cancer. A particularly strong association with risk has been observed when density is measured using interactive threshold software. This, however, is a labourintensive process for large-scale studies.

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