Haemostatic and rheological factors may predict cardiovascular disease. We studied patients with intermittent claudication to see if the progression of peripheral arterial disease and the risks of coronary events could be predicted by baseline packed cell volume, plasma fibrinogen, blood and plasma viscosites, von Willebrand factor antigen, cross-linked fibrin degradation products (XLFDP), urinary fibrinopeptide A, and plasma leucocyte elastase. In 617 patients with claudication followed up for one year, baseline XLFDP was related most strongly to coronary events, relative risk 4.4 (95% CI 1.3-19.0) between top and bottom quintiles. Plasma fibrinogen was the strongest independent predictor of death from coronary disease. XLFDP was the only factor, in addition to age and cigarette smoking, that was independently associated (p = 0.008) with deterioration in peripheral arterial disease. We conclude that, in patients with peripheral arterial disease, plasma concentration of XLFDP, a measure of ongoing fibrin formation and degradation, is a strong predictor of both disease progression and future coronary risk. These results accord with the hypothesis that fibrin formation contributes to progression of coronary and peripheral atherosclerosis.

This study deals with the nature of the attachment between the macrophage cell membrane and heparin molecules. Treatments intended to remove or internalise macrophage receptors (trypsinisation and stimulation of phagocytosis respectively) were shown to considerably modulate the attachment of heparin. An excess of heparin fractions ranging in mean molecular weight from 8100 to 25700 all inhibited attachment of 35S heparin as did a mixed isomer chondroitin sulphate preparation. Our study provides evidence for the presence of receptors for sulphated glycosamino-glycans on the mouse macrophage cell membrane.

The present economic gloom and its overall dampening effect on industry's investment in new plant and equipment, has at least highlighted a trend which was beginning to emerge over the past five years—an increasing demand for automated blasting equipment. The reasons are all too obvious. Firstly the need for many manufacturing organisations, for reasons of costs, to reduce the amount of skilled labour required in certain stages of production. Secondly maintaining their quality standard (or even improving them) and lastly being able to increase output when necessary.