Angina Pectoris Overview
A concise summary of angina pectoris covering its definition, causes, types, pathophysiology, symptoms, and management strategies.
Study this lessonAnalyse des corridors maritimes majeurs, des points d'étranglement stratégiques, et de leur rôle crucial dans la mondialisation, les flux économiques, la sécurité géopolitique et les enjeux environnementaux, incluant la containerisation, les zones économiques exclusives et les conflits territoriaux.
Globalisation is the intricate and accelerating process of worldwide interconnectedness across economic, political, social, and cultural dimensions. It is characterized by international flows of finance, people, goods, services, and information, constantly evolving rather than representing a static state. While its roots can be traced back to the Industrial Revolution, the period since the 1950s has witnessed a profound shift from an international economy based on bilateral exchanges to a multinational one, significantly propelled by China's emergence as a major politico-economic force in the 1980s following its "open door" policy.
Globalisation expresses itself through:
Technological advancements, particularly in transport (e.g., containerisation) and communication (e.g., the internet), have drastically reduced natural barriers of time and space, further facilitating globalisation. These global flows converge in critical hubs like global cities and key maritime areas, such as the South China Sea and the Straits of Malacca.
The primary drivers of globalisation are Transnational Corporations (TNCs), seeking to increase profits, and supranational organisations, which regulate and promote international cooperation.
TNCs thrive due to:
Containerisation is the systemic use of standardised intermodal containers transported by container ships to move commodities (goods and raw materials) worldwide. This innovation has been instrumental in the modern global economy.
Developments in transport and communication, starting in the 19th century with railways, telegraphs, and steamships, accelerated in the 20th century with jet aircraft and containerisation. These advancements led to a "shrinking world" by reducing transport costs per unit, making products more affordable in distant markets and fostering new flows of goods and information. The harnessing of new energy forms (coal, oil, jet fuel) allowed for larger loads, creating economies of scale and increasing TNC profits.
Maritime routes are crucial corridors, typically a few kilometres wide, connecting global economic regions. They circumnavigate the globe, utilising oceans, seas, and vital canals and straits to link major production and consumption hubs efficiently. The goal is to connect manufacturing centres and markets via the quickest and safest passages, supporting commercial circulation.
The primary global maritime axis is a circum-equatorial corridor linking North America, Europe, and Pacific Asia via the Suez Canal, the Strait of Malacca, and the Panama Canal. This axis handles the bulk of global traffic, but many other routes exist depending on origin and destination.
Maritime routes are influenced by:
Core routes service major markets with the most significant commercial shipping flows, while secondary routes connect smaller markets.
Specific geographic locations, often due to geography, geopolitics, and trade flows, play a strategic role as choke points. They are narrow channels connecting two bodies of water along busy maritime routes, including straits and canals. They are vulnerable to disruption from accidents, terrorism, piracy, or war.
Categories of Choke Points:
Characteristics and Vulnerabilities:
Closures are rare, typically occurring during wartime, but even temporary closures in the current global economy would have severe economic consequences, disrupting trade and supply chains. Countries have a strong interest in protecting these sea lanes, often through naval presence (e.g., Operation Sentinel in the Arabian Gulf).
Key Interoceanic Passages:
Maritimisation is a process intrinsically linked to globalisation, featuring two main aspects:
Seas and oceans are fundamental for resource supply (fish, energy, minerals, biomass) and for these global flows. Maritime areas are recognised under international law, including internal waters, territorial seas, contiguous zones, Exclusive Economic Zones (EEZs), the continental shelf, and the high seas.
Climate change is impacting the Arctic, leading to a longer "open water" period and increased navigability. The Northern Sea Route (NSR), largely through Russia's territorial waters, offers a 40% quicker transit from Northern Europe to Japan than the Suez Canal. This promises cheaper shipping costs (less fuel, insurance, staff). Russia heavily relies on the Arctic for 30% of its GDP, using it to extract and transport resources.
However, challenges include the need for icebreakers, environmental problems, collision risks with wildlife, noise and water pollution, and the melting ice itself. The International Maritime Organisation (IMO) has introduced a Polar Code for safer Arctic travel. The NSR is particularly lucrative for fossil fuel transportation, using tankers without intermediate stops, and is considered more stable than other choke points like the Horn of Africa (piracy), Strait of Malacca (congestion), or Straits of Hormuz/Suez Canal (conflict potential).
The ownership and management of oceans are complex and often contentious, despite covering 70% of the Earth's surface. Oceans are vital for transport, fishing (often unsustainable), energy potential (oil, gas, offshore wind, tidal), and as pollution sinks.
An EEZ, defined by UNCLOS, grants a state special rights over the exploration and use of marine resources (including energy production) up to 200 nautical miles (nmi) from its coast. Territorial waters, extending 12 nmi, are considered sovereign territory.
EEZ Conflicts:
The exact extent of EEZs is a frequent source of interstate conflicts, intensified by technology allowing deeper resource exploitation:
This sea, part of the Pacific Ocean, encompasses 3.5 million and holds immense strategic importance:
Competing Claims:
France, with an EEZ of 11 million , possesses the largest EEZ in the world, largely due to its overseas territories (97% of its EEZ). This makes France a significant regional maritime power in the Pacific, Atlantic, and Indian Oceans.
Maritime trade patterns are driven by economic reasons, primarily seeking the shortest routes to maximise profits (reduce fuel, time, NIDL). This relies on comparative advantage and containerisation. Geopolitical and climatic factors also influence route selection.
Major economic powers are identified by high GDP. Container ships are central to maritimisation, but other cargo ships (bulk carriers, car carriers, oil tankers) also exist.
Global integration refers to a country's involvement in global flows (goods, finance, people, information), evidenced by concentrations of container ports, airports, trade, and global cities (hubs). The KOF index measures this integration.
Beyond TNCs, international organisations play a crucial role. The world economy is increasingly multipolar, moving away from the Cold War's bipolarity due to the rise of emerging economies.
Three main trade blocs dominate world trade, historically driving globalisation since the 1980s:
These areas concentrate financial centres, technological R&D, and educational institutions, accounting for 75% of global GDP and 80% of TNC headquarters. However, emerging economies are dispersing global trade.
Gulf states have diversified from oil/gas to finance and tourism.
Many countries, especially in sub-Saharan Africa, remain on the periphery due to lack of development and integration. Past categorisations (First/Second/Third World, developed/developing/underdeveloped, MEDCs/LEDCs) are now often replaced by GNI-per-capita-based classifications: HICs (High-Income Countries), MICs (Middle-Income Countries), and LICs (Low-Income Countries). The term Newly Emerging Economy (NEE) is also used for rapidly industrialising countries like India.
The success of the "Asian tigers" (Singapore, South Korea, Taiwan, Hong Kong) was due to reliable infrastructure, high education levels, FDI from Japan/USA, and excellent geostrategic positions. Replicating this in Africa is challenging due to differing contexts.
Integration into the global economy (via trade, tourism, information flows) can boost an economy and social welfare but often struggles with environmental protection due to resource limitations. To increase trade, countries can reduce trade barriers (laissez-faire), set up Special Economic Zones (SEZs), or industrialise (Export-Oriented Industrialisation, EOI, or Import Substitution Industrialisation, ISI).
ISI involves limiting imports and increasing domestic production. While an economy can pursue both ISI and EOI, the globalised economy's reliance on NIDL and comparative advantages means ISI alone is less effective today.
Development signifies improvement in standard of living (GNI per capita) and quality of life (education, health). True development should also be equal and sustainable, meeting present needs without compromising future generations. It combines economic growth, social inclusion, and environmental protection.
The UN's Sustainable Development Goals (SDGs), replacing the Millennium Development Goals (MDGs), aim to guide this process.
Development strategies can have unintended consequences:
The Three Gorges Dam in China, while benefiting the national economy (hydroelectric power, flood control, improved navigation), caused forced relocation for 1.3 million people, habitat destruction (e.g., Chinese river dolphin extinction), pollution, and failed promises for local farmers. This is an example of unsustainable development.
Two main ways to measure development:
Both are usually expressed per capita for international comparison. GNI's strength is including all national income, regardless of origin. GNI PPP per capita adjusts for cost of living differences. These metrics don't show inequalities.
The UN's Human Development Index (HDI), launched in the 1990s, measures social well-being across three dimensions: a long and healthy life, knowledge, and a decent standard of living. It uses indicators like life expectancy, schooling years, and GNI per capita.
Countries can have low GNI but high HDI (e.g., Cuba, due to free healthcare and education). Switzerland has the highest HDI. The Inequality-Adjusted HDI (IHDI) accounts for internal inequality, with a larger gap between HDI and IHDI indicating greater inequality.
The GINI Coefficient measures income or wealth inequality within a country (0 = total equality, 100 = total inequality). South Africa has one of the highest GINI coefficients. Its limitation is that it doesn't differentiate types of inequality and can show equality even when all are equally poor, unlike IHDI.
The UN measures development using:
Gender parity is incorporated into the HAI, considering equality.
LDCs are LICs (or sometimes MICs) highly vulnerable to economic and environmental shocks and possessing low human assets. UNCTAD classifies a country as an LDC if it meets two of three criteria: low human assets (nutrition, health, education), economic vulnerability (unstable agriculture/exports, subsistence farming, coastal population), and low GNI per capita (under 1,222 to leave the list). Currently, there are 46 LDCs globally.
Being an LDC provides exclusive support, including preferential trade agreements (lower tariffs, higher quotas), special WTO access, and financial aid (multilateral/bilateral loans, humanitarian aid, technical aid). However, aid can come with conditions or involve problems like employing foreign workers or environmental damage (e.g., China building roads in Kenya).
LLDCs are LDCs without territorial access to the sea, limiting their economic potential and isolating them from world markets. They depend on transit through other countries for maritime trade and lack maritime resources, increasing transport costs and political complexities.
Example: Uganda, an LLDC, discovered oil but lacks maritime access. A pipeline project to Tanzania (e.g., East African Crude Oil Pipeline - EACOP) aims to connect to a port. However, this creates environmental (heated pipeline) and social (displacement, compensation) problems. TNCs like Total Energies exploit the lack of technical know-how in LDCs, taking major profits from refined oil.
The combination of several negative factors exacerbates underdevelopment (e.g., landlocked small island states with few resources and natural hazards). Conversely, MICs that are large, resource-rich, and have pro-investment policies (e.g., India, China) achieve high economic growth.
Lesotho, a landlocked LDC within South Africa, faces significant underdevelopment due to:
Economic dependence on South Africa (85% of goods imported, 20% of GDP from remittances). The Lesotho Highlands Water Project (LHWP), a binational project with South Africa, provides water to South Africa and generates hydroelectricity/income for Lesotho. While providing economic benefits and electricity self-sufficiency, it causes social (displacement, lack of compensation) and environmental problems (flooding, loss of arable land), making it unsustainable.
Ethiopia, Africa's second-most populous country, has shown high growth rates (8-11% annually) driven by government investment in infrastructure and growth in agriculture/services. However, 70% of the population remains in agriculture. The state heavily controls key sectors and owns land. Foreign exchange comes from services (Ethiopian Airlines) and diverse exports (coffee, gold, sesame). China, Turkey, India, and the EU are major FDI sources (e.g., Chinese investment in the Grand Renaissance Dam). Ethiopia is an "African lion" but remained underdeveloped for long due to:
The development gap is worsened by crippling external debt in poorer countries, money owed to foreign creditors (governments, banks, international lending agencies like the IMF). Countries often divert large portions of export earnings to debt repayment, hindering essential services. Unpayable debt describes debt that cannot be repaid.
Loans can boost economic growth if used wisely but often carry high interest rates or are given to corrupt leaders. Post-apartheid South Africa inherited debts from the former regime, and former colonies (e.g., Indonesia) were left with high debt upon independence.
To qualify for new loans, LICs often agree to Structural Adjustment Programmes (SAPs) from multilateral lenders. These conditions include:
SAPs, while promoting short-term economic development, can negatively impact social and environmental development, making them unsustainable.
Heavily Indebted Poor Countries (HIPCs) are identified by the World Bank and IMF as eligible for debt relief.
Initiatives like the 1996 HIPC initiative and the 2005 G8 summit aim to reduce unmanageable debt. To qualify, countries must agree to SAPs. Debt relief can facilitate economic competitiveness, improve foreign investment, and boost exports. However, it often involves shifting to cash crops, cutting social programmes, privatisation, and increasing environmental pressure.
Malawi, a landlocked HIPC LDC with a very low GNI per capita (100 million, leading to decreasing GDP per capita. Malawi entered the HIPC initiative in 2000. In 2005, 9.6% of GNI went to debt servicing, compared to 4.6% for healthcare.
Debt relief in 2006 came with SAPs, requiring privatisation, ending agricultural subsidies, and selling grain stocks. This led to severe food crises (2001/02, 2004/05) and thousands of deaths. After debt relief, Malawi reintroduced farming subsidies, boosting maize exports, despite criticism from the World Bank. Debt cancellation reduced annual repayments by $40 million, allowing increased social spending (e.g., free primary education) and renewed access to loans. However, falling commodity prices since 2015 have again increased Malawi's external debt.
IMF SAPs have harmed Ghana's economic development. Cheap imported chicken from the US and EU (heavily subsidised) has caused the collapse of Ghana's local poultry market. This dumping (selling subsidised excess product at very low prices) ruined local producers, leading to job losses and migration. While Ghana attempted to protect its industry with tariffs, the IMF, as part of SAPs, reduced these, viewing them as barriers to free trade. This "free trade" benefits richer countries and reinforces dependency, while hindering diversification in poorer nations.
Development theories (Core-Periphery, Clarke's Sector Model, Modernisation Theory, Dependency Theory, World Systems Theory) attempt to explain development disparities.
Strategies include ODA, loans with SAPs, FDI, protectionist policies, top-down development strategies (EOI, SEZs), tourism, and the SDGs. Actors include IGOs (IMF, World Bank, WTO), NGOs, and TNCs.
Myrdal's Core-Periphery Model divides the world into:
The core extracts cheap labour and raw materials from the periphery. For example, France/UK are core (decision-making), while DRC (resources) and Bangladesh (production) are periphery. China exhibits both core and periphery characteristics, highlighting the model's limitations.
This theory argues that core countries exploit the natural resources and cheap labour of periphery countries. During colonialism, raw materials were extracted from colonies, manufactured in core countries, and sold back to the periphery. In the modern era, TNCs and IGOs are seen as maintaining this post-colonial dependency. For the NIDL to sustain TNC profits, some countries must remain as 'periphery' states. When periphery states develop (e.g., Asian NICs), TNCs seek out new regions with cheaper labour and resources (flying geese paradigm).
Core-periphery dynamics exist at international, regional, and city levels. In China, coastal areas are core, inland areas are periphery. In India, Kerala and Goa are core regions. In Marseille, the south (port, international tourism) is core, while the north is periphery. The theory is criticised for not adequately accounting for the semi-periphery.
This theory expands on core-periphery by adding the semi-periphery (MICs). The semi-periphery acts as a periphery to the core and a core to the periphery. This model explains how countries can evolve from periphery to core through the semi-periphery stage.
Suggests economies transition linearly: agricultural industrialisation post-industrial.
Based on linear growth, proposing that all societies follow a series of stages to modernise and achieve economic development, mirroring the path of the US and UK.
These models are criticised for assuming a single path to development, ignoring variations in social/political realities, and focusing solely on economic development (GDP increase) rather than the multifaceted nature of development.
Newly Industrialised Countries (NICs) are nations that underwent rapid, successful industrialisation. Four generations are recognised in Southeast Asia:
The flying geese paradigm illustrates how periphery countries become semi-periphery and then core. Japan outsourced to 1st gen NICs (e.g., South Korea, Taiwan) seeking cheap but skilled labour and good infrastructure. As wages rose, 1st gen NICs and other HICs outsourced to 2nd gen NICs, and so on. This process created a regional division of labour where NICs occupy an intermediate position.
First-generation NICs succeeded due to:
South Korea's success stemmed from:
SEZs are geographical regions with liberal economic and labour laws designed to attract FDI. Features include tax concessions, flexible labour laws, and improved infrastructure (power, transport, communications). They focus on export-oriented production and are often the result of government-TNC interaction. SEZs create core-periphery effects within a country. Negative effects include environmental pollution and social problems (e.g., family unit disintegration due to migration).
Case Study: SEZs in China: Set up after 1978 reforms to attract investment, primarily on the eastern/southern coast near ports (e.g., Shenzhen, a megacity and global container hub where Foxconn produces for Apple). This led to national economic success but also environmental damage, social problems, and regional economic disparities between eastern core and western periphery.
Case Study: SEZs in India: Less successful than China's due to poorer infrastructure, smaller/isolated zones, and lack of connectivity to major ports. India aims to be an alternative to China but faces comparative disadvantages in regulations and governance. India is now encouraging production for its growing domestic market within SEZs.
NGOs are part of civil society, involved in diverse activities, from trade unions to religious groups and development-oriented organisations. They are funded by governments and donations. Examples include Fair Trade International (farmers' conditions), War on Want (garment workers' rights), Amnesty International (human rights), and WWF (environmental development).
Barefoot College in India trains women in LDCs (e.g., Sierra Leone) in solar panel installation, improving living conditions, empowering women, and promoting environmental sustainability.
Oxfam, a large British NGO, funds smaller grassroots initiatives (e.g., sustainable forestry in Burkina Faso). NGOs adopt a "grassroots" or "bottom-up" approach, making them more democratic, less bureaucratic, and promoting sustainable solutions. However, they are sometimes accused of being unaccountable and reinforcing dependency.
NGOs act as tools for development strategies, providing an alternative to capitalist "trickle-down" and state-socialist models. While not development strategies themselves, they implement them (e.g., rural development, health, education).
Global governance involves collective action by trade blocs, international (IGOs), and supranational organisations to manage global affairs, striving for peace, justice, and functioning markets. While bilateral relations are important, IGOs (UN, WTO, IMF) regulate interstate relations. Supranational organisations (e.g., EU) have their own administrative structures above national governments.
Key IGOs:
Regional trade blocs reduce trade barriers (tariffs, quotas) among members. They vary in integration levels:
Regional organisations encourage cooperation and integration. Powerful states use regional integration (e.g., China with ASEAN/RCEP, EU with neighbours) to strengthen their position and attract FDI. However, trade blocs can hinder non-members' integration (e.g., EU's Common Agricultural Policy harming Cameroonian onion farmers or Ghanaian tomato/chicken industries through dumping).
These are forums for world leaders to discuss global economic and political issues. G7 (7 most advanced economies) and G20 (major economies) concentrate power and influence, contributing to global inequality by promoting member states' growth at the expense of non-members.
The EU is the world's most integrated trade bloc and second largest by population, making it a powerful market force. It aims for liberalised world trade, with 70% of its trade occurring internally. It represents 30% of global exported goods, hosts 160 of the top 500 TNCs, and is the largest single market area enabling free flows of people, goods, services, and money. The Euro is the second most powerful currency, and the EU's combined GDP is third globally. It is the highest inward and outward FDI recipient.
The EU speaks with a single voice at the WTO, giving it significant weight in international trade negotiations. Its trade policy aims for fair and open markets, addressing issues like child/forced labour and environmental destruction, and combining trade with development for the world's poorest countries.
The EU's aims include promoting peace, well-being, economic/social/territorial cohesion, and preserving European identity. It is important for member states as it provides collective strength in influencing the global economy, economies of scale for TNCs, and a simplified market system.
While the EU wields significant economic, social, technological, commercial, and political influence, it is more a soft power than a hard power, lacking a unified military. Soft power relies on leading by example, promoting human rights, democracy, tackling climate change, and offering aid.
European Defence: The EU seeks to strengthen security and defence, but disagreements exist, especially concerning reliance on NATO vs. independent European defence. The Common Foreign and Security Policy (CFSP) and Common Security and Defence Policy (CSDP) aim to enhance international security, promote cooperation, and consolidate democracy. These involve civilian (reconstruction) and military missions (humanitarian, peacekeeping), such as Operation Sophia (tackling human trafficking) and military training in CAR.
The EU does not have its own army but relies on member state contributions. Financial commitment is a limiting factor; few member states meet NATO's 2% GDP spending target. Concerns exist about external threats (e.g., Russia) and the need for greater independence from the USA.
The 2015-2019 migration crisis saw high numbers of migrants (Syrian, Afghan, Iraqi) arriving in the EU, primarily from war-torn countries. Journeys were dangerous, and reception centres overcrowded. The Dublin Regulation assigns responsibility for asylum processing to the country of first arrival.
Divisions emerged within the EU, with some states (e.g., Germany) more open to migrants than others (e.g., Hungary), leading to conflict over "voluntary" vs. "mandatory" relocation. The Turkey Deal aimed to manage flows by returning irregular migrants to Turkey in exchange for Syrian resettlement. The European Border and Coast Guard Agency (EBCA) controls external borders to facilitate open internal borders (Schengen Area).
Significant economic (GDP per capita) and social (health, education, employment, gender) inequalities exist between and within EU member states. For instance, Luxembourg's GDP per capita is 263% of the EU average, while Bulgaria's is 35%. The wealthiest 10% of EU households hold 50% of total wealth. Unemployment rates vary greatly (e.g., Spain 15%, Germany 3.7%).
The EU's goal is cohesion: to reduce disparities between regions and the backwardness of less-favoured areas. This strengthens the EU and demonstrates humanist values. The EU Cohesion Policy funds programmes via the European Regional Development Fund (ERDF) and European Social Fund (ESF), targeting regions with GDP below 90% of the EU average. It aims to foster growth and employment, improve infrastructure (e.g., TEN-T network), and reduce regional inequality.
Germany, the EU's strongest economy, still faces regional disparities, particularly between eastern and western Germany (a legacy of Soviet occupation). Eastern Germany has lower GDP per capita and higher unemployment but better childcare and gender parity due to former communist influence. EU cohesion funds support eastern Germany by encouraging businesses, relocating government departments, and extending internet coverage.
The CAP, introduced in 1962, provides agricultural subsidies and rural development programmes to support farmers and modernise agriculture. It aims for food security and improved livelihoods. France is a major recipient of CAP aid, particularly for mountainous regions and small farms.
CAP funds go directly to farmers (75%) and rural development projects (25%), improving infrastructure and supporting small industries. Historically, CAP favoured intensive farming, leading to environmental problems (GHG emissions, pesticide use, land damage) and struggles for small farmers. The CAP is evolving towards more sustainable practices, supporting young farmers, priority zones, and organic farming. However, CAP subsidies can still lead to overproduction and dumping, harming non-EU states (e.g., Cameroonian onions, Ghanaian tomatoes).
The EU's 2004 Maritime Directive boosted European shipping TNCs (e.g., Maersk, CMA-CGM) by allowing member states to reduce corporate tax, increasing their global competitiveness.
These are areas within the EU where political cooperation facilitates smooth flows of people and goods, embodying territorial cohesion. They are crucial for EU cooperation and strength, acting as places of exchange. Examples include the Franco-Spanish border and the Tri-national Metropolitan Region of the Upper Rhine (Germany, France, Switzerland). Obstacles include differences in technical knowledge, institutions, language, legal systems, and culture.
Cross-border cooperation supports projects in healthcare (e.g., Cerdanya Cross-Border Hospital), education, employment, economic development, transport, tourism, and environment.
Adopted in 2020, the EU Green Deal aims to transform the EU into a low-carbon economy by 2050 (0 carbon emissions) and a 50% cut by 2030 (vs. 1990 levels), without reducing prosperity. This is seen as a key soft power initiative, influencing global sustainable development efforts. It covers energy, food, transport, manufacturing, and construction, focusing on cutting emissions, halting species loss, reducing waste, and better resource use. It applies to all EU budget spending, including CAP (e.g., lowering pesticides, encouraging organic farming). It aims to create jobs in green industries.
Challenges include high costs (1 trillion euros, plus a "just transition" mechanism), dependence of Eastern European economies on fossil fuels, and potential backlash from citizens (e.g., "gilets jaunes" protests). Critics worry it may make Europe less competitive globally and disproportionately burden poorer EU regions.
The EU incorporates the UN's 17 SDGs into its "European Consensus on Development," integrating them into all EU policies. Priorities include the European Green Deal, a digital-age Europe, an economy working for people, a stronger Europe in the world, and promoting European values and democracy.
France plays a major role in building European unity, being a founding member, Schengen member, and Eurozone member. It is the second-largest contributor to the EU budget and holds a leadership position in climate change efforts (e.g., COP-21 Paris Agreement).
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A concise summary of angina pectoris covering its definition, causes, types, pathophysiology, symptoms, and management strategies.
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