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Angina: an Atlas of Investigation and Management

Angina: an Atlas of Investigation and Management

IJ Sarembock


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Angina is most commonly associated with myocardial ischemia, but may also be symptomatic of valvular heart disease, hypertrophic cardiomyopathy or uncontrolled high blood pressure. While chronic or stable angina is predictable and relatively easy to manage, it is the sudden and unexpected onset of symptoms in patients with unstable angina that represents the most significant challenge to the clinician, being a risk indicator for acute MI, severe cardiac arrhythmia or even cardiac arrest. Since chest pain can also indicate a number of other less critical conditions, it is important that the clinician can rapidly and accurately determine the true risk status of the patient in each case. In this atlas, the authors guide the reader through the assessment of the patient with chest pain, beginning with the simple physical examination and evaluation of other risk factors that may be present, progressing to non-invasive tests such as EKG and various imaging techniques, and concluding with coronary angiography. The diagnostic value of each of these techniques is compared and appropriate guidance given on evaluating clinical findings.

Table of Contents

Section Title Page Action Price
Preface vii
Glossary viii
Part I: Introduction
Small enterprise promotion in a changing policy environment in
Africa: raising issues and attempting answers (A.H.J. Helmsing and
T. Kolstee) 3
Small enterprise and industrialization policies in Africa: some notes
(A.H.J. Helmsing) 24
Analysing the policy framework for small enterprise development
(W.F. Steel) 39
Part II: Structural adjustment and Small Enterprises
Impact of structural adjustment on small-scale enterprises in Ghana
(B. Osei, A. Baah-Nuakoh, K. Tutu and N.K. Sowa) 53
Impact of structural adjustment on the small enterprise sector: a
comparison of the Ghanaian and Tanzanian experiences (J. Dawson) 71
Impact of adjustment policies on the small-scale enterprise sector in
Tanzania (M.S.D. Bagachwa) 91
Industrial sector in Mali: responses to adjustment (J.C. Kessous and
G.Lessard) 114
Structural adjustment and small-scale enterprise development in
Zimbabwe (C. Mumbengegwi) 144
Changing policy regimes for small-scale industries in Latin America.
Lessons for Africa? (F. Uribe-Echevarrfa) 159
Part III: Financial policies and Small Enterprise credit
Sectoral credit allocation policy and credit flow to small enterprises in
Ghana (E. Aryeetey) 187
Financial liberalization under structural adjustment and its
implications for financing small-scale and microenterprises in Nigeria
(T. A. Oyejide) 204
Financing small-scale and microenterprises in Kenya under
conditions of liberalized financial markets (K.M. Mwarania) 214-
Dutch experience with SSE credit: evaluation and policy implications
(R. Teszler) 230
The iqqub and its potential as an indigenous institution financing
small enterprises in Ethiopia (D. Aredo) 245
Small- and microenterprise dynamics and the evolving role of finance
(C. Liedholm) 261
Part TV: Policies for sustaining direct assistance for small
Women entrepreneurs, donor promotion and domestic policies
(R.B. Gaidzanwa) 277
Promoting women's enterprises: what Africa can learn from Latin
America (M. Buvinic) 295
Small and microenterprise promotion and technological policy
implications (S. Wangwe) 308
Private-sector organizations and support for small and
microenterprises (J. Levitsky) 318
Notes on contributors 341
Endnotes 343
Bibliography 349