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This article reviews the role that the Macao Special Administrative Region (SAR) plays in China’s cultural and public diplomacy through training programmes organised by the Macao Forum and tailored for the elite of the world’s Portuguese-speaking countries (PSCs). It begins with a review of China’s approach to key instruments of its soft-power offensive and strategy towards the developing world, followed by an overview of Beijing’s linkages with each PSC. Formulated as an expression of China’s cultural diplomacy towards the PSCs, the seminars of the Macao Forum serve as a kind of cooperation in which the provider party—rather than delivering tangible goods and services such as food, money, loans or infrastructure—actually offers grey matter in the form of ideas for initiatives in public policies and reforms, in order to foster further economic development and administrative rationalisation. Adding to an intense debate and substantial literature that discuss quantitatively and qualitatively China’s role in and aid provision to Africa, the authors argue that China, through the Macao Forum’s training programmes, courts the developing PSCs by building the capacity of their human capital, targeting in particular those in the public and private sectors who are in a position to implement their ideas.
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The pathophysiological mechanisms of arterial hypertension during hemodialysis (HD) in patients with end-stage renal disease (ESRD) are still poorly understood. The aim of this study is to investigate physiological, cardiovascular and neuroendocrine changes in patients with ESRD and its correlation with changes in blood pressure (BP) during the HD session. The present study included 21 patients with ESRD undergoing chronic HD treatment. Group A (study) consisted of patients who had BP increase and group B (control) consisted of those who had BP reduction during HD session. Echocardiograms were performed during the HD session to evaluate cardiac output (CO) and systemic vascular resistance (SVR). Before and after the HD session, blood samples were collected to measure brain natriuretic peptide (BNP), catecholamines, endothelin-1 (ET-1), nitric oxide (NO), electrolytes, hematocrit, albumin and nitrogen substances. The mean age of the studied patients was 43±4.9 years, and 54.6% were males. SVR significantly increased in group A (P<0.001). There were no differences in the values of BNP, NO, adrenalin, dopamin and noradrenalin, before and after dialysis, between the two groups. The mean value of ET-1, post HD, was 25.9 pg ml−1 in group A and 13.3 pg ml−1 in group B (P=<0.001). Patients with ESRD showed different hemodynamic patterns during the HD session, with significant BP increase in group A, caused by an increase in SVR possibly due to endothelial dysfunction, evidenced by an increase in serum ET-1 levels.
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This paper starts to address the affect and side-effects of social media on people’s live in a pure contemplation perspective. Social networks are revised and some issues regarding its impact on education was not forgotten such as the teacher role in the digital classroom, formal versus informal learning or Web 2.0 tools use. Since Moodle is the first Learning Management System whilst Facebook is the first social network in the world, a survey was accomplished with two independent classes of e-business students at University of Saint Joseph, Macao, China, on their attitudes toward both online services in a learning framework. In general, the results confirms to a certain extent others previous studies on the question of whether using Facebook as an educational tool is more effective than Moodle.
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This paper presents an algorithm that applies metrics derived from automatic QRS detection and segmentation in electrocardiogram signals for analyzing Heart Rate Variability to study the evolution of metrics in the frequency domain of a clinical procedure. The analysis was performed on three sets of elderly people, who are categorized according to frailty phenotype. The first set was comprised of frail elderly, the second pre-frail elderly, and the third robust elderly. Investigators from many disciplines have been encouraged to contribute to the understanding of molecular and physiological changes in multiple systems that may increase the vulnerability of frail elderly. In this work, the frailty phenotype can be characterized by unintentional weight loss, as self-reported, fatigue assessed by self-report, grip strength (measured directly), physical activity level assessed by self-report and gait speed (measured). The results obtained demonstrate the existence of significant differences between Heart Rate Variability metrics for the three groups, especially considering a higher preponderance for sympathetic nervous system for the group of robust patients in response to postural maneuver.
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