The Econometric Value of Silence and Noise as Seen by a Non-practicing Marxist

A Collection of Poetry and Fiction

Patentointiaktiivisuuden muutos x86-prosessorivalmistajien keskuudessa vuosina 1985-2009 Case: Intel

Työssä tutkitaan x86-prosessorivalmistajien patentointiaktiivisuuden muutosta vuosina 1985 – 2009 Intelin kautta. Työn tavoitteena on selvittää syitä, jotka ovat johtaneet patentointiaktiivisuuden radikaaliin muutokseen toimialalla. Työssä esitellään patenttien tärkeys teknologiayrityksille ja miten patentointiaktiivisuus on muuttunut x86-prosessorivalmistajien keskuudessa. Työssä käsitellään patenttiteoriaa, esimerkiksi patenttijärjestelmää ja yrityksen patenttipolitiikkaa. Työssä käsitellään ei-valmistavia patenttitaloja ja luodaan katsaus niiden vaikutuksiin valmistaville yrityksille. Tämän jälkeen perehdytään yksityiskohtaisemmin teknologiajätti Inteliin. Työn tarkoitus on selvittää, onko toimialan patentointiaktiivisuus hidastumassa tai pysähtynyt. Työssä pyritään löytämään mahdollisia syitä Intelin patentointiaktiivisuuden muutokseen.

Le rôle des parents croyants non pratiquants dans l'initiation à la vie chrétienne des enfants de 8 à 12 ans : en complémentarité avec celui des intervenants en paroisse.

Cette-recherche-action émerge d’une problématique élaborée à partir de l’observation des pratiques catéchétiques à la paroisse Saint-Joachim dans le diocèse de Montréal. L’essentiel du projet se situe en théologie pratique, menée dans le cadre de la praxéologie pastorale. Un premier chapitre situe l’historique de la catéchèse en paroisse. Le deuxième déploie l’observation de la pratique à partir des pôles structurels et des fonctions d’élaboration, mais aussi par la mise à contribution des parents qui ont accepté de répondre à un questionnaire. Le troisième pose la problématique de la mise à l’écart des parents dans l’éducation à la foi et est suivi d’une interprétation sur un changement de posture et un appel à la coéducation dans la foi tout en prenant compte des évolutions des familles à l’égard du religieux. Cela est fait à partir de référents théologiques principalement, enrichis de référents dans les domaines de l’éducation et des sciences sociales. Des pistes à envisager avec les parents et avec les catéchètes sont ensuite formulées, avec un accent mis sur la pratique du dialogue pastoral et la notion d’accompagnement, et également en faisant le lien avec les différentes dimensions de la vie chrétienne. Le dernier chapitre veut offrir une prospective dans la transmission de la foi en révélant le rôle missionnaire de la catéchèse qui s’accorde avec la nouvelle évangélisation et la pastorale des familles.

Le rôle des parents croyants non pratiquants dans l'initiation à la vie chrétienne des enfants de 8 à 12 ans : en complémentarité avec celui des intervenants en paroisse

Cette-recherche-action émerge d’une problématique élaborée à partir de l’observation des pratiques catéchétiques à la paroisse Saint-Joachim dans le diocèse de Montréal. L’essentiel du projet se situe en théologie pratique, menée dans le cadre de la praxéologie pastorale. Un premier chapitre situe l’historique de la catéchèse en paroisse. Le deuxième déploie l’observation de la pratique à partir des pôles structurels et des fonctions d’élaboration, mais aussi par la mise à contribution des parents qui ont accepté de répondre à un questionnaire. Le troisième pose la problématique de la mise à l’écart des parents dans l’éducation à la foi et est suivi d’une interprétation sur un changement de posture et un appel à la coéducation dans la foi tout en prenant compte des évolutions des familles à l’égard du religieux. Cela est fait à partir de référents théologiques principalement, enrichis de référents dans les domaines de l’éducation et des sciences sociales. Des pistes à envisager avec les parents et avec les catéchètes sont ensuite formulées, avec un accent mis sur la pratique du dialogue pastoral et la notion d’accompagnement, et également en faisant le lien avec les différentes dimensions de la vie chrétienne. Le dernier chapitre veut offrir une prospective dans la transmission de la foi en révélant le rôle missionnaire de la catéchèse qui s’accorde avec la nouvelle évangélisation et la pastorale des familles.

Relação das actividades desportivas não lectivas e a aptidão física nos alunos do Ensino Secundário (estudo efectuado em 4 escolas da rede de Estágios da ULHT 2010/211)

RESUMO: Actividade Física, é qualquer movimento corporal produzido pelos músculos esqueléticos que resultam em energia despendida, acima do nível de repouso (Caspersen et al1985; Baranowski et al 1992). Um indivíduo sedentário que comece uma Actividade Física regular desencadeia um conjunto de adaptações ao esforço, em que algumas destas adaptações serão benéficas em termos de saúde, ajudando na prevenção inicial de várias doenças (Haskell et al 1965; Barata et al 1997). A Aptidão Física é um conjunto de atributos que as pessoas têm ou alcançam, que estão relacionados com os movimentos que as pessoas desempenham (Caspersen et al 1985; Baranowski et al 1992). O objectivo central do presente estudo consistiu em verificar se existem diferenças significativas entre os Praticantes e Não Praticantes de ADEC e a Aptidão Física dos alunos. A amostra foi constituída por 310 sujeitos, 165 rapazes e 145 raparigas pertencentes ao Ensino Secundário de 4 escolas da rede de estágios da ULHT 2010/2011. As Capacidades Físicas foram avaliadas através dos testes do Fitnessgram, a Prática de ADEC e o Índice de Actividade Física foram obtidos através do Questionário de Actividade Desportiva. Conclusões: Os alunos que praticam ADEC são mais aptos do que os alunos que não praticam ADEC. Estes Praticantes apresentam valores mais elevados na Aptidão Aeróbia e no VO2máx., quando comparados com os Não Praticantes. Nas restantes Capacidades Físicas analisadas (Força de Braços, Força Abdominal e Flexibilidade) não foram encontradas diferenças significativas. Não foram encontradas diferenças significativas entre a Prática de ADEC e o IMC. Os Praticantes de ADEC demonstraram ter um IAF superior aos Não Praticantes de ADEC. O Género Feminino apresenta melhores resultados do que o Género Masculino para a Força de Braços. Nas restantes Capacidades Físicas não foram encontradas diferenças significativas entre Géneros. Quando analisado o IMC, o Género Feminino apresenta percentagens superiores de Peso Normal relativamente ao Género Masculino. Não foram encontradas diferenças significativas entre o Género e a Aptidão Física. Verificou-se que existe diferenças significativas na relação entre o Género e o IAF, o Género Masculino tem um IAF superior ao Género Feminino. Os alunos mais aptos fisicamente são os alunos com maior IAF. Não foram encontradas diferenças significativas entre as Modalidades praticadas pelos alunos e o desenvolvimento qualquer das Capacidades Físicas estudadas. ABSTRACT: Physical Activity is any body movement produced by skeletal muscles resulting in energy expenditure above the resting level (Caspersen et al1985; Baranowski et al 1992). A sedentary individual, who starts a regular Physical Activity, triggers a set of adaptations to stress, in which some of these changes will be helpful in terms of health, aiding in primary prevention of several diseases (Haskell et al 1965; Barata et al 1997). Physical Fitness is a set of attributes that people have or achieve, and are related with the movements that people perform (Caspersen et al 1985; Baranowski et al 1992). The main purpose of this study was to determine whether there are significant differences between Practicing and Non-practitioners of ADEC and Physical Fitness of students. The sample consisted of 310 subjects, 165 boys and 145 girls belonging to high school students of 4 schools integrated in the ULHT 2010/2011. The Physical Abilities were assessed through Fitnessgram tests, ADEC practice and the Index of Physical Activity were obtained through the Physical Activity Questionnaire. Conclusions: Students that practice ADEC are more able than students who do not practice ADEC. These students that practice ADEC have higher values in Aerobic Fitness and VO2max when compared to non-practicing students. In the remaining Physical Abilities analyzed (Arm Strength, Abdominal Strength and Flexibility) were not considered significant differences. No significant differences were found between ADEC practice and the BMI. The students that practice ADEC showed higher Physical Activity levels than students who do not practice. Female gender presents better results than the male gender in Arms strength. In the remaining components of Physical Fitness were not found significant differences between genders. When analyzed BMI, female gender has higher percentages of normal weight compared to male gender. No significant differences were found between Gender and Physical Fitness. It was verified that there are significant differences in the relation between gender and Physical Activity levels, the male gender have a higher level of Physical Activity than female gender. The most able students are the ones with higher levels of Physical Activity. There were no significant differences between the sports practiced by students and the development of the studied components of physical fitness.

Efeito da prática do futebol no desempenho em agilidade, velocidade e coordenação de meninos na categoria dentinho ou sub 11 (10 e 11 anos de idade)

In Brazil, the practice of Soccer is encouraged very early. It is common remark that parents enroll their sons into soccer schools, promoting the involvement of these children in formal practice. However, there are not many studies that assess the effects of this practice in the physical capacities of children. Thus, the question that guides this study is: children who practice soccer systematically present better development of physical, especially agility, coordination and speed? The objective of this study was to compare the performance in velocity tests, agility and coordination of boys of 10 and 11 years, category dentinho or Sub-11, practitioners of soccer in schools and non practicing. The study included male children, born in 1997 and 1998, formed two groups: group of practitioners of soccer and group of non practicing. To belong to the group of practitioners, the child was regularly engaged for at least 1 year, with 1 hour daily and 2 to 3 times per week. The participants of the group of non practicing were not involved in regular practice of soccer and were paired in weight and stature with participants of the group of practitioners of soccer. Each participant was individually assessed in neutral environment and without foreign interference. For the assessment of the agility, was utilized the (shuttle run) test. The race test 30 meters stopped was employed for the assessment of the speed. The test of fiddling between the cones was employed to measure the coordination. The time spent to perform 1 attempt to each test was used for the comparison between groups. These data were treated, initially, by descriptive statistics (mean and standard deviation) and, subsequently, were compared by means of Anova, for independent samples. The significance level was maintained at 5%. Through analysis of the results the conclusion is that the regular practice ...(Complete abstract click electronic access below)

La Práctica del Desarrollo Local: Veinticinco Años de Experiencia del Instituto de Desarrollo Comunitario de Cuenca en Territorios Rurales

La investigación tiene como objetivo principal analizar la experiencia de la Asociación Instituto de Desarrollo Comunitario de Cuenca, en la práctica del desarrollo local en los territorios rurales de esta provincia. La necesidad de estimular a la población para que ésta forme parte de su propio desarrollo, pone de manifiesto la existencia de determinadas instituciones externas que a través de procesos como la facilitación, movilizan y crean capacidades en las personas y las empujan hacia la participación. Este es el caso del IDC de Cuenca que nace en 1985 como entidad privada —declarada de utilidad pública y sin ánimo de lucro—, con la voluntad de sus fundadores de trabajar en el desarrollo local de las zonas deprimidas de Cuenca. La labor desarrollada en estos más de 25 años tiene como centro la promoción de la persona como ser individual y como parte de su comunidad. Para la elaboración de la Tesis, se ha utilizado la metodología del caso de estudio centrado en el análisis de la experiencia del IDC respecto de las cuatro investigaciones realizadas centradas en el proceso de facilitación, las herramientas de formación e información, y la dinamización del tejido asociativo como resultado del proceso. La labor del IDC en la provincia de Cuenca se ha desarrollado a través de la ejecución de proyectos. Éstos se han llevado a cabo por medio de procesos de facilitación donde la creación de grupos de trabajo ha permitido mejorar la estructuración social de las zonas rurales. Los grupos de trabajo son creados y apoyados por el IDC a través de la utilización de las herramientas de información y formación, que deben estar adaptadas a las necesidades de los individuos y en este caso cuentan con una metodología de aplicación propia. La creación de diferentes entidades —asociaciones, cooperativas, clubes, etc.—, ha sido uno de los resultados del trabajo desarrollado por el IDC a través de los procesos de facilitación que han mejorado la estructuración de la sociedad rural. Pese a la complejidad tanto de los procesos de desarrollo como de la evaluación final de dichos procesos, la creación de grupos capaces de alcanzar determinados objetivos propuestos en su comunidad potenciando sus propios recursos, son el ejemplo de la dinamización social que se lleva produciendo en la provincia de Cuenca desde hace más de 25 años. The research's main objective is to analyze the experience of the Asociación Instituto de Desarrollo Comunitario de Cuenca, in the practice of local development in rural areas of this province. The need to encourage more people to take part of their own development, reveals the existence of certain external institutions which through processes such as facilitation, mobilize and create capacities in people to foster their participation. This is the case of the IDC of Cuenca that was born in 1985 as a private entity —declared of public utility and as non profit entity— with the intention, as stated by its founders, of working in the local development of the disadvantaged areas of Cuenca. The work carried out in these more than 25 years focused on promoting the person as an individual and as part of their community. In this research, the methodology of the case study has been used in the analysis of the experience of the IDC in four investigations carried out regarding the process of facilitation, training and information tools, and the improvement of social involvement as a result of the development process. The work of the IDC in the province of Cuenca has been developed through the implementation of projects. They have been carried out through processes of facilitation, where the creation of working groups has improved the social structuring of rural areas. The working groups are created and supported by the IDC through the use of tools of information and training, which must be adapted to the individual needs in each case, and even count with their own implementation methodology. The creation of different entities —associations, cooperatives, clubs, etc.— has been one of the results of the work carried out by the IDC through processes of facilitation which have improved the structure of rural society. Despite the complexity of development processes and the final assessment of these processes, the creation of groups able to reach certain objectives proposed in their community promoting its own resources, is an example of the social involvement that has been taking place in the province of Cuenca for more than 25 years.

DESEMPENHO DE ORGANIZAÇÃO SOCIAL (OS) NO GERENCIAMENTO DE ORGANISMOS PÚBLICOS: ESTUDO DESCRITIVO-EXPLORATÓRIO DO CENTRO NACIONAL DE PESQUISA EM ENERGIA E MATERIAIS - CNPEM

Este trabalho discutiu o desempenho do Centro Nacional de Pesquisa em Energia e Materiais CNPEM, que deu início às suas atividades como Associação Brasileira de Tecnologia de Luz Síncrotron - ABTLuS, Organização Social (OS), entidade da sociedade civil, sem fins lucrativos, disciplinada pela Lei 9.637 de 15 de maio de 1998, para gerir organismos públicos mediante a assinatura de contrato de gestão baseado em metas a serem cumpridas. O modelo nasceu concomitantemente com a criação do Ministério da Administração e Reforma do Estado MARE, na gestão do ministro Luiz Carlos Bresser Pereira, no governo do presidente Fernando Henrique Cardoso - FHC, tendo como princípio básico a prestação de serviços sociais, nas áreas de cultura, educação, pesquisa científica, proteção e preservação do meio ambiente e saúde, na expectativa de que ele pudesse prestar melhores serviços do que as empresas estatais e as entidades da administração direta. Hoje, dez anos se passaram e o CNPEM continua prestando serviços na área de pesquisa científica ao CNPq e ao MCT, apesar de não haver apoio para a criação de novas OS na esfera do governo federal, o que indicou ameaças ao seu ciclo de vida. A pesquisa desenvolveu-se através de estudo descritivo-exploratório, interpretando dados por intermédio do processo de hermenêutica para interpretação de dados retirados dos documentos institucionais, com conclusão favorável à continuidade do modelo, tendo em vista que a pesquisa demonstra que ele é legal, legítimo e competente no cumprimento das metas e missão, bem como está em plena forma física, sem ameaças ao seu ciclo de vida, demonstrando que tem muito a oferecer para a ciência brasileira e, como não poderia deixar de ser, a milhares de usuários espalhados pelo Brasil e o mundo.

Compulsory licensing of standard-essential patents and injunctive relief as abuse of dominant position in violation of Article 102 TFEU

When a dominant undertaking holding a standard-essential patent uses its exclusive right to the IP to seek injunctions against those wishing to produce either de jure or de facto standard compliant products, it creates a conflict between the exclusive right to the use of the IP on the one hand and the possible abuse of dominance due to the exclusionary conduct on the other. The aim of the thesis is to focus on the issues concerning abuse of dominance in violation of Article 102 TFEU when the holder of the standard-essential patent seeks an injunction against a would-be licensee. The thesis is mainly based on the most recent ECJ case law in Huawei and the Commission’s recent decisions in Samsung and Motorola. The case law in Europe prior to those decisions was mainly focused on the German case law from Orange Book Standard which provided IP holders great leverage due to the almost automatic granting of injunctions against infringers. The ECJ in Huawei set out the requirements for when a de jure standard-essential patent holder would not be violating Article 102 TFEU when seeking an injunction, requiring that negotiations in good faith must take place prior to the seeking of the injunction and that all offers must comply with FRAND terms, thus limiting the scope of case law derived from Orange Book Standard in Germany. The ECJ chose not to follow all of the reasoning the Commission had laid out in Samsung and Motorola which provided a more licensee-friendly approach on the matter, but rather chose a compromise between the IP holder friendly German case law and the Commission’s decisions. However, the ECJ did not disclose how FRAND terms themselves should be interpreted, but rather left it for the national courts to decide. Furthermore, the thesis strongly argues that Huawei did not change the fact that only vertically integrated IP holders who have made a FRAND declaration are subject to the terms laid out in Huawei, thus leaving non-practicing entities such as patent trolls and entities that have not made a FRAND declaration outside its scope. The resulting conclusion from the thesis is that while the ECJ in Huawei presented new exceptional circumstances for when an IP holder could be abusing its dominant position when it seeks an injunction, it still left many more questions answered, such as the meaning of FRAND and whether deception in giving a FRAND declaration is prohibited under Article 102 TFEU or not.

EFFECT OF FARMING PRACTICES AND FARM HISTORY ON INCIDENCE OF COCONUT LETHAL YELLOWING IN MOZAMBIQUE

Management of coconut ( Cocos nucifera ) lethal yellowing disease (CLYD), which has killed about eight million coconut trees in Mozambique, has proved challenging. The objective of this study was to investigate the impact of farming practices and related history, on the CLYD incidence in Mozambique. The methodology included a socioeconomic questionnaire to the households and direct observations on the palm farms. The collected data were analysed using logistic regression. Five out of 11 explanatory variables tested, namely farm age, availability of other palm species on the coconut farm, type of coconut varieties grown, root cut practices, and intercropping had a significant (P< 0.05) effect on CLYD incidence. Coconut farms <10 years had higher odds of higher disease incidence compared to the farms between 10 to 40 years old. The presence of other palm species in the coconut farms had two times higher odds of having higher disease incidence levels compared to farms without other palm species. Tall coconut varieties were likely to be more tolerant to CLYD compared to dwarf varieties. Coconut farms with some kind of intercropping had two times higher odds of having higher disease incidence levels compared to pure stands. The practice of cutting coconut roots had three times higher odds of having high disease incidence levels compared to non-practicing farms. Farm age, availability of other palm species on the coconut farm, type of coconut varieties grown, root cut practices and intercropping need to be considered for integrated CLYD management.

Akcje wielogłosowe w spółce publicznej

Występowanie akcji wielogłosowych w spółkach publicznych nie zawsze jest postrzegane jako zjawisko pozytywne. Niektóre regulacje zachodnioeuropejskie wyłączyły dopuszczalność wprowadzania akcji wielogłosowych albo doprowadziły do ich ograniczenia. Polski ustawodawca przyjął rozwiązanie, zgodnie z którym w spółce akcyjnej (niepublicznej) maksymalny pułap uprzywilejowania głosowego wynosi dwa głosy na jedną akcję. W odniesieniu jednak do spółki publicznej posłużono się niefortunnym sformułowaniem „uprzywilejowanie co do głosu nie dotyczy spółki publicznej”. W doktrynie napotkać można różnice w poglądach, co do obecnie obowiązujących przepisów regulujących tytułową problematykę. Wskazuje się, że przepis art. 351 § 2 zdanie drugie Kodeksu spółek handlowych może być rozumiany niejednolicie. Występowanie wielogłosowych akcji w spółkach publicznych wiąże się między innymi ze zmianą stanu prawnego, ale także, ze stanem faktycznym polegającym na uzyskaniu przez spółkę niepubliczną (prywatną) statusu spółki publicznej. Publikacja obejmuje teoretyczno-prawne rozważania związane z akcjami wielogłosowymi w spółkach publicznych. Celem artykułu jest przybliżenie tytułowej problematyki, począwszy od zagadnienia akcji wielogłosowych ustanowionych na gruncie nieobowiązującego już stanu prawnego, a zakończywszy na upublicznieniu spółki i wynikających z tego konsekwencjach w odniesieniu do akcji uprzywilejowanych co do głosu.

Relatório de estágio

Relatório de Estágio apresentado ao Instituto Superior de Contabilidade para a obtenção do Grau de Mestre em Auditoria Orientada por Dr. Rodrigo Mário de Oliveira Carvalho e Dr. Álvaro Manuel de Sousa Carvalho

Evolution of Teeth and Quadrate in Non-avian Theropoda (Dinosauria: Saurischia), with the Description of Torvosaurus Remains from Portugal

Theropods form a highly successful and morphologically diversified group of dinosaurs that gave rise to birds. They include most, if not all, carnivorous dinosaurs, yet many theropod clades were secondarily adapted to piscivory, omnivory and herbivory, and theropods show a large array of skull and dentition morphologies. This work aims to investigate aspects of the evolution of theropod dinosaurs by analyzing in detail both the anatomy and ontogeny of teeth and quadrates in non-avian theropods, and by studying embryonic and adult material of a new species of theropod. A standardized list of terms and notations for each anatomical entity of the tooth, quadrate, and maxilla is here proposed with the goal of facilitating descriptions of these important cranial and dental elements. The distribution of thirty dental characters among 113 theropod taxa is investigated, and a list of diagnostic dental characters is proposed. As an example, four isolated theropod teeth from the Lourinhã Formation (Kimmeridgian‒Tithonian) of Portugal are described and identified based on a cladistic analysis performed on a data matrix of 141 dentition-based characters coded in 60 taxa. Two shed teeth are referred to an abelisaurid, providing the first record of Abelisauridae in the Jurassic of Laurasia and the one of the oldest records of this clade in the world, suggesting a possible radiation of Abelisauridae in Europe well before the Upper Cretaceous. The consensus tree resulting from this phylogenetic analysis, the most extensive on theropod teeth, indicates that theropod teeth provide reliable data for identification at approximately family level, and this method will help identifying theropod teeth with more confidence. A detailed description of the dentition of Megalosauridae is also provided, and a discriminant analysis performed on a dataset of numerical data collected on the teeth of 62 theropod taxa reveals that megalosaurid teeth are hardly distinguishable from other theropod clades with ziphodont dentition. This study highlights the importance of detailing anatomical descriptions and providing additional morphometric data on teeth with the purpose of helping to identify isolated theropod teeth. In order to evaluate the phylogenetic potential and investigate the evolutionary transformations of the quadrate, a phylogenetic morphometric analysis as well as a cladistic analysis using 98 discrete quadrate related characters were conducted. The quadrate morphology by its own provides a wealth of data with strong phylogenetic signal, and the phylogenetic morphometric analysis reveals two main morphotypes of the mandibular articulation of the quadrate linked to function. As an example, six isolated quadrates from the Kem Kem beds (Cenomanian) of Morocco are determined to be from juvenile and adult individuals of Spinosaurinae based on phylogenetic, morphometric, and phylogenetic morphometric analyses. Morphofunctional analysis of the spinosaurid mandibular articulation has shown that the posterior parts of the two mandibular rami displaced laterally when the jaw was depressed due to a mediolaterally oriented intercondylar sulcus of the quadrate. Such lateral movement of the mandibular ramus was possible due to a movable mandibular symphysis in spinosaurids, allowing the pharynx to be widened. A new species of theropod from the Lourinhã Formation of Portugal, Torvosaurus gurneyi, is erected based on a right maxilla and an incomplete caudal centrum. This taxon supports the mechanism of vicariance that occurred in the Iberian Meseta during the Late Jurassic when the proto-Atlantic was already well formed. A theropod clutch containing several crushed eggs and embryonic material is also assigned to this new species of Torvosaurus. Investigation on the maxilla ontogeny in basal tetanurans reveals that crown denticles, elongation of the anterior ramus, and fusion of interdental plates appear at a posthatchling stage. On the other hand, maxillary pneumaticity is already present at an embryonic stage in non-avian theropods.

Syndrome métabolique: syndrome fourre-tout des patients obèses ou entité spécifique? Quel traitement: hygiene de vie ou potypill [Metabolic syndrome: jumble syndrome of obesity or specific entity? Which treatment: diet or polypill?]

The reality of metabolic syndrome (MS) as a specific entity is debatable. However, the simple measure of waist circumference (>94 cm in men and >80 cm in women) is useful: (1) to check for insulin resistance by measuring serum levels of fasted glucose and insuline, cholesterol, triglycerides; (2) to look for diseases associated with MS such as hypertension, non alcohoolic steatohepatitis, sleep apnea, polycystic ovary disease, hypogonadism and to measure serum levels of ferritine, ALAT, ASAT, urate acid, CRP hs, testosterone and (3) to make obese people aware of their risk of becoming diabetic and to motivate them to change their life style. The utility of exercise and of various diets is discussed as well as the efficiency of drugs acting on different components of MS such as rimonabant, orlistat, metformin, glitazones, telmisartan and testosterone. The importance of political measures to fight the obesity epidemic is underlined.

Sarcoïdose extrapulmonaire: entité méconnue [Extrapulmonary sarcoidosis: an unrecognized disease entity?].

Sarcoidosis is a multi-systemic inflammatory disease of unknown etiology, histologically characterized by the presence of non caseating granulomas. The diagnostic suspicion relies on clinical, epidemiological, biological and radiological elements. It is confirmed by an evocative histology and by the exclusion of other granulomatous pathologies. The aim of this article is to expose some clinical manifestations of extrapulmonary sarcoidosis particularly the cardiac and abdominal involvements. A register was made on cases of sarcoidosis diagnosed in CHUV from 2000 to 2009. It demonstrates the rarity of the disease in the region of Lausanne and confirms the existence of purely extra-thoracic affections.